TEST BANK FOR COMMUNITY AND PUBLIC HEALTH
NURSING: EVIDENCE FOR PRACTICE 4TH EDITION BY
DEMARCO AND WALSH/COMPLETE GUIDE
, Origin: CH: 1- Public Health Nursing, 1
1. A caregiver is striving to practice patient-centered care at a health center. Which
action best exemplifies providing patient-centered care?
A) Having a patient complete a self-reported functional status indicator and
then reviewing it with the patient
B) Explaining to a patient the benefits of computer-assisted robotic
surgical techniques, which the health center recently implemented
C) Recording a patient's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a patient while the patient is in
the health center
SELECT ANSWER:-A
Rationale:->>>
Patient-centered care considers cultural traditions, personal preferences, values,
families, and lifestyles. Patients become active participants in their own care, and
monitoring health becomes the patient's responsibility. To help patients and their
healthcare providers make better decisions, the Agency for Healthcare Research and
Quality (AHRQ) has developed a series of tools that empower patients and assist
providers in achieving desired outcomes, including patient-reported functional status
indicators. Computer-assisted robotic surgical techniques, electronic health records, and
continuous glucose monitoring in the health center are all technological advances in
healthcare, but they do not help the patient become a more active participant in his or
her care, and thus are not good examples of patient-centered care.
Origin: CH: 1- Public Health Nursing, 2
2. A caregiver is caring for an older patient who is struggling to manage her type 2
diabetes mellitus. The caregiver should recognize which social determinants of this
patient's health? (Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
SELECT ANSWER:-A, B,
D, E
Rationale:->>>
The social conditions in which people live, their income, social status, education,
literacy, home and work environment, support networks, gender, culture, and
availability of health services are the social determinants of health. These conditions
have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error
on the part of the patient's primary care provider or caregiver would not constitute a
social determinant of the patient's health.
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, Origin: CH: 1- Public Health Nursing, 3
3. A caregiver successfully persuades an obese patient to perform a weekly weigh-in at
home using a digital scale and record the weight in a log. This strategy is an example
of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
SELECT ANSWER:-C
Rationale:->>>
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. In this case, the patient makes a positive
change in lifestyle by monitoring body weight weekly. Telehealth is the use of
electronic information and telecommunications technologies to support long-distance
clinical healthcare, patient and professional health-related education, public health, and
health administration. Health information technology (HIT) is defined as the
comprehensive management of health information and its exchange between
consumers, providers, government, and insurers in a secure manner. Evidence-based
nursing is the integration of the best evidence available with clinical expertise and the
values of the patient to increase the quality of care.
Origin: CH: 1- Public Health Nursing, 4
4. A caregiver performs a variety of tasks as part of the caregiver's position at a health
center. Which task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a patient on how to best care for a suture site at home
C) Participating in a videoconference call with a patient who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the
year
SELECT ANSWER:-D
Rationale:->>>
Public health is what society does collectively to ensure the conditions exist in which
people can be healthy. A community-wide smoking cessation program is a great
example of a public health intervention, in that it involves the collective effort of society
to improve the health of its members. Reading and applying the latest nursing research
is an example of evidence-based nursing. Instructing a patient on how to best care for a
suture site at home is an example of personal responsibility for health, but it is not
focused on the health of the greater community. Participating in a videoconference call
with a patient who lives in a remote area is an example of patient-centered care and of
an effective implementation of technology, but it is not particularly related to public
health.
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, Origin: CH: 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
SELECT ANSWER:-A
Rationale:->>>
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public
health nursing interventions but are not domains of public health nursing practice.
Origin: CH: 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
SELECT ANSWER:-C
Rationale:->>>
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
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