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Nursing Care of the Community Chapters 1,2,3,4,5,6,7, 10,11,12,14,15 EXAM (2025/2026) QUESTIONS AND (elaborated) ANSWETRS WITH COMPLETE SOLUTIONS

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Nursing Care of the Community Chapters 1,2,3,4,5,6,7, 10,11,12,14,15 EXAM (2025/2026) QUESTIONS AND (elaborated) ANSWETRS WITH COMPLETE SOLUTIONS

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geschrieben in
2025/2026
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Nursing Care of the
Community Chapters
1,2,3,4,5,6,7, 10,11,12,14,15
EXAM (2025/2026) QUESTIONS
AND (elaborated) ANSWETRS
WITH COMPLETE SOLUTIONS
1. A nurse is striving to practice patient-centered care at a hospital. Which action best

exemplifies providing patient-centered care?

A) Having a client complete a self-reported functional status indicator and then

reviewing it with the client

B) Explaining to a client the benefits of computer-assisted robotic surgical

techniques, which the hospital recently implemented

C) Recording a client's signs and symptoms in an electronic health record

D) Performing continuous glucose monitoring of a client while the client is in the

hospital - A

Feedback:

Patient-centered care considers cultural traditions, personal preferences, values,

families, and lifestyles. Clients become active participants in their own care, and

monitoring health becomes the client's responsibility. To help clients and their

,healthcare providers make better decisions, the Agency for Healthcare Research and

Quality (AHRQ) has developed a series of tools that empower clients and assist

providers in achieving desired outcomes, including client-reported functional status

indicators. Computer-assisted robotic surgical techniques, electronic health records, and

continuous glucose monitoring in the hospital are all technological advances in

healthcare, but they do not help the client become a more active participant in his or her

care, and thus are not good examples of patient-centered care.

Chapter 1- Public Health Nursing, 2

2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes

mellitus. The nurse should recognize which social determinants of this client's health?

(Select all that apply.)

A) Household income of $23,000 per year

B) Reading level of a third grader

C) Medication ineffective due to error in prescription

D) Originally from Sudan

E) No family in the area - A, B, D, E

Feedback:

The social conditions in which people live, their income, social status, education,

literacy, home and work environment, support networks, gender, culture, and

availability of health services are the social determinants of health. These conditions

have an impact on the extent to which a person or community possesses the physical,

social, and personal resources necessary to attain and maintain health. A medical error

on the part of the client's primary care provider or nurse would not constitute a social

determinant of the client's health.

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,Page 2

Chapter 1- Public Health Nursing, 3

3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home

using a digital scale and record the weight in a log. This strategy is an example of:

A) Telehealth

B) Health information technology

C) Personal responsibility for health

D) Evidence-based nursing - C

Feedback:

Personal responsibility for health involves active participation in one's own health

through education and lifestyle changes. In this case, the client makes a positive change

in lifestyle by monitoring body weight weekly. Telehealth is the use of electronic

information and telecommunications technologies to support long-distance clinical

healthcare, client and professional health-related education, public health, and health

administration. Health information technology (HIT) is defined as the comprehensive

management of health information and its exchange between consumers, providers,

government, and insurers in a secure manner. Evidence-based nursing is the integration

of the best evidence available with clinical expertise and the values of the client to

increase the quality of care.

Chapter 1- Public Health Nursing, 4

4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which

task best exemplifies public health?

A) Reading current nursing journals and integrating the latest research into daily

practice

B) Instructing a client on how to best care for a suture site at home

C) Participating in a videoconference call with a client who lives in a remote area

, D) Facilitating a community-wide smoking cessation program one month out of the

year - D

Feedback:

Public health is what society does collectively to ensure the conditions exist in which

people can be healthy. A community-wide smoking cessation program is a great

example of a public health intervention, in that it involves the collective effort of society

to improve the health of its members. Reading and applying the latest nursing research

is an example of evidence-based nursing. Instructing a client on how to best care for a

suture site at home is an example of personal responsibility for health, but it is not

focused on the health of the greater community. Participating in a videoconference call

with a client who lives in a remote area is an example of patient-centered care and of an

effective implementation of technology, but it is not particularly re

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lated to public health.



Page 3

Chapter 1- Public Health Nursing, 5

5. Public health nursing is distinguished from other specialties by adherence to eight

principles. Which is one of the eight domains of public health nursing practice?

A) Analytic assessment skills

B) Investigation of disease

C) Referral and follow-up

D) Case management - A

Feedback:

The eight domains of public health nursing practice are as follows: Analytic assessment

skills, policy development and program planning skills, communication skills, cultural
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