Choice and Conceptual Actual Exam Questions
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1. Which of the following are examples of Social Determinants of
Health? - ANSWER ⬛ (A) housing quality and transportation
accessibility; education quality, job opportunities, and income
bracket; nutritious foods accessibility and physical activity
opportunities
2. What is the primary goal of value-based care? - ANSWER ⬛ (B) improve
patient outcomes and create a financially sustainable healthcare system
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 afluent 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? - 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
, 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. - 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.
5. Explain how considering patients' SDOH could influence the care you
provide to them. - ANSWER ⬛ It doesn't grade this question so you
can make something up
6. What does equity mean in the context of organizational ethics principles? -
ANSWER ⬛ (C) Health equity seeks to resolve the disparities that
contribute to the social determinants of health.
7. How does a nurse's documentation justify inpatient care expenses? -
ANSWER ⬛ (D) It
verifies the quality of care, explains how a patient will tolerate their care, and
justifies billing and reimbursement.
8. Which aspects of patient care are NOT impacted by their SDOH? -