TEST BANK - Community and Public Health Nursing:
Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
52 52
,Chapter 1: Public Health Nursing
52 52 52 52
1. A52nurse52is52striving52to52practice52patient-
centered52care52at52a52hospital.52Which52action52best52exemplifies52providing52patie
nt-centered52care?
A) Having52a52client52complete52a52self-
reported52functional52status52indicator52and52then52reviewing52it52 with52the52
client
B) Explaining52to52a52client52the52benefits52of52computer-
assisted52robotic52surgical52techniques,52which52the52hospital52recently52
implemented
C) Recording52a52client's52signs52and52symptoms52in52an52electronic52health52record
D) Performing52continuous52glucose52monitoring52of52a52client52while52the52clien
t52is52in52the52hospital
ANSWER:52 A
Feedback:
Patient-
centered52care52considers52cultural52traditions,52personal52preferences,52values,52familie
s,52and52lifestyles.52Clients52become52active52participants52in52their52own52care,52and52
monitoring52health52becomes52the52client's52responsibility.52To52help52clients52and52thei
r52healthcare52providers52make52better52decisions,52the52Agency52for52Healthcare52Rese
arch52and52Quality52(AHRQ)52has52developed52a52series52of52tools52that52empower52cli
ents52and52assist52providers52in52achieving52desired52outcomes,52including52client-
reported52functional52status52indicators.52Computer-
assisted52robotic52surgical52techniques,52electronic52health52records,52and52continuous52gl
ucose52monitoring52in52the52hospital52are52all52technological52advances52in52healthcare,
52but52they52do52not52help52the52client52become52a52more52active52participant52in52his52o
r52her52care,52and52thus52are52not52good52examples52of52patient-centered52care.
Origin:5 2 Chapter521-52Public52Health52Nursing,522
2. A52nurse52is52caring52for52an52older52client52who52is52struggling52to52manage52her52ty
, pe52252diabetes52mellitus.52The52nurse52should52recognize52which52social52determinan
ts52of52this52client's52health?52(Select52 all52that52 apply.)
A) Household52income52of52$23,00052per52year
B) Reading52level52of52a52third52grader
C) Medication52ineffective52due52to52error52in52prescription
D) Originally52from52Sudan
E) No52family52in52the52
area52ANSWER:5 2 A,52B,52
D,52E52Feedback:
The52social52conditions52in52which52people52live,52their52income,52social52status,52educ
ation,52literacy,52 home52and52work52environment,52support52networks,52gender,52cultur
e,52and52availability52of52health52services52are52the52social52determinants52of52health.52
These52conditions52have52an52impact52on52the52extent52to52which52a52person52or52comm
unity52possesses52the52physical,52social,52and52personal52resources52necessary52to52attai
n52and52maintain52health.52A52medical52error52on52the52part52of52the52client's52primary52c
are52provider52or52nurse52would52not52constitute52a52social52determinant52of52the52client
's52health.
Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
52 52
,Chapter 1: Public Health Nursing
52 52 52 52
1. A52nurse52is52striving52to52practice52patient-
centered52care52at52a52hospital.52Which52action52best52exemplifies52providing52patie
nt-centered52care?
A) Having52a52client52complete52a52self-
reported52functional52status52indicator52and52then52reviewing52it52 with52the52
client
B) Explaining52to52a52client52the52benefits52of52computer-
assisted52robotic52surgical52techniques,52which52the52hospital52recently52
implemented
C) Recording52a52client's52signs52and52symptoms52in52an52electronic52health52record
D) Performing52continuous52glucose52monitoring52of52a52client52while52the52clien
t52is52in52the52hospital
ANSWER:52 A
Feedback:
Patient-
centered52care52considers52cultural52traditions,52personal52preferences,52values,52familie
s,52and52lifestyles.52Clients52become52active52participants52in52their52own52care,52and52
monitoring52health52becomes52the52client's52responsibility.52To52help52clients52and52thei
r52healthcare52providers52make52better52decisions,52the52Agency52for52Healthcare52Rese
arch52and52Quality52(AHRQ)52has52developed52a52series52of52tools52that52empower52cli
ents52and52assist52providers52in52achieving52desired52outcomes,52including52client-
reported52functional52status52indicators.52Computer-
assisted52robotic52surgical52techniques,52electronic52health52records,52and52continuous52gl
ucose52monitoring52in52the52hospital52are52all52technological52advances52in52healthcare,
52but52they52do52not52help52the52client52become52a52more52active52participant52in52his52o
r52her52care,52and52thus52are52not52good52examples52of52patient-centered52care.
Origin:5 2 Chapter521-52Public52Health52Nursing,522
2. A52nurse52is52caring52for52an52older52client52who52is52struggling52to52manage52her52ty
, pe52252diabetes52mellitus.52The52nurse52should52recognize52which52social52determinan
ts52of52this52client's52health?52(Select52 all52that52 apply.)
A) Household52income52of52$23,00052per52year
B) Reading52level52of52a52third52grader
C) Medication52ineffective52due52to52error52in52prescription
D) Originally52from52Sudan
E) No52family52in52the52
area52ANSWER:5 2 A,52B,52
D,52E52Feedback:
The52social52conditions52in52which52people52live,52their52income,52social52status,52educ
ation,52literacy,52 home52and52work52environment,52support52networks,52gender,52cultur
e,52and52availability52of52health52services52are52the52social52determinants52of52health.52
These52conditions52have52an52impact52on52the52extent52to52which52a52person52or52comm
unity52possesses52the52physical,52social,52and52personal52resources52necessary52to52attai
n52and52maintain52health.52A52medical52error52on52the52part52of52the52client's52primary52c
are52provider52or52nurse52would52not52constitute52a52social52determinant52of52the52client
's52health.
