Community and Public Health Nursing:b b b b b
b EvidenceforPractice,4thEdition(DeMarco),
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Chapters1-25|AllChapters
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,TABLEOFCONTENTS
,Chapter1:PublicHealth Nursing J
1. AJnurseisstrivingtopracticepatient-
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centeredcareatJahospital.WhichactionbestJexemplifiesprovidingpatient-centered
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care?
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A) HavingaclientJcompleteaJself- b b b
reportedfunctionalstatusindicatorandthenreviewingJit withtheclient
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B) ExplainingtoJaJclientJthebenefitsofcomputer- b b b
assistedroboticsurgicaltechniques,whichthehospitalrecentlyimplemented
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C) RecordingJaclient'ssignsandsymptomsinanelectronicJhealthrecord b b b b b b
D) PerformingJcontinuousglucosemonitoringofaJclientJwhiletheclientJisinthehospital b b b b b b b b
ANSWER:JA
Feedback:
Patient-
centeredcareconsidersculturaltraditions,personalpreferences,values,families,andlifestyles.
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Clientsbecomeactiveparticipantsintheirowncare,andmonitoringhealthbecomesJthec
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lient'sJresponsibility.Tohelpclientsandtheirhealthcareprovidersmakebetterdecisions,th e
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AgencyforHealthcareResearchandQuality(AHRQ)hasdevelopedaseriesoftoolsthate
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mpowerclientsandassistJprovidersinachievingdesiredoutcomes,includingJclient-reported
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functional statusindicators.Computer-
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assistedJroboticsurgicaltechniques,electronicJhealthrecords,andcontinuousJglucosemonit b b b b b b
oringinthehospitalarealltechnologicaladvancesinhealthcare,buttheydonothelpJtheclie
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ntJbecomeamoreactiveparticipantJinhisorhercare,andthusarenotgoodexamplesofpatient-
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centeredcare. b
Origin: Chapter1-JPublicHealthNursing,2
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2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitus. The
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nurseshouldrecognizewhichsocialdeterminantsJofthisclient'sJhealth?(SelectJallJthatapply.)
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, A) Householdincomeof$23,000peryear b b b b
B) Readinglevelofathirdgrader
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C) MedicationineffectiveduetoJerrorinprescription b b b
D) OriginallyfromSudan b b
E) Nofamilyinthearea
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bANSWER:J A,B,D,EFee b b b b b
dback:
ThesocialconditionsinwhichJpeoplelive,theirincome,socialstatus,education,literacy, homeand
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work environment, support networks, gender, culture, and availability of health servi ces are the
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social determinants of health. These conditionsJhave an impact on the extent to w hich a person or
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community possesses the physical, social, and personalresourcesnecessary toJattain and
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maintain health. AJmedicalerroronJthe partJof the client's primary care provider or nurse would
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notconstituteasocialdeterminantoftheclient'shealth.
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