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CommunityandPublicHealthNursing:
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EvidenceforPractice,4thEdition(DeMarco),
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Chapters1-25|AllChapters
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,TABLEOFCONTENTS
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,Chapter1:PublicHealthNursing t t t t
1. Anurse isstriving to practicepatient-centeredcareatahospital. Whichactionbest
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exemplifies providing patient-centered care?
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A) Havingaclient completeaself-reportedfunctional statusindicatorandthen t t t t t t t t t t
reviewing it withthe client
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B) Explainingtoaclientthebenefitsofcomputer-assistedroboticsurgical t t t t t t t t t
techniques, whichthe hospitalrecentlyimplemented
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C) Recording aclient'ssignsand symptoms inanelectronichealthrecord t t t t t t t t t t
D) Performingcontinuousglucose monitoringofaclient whiletheclient is inthehospital t t t t t t t t t t t t t
ANSWER: A t
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and t t t t t t t t t
lifestyles. Clients become active participants in their own care, and monitoring health becomes
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the client's responsibility. To help clients and their healthcare providers make better decisions,
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the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that
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empower clients and assist providers in achieving desired outcomes, including client-reported
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functional status indicators.Computer-assistedroboticsurgicaltechniques, electronichealth
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records,andcontinuous glucose monitoring in the hospital are all technological advances in
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healthcare, but they do not help the client become a more active participant in his or hercare, and
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thus are not goodexamples ofpatient-centered care.
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Origin: Chapter 1-Public HealthNursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus.
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Thenurse should recognizewhichsocialdeterminants ofthisclient's health?(Select allthat
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t apply.)
A) Household incomeof$23,000 peryear t t t t t
B) Reading levelofa thirdgrader t t t t t
C) Medicationineffectiveduetoerror inprescription t t t t t t
D) Originally fromSudan t t
E) Nofamilyinthearea t t t t
, 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, home
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and workenvironment, support networks,gender, culture, and availability of health services are
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the social determinants of health. These conditions have an impact on the extent to which a
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person or community possesses the physical, social, and personalresourcesnecessaryto attain
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and maintain health. Amedicalerroron the part of the client's primary care provider or nurse
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would not constitute a social determinant ofthe client's health.
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