NCAS Health Promotion and Education 2 — Questions and Answers
Question 1: Which type of health promotion program evaluation measures whether the program produced the desired change in health outcomes?
- Outcome evaluation (Correct answer)
- Process evaluation
- Needs assessment
- Formative evaluation
Correct answer: Outcome evaluation
Outcome evaluation measures whether a health promotion program achieved its intended health behavior changes or health status improvements.
Question 2: A nurse is using the PRECEDE-PROCEED model to plan a community obesity prevention program. In the PRECEDE phase, the nurse should FIRST:
- Conduct a social assessment to identify quality of life concerns of the target community (Correct answer)
- Implement the educational intervention
- Evaluate program outcomes
- Secure funding for the program
Correct answer: Conduct a social assessment to identify quality of life concerns of the target community
The PRECEDE phase begins with a social assessment of the community's quality of life concerns to ensure the program addresses real community priorities from the start.
Question 3: Which communication channel is MOST effective for reaching older adults in a rural US community with health promotion messages?
- Local radio, newspapers, and faith community networks (Correct answer)
- Instagram and TikTok social media platforms
- Email newsletters only
- AI-powered chatbots
Correct answer: Local radio, newspapers, and faith community networks
Older rural adults are best reached through traditional channels including local radio, newspapers, and trusted faith community networks, which have high reach in this population.
Question 4: A community health nurse is running a smoking cessation program. Which counseling approach has the strongest evidence for increasing quit rates?
- Combining pharmacotherapy (NRT, varenicline, or bupropion) with behavioral counseling (Correct answer)
- Brief advice alone without medication
- Self-help pamphlets only
- Hypnotherapy as the primary intervention
Correct answer: Combining pharmacotherapy (NRT, varenicline, or bupropion) with behavioral counseling
Combined pharmacotherapy and behavioral counseling has the strongest evidence base for smoking cessation, with much higher quit rates than either approach alone.
Question 5: Which of the following best describes 'upstream' interventions in health promotion?
- Addressing the root social, economic, and environmental determinants of health rather than individual symptoms (Correct answer)
- Treating disease after onset with medications
- Providing acute care in emergency settings
- Screening individuals for early disease detection
Correct answer: Addressing the root social, economic, and environmental determinants of health rather than individual symptoms
Upstream interventions address the fundamental social, economic, and environmental conditions — like poverty, housing, or food access — that create health problems in the first place.
Question 6: A community health nurse conducting a health fair uses the opportunity to screen for prediabetes. This activity exemplifies which level of prevention?
- Secondary prevention (Correct answer)
- Primary prevention
- Tertiary prevention
- Quaternary prevention
Correct answer: Secondary prevention
Screening asymptomatic individuals to detect prediabetes before it progresses to Type 2 diabetes is secondary prevention, aimed at early detection and intervention.
NCAS Health Promotion and Education 2
Which type of health promotion program evaluation measures whether the program produced the desired change in health outcomes?