Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
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,TABLE OFCONTENTS
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,Chapter1: Public Health Nursing o
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1. A nurse is striving to practice patient-
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centered careat a hospital. Whichactionbestexemplifies providing patient-centered care?
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A) Having a client complete a self- fo fo fo fo fo
reported functional status indicatorand thenreviewing it withthe client fo fo fo fo fo fo fo f o fo fo
B) Explaining to a client the benefits ofcomputer- fo fo fo fo fo fo fo
assisted robotic surgicaltechniques, which the hospitalrecently implemented
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C) Recording a client's signsand symptoms inanelectronic healthrecord fo fo fo fo fo fo fo fo fo fo
D) Performing continuous glucose monitoring ofa client while the client is inthehospital fo fo fo fo fo fo fo fo fo fo fo fo fo
ANS: A f o
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyles.
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Clients become active participants in their own care, and monitoring health becomes the client's r
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esponsibility. To help clients and their healthcare providers make better decisions, the Agency fo
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r Healthcare Research and Quality (AHRQ) has developed a series of tools that empower clients
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and assist providers in achieving desired outcomes, including client-
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reported functional status indicators.Computer- fo fo fo fo
assistedroboticsurgicaltechniques, electronic healthrecords, andcontinuous glucose monitorin
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g in the hospital are all technological advances in healthcare, but they do not help the client becom
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e a more active participant in his or hercare, and thus are not good examples of patient-
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centered care. fo
Origin: Chapter 1-Public HealthNursing, 2 f o fo fo fo fo fo
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The
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nurse should recognize which socialdeterminants ofthis client's health?(Select all that apply.)
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A) Household income of$23,000 per year fo fo fo fo fo
B) Reading levelofa third grader fo fo fo fo fo
C) Medicationineffective dueto error inprescription fo fo fo fo fo fo
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, D) Originally fromSudan fo fo
E) No family intheareaA fo fo fo fo fo
NS: A, B, D,E Feedback: f o fo fo fo fo
The social conditions in which people live, their income, social status, education, literacy, home a
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nd workenvironment, support networks, gender, culture, and availability of health services are t
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he social determinants of health. These conditions have an impact on the extent to which a perso
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n or community possesses the physical, social, and personalresources necessaryto attainand mai
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ntain health. A medicalerroron the part of the client's primary care provider or nurse would not co
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nstitute a social determinant ofthe client's health. fo fo fo fo fo fo fo
3. Anurse successfullypersuades an obese client to performa weeklyweigh-
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inat homeusing a digital scale and recordthe weight in a log. This strategy is anexample of:
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A) Telehealth
B) Health information technology fo fo
C) Personalresponsibility for health fo fo fo
D) Evidence-
basednursingANS: C fo fo f o
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Personal responsibility for health involves active participation in one's own health through educ
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ation and lifestyle changes. In this case, the client makes a positive changein lifestyle by monitorin
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g body weight weekly. Telehealth is the use of electronic information and telecommunications te
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chnologies to support long-distance clinical healthcare, client and professional health- fo fo fo fo fo fo fo fo fo
related education, public health, and health administration. Health information technology (HI
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T) is defined 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- fo fo fo fo fo fo fo fo fo
based nursing is the integrationof the best evidence available with clinical expertise and the value
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s of the client to increase the quality ofcare.
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Origin: Chapter 1-Public HealthNursing, 4 f o fo fo fo fo fo
4. A nurse performs a varietyoftasks as partofthe nurse's position at ahospital. Whichtask best ex
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emplifies public health? fo fo
A) Readingcurrent nursing journalsand integrating the latestresearch into dailypractice fo fo fo fo fo fo fo fo fo fo fo
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