Health Nursing 3rd Edi
j j j j
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DeMarcoWalsh Test j j j
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MedConnoisseurjFilej©j2022
, Chapterj1-jPublicjHealthjNursing,j1
1. Ajnursejisjstrivingjtojpracticejpatient-centeredjcarejatjajhospital.jWhichjactionjbest
exemplifiesjprovidingjpatient-centeredjcare?
A) Havingjajclientjcompletejajself-
reportedjfunctionaljstatusjindicatorjandjthenjreviewingjitjwithjthejclient
B) Explainingjtojajclientjthejbenefitsjofjcomputer-
assistedjroboticjsurgicaljtechniques,jwhichjthejhospitaljrecentlyjimpleme
nted
C) Recordingjajclient'sjsignsjandjsymptomsjinjanjelectronicjhealthjrecord
D) Performingjcontinuousjglucosejmonitoringjofjajclientjwhilejthejclientjisjinjthejho
spital
Ans:j A
Feedback:
Patient-
centeredjcarejconsidersjculturaljtraditions,jpersonaljpreferences,jvalues,jfamilies,jandjlife
styles.jClientsjbecomejactivejparticipantsjinjtheirjownjcare,jandjmonitoringjhealthjbecom
esjthejclient'sjresponsibility.jTojhelpjclientsjandjtheirjhealthcarejprovidersjmakejbetterjdec
isions,jthejAgencyjforjHealthcarejResearchjandjQualityj(AHRQ)jhasjdevelopedjajseriesjof
jtoolsjthatjempowerjclientsjandjassistjprovidersjinjachievingjdesiredjoutcomes,jincludingjc
lient-reportedjfunctionaljstatusjindicators.jComputer-
assistedjroboticjsurgicaljtechniques,jelectronicjhealthjrecords,jandjcontinuousjglucosejmo
nitoringjinjthejhospitaljarejalljtechnologicaljadvancesjinjhealthcare,jbutjtheyjdojnotjhelpjth
ejclientjbecomejajmorejactivejparticipantjinjhisjorjherjcare,jandjthusjarejnotjgoodjexamplesj
ofjpatient-centeredjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j2
2. Ajnursejisjcaringjforjanjolderjclientjwhojisjstrugglingjtojmanagejherjtypej2jdiabetesjmelli
tus.jThejnursejshouldjrecognizejwhichjsocialjdeterminantsjofjthisjclient'sjhealth?j(Selectj
alljthatjapply.)
A) Householdjincomejofj$23,000jperjyear
B) Readingjleveljofjajthirdjgrader
C) Medicationjineffectivejduejtojerrorjinjprescription
D) OriginallyjfromjSudan
E) Nojfamilyjinjthejareaj
Ans:j A,jB,jD,jE
Feedback:
Thejsocialjconditionsjinjwhichjpeoplejlive,jtheirjincome,jsocialjstatus,jeducation,jliteracy,j
homejandjworkjenvironment,jsupportjnetworks,jgender,jculture,jandjavailabilityjofjhealthj
servicesjarejthejsocialjdeterminantsjofjhealth.jThesejconditionsjhavejanjimpactjonjthejexte
ntjtojwhichjajpersonjorjcommunityjpossessesjthejphysical,jsocial,jandjpersonaljresourcesjn
ecessaryjtojattainjandjmaintainjhealth.jAjmedicaljerrorjonjthejpartjofjthejclient'sjprimaryjca
rejproviderjorjnursejwouldjnotjconstitutejajsocialjdeterminantjofjthejclient'sjhealth.
MedConnoisseurjFilej©j2022
,3. Ajnursejsuccessfullyjpersuadesjanjobesejclientjtojperformjajweeklyjweigh-
injatjhomejusingjajdigitaljscalejandjrecordjthejweightjinjajlog.jThisjstrategyjisjanjexampl
ejof:
A) Telehealth
B) Healthjinformationjtechnology
C) Personaljresponsibilityjforjhealth
D) Evidence-
basedjnursingjAns:jC
Feedback:
Personaljresponsibilityjforjhealthjinvolvesjactivejparticipationjinjone'sjownjhealthjthroug
hjeducationjandjlifestylejchanges.jInjthisjcase,jthejclientjmakesjajpositivejchangejinjlifestyl
ejbyjmonitoringjbodyjweightjweekly.jTelehealthjisjthejusejofjelectronicjinformationjandjte
lecommunicationsjtechnologiesjtojsupportjlong-
distancejclinicaljhealthcare,jclientjandjprofessionaljhealth-
relatedjeducation,jpublicjhealth,jandjhealthjadministration.jHealthjinformationjtechnolog
yj(HIT)jisjdefinedjasjthejcomprehensivejmanagementjofjhealthjinformationjandjitsjexchan
gejbetweenjconsumers,jproviders,jgovernment,jandjinsurersjinjajsecurejmanner.jEvidence
-
basedjnursingjisjthejintegrationjofjthejbestjevidencejavailablejwithjclinicaljexpertisejandjth
ejvaluesjofjthejclientjtojincreasejthejqualityjofjcare.
Origin:j Chapterj1-jPublicjHealthjNursing,j4
4. Ajnursejperformsjajvarietyjofjtasksjasjpartjofjthejnurse'sjpositionjatjajhospital.jWhichjtas
kjbestjexemplifiesjpublicjhealth?
A) Readingjcurrentjnursingjjournalsjandjintegratingjthejlatestjresearchjintojdailyjpr
actice
B) Instructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhome
C) Participatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejarea
D) Facilitatingjajcommunity-
widejsmokingjcessationjprogramjonejmonthjoutjofjthejyear
Ans:j D
Feedback:
Publicjhealthjisjwhatjsocietyjdoesjcollectivelyjtojensurejthejconditionsjexistjinjwhichjpeopl
ejcanjbejhealthy.jAjcommunity-
widejsmokingjcessationjprogramjisjajgreatjexamplejofjajpublicjhealthjintervention,jinjthatji
tjinvolvesjthejcollectivejeffortjofjsocietyjtojimprovejthejhealthjofjitsjmembers.jReadingjand
japplyingjthejlatestjnursingjresearchjisjanjexamplejofjevidence-
basedjnursing.jInstructingjajclientjonjhowjtojbestjcarejforjajsuturejsitejatjhomejisjanjexampl
ejofjpersonaljresponsibilityjforjhealth,jbutjitjisjnotjfocusedjonjthejhealthjofjthejgreaterjcom
munity.jParticipatingjinjajvideoconferencejcalljwithjajclientjwhojlivesjinjajremotejareajisja
njexamplejofjpatient-
centeredjcarejandjofjanjeffectivejimplementationjofjtechnology,jbutjitjisjnotjparticularlyjrel
atedjtojpublicjhealth.
Pagej 3
, Origin:j Chapterj1-jPublicjHealthjNursing,j5
5. Publicjhealthjnursingjisjdistinguishedjfromjotherjspecialtiesjbyjadherencejtojeightjpr
inciples.jWhichjisjonejofjthejeightjdomainsjofjpublicjhealthjnursingjpractice?
A) Analyticjassessmentjskills
B) Investigationjofjdisease
C) Referraljandjfollow-up
D) Casejmanagementj
Ans:jA
Feedback:
Thejeightjdomainsjofjpublicjhealthjnursingjpracticejarejasjfollows:jAnalyticjassessmentjskil
ls,jpolicyjdevelopmentjandjprogramjplanningjskills,jcommunicationjskills,jculturaljcompet
encyjskills,jcommunityjdimensionsjofjpracticejskills,jpublicjhealthjsciencejskills,jfinancialjp
lanningjandjmanagementjskills,jandjleadershipjandjsystemsjthinkingjskills.
Investigationjofjdisease,jreferraljandjfollow-
up,jandjcasejmanagementjarejalljpublicjhealthjnursingjinterventionsjbutjarejnotjdomainsjof
jpublicjhealthjnursingjpractice.
Origin:j Chapterj1-jPublicjHealthjNursing,j6
6. Publicjhealthjnursingjisjdistinguishedjfromjotherjspecialtiesjbyjadherencejtojeightjpr
inciples.jWhichjisjonejofjthejeightjdomainsjofjpublicjhealthjnursingjpractice?
A) Policyjdevelopmentjandjindividualjplanningjskills
B) Individualjdimensionsjofjpracticejskills
C) Financialjplanningjandjmanagementjskills
D) Leadershipjandjindividualjcriticaljthinkingjskillsj
Ans:jC
Feedback:
Thejeightjdomainsjofjpublicjhealthjnursingjpracticejarejasjfollows:jAnalyticjassessmentjskil
ls,jpolicyjdevelopmentjandjprogramjplanningjskills,jcommunicationjskills,jculturaljcompet
encyjskills,jcommunityjdimensionsjofjpracticejskills,jpublicjhealthjsciencejskills,jfinancialjp
lanningjandjmanagementjskills,jandjleadershipjandjsystemsjthinkingjskills.