Ch4 Social & Cultural Health Factors Complete Test Bank

Chapter 4: Intersecting Social and Cultural Determinants of Health and Well-Being

Test Bank

Type: true-false

Title: Chapter 4 Question 1

1) Health disparities and health equity are the same.

a. True

b. False

Type: true-false

Title: Chapter 4 Question 2

2) Equality and Equity are two terms identifying the same phenomenon.

a. True

b. False

Type: true-false

Title: Chapter 4 Question 3

3) Social determinants of health help us understand the non-medical factors related to unequal access to health care.

a. True

b. False

Type: true-false

Title: Chapter 4 Question 4

4) Poverty has an intergenerational impact on health.

a. True

b. False

Type: true-false

Title: Chapter 4 Question 5

5) Health disparities DOES NOT exist in countries with universal health insurance.

a. True

b. False

Type: true-false

Title: Chapter 4 Question 6

6) The COVID-19 pandemic disproportionally affected the African American, Latinx, and Native American communities.

a. True

b. False

Type: multiple choice question

Title: Chapter 4 Question 7

7) Health disparities can be associated with

a. Ethnicity/race

b. Gender

c. Socioeconomic status (SES)

d. All of the above

Type: multiple choice question

Title: Chapter 4 Question 8

8) Cultural determinants of health complement social determinants of health by:

a. Assessing language proficiency

b. Identifying protective factors associated with culture of origin

c. Considering culturally specific support systems

d. All of the above

Type: multiple choice question

Title: Chapter 4 Question 9

9) There are several key upstream and downstream social determinants of health

a. Stress and social exclusion

b. Social support and cohesion

c. Food, transportation and neighborhoods

d. All of the above

Type: essay/short answer question

Title: Chapter 4 Question 10

10) What role does SES play in the onset of health disparities?

Feedback:Studies have consistently shown that people on the lower end of the SES spectrum have significantly higher rates of mortality (death) and morbidity (disease). They are exposed to more risk factors for poor health than others within their racial/ethnic group with higher SES, even controlling for differences in access to and utilization of health care (National Center for Health Statistics, 2012).

Type: essay/short answer question

Title: Chapter 4 Question 11

11) How would you define health equity?

Feedback:Health equity is the counterpart of health disparities. It emerges when there are equal opportunities to achieve and maintain well-being and equal access to quality care (including behavioral health) for all. Achieving health equity has been the World Health Organization’s primary goal since its inception, in 1946. In its constitution, the World Health Organization stated, “the highest standards of health should be within reach of all. Without distinction of race, religion, political belief, economic or social condition.” Outlining for the first time on an international scale the goal that everyone regardless of SES, nationality, and/or ethnicity should have a fair opportunity to be healthy (World Health Organization quoted in Whitehead & Dahlgren, 2006, p. 5).

Type: essay/short answer question

Title: Chapter 4 Question 12

12) How can discrimination affect health?

Feedback:Discrimination can take many forms and may affect individuals in multiple ways. Discrimination may prevent someone from getting a job or receiving a promotion; it may result in rude treatment in restaurants, or the recipient may internalize it. Internalized discrimination occurs when racial groups accept the negative narratives that are present in the culture as being true (Ahmed, Mohammed, & Williams, 2007). Internalized discrimination is one of the most subtle forms of social exclusion and can lead to increases in blood pressure, alcohol consumption, psychological distress, overweight, and negative cardiovascular outcomes (Williams & Mohammed, 2009).