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Communityand PublicHealthNursing:
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Evidence for Practice,4th Edition (DeMarco),
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Chapters1 - 25 | All Chapters
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,TABLEOFCONTENTS
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,Chapter1:Public HealthNursing t tt tt tt
1. Anurse isstrivingto practicepatient-centeredcareata hospital. Whichactionbest
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exemplifies providing patient-centered care?
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A) Havinga client completeaself-reportedfunctional statusindicatorandthen t tt tt t tt tt tt t t tt
reviewing it withthe client
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B) Explainingtoaclientthe benefitsofcomputer-assistedroboticsurgical tt t t tt tt t t tt t
techniques, which the hospitalrecentlyimplemented
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C) Recording aclient's signsand symptoms inanelectronichealthrecord tt t tt t tt tt t t tt t
D) Performingcontinuousglucose monitoringofaclient whilethe client is inthehospital t t tt tt t t tt t tt tt tt t t
ANSWER: A t t
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and tt tt tt tt tt tt tt tt tt
tt lifestyles. Clients become active participants in their own care, and monitoring health becomes
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tt the client's responsibility. To help clients and their healthcare providers make better decisions,
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tt the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that
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tt empower clients and assist providers in achieving desired outcomes, including client-reported
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tt functional status indicators.Computer-assistedroboticsurgicaltechniques, electronichealth
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records,andcontinuous glucose monitoring in the hospital are all technological advances in
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tt healthcare, but they do not help the client become a more active participant in his or hercare,
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tt andthus are not goodexamples of patient-centered care.
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Origin: Chapter 1-Public HealthNursing, 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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tt The nurse should recognize whichsocialdeterminantsofthisclient's health?(Select allthat
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tt apply.)
A) Household income of$23,000 peryear tt tt t tt t
B) Reading levelofa thirdgrader tt t t tt tt
C) Medicationineffectiveduetoerror inprescription t t t tt tt t
D) Originally fromSudan tt t
E) No familyinthearea tt t t t
, ANSWER: A, B, D,E
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tt Feedback:
The social conditions in which people live, their income, social status, education, literacy,
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tt home and workenvironment, support networks,gender, culture, and availability of health
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tt services are the social determinants of health. These conditions have an impact on the extent to
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tt which a person or community possesses the physical, social, and personalresourcesnecessary
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to attainand maintain health. Amedicalerroron the part of the client's primary care provider or
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tt nurse would not constitute a social determinant ofthe client's health.
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