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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
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1. A |nurse |is |striving |to |practice |patient-centered |care |at |a |hospital. |Which |action |best
exemplifies |providing |patient-centered |care?
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A) Having |a |client |complete |a |self-reported |functional |status |indicator |and |then
reviewing |it |with |the |client
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B) Explaining |to |a |client |the |benefits |of |computer-assisted |robotic |surgical
techniques, |which |the |hospital |recently |implemented
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C) Recording |a |client's |signs |and |symptoms |in |an |electronic |health |record
D) Performing |continuous |glucose |monitoring |of |a |client |while |the |client |is |in |the
hospital
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ANSWER: | A
Feedback:
Patient-centered |care |considers |cultural |traditions, |personal |preferences, |values, |families,
|and |lifestyles. |Clients |become |active |participants |in |their |own |care, |and |monitoring
|health |becomes |the |client's |responsibility. |To |help |clients |and |their |healthcare |providers
|make |better |decisions, |the |Agency |for |Healthcare |Research |and |Quality |(AHRQ) |has
|developed |a |series |of |tools |that |empower |clients |and |assist |providers |in |achieving |desired
|outcomes, |including |client-reported |functional |status |indicators. |Computer-assisted
robotic |surgical |techniques, |electronic |health |records, |and|continuous |glucose |monitoring
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|in |the |hospital |are |all |technological |advances |in |healthcare, |but |they |do |not |help |the |client
|become |a |more |active |participant |in |his |or |her|care, |and |thus |are |not |good |examples |of
|patient-centered |care.
Origin: | Chapter |1- |Public |Health |Nursing, |2
2. A |nurse |is |caring |for |an |older |client |who |is |struggling |to |manage |her |type |2 |diabetes
|mellitus. |The |nurse |should |recognize |which |social |determinants |of |this |client's |health?
(Select |all |that |apply.)
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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
ANSWER: | A, |B, |D, |E
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| Feedback:
The |social |conditions |in |which |people |live, |their |income, |social |status, |education,
literacy, |home |and |work |environment, |support |networks, |gender, |culture, |and |availability
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of |health |services |are |the |social |determinants |of |health. |These |conditions |have |an |impact
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on |the |extent |to |which |a |person |or |community |possesses |the |physical, |social, |and |personal
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resources |necessary |to |attain |and |maintain |health. |A |medical |error|on |the |part |of |the
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client's |primary |care |provider |or |nurse |would |not |constitute |a |social |determinant |of |the
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client's |health.
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