Community & Public Health Nursing:
m m m m
Evidence for Practice 3rd Edition
m m m m
bymRosannamDeMarcom
, Origin:m Chapterm1-
1. A mnurse
mPublic mismstriving
mHealth mtompractice
mNursing, m1 mpatient-
centeredmcarematmamhospital.mWhichmactionmbestmexemplifiesmprovidingmpatient-
centeredmcare?
A) Havingmamclientmcompletemamself-
reportedmfunctionalmstatusmindicatormandmthenmreviewingmitmwithmthemclient
B) Explainingmtomamclientmthembenefitsmofmcomputer-
assistedmroboticmsurgicalmtechniques,mwhichmthemhospitalmrecentlymimple
mented
C) Recordingmamclient'smsignsmandmsymptomsminmanmelectronicmhealthmrecord
D) Performingmcontinuousmglucosemmonitoringmofmamclientmwhilemthemclientmisminmt
hemhospital
Ans:m A
Feedback:
Patient-
centeredmcaremconsidersmculturalmtraditions,mpersonalmpreferences,mvalues,mfamilies,mandm
lifestyles.mClientsmbecomemactivemparticipantsminmtheirmownmcare,mandmmonitoringmhealth
mbecomesmthemclient'smresponsibility.mTomhelpmclientsmandmtheirmhealthcaremprovidersmma
kembettermdecisions,mthemAgencymformHealthcaremResearchmandmQualitym(AHRQ)mhasmde
velopedmamseriesmofmtoolsmthatmempowermclientsmandmassistmprovidersminmachievingmdesire
dmoutcomes,mincludingmclient-reportedmfunctionalmstatusmindicators.mComputer-
assistedmroboticmsurgicalmtechniques,melectronicmhealthmrecords,mandmcontinuousmglucosem
monitoringminmthemhospitalmaremallmtechnologicalmadvancesminmhealthcare,mbutmtheymdomn
otmhelpmthemclientmbecomemammoremactivemparticipantminmhismormhermcare,mandmthusmaremnot
mgoodmexamplesmofmpatient-centeredmcare.
Origin:m Chapterm1-mPublicmHealthmNursing,m2
2. Amnursemismcaringmformanmoldermclientmwhomismstrugglingmtommanagemhermtypem2mdiabete
smmellitus.mThemnursemshouldmrecognizemwhichmsocialmdeterminantsmofmthismclient'smhe
alth?m(Selectmallmthatmapply.)
A) Householdmincomemofm$23,000mpermyear
B) Readingmlevelmofmamthirdmgrader
C) Medicationmineffectivemduemtomerrorminmprescription
D) OriginallymfrommSudan
E) Nomfamilyminmthemare
amAns:m A,mB,mD,mEmFeedba
ck:
Themsocialmconditionsminmwhichmpeoplemlive,mtheirmincome,msocialmstatus,meducation,mlit
eracy,mhomemandmworkmenvironment,msupportmnetworks,mgender,mculture,mandmavailabil
itymofmhealthmservicesmaremthemsocialmdeterminantsmofmhealth.mThesemconditionsmhaveman
mimpactmonmthemextentmtomwhichmampersonmormcommunitympossessesmthemphysical,msocial
,mandmpersonalmresourcesmnecessarymtomattainmandmmaintainmhealth.mAmmedicalmerrormonm
thempartmofmthemclient'smprimarymcaremprovidermormnursemwouldmnotmconstitutemamsocialm
determinantmofmthemclient'smhealth.
Pagem 1
, Origin:m Chapterm1-
3. A mnurse
mPublic successfully
Health
mm mpersuades
mNursing, m3 manmobesemclientmtomperformmamweeklymweigh-
inmatmhomemusingmamdigitalmscalemandmrecordmthemweightminmamlog.mThismstrategymismanme
xamplemof:
A) Telehealth
B) Healthminformationmtechnology
C) Personalmresponsibilitymformhealth
D) Evidence-
basedmnursingmAns:m C
Feedback:
Personalmresponsibilitymformhealthminvolvesmactivemparticipationminmone'smownmhealthmthr
oughmeducationmandmlifestylemchanges.mInmthismcase,mthemclientmmakesmampositivemchangem
inmlifestylembymmonitoringmbodymweightmweekly.mTelehealthmismthemusemofmelectronicminf
ormationmandmtelecommunicationsmtechnologiesmtomsupportmlong-
distancemclinicalmhealthcare,mclientmandmprofessionalmhealth-
relatedmeducation,mpublicmhealth,mandmhealthmadministration.mHealthminformationmtechno
logym(HIT)mismdefinedmasmthemcomprehensivemmanagementmofmhealthminformationmandmit
smexchangembetweenmconsumers,mproviders,mgovernment,mandminsurersminmamsecuremman
ner.mEvidence-
basedmnursingmismthemintegrationmofmthembestmevidencemavailablemwithmclinicalmexpertisema
ndmthemvaluesmofmthemclientmtomincreasemthemqualitymofmcare.
Origin:m Chapterm1-mPublicmHealthmNursing,m4
4. Amnursemperformsmamvarietymofmtasksmasmpartmofmthemnurse'smpositionmatmamhospital.mWh
ichmtaskmbestmexemplifiesmpublicmhealth?
A) Readingmcurrentmnursingmjournalsmandmintegratingmthemlatestmresearchmintomdai
lympractice
B) Instructingmamclientmonmhowmtombestmcaremformamsuturemsitematmhome
C) Participatingminmamvideoconferencemcallmwithmamclientmwhomlivesminmamremotemarea
D) Facilitatingmamcommunity-
widemsmokingmcessationmprogrammonemmonthmoutmofmthemyear
Ans:m D
Feedback:
Publicmhealthmismwhatmsocietymdoesmcollectivelymtomensuremthemconditionsmexistminmwhichm
peoplemcanmbemhealthy.mAmcommunity-
widemsmokingmcessationmprogrammismamgreatmexamplemofmampublicmhealthmintervention,min
mthatmitminvolvesmthemcollectivemeffortmofmsocietym
tomimprovemthemhealthmofmitsmmembers.m
Readingmandmapplyingmthemlatestmnursingmresearchmismanmexamplemofmevidence-
basedmnursing.mInstructingmamclientmonmhowmtombestmcaremformamsuturemsitematmhomemismanm
examplemofmpersonalmresponsibilitymformhealth,mbutmitmismnotmfocusedmonmthemhealthmofmthe
mgreatermcommunity.mParticipatingminmamvideoconferencemcallmwithmamclientmwhomlivesminm
amremotemareamismanmexamplemofmpatient-
centeredmcaremandmofmanmeffectivemimplementationmofmtechnology,mbutmitmismnotmparticular
lymrelatedmtompublicmhealth.
Pagem 2
, Origin:m Chapterm1-
5. Public
mPublic health
mmHealthmnursingmismdistinguished
mNursing, 5 mfrommothermspecialtiesmbymadherencemtomei
ghtmprinciples.mWhichmismonemofmthemeightmdomainsmofmpublicmhealthmnursingmpracti
ce?
A) Analyticmassessmentmskills
B) Investigationmofmdisease
C) Referralmandmfollow-up
D) Casemmanagemen
tmAns:m A
Feedback:
Themeightmdomainsmofmpublicmhealthmnursingmpracticemaremasmfollows:mAnalyticmassessme
ntmskills,mpolicymdevelopmentmandmprogrammplanningmskills,mcommunicationmskills,mcultu
ralmcompetencymskills,mcommunitymdimensionsmofmpracticemskills,mpublicmhealthmsciencem
skills,mfinancialmplanningmandmmanagementmskills,mandmleadershipmandmsystemsmthinkingms
kills.
Investigationmofmdisease,mreferralmandmfollow-
up,mandmcasemmanagementmaremallmpublicmhealthmnursingminterventionsmbutmaremnotmd
omainsmofmpublicmhealthmnursingmpractice.
Origin:m Chapterm1-mPublicmHealthmNursing,m6
6. Publicmhealthmnursingmismdistinguishedmfrommothermspecialtiesmbymadherencemtomei
ghtmprinciples.mWhichmismonemofmthemeightmdomainsmofmpublicmhealthmnursingmpracti
ce?
A) Policymdevelopmentmandmindividualmplanningmskills
B) Individualmdimensionsmofmpracticemskills
C) Financialmplanningmandmmanagementmskills
D) Leadershipmandmindividualmcriticalmthinkingmskill
smAns:m C
Feedback:
Themeightmdomainsmofmpublicmhealthmnursingmpracticemaremasmfollows:mAnalyticmassessme
ntmskills,mpolicymdevelopmentmandmprogrammplanningmskills,mcommunicationmskills,mcultu
ralmcompetencymskills,mcommunitymdimensionsmofmpracticemskills,mpublicmhealthmsciencem
skills,mfinancialmplanningmandmmanagementmskills,mandmleadershipmandmsystemsmthinkingms
kills.
Pagem 3
m m m m
Evidence for Practice 3rd Edition
m m m m
bymRosannamDeMarcom
, Origin:m Chapterm1-
1. A mnurse
mPublic mismstriving
mHealth mtompractice
mNursing, m1 mpatient-
centeredmcarematmamhospital.mWhichmactionmbestmexemplifiesmprovidingmpatient-
centeredmcare?
A) Havingmamclientmcompletemamself-
reportedmfunctionalmstatusmindicatormandmthenmreviewingmitmwithmthemclient
B) Explainingmtomamclientmthembenefitsmofmcomputer-
assistedmroboticmsurgicalmtechniques,mwhichmthemhospitalmrecentlymimple
mented
C) Recordingmamclient'smsignsmandmsymptomsminmanmelectronicmhealthmrecord
D) Performingmcontinuousmglucosemmonitoringmofmamclientmwhilemthemclientmisminmt
hemhospital
Ans:m A
Feedback:
Patient-
centeredmcaremconsidersmculturalmtraditions,mpersonalmpreferences,mvalues,mfamilies,mandm
lifestyles.mClientsmbecomemactivemparticipantsminmtheirmownmcare,mandmmonitoringmhealth
mbecomesmthemclient'smresponsibility.mTomhelpmclientsmandmtheirmhealthcaremprovidersmma
kembettermdecisions,mthemAgencymformHealthcaremResearchmandmQualitym(AHRQ)mhasmde
velopedmamseriesmofmtoolsmthatmempowermclientsmandmassistmprovidersminmachievingmdesire
dmoutcomes,mincludingmclient-reportedmfunctionalmstatusmindicators.mComputer-
assistedmroboticmsurgicalmtechniques,melectronicmhealthmrecords,mandmcontinuousmglucosem
monitoringminmthemhospitalmaremallmtechnologicalmadvancesminmhealthcare,mbutmtheymdomn
otmhelpmthemclientmbecomemammoremactivemparticipantminmhismormhermcare,mandmthusmaremnot
mgoodmexamplesmofmpatient-centeredmcare.
Origin:m Chapterm1-mPublicmHealthmNursing,m2
2. Amnursemismcaringmformanmoldermclientmwhomismstrugglingmtommanagemhermtypem2mdiabete
smmellitus.mThemnursemshouldmrecognizemwhichmsocialmdeterminantsmofmthismclient'smhe
alth?m(Selectmallmthatmapply.)
A) Householdmincomemofm$23,000mpermyear
B) Readingmlevelmofmamthirdmgrader
C) Medicationmineffectivemduemtomerrorminmprescription
D) OriginallymfrommSudan
E) Nomfamilyminmthemare
amAns:m A,mB,mD,mEmFeedba
ck:
Themsocialmconditionsminmwhichmpeoplemlive,mtheirmincome,msocialmstatus,meducation,mlit
eracy,mhomemandmworkmenvironment,msupportmnetworks,mgender,mculture,mandmavailabil
itymofmhealthmservicesmaremthemsocialmdeterminantsmofmhealth.mThesemconditionsmhaveman
mimpactmonmthemextentmtomwhichmampersonmormcommunitympossessesmthemphysical,msocial
,mandmpersonalmresourcesmnecessarymtomattainmandmmaintainmhealth.mAmmedicalmerrormonm
thempartmofmthemclient'smprimarymcaremprovidermormnursemwouldmnotmconstitutemamsocialm
determinantmofmthemclient'smhealth.
Pagem 1
, Origin:m Chapterm1-
3. A mnurse
mPublic successfully
Health
mm mpersuades
mNursing, m3 manmobesemclientmtomperformmamweeklymweigh-
inmatmhomemusingmamdigitalmscalemandmrecordmthemweightminmamlog.mThismstrategymismanme
xamplemof:
A) Telehealth
B) Healthminformationmtechnology
C) Personalmresponsibilitymformhealth
D) Evidence-
basedmnursingmAns:m C
Feedback:
Personalmresponsibilitymformhealthminvolvesmactivemparticipationminmone'smownmhealthmthr
oughmeducationmandmlifestylemchanges.mInmthismcase,mthemclientmmakesmampositivemchangem
inmlifestylembymmonitoringmbodymweightmweekly.mTelehealthmismthemusemofmelectronicminf
ormationmandmtelecommunicationsmtechnologiesmtomsupportmlong-
distancemclinicalmhealthcare,mclientmandmprofessionalmhealth-
relatedmeducation,mpublicmhealth,mandmhealthmadministration.mHealthminformationmtechno
logym(HIT)mismdefinedmasmthemcomprehensivemmanagementmofmhealthminformationmandmit
smexchangembetweenmconsumers,mproviders,mgovernment,mandminsurersminmamsecuremman
ner.mEvidence-
basedmnursingmismthemintegrationmofmthembestmevidencemavailablemwithmclinicalmexpertisema
ndmthemvaluesmofmthemclientmtomincreasemthemqualitymofmcare.
Origin:m Chapterm1-mPublicmHealthmNursing,m4
4. Amnursemperformsmamvarietymofmtasksmasmpartmofmthemnurse'smpositionmatmamhospital.mWh
ichmtaskmbestmexemplifiesmpublicmhealth?
A) Readingmcurrentmnursingmjournalsmandmintegratingmthemlatestmresearchmintomdai
lympractice
B) Instructingmamclientmonmhowmtombestmcaremformamsuturemsitematmhome
C) Participatingminmamvideoconferencemcallmwithmamclientmwhomlivesminmamremotemarea
D) Facilitatingmamcommunity-
widemsmokingmcessationmprogrammonemmonthmoutmofmthemyear
Ans:m D
Feedback:
Publicmhealthmismwhatmsocietymdoesmcollectivelymtomensuremthemconditionsmexistminmwhichm
peoplemcanmbemhealthy.mAmcommunity-
widemsmokingmcessationmprogrammismamgreatmexamplemofmampublicmhealthmintervention,min
mthatmitminvolvesmthemcollectivemeffortmofmsocietym
tomimprovemthemhealthmofmitsmmembers.m
Readingmandmapplyingmthemlatestmnursingmresearchmismanmexamplemofmevidence-
basedmnursing.mInstructingmamclientmonmhowmtombestmcaremformamsuturemsitematmhomemismanm
examplemofmpersonalmresponsibilitymformhealth,mbutmitmismnotmfocusedmonmthemhealthmofmthe
mgreatermcommunity.mParticipatingminmamvideoconferencemcallmwithmamclientmwhomlivesminm
amremotemareamismanmexamplemofmpatient-
centeredmcaremandmofmanmeffectivemimplementationmofmtechnology,mbutmitmismnotmparticular
lymrelatedmtompublicmhealth.
Pagem 2
, Origin:m Chapterm1-
5. Public
mPublic health
mmHealthmnursingmismdistinguished
mNursing, 5 mfrommothermspecialtiesmbymadherencemtomei
ghtmprinciples.mWhichmismonemofmthemeightmdomainsmofmpublicmhealthmnursingmpracti
ce?
A) Analyticmassessmentmskills
B) Investigationmofmdisease
C) Referralmandmfollow-up
D) Casemmanagemen
tmAns:m A
Feedback:
Themeightmdomainsmofmpublicmhealthmnursingmpracticemaremasmfollows:mAnalyticmassessme
ntmskills,mpolicymdevelopmentmandmprogrammplanningmskills,mcommunicationmskills,mcultu
ralmcompetencymskills,mcommunitymdimensionsmofmpracticemskills,mpublicmhealthmsciencem
skills,mfinancialmplanningmandmmanagementmskills,mandmleadershipmandmsystemsmthinkingms
kills.
Investigationmofmdisease,mreferralmandmfollow-
up,mandmcasemmanagementmaremallmpublicmhealthmnursingminterventionsmbutmaremnotmd
omainsmofmpublicmhealthmnursingmpractice.
Origin:m Chapterm1-mPublicmHealthmNursing,m6
6. Publicmhealthmnursingmismdistinguishedmfrommothermspecialtiesmbymadherencemtomei
ghtmprinciples.mWhichmismonemofmthemeightmdomainsmofmpublicmhealthmnursingmpracti
ce?
A) Policymdevelopmentmandmindividualmplanningmskills
B) Individualmdimensionsmofmpracticemskills
C) Financialmplanningmandmmanagementmskills
D) Leadershipmandmindividualmcriticalmthinkingmskill
smAns:m C
Feedback:
Themeightmdomainsmofmpublicmhealthmnursingmpracticemaremasmfollows:mAnalyticmassessme
ntmskills,mpolicymdevelopmentmandmprogrammplanningmskills,mcommunicationmskills,mcultu
ralmcompetencymskills,mcommunitymdimensionsmofmpracticemskills,mpublicmhealthmsciencem
skills,mfinancialmplanningmandmmanagementmskills,mandmleadershipmandmsystemsmthinkingms
kills.
Pagem 3
