,TEST BANK: Community and Public Health Nursing 4th Edition DeMarco & Walsh
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Contents:
Chapter 1: Public Health Nursing: Present, Past, and Fut
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ure Chapter 2: Public Health Systems
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Chapter 3: Health Policy, Politics, and Reform C
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hapter 4: Global Health: A Community Perspectiv
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e
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduc
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tion Chapter 6: Epidemiology: The Science of Prevention
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Chapter 7: Describing Health Conditions: Understanding and Using R
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atesChapter 8: Gathering Evidence for Public Health Practice
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Chapter 9: Planning for Community Change
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Chapter 10: Cultural Competence: Awareness, Sensitivity, and Resp
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ect Chapter 11: Community Assessment
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Chapter 12: Care Management, Case Management, and Home Healthc
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are Chapter 13: Family Assessment
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Chapter 14: Risk of Infectious and Communicable Disea
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ses Chapter 15: Emerging Infectious Diseases
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Chapter 16: Violence and Abu
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seChapter 17: Substance Use
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Chapter 18: Underserved Populatio
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ns Chapter 19: Environmental Healt
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h
Chapter 20: Community Preparedness: Disaster and Terrori
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sm Chapter 21: Community Mental Health
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Chapter 22: School Health
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Chapter 23: Faith- z% z%
Oriented Communities and Health Ministries in Faith Communities Chapter 24: Pal
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liative and End-of-Life Care
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Chapter 25: Occupational Health Nursing
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,Community and Public Health Nursing 4th Edition DeMarco Walsh Test Ba
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nk Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 1
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1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care?
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A) Having a client complete a self- z% z% z% z% z%
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- z% z% z% z% z% z% z%
assisted robotic surgicaltechniques, which the hospital recently implem
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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 i z% z% z% z% z% z% z% z% z% z% z%
n thehospital z% yiz%
Ans: A z%
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, a
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nd li festyles. Clients become active participants in their own care, and monitoring
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health be comes the client's responsibility. To help clients and their healthcare pr
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oviders make be tter decisions, the Agency for Healthcare Research and Quality (A
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HRQ) has developed a series of tools that empower clients and assist providers in
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achieving desired outcom es, including client-
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reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose
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m onitoring in the hospital are all technological advances in healthcare, but they
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do not he lp the client become a more active participant in his or hercare, and thu
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s are not good e xamples 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 di
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abetes mellitus. The nurse should recognize which social determinants of this clie
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nt's health? (Select all that apply.)
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A) Household income of $23,000 per year z% z% z% z% z%
B) Reading level of a third grader z% z% z% z% z%
C) Medication ineffective due to error in prescription z% z% z% z% z% z%
D) Originally from Sudan z% z%
E) No familyin the are z% z% z%
aAns: A, B, D, E Feedb
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The social conditions in which people live, their income, social status, education
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, liter acy, home and work environment, support networks, gender, culture, and a
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vailability of health services are the social determinants of health. These conditio
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ns have an imp act on the extent to which a person or community possesses the
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physical, social, and personal resources necessary to attain and maintain health.
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A medical erroron the part of the client's primary care provider or nurse would n
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ot constitute a social determinan t of the client's health.
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Page 1 z%
, Origin: Chapter z % z%
3. A
1- nurse successfully persuades an obese client to perform a weekly weigh-
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in at homeusing a digital scale and record the weight in a log. This strategy is an
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exa mple of:
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A) Telehealth
B) Health information technology z% z%
C) Personal responsibility for health z% z% z%
D) Evidence-
based nursingAns:
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Personal responsibility for health involves active participation in one's own health
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thro ugh education and lifestyle changes. In this case, the client makes a positive c
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hangein li festyle by monitoring body weight weekly. Telehealth is the use of ele
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ctronic informati on and telecommunications technologies to support long-
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distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information tech
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nol ogy (HIT) is defined as the comprehensive management of health information
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%and its e xchange between consumers, providers, government, and insurers in a se
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cure manner. Evidence-
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based nursing is the integrationof the best evidence available with clinical experti
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se an d the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
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Whichtask best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into
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dailypractice z%
B) Instructing a client on how to best care for a suture site at home z% z% z% z% z% z% z% z% z% z% z% z% z%
C) Participating in a videoconference call with a client who lives in a remote area z% z% z% z% z% z% z% z% z% z% z% z% z%
D) Facilitating a community- z% z%
wide smoking cessation program one month out of theye
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ar Ans: D
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Feedback:
Public health is what society does collectively to ensure the conditions exist in wh
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ich pe ople can be healthy. A community-
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wide smoking cessation program is a great example of a public health intervention
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, in t hat it involves the collective effort of societyto improve the health of its me
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mbers. Read ing and applying the latest nursing research is an example of evidenc
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e-
based nursing. Instructing a client on how to best care for a suture site at home is
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%an exa mple of personal responsibility for health, but it is not focused on the healt
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h of the great er community. Participating in a videoconference call with a client w
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ho lives in a remot e area is an example of patient-
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centered care and of an effective implementation of technology, but it is not partic
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ularly related to public health.
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Page 2 z%
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Contents:
Chapter 1: Public Health Nursing: Present, Past, and Fut
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ure Chapter 2: Public Health Systems
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Chapter 3: Health Policy, Politics, and Reform C
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hapter 4: Global Health: A Community Perspectiv
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e
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduc
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tion Chapter 6: Epidemiology: The Science of Prevention
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Chapter 7: Describing Health Conditions: Understanding and Using R
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atesChapter 8: Gathering Evidence for Public Health Practice
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Chapter 9: Planning for Community Change
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Chapter 10: Cultural Competence: Awareness, Sensitivity, and Resp
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ect Chapter 11: Community Assessment
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Chapter 12: Care Management, Case Management, and Home Healthc
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are Chapter 13: Family Assessment
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Chapter 14: Risk of Infectious and Communicable Disea
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ses Chapter 15: Emerging Infectious Diseases
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Chapter 16: Violence and Abu
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seChapter 17: Substance Use
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Chapter 18: Underserved Populatio
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ns Chapter 19: Environmental Healt
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h
Chapter 20: Community Preparedness: Disaster and Terrori
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sm Chapter 21: Community Mental Health
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Chapter 22: School Health
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Chapter 23: Faith- z% z%
Oriented Communities and Health Ministries in Faith Communities Chapter 24: Pal
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liative and End-of-Life Care
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Chapter 25: Occupational Health Nursing
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,Community and Public Health Nursing 4th Edition DeMarco Walsh Test Ba
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nk Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 1
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1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care?
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A) Having a client complete a self- z% z% z% z% z%
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- z% z% z% z% z% z% z%
assisted robotic surgicaltechniques, which the hospital recently implem
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ented %
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 i z% z% z% z% z% z% z% z% z% z% z%
n thehospital z% yiz%
Ans: A z%
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, a
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nd li festyles. Clients become active participants in their own care, and monitoring
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health be comes the client's responsibility. To help clients and their healthcare pr
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oviders make be tter decisions, the Agency for Healthcare Research and Quality (A
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HRQ) has developed a series of tools that empower clients and assist providers in
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achieving desired outcom es, including client-
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reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose
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m onitoring in the hospital are all technological advances in healthcare, but they
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do not he lp the client become a more active participant in his or hercare, and thu
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s are not good e xamples 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 di
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abetes mellitus. The nurse should recognize which social determinants of this clie
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nt's health? (Select all that apply.)
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A) Household income of $23,000 per year z% z% z% z% z%
B) Reading level of a third grader z% z% z% z% z%
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The social conditions in which people live, their income, social status, education
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, liter acy, home and work environment, support networks, gender, culture, and a
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vailability of health services are the social determinants of health. These conditio
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ns have an imp act on the extent to which a person or community possesses the
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physical, social, and personal resources necessary to attain and maintain health.
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A medical erroron the part of the client's primary care provider or nurse would n
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ot constitute a social determinan t of the client's health.
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Page 1 z%
, Origin: Chapter z % z%
3. A
1- nurse successfully persuades an obese client to perform a weekly weigh-
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in at homeusing a digital scale and record the weight in a log. This strategy is an
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exa mple of:
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Personal responsibility for health involves active participation in one's own health
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thro ugh education and lifestyle changes. In this case, the client makes a positive c
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hangein li festyle by monitoring body weight weekly. Telehealth is the use of ele
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ctronic informati on and telecommunications technologies to support long-
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distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information tech
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nol ogy (HIT) is defined as the comprehensive management of health information
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cure manner. Evidence-
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se an d the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
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Whichtask best exemplifies public health?
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dailypractice z%
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D) Facilitating a community- z% z%
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ar Ans: D
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ich pe ople can be healthy. A community-
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wide smoking cessation program is a great example of a public health intervention
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, in t hat it involves the collective effort of societyto improve the health of its me
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mbers. Read ing and applying the latest nursing research is an example of evidenc
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e-
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h of the great er community. Participating in a videoconference call with a client w
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ho lives in a remot e area is an example of patient-
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centered care and of an effective implementation of technology, but it is not partic
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ularly related to public health.
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Page 2 z%