TEST BANK
Community and Public Health Nursing: Evidence for Practice
ROSANNA DEMARCO, JUDITH HEALEY-WALSH
Fourth, North American Edition
,TABLE OF CONTENTS
Page 3
,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 the hospital
ANS: 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 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.)
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 ANS: 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 error on the
part of the client's primary care provider or nurse would not constitute a
social determinant of the client's health.
Page 3
, 3. A nurse successfully persuades an obese client to perform a weekly
weigh-in at home using a digital scale and record the weight in a log. This
strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based
nursing ANS: C
Feedback:
Personal responsibility for health involves active participation in one's own
health through education and lifestyle changes. In this case, the client
makes a positive change in lifestyle by monitoring body weight weekly.
Telehealth is the use of electronic information and telecommunications
technologies to support long-distance clinical healthcare, client and
professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the
comprehensive management of health information and its exchange
between consumers, providers, government, and insurers in a secure
manner. Evidence-based nursing is the integration of the best evidence
available with clinical expertise and the values of the client to increase the
quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a
hospital. Which task best exemplifies public health?
A) Reading current nursing journals and integrating the latest
research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote
area
D) Facilitating a community-wide smoking cessation program one month
out of the year
ANS: D
Feedback:
Public health is what society does collectively to ensure the conditions exist
in which people can be healthy. A community-wide smoking cessation
program is a great example of a public health intervention, in that it
involves the collective effort of society to improve the health of its members.
Reading and applying the latest nursing research is an example of
evidence-based nursing. Instructing a client on how to best care for a
suture site at home is an example of personal responsibility for health, but
it is not focused on the health of the greater community. Participating in a
videoconference call with a client who lives in a remote area is an example
of patient-centered care and of an effective implementation of technology,
but it is not particularly related to public health.
Page 3
Community and Public Health Nursing: Evidence for Practice
ROSANNA DEMARCO, JUDITH HEALEY-WALSH
Fourth, North American Edition
,TABLE OF CONTENTS
Page 3
,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 the hospital
ANS: 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 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.)
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 ANS: 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 error on the
part of the client's primary care provider or nurse would not constitute a
social determinant of the client's health.
Page 3
, 3. A nurse successfully persuades an obese client to perform a weekly
weigh-in at home using a digital scale and record the weight in a log. This
strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based
nursing ANS: C
Feedback:
Personal responsibility for health involves active participation in one's own
health through education and lifestyle changes. In this case, the client
makes a positive change in lifestyle by monitoring body weight weekly.
Telehealth is the use of electronic information and telecommunications
technologies to support long-distance clinical healthcare, client and
professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the
comprehensive management of health information and its exchange
between consumers, providers, government, and insurers in a secure
manner. Evidence-based nursing is the integration of the best evidence
available with clinical expertise and the values of the client to increase the
quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a
hospital. Which task best exemplifies public health?
A) Reading current nursing journals and integrating the latest
research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote
area
D) Facilitating a community-wide smoking cessation program one month
out of the year
ANS: D
Feedback:
Public health is what society does collectively to ensure the conditions exist
in which people can be healthy. A community-wide smoking cessation
program is a great example of a public health intervention, in that it
involves the collective effort of society to improve the health of its members.
Reading and applying the latest nursing research is an example of
evidence-based nursing. Instructing a client on how to best care for a
suture site at home is an example of personal responsibility for health, but
it is not focused on the health of the greater community. Participating in a
videoconference call with a client who lives in a remote area is an example
of patient-centered care and of an effective implementation of technology,
but it is not particularly related to public health.
Page 3
