Which of the following is an example of a social determinant of health?

Correct Answer: D

Rationale: The correct answer is D, Economic stability, as it directly influences access to healthcare, housing, education, and nutritious food, impacting overall health. Genetic predisposition (A) refers to inherited traits, not external factors. Personal health behaviors (B) are individual choices. Biological factors (C) focus on physical attributes, not societal influences. Economic stability (D) aligns with social determinants by addressing social, economic, and environmental factors that shape health outcomes.

Correct Answer: B

Rationale: The correct answer is B because advocating for policies that promote health equity addresses the root causes of health disparities at a systemic level, leading to sustainable change. Providing health education to individuals (A) is important but may not address underlying systemic issues. Conducting community health assessments (C) is a valuable tool but alone does not directly address health disparities. Offering free health screenings (D) may improve access to care but does not tackle the broader social determinants of health that contribute to disparities. Advocating for policies that promote health equity is the most effective way for a community health nurse to create lasting change and address health disparities comprehensively.

Correct Answer: B

Rationale: The correct answer is B: Low literacy levels among patients. Health literacy refers to an individual's ability to understand and use health information. Low literacy levels can hinder a person's understanding of health-related information, leading to poor health outcomes. Limited access to health resources (A) can be a challenge, but it is not as common as low literacy levels. While complex medical instructions (C) can be a barrier, low literacy levels are more pervasive. Cultural barriers (D) can also impact health literacy, but the primary challenge is often low literacy levels among patients.

Correct Answer: B

Rationale: The correct answer is B: Differences in health outcomes based on socioeconomic status. Health disparities refer to variations in health outcomes among different groups, often due to social, economic, and environmental factors. Socioeconomic status greatly influences access to healthcare, healthy living conditions, and resources, leading to disparities in health outcomes. A: Differences based on geographic location can contribute to health inequities but do not directly address the impact of socioeconomic status on health outcomes. C: Age-related differences in health outcomes are common but do not necessarily reflect disparities based on social determinants such as income or education. D: Genetic factors can influence health outcomes, but health disparities typically focus on social determinants rather than biological factors.

Correct Answer: A

Rationale: The correct answer is A: Perceived susceptibility. This is a key aspect of the Health Belief Model because it refers to an individual's belief about their risk of getting a particular health condition. It is crucial in determining whether a person will take preventive actions. Perceived severity (B) and perceived benefits (D) are also important components of the model, but perceived susceptibility is considered the starting point for behavior change. Perceived barriers (C) are obstacles that may prevent an individual from taking action, but they are not the main focus in the Health Belief Model.

Correct Answer: C

Rationale: The correct answer is C: Advocating for health policy changes. This action demonstrates a proactive approach to address systemic health issues at a community level. By advocating for health policy changes, the healthcare professional can influence and implement policies that have a broad impact on community health outcomes. This action goes beyond individual-level interventions and focuses on addressing root causes of health disparities. Providing health education (A) and conducting community assessments (B) are important steps, but advocating for policy changes has a broader and more sustainable impact. Developing health policies (D) is a necessary step, but advocating for changes implies actively working towards implementing those policies.

Correct Answer: A

Rationale: The correct answer is A because it correctly matches the terms with their definitions. Topical anesthesia is indeed applied directly to the skin and mucous membranes, matching with statement C. Epidural anesthesia involves injecting the anesthesia into the epidural space of the spinal cord, aligning with statement D. The other choices incorrectly match the terms with definitions that do not correspond to the actual procedures. Choice B incorrectly states that epidural anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5, which is not accurate. Choice C incorrectly states that topical anesthesia is applied directly to the skin and mucous membranes, which is inaccurate. Choice D incorrectly states that topical anesthesia is applied directly to the skin and that epidural anesthesia is introduced in the subarachnoid space, both of which are incorrect.

Correct Answer: C

Rationale: The correct answer is C: Dopamine. Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is crucial for controlling movement, mood, and cognition. Serotonin (A) is not directly related to Parkinson's. Adrenaline (B) is involved in the fight-or-flight response, not Parkinson's. GABA (D) is an inhibitory neurotransmitter, not typically associated with Parkinson's disease.

Correct Answer: C

Rationale: The correct answer is C: Paraplegia. Paraplegia refers to the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. This term specifically indicates paralysis below the waist. Hemiplegia (A) refers to paralysis on one side of the body, not the trunk and legs. Tetraplegia (B) is paralysis of all four limbs and the trunk, not specifically the trunk, legs, and pelvic organs. Hemiparesis (D) is weakness on one side of the body, not a complete paralysis of the trunk, legs, and pelvic organs.