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Community and Public Health Nursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing b b b b
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
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exemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional status indicator and then
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reviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic surgical b b b b b b b b b
techniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record b b b b b b b b b b
D) Performing continuous glucose monitoring of a client while the client is in the b b b b b b b b b b b b
hospital
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ANSWER: A b
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, b b b b b b b b
b and lifestyles. Clients become active participants in their own care, and monitoring health
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b becomes the client's responsibility. To help clients and their healthcare providers make
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b better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a
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b series of tools that empower clients and assist providers in achieving desired outcomes,
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b including client-reported functional status indicators. Computer-assisted robotic surgical
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techniques, electronic health records, andcontinuous glucose monitoring in the hospital are
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b all technological advances in healthcare, but they do not help the client become a more active
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b participant in his or hercare, and thus are not good examples of patient-centered care.
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Origin: Chapter 1- Public Health Nursing, 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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b The nurse should recognize which social determinants of this client's health?(Select all that
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b apply.)
A) Household income of $23,000 per year b b b b b
B) Reading level of a third grader b b b b b
C) Medication ineffective due to error in prescription b b b b b b
D) Originally from Sudan b b
, E) No family in the area
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ANSWER: A, B, D, E
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b Feedback:
The social conditions in which people live, their income, social status, education, literacy,
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b home and work environment, support networks, gender, culture, and availability of health
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b services are the social determinants of health. These conditions have an impact on the extent
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b to which a person or community possesses the physical, social, and personal resources
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necessary to attain and maintain health. A medical erroron the part of the client's primary care
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b provider or nurse would not constitute a social determinant of the client's health.
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