TEST BANK - Community and Public Health Nursing: Evidence for Practice 4th Edition by DeMarco & Walsh, All 25 Chapters Covered, Verified Latest Edition

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, Chapter 1- Public Health Nursing nm nm nm nm




1. A nurse is striving to practice patient-centered care at a hospital. Which action
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bestexemplifies providing patient-centered care? nm nm nm


A) Having a client complete a self- nm nm nm nm nm


reported functional status indicator and then reviewing it with the client
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B) Explaining to a client the benefits of computer- nm nm nm nm nm nm nm


assisted robotic surgical techniques, which the hospital recently im
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plemented
C) Recording a client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a client while the client is i
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n the hospital nm nm


Ans: A nm


Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, a
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nd lifestyles. Clients become active participants in their own care, and monitoring
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health becomes the client's responsibility. To help clients and their healthcare prov
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iders make better decisions, the Agency for Healthcare Research and Quality (AH
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RQ) has developed a series of tools that empower clients and assist providers in a
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chieving desired outcomes, including client-
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reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, and continuous glucos
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e monitoring in the hospital are all technological advances in healthcare, but they
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do not help the client become a more active participant in his or her care, and thu
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s are not good examples of patient-centered care.
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Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 di
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abetes mellitus. The nurse should recognize which social determinants of this
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client's health?(Select all that apply.)
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A) Household income of $23,000 per year nm nm nm nm nm


B) Reading level of a third grader nm nm nm nm nm


C) Medication ineffective due to error in prescription nm nm nm nm nm nm


D) Originally from Sudan nm nm


E) No family in the are nm nm nm nm


a Ans: A, B, D, E
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Feedback:
The social conditions in which people live, their income, social status, education, l
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iteracy, home and work environment, support networks, gender, culture, and availa
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bility of health services are the social determinants of health. These conditions hav
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e an impact on the extent to which a person or community possesses the physical,
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nmsocial, and personal resources necessary to attain and maintain health. A medical
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error on the part of the client's primary care provider or nurse would not constitut
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e a social determinant of the client's health.
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, Origin: Chapter 1- Public Health Nursing,
3. A nurse successfully persuades an obese client to perform a weekly weigh-
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in at home using a digital scale and record the weight in a log. This strategy is
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nman example of:
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A) Telehealth
B) Health information technology nm nm


C) Personal responsibility for health nm nm nm


D) Evidence-
based nursing Ans: C nm nm nm


Feedback:
Personal responsibility for health involves active participation in one's own health
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through education and lifestyle changes. In this case, the client makes a positive c
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hange in lifestyle by monitoring body weight weekly. Telehealth is the use of elec
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tronic information and telecommunications technologies to support long-
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distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information tech
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nology (HIT) is defined as the comprehensive management of health information a
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nd its exchange between consumers, providers, government, and insurers in a secu
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re manner. Evidence-
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based nursing is the integration of the best evidence available with clinical experti
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se and the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
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Which task best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into d
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aily practice nm


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


C) Participating in a videoconference call with a client who lives in a remote area
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D) Facilitating a community- nm nm


wide smoking cessation program one month out of the year
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Ans: D nm


Feedback:
Public health is what society does collectively to ensure the conditions exist in wh
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ich people can be healthy. A community-
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wide smoking cessation program is a great example of a public health intervention
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, in that it involves the collective effort of societyto improve the health of its me
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mbers. Reading and applying the latest nursing research is an example of evidence
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-
based nursing. Instructing a client on how to best care for a suture site at home is
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man example of personal responsibility for health, but it is not focused on the healt
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h of the greater community. Participating in a videoconference call with a client
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who lives in a remote area is an example of patient-
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centered care and of an effective implementation of technology, but it is not partic
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ularly related to public health.
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, Origin: Chapter 1- Public Health Nursing,
5. Public health nursing is distinguished from other specialties by adherence to eight pr
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inciples. Which is one of the eight domains of public health nursing practice?
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A) Analytic assessment skills nm nm


B) Investigation of disease nm nm


C) Referral and follow-up nm nm


D) Case managemen nm


t Ans: A
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic assess
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ment skills, policy development and program planning skills, communication skills,
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cultural competency skills, community dimensions of practice skills, public health sc
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ience skills, financial planning and management skills, and leadership and systems t
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hinking skills. nm


Investigation of disease, referral and follow-
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up, and case management are all public health nursing interventions but are not do
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mains of public health nursing practice.
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Origin: Chapter 1- Public Health Nursing, 6
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6. Public health nursing is distinguished from other specialties by adherence to e
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ight principles. Which is one of the eight domains of public health nursing
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practice?
A) Policy development and individual planning skills
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B) Individual dimensions of practice skills nm nm nm nm


C) Financial planning and management skills nm nm nm nm


D) Leadership and individual critical thinking skil nm nm nm nm nm


ls Ans: C
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic assess
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ment skills, policy development and program planning skills, communication skills,
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cultural competency skills, community dimensions of practice skills, public health sc
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ience skills, financial planning and management skills, and leadership and systems t
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hinking skills. nm




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