COMMUNITY AND PUBLICHEALTH
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NURSING
Evidence for Practice g
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3RD EDITION
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BY DEMARCO & WALSH
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TEST BANK
,TEST BANK: Community and Public Health Nursing 3rd Edition DeMarco & Walsh
Contents:
Chapter 1: Public Health Nursing: Present, Past, and Future
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Chapter 2: Public Health Systems
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Chapter 3: Health Policy, Politics, and Reform
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Chapter 4: Global Health: A Community Perspective
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Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
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Chapter 6: Epidemiology: The Science of Prevention
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Chapter 7: Describing Health Conditions: Understanding and Using Rates
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Chapter 8: Gathering Evidence for Public Health Practice
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Chapter 9: Planning for Community Change
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Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
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Chapter 11: Community Assessment
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Chapter 12: Care Management, Case Management, and Home Healthcare
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Chapter 13: Family Assessment
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Chapter 14: Risk of Infectious and Communicable Diseases
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Chapter 15: Emerging Infectious Diseases
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Chapter 16: Violence and Abuse
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Chapter 17: Substance Use
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Chapter 18: Underserved Populations
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Chapter 19: Environmental Health
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Chapter 20: Community Preparedness: Disaster and Terrorism
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Chapter 21: Community Mental Health
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Chapter 22: School Health
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Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
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Chapter 24: Palliative and End-of-Life Care
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Chapter 25: Occupational Health Nursing
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,Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 1
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1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care? g1
A) Having a client complete a self- g1 g1 g1 g1 g1
reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer- g1 g1 g1 g1 g1 g1 g1
assisted robotic surgicaltechniques, which the hospital recently imple
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C) Recording a client's signs and symptoms in an electronic health record g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
D) Performing continuous glucose monitoring of a client while the client is in t g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
hehospital g1
Ans: A g1
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and
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1lifestyles. Clients become active participants in their own care, and monitoring healt
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h becomes the client's responsibility. To help clients and their healthcare providers m
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ake better decisions, the Agency for Healthcare Research and Quality (AHRQ) has d
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eveloped a series of tools that empower clients and assist providers in achieving desi
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red outcomes, including client-reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose
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monitoring in the hospital are all technological advances in healthcare, but they do n
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ot help the client become a more active participant in his or hercare, and thus are not
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g1good 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 diabet
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es mellitus. The nurse should recognize which social determinants of this client's he
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alth?(Select all that apply.)
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A) Household income of $23,000 per year g1 g1 g1 g1 g1
B) Reading level of a third grader g1 g1 g1 g1 g1
C) Medication ineffective due to error in prescription g1 g1 g1 g1 g1 g1
D) Originally from Sudan g1 g1
E) No family in the are g1 g1 g1 g1
aAns: A, B, D, E Feedb
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ack:
The social conditions in which people live, their income, social status, education, li
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teracy, home and work environment, support networks, gender, culture, and availab
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ility of health services are the social determinants of health. These conditions have
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an impact on the extent to which a person or community possesses the physical, so
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cial, and personal resources necessary to attain and maintain health. A medical error
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on the part of the client's primary care provider or nurse would not constitute a soc
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ial determinant of the client's health.
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Page 1
, Origin: Chapter 1- Public Health Nursing, 3
3. A nurse successfully persuades an obese client to perform a weekly weigh-
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in at homeusing a digital scale and record the weight in a log. This strategy is an e
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xample of: g1
A) Telehealth
B) Health information technology g1 g1
C) Personal responsibility for health g1 g1 g1
D) Evidence-
based nursingAns: C g1 g1 g1
Feedback:
Personal responsibility for health involves active participation in one's own health th
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rough education and lifestyle changes. In this case, the client makes a positive chang
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ein lifestyle by monitoring body weight weekly. Telehealth is the use of electronic i
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nformation and telecommunications technologies to support long-
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distance clinical healthcare, client and professional health-
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related education, public health, and health administration. Health information techno
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logy (HIT) is defined as the comprehensive management of health information and it
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s exchange between consumers, providers, government, and insurers in a secure man
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ner. Evidence- g1
based nursing is the integrationof the best evidence available with clinical expertise
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and the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Wh
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ichtask best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into dai
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lypractice g1
B) Instructing a client on how to best care for a suture site at home g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
C) Participating in a videoconference call with a client who lives in a remote area g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
D) Facilitating a community- g1 g1
wide smoking cessation program one month out of theyear
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Ans: D g1
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
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1people can be healthy. A community-
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wide smoking cessation program is a great example of a public health intervention, in
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that it involves the collective effort of societyto improve the health of its members.
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Reading and applying the latest nursing research is an example of evidence-
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based nursing. Instructing a client on how to best care for a suture site at home is an
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example of personal responsibility for health, but it is not focused on the health of th
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e greater community. Participating in a videoconference call with a client who lives i
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n a remote area is an example of patient-
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centered care and of an effective implementation of technology, but it is not particular
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ly related to public health.
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