NSPN 7200 Final Exam Questions with Correct Answers
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Course
MSN 570
Institution
MSN 570
SDOH - Answer-= the economic and social conditions that influence the health of individuals, communities, etc.
- Aboriginal status
- Early life factors (e.g. poverty, housing, education)
- Education
- Employment & working conditions
- Food security (the ability to acquire/ consume an adequate ...
NSPN 7200 Final Exam Questions with
Correct Answers
SDOH - Answer-= the economic and social conditions that influence the health of
individuals, communities, etc.
- Aboriginal status
- Early life factors (e.g. poverty, housing, education)
- Education
- Employment & working conditions
- Food security (the ability to acquire/ consume an adequate diet (quality/quantity) of
food)
- Gender
- Health services
- Housing
- Income (and distribution)
- Social security (welfare, EI, health care, etc.)
- Social exclusion
- Unemployment and employment security
In Canada, what SDOH contribute to inequalities? - Answer-- Housing
- Work settings
- Education
- Access to food
- Income
Who are associated with higher rates of infant mortality? - Answer-- Low income groups
in urban Canada
- Aboriginal people (1-4X higher)
Common causes of post-natal mortality causes - Answer-- SIDS
- Infectious disease
- Injuries
What do low-income neighbourhoods have increased rates of? - Answer-- SGA
- Preterm birth
- Still birth
- Neonatal death
- Post-neonatal death
- adolescent pregnancy
How is income associated with adverse perinatal outcomes? - Answer-- Lack of
community-based programs for women→ no access/limited access to prenatal
education and care
- Limited personal resources (time, transportation and social support)
,- Understanding of care benefits
- Fear of judgement
- Negative association with HCP's from past experiences
How do working conditions influence health? - Answer-- Lack of job security
- Lack of control/decision-making
- Lack of social support in the workplace
- Part-time/casual/temporary/
contract work may not provide benefits (sick days, Mat. Leave, vacation time, etc.)
**Women are overrepresented in part-time/temporary work
What groups are more likely to experience social exclusion in Canada? - Answer--
Substance using women
- Immigrant women
- Women with disabilities
- Aboriginal women
- Women experiencing abuse
What do food security and dietary compromises influence? - Answer-- Chronic disease
management
- Body weight
- Mental health
- Physical health
What health risks and inequalities do Aboriginal people experience? - Answer--
Increased rates of poverty
- Increased rates of substance use
- Increased violence and homicide
- Poor living conditions (mold, poor hygiene, crowded housing)
- Lack of clean drinking water
- Less annual income that non-aboriginals
- Higher rates of unemployment
- Lower education
- Experience more food insecurity
- Experience more illness and early death
- Infant mortality rates are 1-4X higher for aboriginal people
- Aboriginal children experience higher rates of hospitalization
- Higher rates of HIV
- Increased rates of morbidity
- Increased vulnerability
- Increased rates of diabetes
- Increased risk of infant mortality
Why do Aboriginal people experience inequalities? - Answer-- They are manifestations
of the complex interplay of social, political and economic determinants that influence
health status and access to health services
, - The history of the relationship of aboriginal peoples and non-aboriginal people are a
contributing factor to development of the inequalities
- They live in rural/remote areas impacts access to care
***Many women up north have to be transferred out of their communities to give
birth/receive maternity care less likely to seek perinatal care/assistance
What barriers do you think exist for aboriginal women trying to access prenatal care? -
Answer-- Financial
- Psychological
- Services are geared towards married, non-aboriginal women
- Fear of medical providers
- Lack of providers in their communities
- Invalidating encounters
- Affirming encounters
How can a woman's SDOH be influenced to promote positive perinatal outcomes
health? - Answer-- reducing poverty
- increasing social support
- increasing community resources
What are some psychological and psychosocial adaptations women develop to deal
with the abuse? - Answer-- Injuries
- Depression
- Substance use
- Headaches
- GI Problems
- Sleep disorders
- Fatigue
- Chronic pain
- Anxiety
- Sexual dysfunction
- Permanent disability
What are adverse pregnancy outcomes related to abuse? - Answer-- Depression
- Later prenatal care
- Miscarriage
- Inadequate nutrition
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