TEST BANK - Community and Public ractice 4th Edition by DeMarco & Walsh, All 25 Chapters Covered, |Complete Solution Guide |Grade A+.Health Nursing: Evidence for P

, Origin: Chapter 1- Public Health Nursing, 1
N M NM NM NM NM NM




1. A nurse is striving to practice patient-centered care at a hospital. Which action
NM NM NM NM NM NM NM NM NM NM NM NM




bestexemplifies providing patient-centered care?
NM N
M NM NM NM




A) Having a client complete a self-reported functional status indicator and
NM NM NM NM NM NM NM NM NM




thenreviewing it with the client
NM N
M NM NM NM NM




B) Explaining to a client the benefits of computer-assisted robotic NM NM NM NM NM NM NM NM




surgicaltechniques, which the hospital recently implemented
NM N
M NM NM NM NM NM




C) Recording a client's signs and symptoms in an electronic health record NM NM NM NM NM NM NM NM NM NM




D) Performing continuous glucose monitoring of a client while the client is in NM NM NM NM NM NM NM NM NM NM NM




thehospital NM N
M




Ans: A NM




Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, NM NM NM NM NM NM NM




families, and lifestyles. Clients become active participants in their own care, and
NM NM NM NM NM NM NM NM NM NM NM NM




monitoring health becomes the client's responsibility. To help clients and their
NM NM NM NM NM NM NM NM NM NM NM




healthcare providers make better decisions, the Agency for Healthcare Research and
NM NM NM NM NM NM NM NM NM NM NM




Quality (AHRQ) has developed a series of tools that empower clients and assist
NM NM NM NM NM NM NM NM NM NM NM NM NM




providers in achieving desired outcomes, including client-reported functional status
NM NM NM NM NM NM NM NM NM




indicators. Computer-assisted robotic surgical techniques, electronic health records,
NM NM NM NM NM NM NM NM




andcontinuous glucose monitoring in the hospital are all technological advances in
NM N
M NM NM NM NM NM NM NM NM NM NM




healthcare, but they do not help the client become a more active participant in his or
NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM




hercare, and thus are not good examples of patient-centered care.
NM N
M NM NM NM NM NM NM NM NM NM




Origin: Chapter 1- Public Health Nursing, 2
N M NM NM NM NM NM




2. A nurse is caring for an older client who is struggling to manage her type 2
NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM




diabetes mellitus. The nurse should recognize which social determinants of this
NM NM NM NM NM NM NM NM NM NM NM




client's health?(Select all that apply.)
NM NM N
M NM NM NM




A) Household income of $23,000 per year NM NM NM NM NM




B) Reading level of a third grader NM NM NM NM NM




C) Medication ineffective due to error in prescription NM NM NM NM NM NM




D) Originally from Sudan NM NM




E) No family in the NM NM NM




areaAns: A, B, D, E
NM N
M N M NM NM NM




Feedback:
NM




The social conditions in which people live, their income, social status, education,
NM NM NM NM NM NM NM NM NM NM NM




literacy, home and work environment, support networks, gender, culture, and
NM NM NM NM NM NM NM NM NM NM




availability of health services are the social determinants of health. These
NM NM NM NM NM NM NM NM NM NM NM




conditions have an impact on the extent to which a person or community possesses
NM NM NM NM NM NM NM NM NM NM NM NM NM NM




the physical, social, and personal resources necessary to attain and maintain health.
NM NM NM NM NM NM NM NM NM NM NM NM




A medical erroron the part of the client's primary care provider or nurse would not
NM NM NM N
M NM NM NM NM NM NM NM NM NM NM NM NM




constitute a social determinant of the client's health.
NM NM NM NM NM NM NM NM

,3. A nurse successfully persuades an obese client to perform a weekly weigh-in at
NM NM NM NM NM NM NM NM NM NM NM NM




homeusing a digital scale and record the weight in a log. This strategy is an
NM N
M NM NM NM NM NM NM NM NM NM NM NM NM NM NM




example of:
NM NM




A) Telehealth
B) Health information technology NM NM




C) Personal responsibility for health NM NM NM




D) Evidence-based
nursingAns: C
NM N
M NM




Feedback:
Personal responsibility for health involves active participation in one's own health
NM NM NM NM NM NM NM NM NM NM




through education and lifestyle changes. In this case, the client makes a positive
NM NM NM NM NM NM NM NM NM NM NM NM NM




changein lifestyle by monitoring body weight weekly. Telehealth is the use of
NM N
M NM NM NM NM NM NM NM NM NM NM NM




electronic information and telecommunications technologies to support long-distance
NM NM NM NM NM NM NM NM




clinical healthcare, client and professional health-related education, public health,
NM NM NM NM NM NM NM NM NM




and health administration. Health information technology (HIT) is defined as the
NM NM NM NM NM NM NM NM NM NM NM




comprehensive management of health information and its exchange between
NM NM NM NM NM NM NM NM NM




consumers, providers, government, and insurers in a secure manner. Evidence-based
NM NM NM NM NM NM NM NM NM NM




nursing is the integrationof the best evidence available with clinical expertise and the
NM NM NM NM N
M NM NM NM NM NM NM NM NM NM




values of the client to increase the quality of care.
NM NM NM NM NM NM NM NM NM NM




Origin: Chapter 1- Public Health Nursing, 4
N M NM NM NM NM NM




4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM




Whichtask best exemplifies public health?
NM N
M NM NM NM NM




A) Reading current nursing journals and integrating the latest research into
NM NM NM NM NM NM NM NM NM




dailypractice
NM N
M




B) Instructing a client on how to best care for a suture site at home NM NM NM NM NM NM NM NM NM NM NM NM NM




C) Participating in a videoconference call with a client who lives in a remote area NM NM NM NM NM NM NM NM NM NM NM NM NM




D) Facilitating a community-wide smoking cessation program one month out of NM NM NM NM NM NM NM NM NM




theyear NM N
M




Ans: D NM




Feedback:
Public health is what society does collectively to ensure the conditions exist in which
NM NM NM NM NM NM NM NM NM NM NM NM NM




people can be healthy. A community-wide smoking cessation program is a great
NM NM NM NM NM NM NM NM NM NM NM NM




example of a public health intervention, in that it involves the collective effort of
NM NM NM NM NM NM NM NM NM NM NM NM NM NM




societyto improve the health of its members. Reading and applying the latest nursing
NM N
M NM NM NM NM NM NM NM NM NM NM NM NM




research is an example of evidence-based nursing. Instructing a client on how to best
NM NM NM NM NM NM NM NM NM NM NM NM NM NM




care for a suture site at home is an example of personal responsibility for health, but
NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM




it is not focused on the health of the greater community. Participating in a
NM NM NM NM NM NM NM NM NM NM NM NM NM NM




videoconference call with a client who lives in a remote area is an example of
NM NM NM NM NM NM NM NM NM NM NM NM NM NM NM




patient-centered care and of an effective implementation of technology, but it is not
NM NM NM NM NM NM NM NM NM NM NM NM NM




particularly related to public health.
NM NM NM NM NM

, Origin: Chapter 1- Public Health Nursing,
N M NM NM NM NM




5. Public
5
NM health nursing is distinguished from other specialties by adherence to
NM NM NM NM NM NM NM NM NM NM




eightprinciples. Which is one of the eight domains of public health nursing
NM N
M NM NM NM NM NM NM NM NM NM NM NM




practice?
NM




A) Analytic assessment skills NM NM




B) Investigation of disease NM NM




C) Referral and follow-up NM NM




D) Case
managementAns: A
NM N
M NM




Feedback:
The eight domains of public health nursing practice are as follows: Analytic
NM NM NM NM NM NM NM NM NM NM NM




assessment skills, policy development and program planning skills, communication
NM NM NM NM NM NM NM NM NM




skills, cultural competency skills, community dimensions of practice skills, public
NM NM NM NM NM NM NM NM NM NM




health science skills,financial planning and management skills, and leadership and
NM NM NM N
M NM NM NM NM NM NM NM




systems thinking skills.
NM NM NM




Investigation of disease, referral and follow-up, and case management are all
NM NM NM NM NM NM NM NM NM NM




publichealth nursing interventions but are not domains of public health nursing
NM N
M NM NM NM NM NM NM NM NM NM NM




practice.
NM




Origin: Chapter 1- Public Health Nursing, 6
N M NM NM NM NM NM




6. Public health nursing is distinguished from other specialties by adherence to
NM NM NM NM NM NM NM NM NM NM




eightprinciples. Which is one of the eight domains of public health nursing
NM N
M NM NM NM NM NM NM NM NM NM NM NM




practice?
NM




A) Policy development and individual planning skills
NM NM NM NM NM




B) Individual dimensions of practice skills NM NM NM NM




C) Financial planning and management skills NM NM NM NM




D) Leadership and individual critical thinking NM NM NM NM




skillsAns: C
NM N
M NM




Feedback:
The eight domains of public health nursing practice are as follows: Analytic
NM NM NM NM NM NM NM NM NM NM NM




assessment skills, policy development and program planning skills, communication
NM NM NM NM NM NM NM NM NM




skills, cultural competency skills, community dimensions of practice skills, public
NM NM NM NM NM NM NM NM NM NM




health science skills,financial planning and management skills, and leadership and
NM NM NM N
M NM NM NM NM NM NM NM




systems thinking skills.
NM NM NM