,
, Test Bank for Community & Public Health Nursing: Evidence
for Practice 3rd Edition, Demarco, Walsh
Chapter 1: Public Health Nursing
1. Ajnursejisjstrivingjtojpracticejpatient-
centeredjcarejatjajhospital.jWhichjactionjbestjexemplifiesjprovidingjpatient-
centeredjcare?
A) Havingjajclientjcompletejajself-
reportedjfunctionaljstatusjindicatorjandjthenjreviewingjitjwithjthejclient
B) Explainingjtojajclientjthejbenefitsjofjcomputer-
assistedjroboticjsurgicaljtechniques,jwhichjthejhospitaljrecentlyjimpleme
nted
C) Recordingjajclient'sjsignsjandjsymptomsjinjanjelectronicjhealthjrecord
D) Performingjcontinuousjglucosejmonitoringjofjajclientjwhilejthejclientjisjinjthejhos
pital
Ans:j A
Feedback:
Patient-
centeredjcarejconsidersjculturaljtraditions,jpersonaljpreferences,jvalues,jfamilies,jandjlifest
yles.jClientsjbecomejactivejparticipantsjinjtheirjownjcare,jandjmonitoringjhealthjbecomesjt
hejclient'sjresponsibility.jTojhelpjclientsjandjtheirjhealthcarejprovidersjmakejbetterjdecisio
ns,jthejAgencyjforjHealthcarejResearchjandjQualityj(AHRQ)jhasjdevelopedjajseriesjofjtools
jthatjempowerjclientsjandjassistjprovidersjinjachievingjdesiredjoutcomes,jincludingjclient-
reportedjfunctionaljstatusjindicators.jComputer-
assistedjroboticjsurgicaljtechniques,jelectronicjhealthjrecords,jandjcontinuousjglucosejmoni
toringjinjthejhospitaljarejalljtechnologicaljadvancesjinjhealthcare,jbutjtheyjdojnotjhelpjthejcli
entjbecomejajmorejactivejparticipantjinjhisjorjherjcare,jandjthusjarejnotjgoodjexamplesjofjpati
ent-centeredjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j2
2. Ajnursejisjcaringjforjanjolderjclientjwhojisjstrugglingjtojmanagejherjtypej2jdiabetesjmellitu
s.jThejnursejshouldjrecognizejwhichjsocialjdeterminantsjofjthisjclient'sjhealth?j(Selectjalljt
hatjapply.)
A) Householdjincomejofj$23,000jperjyear
B) Readingjleveljofjajthirdjgrader
C) Medicationjineffectivejduejtojerrorjinjprescription
D) OriginallyjfromjSudan
E) Nojfamilyjinjthejareaj
Ans:j A,jB,jD,jE
Feedback:
Thejsocialjconditionsjinjwhichjpeoplejlive,jtheirjincome,jsocialjstatus,jeducation,jliteracy,jh
omejandjworkjenvironment,jsupportjnetworks,jgender,jculture,jandjavailabilityjofjhealthjser
vicesjarejthejsocialjdeterminantsjofjhealth.jThesejconditionsjhavejanjimpactjonjthejextentjtoj
whichjajpersonjorjcommunityjpossessesjthejphysical,jsocial,jandjpersonaljresourcesjnecessa
ryjtojattainjandjmaintainjhealth.jAjmedicaljerrorjonjthejpartjofjthejclient'sjprimaryjcarejprovid
erjorjnursejwouldjnotjconstitutejajsocialjdeterminantjofjthejclient'sjhealth.
, 3. Ajnursejsuccessfullyjpersuadesjanjobesejclientjtojperformjajweeklyjweigh-
injatjhomejusingjajdigitaljscalejandjrecordjthejweightjinjajlog.jThisjstrategyjisjanjexamplej
of:
A) Telehealth
B) Healthjinformationjtechnology
C) Personaljresponsibilityjforjhealth
D) Evidence-
basedjnursingjAns:jC
Feedback:
Personaljresponsibilityjforjhealthjinvolvesjactivejparticipationjinjone'sjownjhealthjthroughje
ducationjandjlifestylejchanges.jInjthisjcase,jthejclientjmakesjajpositivejchangejinjlifestylejbyj
monitoringjbodyjweightjweekly.jTelehealthjisjthejusejofjelectronicjinformationjandjteleco
mmunicationsjtechnologiesjtojsupportjlong-
distancejclinicaljhealthcare,jclientjandjprofessionaljhealth-
relatedjeducation,jpublicjhealth,jandjhealthjadministration.jHealthjinformationjtechnologyj
(HIT)jisjdefinedjasjthejcomprehensivejmanagementjofjhealthjinformationjandjitsjexchangej
betweenjconsumers,jproviders,jgovernment,jandjinsurersjinjajsecurejmanner.jEvidence-
basedjnursingjisjthejintegrationjofjthejbestjevidencejavailablejwithjclinicaljexpertisejandjthej
valuesjofjthejclientjtojincreasejthejqualityjofjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j4
4. Ajnursejperformsjajvarietyjofjtasksjasjpartjofjthejnurse'sjpositionjatjajhospital.jWhichjtaskjb
estjexemplifiesjpublicjhealth?
A) Readingjcurrentjnursingjjournalsjandjintegratingjthejlatestjresearchjintojdailyjpra
ctice
B) Instructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhome
C) Participatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejarea
D) Facilitatingjajcommunity-
widejsmokingjcessationjprogramjonejmonthjoutjofjthejyear
Ans:j D
Feedback:
Publicjhealthjisjwhatjsocietyjdoesjcollectivelyjtojensurejthejconditionsjexistjinjwhichjpeoplej
canjbejhealthy.jAjcommunity-
widejsmokingjcessationjprogramjisjajgreatjexamplejofjajpublicjhealthjintervention,jinjthatjitji
nvolvesjthejcollectivejeffortjofjsocietyjtojimprovejthejhealthjofjitsjmembers.jReadingjandjap
plyingjthejlatestjnursingjresearchjisjanjexamplejofjevidence-
basedjnursing.jInstructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhomejisjanjexamplej
ofjpersonaljresponsibilityjforjhealth,jbutjitjisjnotjfocusedjonjthejhealthjofjthejgreaterjcommun
ity.jParticipatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejareajisjanjexam
plejofjpatient-
centeredjcarejandjofjanjeffectivejimplementationjofjtechnology,jbutjitjisjnotjparticularlyjrelat
edjtojpublicjhealth.
Pagej 3
, Test Bank for Community & Public Health Nursing: Evidence
for Practice 3rd Edition, Demarco, Walsh
Chapter 1: Public Health Nursing
1. Ajnursejisjstrivingjtojpracticejpatient-
centeredjcarejatjajhospital.jWhichjactionjbestjexemplifiesjprovidingjpatient-
centeredjcare?
A) Havingjajclientjcompletejajself-
reportedjfunctionaljstatusjindicatorjandjthenjreviewingjitjwithjthejclient
B) Explainingjtojajclientjthejbenefitsjofjcomputer-
assistedjroboticjsurgicaljtechniques,jwhichjthejhospitaljrecentlyjimpleme
nted
C) Recordingjajclient'sjsignsjandjsymptomsjinjanjelectronicjhealthjrecord
D) Performingjcontinuousjglucosejmonitoringjofjajclientjwhilejthejclientjisjinjthejhos
pital
Ans:j A
Feedback:
Patient-
centeredjcarejconsidersjculturaljtraditions,jpersonaljpreferences,jvalues,jfamilies,jandjlifest
yles.jClientsjbecomejactivejparticipantsjinjtheirjownjcare,jandjmonitoringjhealthjbecomesjt
hejclient'sjresponsibility.jTojhelpjclientsjandjtheirjhealthcarejprovidersjmakejbetterjdecisio
ns,jthejAgencyjforjHealthcarejResearchjandjQualityj(AHRQ)jhasjdevelopedjajseriesjofjtools
jthatjempowerjclientsjandjassistjprovidersjinjachievingjdesiredjoutcomes,jincludingjclient-
reportedjfunctionaljstatusjindicators.jComputer-
assistedjroboticjsurgicaljtechniques,jelectronicjhealthjrecords,jandjcontinuousjglucosejmoni
toringjinjthejhospitaljarejalljtechnologicaljadvancesjinjhealthcare,jbutjtheyjdojnotjhelpjthejcli
entjbecomejajmorejactivejparticipantjinjhisjorjherjcare,jandjthusjarejnotjgoodjexamplesjofjpati
ent-centeredjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j2
2. Ajnursejisjcaringjforjanjolderjclientjwhojisjstrugglingjtojmanagejherjtypej2jdiabetesjmellitu
s.jThejnursejshouldjrecognizejwhichjsocialjdeterminantsjofjthisjclient'sjhealth?j(Selectjalljt
hatjapply.)
A) Householdjincomejofj$23,000jperjyear
B) Readingjleveljofjajthirdjgrader
C) Medicationjineffectivejduejtojerrorjinjprescription
D) OriginallyjfromjSudan
E) Nojfamilyjinjthejareaj
Ans:j A,jB,jD,jE
Feedback:
Thejsocialjconditionsjinjwhichjpeoplejlive,jtheirjincome,jsocialjstatus,jeducation,jliteracy,jh
omejandjworkjenvironment,jsupportjnetworks,jgender,jculture,jandjavailabilityjofjhealthjser
vicesjarejthejsocialjdeterminantsjofjhealth.jThesejconditionsjhavejanjimpactjonjthejextentjtoj
whichjajpersonjorjcommunityjpossessesjthejphysical,jsocial,jandjpersonaljresourcesjnecessa
ryjtojattainjandjmaintainjhealth.jAjmedicaljerrorjonjthejpartjofjthejclient'sjprimaryjcarejprovid
erjorjnursejwouldjnotjconstitutejajsocialjdeterminantjofjthejclient'sjhealth.
, 3. Ajnursejsuccessfullyjpersuadesjanjobesejclientjtojperformjajweeklyjweigh-
injatjhomejusingjajdigitaljscalejandjrecordjthejweightjinjajlog.jThisjstrategyjisjanjexamplej
of:
A) Telehealth
B) Healthjinformationjtechnology
C) Personaljresponsibilityjforjhealth
D) Evidence-
basedjnursingjAns:jC
Feedback:
Personaljresponsibilityjforjhealthjinvolvesjactivejparticipationjinjone'sjownjhealthjthroughje
ducationjandjlifestylejchanges.jInjthisjcase,jthejclientjmakesjajpositivejchangejinjlifestylejbyj
monitoringjbodyjweightjweekly.jTelehealthjisjthejusejofjelectronicjinformationjandjteleco
mmunicationsjtechnologiesjtojsupportjlong-
distancejclinicaljhealthcare,jclientjandjprofessionaljhealth-
relatedjeducation,jpublicjhealth,jandjhealthjadministration.jHealthjinformationjtechnologyj
(HIT)jisjdefinedjasjthejcomprehensivejmanagementjofjhealthjinformationjandjitsjexchangej
betweenjconsumers,jproviders,jgovernment,jandjinsurersjinjajsecurejmanner.jEvidence-
basedjnursingjisjthejintegrationjofjthejbestjevidencejavailablejwithjclinicaljexpertisejandjthej
valuesjofjthejclientjtojincreasejthejqualityjofjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j4
4. Ajnursejperformsjajvarietyjofjtasksjasjpartjofjthejnurse'sjpositionjatjajhospital.jWhichjtaskjb
estjexemplifiesjpublicjhealth?
A) Readingjcurrentjnursingjjournalsjandjintegratingjthejlatestjresearchjintojdailyjpra
ctice
B) Instructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhome
C) Participatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejarea
D) Facilitatingjajcommunity-
widejsmokingjcessationjprogramjonejmonthjoutjofjthejyear
Ans:j D
Feedback:
Publicjhealthjisjwhatjsocietyjdoesjcollectivelyjtojensurejthejconditionsjexistjinjwhichjpeoplej
canjbejhealthy.jAjcommunity-
widejsmokingjcessationjprogramjisjajgreatjexamplejofjajpublicjhealthjintervention,jinjthatjitji
nvolvesjthejcollectivejeffortjofjsocietyjtojimprovejthejhealthjofjitsjmembers.jReadingjandjap
plyingjthejlatestjnursingjresearchjisjanjexamplejofjevidence-
basedjnursing.jInstructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhomejisjanjexamplej
ofjpersonaljresponsibilityjforjhealth,jbutjitjisjnotjfocusedjonjthejhealthjofjthejgreaterjcommun
ity.jParticipatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejareajisjanjexam
plejofjpatient-
centeredjcarejandjofjanjeffectivejimplementationjofjtechnology,jbutjitjisjnotjparticularlyjrelat
edjtojpublicjhealth.
Pagej 3
