Professional Commitments and Considerations

Question 1

What kind of information would you include in the ‘O’ section of SOAP notes?

Answer 1

Objective information such as measurements you take (height, weight, circumference measurements) or blood work results from a healthcare provider.

Objective information refers to measurable data.

Question 2

What is the first step to mitigating ethnocentric behaviors?

Answer 2

Access and reflect on one’s own biases.

The next step includes making an effort to recognize that each client, regardless of characteristics, is the expert in their lived experiences.

Question 3

What are some community and social factors in social determinants of health?

Answer 3

• Social integration
• Support system
• Community engagement
• Discrimination

Question 4

Define:

Health disparities

Answer 4

Differences in health outcomes due to social, economic, and environmental disadvantages.

Question 5

Define:

Ethnocentric individuals

Answer 5

People who judge others based on ethnic group or culture.

Question 6

What do SOAP notes stand for?

Answer 6

• Subjective
• Objective
• Assessment
• Plan

Question 7

Heath coaches should move past the individual in order to address the social determinants of health in order to:

Answer 7

1. Have the greatest impact on health.
2. Increase the likelihood that a healthy lifestyle can be maintained.

Question 8

What is the biggest cause of early death?

Answer 8

Behavioral choices

Behavioral choices account for more early deaths than genetics, social circumstances, environmental conditions, and medical care quality.

Question 9

What are some education factors in social determinants of health?

Answer 9

• Literacy
• Language
• Early childhood education
• Vocational training
• Higher education

Question 10

What is the role of a health coach?

Answer 10

To partner with people to empower them to create self-directed changes in their health and wellbeing.

Question 11

Define:

Social determinants of health

Answer 11

Structural determinants and conditions in which people are born, grow, live, work, and age in.

Question 12

What are the two main types of interpersonal red flags?

Answer 12

1. Change
2. Disclosure

Question 13

What information would be a red flag under change of information?

Answer 13

When a health coach recognizes a change in behavior based on sleep, weight, energy, mood, or attention.

For example, you notice a client has had a sharp decrease in weight over the last three months and has expressed signs of depression.

When a change red flag is detected, referral to a qualified health professional in the related change field should take place.

Question 14

What would classify as a red flag under the disclosure of information?

Answer 14

A client disclosed to you that they have a feeling of self-harm.

All threats of self-harm or harm to others should always be taken seriously.

Question 15

What is the most influential determinant of health?

Answer 15

Zip code.

Health starts in homes, schools, workplaces, neighborhoods, and communities.

Question 16

Define:

Health Insurance Portability and Accountability Act

(HIPPA)

Answer 16

U.S. law that provides privacy standards to protect patients medical records and other health information.

Question 17

What are some economic stability factors in social determinants of health?

Answer 17

• Employment
• Income
• Expenses
• Debt
• Medical bills
• Support

Question 18

What kind of information would you include in the ‘A’ section of SOAP notes?

Answer 18

Any assessments that you have concluded from comparing the subjective and objective information.

For example, if a client states she feels discouraged because she had too many Girl Scout cookies (subjective information) and has gained 2 lbs since the last visit (objective information), an assessment would be that you have concluded that Girl Scout cookies could have contributed to the weight gain and you need to work with the client on portion sizes and self-control around food.

Question 19

What are some common populations that experience health disparities?

Answer 19

• Race
• Ethnic differences
• Gender
• Sexual orientation
• Age
• Socioeconomic status
• Geographic location

Question 20

What are some food factors in social determinants of health?

Answer 20

• Hunger
• Access to healthy options

Question 21

Define:

Health equity

Answer 21

The absence of avoidable differences among groups of people when referring to healthcare, proper nutrition, or recreational spaces.

Question 22

What are some factors to consider when creating and maintaining clear professional boundaries?

Answer 22

• Refrain from giving personal contact information by always providing work email, phone numbers, and business locations
• Protect privacy on personal social media
• Establish clear physical boundaries
• Use appropriate language
• Avoid dual relationships
• prohibit sexual relationships with current or formal clients

Question 23

What are some healthcare factors in social determinants of health?

Answer 23

• Health coverage
• Provider availability
• Provider linguistic and cultural competency
• Quality of care

Question 24

What kinds of healthcare professionals should health coaches partner with and have on hand for referral opportunities?

Answer 24

• Primary care doctors
• Registered dietitians
• Exercise professionals
• Chiropractors
• Physical therapists
• Social workers
• Mental health professionals

Question 25

What are some steps a health coach can take to foster an inclusive environment?

Answer 25

* Create a safe space that is private, professional, and inviting * Be a guide, not an expert * Listen and ask * Respect the clients time * Practice nonverbal communication

Question 26

What kind of information would you include in the 'S' section of SOAP notes?

Answer 26

Subjective information such as client's feelings or symptoms that they may have. ## Footnote *Subjective information is anything the client is telling you.*

Question 27

What are some **neighborhood and environmental** factors in social determinants of health?

Answer 27

* Housing * Transportation * Safety * Parks * Playgrounds * Walkability

Question 28

In order to be successful working with diverse populations, the health coach needs to consider what factors?

Answer 28

* Developing relationships with clients and community partners that are built on trust, respect, and integrity. * Meet each client where he or she is and address the whole person. * Maintain an up-to-date list of community resources, services, and referral sources.