Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing to to to to
1. A nurse is striving to practice patient-
to to to to to to
centered care at a hospital. Which action bestexemplifies providing patient-
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centered care? to
A) Having a client complete a self- to to to to to
reported functional status indicator and thenreviewing it with the client
to to to to to to to to to to
B) Explaining to a client the benefits of computer- to to to to to to to
assisted robotic surgicaltechniques, which the hospital recently implemente
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d
C) Recording a client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a client while the client is in thehos
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pital
ANS: A to
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
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es. Clients become active participants in their own care, and monitoring health becomes the
to to to to to to to to to to to to to to
client's responsibility. To help clients and their healthcare providers make better decisions, t
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he Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that
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to empower clients and assist providers in achieving desired outcomes, including client-
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reported functional status indicators. Computer-
to to to to
assisted robotic surgical techniques, electronic health records, andcontinuous glucose monito
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ring in the hospital are all technological advances in healthcare, but they do not help the clien
to to to to to to to to to to to to to to to to
t become a more active participant in his or hercare, and thus are not good examples of patie
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nt-centered care. to
Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitu
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s. The nurse should recognize which social determinants of this client's health?(Select all th
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, at apply.)
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A) Household income of $23,000 per year to to to to to
B) Reading level of a third grader to to to to to
C) Medication ineffective due to error in prescription to to to to to to
D) Originally from Sudan to to
E) No family in the areaA to to to to to
NS: A, B, D, E Feedback
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:
The social conditions in which people live, their income, social status, education, literacy, ho
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me and work environment, support networks, gender, culture, and availability of health serv
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ices are the social determinants of health. These conditions have an impact on the extent to
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which a person or community possesses the physical, social, and personal resources necessar
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y to attain and maintain health. A medical erroron the part of the client's primary care provid
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er or nurse would not constitute a social determinant of the client's health.
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3. A nurse successfully persuades an obese client to perform a weekly weigh-
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in at homeusing a digital scale and record the weight in a log. This strategy is an example of
to to to to to to to to to to to to to to to to to to to
:
A) Telehealth
B) Health information technology to to
C) Personal responsibility for health to to to
D) Evidence-
based nursingANS: C to to to
Feedback:
Personal responsibility for health involves active participation in one's own health through e
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ducation and lifestyle changes. In this case, the client makes a positive changein lifestyle by
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monitoring body weight weekly. Telehealth is the use of electronic information and telecom
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munications technologies to support long- to to to to
distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information technology (
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HIT) is defined as the comprehensive management of health information and its exchange b
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etween consumers, providers, government, and insurers in a secure manner. Evidence-
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based nursing is the integrationof the best evidence available with clinical expertise and the v
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