COMMUNITYAND
PUBLICHEALTHNURSING
EvidenceforPractice
3RD EDITION
BYDEMARCO&WALSH
TEST BANK
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,TESTBANK:CommunityandPublicHealthNursing3rd EditionDeMarco &Walsh PL
Contents:
Chapter1:PublicHealth Nursing:Present, Past, andFuture
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Chapter2: PublicHealth Systems PL
Chapter3: HealthPolicy, Politics, andReform
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Chapter4:Global Health: ACommunityPerspective
Chapter5:Frameworks forHealthPromotion, DiseasePrevention, and RiskReduction
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Chapter6: Epidemiology: TheScienceofPrevention PL
Chapter7: DescribingHealth Conditions: Understanding and UsingRates
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Chapter8: GatheringEvidence forPublicHealth Practice
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Chapter9: Planningfor CommunityChange
Chapter10:CulturalCompetence: Awareness,Sensitivity, and Respect
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Chapter11: CommunityAssessment
Chapter12: CareManagement,Case Management, andHome Healthcare
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Chapter13: FamilyAssessment
Chapter14: Risk ofInfectiousandCommunicable Diseases
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Chapter15: Emerging Infectious Diseases
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Chapter16: Violenceand Abuse
Chapter17: SubstanceUse
Chapter18: Underserved Populations
Chapter19: Environmental Health
Chapter20:CommunityPreparedness:DisasterandTerrorism
Chapter21:CommunityMental Health PL
Chapter22: School Health
Chapter23: Faith-OrientedCommunities and Health MinistriesinFaithCommunities
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Chapter24: Palliativeand End-of-LifeCare
Chapter25: Occupational Health Nursing
,Communityand PublicHealth Nursing3rd Edition DeMarco Walsh Test Bank
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Origin: Chapter1-PublicHealthNursing: Present, Past, andFuture 1
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1. Anurseis strivingtopracticepatient-centeredcareatahospital.Whichaction
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bestexemplifies providingpatient-centered care?
A) Havingaclientcompleteaself-reported functionalstatusindicatorand
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thenreviewingit with the client
B) Explainingtoaclientthebenefitsofcomputer-assisted robotic L
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surgicaltechniques, which the hospital recentlyimplemented
C) Recordingaclient'ssignsandsymptoms inanelectronichealthrecord PL
D) Performingcontinuous glucosemonitoringof a client whiletheclientis in
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thehospital
Ans: A
Feedback:
Patient-centeredcareconsidersculturaltraditions,personalpreferences,values,families,
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and lifestyles.Clientsbecomeactiveparticipants in theirowncare,and monitoringhealth
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becomestheclient's responsibility. To help clients andtheirhealthcare providersmake PL
betterdecisions,theAgencyforHealthcareResearch andQuality(AHRQ)hasdeveloped a PL
series oftoolsthatempowerclients and assist providers in achieving desired outcomes,
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including client-reported functional status indicators.Computer-assistedroboticsurgical
techniques,electronichealth records,andcontinuous glucose monitoring in the hospital
arealltechnologicaladvancesinhealthcare,buttheydonothelptheclient becomeamore
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activeparticipant inhis orhercare, and thusarenot good examples ofpatient-centered PL PL
care.
Origin: Chapter1-Public Health Nursing,2 PL PL PL
2. Anurseiscaringforanolderclientwhoisstrugglingtomanagehertype2diabetes
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mellitus. Thenurseshould recognize which social determinants of this client's
health?(Select all that apply.)
A) Householdincome of$23,000per year PL
B) Readinglevel ofathirdgrader
C) Medicationineffectiveduetoerrorinprescription
D) Originallyfrom Sudan PL
E) No familyin
the areaAns: A, B,
D, E Feedback:
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The social conditions inwhichpeople live, their income, social status, education, literacy,
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home and work environment, support networks, gender, culture, and availabilityof
healthservices arethesocial determinants ofhealth. These conditions have an impacton
theextenttowhichaperson or communitypossessesthephysical, social,andpersonal
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resources necessaryto attain and maintain health. Amedicalerroron thepartoftheclient's
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primarycareproviderornursewould not constitute asocial determinant of the client's PL
health.
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, Origin: Chapter1-PublicHealth Nursing,3 L
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3. Anursesuccessfullypersuades an obese client to perform a weeklyweigh-in at
homeusingadigitalscaleand recordtheweightin alog.Thisstrategyisan example of:
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A) Telehealth
B) Healthinformation technology
C) Personal responsibilityforhealth
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D) Evidence-based
nursingAns: C J
Feedback:
Personal responsibilityforhealth involves active participation in one's own health
through education andlifestyle changes. In thiscase, theclientmakes apositive changein
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lifestyle bymonitoring bodyweight weekly. Telehealth is the useofelectronic PL
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,andinsurersinasecuremanner.Evidence-based nursingis the integrationof the
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best evidence availablewithclinical expertiseandthevalues ofthe client toincrease the
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qualityof care.
Origin: Chapter1-Public Health Nursing,4 PL PL PL
4. Anurseperforms a varietyoftasks as part ofthenurse's position at ahospital. Whichtask
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best exemplifies public health?
A) Readingcurrentnursingjournalsandintegratingthelatestresearchinto PL PL
dailypractice
B) Instructingaclienton howtobestcareforasuturesiteathome
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C) Participatinginavideoconferencecall with aclient wholivesin aremotearea PL PL PL
D) Facilitating acommunity-widesmokingcessation program one month out of
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theyear
Ans: D
Feedback:
Public health is what societydoes collectivelyto ensure the conditionsexist inwhich people
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canbehealthy.Acommunity-widesmokingcessationprogramisagreatexample
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ofapublichealth intervention,in thatit involves thecollectiveeffort ofsocietytoimprove the
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health ofits members.Reading and applyingthe latest nursing researchisanexample
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ofevidence-basednursing.Instructing aclientonhowto bestcareforasuturesiteathome is an PL PL PL PL
exampleofpersonalresponsibilityforhealth,butit isnot focused onthe health ofthe greater
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community. Participatinginavideoconferencecall with a client who lives in a remotearea PL PL PL
is an example ofpatient-centered care and of an effectiveimplementation of technology, PL PL
but itisnot particularlyrelated topublichealth.
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