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 best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, 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 area
, ANSWER: 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.