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Community and Public Health Nursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing
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1. Amnursemismstrivingmtompracticempatient-
centeredmcarematmamhospital.mWhichmactionmbestmexemplifiesmprovidingmpatient-
centeredmcare?
A) Havingmamclientmcompletemamself-
reportedmfunctionalmstatusmindicatormandmthenmreviewingmitmwithmthemclient
B) Explainingmtomamclientmthembenefitsmofmcomputer-
assistedmroboticmsurgicalmtechniques,mwhichmthemhospitalmrecentlymimpleme
nted
C) Recordingmamclient'smsignsmandmsymptomsminmanmelectronicmhealthmrecord
D) Performingmcontinuousmglucosemmonitoringmofmamclientmwhilemthemclientmisminmthem
hospital
ANS:m A
Feedback:
Patient-
centeredmcaremconsidersmculturalmtraditions,mpersonalmpreferences,mvalues,mfamilies,mandmlife
styles.mClientsmbecomemactivemparticipantsminmtheirmownmcare,mandmmonitoringmhealthmbeco
mesmthemclient'smresponsibility.mTomhelpmclientsmandmtheirmhealthcaremprovidersmmakembetter
mdecisions,mthemAgencymformHealthcaremResearchmandmQualitym(AHRQ)mhasmdevelopedmamse
riesmofmtoolsmthatmempowermclientsmandmassistmprovidersminmachievingmdesiredmoutcomes,min
cludingmclient-reportedmfunctionalmstatusmindicators.mComputer-
assistedmroboticmsurgicalmtechniques,melectronicmhealthmrecords,mandmcontinuousmglucosemmo
nitoringminmthemhospitalmaremallmtechnologicalmadvancesminmhealthcare,mbutmtheymdomnotmhelp
mthemclientmbecomemammoremactivemparticipantminmhismormhermcare,mandmthusmaremnotmgoodmex
amplesmofmpatient-centeredmcare.
Origin:m Chapterm1-mPublicmHealthmNursing,m2
2. Amnursemismcaringmformanmoldermclientmwhomismstrugglingmtommanagemhermtypem2mdiabetesm
mellitus.mThemnursemshouldmrecognizemwhichmsocialmdeterminantsmofmthismclient'smhealth?m(
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, Selectmallmthatmapply.)
A) Householdmincomemofm$23,000mpermyear
B) Readingmlevelmofmamthirdmgrader
C) Medicationmineffectivemduemtomerrorminmprescription
D) OriginallymfrommSudan
E) Nomfamilyminmthemaream
ANS:m A,mB,mD,mEmFeedba
ck:
Themsocialmconditionsminmwhichmpeoplemlive,mtheirmincome,msocialmstatus,meducation,mliteracy
,mhomemandmworkmenvironment,msupportmnetworks,mgender,mculture,mandmavailabilitymofmhea
lthmservicesmaremthemsocialmdeterminantsmofmhealth.mThesemconditionsmhavemanmimpactmonmth
emextentmtomwhichmampersonmormcommunitympossessesmthemphysical,msocial,mandmpersonalmres
ourcesmnecessarymtomattainmandmmaintainmhealth.mAmmedicalmerrormonmthempartmofmthemclient's
primarymcaremprovidermormnursemwouldmnotmconstitutemamsocialmdeterminantmofmthemclient'sm
m
health.
3. Amnursemsuccessfullympersuadesmanmobesemclientmtomperformmamweeklymweigh-
inmatmhomemusingmamdigitalmscalemandmrecordmthemweightminmamlog.mThismstrategymismanmexa
mplemof:
A) Telehealth
B) Healthminformationmtechnology
C) Personalmresponsibilitymformhealth
D) Evidence-
basedmnursingmANS:m C
Feedback:
Personalmresponsibilitymformhealthminvolvesmactivemparticipationminmone'smownmhealthmthrou
ghmeducationmandmlifestylemchanges.mInmthismcase,mthemclientmmakesmampositivemchangeminmlife
stylembymmonitoringmbodymweightmweekly.mTelehealthmismthemusemofmelectronicminformationm
andmtelecommunicationsmtechnologiesmtomsupportmlong-
distancemclinicalmhealthcare,mclientmandmprofessionalmhealth-
relatedmeducation,mpublicmhealth,mandmhealthmadministration.mHealthminformationmtechnolog
ym(HIT)mismdefinedmasmthemcomprehensivemmanagementmofmhealthminformationmandmitsmexch
angembetweenmconsumers,mproviders,mgovernment,mandminsurersminmamsecuremmanner.mEvid
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