Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing CQ CQ CQ CQ
1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care? CQ
A) Having a client complete a self- CQ CQ CQ CQ CQ
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- CQ CQ CQ CQ CQ CQ CQ
assisted robotic surgicaltechniques, which the hospital recently implement
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ed
C) Recording a client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a client while the client is in thehos
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pital
ANS: A CQ
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifesty
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les. Clients become active participants in their own care, and monitoring health becomes th
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e client's responsibility. To help clients and their healthcare providers make better decisions
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, the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools t
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hat empower clients and assist providers in achieving desired outcomes, including client-
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reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose monit
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oring in the hospital are all technological advances in healthcare, but they do not help the cl
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ient become a more active participant in his or hercare, and thus are not good examples of
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patient-centered care. CQ
Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellit
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us. The nurse should recognize which social determinants of this client's health?(Select all
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, that apply.)
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A) Household income of $23,000 per year CQ CQ CQ CQ CQ
B) Reading level of a third grader CQ CQ CQ CQ CQ
C) Medication ineffective due to error in prescription CQ CQ CQ CQ CQ CQ
D) Originally from Sudan CQ CQ
E) No family in the area
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ANS: A, B, D, E Feedba C Q CQ CQ CQ CQ
ck:
The social conditions in which people live, their income, social status, education, literacy, h
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ome and work environment, support networks, gender, culture, and availability of health se
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rvices are the social determinants of health. These conditions have an impact on the extent
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to which a person or community possesses the physical, social, and personal resources nece
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ssary to attain and maintain health. A medical erroron the part of the client's primary care p
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rovider or nurse would not constitute a social determinant of the client's health.
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3. A nurse successfully persuades an obese client to perform a weekly weigh-
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in at homeusing a digital scale and record the weight in a log. This strategy is an example
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of:
A) Telehealth
B) Health information technology CQ CQ
C) Personal responsibility for health CQ CQ CQ
D) Evidence-
based nursingANS: C CQ Q
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Feedback:
Personal responsibility for health involves active participation in one's own health through
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education and lifestyle changes. In this case, the client makes a positive changein lifestyle b
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y monitoring body weight weekly. Telehealth is the use of electronic information and telec
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ommunications technologies to support long- CQ CQ CQ CQ
distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information technology
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(HIT) is defined as the comprehensive management of health information and its exchange
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CQ between consumers, providers, government, and insurers in a secure manner. Evidence-
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based nursing is the integrationof the best evidence available with clinical expertise and the
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