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, Chapter 1- Public Health Nursing, 1
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1. A |nurse |is |striving |to |practice |patient-centered |care |at |a |hospital. |Which |action |best
exemplifies |providing |patient-centered |care?
A) Having |a |client |complete |a |self-reported |functional |status |indicator |and |then
|reviewing |it |with |the |client
B) Explaining |to |a |client |the |benefits |of |computer-assisted |robotic |surgical
|techniques, |which |the |hospital |recently |implemented
C) Recording |a |client's |signs |and |symptoms |in |an |electronic |health |record
D) Performing |continuous |glucose |monitoring |of |a |client |while |the |client |is |in |the
|hospital
Ans: | A
Feedback:
Patient-centered |care |considers |cultural |traditions, |personal |preferences, |values, |families,
|and |lifestyles. |Clients |become |active |participants |in |their |own |care, |and |monitoring
|health |becomes |the |client's |responsibility. |To |help |clients |and |their |healthcare |providers
|make |better |decisions, |the |Agency |for |Healthcare |Research |and |Quality |(AHRQ) |has
|developed |a |series |of |tools |that |empower |clients |and |assist |providers |in |achieving |desired
|outcomes, |including |client-reported |functional |status |indicators. |Computer-assisted
|robotic |surgical |techniques, |electronic |health |records, |and |continuous |glucose |monitoring
|in |the |hospital |are |all |technological |advances |in |healthcare, |but |they |do |not |help |the |client
|become |a |more |active |participant |in |his |or |her |care, |and |thus |are |not |good |examples |of
|patient-centered |care.
Origin: | Chapter |1- |Public |Health |Nursing, |2
2. A |nurse |is |caring |for |an |older |client |who |is |struggling |to |manage |her |type |2 |diabetes
|mellitus. |The |nurse |should |recognize |which |social |determinants |of |this |client's |health?
|(Select |all |that |apply.)
A) Household |income |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
|Ans: | A, |B, |D, |E
Feedback:
The |social |conditions |in |which |people |live, |their |income, |social |status, |education,
|literacy, |home |and |work |environment, |support |networks, |gender, |culture, |and |availability
|of |health |services |are |the |social |determinants |of |health. |These |conditions |have |an |impact
|on |the |extent |to |which |a |person |or |community |possesses |the |physical, |social, |and |personal
|resources |necessary |to |attain |and |maintain |health. |A |medical |error |on |the |part |of |the
|client's |primary |care |provider |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-in |at |home
|using |a |digital |scale |and |record |the |weight |in |a |log. |This |strategy |is |an |example |of:
A) Telehealth
B) Health |information |technology
C) Personal |responsibility |for |health
D) Evidence-based |nursing
|Ans: |C
Feedback:
Personal |responsibility |for |health |involves |active |participation |in |one's |own |health
|through |education |and |lifestyle |changes. |In |this |case, |the |client |makes |a |positive |change |in
|lifestyle |by |monitoring |body |weight |weekly. |Telehealth |is |the |use |of |electronic
|information |and |telecommunications |technologies |to |support |long-distance |clinical
|healthcare, |client |and |professional |health-related |education, |public |health, |and |health
|administration. |Health |information |technology |(HIT) |is |defined |as |the |comprehensive
|management |of |health |information |and |its |exchange |between |consumers, |providers,
|government, |and |insurers |in |a |secure |manner. |Evidence-based |nursing |is |the |integration |of
|the |best |evidence |available |with |clinical |expertise |and |the |values |of |the |client |to |increase
|the |quality |of |care.
Origin: | Chapter |1- |Public |Health |Nursing, |4
4. A |nurse |performs |a |variety |of |tasks |as |part |of |the |nurse's |position |at |a |hospital. |Which
|task |best |exemplifies |public |health?
A) Reading |current |nursing |journals |and |integrating |the |latest |research |into |daily
|practice
B) Instructing |a |client |on |how |to |best |care |for |a |suture |site |at |home
C) Participating |in |a |videoconference |call |with |a |client |who |lives |in |a |remote |area
D) Facilitating |a |community-wide |smoking |cessation |program |one |month |out |of |the
| year
Ans: | D
Feedback:
Public |health |is |what |society |does |collectively |to |ensure |the |conditions |exist |in |which
|people |can |be |healthy. |A |community-wide |smoking |cessation |program |is |a |great |example
|of |a |public |health |intervention, |in |that |it |involves |the |collective |effort |of |society |to |improve
|the |health |of |its |members. |Reading |and |applying |the |latest |nursing |research |is |an |example
|of |evidence-based |nursing. |Instructing |a |client |on |how |to |best |care |for |a |suture |site |at
|home |is |an |example |of |personal |responsibility |for |health, |but |it |is |not |focused |on |the
|health |of |the |greater |community. |Participating |in |a |videoconference |call |with |a |client |who
|lives |in |a |remote |area |is |an |example |of |patient-centered |care |and |of |an |effective
|implementation | of |technology, |but |it |is |not |particularly |related |to |public |health.
Page | 3
, Origin: | Chapter |1- |Public |Health |Nursing, |5
5. Public |health |nursing |is |distinguished |from |other |specialties |by |adherence |to |eight
|principles. |Which |is |one |of |the |eight |domains |of |public |health |nursing |practice?
A) Analytic |assessment |skills
B) Investigation |of |disease
C) Referral |and |follow-up
D) Case |management
|Ans: |A
Feedback:
The |eight |domains |of |public |health |nursing |practice |are |as |follows: |Analytic |assessment
|skills, |policy |development |and |program |planning |skills, |communication |skills, |cultural
|competency |skills, |community |dimensions |of |practice |skills, |public |health |science |skills,
|financial |planning |and |management |skills, |and |leadership |and |systems |thinking |skills.
Investigation |of |disease, |referral |and |follow-up, |and |case |management |are |all |public |health
|nursing |interventions |but |are |not |domains |of |public |health |nursing |practice.
Origin: | Chapter |1- |Public |Health |Nursing, |6
6. Public |health |nursing |is |distinguished |from |other |specialties |by |adherence |to |eight
|principles. |Which |is |one |of |the |eight |domains |of |public |health |nursing |practice?
A) Policy |development |and |individual |planning |skills
B) Individual |dimensions |of |practice |skills
C) Financial |planning |and |management |skills
D) Leadership |and |individual |critical |thinking |skills
|Ans: |C
Feedback:
The |eight |domains |of |public |health |nursing |practice |are |as |follows: |Analytic |assessment
|skills, |policy |development |and |program |planning |skills, |communication |skills, |cultural
|competency |skills, |community |dimensions |of |practice |skills, |public |health |science |skills,
|financial |planning |and |management |skills, |and |leadership |and |systems |thinking |skills.