,Chapter1:PublicHealth Nursing J
1. AJnurse is striving to practice patient-
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centered careatJa hospital. Which action bestJexemplifies providing patient-
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A) Having a clientJcomplete aJself-
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reported functional status indicatorand thenreviewingJit withthe client
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B) Explaining toJaJclientJthe benefits ofcomputer-
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assisted robotic surgicaltechniques, which the hospital recently implemen
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t edVV
C) RecordingJa client's signsand symptoms in anelectronicJhealth record
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D) PerformingJcontinuous glucose monitoring ofaJclientJwhile the clientJis in thehVV VV VV VV VV VV VV
osp ital VV
ANSWER:JA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and life
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styl es. Clients become active participants in their own care, and monitoring health beco
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mesJthe c lient'sJresponsibility. To help clients and their healthcare providers make bette
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r decisions, th e Agency for Healthcare Research and Quality (AHRQ) has developed a
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series of tools that e mpower clients and assistJproviders in achieving desired outcomes,
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includingJclient- reported functional status indicators. Computer-
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assistedJrobotic surgical techniques, electronicJhealth records, andcontinuousJglucose mo
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nit oring in the hospital are all technological advances in healthcare, but they do not hel
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pJthe clie ntJbecome a more active participantJin his or hercare, and thus are not goodex
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amples of patie nt-centered care.
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Origin: Chapter 1-JPublic Health Nursing, 2
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2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJ
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mellitus. The nurse should recognize which social determinantsJofthisclient'sJhealth?(
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SelectJallJthat apply.) VV
, A) Household income of$23,000 per year
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B) Reading level ofa third grader
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C) Medicationineffective duetoJerror in prescription VV VV VV
D) Originally from Sudan VV VV
E) No family in theare
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a ANSWER:J A, B, D,
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E FeeVV
dback:
The social conditions in whichJpeople live, their income, social status, education, litera
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cy, ho me and work environment, support networks, gender, culture, and availability
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of health servi ces are the social determinants of health. These conditionsJhave an imp
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act on the extent to w hich a person or community possesses the physical, social, an
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d personalresourcesnecessary toJattain and maintain health. AJmedicalerroronJthe partJof
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the client's primary care provider or nurse would not constitute a social determinant
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ofthe client's health.
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