NR 503 EPI FINAL QUESTIONS AND
ANSWERS
q
m cultural competence - the ability of providers and organizations to effectively deliver health care
services that meet the social, cultural, and linguistic needs of patients.
is defined as "a dynamic, fluid, continuous process whereby an individual, system or health care agency
find meaningful and useful care delivery strategies based on knowledge of the cultural heritage, beliefs,
attitudes, and behavior of those to whom they render care"
culturally competent health care system - can help improve health outcomes and quality of care and can
contribute to the elimination of racial and ethnic health disparities. ex. of strategies to move the health
care system towards these goals include providing relevant training on cultural competence and cross
cultural issues to health professionals and creating policies that reduce administrative and linguistic
barriers to patient care.
cultural awareness - is their understanding of the differences between themselves and people from
other countries or other backgrounds, especially differences in attitudes and values.
Self-examination of one's own prejudices and biases toward other cultures. An in-depth exploration of
one's own cultural/ethnic background.
Norms - rules and expectations by which a society guides the behavior of its members in any given
situation. It varies widely across cultural groups. For ex. American maintain fairly direct eye contact when
conversing with others. Asians, on the other hand, may avert their eyes as a sign of politeness ad
respect.
values - the ideas, beliefs, and attitudes about what is important that help guide the way you live. It has
major influences on a person's behavior and attitude and serve as broad guidelines in all situations.
some common business ____ are fairness, innovation, and community involvement.
The Kleinman explanatory model- consists of 3 sectors. - the popular sector, the professional sector and
the folk sector. the model can be used to determine how individuals make decisions.
socioeconomic status (SES) - is an economic and sociological combined total measure of a person's work
experience and of an individual's or family's economic and social position in relation to others, based on
income, education, and occupation.
disparities - the term is often interpreted to mean racial or ethnic disparities, many dimensions of
disparity exist in the U.S, particularly in health. If a health outcome is seen to a greater or lesser extent
between populations, there disparity. Race or ethnicity, sex, sexual identity, age, disability,
socioeconomic status, and geographic location all contribute to an individual's ability to achieve good
health. It is important to recognize the impact that social determinants have on health outcomes of
specific populations. healthy people strives to improve the health of all groups.
, Minorities - a culturally, ethnically, or racially distinct group that coexists with but is subordinate to a
more dominant group. as the term is used I the social sciences, this subordinacy is the chief defining
characteristic of a minority group. As such, minority status does not necessarily correlate population.
food desert - an urban area in which it is difficult to buy affordable or good-quality fresh food.
determinant of health - the range of personal, social, economic, and environmental factors that
influence health status
determinants of health fall under several broad categories - policymaking, social factors, health services,
individuals behavior, biology and genetics.
It is the interrelationships among these factors that determine individual and population health. Because
of this, interventions that target multiple determinants of health are most likely to be effective.
Determinants of health reach beyond the boundaries of traditional health care and public health sectors;
sectors such as education, housing, transportation, agriculture, and environment can be important allies
in improving population health.
Social determinants of health - · Availability of resources to meet daily needs, such as educational and
job opportunities, living wages, or healthful foods
· Social norms and attitudes, such as discrimination
· Exposure to crime, violence, and social disorder, such as the presence of trash
· Social support and social interactions
· Exposure to mass media and emerging technologies, such as the Internet or cell phones
· Socioeconomic conditions, such as concentrated poverty
· Quality schools
· Transportation options
· Public safety
· Residential segregation.
They are important because they play a huge part on how a person is treated an how prone they are to
have a certain condition.
Social justice - implies that there is a fair and equitable distribution of benefits and burdens in a society
Data Sources used to assess determinants of health include: - Chronic Disease Indicators, Interactive
Atlas of Heart Disease and Stroke, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Atlas, National Environmental Public Health Tracking Network, and The Social Vulnerability Index.
Genetic testing - analyzes your DNA to detect specific, inheritable, disease-related gene mutations that
may increase the risk of certain cancers. It provides you with an in-depth cancer risk assessment.
Genomics - is an interdisciplinary field of biology focusing on the structure, function, evolution, mapping,
and editing of genomes. A genome is an organism's complete set of DNA, including all of its genes.