TEST BANK - Community and Public Health Nursing: Evidence for Practice, 3rd Edition (DeMarco), Chapters 1 - 25 | All Chapters

TABLE OF CONTENTS Chapter 1: Public Health Nursing 1. A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care? A) Having a client complete a self-reported functional status indicator and then reviewing it with the client B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which the hospital recently implemented C) Recording a client's signs and symptoms in an electronic health record D) Performing continuous glucose monitoring of a client while the client is in the hospital ANSWER: A Feedback: Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles. Clients become active participants in their own care, and monitoring health becomes the client's responsibility. To help clients and their healthcare providers make better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that empower clients and assist providers in achieving desired outcomes, including client-reported functional status indicators. Computer-assisted robotic surgical techniques, electronic health records, and continuous glucose monitoring in the hospital are all technological advances in healthcare, but they do not help the client become a more active participant in his or her care, and thus are not good examples of patient-centered care. Origin: Chapter 1- Public Health Nursing, 2 2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.) A) Household income of $23,000 per year B) Reading level of a third grader C) Medication ineffective due to error in prescription D) Originally from Sudan E) No family in the area ANSWER: A, B, D, E Feedback: The social conditions in which people live, their income, social status, education, literacy, home and work environment, support networks, gender, culture, and availability of health services are the social determinants of health. These conditions have an impact on the extent to which a person or community possesses the physical, social, and personal resources necessary to attain and maintain health. A medical error on the part of the client's primary care provider or nurse would not constitute a social determinant of the client's health. Page 3 3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home using a digital scale and record the weight in a log. This strategy is an example of: A) Telehealth B) Health information technology C) Personal responsibility for health D) Evidence-based nursing ANSWER: C Feedback: Personal responsibility for health involves active participation in one's own health through education and lifestyle changes. In this case, the client makes a positive change in lifestyle by monitoring body weight weekly. Telehealth is the use of electronic information and telecommunications technologies to support long-distance clinical healthcare, client and professional health-related education, public health, and health administration. Health information technology (HIT) is defined as the comprehensive management of health information and its exchange between consumers, providers, government, and insurers in a secure manner. Evidence-based nursing is the integration of the best evidence available with clinical expertise and the values of the client to increase the quality of care. Origin: Chapter 1- Public Health Nursing, 4 4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies public health? A) Reading current nursing journals and integrating the latest research into daily practice B) Instructing a client on how to best care for a suture site at home C) Participating in a videoconference call with a client who lives in a remote area D) Facilitating a community-wide smoking cessation program one month out of the year ANSWER: D Feedback: Public health is what society does collectively to ensure the conditions exist in which Page 3 people can be healthy. A community-wide smoking cessation program is a great example of a public health intervention, in that it involves the collective effort of society to improve the health of its members. Reading and applying the latest nursing research is an example of evidence-based nursing. Instructing a client on how to best care for a suture site at home is an example of personal responsibility for health, but it is not focused on the health of the greater community. Participating in a videoconference call with a client who lives in a remote area is an example of patient-centered care and of an effective implementation of technology, but it is not particularly related to public health.