TEST BANK - Community and Public Health Nursing:
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h Evidence for Practice, 3rd Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
h h h h h h
,TABLE OF CONTENTS
h h
,Chapter 1: Public Health Nursing h h h h
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
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exemplifies providing patient-centered care?
h h h h
A) Having a client complete a self-reported functional status indicator and then
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reviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic surgical h h h h h h h h h
techniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record h h h h h h h h h h
D) Performing continuous glucose monitoring of a client while the client is in the h h h h h h h h h h h h
hospital
h
ANSWER: A h
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
h h h h h h h h
h and lifestyles. Clients become active participants in their own care, and monitoring health
h h h h h h h h h h h h
h becomes the client's responsibility. To help clients and their healthcare providers make
h h h h h h h h h h h
h better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a
h h h h h h h h h h h h
h series of tools that empower clients and assist providers in achieving desired outcomes,
h h h h h h h h h h h h
h including client-reported functional status indicators. Computer-assisted robotic surgical
h h h h h h h
techniques, electronic health records, andcontinuous glucose monitoring in the hospital are
h h h h h h h h h h h h
h all technological advances in healthcare, but they do not help the client become a more
h h h h h h h h h h h h h h
h active participant in his or hercare, and thus are not good examples of patient-centered care.
h h h h h h h h h h h h h h h
Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
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h mellitus. The nurse should recognize which social determinants of this client's health?
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(Select all that apply.)
h h h h
A) Household income of $23,000 per year h h h h h
B) Reading level of a third grader h h h h h
C) Medication ineffective due to error in prescription h h h h h h
D) Originally from Sudan h h
, E) No family in the area
h h h h
ANSWER: A, B, D, E
h h h h h
h Feedback:
The social conditions in which people live, their income, social status, education, literacy,
h h h h h h h h h h h h
h home and work environment, support networks, gender, culture, and availability of health
h h h h h h h h h h h
h services are the social determinants of health. These conditions have an impact on the
h h h h h h h h h h h h h
h extent to which a person or community possesses the physical, social, and personal
h h h h h h h h h h h h
resources necessary to attain and maintain health. A medical erroron the part of the client's
h h h h h h h h h h h h h h h h
h primary care provider or nurse would not constitute a social determinant of the client's
h h h h h h h h h h h h h
h health.
h h h h h h h
h Evidence for Practice, 3rd Edition (DeMarco),
h h h h h h
Chapters 1 - 25 | All Chapters
h h h h h h
,TABLE OF CONTENTS
h h
,Chapter 1: Public Health Nursing h h h h
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
h h h h h h h h h h h h h
exemplifies providing patient-centered care?
h h h h
A) Having a client complete a self-reported functional status indicator and then
h h h h h h h h h h
reviewing it with the client
h h h h h
B) Explaining to a client the benefits of computer-assisted robotic surgical h h h h h h h h h
techniques, which the hospital recently implemented
h h h h h h
C) Recording a client's signs and symptoms in an electronic health record h h h h h h h h h h
D) Performing continuous glucose monitoring of a client while the client is in the h h h h h h h h h h h h
hospital
h
ANSWER: A h
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
h h h h h h h h
h and lifestyles. Clients become active participants in their own care, and monitoring health
h h h h h h h h h h h h
h becomes the client's responsibility. To help clients and their healthcare providers make
h h h h h h h h h h h
h better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a
h h h h h h h h h h h h
h series of tools that empower clients and assist providers in achieving desired outcomes,
h h h h h h h h h h h h
h including client-reported functional status indicators. Computer-assisted robotic surgical
h h h h h h h
techniques, electronic health records, andcontinuous glucose monitoring in the hospital are
h h h h h h h h h h h h
h all technological advances in healthcare, but they do not help the client become a more
h h h h h h h h h h h h h h
h active participant in his or hercare, and thus are not good examples of patient-centered care.
h h h h h h h h h h h h h h h
Origin: Chapter 1- Public Health Nursing, 2
h h h h h h
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
h h h h h h h h h h h h h h h h
h mellitus. The nurse should recognize which social determinants of this client's health?
h h h h h h h h h h h
(Select all that apply.)
h h h h
A) Household income of $23,000 per year h h h h h
B) Reading level of a third grader h h h h h
C) Medication ineffective due to error in prescription h h h h h h
D) Originally from Sudan h h
, E) No family in the area
h h h h
ANSWER: A, B, D, E
h h h h h
h Feedback:
The social conditions in which people live, their income, social status, education, literacy,
h h h h h h h h h h h h
h home and work environment, support networks, gender, culture, and availability of health
h h h h h h h h h h h
h services are the social determinants of health. These conditions have an impact on the
h h h h h h h h h h h h h
h extent to which a person or community possesses the physical, social, and personal
h h h h h h h h h h h h
resources necessary to attain and maintain health. A medical erroron the part of the client's
h h h h h h h h h h h h h h h h
h primary care provider or nurse would not constitute a social determinant of the client's
h h h h h h h h h h h h h
h health.
