n
Community and Public Health Nursing:
n n n n n
Evidence for Practice, 4th Edition (DeMarco),
n n n n n n
Chapters 1 - 25 | All Chapters
n n n n n n
Pagen 3
,TABLE OF CONTENTS
n n
Pagen 3
,Chapter 1: Public Health Nursing
n n n n
1. Annursenisnstrivingntonpracticenpatient-
centeredncarenatna nhospital. nWhichnactionnbestnexemplifiesnprovidingnpatient-
centeredncare?
A) Havingna nclientncompletena nself-
reportednfunctionalnstatusnindicatornandnthennreviewingnitnwithnthenclient
B) Explainingntona nclientnthenbenefitsnofncomputer-
assistednroboticnsurgicalntechniques, nwhichnthenhospitalnrecentlynimplement
ed
C) Recordingna nclient'snsignsnandnsymptomsninnannelectronicnhealthnrecord
D) Performingncontinuousnglucosenmonitoringnofnanclientnwhilenthenclientnisninnthenhos
pital
ANS:n A
Feedback:
Patient-
centeredncarenconsidersnculturalntraditions,npersonalnpreferences, nvalues,nfamilies, nandnlifestyl
es. nClientsnbecomenactivenparticipantsninntheirnownncare,nandnmonitoringnhealthnbecomesnthen
client'snresponsibility.nTonhelpnclientsnandntheirnhealthcarenprovidersnmakenbetterndecisions, nt
henAgencynfornHealthcarenResearchnandnQualityn(AHRQ)nhasndevelopedna nseriesnofntoolsntha
tnempowernclientsnandnassistnprovidersninnachievingndesirednoutcomes, nincludingnclient-
reportednfunctionalnstatusnindicators. nComputer-
assistednroboticnsurgicalntechniques, nelectronicnhealthnrecords, nandncontinuousnglucosenmonit
oringninnthenhospitalnarenallntechnologicalnadvancesninnhealthcare, nbutntheyndonnotnhelpnthencli
entnbecomena nmorenactivenparticipant ninnhisnornherncare, nandnthusnarennotngoodnexamplesnofnp
atient-centeredncare.
Origin: n Chaptern1-nPublicnHealthnNursing, n2
2. Annursenisncaringnfornannoldernclientnwhonisnstrugglingntonmanagenherntypen2 ndiabetesnmellit
us. nThennursenshouldnrecognize nwhichnsocialndeterminantsnofnthisnclient'snhealth?n(Selectnalln
Pagen 3
, thatnapply.)
A) Householdnincomenofn$23,000 npernyear
B) Readingnlevelnofna nthirdngrader
C) Medicationnineffective nduentonerrorninnprescription
D) OriginallynfromnSudan
E) Nonfamilyninnthenarea n
ANS:n A, nB, nD,nE nFeedbac
k:
Thensocialnconditionsninnwhichnpeoplenlive,ntheirnincome, nsocialnstatus,neducation, nliteracy, nh
omenandnwork nenvironment, nsupportnnetworks,ngender, nculture, nandnavailabilitynofnhealthnser
vicesnarenthensocialndeterminantsnofnhealth. nThesenconditionsnhavenannimpactnonnthenextentnt
onwhichna npersonnorncommunitynpossessesnthenphysical, nsocial,nandnpersonalnresourcesnneces
saryntonattainnandnmaintainnhealth.nAnmedicalnerrornonnthenpartnofnthenclient'snprimaryncarenpro
vidernornnursenwouldnnotnconstitute na nsocialndeterminantnofnthenclient'snhealth.
3. Annursensuccessfully npersuadesnannobesenclientntonperformna nweeklynweigh-
innatnhomenusingna ndigitalnscalenandnrecordnthenweightninnanlog. nThisnstrategynisnannexampleno
f:
A) Telehealth
B) Healthninformationntechnology
C) Personalnresponsibility nfornhealth
D) Evidence-
basednnursingnA NS:n C
Feedback:
Personalnresponsibility nfornhealthninvolvesnactivenparticipationninnone'snownnhealthnthroughne
ducationnandnlifestylenchanges. nInnthisncase,nthenclientnmakesnanpositivenchangeninnlifestyle nbyn
monitoringnbodynweightnweekly.nTelehealthnisnthenusenofnelectronicninformationnandntelecom
municationsntechnologiesntonsupportnlong-
distancenclinicalnhealthcare, nclientnandnprofessional nhealth-
relatedneducation, npublicnhealth, nandnhealthnadministration. nHealthninformationntechnologyn(
HIT)nisndefinednasnthencomprehensive nmanagementnofnhealthninformationnandnitsnexchangen
betweennconsumers, nproviders, ngovernment, nandninsurersninna nsecurenmanner. nEvidence-
basednnursingnisnthenintegrationnofnthenbestnevidencenavailablenwithnclinicalnexpertisenandnthen
Pagen 3