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Community and Public Health Nursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter1: Public Health Nursing g g g g
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 g g g g g g g g
surgicaltechniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record g g g g g g g g g g
D) Performing continuous glucose monitoring of a client while the client is in g g g g g g g g g g g
thehospital
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ANSWER: A g
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, g g g g g g g g
and lifestyles. Clients become active participants in their own care, and monitoring health
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becomes the client's responsibility. To help clients and their healthcare providers make better
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decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a series
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of tools that empower clients and assist providers in achieving desired outcomes, including
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client-reported functional status indicators. Computer-assisted robotic surgicaltechniques,
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electronic health records, andcontinuous glucose monitoring in the hospital are all
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technological advances in healthcare, but they do not help the client become a more active
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participant in his or hercare, and thus are not good examples of patient-centered care.
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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 that
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g apply.)
A) Household income of $23,000 per year g g g g g
B) Reading level of a third grader g g g g g
C) Medication ineffective due to error in prescription g g g g g g
D) Originally fromSudan g g
, E) No family in theg g g
areaANSWER: A, B, D, E
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Feedback:
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The social conditions in which people live, their income, social status, education, literacy,
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g home and work environment, support networks, gender, culture, and availability of health
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services are the social determinants of health. These conditions have an impact on the extent
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to which a person or community possesses the physical, social, and personal resources
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necessary to attain and maintain health. A medical erroron the part of the client's primary care
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provider or nurse would not constitute a social determinant of the client's health.
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