Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing hg hg hg hg
1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care? hg
A) Having a client complete a self- hg hg hg hg hg
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- hg hg hg hg hg hg hg
assisted robotic surgicaltechniques, which the hospital recently implemen
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ted
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 in theho
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spital
ANSWER: A hg
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifes
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tyles. Clients become active participants in their own care, and monitoring health become
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s the client's responsibility. To help clients and their healthcare providers make better dec
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isions, the Agency for Healthcare Research and Quality (AHRQ) has developed a series
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of tools that empower clients and assist providers in achieving desired outcomes, includin
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g client-reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose mon
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itoring in the hospital are all technological advances in healthcare, but they do not help th
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e client become a more active participant in his or hercare, and thus are not good exampl
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es 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 diabetes mell
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itus. The nurse should recognize which social determinants of this client's health?(Select
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g all that apply.)
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, A) Household income of $23,000 per year hg hg hg hg hg
B) Reading level of a third grader hg hg hg hg hg
C) Medication ineffective due to error in prescription hg hg hg hg hg hg
D) Originally from Sudan hg hg
E) No family in the area
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ANSWER: A, B, D, E Fe h g hg hg hg hg
edback:
The social conditions in which people live, their income, social status, education, literacy,
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g home and work environment, support networks, gender, culture, and availability of healt
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h services are the social determinants of health. These conditions have an impact on the e
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xtent to which a person or community possesses the physical, social, and personal resourc
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es necessary to attain and maintain health. A medical erroron the part of the client's prima
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ry care provider or nurse would not constitute a social determinant of the client's health.
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