MHS MIDTERM

Most of us grow up in a largely _________ environment including neighborhood, schools and churches.

Homogenous

Older adults are significantly more likely to be diagnosed with dementia as compared to younger adults. Is this a health disparity?

No

The following statement is true about Latino/Hispanic behavioral health disparities:

None of the above.

The term social determinants of health is best described as_______________________?

The conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.

Health inequities are avoidable and unfair differences in health between groups of people that often arise due to other inequalities in society (e.g. social determinants of health).

True

Racism continues to affect health care because many physicians remain unaware of their unconscious racial biases

True

Studies show that African Americans have lower rates of suicide on average, but these rates are on the rise.

True

The recent increase in diabetes among Native Americans was found to be ultimately a factor of changes in their diet and nutrition, as opposed to biological differences.

True

The suicide rate of Native Americans/Alaskan Natives is 1.5x's the national average with young males accounting for 2/3 of the suicides.

True

Tobacco use is the largest preventable cause of death and disease in the United States.

True

When seeking treatment, African Americans and Latino/Hispanic patients are significantly less likely to receive pain medication when compared to their non-Hispanic White counterparts.

True

When speaking of resilience, research suggests that a patient that is psychologically fit can have a positive effect on their treatment outcomes:

True

The fact that healthcare providers rarely ask older adults about sexuality and often assume African Americans to be low-income and uneducated are examples of________________:

Unconscious bias among healthcare providers

According to Merriam-Webster (2004), diversity means:

Variety, multiformity, difference or dissimilarity

Since race is not a valid biological construct, we should stop studying the effect of race.

false

Research suggests that overconsumption of sugar alone can negatively impact young people's mental health AND that consumption of fish oil may prevent progression of psychosis in high-risk youth.

true

Susto (fright), ataque de nervios (attack of the nerves), and mal de ojo (evil eye) have this in common:

High rates of misdiagnosis

Disparities in care are associated with higher mortality among minorities.

True

The correct term to use when talking about health differences among racial and ethnic minority individuals is

-Health Disparities -Health Inequalities -Health Inequities (All of the Above)

Which of the following is true regarding race:

-Although it is not real biologically, it impacts an individuals' social experiences - Race can impact how an individual see's the world and how others may see that individual - We live in a racialized society. (All of the above)

When __________ are taken into account, physical health disparities are still found within the Asian American/Pacific Islander community.

-Co-morbidities. -Stage of disease presentation. -Severity of disease. -Age. (All of the above.)

Which of the following conditions can be significantly improved by engaging in consistent physical activity?

-Improved overall mental health and reduced risk of mental illness -Reduced risk of Cardiovascular disease -Reduced risk of some cancers and improve quality of life with other cancers (All of the above)

Health equity:

-Is the attainment of the highest level of health for all people. -Requires valuing everyone equally with focused and ongoing societal efforts. -Must address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities. (all of the above)

The definition of culture includes the following:

-Religion, food, language, marriage -How we sit at the table and greet visitors -What we wear and how we wear it. All of the answers are true.

The following statement is true about African American health disparities:

-Seek treatment half the rate of non-Hispanic whites. -More likely to terminate treatment prematurely. -More likely to be seen in the ER for behavioral health problems. (All of the above.)

Policies in the United States have lead to the accumulation and transfer of wealth from both African Americans and Native Americans by:

-Seizing Native American property and transferring this property to whites -Passing laws to legalize slave labor -Having the FHA deny home loans in predominantly black neighborhoods during the mid-20th century, while providing incentives for white families buying in the suburbs. (All of the above in addition to other policies not mentioned here.)

When __________ are taken into account, physical health disparities are still found within the Native American/Alaskan Native community.

-Stage of disease presentation. -Severity of disease. -Age. -co-morbidities (all of the above)

The following statement is true about Latino/Hispanic physical health disparities:

-Twice as likely to have diabetes and 50% more likely to die from diabetes. -Have higher rates of obesity and high blood pressure. -Accounted for 20% of new cases of TB. (All of the above.)

Which of the following are patient activation determinants of heath?

Adherence to Treatment Plans

Of all the racial groups, ___________ have the worst overall physical health profiles.

African Americans

The four main ethnic and racial minority groups are:

African Americans, Latinos/Hispanics, Asian Americans/Pacific Islander, and Native Americans

Research consistently finds that overall ____________ have the worst health profile in the US, with _____________ having the fewest health problems

African Americans; Asian Americans

When working with a patient in a behavioral health encounter you should:

Avoid stereotyping and overgeneralization Use and maintain an assets and strengths-based perspective Recognize that every encounter is a cross-cultural encounter Do all of the above

Researchers found that Four main social factors accounted for over a third of total deaths in the United States in any given year. What are those three factors?

Education, racial segregation, social supports, and poverty

While the GI Bill did allow both white and African American veterans to take advantage of some educational benefits, African Americans

Could only attend a limited number of segregated schools.

The CDC defines Determinants of health as _______________________?

Factors that contribute to a person's current state of health.

Because racism and racial discrimination are no longer legal in the U.S., everyone is now treated equally by both private citizens and government institutions.

False

Health inequity is the assurance of optimal health for all people.

False

Health literacy is a term reflecting ones' ability to read and write.

False

Mental illness and physical health are unrelated just like physical illness and mental health.

False

Studies show that African Americans have a higher lifetime of developing a psychiatric disorder than Whites.

False

Studies show that Asian American/Pacific Islanders have lower income than the average family nationally, and this differs based upon ethnic group.

False

Studies show that Latinos have a higher lifetime of developing a psychiatric disorder than Whites.

False

The U.S. constructs of 'race' developed during European colonialism and are linked to biological factors NOT linked to the socio-political landscape.

False

The majority of Latino and Hispanic Americans in the United States are Puerto Rican.

False

When we talk about health disparities, we are only referring to racial and ethnic differences.

False

Which of the following statements are true regarding gender and nutrition?

Females identify feeling more social pressure to eat healthy foods in comparison to males

The following statement is true about Asian American/Pacific Islander health disparities:

Have similar rates of mental health diagnosis compared to whites.

When speaking of prevention, primary prevention primarily refers to _______________________, while secondary prevention refers to ______________________ and tertiary prevention refers to __________________:

Health promotion and specific protection: Screening and early diagnosis: Treatment and Rehabilitation.

Which of the following NOT a physical determinant of heath?

Immunizations Medical History Co-morbidities All are physical determinants of health

The following statement is true about Native American/Alaskan Native behavioral health disparities:

In treatment often receive a poorer quality of mental health care.

Hepatitis, tuberculosis, and stomach cancer have this in common:

More common in Asian Americans/Pacific Islanders.

The Jim Crow system helped to benefit whites by:

Offering higher quality institutions to whites only - including schools and hospitals

This report shows that non-Hispanic whites (Caucasians) have very different health experiences than racial and ethnic minorities:

Secretary's Task Force on Black and Minority Health

The term race is best described as_______________________?

Socially defined differences based upon differences in peoples ancestry.

Which of the following statements best describes the term cultural skills in relation to behavioral health providers?

The ability to collect relevant cultural data regarding the clients' health histories and presenting problems as well as accurately performing a culturally specific physical assessment

There are six key points that help us to understand why Race is not an appropriate or meaningful way to distinguish groups of people. Which of the following is incorrect?

The variation between races is much greater than that variation within specific races

Culture can be related to one's ethnic background.

True

According to the lecture, the following health issues are more of an issue within the American Indian/ Alaska Native population than in the United States on average:

Youth suicide, motor vehicle accidents, and stroke.

Which of the following is NOT an individual determinant of health?

living in a food dessert