NR 503 Epi Final Exam Questions and
Complete Solutions Graded A+
cultural competence - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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. - Answer: the popular sector, the professional
sector and the folk sector. the model can be used to determine how individuals make decisions.
, socioeconomic status (SES) - Answer: 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 - Answer: 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 - Answer: 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 - Answer: an urban area in which it is difficult to buy affordable or good-quality fresh food.
determinant of health - Answer: the range of personal, social, economic, and environmental factors that
influence health status
determinants of health fall under several broad categories - Answer: 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 - Answer: · 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