NR 602 Midterm Exam Questions with 100% Correct Answers Latest
Graded A+
Question:
What are the social determinants of health?
Answer:
conditions in which people are born, grow, live, work and age that affect health. They are
influenced by money power and resources.
Question:
Examples of social determinants of health
Answer:
•Safe housing, transportation, and neighborhoods
•Racism, discrimination, and violence
•Education, job opportunities, and income
•Access to nutritious foods and physical activity opportunities
•Polluted air and water
•Language and literacy skills
Question:
5 domains of social determinants of health per Healthy People
Answer:
1. Economic stability (employment, income)
Question:
2. Education access 3. Health access 4. Neighborhood/environment (lead, safety, etc.) 5. Social &
community context (ex. transgender bullying) The USPSTF recommends screening for social
determinants but there are multiple barriers. What are some of these barriers?
Answer:
Lack of standardized screening tools
,Can't bill for it
hard to find resources for interventions
Difficult to integrate with EMR
Lack of clarity on which data to address in primary care
Question:
What are two initiatives by the WHO for social determinants of health?
Answer:
1. Every Woman Every Child
Question:
2. Special incentive for action of SDOH - goal to make a database and have all countries
identify/address root causes What is marginalization?
Answer:
treatment of a person, group, or concept as insignificant or peripheral and separated from critical
resources or experiences
Question:
What is the economic impact of marginalization?
Answer:
Marginalization causes an increase in incidence and prevalence of disease. More disease means
higher healthcare costs and less income. Less income can impact shelter, food, etc. Wealth begets
wealth (social capital) and poverty is associated with poorer outcomes
Question:
What is the Gini coefficient?
Answer:
Measures income inequality within a country. Values between 0 (where everyone earns the same)
and 1 (where one person earns all the money in a country). Higher means there is a bigger gap
between richest and poorest, which increases the likelihood of social conflict.
Question:
What is volatility in terms of marginalization?
Answer:
,More inequality causes a lack of political consensus and policies that serve the greater good
Question:
Disparities between Black and White women for life expectancy, infant mortality, maternal
mortality and maternal suicide
Answer:
Black > White in all categories except maternal suicide
- Life expectancy 77:81
- Infant mortality 10.9:4.7
- Maternal mortality 37.1:14.7
- Maternal suicide 2.8:7.9
Question:
What is human trafficking?
Answer:
the illegal movement of people, typically for the purposes of forced labor or commercial sexual
exploitation. Accomplished by threat, coercion, fraud, deception, etc.
Question:
Indicators someone is being trafficked
Answer:
Patient is accompanied by someone that refuses to leave or speaks for them. The other person has
the patients documents or patient has no documents. Patient cannot provide address or does not
know location/time. Patient is reluctant to answer questions about health or seems coached or
inconsistent.
Question:
What are the main sources of health indicators for pediatrics?
Answer:
Healthy People
Bright Futures
, Question:
Bright futures
Answer:
National initiative for well child visits and preventative screenings for kids
12 health-promotion themes like mental health, nutrition, exercise, oral health, etc.
Question:
What should be included in a well child visit for a 9mo old vs 7yo vs 16yo?
Answer:
9mo - vision, hearing, lead screen
7yo - ht/wt/BMI, BP, immunizations
16yo - ht/wt/BMI, developmental & psychosocial & behavioral & depression assessment,
immunizations, vision test, tobacco/alcohol/drug assessment, testing for anemia, dyslipidemia and
STIs
Question:
Healthy People objectives for immunizations
Answer:
Decrease number of kids without vaccines by 2yo
Maintain 2 doses of MMR vaccines
Increase coverage of 4 doses of DTaP by 2yo
Question:
Types of vaccines
Answer:
- live attenuated
- inactivated/killed
- partially inactivated
- mRNA
- toxoid
Graded A+
Question:
What are the social determinants of health?
Answer:
conditions in which people are born, grow, live, work and age that affect health. They are
influenced by money power and resources.
Question:
Examples of social determinants of health
Answer:
•Safe housing, transportation, and neighborhoods
•Racism, discrimination, and violence
•Education, job opportunities, and income
•Access to nutritious foods and physical activity opportunities
•Polluted air and water
•Language and literacy skills
Question:
5 domains of social determinants of health per Healthy People
Answer:
1. Economic stability (employment, income)
Question:
2. Education access 3. Health access 4. Neighborhood/environment (lead, safety, etc.) 5. Social &
community context (ex. transgender bullying) The USPSTF recommends screening for social
determinants but there are multiple barriers. What are some of these barriers?
Answer:
Lack of standardized screening tools
,Can't bill for it
hard to find resources for interventions
Difficult to integrate with EMR
Lack of clarity on which data to address in primary care
Question:
What are two initiatives by the WHO for social determinants of health?
Answer:
1. Every Woman Every Child
Question:
2. Special incentive for action of SDOH - goal to make a database and have all countries
identify/address root causes What is marginalization?
Answer:
treatment of a person, group, or concept as insignificant or peripheral and separated from critical
resources or experiences
Question:
What is the economic impact of marginalization?
Answer:
Marginalization causes an increase in incidence and prevalence of disease. More disease means
higher healthcare costs and less income. Less income can impact shelter, food, etc. Wealth begets
wealth (social capital) and poverty is associated with poorer outcomes
Question:
What is the Gini coefficient?
Answer:
Measures income inequality within a country. Values between 0 (where everyone earns the same)
and 1 (where one person earns all the money in a country). Higher means there is a bigger gap
between richest and poorest, which increases the likelihood of social conflict.
Question:
What is volatility in terms of marginalization?
Answer:
,More inequality causes a lack of political consensus and policies that serve the greater good
Question:
Disparities between Black and White women for life expectancy, infant mortality, maternal
mortality and maternal suicide
Answer:
Black > White in all categories except maternal suicide
- Life expectancy 77:81
- Infant mortality 10.9:4.7
- Maternal mortality 37.1:14.7
- Maternal suicide 2.8:7.9
Question:
What is human trafficking?
Answer:
the illegal movement of people, typically for the purposes of forced labor or commercial sexual
exploitation. Accomplished by threat, coercion, fraud, deception, etc.
Question:
Indicators someone is being trafficked
Answer:
Patient is accompanied by someone that refuses to leave or speaks for them. The other person has
the patients documents or patient has no documents. Patient cannot provide address or does not
know location/time. Patient is reluctant to answer questions about health or seems coached or
inconsistent.
Question:
What are the main sources of health indicators for pediatrics?
Answer:
Healthy People
Bright Futures
, Question:
Bright futures
Answer:
National initiative for well child visits and preventative screenings for kids
12 health-promotion themes like mental health, nutrition, exercise, oral health, etc.
Question:
What should be included in a well child visit for a 9mo old vs 7yo vs 16yo?
Answer:
9mo - vision, hearing, lead screen
7yo - ht/wt/BMI, BP, immunizations
16yo - ht/wt/BMI, developmental & psychosocial & behavioral & depression assessment,
immunizations, vision test, tobacco/alcohol/drug assessment, testing for anemia, dyslipidemia and
STIs
Question:
Healthy People objectives for immunizations
Answer:
Decrease number of kids without vaccines by 2yo
Maintain 2 doses of MMR vaccines
Increase coverage of 4 doses of DTaP by 2yo
Question:
Types of vaccines
Answer:
- live attenuated
- inactivated/killed
- partially inactivated
- mRNA
- toxoid
