,Chapter1:PublicHealthNursing
1. AJnurse is striving to practice patient-
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centered careat a hospital. Whichaction bestJexemplifies providing patient-
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centered care? 5%
A) Having aclient complete a self- 5% S
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reported functional status indicatorand thenreviewingJit withthe client
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B) Explaining toJaclientthe benefits ofcomputer- S# #S S
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assisted robotic surgicaltechniques, which the hospitalrecentlyimplement e d
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C) RecordingJa client's signsand symptoms in anelectronicJhealth record 5% S# 5% S# 5% 5%
D) Performing continuous glucose monitoring ofa client while the client is in thehosp i
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tal
ANSWER:JA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
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es.Clients become activeparticipants in their own care, and monitoring health becomes thec l
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ient's responsibility. To help clients and their healthcare providers make better decisions, th e
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AgencyforHealthcareResearch andQuality(AHRQ)has developed a series oftoolsthate m
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power clients and assist providers in achieving desired outcomes, including client-
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reported functional status indicators. Computer-
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assisted roboticsurgicaltechniques, electronic health records, andcontinuousJglucose monit
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oring in the hospital areall technological advances in healthcare, but they do not helpJthe clie
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nt become a more active participant in his or hercare, andthus are not goodexamples of patie
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nt-centeredcare. #S
Origin: Chapter1- Public Health Nursing,2
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2. A nurse is caring for an older client who is struggling toJmanage her type 2 diabetesJmellit
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us. The nurse should recognize which social determinantsJofthisclient'sJhealth?(SelectJall
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that apply.)
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, A) Household income of$23,000 per year 5% S# S# S#
B) Reading level ofa thirdgrader S# 5% 5% #S
C) Medicationineffective dueto error in prescription S# S# S# S#
D) Originally fromSudan S#
E) No familyinthearea
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%ANSWER: A, B, D , E Fe S # S# S# 5% #S
e dbac
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k:
The social conditions in whichpeople live, their income, social status, education, literacy,
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ho me and work environment, support networks, gender, culture, and availability of health s
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ervi ces are the social determinants of health. These conditionshave an impact on the exte nt
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5% to w hich a person or community possesses the physical, social, and personalresources ne
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cessary toJattain and maintain health. Amedicalerroronthe partof the client's primary c are
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provider or nurse would not constitute a social determinant ofthe client's health.
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