Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
,Chapter 1: Public Health Nursing
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
ANSWER: 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 xResearch xand xQuality x(AHRQ) xhas
xdeveloped xa xseries xof xtools xthat xempower xclients xand xassist xproviders xin xachieving
xdesired xoutcomes, xincluding xclient-reported xfunctional xstatus xindicators. xComputer-
assisted xrobotic xsurgical xtechniques, xelectronic xhealth xrecords, xandxcontinuous xglucose
xmonitoring xin xthe xhospital xare xall xtechnological xadvances xin xhealthcare, xbut xthey
xdo xnot xhelp xthe xclient xbecome xa xmore xactive xparticipant xin xhis xor xherxcare, xand
xthus xare xnot x good xexamples xof xpatient-centered xcare.
Origin: x Chapter x1- xPublic xHealth xNursing, x2
2. A xnurse xis xcaring xfor xan xolder xclient xwho xis xstruggling xto xmanage xher xtype x2
xdiabetes xmellitus. xThe xnurse xshould xrecognize xwhich xsocial xdeterminants xof xthis
xclient's xhealth?x(Select x all xthat x apply.)
A) Household xincome xof x$23,000 xper xyear
B) Reading xlevel xof xa xthird xgrader
C) Medication xineffective xdue xto xerror xin xprescription
, D) Originally xfrom xSudan
E) No xfamily xin xthe
xareaxANSWER: x A, xB,
xD, xE xFeedback:
The xsocial xconditions xin xwhich xpeople xlive, xtheir xincome, xsocial xstatus, xeducation,
xliteracy, x home xand xwork xenvironment, xsupport x networks, xgender, xculture, xand
xavailability xof xhealth xservices xare xthe xsocial xdeterminants xof xhealth. xThese
xconditions xhave xan ximpact xon xthe xextent xto xwhich xa xperson xor xcommunity
xpossesses xthe xphysical, xsocial, xand xpersonal xresources xnecessary xto xattain xand
xmaintain xhealth. xA xmedical xerrorxon xthe xpart xof xthe xclient's xprimary xcare xprovider
xor xnurse xwould xnot xconstitute xa xsocial xdeterminant xof xthe xclient's xhealth.