,Chapter1:PublicHealth Nursing J
1. AJnurse is striving to practice patient-
ns ns ns ns ns
centered careatJa hospital. Which action bestJexemplifies providing patient-
ns ns ns ns ns ns ns
ns centered care? ns
A) Having a clientJcomplete aJself- ns ns ns
reported functional status indicatorand thenreviewingJit withthe client
ns ns ns ns ns ns
B) Explaining toJaJclientJthe benefits ofcomputer- ns ns ns
assisted robotic surgicaltechniques, which the hospital recently implement e
ns ns ns ns ns ns ns ns
d
C) RecordingJa client's signsand symptoms in anelectronicJhealth recordns ns ns ns ns ns
D) PerformingJcontinuous glucose monitoring ofaJclientJwhile the clientJis in thehosp ns ns ns ns ns ns ns ns
ital
ANSWER:JA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
ns ns ns ns ns ns ns ns ns ns ns
es.Clients become active participants in their own care, and monitoring health becomesJthe c li
ns ns ns ns ns ns ns ns ns ns ns ns ns ns
ent'sJresponsibility. To help clients and their healthcare providers make better decisions, th e ns ns ns ns ns ns ns ns ns ns ns ns ns
Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e mp
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
ower clients and assistJproviders in achieving desired outcomes, includingJclient-
ns ns ns ns ns ns ns ns
ns reported functional status indicators. Computer-
ns ns ns ns
assistedJrobotic surgicaltechniques, electronicJhealth records, andcontinuousJglucose monit
ns ns ns ns ns ns ns
oring in the hospital are all technological advances in healthcare, but they do not helpJthe clie nt
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
Jbecome a more active participantJin his or hercare, and thus are not goodexamples of patie nt-
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
centered care. ns
Origin: Chapter 1-JPublic HealthNursing, 2
ns ns ns ns ns
2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitu
ns ns ns ns ns ns ns ns ns ns ns ns ns ns
s. The nurse should recognize which social determinantsJofthisclient'sJhealth?(SelectJallJt
ns ns ns ns ns ns ns
hat apply.) ns
, A) Household income of$23,000 per year ns ns ns ns
B) Reading level ofa third graderns ns ns ns
C) Medicationineffective duetoJerror in prescription ns ns ns
D) Originally fromSudan ns ns
E) No family in thearea
ns ns ns ns
ANSWER:J A, B, D, E Fee ns ns ns ns ns
dback:
The social conditions in whichJpeople live, their income, social status, education, literacy, h
ns ns ns ns ns ns ns ns ns ns ns ns
o me and work environment, support networks, gender, culture, and availability of health se
ns ns ns ns ns ns ns ns ns ns ns ns ns
rvi ces are the social determinants of health. These conditionsJhave an impact on the extent t
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
o w hich a person or community possesses the physical, social, and personalresourcesnece
ns ns ns ns ns ns ns ns ns ns ns ns
ssary toJattain and maintain health. AJmedicalerroronJthe partJof the client's primary care pr
ns ns ns ns ns ns ns ns ns ns ns
ovider or nurse would not constitute a social determinant ofthe client's health.
ns ns ns ns ns ns ns ns ns ns ns