TEST BANK - Community and Public Health Nursing:
Evidence for Practice, 3rd 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 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
ANSWER: 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.
3. A fnurse fsuccessfully fpersuades fan fobese fclient fto fperform fa fweekly fweigh-in fat
fhomefusing fa fdigital fscale fand frecord fthe fweight fin fa flog. fThis fstrategy fis fan
fexample fof:
A) Telehealth
B) Health finformation ftechnology
C) Personal fresponsibility ffor fhealth
D) Evidence-based
fnursingfANSWER: f C
Feedback:
Personal fresponsibility ffor fhealth finvolves factive fparticipation fin fone's fown fhealth
fthrough feducation fand flifestyle fchanges. fIn fthis fcase, fthe fclient fmakes fa fpositive
fchangefin flifestyle fby fmonitoring fbody fweight fweekly. fTelehealth fis fthe fuse fof
felectronic finformation fand ftelecommunications ftechnologies fto fsupport flong-
distance fclinical fhealthcare, fclient fand fprofessional fhealth-related feducation, fpublic
fhealth, fand fhealth fadministration. fHealth finformation ftechnology f(HIT) fis fdefined
fas fthe fcomprehensive fmanagement fof fhealth finformation fand fits fexchange fbetween
fconsumers, fproviders, fgovernment, fand finsurers fin fa fsecure fmanner. fEvidence-
based fnursing fis fthe fintegrationfof fthe fbest fevidence favailable fwith fclinical fexpertise
fand fthe fvalues fof fthe fclient fto fincrease fthe fquality fof fcare.
Origin: f Chapter f1- fPublic fHealth fNursing, f4
Evidence for Practice, 3rd 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 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
ANSWER: 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.
3. A fnurse fsuccessfully fpersuades fan fobese fclient fto fperform fa fweekly fweigh-in fat
fhomefusing fa fdigital fscale fand frecord fthe fweight fin fa flog. fThis fstrategy fis fan
fexample fof:
A) Telehealth
B) Health finformation ftechnology
C) Personal fresponsibility ffor fhealth
D) Evidence-based
fnursingfANSWER: f C
Feedback:
Personal fresponsibility ffor fhealth finvolves factive fparticipation fin fone's fown fhealth
fthrough feducation fand flifestyle fchanges. fIn fthis fcase, fthe fclient fmakes fa fpositive
fchangefin flifestyle fby fmonitoring fbody fweight fweekly. fTelehealth fis fthe fuse fof
felectronic finformation fand ftelecommunications ftechnologies fto fsupport flong-
distance fclinical fhealthcare, fclient fand fprofessional fhealth-related feducation, fpublic
fhealth, fand fhealth fadministration. fHealth finformation ftechnology f(HIT) fis fdefined
fas fthe fcomprehensive fmanagement fof fhealth finformation fand fits fexchange fbetween
fconsumers, fproviders, fgovernment, fand finsurers fin fa fsecure fmanner. fEvidence-
based fnursing fis fthe fintegrationfof fthe fbest fevidence favailable fwith fclinical fexpertise
fand fthe fvalues fof fthe fclient fto fincrease fthe fquality fof fcare.
Origin: f Chapter f1- fPublic fHealth fNursing, f4
