NR503 Epidemiology Final, NR 503
Epi Final, NR 503 Epi Midterm Exam
Questions and Answers
Common risk factors - -unhealthy diet, physical inactivity, tobacco use
-Childhood risk - -conditions before birth and early in childhood influence
health in adult life.
-Risk accumulation - -Ageing is an important marker of the accumulation of
modifiable risks for chronic disease
-Underlying determinants - -a reflection of the major forces driving social,
economic, and cultural change. I.e. globalization, urbanization, population
ageing, and general policy environment
-Poverty - -interconnected with chronic disease in a vicious circle increasing
exposure to risks and decreased access to health services
-Primary prevention - -aims to prevent disease. I.e. banning hazardous
products, educating on healthy/safe habits, immunizations
-Secondary prevention - -reduce impact of disease or injury that has already
occurred. I.e. screening tests, low-dose ASA, suitably modified work
-Tertiary prevention - -aims to soften impact of ongoing illness. I.e. cardiac
or stroke rehab, support groups, vocational rehab
-Cross Cultural Health Care Program (CCHCP) - -materials to improve
cultural competency among health providers to provide healthcare
interventions and other cultural variants
-Marginalization - -Major cause of vulnerability referring to exposure to a
range of possible harms
-Variables at risk for marginalization - -high risk health literacy, cultural
barriers, low english proficiency
-Cultural competence - -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 whom they render care
, -Norms & values - -soecific practices that guide the actions and decisions of
each person in a group based on their culture. Can be learned or shared.
-Kleinman Explanatory Model - -A set of questions that the APN can use in
order to assess the culture of a patient.
-Socioeconomic status - -A measure that takes into account three
interrelated dimensions: a person's income level, education level, and typ of
occupation.
-Disparities - -a higher burden of illness, injury, disability, or mortality
experiences by one grup relative to another
-Minorities - -a group of people who because of their physical or cultural
characteristics, are singled out from the other in society
-Food desert - -neighborhoods and communities that have limited access to
affordable and nutritious foods
-Social determinants of health - -poverty, education level, raciam, income,
and poor housisng that effect access to healthcare
-Social justice theory - -the goal that all people will have equal opportunity
to healthcare access and quality of healthcare will be the same
-Data sources utilized to access determinants of health - -Healthy People
2020, US Census, US Department of Health and Human Services, Office of
Minority Health and Health Disparities
-Accommodation - -To create an environment that accomodates health
practice and ritual from other cultures within a plan of care
-Acculturation - -degree to which an individual from one culture has given
up the traits of that culture and adopted the traits of the dominant culture in
which they now reside
-Assimilation - -the social, economic, and political integration of a cultural
group into mainstream society to which it may have emigrated
-Genetics - -place patients at higher risk for certain disease and if family
history reveals this a screening tool could be used to determine the
likelihood of a person developing the disease
-Genetic risk assessment - -when a patient is determined to have a gene
that places them at a higher risk of having a disease such as cancer,
diabetes, or cardiovascular disease