Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing dp dp dp dp
1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care? dp
A) Having a client complete a self-dp dp dp dp dp
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- dp dp dp dp dp dp dp
assisted robotic surgicaltechniques, which the hospital recently impleme
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nted
C) Recording a client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a client while the client is in theh
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ospital
ANSWER: A dp
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and life
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styles. Clients become active participants in their own care, and monitoring health becom
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es the client's responsibility. To help clients and their healthcare providers make better d
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ecisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a seri
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es of tools that empower clients and assist providers in achieving desired outcomes, inclu
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ding client-reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose mo
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nitoring in the hospital are all technological advances in healthcare, but they do not help
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the client become a more active participant in his or hercare, and thus are not good exa
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mples of patient-centered care.
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Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes me
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llitus. The nurse should recognize which social determinants of this client's health?(Sele
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ct all that apply.)
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, A) Household income of $23,000 per year dp dp dp dp dp
B) Reading level of a third graderdp dp dp dp dp
C) Medication ineffective due to error in prescription
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D) Originally from Sudan dp dp
E) No family in the area
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ANSWER: A, B, D, E F d p dp dp dp dp
eedback:
The social conditions in which people live, their income, social status, education, literacy
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, home and work environment, support networks, gender, culture, and availability of hea
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lth services are the social determinants of health. These conditions have an impact on th
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e extent to which a person or community possesses the physical, social, and personal res
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ources necessary to attain and maintain health. A medical erroron the part of the client's
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primary care provider or nurse would not constitute a social determinant of the client's h
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ealth.