Community and Public Health Nursing:
Evidence for Practice, 5th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,Chapter 1: Public Health Nursing ig ig ig ig
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? ig
A) Having a client complete a self- ig ig ig ig ig
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- ig ig ig ig ig ig ig
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 ig ig ig ig ig ig ig ig ig ig
D) Performing continuous glucose monitoring of a client while the client is in thehospig ig ig ig ig ig ig ig ig ig ig ig ig
ital
ANSWER: A ig
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. ig
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.)ig
A) Household income of $23,000 per year ig ig ig ig ig
B) Reading level of a third grader ig ig ig ig ig
,C) Medication ineffective due to error in prescription ig ig ig ig ig ig
D) Originally from Sudan ig ig
E) No family in the area
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ANSWER: A, B, D, E Fee i g ig ig ig ig
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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, 3. A nurse successfully persuades an obese client to perform a weekly weigh-
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in at homeusing a digital scale and record the weight in a log. This strategy is an example of
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:
A) Telehealth
B) Health information technology ig ig
C) Personal responsibility for health ig ig ig
D) Evidence-
based nursingANSWER: C ig ig ig
Feedback:
Personal responsibility for health involves active participation in one's own health through e
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ducation and lifestyle changes. In this case, the client makes a positive changein lifestyle by
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monitoring body weight weekly. Telehealth is the use of electronic information and telecom
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munications technologies to support long- ig ig ig ig
distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information technology
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(HIT) is defined as the comprehensive management of health information and its exchange
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between consumers, providers, government, and insurers in a secure manner. Evidence-
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based nursing is the integrationof the best evidence available with clinical expertise and the v
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alues of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Whichtask b
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est exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into dailyprac
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tice
B) Instructing a client on how to best care for a suture site at home ig ig ig ig ig ig ig ig ig ig ig ig ig
C) Participating in a videoconference call with a client who lives in a remote area ig ig ig ig ig ig ig ig ig ig ig ig ig
D) Facilitating a community-wide smoking cessation program one month out of theyear
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ANSWER: D ig
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people c
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