TEST BANK
Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
,Chapter 1: Public Health Nursing
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
ANSWER: 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, andcontinuous 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 hercare, and thus are not good examples of
patient-centered care.
Origin: 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
ANSWER: 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 erroron the part of the
client's primary care provider or nurse would not constitute a social determinant of the
client's health.
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
ANSWER: 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 changein
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.
Origin: 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
Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
,Chapter 1: Public Health Nursing
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
ANSWER: 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, andcontinuous 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 hercare, and thus are not good examples of
patient-centered care.
Origin: 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
ANSWER: 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 erroron the part of the
client's primary care provider or nurse would not constitute a social determinant of the
client's health.
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
ANSWER: 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 changein
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.
Origin: 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
