n n n n n
PUBLIC HEALTH NURSING 3rd EDI
n n n n
TION chapters 1-25
,Chapter 1- Public Health Nursing, 1
n n n n n
1. nAnnursenisnstrivingntonpracticenpatient-centeredncarenatnanhospital.nWhichnactionnbest
exemplifiesnprovidingnpatient-centeredncare?
A) Havingnanclientncompletenanself-
reportednfunctionalnstatusnindicatornandnthennreviewingnitnwithnthenclient
B) Explainingntonanclientnthenbenefitsnofncomputer-
assistednroboticnsurgicalntechniques,nwhichnthenhospitalnrecentlynimplem
ented
C) Recordingnanclient'snsignsnandnsymptomsninnannelectronicnhealthnrecord
D) Performingncontinuousnglucosenmonitoringnofnanclientnwhilenthenclientnisninnthenh
ospital
Ans:n A
Feedback:
Patient-
centeredncarenconsidersnculturalntraditions,npersonalnpreferences,nvalues,nfamilies,nandnlif
estyles.nClientsnbecomenactivenparticipantsninntheirnownncare,nandnmonitoringnhealthnbeco
mesnthenclient'snresponsibility.nTonhelpnclientsnandntheirnhealthcarenprovidersnmakenbettern
decisions,nthenAgencynfornHealthcarenResearchnandnQualityn(AHRQ)nhasndevelopednanser
iesnofntoolsnthatnempowernclientsnandnassistnprovidersninnachievingndesirednoutcomes,nincl
udingnclient-reportednfunctionalnstatusnindicators.nComputer-
assistednroboticnsurgicalntechniques,nelectronicnhealthnrecords,nandncontinuousnglucosenm
onitoringninnthenhospitalnarenallntechnologicalnadvancesninnhealthcare,nbutntheyndonnotnhelp
nthenclientnbecomenanmorenactivenparticipantninnhisnornherncare,nandnthusnarennotngoodnexam
plesnofnpatient-centeredncare.
Origin:n Chaptern1-nPublicnHealthnNursing,n2
2. Annursenisncaringnfornannoldernclientnwhonisnstrugglingntonmanagenherntypen2ndiabetesnme
llitus.nThennursenshouldnrecognizenwhichnsocialndeterminantsnofnthisnclient'snhealth?n(Sel
ectnallnthatnapply.)
A) Householdnincomenofn$23,000npernyear
B) Readingnlevelnofnanthirdngrader
C) Medicationnineffectivenduentonerrorninnprescription
D) OriginallynfromnSudan
E) Nonfamilyninnthenarean
Ans:n A,nB,nD,nE
Feedback:
Thensocialnconditionsninnwhichnpeoplenlive,ntheirnincome,nsocialnstatus,neducation,nliterac
y,nhomenandnworknenvironment,nsupportnnetworks,ngender,nculture,nandnavailabilitynofnhe
althnservicesnarenthensocialndeterminantsnofnhealth.nThesenconditionsnhavenannimpactnonnth
enextentntonwhichnanpersonnorncommunitynpossessesnthenphysical,nsocial,nandnpersonalnres
ourcesnnecessaryntonattainnandnmaintainnhealth.nAnmedicalnerrornonnthenpartnofnthenclient'sn
primaryncarenprovidernornnursenwouldnnotnconstitutenansocialndeterminantnofnthenclient'snhe
alth.
,3. Annursensuccessfullynpersuadesnannobesenclientntonperformnanweeklynweigh-
innatnhomenusingnandigitalnscalenandnrecordnthenweightninnanlog.nThisnstrategynisnannexam
plenof:
A) Telehealth
B) Healthninformationntechnology
C) Personalnresponsibilitynfornhealth
D) Evidence-
basednnursingnAns:nC
Feedback:
Personalnresponsibilitynfornhealthninvolvesnactivenparticipationninnone'snownnhealthnthrou
ghneducationnandnlifestylenchanges.nInnthisncase,nthenclientnmakesnanpositivenchangeninnlifes
tylenbynmonitoringnbodynweightnweekly.nTelehealthnisnthenusenofnelectronicninformationna
ndntelecommunicationsntechnologiesntonsupportnlong-
distancenclinicalnhealthcare,nclientnandnprofessionalnhealth-
relatedneducation,npublicnhealth,nandnhealthnadministration.nHealthninformationntechnolo
gyn(HIT)nisndefinednasnthencomprehensivenmanagementnofnhealthninformationnandnitsnexc
hangenbetweennconsumers,nproviders,ngovernment,nandninsurersninnansecurenmanner.nEvid
ence-
basednnursingnisnthenintegrationnofnthenbestnevidencenavailablenwithnclinicalnexpertisenandn
thenvaluesnofnthenclientntonincreasenthenqualitynofncare.
Origin:n Chaptern1-nPublicnHealthnNursing,n4
4. Annursenperformsnanvarietynofntasksnasnpartnofnthennurse'snpositionnatnanhospital.nWhichnt
asknbestnexemplifiesnpublicnhealth?
A) Readingncurrentnnursingnjournalsnandnintegratingnthenlatestnresearchnintondailyn
practice
B) Instructingnanclientnonnhowntonbestncarenfornansuturensitenatnhome
C) Participatingninnanvideoconferencencallnwithnanclientnwhonlivesninnanremotenarea
D) Facilitatingnancommunity-
widensmokingncessationnprogramnonenmonthnoutnofnthenyear
Ans:n D
Feedback:
Publicnhealthnisnwhatnsocietyndoesncollectivelyntonensurenthenconditionsnexistninnwhichnpeo
plencannbenhealthy.nAncommunity-
widensmokingncessationnprogramnisnangreatnexamplenofnanpublicnhealthnintervention,ninnthat
nitninvolvesnthencollectiveneffortnofnsocietyntonimproventhenhealthnofnitsnmembers.nReadingn
andnapplyingnthenlatestnnursingnresearchnisnannexamplenofnevidence-
basednnursing.nInstructingnanclientnonnhowntonbestncarenfornansuturensitenatnhomenisnannexam
plenofnpersonalnresponsibilitynfornhealth,nbutnitnisnnotnfocusednonnthenhealthnofnthengreaternc
ommunity.nParticipatingninnanvideoconferencencallnwithnanclientnwhonlivesninnanremotenare
anisnannexamplenofnpatient-
centeredncarenandnofnanneffectivenimplementationn ofntechnology,nbutnitnisnnotnparticularlynr
elatedntonpublicnhealth.
Page 3
, Origin: Chapter 1- Public Health Nursing, 5
5. Publicnhealthnnursingnisndistinguishednfromnothernspecialtiesnbynadherencentoneightn
principles.nWhichnisnonenofntheneightndomainsnofnpublicnhealthnnursingnpractice?
A) Analyticnassessmentnskills
B) Investigationnofndisease
C) Referralnandnfollow-up
D) Casenmanagement
nAns:nA
Feedback:
Theneightndomainsnofnpublicnhealthnnursingnpracticenarenasnfollows:nAnalyticnassessmentnskill
s,npolicyndevelopmentnandnprogramnplanningnskills,ncommunicationnskills,nculturalncompeten
cynskills,ncommunityndimensionsnofnpracticenskills,npublicnhealthnsciencenskills,nfinancialnplan
ningnandnmanagementnskills,nandnleadershipnandnsystemsnthinkingnskills.
Investigationnofndisease,nreferralnandnfollow-
up,nandncasenmanagementnarenallnpublicnhealthnnursingninterventionsnbutnarennotndomainsn
ofnpublicnhealthnnursingnpractice.
Origin:n Chaptern1-nPublicnHealthnNursing,n6
6. Publicnhealthnnursingnisndistinguishednfromnothernspecialtiesnbynadherencentoneightn
principles.nWhichnisnonenofntheneightndomainsnofnpublicnhealthnnursingnpractice?
A) Policyndevelopmentnandnindividualnplanningnskills
B) Individualndimensionsnofnpracticenskills
C) Financialnplanningnandnmanagementnskills
D) Leadershipnandnindividualncriticalnthinkingnskillsn
Ans:nC
Feedback:
Theneightndomainsnofnpublicnhealthnnursingnpracticenarenasnfollows:nAnalyticnassessmentnskill
s,npolicyndevelopmentnandnprogramnplanningnskills,ncommunicationnskills,nculturalncompeten
cynskills,ncommunityndimensionsnofnpracticenskills,npublicnhealthnsciencenskills,nfinancialnplan
ningnandnmanagementnskills,nandnleadershipnandnsystemsnthinkingnskills.