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