NURSING: EVIDENCE FOR PRACTICE 4TH EDITION BY
DEMARCO AND WALSH/COMPLETE GUIDE
, Origin: CH: 1- Public Health Nursing, 1
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1. A nursing attendant is striving to practice hospital client-centered care at a
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Whealth center. Which action best exemplifies providing hospital client-
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centered care? W
A) Having a hospital client complete a self-reported functional status
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indicator and then reviewing it with the hospital client
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B) Explaining to a hospital client the benefits of computer-W W W W W W W W
assisted robotic surgical techniques, which the health center
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recently implemented
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C) Recording a hospital client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a hospital client while the
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hospital client is in the health center
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ACCURATE ANSWER:-A W
Reasoning :->> W
Hospital client-centered care considers cultural traditions, personal preferences,
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Wvalues, families, and lifestyles. Hospital clients become active participants in their
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Wown care, and monitoring health becomes the hospital client's responsibility. To
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Whelp hospital clients and their healthcare providers make better decisions, the
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WAgency for Healthcare Research and Quality (AHRQ) has developed a series of
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Wtools that empower hospital clients and assist providers in achieving desired
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Woutcomes, including hospital client-reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, and continuous glucose
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Wmonitoring in the health center are all technological advances in healthcare, but
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Wthey do not help the hospital client become a more active participant in his or her
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Wcare, and thus are not good examples of hospital client-centered care.
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Origin: CH: 1- Public Health Nursing, 2
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2. A nursing attendant is caring for an older hospital client who is struggling to
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Wmanage her type 2 diabetes mellitus. The nursing attendant should recognize
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which social determinants of this hospital client's health? (Select all that apply.)
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A) Household income of $23,000 per year W W W W W
B) Reading level of a third grader W W W W W
C) Medication ineffective due to error in prescription W W W W W W
D) Originally from Sudan W W
E) No family in the W W W
area
W ACCURATE W
WANSWER:-A, B, D, E W W W
Reasoning:->>
The social conditions in which people live, their income, social status, education,
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Wliteracy, home and work environment, support networks, gender, culture, and
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Wavailability of health services are the social determinants of health. These
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Wconditions have an impact on the extent to which a person or community
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Wpossesses the physical, social, and personal resources necessary to attain and
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Wmaintain health. A medical error on the part of the hospital client's primary care
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Wprovider or nursing attendant would not constitute a social determinant of the
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Whospital client's health. W W
Pg 1 W
, Origin: CH: 1- Public Health Nursing, 3
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3. A nursing attendant successfully persuades an obese hospital client to perform a
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Wweekly weigh-in at home using a digital scale and record the weight in a log.
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WThis strategy is an example of:
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A) Telehealth
B) Health information technology W W
C) Personal responsibility for health W W W
D) Evidence-based
Wnursing ACCURATE W
WANSWER:-C Reasoning:- W
>>
Personal responsibility for health involves active participation in one's own health
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Wthrough education and lifestyle changes. In this case, the hospital client makes a
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Wpositive change in lifestyle by monitoring body weight weekly. Telehealth is the
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Wuse of electronic information and telecommunications technologies to support
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Wlong-distance clinical healthcare, hospital client and professional health-related
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Weducation, public health, and health administration. Health information technology
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W(HIT) is defined as the comprehensive management of health information and its
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Wexchange between consumers, providers, government, and insurers in a secure
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Wmanner. Evidence-based nursing is the integration of the best evidence available
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Wwith clinical expertise and the values of the hospital client to increase the quality
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Wof care.
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Origin: CH: 1- Public Health Nursing, 4
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4. A nursing attendant performs a variety of tasks as part of the nursing
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Wattendant's position at a health center. Which task best exemplifies public
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Whealth?
A) Reading current nursing journals and integrating the latest research into
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daily practice
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B) Instructing a hospital client on how to best care for a suture site at home
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C) Participating in a videoconference call with a hospital client who lives in a remote
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area W
D) Facilitating a community-wide smoking cessation program one month out of
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the yearW W
ACCURATE ANSWER:-D W
Reasoning:->>
Public health is what society does collectively to ensure the conditions exist in
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Wwhich people can be healthy. A community-wide smoking cessation program is a
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Wgreat example of a public health intervention, in that it involves the collective
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Weffort of society to improve the health of its members. Reading and applying the
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Wlatest nursing research is an example of evidence-based nursing. Instructing a
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Whospital client on how to best care for a suture site at home is an example of
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Wpersonal responsibility for health, but it is not focused on the health of the greater
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Wcommunity. Participating in a videoconference call with a hospital client who lives
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Win a remote area is an example of hospital client-centered care and of an effective
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Wimplementation of technology, but it is not particularly related to public health.
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