FULL TEST BANK FOR COMMUNITY & PUBLIC HEALTH NURSING:
EVIDENCE FOR PRACTICE 3RD EDITION BY ROSANNA DEMARCO|
JUDITH HEALEY-WALSH| COMPLETE GIUDE| LATEST
UPDATE|VERIFIED SOLUTIONS
,TABLE OF CONTENTS
PART ONE: THE CONTEXT OF COMMUNITY AND PUBLIC HEALTH NURSING ............................................... 3
CHAPTER 1- PUBLIC HEALTH NURSING: PRESENT, PAST, AND FUTURE ................................................... 3
CHAPTER 2- PUBLIC HEALTH SYSTEMS ................................................................................................... 14
CHAPTER 3-HEALTH POLICY, POLITICS, AND REFORM............................................................................ 25
CHAPTER 4- GLOBAL HEALTH: A COMMUNITY PERSPECTIVE ................................................................. 37
PART TWO: EVIDENCE-BASED PRACTICE AND POPULATION HEALTH ........................................................ 48
CHAPTER 5- FRAMEWORKS FOR HEALTH PROMOTION, DISEASE, PREVENTION, AND RISK REDUCTION
................................................................................................................................................................ 48
CHAPTER 6- EPIDEMIOLOGY: THE SCIENCE OF PREVENTION ................................................................. 61
CHAPTER 7- DESCRIBING HEALTH CONDITIONS: UNDERSTANDING AND USING RATES ........................ 72
CHAPTER 8- GATHERING EVIDENCE FOR PUBLIC HEALTH PRACTICE ..................................................... 81
PART THREE: IMPLEMENTING NURSING PRACTICE IN COMMUNITY SETTINGS ........................................ 92
CHAPTER 9- PLANNING FOR COMMUNITY CHANGE .............................................................................. 92
CHAPTER 10- CULTURAL COMPETENCE: AWARENESS, SENSITIVITY, AND RESPECT ............................ 104
CHAPTER 11- COMMUNITY ASSESSMENT ............................................................................................ 116
CHAPTER 12-CARE MANAGEMENT, CASE MANAGEMENT, AND HOME HEALTHCARE ........................ 128
CHAPTER 13- FAMILY ASSESSMENT ...................................................................................................... 139
PART FOUR: CHALLENGES IN COMMUNITY AND PUBLIC HEALTH NURSING ........................................... 147
CHAPTER 14- RISK OF INFECTIOUS AND COMMUNICABLE DISEASES .................................................. 147
CHAPTER 15- EMERGING INFECTIOUS DISEASES .................................................................................. 158
CHAPTER 16- VIOLENCE AND ABUSE .................................................................................................... 165
CHAPTER 17- SUBSTANCE USE DISORDER ............................................................................................ 177
CHAPTER 18- UNDERSERVED POPULATIONS ........................................................................................ 186
CHAPTER 19- ENVIRONMENTAL HEALTH.............................................................................................. 197
CHAPTER 20 - COMMUNITY PREPAREDNESS: DISASTER AND TERRORISM .......................................... 207
PART FIVE: SPECIALTY PRACTICE............................................................................................................... 218
CHAPTER 21- COMMUNITY MENTAL HEALTH ...................................................................................... 218
CHAPTER 22- SCHOOL HEALTH ............................................................................................................. 227
CHAPTER 23 - FAITH-ORIENTED COMMUNITIES AND HEALTH MINISTRIES IN FAITH COMMUNITIES . 238
CHAPTER 24- PALLIATIVE AND END-OF-LIFE CARE ............................................................................... 248
CHAPTER 25- OCCUPATIONAL HEALTH NURSING................................................................................. 260
,PART ONE: THE CONTEXT OF COMMUNITY AND PUBLIC HEALTH
NURSING
CHAPTER 1- PUBLIC HEALTH NURSING: PRESENT, PAST, AND FUTURE
1. A NURSE IS STRIVING TO PRACTICE PATIENT-CENTERED CARE AT A HOSPITAL. WHICH ACTION BEST
EXEMPLIFIES PROVIDING PATIENT-CENTERED CARE?
A) HAVING A CLIENT COMPLETE A SELF-REPORTED FUNCTIONAL STATUS INDICATOR AND THEN
REVIEWING IT WITH THE CLIENT
B) EXPLAINING TO A CLIENT THE BENEFITS OF COMPUTER-ASSISTED ROBOTIC SURGICAL
TECHNIQUES, WHICH THE HOSPITAL RECENTLY IMPLEMENTED
C) RECORDING A CLIENT'S SIGNS AND SYMPTOMS IN AN ELECTRONIC HEALTH RECORD
D) PERFORMING CONTINUOUS GLUCOSE MONITORING OF A CLIENT WHILE THE CLIENT IS IN THE
HOSPITAL
ANSWER>>> A
FEEDBACK:
PATIENT-CENTERED CARE CONSIDERS CULTURAL TRADITIONS, PERSONAL PREFERENCES, VALUES,
FAMILIES, AND LIFESTYLES. CLIENTS BECOME ACTIVE PARTICIPANTS IN THEIR OWN CARE, AND
MONITORING HEALTH BECOMES THE CLIENT'S RESPONSIBILITY. TO HELP CLIENTS AND THEIR
HEALTHCARE PROVIDERS MAKE BETTER DECISIONS, THE AGENCY FOR HEALTHCARE RESEARCH AND
QUALITY (AHRQ) HAS DEVELOPED A SERIES OF TOOLS THAT EMPOWER CLIENTS AND ASSIST PROVIDERS
IN ACHIEVING DESIRED OUTCOMES, INCLUDING CLIENT-REPORTED FUNCTIONAL STATUS INDICATORS.
COMPUTER-ASSISTED ROBOTIC SURGICAL TECHNIQUES, ELECTRONIC HEALTH RECORDS, AND
CONTINUOUS GLUCOSE MONITORING IN THE HOSPITAL ARE ALL TECHNOLOGICAL ADVANCES IN
HEALTHCARE, BUT THEY DO NOT HELP THE CLIENT BECOME A MORE ACTIVE PARTICIPANT IN HIS OR
HER CARE, AND THUS ARE NOT GOOD EXAMPLES OF PATIENT-CENTERED CARE.
2. A NURSE IS CARING FOR AN OLDER CLIENT WHO IS STRUGGLING TO MANAGE HER TYPE 2
DIABETES MELLITUS. THE NURSE SHOULD RECOGNIZE WHICH SOCIAL DETERMINANTS OF THIS CLIENT'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
ANSWER>>> A, B, D, E
, FEEDBACK:
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 CLIENT'S PRIMARY CARE PROVIDER OR NURSE WOULD NOT CONSTITUTE A SOCIAL
DETERMINANT OF THE CLIENT'S HEALTH.
3. A NURSE SUCCESSFULLY PERSUADES AN OBESE CLIENT 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
ANSWER>>> C
FEEDBACK:
PERSONAL RESPONSIBILITY FOR HEALTH INVOLVES ACTIVE PARTICIPATION IN ONE'S OWN HEALTH
THROUGH EDUCATION AND LIFESTYLE CHANGES. IN THIS CASE, THE CLIENT 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, CLIENT 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 CLIENT TO
INCREASE THE QUALITY OF CARE.
4. A NURSE PERFORMS A VARIETY OF TASKS AS PART OF THE NURSE'S POSITION AT A HOSPITAL. WHICH
TASK BEST EXEMPLIFIES PUBLIC HEALTH?
A) READING CURRENT NURSING JOURNALS AND INTEGRATING THE LATEST RESEARCH INTO DAILY
PRACTICE
B) INSTRUCTING A CLIENT ON HOW TO BEST CARE FOR A SUTURE SITE AT HOME
C) PARTICIPATING IN A VIDEOCONFERENCE CALL WITH A CLIENT WHO LIVES IN A REMOTE AREA
