TEST BANK - Community and Public Health Nursing: Evidence for Practice 4th Edition by DeMarco & Walsh, All 25 Chapters Covered, |Complete Solution Guide |Grade A+.

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, Chapter 1- Public Health Nursing dw dw dw dw




1. A nurse is striving to practice patient-centered care at a hospital. Which action
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bestexemplifies providing patient-centered care? dw dw dw



A) Having a client complete a self-reported functional status indicator and
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then reviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic dw dw dw dw dw dw dw dw



surgical techniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record dw dw dw dw dw dw dw dw dw dw



D) Performing continuous glucose monitoring of a client while the client is in dw dw dw dw dw dw dw dw dw dw dw



the hospital dw dw



Ans: A dw



Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
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families, and lifestyles. Clients become active participants in their own care, and
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monitoring health becomes the client's responsibility. To help clients and their
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healthcare providers make better decisions, the Agency for Healthcare Research
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and Quality (AHRQ) has developed a series of tools that empower clients and
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assist providers in achieving desired outcomes, including client-reported functional
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status indicators. Computer-assisted robotic surgical techniques, electronic health
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records, and continuous glucose monitoring in the hospital are all technological
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advances in healthcare, but they do not help the client become a more active
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participant in his or her care, and thus are not good examples of patient-centered
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care.
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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
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diabetes mellitus. The nurse should recognize which social determinants of this
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dwclient's health?(Select all that apply.)
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A) Household income of $23,000 per year dw dw dw dw dw



B) Reading level of a third grader dw dw dw dw dw



C) Medication ineffective due to error in prescription dw dw dw dw dw dw



D) Originally from Sudan dw dw



E) No family in the area dw dw dw dw



Ans: A, B, D, E
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Feedback:
The social conditions in which people live, their income, social status, education,
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literacy, home and work environment, support networks, gender, culture, and
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availability of health services are the social determinants of health. These
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conditions have an impact on the extent to which a person or community possesses
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the physical, social, and personal resources necessary to attain and maintain health.
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A medical error on the part of the client's primary care provider or nurse would not
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constitute a social determinant of the client's health.
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, Origin: Chapter 1- Public Health dw dw dw



3. ANursing,
nurse successfully persuades an obese client to perform a weekly weigh-in at
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home using a digital scale and record the weight in a log. This strategy is an
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example of:
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A) Telehealth
B) Health information technology dw dw



C) Personal responsibility for health dw dw dw



D) Evidence-based nursing dw



Ans: C
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Feedback:
Personal responsibility for health involves active participation in one's own health
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through education and lifestyle changes. In this case, the client makes a positive
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change in lifestyle by monitoring body weight weekly. Telehealth is the use of
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electronic information and telecommunications technologies to support long-
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distance clinical healthcare, client and professional health-related education, public
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health, and health administration. Health information technology (HIT) is defined
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as the comprehensive management of health information and its exchange between
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consumers, providers, government, and insurers in a secure manner. Evidence-based
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nursing is the integration of the best evidence available with clinical expertise and
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the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
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Which task best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into
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daily practice dw dw



B) Instructing a client on how to best care for a suture site at home dw dw dw dw dw dw dw dw dw dw dw dw dw



C) Participating in a videoconference call with a client who lives in a remote area dw dw dw dw dw dw dw dw dw dw dw dw dw



D) Facilitating a community-wide smoking cessation program one month out of dw dw dw dw dw dw dw dw dw



the year dw dw



Ans: D dw



Feedback:
Public health is what society does collectively to ensure the conditions exist in
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which people can be healthy. A community-wide smoking cessation program is a
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great example of a public health intervention, in that it involves the collective
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effort of societyto improve the health of its members. Reading and applying the
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latest nursing research is an example of evidence-based nursing. Instructing a client
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on how to best care for a suture site at home is an example of personal
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responsibility for health, but it is not focused on the health of the greater
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community. Participating in a videoconference call with a client who lives in a
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remote area is an example of patient-centered care and of an effective
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implementation of technology, but it is not particularly related to public health.
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, Origin: Chapter 1- Public Health dw dw dw



5. Public
Nursing,health nursing is distinguished from other specialties by adherence to eight
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principles. Which is one of the eight domains of public health nursing practice?
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A) Analytic assessment skills dw dw



B) Investigation of disease dw dw



C) Referral and follow-up dw dw



D) Case management dw



Ans: A
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic
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assessment skills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills, financial planning and management skills, and leadership and
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systems thinking skills.
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Investigation of disease, referral and follow-up, and case management are all public
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health nursing interventions but are not domains of public health nursing practice.
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Origin: Chapter 1- Public Health Nursing, 6
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6. Public health nursing is distinguished from other specialties by adherence to
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eight principles. Which is one of the eight domains of public health nursing
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practice?
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A) Policy development and individual planning skills
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B) Individual dimensions of practice skills dw dw dw dw



C) Financial planning and management skills dw dw dw dw



D) Leadership and individual critical thinking dw dw dw dw



skills Ans: C
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic
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assessment skills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills, financial planning and management skills, and leadership and
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systems thinking skills.
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