Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-centered care at a hospital. Which action
best exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and
then reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic
surgical techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in
the hospital
ANSWER: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
families, and lifestyles. Clients become active participants in their own care, and
monitoring health becomes the client's responsibility. To help clients and their
healthcare providers make better decisions, the Agency for Healthcare Research and
Quality (AHRQ) has developed a series of tools that empower clients and assist
providers in achieving desired outcomes, including client-reported functional status
indicators. Computer-assisted robotic surgical techniques, electronic health records,
and continuous glucose monitoring in the hospital are all technological advances in
healthcare, but they do not help the client become a more active participant in his or
her care, and thus are not good examples of patient-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
, D) OriginallyKfromKSudan
E) NoKfamilyKinKtheKar
eaKANSWER:K A,KB,KD,KE
Feedback:
TheKsocialKconditionsKinKwhichKpeopleKlive,KtheirKincome,KsocialKstatus,Keducation,Kliter
acy,KhomeKandKworkKenvironment,KsupportKnetworks,Kgender,Kculture,KandKavailabili
tyKofKhealthKservicesKareKtheKsocialKdeterminantsKofKhealth.KTheseKconditionsKhaveKanK
impactKonKtheKextentKtoKwhichKaKpersonKorKcommunityKpossessesKtheKphysical,Ksocial,Ka
ndKpersonalKresourcesKnecessaryKtoKattainKandKmaintainKhealth.KAKmedicalKerrorK onKt
heKpartKofKtheKclient'sKprimaryKcareKproviderKorKnurseKwouldKnotKconstituteKaKsocialK
determinantKofKtheKclient'sKhealth.