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bg NURSING: EVIDENCE FOR PRACTICE 4TH EDITION BY
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DEMARCO AND WALSH/COMPLETE GUIDE
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1. A nursing attendant is striving to practice hospital client-centered care at a health
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center. Whichaction best exemplifies providing hospital client-centered care?
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A) Having a hospital client complete a self-reported functional status bg bg bg bg bg bg bg bg
indicator andthen reviewing it with the hospital client
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B) Explaining to a hospital client the benefits of computer-assisted bg bg bg bg bg bg bg bg
robotic surgical techniques, which the health center recently
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implemented bg
C) Recording a hospital client's signs and symptoms in an electronic health record bg bg bg bg bg bg bg bg bg bg bg
D) Performing continuous glucose monitoring of a hospital client while the bg bg bg bg bg bg bg bg bg
hospital client is inthe health center
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ACCURATE ANSWER:-A bg
Reasoning :->> bg
Hospital client-centered care considers cultural traditions, personal preferences, values,
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families, and lifestyles. Hospital clients become active participants in their own care,
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and monitoring health becomes the hospital client's responsibility. To help hospital
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clients and their healthcare providers make better decisions, the Agency for Healthcare
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Research and Quality (AHRQ) has developed a series of tools that empower hospital
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clients and assist providers in achieving desired outcomes, including hospital client-
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reported functional status indicators. Computer-assisted robotic surgical techniques,
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electronic health records, andcontinuous glucose monitoring in the health center are all
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technological advances in healthcare, but they do not help the hospital client become a
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more active participant in his or her care, and thus are not good examples of hospital
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client-centered care.
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2. A nursing attendant is caring for an older hospital client who is struggling to
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manage her type 2 diabetes mellitus. The nursing attendant should recognize which
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social determinants of thishospital client's health? (Select all that apply.)
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A) Household income of $23,000 per year bg bg bg bg bg
B) Reading level of a third grader bg bg bg bg bg
C) Medication ineffective due to error in prescription bg bg bg bg bg bg
D) Originally from Sudan bg bg
E) No family in the area bg bg bg bg
ACCURATE ANSWER:-
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A, B,D, E bg g
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Reasoning:->>
The social conditions in which people live, their income, social status, education,
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literacy, home and work environment, support networks, gender, culture, and
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availability of health services are the social determinants of health. These conditions
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have an impact on the extent to which a person or community possesses the physical,
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social, and personal resources necessary to attain and maintain health. A medical erroron
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the part of the hospital client's primary care provider or nursing attendant would not
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constitute a social determinant of the hospital client's health.
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3. A nursing attendant successfully persuades an obese hospital client to perform a
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weekly weigh-in athome using a digital scale and record the weight in a log. This
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strategy is an exampleof:
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A) Telehealth
B) Health information technology bg bg
C) Personal responsibility for health bg bg bg
D) Evidence-based nursing bg
ACCURATE ANSWER:-C
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Reasoning:->>
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Personal responsibility for health involves active participation in one's own health
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through education and lifestyle changes. In this case, the hospital client makes a
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positive change in lifestyle by monitoring body weight weekly. Telehealth is the use of
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electronic information and telecommunications technologies to support long-distance
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clinical healthcare, hospital client and professional health-related education, public
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health, andhealth administration. Health information technology (HIT) is defined as the
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comprehensive management of health information and its exchange between
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consumers, providers, government, and insurers in a secure manner. Evidence-based
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nursing is the integration of the best evidence available with clinical expertise and the
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values of the hospital client to increase the quality of care.
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4. A nursing attendant performs a variety of tasks as part of the nursing attendant's
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position at a healthcenter. Which task best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into daily bg bg bg bg bg bg bg bg bg bg
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B) Instructing a hospital client on how to best care for a suture site at home bg bg bg bg bg bg bg bg bg bg bg bg bg bg
C) Participating in a videoconference call with a hospital client who lives in a remote area bg bg bg bg bg bg bg bg bg bg bg bg bg bg
D) Facilitating a community-wide smoking cessation program one month out of the bg bg bg bg bg bg bg bg bg bg
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ACCURATE ANSWER:-D bg
Reasoning:->>
Public health is what society does collectively to ensure the conditions exist in which
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people can be healthy. A community-wide smoking cessation program is a great
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example of a public health intervention, in that it involves the collective effort of societyto
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improve the health of its members. Reading and applying the latest nursing research is
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an example of evidence-based nursing. Instructing a hospital client on how to best care
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for a suture site at home is an example of personal responsibility for health, but it is not
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focused on the health of the greater community. Participating in a videoconference call
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with a hospital client who lives in a remote area is an example of hospital client-centered
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care and of an effective implementation of technology, but it is not particularly related to
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public health.
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5. Public health nursing is distinguished from other specialties by adherence to eight
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principles. Which is one of the eight domains of public health nursing practice?
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A) Analytic assessment skills bg bg
B) Investigation of disease bg bg
C) Referral and follow-up bg bg
D) Case management bg
ACCURATE
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ANSWER:-A
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Reasoning:->>
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The eight domains of public health nursing practice are as follows: Analytic assessment
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skills, policy development and program planning skills, communication skills, cultural
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competency skills, community dimensions of practice skills, public health science skills,
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financial planning and management skills, and leadership and systems thinking skills.
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Investigation of disease, referral and follow-up, and case management are all publichealth
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nursing interventions but are not domains of public health nursing practice.
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Origin: CH: 1- Public Health Nursing, 6
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6. Public health nursing is distinguished from other specialties by adherence to eight
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principles. Which is one of the eight domains of public health nursing practice?
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A) Policy development and individual planning skills
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B) Individual dimensions of practice skills bg bg bg bg
C) Financial planning and management skills bg bg bg bg
D) Leadership and individual critical thinking skills bg bg bg bg bg
ACCURATE ANSWER:-C
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Reasoning:->>
The eight domains of public health nursing practice are as follows: Analytic assessment
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skills, policy development and program planning skills, communication skills, cultural
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competency skills, community dimensions of practice skills, public health science skills,
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financial planning and management skills, and leadership and systems thinking skills.
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