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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 qq qq qq qq
1. A nurse is striving to practice patient-centered careat a hospital. Whichactionbest
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exemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional status indicator and then
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reviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic surgical qq qq qq qq qq qq qq qq qq
techniques, which the hospitalrecently implemented
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C) Recording a client's signsand symptoms inanelectronic health record qq qq qq qq qq qq qq qq qq qq
D) Performing continuous glucose monitoring ofa client while the client is inthe qq qq qq qq q qq qq qq qq qq qq qq
hospital
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ANSWER: A q q
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, qq qq qq qq qq qq qq qq
qq and lifestyles. Clients become active participants in their own care, and monitoring health
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qq becomes the client's responsibility. To help clients and their healthcare providers make better
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qq decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a series
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qq of tools that empower clients and assist providers in achieving desired outcomes, including
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qq client-reported functional status indicators.Computer-assistedroboticsurgicaltechniques, qq qq qq qq qq qq q
qq electronic healthrecords, andcontinuous glucose monitoring in the hospital are all
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qq technological advances in healthcare, but they do not help the client become a more active qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq 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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qq The nurse should recognize which socialdeterminants ofthis client's health?(Select all that
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q q apply.)
A) Household income of $23,000 per year qq qq qq qq qq
B) Reading levelofa third grader qq qq qq qq qq
C) Medicationineffective dueto error inprescription qq qq q qq qq qq
D) Originally fromSudan qq q
, E) No family inthearea qq qq q qq
ANSWER:
q q q A, B, D, E qq qq qq
qq Feedback:
The social conditions in which people live, their income, social status, education, literacy,
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qq home and workenvironment, support networks, gender, culture, and availability of health
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qq services are the social determinants of health. These conditions have an impact on the extent
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qq to which a person or community possesses the physical, social, and personalresources
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qq necessaryto attainand maintain health. A medicalerroron the part of the client's primary care
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qq provider or nurse would not constitute a social determinant ofthe client's health.
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