Community and Public Health Nursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters1 - 25 | All Chapters
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,TABLEOFCONTENTS
,Chapter1:PublicHealthNursing
1. AJnurseisstrivingtopracticepatient-
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centeredcareatahospital.Whichactionbestexemplifiesprovidingpatient- centered
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care?
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A) Havingaclientcompleteaself- n n n n
reportedfunctionalstatusindicatorandthenreviewingit withtheclient
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B) Explainingtoaclientthebenefitsofcomputer- n n n n
assistedroboticsurgicaltechniques,whichthehospitalrecentlyimplement ed
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C) RecordingJa client's signsand symptoms inanelectronicJhealth record n n n n n n
D) PerformingcontinuousglucosemonitoringofaJclientJwhiletheclientisinthehosp ital n n n n n n n n n n
ANSWER:JA
Feedback:
Patient-
centeredcareconsidersculturaltraditions,personalpreferences,values,families,andlifestyl es.
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Clientsbecomeactiveparticipantsintheirowncare,andmonitoringhealthbecomesthec lient's
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responsibility.Tohelpclientsandtheirhealthcareprovidersmakebetterdecisions,th eAgency
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forHealthcareResearchandQuality(AHRQ)hasdevelopedaseriesoftoolsthate mpower
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clientsandassistprovidersinachievingdesiredoutcomes,includingclient- reported
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n functional status indicators. Computer- n n n
assisted roboticsurgicaltechniques, electronic healthrecords, andcontinuous glucose monit
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oring in the hospital are all technological advances in healthcare, but they do not help the clie nt
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become a more active participant in his or hercare, and thus are not goodexamples of patie nt-
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centeredcare. n
Origin: Chapter1-PublicHealthNursing,2
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2. A nurse is caring for an older client who is strugglingJto manage her type 2 diabetesJmellitus. The
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nurseshouldrecognizewhichsocialdeterminantsofthisclient'shealth?(Selectallthat apply.)
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, A) Household incomeof$23,000 peryear n n n n
B) Readinglevelofathirdgradern n
C) Medicationineffective dueto error inprescription n n n n
D) OriginallyfromSudan n n
E) Nofamilyinthearea
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n ANSWER:J A,B,D,EFee n n n n n
dback:
The social conditions in whichpeople live, their income, social status, education, literacy, ho me
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and work environment, support networks, gender, culture, and availability of health servi ces are
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the social determinants of health. These conditions have an impact on the extent to w hich a person
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or community possesses the physical, social, and personalresourcesnecessary to attain and
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maintain health. A medicalerroron the part of the client's primary care provider or nurse would
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not constitute a social determinant ofthe client's health.
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