f f f f
Evidence for Practice 3rd Edition
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byfRosannafDeMarcof
, Origin:f Chapterf1-fPublicfHealthfNursing,f1
1. Afnursefisfstrivingftofpracticefpatient-
centeredfcarefatfafhospital.fWhichfactionfbestfexemplifiesfprovidingfpatient-
centeredfcare?
A) Havingfafclientfcompletefafself-
reportedffunctionalfstatusfindicatorfandfthenfreviewingfitfwithfthefclient
B) Explainingftofafclientfthefbenefitsfoffcomputer-
assistedfroboticfsurgicalftechniques,fwhichfthefhospitalfrecentlyfimpleme
nted
C) Recordingfafclient'sfsignsfandfsymptomsfinfanfelectronicfhealthfrecord
D) Performingfcontinuousfglucosefmonitoringfoffafclientfwhilefthefclientfisfinfthefho
spital
Ans:f A
Feedback:
Patient-
centeredfcarefconsidersfculturalftraditions,fpersonalfpreferences,fvalues,ffamilies,fandflifes
tyles.fClientsfbecomefactivefparticipantsfinftheirfownfcare,fandfmonitoringfhealthfbecomesf
thefclient'sfresponsibility.fTofhelpfclientsfandftheirfhealthcarefprovidersfmakefbetterfdecisi
ons,fthefAgencyfforfHealthcarefResearchfandfQualityf(AHRQ)fhasfdevelopedfafseriesfoffto
olsfthatfempowerfclientsfandfassistfprovidersfinfachievingfdesiredfoutcomes,fincludingfclie
nt-reportedffunctionalfstatusfindicators.fComputer-
assistedfroboticfsurgicalftechniques,felectronicfhealthfrecords,fandfcontinuousfglucosefmon
itoringfinfthefhospitalfarefallftechnologicalfadvancesfinfhealthcare,fbutftheyfdofnotfhelpfthefc
lientfbecomefafmorefactivefparticipantfinfhisforfherfcare,fandfthusfarefnotfgoodfexamplesfoffp
atient-centeredfcare.
Origin:f Chapterf1-fPublicfHealthfNursing,f2
2. Afnursefisfcaringfforfanfolderfclientfwhofisfstrugglingftofmanagefherftypef2fdiabetesfmellit
us.fThefnursefshouldfrecognizefwhichfsocialfdeterminantsfoffthisfclient'sfhealth?f(Selectfa
llfthatfapply.)
A) Householdfincomefoff$23,000fperfyear
B) Readingflevelfoffafthirdfgrader
C) Medicationfineffectivefdueftoferrorfinfprescription
D) OriginallyffromfSudan
E) Noffamilyfinfthefareaf
Ans:f A,fB,fD,fEfFeedback:
Thefsocialfconditionsfinfwhichfpeopleflive,ftheirfincome,fsocialfstatus,feducation,fliteracy
,fhomefandfworkfenvironment,fsupportfnetworks,fgender,fculture,fandfavailabilityfoffhealt
hfservicesfarefthefsocialfdeterminantsfoffhealth.fThesefconditionsfhavefanfimpactfonfthefex
tentftofwhichfafpersonforfcommunityfpossessesfthefphysical,fsocial,fandfpersonalfresource
sfnecessaryftofattainfandfmaintainfhealth.fAfmedicalferrorfonfthefpartfoffthefclient'sfprimary
fcarefproviderforfnursefwouldfnotfconstitutefafsocial fdeterminant foffthefclient'sfhealth.
Pagef 1
, Origin:f Chapterf1-fPublicfHealthfNursing,f3
3. Afnursefsuccessfullyfpersuadesfanfobesefclientftofperformfafweeklyfweigh-
infatfhomefusingfafdigitalfscalefandfrecordfthefweightfinfaflog.fThisfstrategyfisfanfexamplef
of:
A) Telehealth
B) Healthfinformationftechnology
C) Personalfresponsibilityfforfhealth
D) Evidence-
basedfnursingfAns:f C
Feedback:
Personalfresponsibilityfforfhealthfinvolvesfactivefparticipationfinfone'sfownfhealthfthroughf
educationfandflifestylefchanges.fInfthisfcase,fthefclientfmakesfafpositivefchangefinflifestylefb
yfmonitoringfbodyfweightfweekly.fTelehealthfisfthefusefoffelectronicfinformationfandftelec
ommunicationsftechnologiesftofsupportflong-
distancefclinicalfhealthcare,fclientfandfprofessionalfhealth-
relatedfeducation,fpublicfhealth,fandfhealthfadministration.fHealthfinformationftechnology
f(HIT)fisfdefinedfasfthefcomprehensivefmanagementfoffhealthfinformationfandfitsfexchang
efbetweenfconsumers,fproviders,fgovernment,fandfinsurersfinfafsecurefmanner.fEvidence-
basedfnursingfisfthefintegrationfoffthefbestfevidencefavailablefwithfclinicalfexpertisefandfthe
fvaluesfoffthefclientftofincreasefthefqualityfoffcare.
Origin:f Chapterf1-fPublicfHealthfNursing,f4
4. Afnursefperformsfafvarietyfofftasksfasfpartfoffthefnurse'sfpositionfatfafhospital.fWhichftaskf
bestfexemplifiesfpublicfhealth?
A) Readingfcurrentfnursingfjournalsfandfintegratingftheflatestfresearchfintofdailyfpr
actice
B) Instructingfafclientfonfhowftofbestfcarefforfafsuturefsitefatfhome
C) Participatingfinfafvideoconferencefcallfwithfafclientfwhoflivesfinfafremotefarea
D) Facilitatingfafcommunity-
widefsmokingfcessationfprogramfonefmonthfoutfoffthefyear
Ans:f D
Feedback:
Publicfhealthfisfwhatfsocietyfdoesfcollectivelyftofensurefthefconditionsfexistfinfwhichfpeopl
efcanfbefhealthy.fAfcommunity-
widefsmokingfcessationfprogramfisfafgreatfexamplefoffafpublicfhealthfintervention,finfthatfitf
involvesfthefcollectivefeffortfoffsocietyftofimprovefthefhealthfoffitsfmembers.fReadingfandfa
pplyingftheflatestfnursingfresearchfisfanfexamplefoffevidence-
basedfnursing.fInstructingfafclientfonfhowftofbestfcarefforfafsuturefsitefatfhomefisfanfexamplef
offpersonalfresponsibilityfforfhealth,fbutfitfisfnotffocusedfonfthefhealthfoffthefgreaterfcommu
nity.fParticipatingfinfafvideoconferencefcallfwithfafclientfwhoflivesfinfafremotefareafisfanfexa
mplefoffpatient-
centeredfcarefandfoffanfeffectivefimplementationfofftechnology,fbutfitfisfnotfparticularlyfrela
tedftofpublicfhealth.
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, Origin:f Chapterf1-fPublicfHealthfNursing,f5
5. Publicfhealthfnursingfisfdistinguishedffromfotherfspecialtiesfbyfadherenceftofeightfpri
nciples.fWhichfisfonefoffthefeightfdomainsfoffpublicfhealthfnursingfpractice?
A) Analyticfassessmentfskills
B) Investigationfoffdisease
C) Referralfandffollow-up
D) Casefmanagementf
Ans:f A
Feedback:
Thefeightfdomainsfoffpublicfhealthfnursingfpracticefarefasffollows:fAnalyticfassessmentfskil
ls,fpolicyfdevelopmentfandfprogramfplanningfskills,fcommunicationfskills,fculturalfcompet
encyfskills,fcommunityfdimensionsfoffpracticefskills,fpublicfhealthfsciencefskills,ffinancialfp
lanningfandfmanagementfskills,fandfleadershipfandfsystemsfthinkingfskills.
Investigationfoffdisease,freferralfandffollow-
up,fandfcasefmanagementfarefallfpublicfhealthfnursingfinterventionsfbutfarefnotfdomain
sfoffpublicfhealthfnursingfpractice.
Origin:f Chapterf1-fPublicfHealthfNursing,f6
6. Publicfhealthfnursingfisfdistinguishedffromfotherfspecialtiesfbyfadherenceftofeightfpri
nciples.fWhichfisfonefoffthefeightfdomainsfoffpublicfhealthfnursingfpractice?
A) Policyfdevelopmentfandfindividualfplanningfskills
B) Individualfdimensionsfoffpracticefskills
C) Financialfplanningfandfmanagementfskills
D) Leadershipfandfindividualfcriticalfthinkingfskillsf
Ans:f C
Feedback:
Thefeightfdomainsfoffpublicfhealthfnursingfpracticefarefasffollows:fAnalyticfassessmentfskil
ls,fpolicyfdevelopmentfandfprogramfplanningfskills,fcommunicationfskills,fculturalfcompet
encyfskills,fcommunityfdimensionsfoffpracticefskills,fpublicfhealthfsciencefskills,ffinancialfp
lanningfandfmanagementfskills,fandfleadershipfandfsystemsfthinkingfskills.
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