S4 Health Management And Social Care Practice Paper (Set 1): Youth Health Survey Data Analysis, Growth And Nutrition Energy Calculations, Mental Health And Stress Management, Family And Interpersonal Support, Hong Kong Health And Welfare Services, Health Promotion Plan (with Answers)

S4 Health Management and Social Care Practice Paper (Set 1): Youth Health Survey Data Analysis, Growth and Nutrition Energy Calculations, Mental Health and Stress Management, Family and Interpersonal Support, Hong Kong Health and Welfare Services, Health Promotion Plan (with answers)

2026-11-15

S4 Health Management and Social Care

S4 HMSC practice paper: health survey data, BMI and energy sums, nutrition, stress, family support, HK care services, promotion plan; 100 marks, 60 minutes.

Paper details　

A. Health indicators and data analysis

Read the survey report below and answer the questions. In April a secondary school sent a health questionnaire to all 500 S4 students. 120 of them reported “180 minutes or more of moderate to vigorous physical activity per week”, 150 reported “120 to 179 minutes”, 130 reported “60 to 119 minutes” and the remaining 100 reported “less than 60 minutes”. The average height of respondents was 160 cm and the average weight was 56 kg.

#	Question	Answer and marking notes
1	How many respondents did at least 120 minutes of physical activity per week, and what percentage of all respondents is that?	Answer: 270 students (120 plus 150), that is 54 percent of the sample.
2	How many more students were in the “120 to 179 minutes” group than in the “less than 60 minutes” group?	Answer: 50 more students (150 minus 100).
3	Using the reported average height and weight, calculate the average body mass index (BMI, one decimal place) and state the weight category.	Answer: BMI about 21.9, that is 56 divided by 2.56; in the adult classification 18.5 to 22.9 is the normal range.
4	State one limitation of using these survey data to explain adolescent health, and suggest one improvement.	Answer: self-reported activity is often over-estimated, and the data cover one school at one point in time. Improvements include using accelerometers and a larger longitudinal sample.

B. Growth, development and nutrition

A S4 student needs 2200 kcal per day, protein should supply 15 percent of total energy, and one gram of protein provides 4 kcal.

#	Question	Answer and marking notes
5	Calculate the energy in kcal that should come from protein each day, and the equivalent weight of protein in grams.	Answer: 330 kcal (2200 times 15 percent), equal to 82.5 grams of protein (330 divided by four).
6	One cup of instant noodles contains 1600 mg of sodium, while the daily upper limit is 2000 mg. What percentage of the daily limit does one cup supply?	Answer: 80 percent (1600 divided by 2000).
7	Explain two roles of protein and calcium in growth and development during puberty.	Answer: protein supplies amino acids for building muscle and tissue; calcium builds bones and teeth, and bone density accumulates quickly in puberty.
8	Apart from the energy value, which two items on a nutrition label should be checked, and why?	Answer: check whether figures are per serving or per pack, and check sugar and sodium, which are linked to obesity and high blood pressure.

C. Mental health and stress management

A student ticked 8 items out of 20 on a stress-source checklist.

#	Question	Answer and marking notes
9	Calculate the percentage of checklist items the student ticked.	Answer: 40 percent (8 divided by 20).
10	State the three steps of the 4-7-8 breathing method with the suggested timing.	Answer: breathe in through the nose for four seconds, hold for seven seconds, then breathe out slowly for eight seconds.
11	Distinguish acute stress from chronic stress and give one example of each.	Answer: acute stress comes from a sudden event such as the night before an examination; chronic stress comes from a prolonged situation such as long-term family financial hardship.
12	Identify one unhealthy way of relieving stress and explain its risk.	Answer: smoking or heavy drinking may feel relaxing briefly but causes dependence and raises the risk of respiratory, liver and mental health problems.

D. Family and interpersonal support networks

A family of 4 members holds a family meeting of 60 minutes, with 10 minutes used to set the agenda.

#	Question	Answer and marking notes
13	If the remaining time is shared equally among the four members, how many minutes can each speak?	Answer: 12.5 minutes ((60 minus 10) divided by four).
14	Describe the three levels of a support network and give one example of each.	Answer: personal level covers self-care and emotion regulation; family level covers parents and siblings; community level covers school social workers and neighbourhood mutual help.
15	State the four parts of an “I message”.	Answer: describe the observed fact, express the feeling, explain the need behind it, and make a specific request.
16	List two steps in handling an interpersonal conflict and explain why emotions should be addressed first.	Answer: pause and calm down, then look for a solution acceptable to both sides; strong emotion narrows judgement, so calming first prevents escalation.

E. Hong Kong health and welfare services

A hospital ward has 40 beds.

#	Question	Answer and marking notes
17	If the nurse-to-patient ratio is 1 to 10, how many nurses does the ward need? How many extra nurses are needed if the ratio improves to 1 to 8?	Answer: 4 nurses at 1 to 10 and 5 at 1 to 8, so 1 more nurses.
18	An elderly centre offers 240 places and receives 300 applications. Calculate the success rate.	Answer: 80 percent (240 divided by 300), so about 60 applicants are not served.
19	Give one example of primary care and one example of tertiary care in Hong Kong.	Answer: primary care includes district health centre risk assessment and screening; tertiary care includes intensive care or organ transplantation in hospitals.
20	Explain the meaning of empowerment in social welfare services and give one example.	Answer: empowerment means helping service users gain the ability, knowledge and confidence to control their own lives, for example training older adults to book appointments by smartphone.

F. Health promotion plan and case analysis

The students union plans a health week for 500 students. The budget covers 2 speakers at 1200 dollars each, 400 dollars for promotion, and one resource pack of 6 dollars per student.

#	Question	Answer and marking notes
21	Calculate the total budget and the average cost per participant.	Answer: total 5800 dollars (speakers 2400, promotion 400, materials 3000), about 11.6 dollars per head.
22	Rewrite “improve student health” as a SMART objective for the plan.	Answer: within one month after health week, raise the share of participants doing 60 minutes of moderate to vigorous activity daily from 50 to 65 percent, measured by pre and post questionnaires.
23	Suggest one way to evaluate the effectiveness of the plan and explain why baseline or comparison data are needed.	Answer: compare activity time and knowledge scores before and after with the same questionnaire; without baseline or a comparison group the change cannot be attributed to the plan.
24	In about 120 words explain how the plan can raise students health literacy and identify one difficulty in implementation.	Key points: talks, booths and resource packs give accurate information and train students to understand, judge and apply health knowledge; low participation or clashes with lessons are likely difficulties.

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