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Evidence for Practice, 3rd Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing c c c c
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
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exemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional status indicator and then
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reviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic surgical
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techniques, which the hospital recently implemented
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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 the
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hospital
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ANSWER: A c
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
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and lifestyles. Clients become active participants in their own care, and monitoring health
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becomes the client's responsibility. To help clients and their healthcare providers make
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better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed
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a series of tools that empower clients and assist providers in achieving desired outcomes,
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including client-reported functional status indicators. Computer-assisted robotic surgical
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techniques, electronic health records, andcontinuous glucose monitoring in the hospital
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are all technological advances in healthcare, but they do not help the client become a more
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active participant in his or hercare, 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 diabetes
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mellitus. The nurse should recognize which social determinants of this client's health?
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(Select all that apply.)
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A) Household income of $23,000 per year c c c c c
B) Reading level of a third grader c c c c c
C) Medication ineffective due to error in prescription c c c c c c
, D) Originally from Sudan c c
E) No family in the area
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ANSWER: 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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c home and work environment, support networks, gender, culture, and availability of
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health services are the social determinants of health. These conditions have an impact on
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the extent to which a person or community possesses the physical, social, and personal
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resources necessary to attain and maintain health. A medical erroron the part of the client's
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primary care provider or nurse would not constitute a social determinant of the client's
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health.
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