, Origin: Chapter 1- Public Health Nursing, 1
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1. A nurse is striving to practice patient-centered care at a hospital. Which action
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bestexemplifies providing patient-centered care?
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A) Having a client complete a self-reported functional status indicator and ijik ijik ijik ijik ijik ijik ijik ijik ijik
thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic ijik ijik ijik ijik ijik ijik ijik ijik
surgicaltechniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik
D) Performing continuous glucose monitoring of a client while the client is ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik
in thehospital ijik ijik ijk
Ans: A ijik
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, ijik ijik ijik ijik ijik ijik ijik
families, and lifestyles. Clients become active participants in their own care, and
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monitoring health becomes the client's responsibility. To help clients and their
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healthcare providers make better decisions, the Agency for Healthcare Research
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and Quality (AHRQ) has developed a series of tools that empower clients and
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assist providers in achieving desired outcomes, including client-reported functional
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status indicators. Computer-assisted robotic surgical techniques, electronic health
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records, andcontinuous glucose monitoring in the hospital are all technological
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advances in healthcare, but they do not help the client become a more active
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participant in his or hercare, and thus are not good examples of patient-centered
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care.
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Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2
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diabetes mellitus. The nurse should recognize which social determinants of this
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client's health?(Select all that apply.)
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A) Household income of $23,000 per year ijik ijik ijik ijik ijik
B) Reading level of a third grader ijik ijik ijik ijik ijik
C) Medication ineffective due to error in prescription ijik ijik ijik ijik ijik ijik
D) Originally from Sudan ijik ijik
E) No family in the ijik ijik ijik
areaAns:
ijik A, B, D, E ijk i j i k ijik ijik ijik
Feedback:
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The social conditions in which people live, their income, social status, education,
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literacy, home and work environment, support networks, gender, culture, and
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availability of health services are the social determinants of health. These
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conditions have an impact on the extent to which a person or community
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possesses the physical, social, and personal resources necessary to attain and
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maintain health. A medical erroron the part of the client's primary care provider
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or nurse would not constitute a social determinant of the client's health.
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,3. A nurse successfully persuades an obese client to perform a weekly weigh-in at
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homeusing a digital scale and record the weight in a log. This strategy is an
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example of:
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A) Telehealth
B) Health information technology ijik ijik
C) Personal responsibility for health ijik ijik ijik
D) Evidence-based
nursingAns: C
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Feedback:
Personal responsibility for health involves active participation in one's own health
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through education and lifestyle changes. In this case, the client makes a positive
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changein lifestyle by monitoring body weight weekly. Telehealth is the use of
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electronic information and telecommunications technologies to support long-
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distance clinical healthcare, client and professional health-related education, public
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health, and health administration. Health information technology (HIT) is defined
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as the comprehensive management of health information and its exchange between
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consumers, providers, government, and insurers in a secure manner. Evidence-
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based nursing is the integrationof the best evidence available with clinical expertise
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and the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
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Whichtask best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into ijik ijik ijik ijik ijik ijik ijik ijik ijik
dailypractice ijik ijk
B) Instructing a client on how to best care for a suture site at home ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik
C) Participating in a videoconference call with a client who lives in a remote area ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik ijik
D) Facilitating a community-wide smoking cessation program one month out of ijik ijik ijik ijik ijik ijik ijik ijik ijik
theyear ijik ijk
Ans: D ijik
Feedback:
Public health is what society does collectively to ensure the conditions exist in
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which people can be healthy. A community-wide smoking cessation program is a
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great example of a public health intervention, in that it involves the collective
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effort of societyto improve the health of its members. Reading and applying the
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latest nursing research is an example of evidence-based nursing. Instructing a
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client on how to best care for a suture site at home is an example of personal
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responsibility for health, but it is not focused on the health of the greater
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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
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implementation of technology, but it is not particularly related to public health.
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, Origin: Chapter 1- Public Health Nursing,
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5. Public
5
ik health nursing is distinguished from other specialties by adherence to
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eightprinciples. Which is one of the eight domains of public health nursing
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practice?
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A) Analytic assessment skills ijik ijik
B) Investigation of disease ijik ijik
C) Referral and follow-up ijik ijik
D) Case
managementAns: A
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic
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assessment skills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills,financial planning and management skills, and leadership and
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systems thinking skills.
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Investigation of disease, referral and follow-up, and case management are all
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publichealth nursing interventions but are not domains of public health nursing
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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
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eightprinciples. Which is one of the eight domains of public health nursing
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practice?
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A) Policy development and individual planning skills ijk ijik ijik ijik ijik
B) Individual dimensions of practice skills ijik ijik ijik ijik
C) Financial planning and management skills ijik ijik ijik ijik
D) Leadership and individual critical thinking ijik ijik ijik ijik
skillsAns: C
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic
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assessment skills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills,financial planning and management skills, and leadership and
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systems thinking skills.
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