TEST BANK - Community and Public Health Nursing:
Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
70 70
,Chapter 1: Public Health Nursing
70 70 70 70
1. A70nurse70is70striving70to70practice70patient-
centered70care70at70a70hospital.70Which70action70best70exemplifies70providing70patie
nt-centered70care?
A) Having70a70client70complete70a70self-
reported70functional70status70indicator70and70then70reviewing70it70 with70the70
client
B) Explaining70to70a70client70the70benefits70of70computer-
assisted70robotic70surgical70techniques,70which70the70hospital70recently70
implemented
C) Recording70a70client's70signs70and70symptoms70in70an70electronic70health70record
D) Performing70continuous70glucose70monitoring70of70a70client70while70the70clien
t70is70in70the70hospital
ANSWER:70 A
Feedback:
Patient-
centered70care70considers70cultural70traditions,70personal70preferences,70values,70familie
s,70and70lifestyles.70Clients70become70active70participants70in70their70own70care,70and70
monitoring70health70becomes70the70client's70responsibility.70To70help70clients70and70thei
r70healthcare70providers70make70better70decisions,70the70Agency70for70Healthcare70Rese
arch70and70Quality70(AHRQ)70has70developed70a70series70of70tools70that70empower70cli
ents70and70assist70providers70in70achieving70desired70outcomes,70including70client-
reported70functional70status70indicators.70Computer-
assisted70robotic70surgical70techniques,70electronic70health70records,70and70continuous70gl
ucose70monitoring70in70the70hospital70are70all70technological70advances70in70healthcare,
70but70they70do70not70help70the70client70become70a70more70active70participant70in70his70o
r70her70care,70and70thus70are70not70good70examples70of70patient-centered70care.
Origin:7 0 Chapter701-70Public70Health70Nursing,702
2. A70nurse70is70caring70for70an70older70client70who70is70struggling70to70manage70her70ty
, pe70270diabetes70mellitus.70The70nurse70should70recognize70which70social70determinan
ts70of70this70client's70health?70(Select70 all70that70 apply.)
A) Household70income70of70$23,00070per70year
B) Reading70level70of70a70third70grader
C) Medication70ineffective70due70to70error70in70prescription
D) Originally70from70Sudan
E) No70family70in70the70
area70ANSWER:7 0 A,70B,70
D,70E70Feedback:
The70social70conditions70in70which70people70live,70their70income,70social70status,70educ
ation,70literacy,70 home70and70work70environment,70support70networks,70gender,70cultur
e,70and70availability70of70health70services70are70the70social70determinants70of70health.70
These70conditions70have70an70impact70on70the70extent70to70which70a70person70or70comm
unity70possesses70the70physical,70social,70and70personal70resources70necessary70to70attai
n70and70maintain70health.70A70medical70error70on70the70part70of70the70client's70primary70c
are70provider70or70nurse70would70not70constitute70a70social70determinant70of70the70client
's70health.
Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
70 70
,Chapter 1: Public Health Nursing
70 70 70 70
1. A70nurse70is70striving70to70practice70patient-
centered70care70at70a70hospital.70Which70action70best70exemplifies70providing70patie
nt-centered70care?
A) Having70a70client70complete70a70self-
reported70functional70status70indicator70and70then70reviewing70it70 with70the70
client
B) Explaining70to70a70client70the70benefits70of70computer-
assisted70robotic70surgical70techniques,70which70the70hospital70recently70
implemented
C) Recording70a70client's70signs70and70symptoms70in70an70electronic70health70record
D) Performing70continuous70glucose70monitoring70of70a70client70while70the70clien
t70is70in70the70hospital
ANSWER:70 A
Feedback:
Patient-
centered70care70considers70cultural70traditions,70personal70preferences,70values,70familie
s,70and70lifestyles.70Clients70become70active70participants70in70their70own70care,70and70
monitoring70health70becomes70the70client's70responsibility.70To70help70clients70and70thei
r70healthcare70providers70make70better70decisions,70the70Agency70for70Healthcare70Rese
arch70and70Quality70(AHRQ)70has70developed70a70series70of70tools70that70empower70cli
ents70and70assist70providers70in70achieving70desired70outcomes,70including70client-
reported70functional70status70indicators.70Computer-
assisted70robotic70surgical70techniques,70electronic70health70records,70and70continuous70gl
ucose70monitoring70in70the70hospital70are70all70technological70advances70in70healthcare,
70but70they70do70not70help70the70client70become70a70more70active70participant70in70his70o
r70her70care,70and70thus70are70not70good70examples70of70patient-centered70care.
Origin:7 0 Chapter701-70Public70Health70Nursing,702
2. A70nurse70is70caring70for70an70older70client70who70is70struggling70to70manage70her70ty
, pe70270diabetes70mellitus.70The70nurse70should70recognize70which70social70determinan
ts70of70this70client's70health?70(Select70 all70that70 apply.)
A) Household70income70of70$23,00070per70year
B) Reading70level70of70a70third70grader
C) Medication70ineffective70due70to70error70in70prescription
D) Originally70from70Sudan
E) No70family70in70the70
area70ANSWER:7 0 A,70B,70
D,70E70Feedback:
The70social70conditions70in70which70people70live,70their70income,70social70status,70educ
ation,70literacy,70 home70and70work70environment,70support70networks,70gender,70cultur
e,70and70availability70of70health70services70are70the70social70determinants70of70health.70
These70conditions70have70an70impact70on70the70extent70to70which70a70person70or70comm
unity70possesses70the70physical,70social,70and70personal70resources70necessary70to70attai
n70and70maintain70health.70A70medical70error70on70the70part70of70the70client's70primary70c
are70provider70or70nurse70would70not70constitute70a70social70determinant70of70the70client
's70health.
