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vi Evidence for Practice, 3rd Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing vi vi vi vi
1. A nurse is striving to practice patient-centered care at a hospital. Which action
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bestexemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional status indicator and
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vi thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic vi vi vi vi vi vi vi vi
surgicaltechniques, which the hospital recently implemented
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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
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thehospital
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ANSWER: A vi
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, vi vi vi vi vi vi vi
vi families, and lifestyles. Clients become active participants in their own care, and
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vi monitoring health becomes the client's responsibility. To help clients and their
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vi healthcare providers make better decisions, the Agency for Healthcare Research and
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vi Quality (AHRQ) has developed a series of tools that empower clients and assist
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vi providers in achieving desired outcomes, including client-reported functional status
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vi indicators. Computer-assisted robotic surgical techniques, electronic health records,
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andcontinuous glucose monitoring in the hospital are all technological advances in
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vi healthcare, but they do not help the client become a more active participant in his or
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vi hercare, and thus are not good examples 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
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vi mellitus. The nurse should recognize which social determinants of this client's
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vi health?(Select all that apply.)
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A) Household income of $23,000 per year vi vi vi vi vi
B) Reading level of a third grader vi vi vi vi vi
C) Medication ineffective due to error in prescription vi vi vi vi vi vi
, D) Originally from Sudan vi vi
E) No family in the vi vi vi
areaANSWER:
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vi D, E Feedback:
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The social conditions in which people live, their income, social status, education,
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vi literacy, home and work environment, support networks, gender, culture, and
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vi availability of health services are the social determinants of health. These conditions
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vi have an impact on the extent to which a person or community possesses the physical,
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vi social, and personal resources necessary to attain and maintain health. A medical
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erroron the part of the client's primary care provider or nurse would not constitute a
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vi social determinant of the client's health.
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