UPDATED ACTUAL Exam Questions and
CORRECT Answers
What are the 14 SDH's? - CORRECT ANSWER - - income and income distribution
- education
- housing
- race
- gender
- social exclusion
- food insecurity
- employment and working conditions
- early life
- disability
- social security net
- health services
- Indigenous status
- environment and structural conflict
Explain the early model of disease - CORRECT ANSWER - - viewed diseases as magic
and a "divine punishment"
- environmental factors recognized as contributing to disease
- disease seen as individual till it's an epidemic
What does "pritsunoid" mean? - CORRECT ANSWER - disruption
What are the CNA recommendations for addressing SDH's? - CORRECT ANSWER -
Individual Practice
,- Understand SDH impact on patients.
- Help patients link SDH to their health.
- Identify and share available SDH-related resources with clients.
Health Care System
- Promote programs that go beyond lifestyle and behavior.
- Encourage health departments to adopt an SDH approach.
- Advocate for universal access to basic health programs.
Healthy Public Policy
- Use SDH examples from practice to drive change.
- Raise awareness of SDH research among decision-makers.
- Address structural class issues affecting population health.
What are some conceptualizations of SDH's? - CORRECT ANSWER - World Health
Organization (1986)
- Social gradient, stress, early life, social exclusion, work, unemployment, social support,
addiction, food, transport (Wilkinson & Marmot, 2003).
Centers for Disease Control and Prevention (CDC)
- Socioeconomic status, transportation, housing, access to services, discrimination by social
grouping, social/environmental stressors.
Health Canada (1998)
- Indigenous status, early life, education, employment/working conditions, food security, gender,
health care services, housing, income distribution, social safety net, social exclusion,
unemployment/employment security
Discuss the 1700's in regard to disease model - CORRECT ANSWER - - Epidemics in
urban areas (especially port cities i.e. Cholera)
- Fear, tradition, and scientific exploration shaped understanding.
- unsanitary, vector component and a naivety to it
, List and explain the 1800's epidemiology advances (dates, people, disease and discovery) -
CORRECT ANSWER - - 1837, Chadwick's report of sanitary conditions (Typhoid fever)
- 1848, Snow's broad street pump (Cholera)
- 1859, Tames river as a "flowing Lavatory" (Cholera)
- 1864, Lister's antiseptic, dropped death rate from 45% to 15%
- Koch's introduction of bacteriology (Anthrax)
Who provided public and home health services, birth of nursing care in home during 1906 and
where? - CORRECT ANSWER - Lillian Wald in New York
Who helped establish the Victorian Order of Nurses? - CORRECT ANSWER - Lady
Ishbel Aberdeen
Who was the first Indigenous person to graduate from a nursing program in 1954 and what did
she help establish? - CORRECT ANSWER - Jean Cuthand-Goodwill, helped establish the
Canadian Indigenous Nursing Association
Who was the Chief nursing offices of the WHO in 1954 and a military nurse? - CORRECT
ANSWER - Lyle Creelman
What are the 9 greatest public health achievements? - CORRECT ANSWER - 1.
Vaccinations
2. Motor vehicle safety
3. Safer workplaces
4. Control of infectious diseases
5. Decline in coronary heart disease and stroke deaths
6. Safer and healthier foods
7. Healthier mothers and babies
8. Family planning
9. Healthier environments