Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
X X
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,ChapterX1:XPublicXHealthXNursing
1. AXnurseXisXstrivingXtoXpracticeXpatient-
centeredXcareXatXaXhospital.XWhichXactionXbestXexemplifiesXprovidingXpatient-
centeredXcare?
A) HavingXaXclientXcompleteXaXself-
reportedXfunctionalXstatusXindicatorXandXthenXreviewingXitX withXtheXclien
t
B) ExplainingXtoXaXclientXtheXbenefitsXofXcomputer-
assistedXroboticXsurgicalXtechniques,XwhichXtheXhospitalXrecentlyXim
plemented
C) RecordingXaXclient'sXsignsXandXsymptomsXinXanXelectronicXhealthXrecord
D) PerformingXcontinuousXglucoseXmonitoringXofXaXclientXwhileXtheXclientXis
XinXtheXhospital
ANSWER:X A
Feedback:
Patient-
centeredXcareXconsidersXculturalXtraditions,XpersonalXpreferences,Xvalues,Xfamilies,Xa
ndXlifestyles.XClientsXbecomeXactiveXparticipantsXinXtheirXownXcare,XandXmonitoring
XhealthXbecomesXtheXclient'sXresponsibility.XToXhelpXclientsXandXtheirXhealthcareXp
rovidersXmakeXbetterXdecisions,XtheXAgencyXforXHealthcareXResearchXandXQualityX
(AHRQ)XhasXdevelopedXaXseriesXofXtoolsXthatXempowerXclientsXandXassistXprovide
rsXinXachievingXdesiredXoutcomes,XincludingXclient-
reportedXfunctionalXstatusXindicators.XComputer-
assistedXroboticXsurgicalXtechniques,XelectronicXhealthXrecords,XandXcontinuousXgluco
seXmonitoringXinXtheXhospitalXareXallXtechnologicalXadvancesXinXhealthcare,XbutXth
eyXdoXnotXhelpXtheXclientXbecomeXaXmoreXactiveXparticipantXinXhisXorXherXcare,X
andXthusXareXnotXgoodXexamplesXofXpatient-centeredXcare.
Origin:X ChapterX1-XPublicXHealthXNursing,X2
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, 2. AXnurseXisXcaringXforXanXolderXclientXwhoXisXstrugglingXtoXmanageXherXtypeX2X
diabetesXmellitus.XTheXnurseXshouldXrecognizeXwhichXsocialXdeterminantsXofXthis
Xclient'sXhealth?X(SelectX allXthatX apply.)
A) HouseholdXincomeXofX$23,000XperXyear
B) ReadingXlevelXofXaXthirdXgrader
C) MedicationXineffectiveXdueXtoXerrorXinXprescription
D) OriginallyXfromXSudan
E) NoXfamilyXinXtheXa
reaXANSWER:X A,XB,XD,
XEXFeedback:
TheXsocialXconditionsXinXwhichXpeopleXlive,XtheirXincome,XsocialXstatus,Xeducation,
Xliteracy,X homeXandXworkXenvironment,XsupportXnetworks,Xgender,Xculture,XandXav
ailabilityXofXhealthXservicesXareXtheXsocialXdeterminantsXofXhealth.XTheseXcondition
sXhaveXanXimpactXonXtheXextentXtoXwhichXaXpersonXorXcommunityXpossessesXtheX
physical,Xsocial,XandXpersonalXresourcesXnecessaryXtoXattainXandXmaintainXhealth.X
AXmedicalXerrorXonXtheXpartXofXtheXclient'sXprimaryXcareXproviderXorXnurseXwoul
dXnotXconstituteXaXsocialXdeterminantXofXtheXclient'sXhealth.
3. AXnurseXsuccessfullyXpersuadesXanXobeseXclientXtoXperformXaXweeklyXweigh-
inXatXhomeXusingXaXdigitalXscaleXandXrecordXtheXweightXinXaXlog.XThisXstrategyX
isXanXexampleXof:
A) Telehealth
B) HealthXinformationXtechnology
C) PersonalXresponsibilityXforXhealth
D) Evidence-
basedXnursingXANSWER:X C
Feedback:
PersonalXresponsibilityXforXhealthXinvolvesXactiveXparticipationXinXone'sXownXhealth
XthroughXeducationXandXlifestyleXchanges.XInXthisXcase,XtheXclientXmakesXaXpositiv
eXchangeXinXlifestyleXbyXmonitoringXbodyXweightXweekly.XTelehealthXisXtheXuseXof
XelectronicXinformationXandXtelecommunicationsXtechnologiesXtoXsupportXlong-
distanceXclinicalXhealthcare,XclientXandXprofessionalXhealth-
relatedXeducation,XpublicXhealth,XandXhealthXadministration.XHealthXinformationXtec
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