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CommunityandPublicHealthNursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OFCONTENTS
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,Chapter1: Public Health Nursing b b b b
1. A nurse is striving to practice patient-centered careat a hospital. Whichactionbest
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exemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional statusindicatorand then
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reviewing it withthe client
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B) Explaining to aclient the benefitsof computer-assisted roboticsurgical b b b b b b b b b
techniques, which the hospitalrecentlyimplemented
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C) Recording a client's signsand symptoms inanelectronic healthrecord b b b b b b b b b b
D) Performing continuous glucose monitoring ofaclient while the client is inthe b b b b b b b b b b b b
hospital
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ANSWER: A b
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, b b b b b b b
families, and lifestyles. Clients become active participants in their own care, and
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monitoring health becomes the client's responsibility. To help clients and their
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healthcare providers make better decisions, the Agency for Healthcare Research and
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Quality (AHRQ) has developed a series of tools that empower clients and assist providers
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in achieving desired outcomes, including client-reported functional status indicators.
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Computer-assistedroboticsurgicaltechniques, electronic healthrecords, and
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continuous glucose monitoring in the hospital are all technological advances in
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healthcare, but they do not help the client become a more active participant in his or her
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care, and thus are not goodexamples of patient-centered care.
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Origin: Chapter 1-Public HealthNursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
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mellitus. The nurse should recognize whichsocialdeterminants ofthis client's health?
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(Select all that apply.)
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A) Household income of$23,000 per year b b b b b
, B) Reading levelofa third grader b b b b b
C) Medicationineffective dueto error inprescription b b b b b b
D) Originally fromSudan b b
E) No familyinthearea
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ANSWER: A, B, D, E
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Feedback:
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The social conditions in which people live, their income, social status, education, literacy,
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b home and workenvironment, support networks, gender, culture, and availability of
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health services are the social determinants of health. These conditions have an impact on
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the extent to which a person or community possesses the physical, social, and personal
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resourcesnecessaryto attainand maintain health. A medicalerroron the part of the
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client's primary care provider or nurse would not constitute a social determinant ofthe
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client's health.
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