COMMUNITY AND PUBLICHEALTH N
rr rr rr
URSING
Evidence for Practice
rrrr rrrr
3RD EDITION
r r
BY DEMARCO & WALSH
rr rr rr
TEST BANK
rr
,TEST BANK: Community and Public Health Nursing 3rd Edition DeMarco & Walsh
rr rr rr rr rr rr rr rr rr rr rr
Contents:
Chapter 1: Public Health Nursing: Present, Past, and Future
rr rr rr rr rr rr rr rr
Chapter 2: Public Health Systems
rr rr rr rr
Chapter 3: Health Policy, Politics, and Reform
rr rr rr rr rr rr
Chapter 4: Global Health: A Community Perspective
rr rr rr rr rr rr
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
rr rr rr rr rr rr rr rr rr rr
Chapter 6: Epidemiology: The Science of Prevention
rr rr rr rr rr rr
Chapter 7: Describing Health Conditions: Understanding and Using Rates
rr rr rr rr rr rr rr rr
Chapter 8: Gathering Evidence for Public Health Practice
rr rr rr rr rr rr rr
Chapter 9: Planning for Community Change
rr rr rr rr rr
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
rr rr rr rr rr rr rr
Chapter 11: Community Assessment
rr rr rr
Chapter 12: Care Management, Case Management, and Home Healthcare
rr rr rr rr rr rr rr rr
Chapter 13: Family Assessment
rr rr rr
Chapter 14: Risk of Infectious and Communicable Diseases
rr rr rr rr rr rr rr
Chapter 15: Emerging Infectious Diseases
rr rr rr rr
Chapter 16: Violence and Abuse
rr rr rr rr
Chapter 17: Substance Use
rr rr rr
Chapter 18: Underserved Populations
rr rr rr
Chapter 19: Environmental Health
rr rr rr
Chapter 20: Community Preparedness: Disaster and Terrorism
rr rr rr rr rr rr
Chapter 21: Community Mental Health
rr rr rr rr
Chapter 22: School Health
rr rr rr
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
rr rr rr rr rr rr rr rr rr
Chapter 24: Palliative and End-of-Life Care
rr rr rr rr rr
Chapter 25: Occupational Health Nursing
rr rr rr rr
,Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Ban
rr rr rr rr rr rr rr rr rr rr
k
Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 1
r r rr rr rr rr r r rr rr rr rr
1. A nurse is striving to practice patient-
rr rr rr rr rr rr
centered care at a hospital. Which action best exemplifies providing patient-
rr rr rr rr rr rr rr rr rr rr
centered care? rr
A) Having a client complete a self- rr rr rr rr rr
reported functional status indicator and then reviewing it with the client rr rr rr rr rr rr rr rr rr rr
B) Explaining to a client the benefits of computer- rr rr rr rr rr rr rr
assisted robotic surgical techniques, which the hospital recently implem rr rr rr rr rr rr rr rr
ented
C) Recording a client's signs and symptoms in an electronic health record rr rr rr rr rr rr rr rr rr rr
D) Performing continuous glucose monitoring of a client while the client is in the rr rr rr rr rr rr rr rr rr rr rr rr rr
hospital
Ans: A rr
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lif
rr rr rr rr rr rr rr rr rr rr
estyles. Clients become active participants in their own care, and monitoring health beco
rr rr rr rr rr rr rr rr rr rr rr rr
mes the client's responsibility. To help clients and their healthcare providers make better
rr rr rr rr rr rr rr rr rr rr rr rr r
decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a se
r rr rr rr rr rr rr rr rr rr rr rr rr
ries of tools that empower clients and assist providers in achieving desired outcomes, inc
rr rr rr rr rr rr rr rr rr rr rr rr rr
luding client-reported functional status indicators. Computer-
rr rr rr rr rr
assisted robotic surgical techniques, electronic health records, and continuous glucose mo
rr rr rr rr rr rr rr rr rr rr
nitoring in the hospital are all technological advances in healthcare, but they do not help t
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
he client become a more active participant in his or her care, and thus are not good examp
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
les of patient-centered care.
rr rr rr
Origin: Chapter 1- Public Health Nursing, 2
r r rr rr rr rr rr
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes m
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
ellitus. The nurse should recognize which social determinants of this client's health? (S
rr rr rr rr rr rr rr rr rr rr rr rr
elect all that apply.) rr rr rr
A) Household income of $23,000 per year rr rr rr rr rr
B) Reading level of a third grader rr rr rr rr rr
C) Medication ineffective due to error in prescription rr rr rr rr rr rr
D) Originally from Sudan rr rr
E) No family in the area rr rr rr rr rr
Ans: A, B, D, E r r rr rr rr
Feedback:
The social conditions in which people live, their income, social status, education, literac
rr rr rr rr rr rr rr rr rr rr rr rr
y, home and work environment, support networks, gender, culture, and availability of he
rr rr rr rr rr rr rr rr rr rr rr rr
alth services are the social determinants of health. These conditions have an impact on th
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
e extent to which a person or community possesses the physical, social, and personal res
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
ources necessary to attain and maintain health. A medical error on the part of the client's
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
primary care provider or nurse would not constitute a social determinant of the client's h
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
ealth.
Page 1 rr
, Origin: Chapter 1- Public Health Nursing, 3 r r rr rr rr rr rr
3. A nurse successfully persuades an obese client to perform a weekly weigh-
rr rr rr rr rr rr rr rr rr rr rr
in at home using a digital scale and record the weight in a log. This strategy is an exa
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
mple of: rr
A) Telehealth
B) Health information technology rr rr
C) Personal responsibility for health rr rr rr
D) Evidence-
based nursing Ans: C rr rr rr
Feedback:
Personal responsibility for health involves active participation in one's own health throu
rr rr rr rr rr rr rr rr rr rr rr
gh education and lifestyle changes. In this case, the client makes a positive change in lifes
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
tyle by monitoring body weight weekly. Telehealth is the use of electronic information a
rr rr rr rr rr rr rr rr rr rr rr rr rr
nd telecommunications technologies to support long-
rr rr rr rr rr
distance clinical healthcare, client and professional health-
rr rr rr rr rr rr
related education, public health, and health administration. Health information technolo
rr rr rr rr rr rr rr rr rr
gy (HIT) is defined as the comprehensive management of health information and its exc
rr rr rr rr rr rr rr rr rr rr rr rr rr
hange between consumers, providers, government, and insurers in a secure manner. Evid
rr rr rr rr rr rr rr rr rr rr rr
ence-
based nursing is the integration of the best evidence available with clinical expertise and
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
the values of the client to increase the quality of care.
rr rr rr rr rr rr rr rr rr rr
Origin: Chapter 1- Public Health Nursing, 4 r r rr rr rr rr rr
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which ta
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
sk best exemplifies public health?
rr rr rr rr
A) Reading current nursing journals and integrating the latest research into daily rr rr rr rr rr rr rr rr rr rr rr
practice
B) Instructing a client on how to best care for a suture site at home rr rr rr rr rr rr rr rr rr rr rr rr rr
C) Participating in a videoconference call with a client who lives in a remote area rr rr rr rr rr rr rr rr rr rr rr rr rr
D) Facilitating a community- rr rr
wide smoking cessation program one month out of the year rr rr rr rr rr rr rr rr rr
Ans: D rr
Feedback:
Public health is what society does collectively to ensure the conditions exist in which pe
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
ople can be healthy. A community-
rr rr rr rr rr
wide smoking cessation program is a great example of a public health intervention, in tha
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
t it involves the collective effort of society to improve the health of its members. Reading
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr r
and applying the latest nursing research is an example of evidence-
r rr rr rr rr rr r r rr rr rr rr
based nursing. Instructing a client on how to best care for a suture site at home is an exa
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
mple of personal responsibility for health, but it is not focused on the health of the greate
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
r community. Participating in a videoconference call with a client who lives in a remote a
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
rea is an example of patient-
rr rr rr rr rr
centered care and of an effective implementation of technology, but it is not particularly r
rr rr rr rr rr rr rr rr rr rr rr rr rr rr
elated to public health. rr rr rr
Page 2 rr