Complete – Test Bank
Community and Public Health Nursing: Evidence for Practice, 4th Edition.
By Rosanna DeMarco, Judith Healey-Walsh.
(All Chapters, Latest Edition, Verified Answers with Explanation)
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Chapter1: 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
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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, ho me
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 nurse successfully persuades an obese client to perform a weekly weigh-
in at home using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-
Based nursing A NSWER: C Feedback:
Personal responsibility for health involves active participation in one's own health through
education and lifestyle changes. In this case, the client makes a positive change in lifestyle by
monitoring body weight weekly. Telehealth is the use of electronic information and
telecommunications technologies to support long-
distance clinical healthcare, client and professional health-
related education, public health, and health administration. Health information technology ( HIT)
is defined as the comprehensive management of health information and its exchange b etween
consumers, providers, government, and insurers in a secure manner. Evidence- based nursing is
the integrationof the best evidence available with clinical expertise and the va lues of the client to
increase the quality ofcare.
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 ahospital. Whichtask
b est exemplifies public health?
A) Reading current nursing journals and integrating the latest research into dailyprac tice
B) Instructing a client on how to best care for asuturesite at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Answer: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people c an
be healthy. A community-
wide smoking cessation program is a great example ofa public health intervention, in that it in
volves the collective effort ofsocietyto improve the healthof its members. Reading and applyi ng
the latest nursing research is an example of evidence-
based nursing. Instructing a client on how to best care for a suture site at home is an example o f
personal responsibility for health, but it is not focused on the health of the greater communit
y. Participating in a videoconference call with a client who lives in a remote area is an example
of patient-
centered care and of an effective implementation oftechnology, but it is not particularly relate dto
public health.
5. Public health nursing is distinguished fromother specialties by adherence to eightprin
ciples. Which is one of the eight domains ofpublic health nursing practice?
A) Analyticassessment skills
B) Investigation ofdisease
C) Referraland follow-up
D) Casemanagement Answer: A Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions ofpractice skills, public healthscience skills,financial planning and
management skills, and leadership andsystems thinking skills.
Investigation ofdisease, referraland follow-
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