TEST BANK - Community and Public Health Nursing: Evidence for Practice 4th Edition by DeMarco & Walsh, All 25 Chapters Covered, Verified Latest Edition

TEST BANK FOR COMMUNITY AND PUBLIC HEALTH
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NURSING: EVIDENCE FOR PRACTICE 4TH EDITION
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BYDEMARCO AND WALSH/COMPLETE GUIDE
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, Origin: CH: 1- Public Health Nursing, 1 f f ff ff ff ff ff




1. A nursing attendant is striving to practice hospital client-centered care at a
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health center. Whichaction best exemplifies providing hospital client-centered
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care?
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A) Having a hospital client complete a self-reported functional status ff ff ff ff ff ff ff ff


indicator andthen reviewing it with the hospital client
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B) Explaining to a hospital client the benefits of computer-assisted ff ff ff ff ff ff ff ff


robotic surgical techniques, which the health center recently
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implemented ff


C) Recording a hospital client's signs and symptoms in an electronic health record ff ff ff ff ff ff ff ff ff ff ff


D) Performing continuous glucose monitoring of a hospital client while the ff ff ff ff ff ff ff ff ff


hospital client is inthe health center
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ACCURATE ANSWER:-A ff


Reasoning :->> ff


Hospital client-centered care considers cultural traditions, personal preferences,
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values, families, and lifestyles. Hospital clients become active participants in their
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own care, and monitoring health becomes the hospital client's responsibility. To help
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hospital clients and their healthcare providers make better decisions, the Agency for
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Healthcare Research and Quality (AHRQ) has developed a series of tools that
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empower hospital clients and assist providers in achieving desired outcomes,
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including hospital client-reported functional status indicators. Computer-assisted
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robotic surgical techniques, electronic health records, andcontinuous glucose
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monitoring in the health center are all technological advances in healthcare, but they
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do not help the hospital client become a more active participant in his or her care,
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and thus are not good examples of hospital client-centered care.
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Origin: CH: 1- Public Health Nursing, 2 f f ff ff ff ff ff


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
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which social determinants of thishospital client's health? (Select all that apply.)
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A) Household income of $23,000 per year ff ff ff ff ff


B) Reading level of a third grader ff ff ff ff ff


C) Medication ineffective due to error in prescription ff ff ff ff ff ff


D) Originally from Sudan ff ff


E) No family in the ff ff ff


area
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ANSWER:-A, B,D, E
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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
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erroron the part of the hospital client's primary care provider or nursing attendant
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would not constitute a social determinant of the hospital client's health.
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Pg 1 ff

, Origin: CH: 1- Public Health Nursing, 3
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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 ff ff


C) Personal responsibility for health ff ff ff


D) Evidence-based
nursingACCURATE
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ANSWER:-C 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
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of electronic information and telecommunications technologies to support long-
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distance clinical healthcare, hospital client and professional health-related education,
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public health, andhealth administration. Health information technology (HIT) is
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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.
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Evidence-based nursing is the integration of the best evidence available with clinical
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expertise and the values of the hospital client to increase the quality of care.
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Origin: CH: 1- Public Health Nursing, 4
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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 ff ff ff ff ff ff ff ff ff


dailypractice ff f


B) Instructing a hospital client on how to best care for a suture site at home ff ff ff ff ff ff ff ff ff ff ff ff ff ff


C) Participating in a videoconference call with a hospital client who lives in a remote area ff ff ff ff ff ff ff ff ff ff ff ff ff ff


D) Facilitating a community-wide smoking cessation program one month out of ff ff ff ff ff ff ff ff ff


theyear ff f


ACCURATE ANSWER:-D ff


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
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societyto improve the health of its members. Reading and applying the latest nursing
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research is an example of evidence-based nursing. Instructing a hospital client on
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how to best care for a suture site at home is an example of personal responsibility for
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health, but it is not focused on the health of the greater community. Participating in a
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videoconference call with a hospital client who lives in a remote area is an example
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of hospital client-centered care and of an effective implementation of technology, but
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it is not particularly related to public health.
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Pg 2 ff

, Origin: CH: 1- Public Health Nursing, 5
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5. Public health nursing is distinguished from other specialties by adherence to
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eightprinciples. Which is one of the eight domains of public health nursing
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practice?
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A) Analytic assessment skills ff ff


B) Investigation of disease ff ff


C) Referral and follow-up ff ff


D) Case
management ACCURA
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TE ANSWER:- ff


AReasoning:->>
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The eight domains of public health nursing practice are as follows: Analytic
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assessmentskills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills,financial planning and management skills, and leadership and
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systems thinking skills.
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Investigation of disease, referral and follow-up, and case management are all
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publichealth nursing interventions but are not domains of public health nursing
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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
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eightprinciples. Which is one of the eight domains of public health nursing
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practice?
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A) Policy development and individual planning skills
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B) Individual dimensions of practice skills ff ff ff ff


C) Financial planning and management skills ff ff ff ff


D) Leadership and individual critical thinking ff ff ff ff


skillsACCURATE ANSWER:-C
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Reasoning:->>
The eight domains of public health nursing practice are as follows: Analytic
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assessmentskills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills,financial planning and management skills, and leadership and
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systems thinking skills.
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