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Nursing Practice and Social Determinants of Health (SDOH Questions and Answers

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Nursing Practice and Social Determinants of Health (SDOH Questions and Answers What is the main focus of the Upstream Approach in nursing? To examine root causes of poor health beyond individual behavior, including economic, political, and environmental factors

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October 7, 2025
Number of pages
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Written in
2025/2026
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Nursing Practice and Social Determinants of
Health (SDOH Questions and Answers
What is the main focus of the Upstream Approach in nursing?
To examine root causes of poor health beyond individual behavior, including
economic, political, and environmental factors.
What is the difference between microscopic and macroscopic approaches to
community health problems?
Microscopic focuses on individual patients and specific health problems, while
macroscopic takes a community-based approach.
What is the primary focus of Orem's Self-Care Deficit Theory of Nursing?
The individual is the focus of change (microscopic).
-The Health Belief Model (HBM)
Milio's framework for prevention
The Upstream view: society is the focus of change (macroscopic)
-Critical theoretical perspective
What are the three components of Orem's Self-Care Deficit Theory?
Theory of self-care deficits (criteria for identifying who needs nursing care)
Theory of self-care (explains health care and why it is necessary)
Theory of nursing systems (specifies the nursing role and delivery of care and how
nursing helps people)
What does the Health Belief Model (HBM) emphasize in nursing?
Second theory that focuses on the individual
Kurt Lewin's work
Behavior is based on current dynamics confronting an individual rather than prior
experience.
Identify the patient's needs
What is a limitation of the Health Belief Model (HBM)?

, It places the burden of action on the client.
How does Milio's Framework for Prevention complement the Health Belief
Model?
It directs attention upstream to examine opportunities for nursing intervention at
a population level.
What does the Critical Theoretical Perspective in nursing focus on?
Exposing social inequalities that prevent individuals from reaching their full
potential.
What are the values and assumptions behind the Critical Theoretical Perspective?
Health problems and inequalities are connected to historical social arrangements
and cultural values.
What should health care systems prioritize according to the Critical Theoretical
Perspective?
Health care should be oriented toward the prevention of disease and illness.
The needs of the clients/population rather than the health care providers.
What historical role have nurses played in relation to social justice?
Nurses have a legacy of involvement in social justice activities.
What is the principle of Market Justice in health care?
principles people are entitled to end when they acquire them through fair rules of
entitlement
What is the principle of Social Justice in health care?
principles that all citizens bear equitably in the benefits of and burdens of society
What question does McKinlay's quote raise about public health interventions?
Are we too focused on rescuing victims to address the upstream causes of health
problems?
Social Determinants of Health
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