Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
ANSWER: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
families, and lifestyles. Clients become active participants in their own care, and
monitoring health becomes the client's responsibility. To help clients and their
healthcare providers make better decisions, the Agency for Healthcare Research and
Quality (AHRQ) has developed a series of tools that empower clients and assist
providers in achieving desired doutcomes, dincluding dclient-reported dfunctional dstatus
dindicators. dComputer-assisted drobotic dsurgical dtechniques, delectronic dhealth
drecords, danddcontinuous dglucose dmonitoring din dthe dhospital dare dall dtechnological
dadvances din dhealthcare, dbut dthey ddo dnot dhelp dthe dclient dbecome da dmore dactive
dparticipant din dhis dor dherdcare, d and dthus dare dnot d good dexamples dof dpatient-
centered dcare.
Origin: d Chapter d1- dPublic dHealth dNursing, d2
2. A dnurse dis dcaring dfor dan dolder dclient dwho dis dstruggling dto dmanage dher dtype d2
ddiabetes dmellitus. dThe dnurse dshould drecognize dwhich dsocial ddeterminants dof dthis
dclient's dhealth?d(Select d all dthat d apply.)
A) Household dincome dof d$23,000 dper dyear
B) Reading dlevel dof da dthird dgrader
, C) Medication dineffective ddue dto derror din dprescription
D) Originally dfrom dSudan
E) No dfamily din dthe
dareadANSWER: d A, dB,
dD, dE dFeedback:
The dsocial dconditions din dwhich dpeople dlive, dtheir dincome, dsocial dstatus,
deducation, dliteracy, d home dand dwork denvironment, dsupport d networks, dgender,
dculture, dand davailability dof dhealth dservices dare dthe dsocial ddeterminants dof dhealth.
dThese dconditions dhave dan dimpact don dthe dextent dto dwhich da dperson dor
dcommunity dpossesses dthe dphysical, dsocial, dand dpersonal dresources dnecessary dto
dattain dand dmaintain dhealth. dA dmedical derrordon dthe dpart dof dthe dclient's dprimary
dcare dprovider dor dnurse dwould dnot dconstitute da dsocial ddeterminant dof dthe dclient's
dhealth.