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,Test Generator Questions, Chapter 1, Foundations
of Public Health Nursing
Format: Multiple Choice
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Caring
Objective: 1
Page and Header: 4, U.S. Healthcare System and Reform in the 21st Century
1. A nurse is striving to practice client-centered care at a hospital. Which action
best exemplifies providing client-centered care?
A) Having a client participate in discussions about potential treatment and
formulation of care goals
B) Explaining to a client the benefits of a newly implemented computer-
assisted robotic surgical technique
C) Recording a client's full history, including signs and symptoms, in an
electronic health record
D) Performing continuous glucose monitoring of a client while they are in
the hospital
Ans: A
Feedback: Client-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. Being a
part of conversations about potential treatment and goals of care is an important
part of client-centered care. Computer-assisted robotic surgical techniques,
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, electronic health records, and continuous glucose monitoring in the hospital are all
technologic advances in healthcare, but they do not help the client become a more
active participant in their care and thus are not good examples of client-centered
care.
Format: Multiple Selection
Chapter: 1
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 6
Page and Header: 6, Population Health
2. A nurse is caring for an older adult client who is struggling to manage their type
2 diabetes mellitus. Which characteristic(s) affecting the client’s condition is a social
determinant of health? Select all that apply.
A) Household income of $23,000 per year
B) Third-grade reading level
C) Family history of diabetes
D) Food allergies
E) No family in the area
Ans: A, B, E
Feedback: 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. Social determinants are not medical in nature, so genetic
predisposition as evidenced by family history of diabetes and food allergies would
not be included.
Format: Multiple Choice
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, Chapter: 1
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 1
Page and Header: 8, Public Health Science and Approach
3. The nurse is working through the four steps of the public health approach to
address a health problem in the community. The nurse has already defined and
monitored the problem and identified risk and protective factors. What should the
nurse do next?
A) Review the literature.
B) Assure widespread implementation of solutions.
C) Test interventions.
D) Collect data on incidence.
Ans: C
Feedback: The four steps of the public health approach are defining and
monitoring the problem, identifying risk and protective factors, testing
interventions, and assuring their widespread implementation, thus responding to
the problem. After the nurse has identified risk and protective factors,
interventions should be tested. Reviewing the literature should be part of defining
the problem, and collecting data is part of monitoring the problem. Assurance of
widespread implementation should come after interventions are tested.
Format: Multiple Choice
Chapter: 1
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 3
Page and Header: 21, Table 1.2 Public Health Nursing Interventions
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