g g
OR COMMUNIT
g
Y ANDPUBLIC
g g g
HEALTHNUR g
SING-3RD
,EDITION DEM
g
ARCO WALSH
g
, Origin:g Chapterg1-
1. gAPublic
gnurse gisgstriving
gHealth gtogpractice
gNursing, g1 gpatient-
centeredgcaregatgaghospital.gWhichgactiongbestgexemplifiesgprovidinggpatient-
centeredgcare?
A) Havinggagclientgcompletegagself-
reportedgfunctionalgstatusgindicatorgandgthengreviewinggitgwithgthegclient
B) Explaininggtogagclientgthegbenefitsgofgcomputer-
assistedgroboticgsurgicalgtechniques,gwhichgtheghospitalgrecentlygimple
mented
C) Recordinggagclient'sgsignsgandgsymptomsgingangelectronicghealthgrecord
D) Performinggcontinuousgglucosegmonitoringgofgagclientgwhilegthegclientgisgingth
eghospital
Ans:g A
Feedback:
Patient-
centeredgcaregconsidersgculturalgtraditions,gpersonalgpreferences,gvalues,gfamilies,gandgl
ifestyles.gClientsgbecomegactivegparticipantsgingtheirgowngcare,gandgmonitoringghealthgb
ecomesgthegclient'sgresponsibility.gToghelpgclientsgandgtheirghealthcaregprovidersgmakeg
bettergdecisions,gthegAgencygforgHealthcaregResearchgandgQualityg(AHRQ)ghasgdevelo
pedgagseriesgofgtoolsgthatgempowergclientsgandgassistgprovidersgingachievinggdesiredgout
comes,gincludinggclient-reportedgfunctionalgstatusgindicators.gComputer-
assistedgroboticgsurgicalgtechniques,gelectronicghealthgrecords,gandgcontinuousgglucoseg
monitoringgingtheghospitalgaregallgtechnologicalgadvancesginghealthcare,gbutgtheygdognot
ghelpgthegclientgbecomegagmoregactivegparticipantginghisgorghergcare,gandgthusgaregnotggo
odgexamplesgofgpatient-centeredgcare.
Origin:g Chapterg1-gPublicgHealthgNursing,g2
2. Agnursegisgcaringgforgangoldergclientgwhogisgstrugglinggtogmanageghergtypeg2gdiabetes
gmellitus.gThegnursegshouldgrecognizegwhichgsocialgdeterminantsgofgthisgclient'sghealt
h?g(Selectgallgthatgapply.)
A) Householdgincomegofg$23,000gpergyear
B) Readingglevelgofgagthirdggrader
C) Medicationgineffectivegduegtogerrorgingprescription
D) OriginallygfromgSudan
E) Nogfamilygingthegarea
gAns:g A,gB,gD,gE
Feedback:
Thegsocialgconditionsgingwhichgpeopleglive,gtheirgincome,gsocialgstatus,geducation,gliter
acy,ghomegandgworkgenvironment,gsupportgnetworks,ggender,gculture,gandgavailabilitygo
fghealthgservicesgaregthegsocialgdeterminantsgofghealth.gThesegconditionsghavegangimpac
tgongthegextentgtogwhichgagpersongorgcommunitygpossessesgthegphysical,gsocial,gandgper
sonalgresourcesgnecessarygtogattaingandgmaintainghealth.gAgmedicalgerrorgongthegpartgofg
thegclient'sgprimarygcaregprovidergorgnursegwouldgnotgconstitutegagsocialgdeterminantgof
gthegclient'sghealth.
Pageg 1
, Origin:g Chapterg1-
3. gAPublic
gnurse gsuccessfully
gHealth gpersuades
gNursing, g3 gangobesegclientgtogperformgagweeklygweigh-
ingatghomegusinggagdigitalgscalegandgrecordgthegweightgingaglog.gThisgstrategygisgange
xamplegof:
A) Telehealth
B) Healthginformationgtechnology
C) Personalgresponsibilitygforghealth
D) Evidence-
basedgnursinggAns:g C
Feedback:
Personalgresponsibilitygforghealthginvolvesgactivegparticipationgingone'sgownghealthgthro
ughgeducationgandglifestylegchanges.gIngthisgcase,gthegclientgmakesgagpositivegchangeging
lifestylegbygmonitoringgbodygweightgweekly.gTelehealthgisgthegusegofgelectronicginform
ationgandgtelecommunicationsgtechnologiesgtogsupportglong-
distancegclinicalghealthcare,gclientgandgprofessionalghealth-
relatedgeducation,gpublicghealth,gandghealthgadministration.gHealthginformationgtechnol
ogyg(HIT)gisgdefinedgasgthegcomprehensivegmanagementgofghealthginformationgandgitsg
exchangegbetweengconsumers,gproviders,ggovernment,gandginsurersgingagsecuregmanner.
gEvidence-
basedgnursinggisgthegintegrationgofgthegbestgevidencegavailablegwithgclinicalgexpertisega
ndgthegvaluesgofgthegclientgtogincreasegthegqualitygofgcare.
Origin:g Chapterg1-gPublicgHealthgNursing,g4
4. Agnursegperformsgagvarietygofgtasksgasgpartgofgthegnurse'sgpositiongatgaghospital.gWhic
hgtaskgbestgexemplifiesgpublicghealth?
A) Readinggcurrentgnursinggjournalsgandgintegratinggtheglatestgresearchgintogdail
ygpractice
B) Instructinggagclientgonghowgtogbestgcaregforgagsuturegsitegatghome
C) Participatinggingagvideoconferencegcallgwithgagclientgwhoglivesgingagremotegarea
D) Facilitatinggagcommunity-
widegsmokinggcessationgprogramgonegmonthgoutgofgthegyear
Ans:g D
Feedback:
Publicghealthgisgwhatgsocietygdoesgcollectivelygtogensuregthegconditionsgexistgingwhichg
peoplegcangbeghealthy.gAgcommunity-
widegsmokinggcessationgprogramgisgaggreatgexamplegofgagpublicghealthgintervention,gingt
hatgitginvolvesgthegcollectivegeffortgofgsocietygtogimprovegtheghealthgofgitsgmembers.gRe
adinggandgapplyinggtheglatestgnursinggresearchg isgangexamplegofgevidence-
basedgnursing.gInstructinggagclientgonghowgtogbestgcaregforgagsuturegsitegatghomegisgange
xamplegofgpersonalgresponsibilitygforghealth,gbutgitgisgnotgfocusedgongtheghealthgofgthegg
reatergcommunity.gParticipatinggingagvideoconferencegcallgwithgagclientgwhoglivesgingagr
emotegareagisgangexamplegofgpatient-
centeredgcaregandgofgangeffectivegimplementationgofgtechnology,gbutgitgisgnotgparticularl
ygrelatedgtogpublicghealth.
Pageg 2