Health Promotion and Education Flashcards

A community nurse is evaluating health disparities in cancer screening rates. Disparities in preventive service use are MOST often driven by:

Answer: Lack of insurance, language barriers, and low health literacy

Disparities in preventive service use are primarily driven by systemic barriers including lack of insurance coverage, language and cultural barriers, and low health literacy.

Which element of health communication makes public health messages MOST persuasive and actionable for community audiences?

Answer: A specific, easy, single call to action that the audience can perform immediately

Health communication research consistently shows that messages including a specific, simple, immediately actionable step drive behavior change better than information-heavy or fear-only messages.

A community health nurse wants to build a coalition to address opioid overdose deaths. Which is the MOST important first step?

Answer: Identify and engage diverse stakeholders including public health, law enforcement, treatment providers, and people with lived experience

Effective coalition building begins with broad, inclusive stakeholder engagement — including community members with lived experience — before designing any intervention.

Which concept from community health describes the process of enabling people to increase control over and improve their own health?

Answer: Health empowerment / Health promotion (WHO Ottawa Charter definition)

The WHO Ottawa Charter (1986) defines health promotion as the process of enabling people to increase control over and improve their health — emphasizing empowerment over disease treatment.

A community nurse is measuring the impact of a physical activity promotion program. Which outcome metric BEST demonstrates program effectiveness?

Answer: Percentage of participants meeting CDC physical activity guidelines at 6-month follow-up

Measuring the proportion of participants who meet physical activity guidelines at follow-up directly captures behavior change — the actual intended outcome of the program.

Which framework does the CDC recommend for planning, implementing, and evaluating public health programs in community settings?

Answer: CDC Framework for Program Evaluation in Public Health (6-step framework)

The CDC's Framework for Program Evaluation includes six steps: engage stakeholders, describe the program, focus the evaluation design, gather credible evidence, justify conclusions, and ensure use of findings.