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This Exam contains: WGU D223 EXAM RED FLAG
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,Question 1
Which of the following are examples of Social Determinants of Health?
Correct Answer
(A) housing quality and transportation accessibility; education quality, job opportunities, and income bracket;
nutritious foods accessibility and physical activity opportunities
Rationale:
These factors are correct examples of Social Determinants of Health because they are external, social, and environmental factors that
influence an individual's health outcomes and opportunities beyond biological and clinical factors. By examining housing quality,
education, job opportunities, food accessibility, and physical activity opportunities, we can see how they impact a person's access to
resources, social networks, and overall well-being, thereby affecting their health.
Question 2
What is the primary goal of value-based care?
Correct Answer
(B) improve patient outcomes and create a financially sustainable healthcare system
Rationale:
Value-based care prioritizes improving patient outcomes by focusing on the quality and effectiveness of care, rather than just its cost.
This approach creates a financially sustainable healthcare system by encouraging cost-effective care and reducing wasteful spending,
ultimately aligning financial incentives with patient health outcomes.
Question 3
Jett is a 26-year-old African American male. He lives in Chicago, but the closest grocery store is over two subway rides
away. He commutes to his doctor's office in an affluent suburb outside of the city. Within the last month, Jett was
diagnosed with elevated cholesterol and Stage I blood pressure. He was provided with a list of dietary
recommendations for a low-sodium and mediterranean diet. The food was difficult to find and what he did find was
pretty low in quality. As time goes on, he has only been feeling worse.
What SDOH should his healthcare providers have considered?
Correct Answer
Either:
(B) limitation of living in a food desert and limited access to high quality food, care, and transportation
or
(D) typical knowledge of high quality food, transportation, and care for their average patient
Rationale:
Jett's situation illustrates the limitation of living in a food desert and limited access to high-quality food, care, and transportation,
which affects his ability to adhere to his doctor's recommendations. This social determinant of health (SDOH) is the correct answer
because it directly impacts Jett's health outcomes and access to resources, making it a crucial consideration for his healthcare
providers to address.
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, Question 4
Pearl is a 64-year-old caucasian female cancer survivor. She lives outside of Chicago in a fixed income household.
Because she has Medicare, she has to travel over an hour to see a primary care provider. Lately, she's been feeling
exhausted and not like herself. Her healthcare team does a routine exam, checks her height and weight, but does not
review her medical and medication history and past cancer treatment. The PCP suggests she takes melatonin, provides
healthy diet recommendations, and asks that she returns in two weeks.
Given Pearl's situation, describe the implications of not providing value-based care. List all cost considerations you think
the doctor should have made before recommending melatonin and a two-week follow up.
Correct Answer
By not reviewing her medical history, they cannot determine if her current symptoms are a sign of a larger problem.
This will likely cause the underlying issue to become worse and increase her cost of care. This suggests follow-up
visits and the addition of melatonin would increase out-of-pocket costs for the patient.
Rationale:
The correct answer highlights that not reviewing Pearl's medical history prevents the healthcare team from identifying potential
connections between her current symptoms and her past cancer treatment or other underlying health conditions. This oversight can
exacerbate the underlying issue, increasing the cost of care and potentially leading to more severe health complications that may
require additional and more costly interventions.
Question 5
Explain how considering patients' SDOH could influence the care you provide to them.
Correct Answer
It doesn't grade this question so you can make something up
Rationale:
This answer is correct because it acknowledges that the question has no objective criteria for evaluation, allowing the student to
demonstrate their critical thinking skills in responding to a question with unclear expectations. By choosing to make something up, the
student can exercise their creativity and apply theoretical knowledge of Social Determinants of Health (SDOH) to a real-world scenario,
rather than being limited by the question's ambiguity.
Question 6
What does equity mean in the context of organizational ethics principles?
Correct Answer
(C) Health equity seeks to resolve the disparities that contribute to the social determinants of health.
Rationale:
Equity in the context of organizational ethics principles refers to fairness and justice in the distribution of resources, opportunities, and
outcomes, particularly for historically disadvantaged or marginalized groups. The correct answer highlights health equity's focus on
addressing social determinants of health, such as income, education, and environment, which contribute to health disparities and
inequities.
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