HPA 311 - Exam 1 - Lesson 3 Questions With Complete Solutions

1. Classify this CLAS standard: Recruit, promote, and support a culturally and linguistically diverse governance, leadership, and workforce that are responsive to the population in the service area. - ANSWER governance, leadership...... 2. Classify the CLAS standard: Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/ or minors as interpreters should be avoided. - ANSWER communication and lang assistance.... 3. Classify this CLAS standard: Communicate the organization's progress in implementing and sustaining CLAS to all stakeholders, constituents, and the general public. - ANSWER engagement, continuous improvement... 4. Classify this CLAS standard: Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on health equity and outcomes and to inform service delivery. - ANSWER engagement, continuous improvement... 5. True or False: To have a culturally competent workforce means that your employees are culturally and linguistically trained in appropriate services, and your organization or institution has the resources to address issues of culture and language effectively. - ANSWER true 6. CLAS Standards are designed to facilitate: - ANSWER Culturally and Linguistically Appropriate Services in health and health care 7. True or false: Interprofessional education occurs when two or more students from one profession learn at the same time with two more students from another profession. - ANSWER true 8. True or false: The World Health Organization's framework for action on interprofessional education and collaborative practice was created to provide policymakers with strategies and ideas to encourage interprofessional education and collaborative practice. - ANSWER true 9. To transition the U.S. healthcare system from one focused on individual-level healthcare delivery to one that examines population health patterns, True or False: Faculty in health professions schools and continuing education programs should implement curricula that equip future and current health professionals with the knowledge, skills and tools to understand and efficiently address the health needs of populations by using an interprofessional team approach. - ANSWER true 10. To transition the U.S. healthcare system from one focused on individual-level healthcare delivery to one that examines population health patterns, True or False: Accreditation standards should require health profession programs and schools to integrate significant population health content and interprofessional population health practice into basic curriculum. - ANSWER true 11. To transition the U.S. healthcare system from one focused on individual-level healthcare delivery to one that examines population health patterns, True or False: Licensing bodies should not include questions in their examinations that measure understanding of population health and future health professionals' understanding of population health and integration of population health strategies into practice. - ANSWER false 12. In order to achieve QI/PS goals for education and practice, medical schools, teaching hospitals, and accreditation bodies should: - ANSWER Ensure the integration of QI/PS concepts into meaningful learning experiences 13. In order to improve the processes and outcomes of care, medical schools and teaching hospitals should expect all clinical faculty to: a. Be proficient in QI/PS competencies b. Be able to identify, develop and support a critical mass of faculty as expert educators to create, implement, and evaluate training and education in QI/PS for students, residents and colleagues c. Know every QI/PS scenario that has ever happened in medical education d. A and B - ANSWER d 14. What is the correct order of Prochaska's stages of change? - ANSWER Pre-contemplation, contemplation, preparation, action, maintenance 15. In which stage of the transtheoretical model of behavior change can individuals stay in for 6 months to 5 years' time? - ANSWER maintenance 16. True or False: Community health workers are lay or "natural" helpers such as health promoters, peer educators, doulas, or patient navigators, who obtain some additional training in a systemized approach to provide self management in a complicated healthcare system. - ANSWER true 17. True or false: You have to be a formal student of healthcare to be a part of improving the population health in local communities. - ANSWER false 18. True or false: As future healthcare workers, it is not important that you are able to identify population differences in quality improvement and patient safety, and work to improve access to care. - ANSWER false 19. The type of physicians necessary to train the next generation to emphasize preventive care and population health are: - ANSWER primary care physicians 20. Match "environmental" health determinant with its corresponding definition: - ANSWER Includes natural (e.g. weather), social (e.g. our neighborhood home values) and built (e.g. safe roads to drive on) conditions external to our human bodies 21. Match "social health determinant" with its corresponding definition: - ANSWER The economic and social conditions that influence group differences (e.g. race, education, income) 22. Match "structural health determinant" with its corresponding definition: - ANSWER The complex systems and structures that influence social, environmental and behavioral determinants of health (e.g. racial residential segregation) 23. Which of the following shows the health determinant in the correct order of impacting health from the most to the least? - ANSWER Socioeconomic Factors, individual health behaviors, clinical care, physical environment 24. Population Health is: a) The study of interrelated health determinants b) The investigation of health determinants' influence on patterns of health outcomes in populations c) The analysis of achieving balance across cost, care and health d) A & B e) B & C - ANSWER d 25. All of the following statements are true about Social Determinants EXCEPT: a. They are the most important determinants when predicting our health. b. They have less of an impact on health than smoking and health services/access. c. They determine where we live and work, and where our children go to school and play. d. They include a combination of education, employment, income, family and social support, and community safety. - ANSWER b 26. Which of the following are areas of the Triple Aim of improving health care? - ANSWER heath, cost, care 27. Read the following scenario and determine which lens of population health it is an example of: A study of migration patterns from the U.S. to Mexico. - ANSWER demography 28. Read the following scenario and determine which lens of population health it is an example of: The provision of the Affordable Care Act that says you can't be rejected for health insurance because of a pre existing health condition. - ANSWER health policy 29. Read the following scenario and determine which lens of population health it is an example of: 30. A hospital administrator reviews monthly reports of employee injuries. - ANSWER quality and safety 31. Read the following scenario and determine which lens of population health it is an example of: A county health department health educator is hosting a free blood pressure screening day at your local grocery store. - ANSWER public health 32. Read the following scenario and determine which lens of population health it is an example of: A grandmother has Type 2 diabetes, a complex disease, is in the hospital because of advanced kidney disease. She is almost ready to be released from the hospital, but she will need a lot of follow-up care. - ANSWER care management 33. Which of the following is the result of a health disparity? - ANSWER Children from low income homes have access to schools with poor resources; children from high income homes have access to wealthy schools with many resources 34. Which of these is true about policy? a. Broadly speaking, a policy is a principle or a plan to guide decisions, actions and outcomes. However, the term policy can have a wide range of different meanings. b. Policy can be a way of working, a vision, a program of action, duties, responsibilities, accountability or an unwritten cultural or ethical code. c. There can often be a large (sometimes deliberate) discrepancy between policy as intent (what is planned, stated or written) and policy as practice (what actually happens). d. All of the above - ANSWER d 35. True or False: Broadly speaking, a policy is a principle or a plan to guide decisions, actions and outcomes. - ANSWER true 36. Which is the correct order for stages of policy creation? - ANSWER Identify problem, set an agenda, formulate policy, implement policy, enforce policy 37. True or false: Policies cannot be implemented through negotiation or repeated practice. - ANSWER false 38. What is the goal of the Healthy People initiative? - ANSWER To provide national health objectives and benchmarks for the next 10 years 39. How many regions is the Department of Health and Human Services organized into? - ANSWER 10, by major regional cities 40. All of the following are part of the CDC's Call to Action to address the unique health needs for older adults EXCEPT: a. Promote detection and diagnosis of diabetes b. Consider dementia in emergency preparedness plans c. Increase monitoring of physical activity frequency d. Monitor shingles vaccine rates - ANSWER a In looking at population pyramids for general patterns, we can conclude that the US population is: - ANSWER getting older What type of infographic is commonly used in population health to depict population patterns by age group: - ANSWER population pyramids In 2010, what was the leading cause of death for those 65 and over? - ANSWER heart disease How many American adults have a disability? - ANSWER 1 in 5 All of the following are unique population needs of persons with disabilities EXCEPT: a. Lower rates of receiving dental care b. Lower rates of physical activity c. Higher rates of psychological distress d. Higher rates of social support - ANSWER d Which of the following refers to one's own self-identification? - ANSWER gender identification All of the following are unique gender-based population needs that are seen in healthcare patterns EXCEPT: a. Females have a 5-year longer life expectancy compared to males. b. Males lead in all top 10 leading killers except for Alzheimer's disease. c. Gay, bisexual and transgender men and lesbian, bisexual and transgender women drink at higher rates than other men and women. d. Lesbians have lower rates of insurance than heterosexual women. - ANSWER c