Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLEOFCONTENTS
,Chapter1:PublicHealth Nursing J
1. AJnurse is striving to practice patient-
centered careatJa hospital. Which action bestJexemplifies providing patient-
centered care?
A) Having a clientJcomplete aJself-
reported functional status indicatorand thenreviewingJit withthe client
B) Explaining toJaJclientJthe benefits ofcomputer-
assisted robotic surgicaltechniques, which the hospital recently implement
ed
C) RecordingJa client's signsand symptoms in anelectronicJhealth record
D) PerformingJcontinuous glucose monitoring ofaJclientJwhile the clientJis in thehosp
ital
ANSWER:JA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
es. Clients become active participants in their own care, and monitoring health becomesJthe c
lient'sJresponsibility. To help clients and their healthcare providers make better decisions, th
e Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e
mpower clients and assistJproviders in achieving desired outcomes, includingJclient-
reported functional status indicators. Computer-
assistedJrobotic surgical techniques, electronicJhealth records, andcontinuousJglucose monit
oring in the hospital are all technological advances in healthcare, but they do not helpJthe clie
ntJbecome a more active participantJin his or hercare, and thus are not goodexamples of patie
nt-centered care.
Origin: Chapter 1-JPublic Health Nursing, 2
2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitus.
The nurse should recognize which social determinantsJofthisclient'sJhealth?(SelectJallJthat
apply.)
, A) Household income of$23,000 per year
B) Reading level ofa third grader
C) Medicationineffective duetoJerror in prescription
D) Originally from Sudan
E) No family in thearea
ANSWER:J A, B, D, E Fee
dback:
The social conditions in whichJpeople live, their income, social status, education, literacy, ho
me and work environment, support networks, gender, culture, and availability of health servi
ces are the social determinants of health. These conditionsJhave an impact on the extent to w
hich a person or community possesses the physical, social, and personalresourcesnecessary
toJattain and maintain health. AJmedicalerroronJthe partJof the client's primary care provider
or nurse would not constitute a social determinant ofthe client's health.