Final Exam Week 5-8 Study Guide with Questions and
Complete Solutions - Chamberlain
Week5:
‘;
In Week 5 you completed your Infectious Disease paper. Are you able to define and apply the
epidemiological triad and the HP2020 social determinants of health? How might you use those
in your Week 6 paper? The determinants of health, from social to environmental from policy to
individual behavior are critical elements to consider related to population health and the role of the
NP. Also, in Week 5, the Open Forum gave you opportunity to review culture, access to care, and
how provider attitudes impact quality of care provision. Did you take the self-assessment? Was it
informative? Social justice theory is connected to the entire NR503 course, and also to this module,
the Kleinman Eẋplanatory Model. Had you heard of this before? Do you think the eẋplanatory
model would be useful in trying to understand various group’s notions of health?
The 5W's of descriptive epidemiology:
What = health issue of concern
Who = person
Where = place
When = time
Why/how = causes, risk factors, modes of transmission
Weekly Objectives:
1. Discriminate populations at risk for development of chronic health conditions while associating
the role of the Advanced Practice Nurse in levels of promotion.
2. Compare and contrast variables that differentiate those categorized at being at risk for
marginalization of health care.
At the end of this week, can you answer/discuss the following: (Self-quiz)
1. How does culture influence the decisions a provider may make when selecting an
intervention?
2. Eẋplain how culture impacts provider attitudes? Does it? How will you assess your own
attitudes about various cultures/races/groups?
3. Review the terms for this week and apply them to population health; for instance: cultural
competence, cultural awareness, norms, values, Kleinman Eẋplanatory Model, socioeconomic
status, disparities, minorities, food dessert.
4. What are the social determinants of health? How does a provider integrate knowledge of
these social determinants of health into their practice? Why are they important?
5. Apply social justice theory to the provision of care; what does social justice mean when
applied to health care?
6. What data sources are used to assess determinants of health?
,
, Discriminate populations at risk for development of chronic health conditions
while associating the role of the Advanced Practice Nurse inlevels of
promotion.
Minorities and people with low socio-economic conditions are at higher risk for chronic illness.
The APN should practice with cultural competence in order to provide care for these patients. Asking
questions and researching to know how each patient perceives their illness and how they would like to
treat it.
Compare and contrast variables that differentiate those categorized at
being at risk for marginalization of health care.
Variable that differentiate those categorized as high-risk health literacy, cultural barriers, andlow
English proficiency
1. How does culture influence the decisions a provider may make when selecting an
intervention?
The very essence of what health and disease denotes can vary from culture to culture. Therefore, there
is a wide spectrum of what are considered appropriate interventions, which may not be compatible
with Western medicine. Based on the cultures' perceptions of disease causation, symptomatology, and
pathology, appropriate interventions may diverge from Western medicine's approach.
In order to provide appropriate healthcare interventions, culture and all its variants must be
addressed (communication, space, time, environment, etc). The APN must be cognizant of his or her
own cultural beliefs and the attitudes he/she inherently has about other cultures.
Patients culture must be addressed when providing care for patients. Good communication between
provider and patient bridges the gap and provides culturally competent care.
2. Eẋplain how culture impacts provider attitudes? Does it? How will you assess
your own attitudesIabout various cultures/races/groups?
Differences in culture can impact provider attitudes. Although cultures differ, they all have the same
basic organizing factors that must be assessed in order to provide care for culturally diverse patients.
These factors include: communication (verbal and nonverbal); personal space; social organization;
time perception; environmental control; and biological variations.
Cultural competency training and cultural awareness can help APNs assess his/her own attitudes.
3. Review the terms for this week and apply them to population health; for instance: cultural
competence, cultural awareness, norms, values, Kleinman Eẋplanatory Model, socioeconomic
status, disparities, minorities, food dessert.
Culture – "the practices, beliefs, values, and norms which can be learned or shared, and which
guide the actions and decisions of each person in the group"
Cultural competence –a IIdynamic, Ifluid, Icontinuous Iprocess Iwhereby Ian Iindividual, Isystem Ior Ihealth
Icare Iagency Ifind Imeaningful Iand Iuseful Icare Idelivery Istrategies Ibased Ion Iknowledge Iof Ithe Icultural
I
heritage, Ibeliefs, Iattitudes, Iand Ibehavior Iof Ithose Ito Iwhom Ithey Irender Icare.