Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLEOFCONTENTS
,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-
centered care at a hospital. Which action bestexemplifies providing patient-
centered care?
A) Having a client complete a self-
reported functional status indicator and thenreviewing it with the client
B) Explaining to a client the benefits of computer-
assisted robotic surgicaltechniques, which the hospital recently implem
ented
C) RecordingTa client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while theTclient is in the
hospital
ANSWER:TA
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and li
festyles. Clients become active participants in their own care, and monitoring health be
comes the client's responsibility. To help clients and their healthcare providers make be
tter decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed
a series of tools that empower clients and assist providers in achieving desired outcom
es, including client-reported functional status indicators. Computer-
assisted robotic surgical techniques, electronic health records, andcontinuous glucose m
onitoring in the hospital are all technological advances in healthcare, but they do not he
lp the client become a more active participant in his or hercare, and thus are not good e
xamples of patient-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is strugglingTto manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
, A) HouseholdTincome of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
ANSWER:T A, B, D, E Fe
edback:
The social conditions in which people live, their income, social status, education, litera
cy, home and work environment, support networks, gender, culture, and availability of
health services are the social determinants of health. These conditions have an impact o
n the extent to which a person or community possesses the physical, social, and person
al resources necessary to attain and maintain health. A medical erroron the part of the cl
ient's primary care provider or nurse would not constitute a social determinant of the cli
ent's health.