ATI RN
Questions to Assess Social Determinants of Health Questions
Question 1 of 5
Which of the following is most accurate in regards to Health Implications of Food Insecurity?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Adults with diet-related chronic diseases may struggle to afford nutritious food, leading to food insecurity. 2. Chronic diseases like diabetes or heart disease are exacerbated by poor diet due to food insecurity. 3. Lack of access to healthy foods can worsen health outcomes for individuals with chronic diseases. 4. This choice directly addresses the impact of food insecurity on adults with chronic diseases. Summary: B: There isn't a direct causal relationship between food insecurity and overweight/obesity. C: Pregnant/lactating women need nutrient-dense diets; folate and iron are essential. D: Canada's Food Guide emphasizes whole grains and low sodium, not enriched multigrain breads.
Question 2 of 5
How much does clinical care impact an individual's health outcomes?
Correct Answer: B
Rationale: The correct answer is B: 10 percent. Research by the World Health Organization indicates that clinical care contributes to about 10% of an individual's health outcomes. This is based on the understanding that other factors such as genetics, social and economic factors, and individual behavior have a larger impact on overall health. Therefore, while clinical care is important, it is not the sole determinant of health outcomes. A (34 percent), C (20 percent), and D (47 percent) are incorrect because they overestimate the impact of clinical care on health outcomes. These percentages fail to consider the multifaceted nature of health determinants and the significant influence of non-medical factors on overall health.
Question 3 of 5
A nurse researcher has found that clients living in rural areas tend to have higher rates of hospitalization for chronic lung disease than those living in affluent urban areas. Which of the following terms describes what the nurse researcher has identified?
Correct Answer: A
Rationale: The correct answer is A: Health disparities. Health disparities refer to differences in health outcomes or healthcare access between different populations. In this scenario, the nurse researcher identified a disparity in hospitalization rates for chronic lung disease between rural and affluent urban areas. This term accurately captures the unequal health outcomes observed. Choice B: Health determinants typically refer to factors that influence health outcomes, such as genetics, lifestyle, environment, and healthcare access. While relevant, this term does not specifically address the observed disparity in hospitalization rates. Choice C: Intersectionality considers how multiple social identities intersect and impact individuals' experiences. While this concept is important in understanding health disparities, it is not the most accurate term to describe the situation presented. Choice D: Socially disadvantaged populations refer to groups facing social, economic, or environmental challenges that impact their health. While related, this term does not specifically address the comparison between rural and affluent urban areas in the context of chronic lung disease hospitalization rates.
Question 4 of 5
A public health nurse determines that a non-English-speaking Hispanic client needs additional medical evaluation and treatment for cancer. Which of the following statements best describes the nurse's assessment of this situation?
Correct Answer: C
Rationale: The correct answer is C because the nurse recognizes that the client's access to healthcare may be limited due to language barriers. This is crucial as language barriers can hinder effective communication and access to appropriate medical care. Option A assumes insurance and an interpreter solve the issue, which may not be the case. Option B assumes the primary care provider can address the language barrier, which may not be feasible. Option D is incomplete, making it an incorrect choice. In summary, choice C best reflects the nurse's assessment by acknowledging potential limitations in the healthcare system for non-English-speaking clients.
Question 5 of 5
A nurse working in a rural public health clinic recognizes that which of the following risk factors for poor health outcomes is prevalent in the community?
Correct Answer: A
Rationale: The correct answer is A: An increased likelihood of engaging in risky behaviors. In rural areas, limited access to healthcare services may lead to higher rates of risky behaviors like substance abuse, lack of preventive care, and unhealthy lifestyle choices. This can result in poor health outcomes. Choices B, C, and D are incorrect because rural populations are often at a higher risk for chronic conditions like lung disease, less likely to wear seat belts due to lack of enforcement, and may have higher rates of certain types of cancer due to environmental factors or limited access to screening and treatment services.