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CommunityandPublicHealthNursing:
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Evidence for Practice,4th Edition(DeMarco),
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Chapters 1 - 25 | AllChapters
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,TABLEOFCONTENTS
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,Chapter1:Public Health Nursing v v v v
1. Anurse isstriving to practice patient-centeredcareat a hospital. Whichaction
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bestexemplifies providing patient-centered care?
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A) Havinga client completea self-reportedfunctional statusindicatorand
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thenreviewing it withthe client
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B) Explainingto aclient thebenefitsofcomputer-assisted robotic v v v v v v v v
surgicaltechniques, whichthe hospitalrecentlyimplemented
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C) Recording a client'ssignsand symptoms inanelectronic healthrecord v v v v v v v v v v
D) Performing continuousglucose monitoring ofaclient whiletheclient is inthehospital v v v v v v v v v v v v v
ANSWER: A v
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and v v v v v v v v v
lifestyles. Clients become active participants in their own care, and monitoring health becomes
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the 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 that
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empower clients and assist providers in achieving desired outcomes, including client-reported
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functional status indicators.Computer-assistedroboticsurgicaltechniques, electronic health
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records,andcontinuous glucose monitoring in the hospital are all technological advances in
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healthcare, but they do not help the client become a more active participant in his or hercare, and
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thus are not goodexamples ofpatient-centered care.
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Origin: Chapter 1-Public HealthNursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus.
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The nurse should recognize whichsocialdeterminants ofthisclient's health?(Select allthat
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v apply.)
A) Household income of$23,000 per year v v v v v
B) Reading levelofa thirdgrader v v v v v
C) Medicationineffective dueto error inprescription v v v v v v
D) Originally fromSudan v v
E) No familyinthe v v v
, areaANSWER: A, B, D,E
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Feedback:
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The social conditions in which people live, their income, social status, education, literacy,
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v home and workenvironment, support networks, gender, culture, and availability of health
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services are the social determinants of health. These conditions have an impact on the extent to
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which a person or community possesses the physical, social, and personalresources
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necessaryto attainand maintain health. Amedicalerroron the part of the client's primary care
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provider or nurse would not constitute a social determinant ofthe client's health.
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