NUR 333 EXAM 1 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026

NUR 333 EXAM 1 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026 The conditions in which people are born, grow, live, work, and age are known as: - Answers Social Determinants of health What determinants of health or approaches are described as the living and working conditions and economic and social opportunities? - Answers Upstream Social capital in a community is based on: - Answers Trust, reciprocity, discernment Community level health promotion is most effective when nurses: - Answers work collaboratively with community members in a multilevel approach to health promotion community assessment data should be collected by: - Answers Observation, review of reliable published health data and interaction with representative community members The us national electrical code requires grounded 3-prong outlets in new home construction. This is an example of what kind of strategy in promoting healthy living environments? - Answers Regulatory requirement In the United States, which community is most vulnerable to pollutant and environmental toxin exposure? - Answers an economically disadvantaged community A recent study on new bike lanes installed in New York City shows that investment in bike lanes costs an average of $1300 per quality-adjusted life year gained. Which social determinant health is the focus of this intervention? - Answers Neighborhood/built environment In healthy neighborhood, children benefit from relationship with multiple adult mentors. Based on this information, how is the association between neighborhood and child health best explained? - Answers Healthy neighborhoods positively affect child health by increasing the child's social capital what change in population health was recognized in the black report? - Answers A growing gap in health status between social classes The gradient in health refers to: - Answers The graded association between income and health where each next higher level of income is associated with positive change in health status Which is a community level risk factor for violence? - Answers 65% unemployment level A nurse moves from Atlanta, GA to West Jordan, UT. Atlanta has a mini coefficient of .58 and West Jordan has a Gini coefficient of .34. How should the nurse interpret that information? - Answers Atlanta has greater income inequality than West Jordan Which is a broad measure of socioeconomic deprivation experienced in a geographic area or neighborhood? - Answers Area deprivation index Which is a poverty measure used to determine eligibility for government assistance programs ? - Answers Federal poverty guideline You're working as a nurse in homeless shelter, coordinating care for pregnant women. During a group support meeting, many women have a difficult time with an exercise meant to help them identify hope for the future. Which type of poverty is most consistent with this level of hopelessness? - Answers Generational poverty What type of assistance is most likely to help families find a way out of generational poverty? - Answers Parent mentoring program Multiple pathways explain how environmental context and events influence health. Adverse childhood experiences contribute to which type of effect? - Answers Latent What describes cumulative health effects? - Answers Repeated exposure to high risk environment or high risk behavior over a long period of time contributes to later disease Which environment creates the greatest risk of learning disability for young children? - Answers Living in a home built before 1978 with deteriorating paint In what way can schools and school programs positively affect the health and well being of children? - Answers By providing services that mitigate disparity related to social determinants Which strategy would contribute most to the academic success of children attending a high poverty school? - Answers Having college student mentors organize an after school homework club In older adults which is the greatest contributing factor to cognitive decline? - Answers social isolation Where is the best place to find population level morbidity and mortality data? - Answers summary report from CDC Which type of data provide an objective form of community assessment? - Answers vetted news reports on health issues Which organization was developed to direct and coordinate international health initiatives? - Answers world health organization Which intervention would be most effective in creating a physical environment that promotes health? - Answers laws that require installation of soft material below playground equipment Interventions to address social determinants of health are most effective when which of the following is included? - Answers sociocultural factors Upstream determinants - Answers social disadvantage, risk exposure, social inequalities that play a fundamental role in poor health outcomes, represents opportunities for improving health and reducing disparities Downstream determinants - Answers Movement to create a healthy society through evidence-based people centered ideas, addresses the social determinants of health. Chronic disease treatment, emergency services, pharmacies, surgery, dialysis. What is health promotion and what it requires? - Answers the process of enabling people to increase control over and to improve their health. It moves beyond a focus on individual behavior toward a wide range of social and environmental interventions. It enables people to increase control over their own health. It covers a wide range of social and environmental interventions that are designed to benefit and protect peoples health and quality of life by addressing and preventing the root causes of ill health, not just focusing on treatment and cure. Core principles are participation, empowerment, holism, intersectoral, equity, sustainability, multiple strategies. What is social capital? - Answers the networks of relationships among people who live and work in a particular society, enabling that society to function effectively (maintain or gain valued resources) What is a community? - Answers provides resources, safety, connection, social capital. Core elements are locus (sense of place), sharing (commonalities), action (cohesion), social ties (relationships), diversity the social ecological models (the examples of all the factors) - Answers -nightingale- separate from medicine, focus on caring through environment alteration. -Watson theory of human caring- care for individual in relation to their experience and meanings associated with health, recovery, and healing (not by disease itself). People are unitary humans, able and evolving, everyone has their own journey, and always situated in time and space. -Persily and Hildebrandts theory of community empowerment- participation creates empowerment at a community level, creates opportunity to grow community capacity by operationalizing tangible resources and stablishing and supporting relationships that increase social capital What is subjective community assessment? - Answers is what the people say about their community (focus groups/interviews), What is objective community assessment? - Answers is what you can observe (US census, CDC, healthy people, windshield survey) Level of assessment - Answers social determinants of health, social capital, access to resources. Levels are from larger society to community as defined by individuals, family defined by individual, and then the individual. Vetted data resources - Answers -CDC: objective, protect safety, health and security of US from threats, population level morbidity/mortality. National focus for developing and applying disease prevention/control, environment health, health promotion/education designed to improve health of people in US. -US census: serve as leading source of quality data about nations people and economy. Population so that you can pick the number of state reps, school budgets, etc. -Healthy people: objectives for promoting health. -Ottawa charter: concepts about health promotion, international agreement. -WHO: monitor health situations and assess health threats. Direct and coordinate international health within the UN system. -PAHO: international public health agency, work with countries of America to improve health of their populations. -ODPHP: sets national goals and objectives and provides supporting programs, services, and education to improve health of all Americans. The 5 categories of social determinants of health based on Healthy People 2020/2030 and examples: - Answers -economic stability: employment, income, expenses, debt, medical bills, support, food availability and hunger (food insecurity). -Health and healthcare: health coverage, provider availability, provider linguistic and cultural competency, quality of care. -Education: literacy, language, early childhood education, vocational training, higher education. -Neighborhood and built environment: housing, transportation, safety, parks, playgrounds, walkability. -Community and social relationships: social integration, support systems, community engagement, discrimination/stigma. What does health disparities mean? - Answers are often a result of differences in the distribution of the social determinants of health (preventable differences in burden of disease, injury, violence, opportunities to achieve optimal health, that are experienced by socially disadvantaged populations). Types of poverty - Answers -situational: sudden crisis/loss, temporary.