Community and Public Health Nursing: b b b b b
b Evidence for Practice, 4th Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLEOFCONTENTS
,Chapter1:PublicHealth Nursing J
1. AJnurse isstriving to practice patient-
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centered careatJa hospital. Which action bestJexemplifies providing patient-
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bcentered care? b
A) Having a clientJcomplete aJself- b b b
reported functional status indicatorand thenreviewingJit withthe client
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B) Explaining toJaJclientJthe benefits ofcomputer- b b b
assisted robotic surgicaltechniques, which the hospital recently implement ed
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C) RecordingJa client's signsand symptoms in anelectronicJhealth record
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D) PerformingJcontinuous glucose monitoring ofaJclientJwhile the clientJis in thehosp b b b b b b b
ital
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ANSWER:JA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
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bes.Clients become active participants in their own care, and monitoring health becomesJthe c
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blient'sJresponsibility. To help clients and their healthcare providers make better decisions, th e b b b b b b b b b b b b
Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e
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bmpower clients and assistJproviders in achieving desired outcomes, includingJclient-
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breported functional status indicators. Computer-
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assistedJrobotic surgicaltechniques, electronicJhealth records, andcontinuousJglucose monit
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boring in the hospital are all technological advances in healthcare, but they do not helpJthe clie
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bntJbecome a more active participantJin his or hercare, and thus are not goodexamples of patie
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bnt-centered care. b
Origin: Chapter 1-JPublic HealthNursing, 2
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2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitus.
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b The nurse should recognize which social determinantsJofthisclient'sJhealth?(SelectJallJthat
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b apply.)
, A) Household income of$23,000 per year b b b b
B) Reading level ofa third grader b b b b
C) Medicationineffective duetoJerror in prescription b b b
D) Originally fromSudan b b
E) No family in thearea
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b ANSWER:J A, B, D, E Fee b b b b b
dback:
The social conditions in whichJpeople live, their income, social status, education, literacy, ho
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me and work environment, support networks, gender, culture, and availability of health servi
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ces are the social determinants of health. These conditionsJhave an impact on the extent to w
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hich a person or community possesses the physical, social, and personalresourcesnecessary
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toJattain and maintain health. AJmedicalerroronJthe partJof the client's primary care provider
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or nurse would not constitute a social determinant ofthe client's health.
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