https://www.stuvia.com/user/angelinas
, Chapter1- Public Health Nursing, 1 v v v v v
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
v v v v v v v v v v v v v
exemplifies providing patient-centered care? v v v
A) Having a client complete aself-reported functional status indicator and then v v v v v v v v v v
reviewing it with the client
v v v v v
B) Explaining to a client the benefits of computer-assisted robotic surgical v v v v v v v v v
techniques, which the hospital recently implemented
v v v v v v
C) Recording a client's signs and symptoms in an electronic health record v v v v v v v v v v
D) Performing continuous glucose monitoring of a client while the client is in the v v v v v v v v v v v v
hospital v
Ans: A v
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, v v v v v v v v
and lifestyles. Clients become active participants in their own care, and monitoring health
v v v v v v v v v v v v v
becomes the client's responsibility. To help clients and their healthcare providers make
v v v v v v v v v v v v
better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a
v v v v v v v v v v v v v
series of tools that empower clients and assist providers in achieving desired outcomes,
v v v v v v v v v v v v v
including client-reported functional status indicators. Computer-assisted robotic surgical
v v v v v v v v
techniques, electronic health records, and continuous glucose monitoring in the hospital are
v v v v v v v v v v v v
all technological advances in healthcare, but they do not help the client become a more
v v v v v v v v v v v v v v v
active participant in his or her care, and thus are not good examples of patient-centered care.
v v v v v v v v v v v v v v v v
Origin: Chapter 1- Public Health Nursing, 2 v v v v v v
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
v v v v v v v v v v v v v v v v
mellitus. The nurse should recognize which social determinants of this client's health?
v v v v v v v v v v v v
(Select all that apply.)
v v v v
A) Household income of $23,000 per year v v v v v
B) Reading level of a third grader v v v v v
C) Medication ineffective due to error in prescription v v v v v v
D) Originally from Sudan v v
E) No familyinthearea v v v v
Ans: A, B, D, E
v v v v v
Feedback:
The social conditions in which people live, their income, social status, education, literacy,
v v v v v v v v v v v v
home and work environment, support networks, gender, culture, and availability of health
v v v v v v v v v v v v
services are the social determinants of health. These conditions have an impact on the
v v v v v v v v v v v v v v
extent to which a person or community possesses the physical, social, and personal
v v v v v v v v v v v v v
resources necessary to attain and maintain health. A medical error on the part of the client's
v v v v v v v v v v v v v v v v
primary care provider or nurse would not constitute a social determinant of the client's
v v v v v v v v v v v v v v
health.
v
https://www.stuvia.com/user/angelinas
,3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
v v v v v v v v v v v v v
using a digital scale and record the weight in a log. This strategy is an example of:
v v v v v v v v v v v v v v v v v
A) Telehealth
B) Health information technology v v
C) Personal responsibility for health v v v
D) Evidence-based nursing v
Ans: C
v v
Feedback:
Personal responsibility for health involves active participation in one's own health through
v v v v v v v v v v v
education and lifestyle changes. In this case, the client makes a positive change in lifestyle by
v v v v v v v v v v v v v v v v
monitoring body weight weekly. Telehealth is the use of electronic information and
v v v v v v v v v v v v
telecommunications technologies to support long-distance clinical healthcare, client and
v v v v v v v v v
professional health-related education, public health, and health administration. Health
v v v v v v v v v
information technology (HIT) is defined as the comprehensive management of health
v v v v v v v v v v v
information and its exchange between consumers, providers, government, and insurers in a
v v v v v v v v v v v v
secure manner. Evidence-based nursing is the integration of the best evidence available
v v v v v v v v v v v v
with clinical expertise and the values of the client to increase the quality of care.
v v v v v v v v v v v v v v v
Origin: Chapter 1- Public Health Nursing, 4 v v v v v v
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task
v v v v v v v v v v v v v v v v v
best exemplifies public health?
v v v v
A) Reading current nursing journals and integrating the latest research into daily
v v v v v v v v v v
practice v
B) Instructing a client on how to best care for a suture site at home v v v v v v v v v v v v v
C) Participating in a videoconference call with a client who lives in a remote area v v v v v v v v v v v v v
D) Facilitating a community-wide smoking cessation program one month out of the v v v v v v v v v v
year v
Ans: D v
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people
v v v v v v v v v v v v v v
can be healthy. A community-wide smoking cessation program is a great example of a
v v v v v v v v v v v v v v
public health intervention, in that it involves the collective effort of society to improve the
v v v v v v v v v v v v v v v
health of its members. Reading and applying the latest nursing research is an example of
v v v v v v v v v v v v v v v
evidence-based nursing. Instructing a client on how to best care for a suture site at home is
v v v v v v v v v v v v v v v v v
an example of personal responsibility for health, but it is not focused on the health of the
v v v v v v v v v v v v v v v v v
greater community. Participating in a videoconference call with a client who lives in a
v v v v v v v v v v v v v v
remote area is an example of patient-centered care and of an effective implementation of
v v v v v v v v v v v v v v
technology, but it is not particularly related to public health.
v v v v v v v v v v
Page 3 v
, Origin: Chapter 1- Public Health Nursing, 5
v v v v v v
5. Public health nursing is distinguished from other specialties by adherence to eight
v v v v v v v v v v v
principles. Which is one of the eight domains of public health nursing practice?
v v v v v v v v v v v v v
A) Analytic assessment skills v v
B) Investigation of disease v v
C) Referral and follow-up v v
D) Casemanagement v
Ans: A
v v
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
v v v v v v v v v v v v v
policy development and program planning skills, communication skills, cultural competency
v v v v v v v v v v
skills, community dimensions of practice skills, public health science skills, financial planning
v v v v v v v v v v v v
and management skills, and leadership and systems thinking skills.
v v v v v v v v v
Investigation of disease, referral and follow-up, and case management are all public health
v v v v v v v v v v v v
nursing interventions but are not domains of public health nursing practice.
v v v v v v v v v v v
Origin: Chapter 1- Public Health Nursing, 6
v v v v v v
6. Public health nursing is distinguished from other specialties by adherence to eight
v v v v v v v v v v v
principles. Which is one of the eight domains of public health nursing practice?
v v v v v v v v v v v v v
A) Policy development and individual planning skills
v v v v v
B) Individual dimensions of practice skills v v v v
C) Financial planning and management skills v v v v
D) Leadership and individual critical thinking skills v v v v v
Ans: C
v v
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
v v v v v v v v v v v v v
policy development and program planning skills, communication skills, cultural competency
v v v v v v v v v v
skills, community dimensions of practice skills, public health science skills, financial planning
v v v v v v v v v v v v
and management skills, and leadership and systems thinking skills.
v v v v v v v v v