HCP FINAL EXAM 2024
QUESTIONS WITH
COMPLETE
SOLUTIONS!!
HCP
Evatee 10/28/24 HCP
,HCP FINAL EXAM 2024 QUESTIONS WITH
COMPLETE SOLUTIONS!!
What are social determinants of health? Answer - Lack of adequate social,
educational, and economic resources predisposes people to vulnerability and
disparities in health outcomes.
o Economic status
o Poverty
o Global context: increasing gap between wealthy and poor
o Adolescent pregnancy a key contributing factor to familial cycles of poverty
o Health literacy and perceptions of stressors and problem situations
o Barriers to access of care
o Extreme poverty, homelessness and marginal housing: Risk for victimization
from crime or abuse
o Food insecurity
Conditions and the facts in individual or communities that influence their
health status.
-Do people heave access of health/ the context of where a patient works
(look at cultural determinants/ socioeconomic health)
-Anything that may influence someones health
How do these impact health status of patients; e.g. individuals, families,
communities? Answer - individuals: Health care is impacted by income, actual
access to healthcare, health literacy/ understanding of medical terminology,
access to healthcare (no transportation or other factors) Nutrition on the
individual way impacts healthcare overall, as well as different personal factors.
,· Family: Impacted by wages as well, food and nutrition, poverty, economic
status, literacy and access to healthcare.
· Communities: Overall community nutrition, access to healthcare as well as
many other factors impacting. Food scarcity among the community, as well as
influences from societies, cultures and other things
What constitutes the different categories in the socioecological model?
Answer - Structures, policies, systems: Policies and laws that impact, regulate,
or support healthy practices and actions.o Local, state, federal policies to
regulate/support healthy actions.·
Institutions: Rules, regulation, policies, and structures constraining or promote
behaviors Rules, regulations, policies and informal structures.·
Community: Community Norms (community regulations)o Social networks,
Norms, Standards·
Interpersonal: Processes and groups providing identity and support.o Family,
peers, social networks, associations·
Individual: self-characteristics that influence behavior: knowledge, skills, self-
efficacy.o Knowledge, attitudes, beliefs.
What is the ecological perspective? ^ Answer - More than simply educating
individuals about health policies.
· Overall physical, and social environment of communities
· Policies that support health, such as economic incentives.
, · Health promotion programs that address health problems across the
spectrum and employ a range of strategies operating on multiple levels.
· Emphasis on the interaction between and interdependence of, factors across
all levels of a health problem.
-There are multifactorial aspects to understanding what influences our patients
health
-Takes in social determinants of health (risk factors, policies providing health
foods and exercises)
-more upstream
What is population health? Answer - Population-focused nursing practice
-Diagnoses, interventions, and treatments are carried out for population or
subpopulation. Levels of prevention-primary, secondary, tertiary. Population-
level decision making is different. Concerned with more than one
subpopulation.
o the health outcomes of a group of individuals, including the distribution of
such outcomes within the group, and includes health outcomes, patterns of
health determinants, and policies and interventions that link these two.
Public Health: "what we, as a society, do collectively to assure the conditions in
which people can be healthy" Institute of Medicine
What are some examples of population-level health outcomes?What is the
relevance for nursing? Answer - Identify-65 year old patient with diabetes with
A1c decrease is not a population outcome-Look at a group: the prevalence of
diabetes decreased from 30%-14%-Morbidity (any chronic disease) and
mortality rates