Test Bank For Community and Public Health Nursing; Evidence For Practice 3rd Edition

TestBank k




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, Chapter1- Public Health Nursing, 1 k k k k k




1. A nurse is striving to practice patient-centered care at a hospital. Which action best
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exemplifies providing patient-centered care? k k k




A) Having a client complete aself-reported functional status indicator and then k k k k k k k k k k




reviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic surgical k k k k k k k k k




techniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record k k k k k k k k k k




D) Performing continuous glucose monitoring of a client while the client is in the k k k k k k k k k k k k




hospital k




Ans: A k




Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, k k k k k k k k




and lifestyles. Clients become active participants in their own care, and monitoring health
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becomes the client's responsibility. To help clients and their healthcare providers make
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better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed a
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series of tools that empower clients and assist providers in achieving desired outcomes,
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including client-reported functional status indicators. Computer-assisted robotic surgical
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techniques, electronic health records, and continuous glucose monitoring in the hospital are
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all technological advances in healthcare, but they do not help the client become a more
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active participant in his or her care, and thus are not good examples of patient-centered care.
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Origin: Chapter 1- Public Health Nursing, 2 k k k k k k




2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
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mellitus. The nurse should recognize which social determinants of this client's health?
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(Select all that apply.)
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A) Household income of $23,000 per year k k k k k




B) Reading level of a third grader k k k k k




C) Medication ineffective due to error in prescription k k k k k k




D) Originally from Sudan k k




E) No familyinthearea k k k k




Ans: A, B, D, E
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Feedback:
The social conditions in which people live, their income, social status, education, literacy,
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home and work environment, support networks, gender, culture, and availability of health
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services are the social determinants of health. These conditions have an impact on the
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extent to which a person or community possesses the physical, social, and personal
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resources necessary to attain and maintain health. A medical error on the part of the client's
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primary care provider or nurse would not constitute a social determinant of the client's
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health.
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,3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
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using a digital scale and record the weight in a log. This strategy is an example of:
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A) Telehealth
B) Health information technology k k




C) Personal responsibility for health k k k




D) Evidence-based nursing k




Ans: C
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Feedback:
Personal responsibility for health involves active participation in one's own health through
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education and lifestyle changes. In this case, the client makes a positive change in lifestyle by
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monitoring body weight weekly. Telehealth is the use of electronic information and
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telecommunications technologies to support long-distance clinical healthcare, client and
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professional health-related education, public health, and health administration. Health
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information technology (HIT) is defined as the comprehensive management of health
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information and its exchange between consumers, providers, government, and insurers in a
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secure manner. Evidence-based nursing is the integration of the best evidence available
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with clinical expertise and the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4 k k k k k k




4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task
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best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into daily
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practice k




B) Instructing a client on how to best care for a suture site at home k k k k k k k k k k k k k




C) Participating in a videoconference call with a client who lives in a remote area k k k k k k k k k k k k k




D) Facilitating a community-wide smoking cessation program one month out of the k k k k k k k k k k




year k




Ans: D k




Feedback:
Public health is what society does collectively to ensure the conditions exist in which people
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can be healthy. A community-wide smoking cessation program is a great example of a
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public health intervention, in that it involves the collective effort of society to improve the
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health of its members. Reading and applying the latest nursing research is an example of
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evidence-based nursing. Instructing a client on how to best care for a suture site at home is
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an example of personal responsibility for health, but it is not focused on the health of the
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greater community. Participating in a videoconference call with a client who lives in a
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remote area is an example of patient-centered care and of an effective implementation of
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technology, but it is not particularly related to public health.
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Page 3 k

, Origin: Chapter 1- Public Health Nursing, 5
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5. Public health nursing is distinguished from other specialties by adherence to eight
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principles. Which is one of the eight domains of public health nursing practice?
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A) Analytic assessment skills k k




B) Investigation of disease k k




C) Referral and follow-up k k




D) Casemanagement k




Ans: A
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
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policy development and program planning skills, communication skills, cultural competency
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skills, community dimensions of practice skills, public health science skills, financial planning
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and management skills, and leadership and systems thinking skills.
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Investigation of disease, referral and follow-up, and case management are all public health
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nursing interventions but are not domains of public health nursing practice.
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Origin: Chapter 1- Public Health Nursing, 6
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6. Public health nursing is distinguished from other specialties by adherence to eight
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principles. Which is one of the eight domains of public health nursing practice?
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A) Policy development and individual planning skills
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B) Individual dimensions of practice skills k k k k




C) Financial planning and management skills k k k k




D) Leadership and individual critical thinking skills k k k k k




Ans: C
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
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policy development and program planning skills, communication skills, cultural competency
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skills, community dimensions of practice skills, public health science skills, financial planning
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and management skills, and leadership and systems thinking skills.
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