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Evidence for Practice, 3rd Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing gg gg gg gg
1. A nurse is striving to practice patient-centered care at a hospital. Which action
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bestexemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional status indicator and
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thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic
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surgicaltechniques, which the hospital recently implemented
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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
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gg in thehospital
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ANSWER: A gg
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
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gg families, and lifestyles. Clients become active participants in their own care, and
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gg monitoring health becomes the client's responsibility. To help clients and their
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gg healthcare providers make better decisions, the Agency for Healthcare Research
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gg and Quality (AHRQ) has developed a series of tools that empower clients and
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gg assist providers in achieving desired outcomes, including client-reported functional
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gg status indicators. Computer-assisted robotic surgical techniques, electronic health
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records, andcontinuous glucose monitoring in the hospital are all technological
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gg advances in healthcare, but they do not help the client become a more active
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gg participant in his or hercare, and thus are not good examples of patient-centered
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gg care.
Origin: g g Chapter 1- Public Health Nursing, 2 gg gg gg gg gg
2. A nurse is caring for an older client who is struggling to manage her type 2
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gg diabetes mellitus. The nurse should recognize which social determinants of this
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client's health?(Select all that apply.)
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A) Household income of $23,000 per year gg gg gg gg gg
B) Reading level of a third grader gg gg gg gg gg
, C) Medication ineffective due to error in prescription
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D) Originally from Sudan gg gg
E) No family in the
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areaANSWER:
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gg D, E Feedback:
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The social conditions in which people live, their income, social status, education,
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gg literacy, home and work environment, support networks, gender, culture, and
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gg availability of health services are the social determinants of health. These
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gg conditions have an impact on the extent to which a person or community
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gg possesses the physical, social, and personal resources necessary to attain and
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gg maintain health. A medical erroron the part of the client's primary care provider
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gg or nurse would not constitute a social determinant of the client's health.
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