TEST BANK
Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
70 70
,Chapter 1: Public Health Nursing
70 70 70 70
1. A70nurse70is70striving70to70practice70patient-
centered70care70at70a70hospital.70Which70action70best70exemplifies70providing70patient
-centered70care?
A) Having70a70client70complete70a70self-
reported70functional70status70indicator70and70then70reviewing70it70 with70the70cli
ent
B) Explaining70to70a70client70the70benefits70of70computer-
assisted70robotic70surgical70techniques,70which70the70hospital70recently70i
mplemented
C) Recording70a70client's70signs70and70symptoms70in70an70electronic70health70record
D) Performing70continuous70glucose70monitoring70of70a70client70while70the70client7
0is70in70the70hospital
ANSWER:70 A
Feedback:
Patient-
centered70care70considers70cultural70traditions,70personal70preferences,70values,70families,
70and70lifestyles.70Clients70become70active70participants70in70their70own70care,70and70moni
toring70health70becomes70the70client's70responsibility.70To70help70clients70and70their70heal
thcare70providers70make70better70decisions,70the70Agency70for70Healthcare70Research70a
nd70Quality70(AHRQ)70has70developed70a70series70of70tools70that70empower70clients70an
d70assist70providers70in70achieving70desired70outcomes,70including70client-
reported70functional70status70indicators.70Computer-
assisted70robotic70surgical70techniques,70electronic70health70records,70and70continuous70gluc
ose70monitoring70in70the70hospital70are70all70technological70advances70in70healthcare,70bu
t70they70do70not70help70the70client70become70a70more70active70participant70in70his70or70he
r70care,70and70thus70are70not70good70examples70of70patient-centered70care.
Origin:7 0 Chapter701-70Public70Health70Nursing,702
2. A70nurse70is70caring70for70an70older70client70who70is70struggling70to70manage70her70type
, 70270diabetes70mellitus.70The70nurse70should70recognize70which70social70determinants70
of70this70client's70health?70(Select70 all70that70apply.)
A) Household70income70of70$23,00070per70year
B) Reading70level70of70a70third70grader
C) Medication70ineffective70due70to70error70in70prescription
D) Originally70from70Sudan
E) No70family70in70the70
area70ANSWER:7 0 A,70B,70
D,70E70Feedback:
The70social70conditions70in70which70people70live,70their70income,70social70status,70educati
on,70literacy,70 home70and70work70environment,70support70networks,70gender,70culture,70a
nd70availability70of70health70services70are70the70social70determinants70of70health.70These70
conditions70have70an70impact70on70the70extent70to70which70a70person70or70community70p
ossesses70the70physical,70social,70and70personal70resources70necessary70to70attain70and70m
aintain70health.70A70medical70error70on70the70part70of70the70client's70primary70care70provid
er70or70nurse70would70not70constitute70a70social70determinant70of70the70client's70health.
Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
70 70
,Chapter 1: Public Health Nursing
70 70 70 70
1. A70nurse70is70striving70to70practice70patient-
centered70care70at70a70hospital.70Which70action70best70exemplifies70providing70patient
-centered70care?
A) Having70a70client70complete70a70self-
reported70functional70status70indicator70and70then70reviewing70it70 with70the70cli
ent
B) Explaining70to70a70client70the70benefits70of70computer-
assisted70robotic70surgical70techniques,70which70the70hospital70recently70i
mplemented
C) Recording70a70client's70signs70and70symptoms70in70an70electronic70health70record
D) Performing70continuous70glucose70monitoring70of70a70client70while70the70client7
0is70in70the70hospital
ANSWER:70 A
Feedback:
Patient-
centered70care70considers70cultural70traditions,70personal70preferences,70values,70families,
70and70lifestyles.70Clients70become70active70participants70in70their70own70care,70and70moni
toring70health70becomes70the70client's70responsibility.70To70help70clients70and70their70heal
thcare70providers70make70better70decisions,70the70Agency70for70Healthcare70Research70a
nd70Quality70(AHRQ)70has70developed70a70series70of70tools70that70empower70clients70an
d70assist70providers70in70achieving70desired70outcomes,70including70client-
reported70functional70status70indicators.70Computer-
assisted70robotic70surgical70techniques,70electronic70health70records,70and70continuous70gluc
ose70monitoring70in70the70hospital70are70all70technological70advances70in70healthcare,70bu
t70they70do70not70help70the70client70become70a70more70active70participant70in70his70or70he
r70care,70and70thus70are70not70good70examples70of70patient-centered70care.
Origin:7 0 Chapter701-70Public70Health70Nursing,702
2. A70nurse70is70caring70for70an70older70client70who70is70struggling70to70manage70her70type
, 70270diabetes70mellitus.70The70nurse70should70recognize70which70social70determinants70
of70this70client's70health?70(Select70 all70that70apply.)
A) Household70income70of70$23,00070per70year
B) Reading70level70of70a70third70grader
C) Medication70ineffective70due70to70error70in70prescription
D) Originally70from70Sudan
E) No70family70in70the70
area70ANSWER:7 0 A,70B,70
D,70E70Feedback:
The70social70conditions70in70which70people70live,70their70income,70social70status,70educati
on,70literacy,70 home70and70work70environment,70support70networks,70gender,70culture,70a
nd70availability70of70health70services70are70the70social70determinants70of70health.70These70
conditions70have70an70impact70on70the70extent70to70which70a70person70or70community70p
ossesses70the70physical,70social,70and70personal70resources70necessary70to70attain70and70m
aintain70health.70A70medical70error70on70the70part70of70the70client's70primary70care70provid
er70or70nurse70would70not70constitute70a70social70determinant70of70the70client's70health.
