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, Table of Contents
Chapter 1: Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of Infectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
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, Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 1
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
DETAILED ANSWERS: A
RATIONALE::
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
E) No family in the area
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, DETAILED ANSWERS: A, B, D, E
RATIONALE::
The social conditions in which people live, their income, social status, education, literacy, home
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
DETAILED ANSWERS: C
RATIONALE::
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 between consumers, providers, government, and insurers in a secure manner. Evidence-
based nursing is the integration of the best evidence available with clinical expertise and the
values of the client to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily practice
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