S5 Health Management And Social Care Practice Paper: Health Promotion, Life-span Care, Vulnerable Groups, Health Policy, Stress And Mental Health (with Answers)

Health Management and Social Care – Secondary 5

S5 Health Management and Social Care practice paper: health promotion, life-span care, vulnerable groups and mental health. 100 marks, 60 minutes.

Paper details　

Health Concepts and Health Promotion

Study the health data below and answer the questions.

#	Question	Answer and marking notes
1	An adult is 1.6 m tall and weighs 64 kg. Calculate the body mass index (BMI) and state the weight category (BMI 25.0 to 29.9 is overweight).	Answer: BMI = 64 / (1.6 x 1.6) = 25.0, which falls in the overweight range.
2	The World Health Organization recommends adults accumulate 150 minutes of moderate-intensity exercise per week. Calculate the average minutes per day (one decimal place).	Answer: 150 / 7 = about 21.4 minutes per day.
3	In a district, 36 out of every 1,000 smokers and 12 out of every 1,000 non-smokers develop a disease each year. Calculate the relative risk and the excess cases per 1,000 people.	Answer: relative risk = 36 / 12 = 3; excess cases = 36 – 12 = 24 per 1,000 people.
4	The Department of Health advises eating 5 portions of fruit and vegetables every day. A person eats only 22 portions in a week. Calculate the shortfall.	Answer: the weekly target is 5 x 7 = 35 portions; the shortfall is 35 – 22 = 13 portions.

Study the cases below and answer the questions.

#	Question	Answer and marking notes
5	A vaccine requires 3 doses in infancy, with 4 weeks between doses. Calculate the total number of weeks from the first to the last dose and explain why doses must be given on schedule.	Answer: 3 doses create 2 intervals, so the course spans 8 weeks; keeping to schedule builds protection before the age of highest risk and reduces complications and transmission.
6	A baby weighs 3.2 kg at birth and 6.4 kg at four months. Calculate the growth multiple.	Answer: 6.4 / 3.2 = 2.0, so the weight has doubled by about four months.
7	Of 80 residents in a care home, 12 fell within one year. Calculate the incidence of falls and suggest two preventive measures.	Answer: 12 / 80 x 100 = 15.0 per cent; measures include better lighting and non-slip floors, grab rails, medication review and strength training.
8	A city has a population of 7.5 million, of whom 20 per cent are aged 65 or above. Calculate the number of older people and state one resulting service need.	Answer: 7,500,000 x 20 per cent = 1,500,000 people; needs include long-term care, primary care and community support networks.

Study the social data below and answer the questions.

#	Question	Answer and marking notes
9	A district has 2,000 households, of which 400 are low-income. Calculate the percentage of low-income households.	Answer: 400 / 2,000 x 100 = 20.0 per cent.
10	The labour force of a place is 3,800,000 and 133,000 people are unemployed. Calculate the unemployment rate.	Answer: 133,000 / 3,800,000 x 100 = 3.5 per cent.
11	The employment rate of disabled people in a place is 45 per cent, with 18,000 disabled people in work. Calculate the total number of disabled people and suggest one employment support measure.	Answer: 18,000 / 45 per cent = 40,000 people; support includes vocational training, workplace accessibility adaptation and employer subsidies.
12	A district has 3 community centres offering 250 places each, while demand is 900 places. Calculate the total capacity and the shortfall, then suggest one measure.	Answer: capacity = 3 x 250 = 750 places; shortfall = 900 – 750 = 150 places; add outreach services or partner with welfare agencies.

Study the policy data below and answer the questions.

#	Question	Answer and marking notes
13	Annual health expenditure in a place is 1,800 hundred million dollars and GDP is 30,000 hundred million dollars. Calculate health spending as a percentage of GDP.	Answer: 1,800 / 30,000 x 100 = 6.0 per cent.
14	Public services account for 88 per cent of health care use and private services 12 per cent. Calculate the percentage-point difference and state one likely effect.	Answer: 88 – 12 = 76 percentage points; the imbalance lengthens public waiting times and shifts cost onto lower-income users.
15	The place has 6 family doctors per 10,000 people and a population of 7.5 million. Calculate the total number of family doctors.	Answer: 7,500,000 / 10,000 x 6 = 4,500 doctors.
16	Option A costs 12 hundred million dollars for 900 quality-adjusted life years (QALYs); Option B costs 15 hundred million dollars for 1200 QALYs. Calculate the cost per QALY for each and state which is more cost-effective.	Answer: Option A = 12 hundred million / 900 QALYs, about 1,333,333 dollars each; Option B = 15 hundred million / 1200 QALYs, about 1,250,000 each; Option B is more cost-effective.

Study the data below and answer the questions.

#	Question	Answer and marking notes
17	Doctors advise adults to sleep 8.0 hours a night, but a person sleeps only 5.5 hours. Calculate the sleep deficit and state one effect.	Answer: 8.0 – 5.5 = 2.5 hours; chronic sleep loss impairs memory, emotional regulation and immunity.
18	An anxiety scale has 21 items scored from 0 to 3. Calculate the maximum total score.	Answer: 21 x 3 = 63 marks.
19	A community estimates that 1,200 people need mental health support but only 300 have sought help. Calculate the help-seeking rate and state one reason for low uptake.	Answer: 300 / 1,200 x 100 = 25.0 per cent; reasons include stigma, poor awareness of services and cost concerns.
20	A worker puts in 60 hours a week against a standard of 44 hours. Calculate the extra hours and the percentage above the standard.	Answer: 16 extra hours, which is 36.4 per cent above the standard.

Study the service data below and answer the questions.

#	Question	Answer and marking notes
21	The average waiting time for a specialist service falls from 18 months to 14 months. Calculate the reduction in months and the percentage cut.	Answer: 18 – 4 = 14 months; the cut is 4 / 18 x 100 = 22.2 per cent.
22	A district has 3 outreach teams handling 60 cases each, against a demand of 240 cases. Calculate the coverage rate.	Answer: 3 x 60 = 180 cases; coverage = 180 / 240 x 100 = 75.0 per cent.
23	Community care costs 6,000 dollars per person per month and residential care 18,000 dollars. Calculate the annual saving.	Answer: the monthly saving is 12,000 dollars and the annual saving is 144,000 dollars.
24	A multidisciplinary team has 8 nurses, 6 social workers, 4 therapists and 2 doctors. Calculate the team size and the percentage of nurses.	Answer: the team has 20 members; nurses make up 8 / 20 x 100 = 40.0 per cent.

A TutorZone practice paper; original questions and passages, not publisher material.