NUR 3050 FINAL EXAM QUESTIONS
WITH LATEST UPDATE
What are social determinants of health? - Answer-Social conditions into which people
are born and that affect their daily lives and overall well-being as they move through life
"the conditions in which people are born, grow, live, work, and age" (SDH)
What are the types of social determinants of health? - Answer-1. access to high quality
educational opportunities ( higher education = higher income jobs, low income schools=
high drop out rates, low income jobs often do not come with health insurance)
2. access to medical care services (those who do not live close to health provider are
less likely to see a physician, forgo preventative care, affordability)
3. access to social media/technologies (technology use in medical field is increasing
(appt reminders, paying bills, etc, support groups/resources) <- low income households
4. availability of community based resources and opportunities for recreational activities
(connects residents to local health providers, recreational activities, increases lifestyle,
decreases stress thru leisure)
5. availability of resources to meet daily needs (living far from grocery store, food
deserts, increase in fast-food use)
6.culture (rely on tradition/remedies, not always accurate or produce pos. results)
7. language/literacy (foreign language may not seek care/dont understand, low health
literacy)
8. public safety (living in dangerous neighborhood and not use parks, take public
transport and go thru high-crime areas, poorer health outcome are seen in high crime
areas)
9. residential segregation (physicians may set up practice in areas with certain
demographics, low income/minority pops lack access to health facilities/resources)
10. social norms and attitudes (physician bias w/ best medical care, patients attitudes
about health)
11. SES (poverty linked to poorer health outcomes, greater wealth leads to low rates of
morbidity and longer life)
12. transportation options (cause for missed appts., may not have access to public
transportation or cannot afford private transportation)
, What effect does social determinants of health have on health outcomes? what 3
factors strongly shape health related behaviors? - Answer--there is a powerful effect of
Socioeconomic and related social factors on health
EX: evidence shows that 1/2 of all deaths are related to behavior
-income
-education
-employment
What role does policy and law play in social determinants of health? - Answer-1. Law
can be used to design and perpetuate social conditions that an have terrible physical,
mental, and emotional effects on individuals and populations EX: Jim Crow laws
2. Laws can be utilized as a mechanism thru which behaviors and prejudices are
transformed into distributions of well-being among populations
ex: black and whites use drugs at same rate, drug incarnation is higher among blacks.
3. can be determinative of health through under-enforcement.
ex:L laws not enforced for supportive housing
4. can be used to structure direct responses to health-harming social needs that result
from things like impoverish, illness, market failure, and individual behavior that harms
others
ex: EMTALA, funding for community clinics, individual behavior that harms others
states can regulate laws on sale of firearms and tobacco
Free for Service (health insur.) - Answer-where the providers charge a fee for every
service they render
ex: exams/screenings
beneficiary - Answer-individual who buys the health insurance
premium - Answer-annual fee paid by the beneficiary to the health plan, paid annually
but can be paid monthly. Insurance company pays for health care cost as long as the
costs are covered with the benefits outlined in your plan.
- paid by individual, employer, or shared cost (between employer and individual)
benefits - Answer-the list of services covered by the health insurance plan
ex: well visits, blood work, MRI, x-rays, etc
deductible - Answer-the amount of money you pay FIRST
, before your health insurance starts to pay, then you have a shared cost with insurance
provider
cost-sharing - Answer-costs shared between the insurance company and the individual
seeking health care
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