Page
1
, Chapter 1- Public Health Nursing ph ph ph ph
1. A nurse is striving to practice patient-centered care at a hospital. Which action
ph ph ph ph ph ph ph ph ph ph ph ph
Best exemplifies providing patient-centered care?
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
A) Having a client complete a self-reported functional status indicator and
ph ph ph ph ph ph ph ph ph
then reviewing it with the client
ph ph ph ph ph ph
B) Explaining to a client the benefits of computer-assisted robotic surgical ph ph ph ph ph ph ph ph ph
techniques, which the hospital recently implemented
ph ph ph ph ph ph
C) Recording a client's signs and symptoms in an electronic health record ph ph ph ph ph ph ph ph ph ph
D) Performing continuous glucose monitoring of a client while the client is in ph ph ph ph ph ph ph ph ph ph ph
the hospital ph ph
Ans: A ph
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, ph ph ph ph ph ph ph
families, and lifestyles. Clients become active participants in their own care, and
ph ph ph ph ph ph ph ph ph ph ph ph
monitoring health becomes the client's responsibility. To help clients and their
ph ph ph ph ph ph ph ph ph ph ph
healthcare providers make better decisions, the Agency for Healthcare Research and
ph ph ph ph ph ph ph ph ph ph ph
Quality (AHRQ) has developed a series of tools that empower clients and assist
ph ph ph ph ph ph ph ph ph ph ph ph ph
providers in achieving desired outcomes, including client-reported functional status
ph ph ph ph ph ph ph ph ph
indicators. Computer-assisted robotic surgical techniques, electronic health records,
ph ph ph ph ph ph ph ph
and continuous glucose monitoring in the hospital are all technological advances in
ph ph ph ph ph ph ph ph ph ph ph ph
healthcare, but they do not help the client become a more active participant in his or
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
her care, and thus are not good examples of patient-centered care.
ph ph ph ph ph ph ph ph ph ph ph
Origin: Chapter 1- Public Health Nursing, 2
p h ph ph ph ph ph
2. A nurse is caring for an older client who is struggling to manage her type 2
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
diabetes mellitus. The nurse should recognize which social determinants of this
ph ph ph ph ph ph ph ph ph ph ph
client's health?(Select all that apply.)
ph ph ph ph ph
A) Household income of $23,000 per year ph ph ph ph ph
B) Reading level of a third grader ph ph ph ph ph
C) Medication ineffective due to error in prescription ph ph ph ph ph ph
D) Originally from Sudan ph ph
E) No family in the area ph ph ph ph
Ans: A, B, D, E
ph ph ph ph
Feedback:
The social conditions in which people live, their income, social status, education,
ph ph ph ph ph ph ph ph ph ph ph
literacy, home and work environment, support networks, gender, culture, and
ph ph ph ph ph ph ph ph ph ph
availability of health services are the social determinants of health. These conditions
ph ph ph ph ph ph ph ph ph ph ph ph
have an impact on the extent to which a person or community possesses the
ph ph ph ph ph ph ph ph ph ph ph ph ph ph
physical, social, and personal resources necessary to attain and maintain health. A
ph ph ph ph ph ph ph ph ph ph ph ph
medical error on the part of the client's primary care provider or nurse would not
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
constitute a social determinant of the client's health.
ph ph ph ph ph ph ph ph
Page
2
, Origin: Chapter 1- Public Health ph ph ph
3. ANursing,
nurse successfully persuades an obese client to perform a weekly weigh-in at home
ph ph ph ph ph ph ph ph ph ph ph ph ph
using a digital scale and record the weight in a log. This strategy is an example
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
of:
ph
A) Telehealth
B) Health information technology ph ph
C) Personal responsibility for health ph ph ph
D) Evidence-based nursing ph
Ans: C
ph ph
Feedback:
Personal responsibility for health involves active participation in one's own health
ph ph ph ph ph ph ph ph ph ph
through education and lifestyle changes. In this case, the client makes a positive
ph ph ph ph ph ph ph ph ph ph ph ph ph
change in lifestyle by monitoring body weight weekly. Telehealth is the use of
ph ph ph ph ph ph ph ph ph ph ph ph ph
electronic information and telecommunications technologies to support long-distance
ph ph ph ph ph ph ph ph
clinical healthcare, client and professional health-related education, public health, and
ph ph ph ph ph ph ph ph ph ph
health administration. Health information technology (HIT) is defined as the
ph ph ph ph ph ph ph ph ph ph
comprehensive management of health information and its exchange between
ph ph ph ph ph ph ph ph ph
consumers, providers, government, and insurers in a secure manner. Evidence-based
ph ph ph ph ph ph ph ph ph ph
nursing is the integration of the best evidence available with clinical expertise and
ph ph ph ph ph ph ph ph ph ph ph ph ph
the values of the client to increase the quality of care.
ph ph ph ph ph ph ph ph ph ph ph
Origin: Chapter 1- Public Health Nursing, 4
p h ph ph ph ph ph
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
task best exemplifies public health?
ph ph ph ph ph
A) Reading current nursing journals and integrating the latest research into dailyph ph ph ph ph ph ph ph ph ph
practice ph
B) Instructing a client on how to best care for a suture site at home ph ph ph ph ph ph ph ph ph ph ph ph ph
C) Participating in a videoconference call with a client who lives in a remote area ph ph ph ph ph ph ph ph ph ph ph ph ph
D) Facilitating a community-wide smoking cessation program one month out of the ph ph ph ph ph ph ph ph ph ph
year ph
Ans: D ph
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
ph ph ph ph ph ph ph ph ph ph ph ph ph
people can be healthy. A community-wide smoking cessation program is a great
ph ph ph ph ph ph ph ph ph ph ph ph
example of a public health intervention, in that it involves the collective effort of
ph ph ph ph ph ph ph ph ph ph ph ph ph ph
societyto improve the health of its members. Reading and applying the latest nursing
ph ph ph ph ph ph ph ph ph ph ph ph ph
research is an example of evidence-based nursing. Instructing a client on how to best
ph ph ph ph ph ph ph ph ph ph ph ph ph ph
care for a suture site at home is an example of personal responsibility for health, but it
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
is not focused on the health of the greater community. Participating in a
ph ph ph ph ph ph ph ph ph ph ph ph ph
videoconference call with a client who lives in a remote area is an example of
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
patient-centered care and of an effective implementation of technology, but it is not
ph ph ph ph ph ph ph ph ph ph ph ph ph
particularly related to public health.
ph ph ph ph ph
Page
3
, Origin: Chapter 1- Public Health ph ph ph
5. Public
Nursing,health nursing is distinguished from other specialties by adherence to eight
ph ph ph ph ph ph ph ph ph ph ph
principles. Which is one of the eight domains of public health nursing practice?
ph ph ph ph ph ph ph ph ph ph ph ph ph
A) Analytic assessment skills ph ph
B) Investigation of disease ph ph
C) Referral and follow-up ph ph
D) Case management ph
Ans: A
ph ph
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
ph ph ph ph ph ph ph ph ph ph ph
assessment skills, policy development and program planning skills, communication
ph ph ph ph ph ph ph ph ph
skills, cultural competency skills, community dimensions of practice skills, public
ph ph ph ph ph ph ph ph ph ph
health science skills, financial planning and management skills, and leadership and
ph ph ph ph ph ph ph ph ph ph ph
systems thinking skills.
ph ph ph
Investigation of disease, referral and follow-up, and case management are all public
ph ph ph ph ph ph ph ph ph ph ph
health nursing interventions but are not domains of public health nursing practice.
ph ph ph ph ph ph ph ph ph ph ph ph
Origin: Chapter 1- Public Health Nursing, 6
p h ph ph ph ph ph
6. Public health nursing is distinguished from other specialties by adherence to
ph ph ph ph ph ph ph ph ph ph
eight principles. Which is one of the eight domains of public health nursing
ph ph ph ph ph ph ph ph ph ph ph ph ph
practice?
ph
A) Policy development and individual planning skills
ph ph ph ph ph
B) Individual dimensions of practice skills ph ph ph ph
C) Financial planning and management skills ph ph ph ph
D) Leadership and individual critical thinking skills ph ph ph ph ph
Ans: C
ph ph
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
ph ph ph ph ph ph ph ph ph ph ph
assessment skills, policy development and program planning skills, communication
ph ph ph ph ph ph ph ph ph
skills, cultural competency skills, community dimensions of practice skills, public
ph ph ph ph ph ph ph ph ph ph
health science skills, financial planning and management skills, and leadership and
ph ph ph ph ph ph ph ph ph ph ph
systems thinking skills.
ph ph ph
Page
3
1
, Chapter 1- Public Health Nursing ph ph ph ph
1. A nurse is striving to practice patient-centered care at a hospital. Which action
ph ph ph ph ph ph ph ph ph ph ph ph
Best exemplifies providing patient-centered care?
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
A) Having a client complete a self-reported functional status indicator and
ph ph ph ph ph ph ph ph ph
then reviewing it with the client
ph ph ph ph ph ph
B) Explaining to a client the benefits of computer-assisted robotic surgical ph ph ph ph ph ph ph ph ph
techniques, which the hospital recently implemented
ph ph ph ph ph ph
C) Recording a client's signs and symptoms in an electronic health record ph ph ph ph ph ph ph ph ph ph
D) Performing continuous glucose monitoring of a client while the client is in ph ph ph ph ph ph ph ph ph ph ph
the hospital ph ph
Ans: A ph
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, ph ph ph ph ph ph ph
families, and lifestyles. Clients become active participants in their own care, and
ph ph ph ph ph ph ph ph ph ph ph ph
monitoring health becomes the client's responsibility. To help clients and their
ph ph ph ph ph ph ph ph ph ph ph
healthcare providers make better decisions, the Agency for Healthcare Research and
ph ph ph ph ph ph ph ph ph ph ph
Quality (AHRQ) has developed a series of tools that empower clients and assist
ph ph ph ph ph ph ph ph ph ph ph ph ph
providers in achieving desired outcomes, including client-reported functional status
ph ph ph ph ph ph ph ph ph
indicators. Computer-assisted robotic surgical techniques, electronic health records,
ph ph ph ph ph ph ph ph
and continuous glucose monitoring in the hospital are all technological advances in
ph ph ph ph ph ph ph ph ph ph ph ph
healthcare, but they do not help the client become a more active participant in his or
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
her care, and thus are not good examples of patient-centered care.
ph ph ph ph ph ph ph ph ph ph ph
Origin: Chapter 1- Public Health Nursing, 2
p h ph ph ph ph ph
2. A nurse is caring for an older client who is struggling to manage her type 2
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
diabetes mellitus. The nurse should recognize which social determinants of this
ph ph ph ph ph ph ph ph ph ph ph
client's health?(Select all that apply.)
ph ph ph ph ph
A) Household income of $23,000 per year ph ph ph ph ph
B) Reading level of a third grader ph ph ph ph ph
C) Medication ineffective due to error in prescription ph ph ph ph ph ph
D) Originally from Sudan ph ph
E) No family in the area ph ph ph ph
Ans: A, B, D, E
ph ph ph ph
Feedback:
The social conditions in which people live, their income, social status, education,
ph ph ph ph ph ph ph ph ph ph ph
literacy, home and work environment, support networks, gender, culture, and
ph ph ph ph ph ph ph ph ph ph
availability of health services are the social determinants of health. These conditions
ph ph ph ph ph ph ph ph ph ph ph ph
have an impact on the extent to which a person or community possesses the
ph ph ph ph ph ph ph ph ph ph ph ph ph ph
physical, social, and personal resources necessary to attain and maintain health. A
ph ph ph ph ph ph ph ph ph ph ph ph
medical error on the part of the client's primary care provider or nurse would not
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
constitute a social determinant of the client's health.
ph ph ph ph ph ph ph ph
Page
2
, Origin: Chapter 1- Public Health ph ph ph
3. ANursing,
nurse successfully persuades an obese client to perform a weekly weigh-in at home
ph ph ph ph ph ph ph ph ph ph ph ph ph
using a digital scale and record the weight in a log. This strategy is an example
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
of:
ph
A) Telehealth
B) Health information technology ph ph
C) Personal responsibility for health ph ph ph
D) Evidence-based nursing ph
Ans: C
ph ph
Feedback:
Personal responsibility for health involves active participation in one's own health
ph ph ph ph ph ph ph ph ph ph
through education and lifestyle changes. In this case, the client makes a positive
ph ph ph ph ph ph ph ph ph ph ph ph ph
change in lifestyle by monitoring body weight weekly. Telehealth is the use of
ph ph ph ph ph ph ph ph ph ph ph ph ph
electronic information and telecommunications technologies to support long-distance
ph ph ph ph ph ph ph ph
clinical healthcare, client and professional health-related education, public health, and
ph ph ph ph ph ph ph ph ph ph
health administration. Health information technology (HIT) is defined as the
ph ph ph ph ph ph ph ph ph ph
comprehensive management of health information and its exchange between
ph ph ph ph ph ph ph ph ph
consumers, providers, government, and insurers in a secure manner. Evidence-based
ph ph ph ph ph ph ph ph ph ph
nursing is the integration of the best evidence available with clinical expertise and
ph ph ph ph ph ph ph ph ph ph ph ph ph
the values of the client to increase the quality of care.
ph ph ph ph ph ph ph ph ph ph ph
Origin: Chapter 1- Public Health Nursing, 4
p h ph ph ph ph ph
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
task best exemplifies public health?
ph ph ph ph ph
A) Reading current nursing journals and integrating the latest research into dailyph ph ph ph ph ph ph ph ph ph
practice ph
B) Instructing a client on how to best care for a suture site at home ph ph ph ph ph ph ph ph ph ph ph ph ph
C) Participating in a videoconference call with a client who lives in a remote area ph ph ph ph ph ph ph ph ph ph ph ph ph
D) Facilitating a community-wide smoking cessation program one month out of the ph ph ph ph ph ph ph ph ph ph
year ph
Ans: D ph
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
ph ph ph ph ph ph ph ph ph ph ph ph ph
people can be healthy. A community-wide smoking cessation program is a great
ph ph ph ph ph ph ph ph ph ph ph ph
example of a public health intervention, in that it involves the collective effort of
ph ph ph ph ph ph ph ph ph ph ph ph ph ph
societyto improve the health of its members. Reading and applying the latest nursing
ph ph ph ph ph ph ph ph ph ph ph ph ph
research is an example of evidence-based nursing. Instructing a client on how to best
ph ph ph ph ph ph ph ph ph ph ph ph ph ph
care for a suture site at home is an example of personal responsibility for health, but it
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
is not focused on the health of the greater community. Participating in a
ph ph ph ph ph ph ph ph ph ph ph ph ph
videoconference call with a client who lives in a remote area is an example of
ph ph ph ph ph ph ph ph ph ph ph ph ph ph ph
patient-centered care and of an effective implementation of technology, but it is not
ph ph ph ph ph ph ph ph ph ph ph ph ph
particularly related to public health.
ph ph ph ph ph
Page
3
, Origin: Chapter 1- Public Health ph ph ph
5. Public
Nursing,health nursing is distinguished from other specialties by adherence to eight
ph ph ph ph ph ph ph ph ph ph ph
principles. Which is one of the eight domains of public health nursing practice?
ph ph ph ph ph ph ph ph ph ph ph ph ph
A) Analytic assessment skills ph ph
B) Investigation of disease ph ph
C) Referral and follow-up ph ph
D) Case management ph
Ans: A
ph ph
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
ph ph ph ph ph ph ph ph ph ph ph
assessment skills, policy development and program planning skills, communication
ph ph ph ph ph ph ph ph ph
skills, cultural competency skills, community dimensions of practice skills, public
ph ph ph ph ph ph ph ph ph ph
health science skills, financial planning and management skills, and leadership and
ph ph ph ph ph ph ph ph ph ph ph
systems thinking skills.
ph ph ph
Investigation of disease, referral and follow-up, and case management are all public
ph ph ph ph ph ph ph ph ph ph ph
health nursing interventions but are not domains of public health nursing practice.
ph ph ph ph ph ph ph ph ph ph ph ph
Origin: Chapter 1- Public Health Nursing, 6
p h ph ph ph ph ph
6. Public health nursing is distinguished from other specialties by adherence to
ph ph ph ph ph ph ph ph ph ph
eight principles. Which is one of the eight domains of public health nursing
ph ph ph ph ph ph ph ph ph ph ph ph ph
practice?
ph
A) Policy development and individual planning skills
ph ph ph ph ph
B) Individual dimensions of practice skills ph ph ph ph
C) Financial planning and management skills ph ph ph ph
D) Leadership and individual critical thinking skills ph ph ph ph ph
Ans: C
ph ph
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
ph ph ph ph ph ph ph ph ph ph ph
assessment skills, policy development and program planning skills, communication
ph ph ph ph ph ph ph ph ph
skills, cultural competency skills, community dimensions of practice skills, public
ph ph ph ph ph ph ph ph ph ph
health science skills, financial planning and management skills, and leadership and
ph ph ph ph ph ph ph ph ph ph ph
systems thinking skills.
ph ph ph
Page
3
