Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-centered care at a hospital. Which action
bestiiexemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and
theniireviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic
surgicaliitechniques, which the hospital recently implemented
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
thehospital
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,
andcontinuous glucose monitoring in the hospital are all technological advances in
healthcare, but they do not help the client become a more active participant in his
or hercare, 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.)
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
areaiiANSWER: A, B,
D, E Feedback:
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 client's primary care provider or nurse would not
constitute a social determinant of the client's health.