Community and Public Health Nursing:E
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vidence for Practice, 4th Edition (DeMarco), Cha
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pters 1 - 25 | All Chapters
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,TABLEOFCONTENTS
,Chapter1:PublicHealth Nursing J
1. AJnursenisnstrivingntonpracticenpatient-
centeredncare atJanhospital.nWhichnactionnbestexemplifiesnprovidingnpatient-
n centeredncare?
A) HavingJanclientJcompletenaJself-
reportednfunctionalnstatusnindicatornandnthenreviewingJitnwithnthenclient
B) ExplainingntoJaJclientJthenbenefitsnof computer-
assistednroboticnsurgicaltechniques,nwhichnthenhospitalnrecentlynimplementned
C) RecordingJanclient'snsignsnandnsymptomsninnan electronicJhealthnrecord
D) PerformingJcontinuousnglucosenmonitoringnofaJclientJwhilenthenclientJisninnthehospn
ital
ANSWER:J A
Feedback:
Patient-
centeredncarenconsidersnculturalntraditions,npersonalnpreferences,nvalues,nfamilies,nandnlifestylne
s.nClientsnbecomenactivenparticipantsninntheirnownncare,nandnmonitoringnhealthnbecomesJthencnli
ent'sJresponsibility.nTonhelpnclientsnandntheirnhealthcarenprovidersnmakenbetterndecisions,nthnen
AgencynfornHealthcarenResearchnandnQualityn(AHRQ)nhasndevelopednanseriesnofntoolsnthatnenm
powernclientsnandnassistJprovidersninnachievingndesirednoutcomes,nincludingJclient-
nn reportednfunctionalnstatusnindicators.nComputer-
assistednroboticnsurgicalntechniques,nelectronicJhealthnrecords,nandcontinuousJglucosenmonitn
oringninnthenhospitalnarenallntechnologicalnadvancesninnhealthcare,nbutntheyndonnotnhelpJthenclienn
tJbecomenanmorenactivenparticipantninnhisnornhercare,nandnthusnarennotngood examplesnofnpatiennt
-centeredncare.
Origin:n Chaptern1-JPublicnHealthnNursing,n2
2. AnnursenisncaringnfornannoldernclientnwhonisnstrugglingJtoJmanagenherntypen2ndiabetesJmellitus.n
ThennursenshouldnrecognizenwhichnsocialndeterminantsJofnthisnclient'sJhealth?(SelectJallJthatn
apply.)
, A) Householdnincomenof$23,000npernyear
B) Readingnlevelnofanthirdngrader
C) MedicationnineffectivenduetoJerrorninnprescription
D) OriginallynfromnSudan
E) Nonfamilyninnthenarean
ANSWER:JnnnA,nB,nD,nEnFe
endback:
ThensocialnconditionsninnwhichJpeoplenlive,ntheirnincome,nsocialnstatus,neducation,nliteracy,nhon
menandnworkenvironment,nsupportnnetworks,ngender,nculture,nandnavailabilitynofnhealthnservinc
esnarenthensocialndeterminantsnofnhealth.nThesenconditionsJhavenannimpactnonnthenextentntonwnhi
chnanpersonnorncommunitynpossessesnthenphysical,nsocial,nandnpersonalresourcesnecessaryntoJ
attainnandnmaintainnhealth.nAJmedicalnerroronJthenpartJofnthenclient'snprimaryncarenprovidernorn
nursenwouldnnotnconstitutenansocialndeterminantnofnthenclient'snhealth.