COMMUNITYAND PUBLIC b o
HEALTHNURSING
EvidenceforPractice 3R b o
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EDITION BYDEMARC
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O&WALSH
TEST BANK J
,TESTBANK:Communityand PublicHealthNursing3rdEditionDeMarco&Walsh PL L
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Contents:
Chapter1:PublicHealthNursing:Present,Past,andFuture Cha L
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pter2:PublicHealthSystems
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Chapter3:Health Policy,Politics,and Reform Chapter4:Glob
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alHealth:A CommunityPerspective
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Chapter5:FrameworksforHealth Promotion, DiseasePrevention,andRiskReduction Chapter6: bo PL PL o
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Epidemiology:TheScienceofPrevention bo L
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Chapter7:Describing Health Conditions:Understanding andUsing Rates Ch
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apter8:GatheringEvidence forPublicHealthPractice
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Chapter9:PlanningforCommunityChange Chapter10:Cultural Competenc
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e:Awareness, Sensitivity,andRespect Chapter11:CommunityAssessment
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Chapter12:CareManagement,CaseManagement,andHomeHealthcare Ch
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apter13:FamilyAssessment
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Chapter14:Risk ofInfectiousand CommunicableDiseases Ch bo P PL o
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apter15:EmergingInfectiousDiseases
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Chapter16:Violence andAbuse Chap bo PL bo b o
ter17:Substance Use Chapter18:Und
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erserved Populations Chapter19:Env
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ironmentalHealth bo
Chapter20:CommunityPreparedness:DisasterandTerrorism
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Chapter22:SchoolHealth bo bo
Chapter23:Faith- bo
OrientedCommunitiesand Health MinistriesinFaithCommunities Chapter24:Palliativeand En
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d-of-LifeCare L
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Chapter25:OccupationalHealthNursing bo bo bo
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Origin: Chapter1-PublicHealthNursing: Present,Past,andFuture1 L
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1. Anurse is striving to practice patient-
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centered care at a hospital.Which action best exemplifiesproviding patien
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t-centeredcare? bo
A) Having a client completeaself- bo bo L
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reported functionalstatusindicatorand thenreviewingit with theclie PL bo bo bo bo
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B) Explainingtoaclientthebenefitsofcomputer- L
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assisted robotic surgicaltechniques,which the hospital recentl PL bo o
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yimplemented
C) Recordingaclient'ssignsandsymptomsinanelectronichealthrecord L
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D) Performingcontinuousglucosemonitoringofa clientwhiletheclient isin t L
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hehospital
Ans: A bo
Feedback:
Patient-
centeredcareconsidersculturaltraditions,personalpreferences,values,families, andlifest
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yles.Clientsbecomeactiveparticipants intheirowncare,andmonitoringhealth becomes th L
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e client'sresponsibility.Tohelp clientsand theirhealthcareproviders make
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cisions,theAgencyforHealthcareResearchandQuality(AHRQ)hasdeveloped a seriesoft L
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oolsthatempowerclientsand assist providersin achievingdesiredoutcomes, includingclie PL PL PL PL o
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nt-reported functionalstatusindicators.Computer- bo bo bo
assistedroboticsurgical techniques,electronichealth records,andcontinuous glucose mo b o bo bo bo
nitoring in the hospital are alltechnologicaladvancesinhealthcare,but theydonot helpthe c
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lient becomea more activeparticipant inhis orhercare, and thusare not goodexamples ofp
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atient-centered care. b o
Origin: Chapter1-PublicHealthNursing,2 L
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2. Anurseiscaringforan olderclientwhoisstrugglingtomanagehertype2diabetes m
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ellitus.Thenurseshould recognizewhichsocial determinants ofthis client's hea
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lth?(Select all that apply.) bo bo bo
A) Household income of$23,000peryear PL PL o
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B) Readinglevelofathirdgrader bo
C) Medicationineffectiveduetoerrorinprescription
D) Originallyfrom Sudan PL
E) No familyin the
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areaAns: A,B, D, E b o bo b o PL bo
Feedback:
The socialconditionsin which peoplelive,theirincome,socialstatus,education, literacy,
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omeandwork environment,supportnetworks,gender,culture,and availabilityof health servi
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cesare the socialdeterminantsof health.Theseconditions havean impacton
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whicha person orcommunitypossesses thephysical, social,and personal
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sarytoattain and maintain health.A medical erroronthepart oftheclient's primarycareprovide PL PL PL o
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rornursewould not constituteasocial determinantof the client's health. PL PL bo bo bo bo bo b o
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, Origin: Chapter1-PublicHealthNursing,3 L
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3. Anursesuccessfullypersuades an obese client to perform a weeklyweigh- bo bo bo bo bo bo bo
in at homeusingadigitalscaleand recordtheweightin alog.Thisstrategyisan exam
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pleof:
A) Telehealth
B) Healthinformation technology bo
C) Personal responsibilityforhealth
D) Evidence-
based nursingAns: C b o J bo bo
Feedback:
Personal responsibilityforhealth involvesactiveparticipationinone'sownhealth throughe
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ducationandlifestylechanges. Inthiscase,theclient makesa positive changein lifestyleby
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monitoringbodyweightweekly.Telehealthistheuse of electronic information andteleco
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mmunications technologies tosupportlong- bo bo bo o
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distance clinical healthcare,clientandprofessional health- bo b o bo o
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relatededucation,publichealth,andhealth administration.Healthinformationtechnology
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(HIT)isdefinedasthecomprehensive managementofhealthinformationanditsexchange
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betweenconsumers,providers, government,andinsurersinasecuremanner.Evidence-
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basednursingistheintegrationof the best evidenceavailablewithclinical expertiseand theva
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luesof theclienttoincrease the qualityof care.
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Origin: Chapter1-PublicHealthNursing,4 L
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4. Anurseperformsa varietyoftasksaspart ofthenurse's position at ahospital.Whichtask bo PL o
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best exemplifies public health?
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A) Readingcurrent nursingjournalsandintegratingthelatest research into PL PL PL
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B) Instructingaclient onhowtobest careforasuture siteat home L
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C) Participatingin avideoconferencecallwith aclientwholivesin a remotearea o
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D) Facilitating acommunity- PL
widesmokingcessation program onemonthout of theyear PL PL o
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Ans: D bo
Feedback:
Public health iswhat societydoescollectivelyto ensuretheconditions existinwhich people PL bo PL o
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widesmokingcessation program isa great example ofapublichealthintervention,inthatitin PL PL PL PL b o L
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volvesthecollectiveeffortofsocietytoimprove the health ofitsmembers.Readingandapplyi
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ngthe latest nursingresearchisanexample ofevidence- PL PL PL bo
basednursing.Instructingaclientonhowtobestcareforasuturesiteathome isan exampleofpe L
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rsonal responsibilityforhealth,butitisnotfocusedonthehealthofthe greater community.Parti
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cipatingina videoconferencecall with a client whol ivesina remote area isanexampleof pa
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tient-
centeredcare and ofaneffectiveimplementationof technology, but itisnot particularlyrelat
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ed topublichealth.
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