TEST BANK Community and Public Health Nursing: Evidence for Practice, 4th Edition (DeMarco), Chapters 1 - 25 | All Chapters

TEST BANK Community and Public Health Nursing: Evidence for Practice, 4th Edition (DeMarco), Chapters 1 - 25 | All Chapters TABLEOFCONTENTS Chapter1:PublicHealthJNursing 1. AJnurse is striving to practice patient- centeredcareatJa hospital. Which action bestexemplifies providing patient- centered care? A) HavingJa clientJcomplete aJself- reported functional status indicator and thenreviewingJit with the client B) Explaining toJaJclientJthe benefits ofcomputer- assisted robotic surgicaltechniques, which the hospital recently implement ed C) RecordingJa client's signs and symptoms in anelectronicJhealth record D) PerformingJcontinuous glucose monitoring ofaJclientJwhile the clientJis in thehosp ital ANSWER:JA Feedback: Patient- centered care considers cultural traditions, personal preferences, values, families, and lifestyl es. Clients become active participants in their own care, and monitoring health becomesJthe c lient'sJresponsibility. To help clients and their healthcare providers make better decisions, th e Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e mpower clients and assistJproviders in achieving desired outcomes, includingJclient- reported functional status indicators. Computer- assisted robotic surgical techniques, electronicJhealth records, andcontinuousJglucose monit oring in the hospital are all technological advances in healthcare, but they do not helpJthe clie ntJbecome a more active participant in his or hercare, and thus are not goodexamples of patie nt-centered care. Origin: Chapter 1-JPublic Health Nursing, 2 2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitus. The nurse should recognize which social determinantsJof this client'sJhealth?(SelectJallJthat apply.) A) Household income of$23,000 per year B) Reading level ofa third grader C) Medication ineffective duetoJerror in prescription D) Originally from Sudan E) No family in the area ANSWER:J A, B, D, E Fee dback: The social conditions in whichJpeople live, their income, social status, education, literacy, ho me and workenvironment, support networks, gender, culture, and availability of health servi ces are the social determinants of health. These conditionsJhave an impact on the extent to w hich a person or community possesses the physical, social, and personalresourcesnecessary toJattain and maintain health. AJmedical erroronJthe partJof the client's primary care provider or nurse would not constitute a social determinant of the client's health. 3. Anurse successfully persuades anobese client to performa weeklyweigh- in at homeusing a digital scale and record the weightJinJaJlog. This strategy is anexample of: A) Telehealth B) Health information technology C) Personalresponsibility for health D) Evidence- basednursingAJ NSWER: C Feedback: Personal responsibility for health involvesJactive participation in one's own health through ed ucation and lifestyle changes. In this case, the clientJmakes aJpositive changein lifestyle by mo nitoring body weight weekly. Telehealth is the use of electronic information and telecommu nications technologies to support long- distance clinical healthcare, client and professional health- related education, publicJhealth, and health administration. HealthJinformation technology ( HIT) is defined as the comprehensive managementJof health information and itsJexchange b etween consumers, providers, government, and insurers inJaJsecure manner. Evidence- based nursing is the integrationof the best evidence available with clinical expertise and the va lues of the client to increase the quality ofcare. Origin: Chapter 1-JPublic Health Nursing, 4 4. AJnurse performs a variety of tasks as partJof the nurse's position at ahospital. WhichtaskJb est exemplifiesJpublic health? A) Readingcurrent nursingJjournalsJand integrating the latest research into dailyprac tice B) Instructing a client onhowto bestJcare for asuturesite atJhome C) Participating in a videoconference callwith a client who lives in a remote area D) Facilitating aJcommunity-wide smoking cessation programone monthJoutJof theyear ANSWER:JD Feedback: Public health is whatJsociety does collectively to ensure the conditions exist inJwhich people c an be healthy. A community-