Answers Well Elaborated| A+ Score
SDOH - correct answers Social Determinants of Health (SDOH): conditions where people live, work,
learn, + play; represent biological, socioeconomic, psychosocial, behavioral, + social factors that
contribute to current health status.
Healthcare access + quality - correct answers One of the factors contributing to Social Determinants of
Health.
Education access + quality - correct answers One of the factors contributing to Social Determinants of
Health.
Social + community context - correct answers One of the factors contributing to Social Determinants of
Health.
Economic stability - correct answers One of the factors contributing to Social Determinants of Health.
Neighborhood environment - correct answers One of the factors contributing to Social Determinants of
Health.
Upstream Factors - correct answers Factors that affect communities in a large + inequitable way (ex: low
education level, income disparity, discrimination, social marginalization).
Midstream Factors - correct answers Factors that represent social needs or individual factors that affect
a person's health (ex: homelessness, food insecurity, poor quality education options).
Downstream Factors - correct answers Factors that represent immediate health needs of the population
(ex: disease Tx + management).
,Adverse Childhood Experiences (ACEs) - correct answers Potentially traumatic events that occur during
childhood (ie. abuse, violence, exposure to substance-abuse disorders).
Family Forms - correct answers Patterns of people considered by family members to be included in a
family.
Nuclear Family - correct answers A family structure consisting of 2 adults + sometimes 1/+ children (ex)
Mary + John live together w/ their daughter Suzie.
Extended Family - correct answers A family structure that consists of relatives (ie. aunts, uncles,
grandparents) in addition to their nuclear family (ex) Joan + Jacob live w/ their 2 kids + Joan's parents.
Single Parent Family - correct answers A family formed when 1 parent leaves the nuclear family due to
death, divorce, desertion, or when a single person decides to have/adopt a child (ex) Tom lives alone w/
his daughter Samara, after the death of his partner.
Blended Family - correct answers A family structure where parents bring children from previous
relationship(s) into a new joint-living situation (ex) Sally + James live together w/ Sally's son Timmy +
James's son Michael.
Alternative Family - correct answers A family structure that may include multi-adult households, grand
families (ie. grandparents caring for their grandchildren), communal groups w/ children, adults living
alone, + cohabiting partners (ex) Sandy + Jenn live together w/ their adopted son, Dakota.
Cultural Assessment - correct answers A method involving the 4 Cs: 1) what do you call the problem
you're having? 2) how do you cope w/ the problem? 3) what are your concerns about the problem? 4)
what do you think caused the problem?
Cultural Attributes - correct answers Characteristics that define a culture, useful in healthcare to help
further develop cultural competence.
Culture - correct answers Learned + shared beliefs, values, norms, + traditions of a particular group that
guides thinking, decision making, + actions.
, Implicit Bias/ Unconscious Bias - correct answers Bias that's outside of conscious control + is influenced
by our personal background, cultural environment, + personal experiences; they're prejudices +
stereotypes that we act upon w/o intending to do so.
Explicit Bias - correct answers Bias that we are aware of + is present + we are responsible for; we must
recognize + acknowledge our actions as they impact behavior, decisions, + patient-centered care
provided.
Stereotyping - correct answers An assumed belief regarding a particular group that we must avoid (ex:
assuming people from a specific country are rude).
Cultural Identity - correct answers how a person identifies consciously or unconsciously with those
whom they feel a common bond because of similar traditions, behaviors, values, and beliefs.
Acculturation - correct answers when a person/group transitions from one culture and develops traits of
another culture, but still retains unique cultural markers of the original culture (ex: Asian adapting to
USA cultural norms).
Assimilation - correct answers the process an individual adapts to the host's cultural values and no
longer prefers the components of the origin culture; after there's no identifiable minority culture (ex:
USA immigrant changing how they dress based on their new home).
Enculturation - correct answers process an individual learns the traditional context of a culture and
assimilates its practices and values (ex: learning from a relative about your family's culture).
Ethnocentrism - correct answers evaluation of other cultures according to preconceptions originating
within one's own culture (ex: nurse treats patients as she would want to be treated).
Health Models of Health Promotion - correct answers Pender's Health Promotion Model; meant to
increase an individual's level of well-being based on 3 areas (1) individual characteristics and
experiences (2) behavior-specific knowledge and affect (3) behavioral outcomes; each characteristic and
experience have subsequent actions that influence change.