Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
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,Chapter1: Public Health Nursing bx bx bx bx
1. A nurse is striving to practice patient-
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centered careat a hospital. Whichactionbestexemplifies providing patient-
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centered care? bx
A) Having a client complete a self- bx bx bx bx bx
reported functional status indicator and thenreviewing it with the client bx bx bx bx bx x
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B) Explaining to a client the benefits of computer- bx bx bx bx bx bx bx
assisted robotic surgicaltechniques, which the hospitalrecently implementbx bx bx bx bx bx bx bx
ed
C) Recording a client's signsand symptoms inan electronic health record bx bx bx bx bx bx bx bx bx bx
D) Performing continuous glucose monitoring ofa client while the client is inthehospi bx bx bx bx x
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b
tal
ANSWER: A b x
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifest
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yles. Clients become active participants in their own care, and monitoring health becomes th
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e client's responsibility. To help clients and their healthcare providers make better decisions,
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the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that
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empower clients and assist providers in achieving desired outcomes, including client-
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reported functional status indicators. Computer-
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assistedroboticsurgicaltechniques, electronic healthrecords, andcontinuous glucose monit
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oring in the hospital are all technological advances in healthcare, but they do not help the clien
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t become a more active participant in his or hercare, and thus are not good examples of patient-
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centered care. bx
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 mellitus
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. The nurse should recognize which social determinants ofthis client's health?(Select all tha
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b bx bx
t apply.)
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, A) Household income of$23,000 per year bx bx bx bx bx
B) Reading levelofa third grader bx bx bx bx bx
C) Medicationineffective dueto error inprescription bx bx x
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D) Originally fromSudan bx bx
E) No family intheareaA
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NSWER: A, B, D, E Feedb b x bx bx bx bx
ack:
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 servi
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ces are the social determinants of health. These conditions have an impact on the extent to whi
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ch a person or community possesses the physical, social, and personalresources necessaryto
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attain and maintain health. A medical erroron the part of the client's primary care provider or n
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urse would not constitute a social determinant of the client's health.
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