Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
vi vi
,Chapter 1: Public Health Nursing vi vi vi vi
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? vi
A) Having a client complete a self- vi vi vi vi vi
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- vi vi vi vi vi vi vi
assisted robotic surgicaltechniques, which the hospital recently implement
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ed
C) Recording a client's signs and symptoms in an electronic health record vi vi vi vi vi vi vi vi vi vi
D) Performing continuous glucose monitoring of a client while the client is in thehosp vi vi vi vi vi vi vi vi vi vi vi vi vi
ital
ANSWER: A vi
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifesty
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les. Clients become active participants in their own care, and monitoring health becomes the
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client's responsibility. To help clients and their healthcare providers make better decisions,
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the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools th
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at empower clients and assist providers in achieving desired outcomes, including client-
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reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose monit
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oring in the hospital are all technological advances in healthcare, but they do not help the cli
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ent become a more active participant in his or hercare, and thus are not good examples of pa
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tient-centered care. vi
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 diabetes mellitu
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s. The nurse should recognize which social determinants of this client's health?(Select all t
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hat apply.)vi
, A) Household income of $23,000 per year vi vi vi vi vi
B) Reading level of a third grader vi vi vi vi vi
C) Medication ineffective due to error in prescription vi vi vi vi vi vi
D) Originally from Sudan vi vi
E) No family in the area
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ANSWER: A, B, D, E Fee v i vi vi vi vi
dback:
The social conditions in which people live, their income, social status, education, literacy, h
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ome and work environment, support networks, gender, culture, and availability of health se
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rvices are the social determinants of health. These conditions have an impact on the extent t
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o which a person or community possesses the physical, social, and personal resources neces
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sary to attain and maintain health. A medical erroron the part of the client's primary care pro
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vider or nurse would not constitute a social determinant of the client's health.
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