Spring 01a: Housing, Food, MH

Question 1

List Maslow’s hierarchy of needs, from most fundamental upwards.

Answer 1

1. Physiologic
2. Safety
3. Belonging
4. Esteem/respect
5. Achieving potential

Question 2

Poor housing falls under which level of Maslow’s hierarchy of needs?

Answer 2

Physiologic

Question 3

Lack of parenting role models falls under which level of Maslow’s hierarchy of needs?

Answer 3

Belonging

Question 4

Domestic violence falls under which level of Maslow’s hierarchy of needs?

Answer 4

Safety

Question 5

Inadequate education services falls under which level of Maslow’s hierarchy of needs?

Answer 5

Safety

Question 6

Unemployment falls under which level of Maslow’s hierarchy of needs?

Answer 6

Esteem/respect

Question 7

An ex-offender having reemployment issues struggles which level of Maslow’s hierarchy of needs?

Answer 7

Esteem/respect

Question 8

A mental health agency, aimed to assist those with mental health issues, is a community-based intervention that targets which level of Maslow’s hierarchy of needs?

Answer 8

Safety

Question 9

(X) policy resulted in (under/over)-production and a price (raise/drop) that drove small farmers out of business.

Answer 9

X = Federal “Cheap Food” (1974)

Overproduction; drop

Question 10

How might overcrowding be a housing-related barrier to health?

Answer 10

May cause stress and infectious diseases

Question 11

How might exposed wires be a housing-related barrier to health?

Answer 11

May cause fires, leading to injury

Question 12

How might peeling/paint be a housing-related barrier to health?

Answer 12

Lead poisoning

Question 13

How might unaffordable rent/utilities be a housing-related barrier to health?

Answer 13

“Heat or eat” issues

Question 14

T/F: Housing providers must give people with disabilities equal access to housing.

Answer 14

True

Question 15

T/F: The right to reasonable accommodation/modification in housing only applies to physical disabilities.

Answer 15

False

Question 16

When sending a “reasonable accommodation letter” for housing accommodation, what are two key rules to keep in mind?

Answer 16

1. Don’t give diagnosis (PHI), but specify why accommodation needed
2. Keep patient involve (tell landlord to contact patient, not you)

Question 17

T/F: Compared to other states, MA is in the top 5 wrt the cost of living.

Answer 17

True

Question 18

People eligible for federal subsidized housing may wait as long as (days/months/years) to receive it. But, they start receiving (X) benefits within matter of (days/months/years).

Answer 18

Years;
X = SNAP (food stamps) and TAFDC (welfare)
Days/weeks

Question 19

T/F: It’s acceptable for landlord to deny housing to individual based on age.

Answer 19

False

Question 20

T/F: It’s unacceptable for landlord to deny housing to individual based on gender identity.

Answer 20

True

Question 21

T/F: It’s acceptable for landlord to deny housing to individual based on his receipt of housing subsidy.

Answer 21

False

Question 22

Public health experts are in increasing agreement that (zip code/genetic code) is better predictor of long-term health than (zip code/genetic code).

Answer 22

Zip code;

Genetic code

Question 23

Recent professionally tested fair housing studies indicate that (X) races experience discrimination in rental market (Y)% of the time.

Answer 23

X = black/Latino
Y = 50

Question 24

Mrs. A lives in low-income household and is months behind on her rent. She suffers from a medical condition that requires she stay in temperate weather. Is her landlord entitled to keep gas/electric service on.

Answer 24

Yes (despite her being behind on rent)

Question 25

A key issue in food access is cost. Most, about (X)%, of subsidies go to (Y).

Answer 25

X = 70-80 Y = Corn, rice, wheat, cotton, soybeans

Question 26

A key issue in food access is cost. Less than 1% goes to (X).

Answer 26

X = Fruits and veggies

Question 27

Food is generally (cheaper/more expensive) than ever before. This is true especially for (X) type of food.

Answer 27

Cheaper; | X = meat

Question 28

One key cause of poor food choices/access is marketing, especially targeted toward which population?

Answer 28

Children

Question 29

A little more than (X) fraction of people in US are obese. And an additional (Y) fraction of people are overweight.

Answer 29

X = Y = 1/3

Question 30

T/F: Obesity is now more of a global health crisis than malnutrition.

Answer 30

True

Question 31

Today in the US, we are eating (X) calories more per day than population was eating in 1970.

Answer 31

X = 600

Question 32

What effect did the 1900s Mechanical Revolution have on farmers?

Answer 32

Gave them ability to make much more food (price drop)

Question 33

FDR passed (X) bill in 1933 in attempt to:

Answer 33

X = first farm Help economy by paying farmers to limit production

Question 34

US is largest (X) producer in the world, most of this food is used for (Y).

Answer 34

``` X = corn and soybeans Y = animal feed ```

Question 35

T/F: US farm subsidies never went to tobacco.

Answer 35

False - did in the past, but stopped in 2014

Question 36

If people ate the amount of fruits/veggies recommended by FDA, we'd need additional (X) acres of farm land.

Answer 36

X = 13 million

Question 37

T/F: Cows and grains being fed to cows makes them sick.

Answer 37

True - need antibiotics

Question 38

T/F: Americans now have the cheapest food in history, spending 25% of disposable income on food.

Answer 38

Partly true - but spend less than 10% of income on food!

Question 39

Food insecurity was measured by census bureau in 2013. (X)% of Americans were found to be food insecure.

Answer 39

X = 14

Question 40

Food insecurity has impact on (children/adults/elderly).

Answer 40

All!

Question 41

T/F: Food insecurity can lead to higher risk of hospitalization in children.

Answer 41

True

Question 42

T/F: Food insecurity can lead to higher risk of depression in elderly, but not children/adults.

Answer 42

False - higher depression in all three

Question 43

T/F: Food insecurity can lead to more limited ADLs in elderly.

Answer 43

True

Question 44

T/F: Food insecurity can lead to higher risk of hypotension in adults.

Answer 44

False - hypertension

Question 45

T/F: Food insecurity can lead to higher risk of both cognitive and behavioral problems in children.

Answer 45

True

Question 46

List two local programs for food insecurity.

Answer 46

1. BMC food pantry | 2. BMC demo kitchen

Question 47

WIC, aka (X), and SNAP, aka (Y), programs are in place to battle (Z).

Answer 47

``` X = Women Infants and Children Y = Supplemental Nutrition Assistance Program Z = food insecurity ```

Question 48

Food deserts are most common in (X) areas.

Answer 48

X = low-income

Question 49

T/F: Students buy and consume less food when healthy food was sold at school.

Answer 49

False - purchased and consumed more

Question 50

T/F: There is a direct relationship between TV viewing and consumption of the food advertised.

Answer 50

True

Question 51

T/F: Between 1970 and today, we consume about the same percent of total calories in restaurants.

Answer 51

False - consume more today (30%) than 1970 (18%)

Question 52

Some problems with eating at restaurants instead of at home include: (smaller/larger) portions, (more/less) fat, (more/less) calories, and (more/less) fiber.

Answer 52

Larger; more; more; less

Question 53

The Healthy, Hunger-Free Kids Act of 2010 is a policy set in place for which reason?

Answer 53

Regulation of food in schools

Question 54

List the bottom lines on "housing" and its effect on health.

Answer 54

1. Affordable housing is scarce 2. Housing conditions of disrepair are against state law 3. Eviction requires court authorization 4. Stable utility service can be maintained, despite being behind on bills

Question 55

"Ask me 3" encourages (X) to understand answers to which three questions?

Answer 55

X = patient 1. What's my main problem? 2. What do I need to do? 3. Why is it important for me to do this?

Question 56

What is the 12-month prevalence range of mental health disorders according to WHO survey? Which value belongs to the US?

Answer 56

4. 3-26.4%; | 26. 4%

Question 57

T/F: Depression is greater with poverty.

Answer 57

True

Question 58

(X) mental health disease is one of the leading causes of disability adjusted life years (DALYs) worldwide.

Answer 58

X = unipolar depression

Question 59

T/F: All races with perceived need for alcoholism, drug abuse, or mental health care have equal access.

Answer 59

False

Question 60

T/F: African Americans were more likely to have no access to mental health care compared to whites and hispanics.

Answer 60

True

Question 61

Healthcare costs (X) times (higher/lower) in patient with depression/anxiety.

Answer 61

X = 1.5-2

Question 62

A number of reviews show people with sever mental illness have (X) times excess mortality than general population. (Y)% of this excess mortality is due to physical illness.

Answer 62

``` X = 2-3 Y = 60 ```