Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLEOFCONTENTS
,Chapter1:PublicHealthNursing
1. AJnurse is striving to practice patient-
centered careat a hospital. Which action best exemplifies providing patient-
centered care?
A) Havinga client complete a self-
reported functional status indicatorand thenreviewing it withthe client
B) Explaining to aclientthe benefits ofcomputer-
assisted robotic surgicaltechniques, which the hospitalrecently implement
ed
C) RecordingJa client's signsand symptoms in anelectronicJhealth record
D) Performing continuous glucose monitoring ofaJclientJwhile the client is in thehosp
ital
ANSWER:JA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
es. Clientsbecome active participants in their own care, andmonitoring health becomes the c
lient's responsibility. To help clients and their healthcare providers make better decisions, th
e Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e
mpower clients and assist providers in achieving desired outcomes, including client-
reported functional status indicators. Computer-
assisted roboticsurgicaltechniques, electronic healthrecords, andcontinuous glucose monit
oring in the hospital are all technological advances in healthcare, but they do not help the clie
nt become a more active participant in his or hercare, and thus are not goodexamples of patie
nt-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is strugglingJto manage her type 2 diabetesJmellitus.
The nurse should recognize which social determinants ofthisclient's health?(Select all that
apply.)
, A) Household income of$23,000 per year
B) Reading levelofa thirdgrader
C) Medicationineffective dueto error in prescription
D) Originally from Sudan
E) No family inthearea
ANSWER:J A, B, D, E Fee
dback:
The social conditions in whichpeople live, their income, social status, education, literacy, ho
me and work environment, support networks, gender, culture, and availability of health servi
ces are the social determinants of health. These conditions have an impact on the extent to w
hich a person or community possesses the physical, social, and personalresourcesnecessary
to attain and maintain health. A medicalerroron the part of the client's primary care provider
or nurse would not constitute a social determinant ofthe client's health.