Community & Public Health Nursing:
j j j j
Evidence for Practice 3rd Edition
j j j j
byjRosannajDeMarcoj
, Origin:j Chapterj1-jPublicjHealthjNursing,j1
1. Ajnursejisjstrivingjtojpracticejpatient-
centeredjcarejatjajhospital.jWhichjactionjbestjexemplifiesjprovidingjpatient-
centeredjcare?
A) Havingjajclientjcompletejajself-
reportedjfunctionaljstatusjindicatorjandjthenjreviewingjitjwithjthejclient
B) Explainingjtojajclientjthejbenefitsjofjcomputer-
assistedjroboticjsurgicaljtechniques,jwhichjthejhospitaljrecentlyjimplemen
ted
C) Recordingjajclient'sjsignsjandjsymptomsjinjanjelectronicjhealthjrecord
D) Performingjcontinuousjglucosejmonitoringjofjajclientjwhilejthejclientjisjinjthejhos
pital
Ans:j A
Feedback:
Patient-
centeredjcarejconsidersjculturaljtraditions,jpersonaljpreferences,jvalues,jfamilies,jandjlifest
yles.jClientsjbecomejactivejparticipantsjinjtheirjownjcare,jandjmonitoringjhealthjbecomesjt
hejclient'sjresponsibility.jTojhelpjclientsjandjtheirjhealthcarejprovidersjmakejbetterjdecision
s,jthejAgencyjforjHealthcarejResearchjandjQualityj(AHRQ)jhasjdevelopedjajseriesjofjtoolsjt
hatjempowerjclientsjandjassistjprovidersjinjachievingjdesiredjoutcomes,jincludingjclient-
reportedjfunctionaljstatusjindicators.jComputer-
assistedjroboticjsurgicaljtechniques,jelectronicjhealthjrecords,jandjcontinuousjglucosejmoni
toringjinjthejhospitaljarejalljtechnologicaljadvancesjinjhealthcare,jbutjtheyjdojnotjhelpjthejcli
entjbecomejajmorejactivejparticipantjinjhisjorjherjcare,jandjthusjarejnotjgoodjexamplesjofjpati
ent-centeredjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j2
2. Ajnursejisjcaringjforjanjolderjclientjwhojisjstrugglingjtojmanagejherjtypej2jdiabetesjmellitu
s.jThejnursejshouldjrecognizejwhichjsocialjdeterminantsjofjthisjclient'sjhealth?j(Selectjalljt
hatjapply.)
A) Householdjincomejofj$23,000jperjyear
B) Readingjleveljofjajthirdjgrader
C) Medicationjineffectivejduejtojerrorjinjprescription
D) OriginallyjfromjSudan
E) Nojfamilyjinjthejareaj
Ans:j A,jB,jD,jEjFeedback:
Thejsocialjconditionsjinjwhichjpeoplejlive,jtheirjincome,jsocialjstatus,jeducation,jliteracy,j
homejandjworkjenvironment,jsupportjnetworks,jgender,jculture,jandjavailabilityjofjhealthj
servicesjarejthejsocialjdeterminantsjofjhealth.jThesejconditionsjhavejanjimpactjonjthejexte
ntjtojwhichjajpersonjorjcommunityjpossessesjthejphysical,jsocial,jandjpersonaljresourcesjn
ecessaryjtojattainjandjmaintainjhealth.jAjmedicaljerrorjonjthejpartjofjthejclient'sjprimaryjcar
ejproviderjorjnursejwouldjnotjconstitutejajsocialjdeterminantjofjthejclient'sjhealth.
Pagej 1
, Origin:j Chapterj1-jPublicjHealthjNursing,j3
3. Ajnursejsuccessfullyjpersuadesjanjobesejclientjtojperformjajweeklyjweigh-
injatjhomejusingjajdigitaljscalejandjrecordjthejweightjinjajlog.jThisjstrategyjisjanjexamplejo
f:
A) Telehealth
B) Healthjinformationjtechnology
C) Personaljresponsibilityjforjhealth
D) Evidence-
basedjnursingjAns:j C
Feedback:
Personaljresponsibilityjforjhealthjinvolvesjactivejparticipationjinjone'sjownjhealthjthroughj
educationjandjlifestylejchanges.jInjthisjcase,jthejclientjmakesjajpositivejchangejinjlifestylejb
yjmonitoringjbodyjweightjweekly.jTelehealthjisjthejusejofjelectronicjinformationjandjteleco
mmunicationsjtechnologiesjtojsupportjlong-
distancejclinicaljhealthcare,jclientjandjprofessionaljhealth-
relatedjeducation,jpublicjhealth,jandjhealthjadministration.jHealthjinformationjtechnologyj
(HIT)jisjdefinedjasjthejcomprehensivejmanagementjofjhealthjinformationjandjitsjexchangej
betweenjconsumers,jproviders,jgovernment,jandjinsurersjinjajsecurejmanner.jEvidence-
basedjnursingjisjthejintegrationjofjthejbestjevidencejavailablejwithjclinicaljexpertisejandjthej
valuesjofjthejclientjtojincreasejthejqualityjofjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j4
4. Ajnursejperformsjajvarietyjofjtasksjasjpartjofjthejnurse'sjpositionjatjajhospital.jWhichjtaskjb
estjexemplifiesjpublicjhealth?
A) Readingjcurrentjnursingjjournalsjandjintegratingjthejlatestjresearchjintojdailyjpra
ctice
B) Instructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhome
C) Participatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejarea
D) Facilitatingjajcommunity-
widejsmokingjcessationjprogramjonejmonthjoutjofjthejyear
Ans:j D
Feedback:
Publicjhealthjisjwhatjsocietyjdoesjcollectivelyjtojensurejthejconditionsjexistjinjwhichjpeoplej
canjbejhealthy.jAjcommunity-
widejsmokingjcessationjprogramjisjajgreatjexamplejofjajpublicjhealthjintervention,jinjthatjitji
nvolvesjthejcollectivejeffortjofjsocietyjtojimprovejthejhealthjofjitsjmembers.jReadingjandjap
plyingjthejlatestjnursingjresearchjisjanjexamplejofjevidence-
basedjnursing.jInstructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhomejisjanjexamplejo
fjpersonaljresponsibilityjforjhealth,jbutjitjisjnotjfocusedjonjthejhealthjofjthejgreaterjcommunit
y.jParticipatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejareajisjanjexampl
ejofjpatient-
centeredjcarejandjofjanjeffectivejimplementationjofjtechnology,jbutjitjisjnotjparticularlyjrelat
edjtojpublicjhealth.
Pagej 2
, Origin:j Chapterj1-jPublicjHealthjNursing,j5
5. Publicjhealthjnursingjisjdistinguishedjfromjotherjspecialtiesjbyjadherencejtojeightjpri
nciples.jWhichjisjonejofjthejeightjdomainsjofjpublicjhealthjnursingjpractice?
A) Analyticjassessmentjskills
B) Investigationjofjdisease
C) Referraljandjfollow-up
D) Casejmanagementj
Ans:j A
Feedback:
Thejeightjdomainsjofjpublicjhealthjnursingjpracticejarejasjfollows:jAnalyticjassessmentjskill
s,jpolicyjdevelopmentjandjprogramjplanningjskills,jcommunicationjskills,jculturaljcompete
ncyjskills,jcommunityjdimensionsjofjpracticejskills,jpublicjhealthjsciencejskills,jfinancialjpl
anningjandjmanagementjskills,jandjleadershipjandjsystemsjthinkingjskills.
Investigationjofjdisease,jreferraljandjfollow-
up,jandjcasejmanagementjarejalljpublicjhealthjnursingjinterventionsjbutjarejnotjdomainsj
ofjpublicjhealthjnursingjpractice.
Origin:j Chapterj1-jPublicjHealthjNursing,j6
6. Publicjhealthjnursingjisjdistinguishedjfromjotherjspecialtiesjbyjadherencejtojeightjpri
nciples.jWhichjisjonejofjthejeightjdomainsjofjpublicjhealthjnursingjpractice?
A) Policyjdevelopmentjandjindividualjplanningjskills
B) Individualjdimensionsjofjpracticejskills
C) Financialjplanningjandjmanagementjskills
D) Leadershipjandjindividualjcriticaljthinkingjskillsj
Ans:j C
Feedback:
Thejeightjdomainsjofjpublicjhealthjnursingjpracticejarejasjfollows:jAnalyticjassessmentjskill
s,jpolicyjdevelopmentjandjprogramjplanningjskills,jcommunicationjskills,jculturaljcompete
ncyjskills,jcommunityjdimensionsjofjpracticejskills,jpublicjhealthjsciencejskills,jfinancialjpl
anningjandjmanagementjskills,jandjleadershipjandjsystemsjthinkingjskills.
Pagej 3
j j j j
Evidence for Practice 3rd Edition
j j j j
byjRosannajDeMarcoj
, Origin:j Chapterj1-jPublicjHealthjNursing,j1
1. Ajnursejisjstrivingjtojpracticejpatient-
centeredjcarejatjajhospital.jWhichjactionjbestjexemplifiesjprovidingjpatient-
centeredjcare?
A) Havingjajclientjcompletejajself-
reportedjfunctionaljstatusjindicatorjandjthenjreviewingjitjwithjthejclient
B) Explainingjtojajclientjthejbenefitsjofjcomputer-
assistedjroboticjsurgicaljtechniques,jwhichjthejhospitaljrecentlyjimplemen
ted
C) Recordingjajclient'sjsignsjandjsymptomsjinjanjelectronicjhealthjrecord
D) Performingjcontinuousjglucosejmonitoringjofjajclientjwhilejthejclientjisjinjthejhos
pital
Ans:j A
Feedback:
Patient-
centeredjcarejconsidersjculturaljtraditions,jpersonaljpreferences,jvalues,jfamilies,jandjlifest
yles.jClientsjbecomejactivejparticipantsjinjtheirjownjcare,jandjmonitoringjhealthjbecomesjt
hejclient'sjresponsibility.jTojhelpjclientsjandjtheirjhealthcarejprovidersjmakejbetterjdecision
s,jthejAgencyjforjHealthcarejResearchjandjQualityj(AHRQ)jhasjdevelopedjajseriesjofjtoolsjt
hatjempowerjclientsjandjassistjprovidersjinjachievingjdesiredjoutcomes,jincludingjclient-
reportedjfunctionaljstatusjindicators.jComputer-
assistedjroboticjsurgicaljtechniques,jelectronicjhealthjrecords,jandjcontinuousjglucosejmoni
toringjinjthejhospitaljarejalljtechnologicaljadvancesjinjhealthcare,jbutjtheyjdojnotjhelpjthejcli
entjbecomejajmorejactivejparticipantjinjhisjorjherjcare,jandjthusjarejnotjgoodjexamplesjofjpati
ent-centeredjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j2
2. Ajnursejisjcaringjforjanjolderjclientjwhojisjstrugglingjtojmanagejherjtypej2jdiabetesjmellitu
s.jThejnursejshouldjrecognizejwhichjsocialjdeterminantsjofjthisjclient'sjhealth?j(Selectjalljt
hatjapply.)
A) Householdjincomejofj$23,000jperjyear
B) Readingjleveljofjajthirdjgrader
C) Medicationjineffectivejduejtojerrorjinjprescription
D) OriginallyjfromjSudan
E) Nojfamilyjinjthejareaj
Ans:j A,jB,jD,jEjFeedback:
Thejsocialjconditionsjinjwhichjpeoplejlive,jtheirjincome,jsocialjstatus,jeducation,jliteracy,j
homejandjworkjenvironment,jsupportjnetworks,jgender,jculture,jandjavailabilityjofjhealthj
servicesjarejthejsocialjdeterminantsjofjhealth.jThesejconditionsjhavejanjimpactjonjthejexte
ntjtojwhichjajpersonjorjcommunityjpossessesjthejphysical,jsocial,jandjpersonaljresourcesjn
ecessaryjtojattainjandjmaintainjhealth.jAjmedicaljerrorjonjthejpartjofjthejclient'sjprimaryjcar
ejproviderjorjnursejwouldjnotjconstitutejajsocialjdeterminantjofjthejclient'sjhealth.
Pagej 1
, Origin:j Chapterj1-jPublicjHealthjNursing,j3
3. Ajnursejsuccessfullyjpersuadesjanjobesejclientjtojperformjajweeklyjweigh-
injatjhomejusingjajdigitaljscalejandjrecordjthejweightjinjajlog.jThisjstrategyjisjanjexamplejo
f:
A) Telehealth
B) Healthjinformationjtechnology
C) Personaljresponsibilityjforjhealth
D) Evidence-
basedjnursingjAns:j C
Feedback:
Personaljresponsibilityjforjhealthjinvolvesjactivejparticipationjinjone'sjownjhealthjthroughj
educationjandjlifestylejchanges.jInjthisjcase,jthejclientjmakesjajpositivejchangejinjlifestylejb
yjmonitoringjbodyjweightjweekly.jTelehealthjisjthejusejofjelectronicjinformationjandjteleco
mmunicationsjtechnologiesjtojsupportjlong-
distancejclinicaljhealthcare,jclientjandjprofessionaljhealth-
relatedjeducation,jpublicjhealth,jandjhealthjadministration.jHealthjinformationjtechnologyj
(HIT)jisjdefinedjasjthejcomprehensivejmanagementjofjhealthjinformationjandjitsjexchangej
betweenjconsumers,jproviders,jgovernment,jandjinsurersjinjajsecurejmanner.jEvidence-
basedjnursingjisjthejintegrationjofjthejbestjevidencejavailablejwithjclinicaljexpertisejandjthej
valuesjofjthejclientjtojincreasejthejqualityjofjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j4
4. Ajnursejperformsjajvarietyjofjtasksjasjpartjofjthejnurse'sjpositionjatjajhospital.jWhichjtaskjb
estjexemplifiesjpublicjhealth?
A) Readingjcurrentjnursingjjournalsjandjintegratingjthejlatestjresearchjintojdailyjpra
ctice
B) Instructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhome
C) Participatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejarea
D) Facilitatingjajcommunity-
widejsmokingjcessationjprogramjonejmonthjoutjofjthejyear
Ans:j D
Feedback:
Publicjhealthjisjwhatjsocietyjdoesjcollectivelyjtojensurejthejconditionsjexistjinjwhichjpeoplej
canjbejhealthy.jAjcommunity-
widejsmokingjcessationjprogramjisjajgreatjexamplejofjajpublicjhealthjintervention,jinjthatjitji
nvolvesjthejcollectivejeffortjofjsocietyjtojimprovejthejhealthjofjitsjmembers.jReadingjandjap
plyingjthejlatestjnursingjresearchjisjanjexamplejofjevidence-
basedjnursing.jInstructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhomejisjanjexamplejo
fjpersonaljresponsibilityjforjhealth,jbutjitjisjnotjfocusedjonjthejhealthjofjthejgreaterjcommunit
y.jParticipatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejareajisjanjexampl
ejofjpatient-
centeredjcarejandjofjanjeffectivejimplementationjofjtechnology,jbutjitjisjnotjparticularlyjrelat
edjtojpublicjhealth.
Pagej 2
, Origin:j Chapterj1-jPublicjHealthjNursing,j5
5. Publicjhealthjnursingjisjdistinguishedjfromjotherjspecialtiesjbyjadherencejtojeightjpri
nciples.jWhichjisjonejofjthejeightjdomainsjofjpublicjhealthjnursingjpractice?
A) Analyticjassessmentjskills
B) Investigationjofjdisease
C) Referraljandjfollow-up
D) Casejmanagementj
Ans:j A
Feedback:
Thejeightjdomainsjofjpublicjhealthjnursingjpracticejarejasjfollows:jAnalyticjassessmentjskill
s,jpolicyjdevelopmentjandjprogramjplanningjskills,jcommunicationjskills,jculturaljcompete
ncyjskills,jcommunityjdimensionsjofjpracticejskills,jpublicjhealthjsciencejskills,jfinancialjpl
anningjandjmanagementjskills,jandjleadershipjandjsystemsjthinkingjskills.
Investigationjofjdisease,jreferraljandjfollow-
up,jandjcasejmanagementjarejalljpublicjhealthjnursingjinterventionsjbutjarejnotjdomainsj
ofjpublicjhealthjnursingjpractice.
Origin:j Chapterj1-jPublicjHealthjNursing,j6
6. Publicjhealthjnursingjisjdistinguishedjfromjotherjspecialtiesjbyjadherencejtojeightjpri
nciples.jWhichjisjonejofjthejeightjdomainsjofjpublicjhealthjnursingjpractice?
A) Policyjdevelopmentjandjindividualjplanningjskills
B) Individualjdimensionsjofjpracticejskills
C) Financialjplanningjandjmanagementjskills
D) Leadershipjandjindividualjcriticaljthinkingjskillsj
Ans:j C
Feedback:
Thejeightjdomainsjofjpublicjhealthjnursingjpracticejarejasjfollows:jAnalyticjassessmentjskill
s,jpolicyjdevelopmentjandjprogramjplanningjskills,jcommunicationjskills,jculturaljcompete
ncyjskills,jcommunityjdimensionsjofjpracticejskills,jpublicjhealthjsciencejskills,jfinancialjpl
anningjandjmanagementjskills,jandjleadershipjandjsystemsjthinkingjskills.
Pagej 3
