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Community and Public Health Nursing:
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o Evidence for Practice, 4th Edition (DeMarco),
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o Chapters 1 - 25 | All Chapters
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,TABLEOFCONTENTS
,Chapter1:PublicHealth Nursing J
1. AJnurse isstriving to practice patient-
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centered care atJa hospital. Which action bestexemplifies providing patient-
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o centered care? o
A) HavingJa clientJcomplete aJself- o o
reported functional status indicator and thenreviewingJit with the client
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B) Explaining toJaJclientJthe benefits of computer- o o o
assisted robotic surgicaltechniques, which the hospital recently implemented
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C) RecordingJa client's signsand symptoms inan electronicJhealth record
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D) PerformingJcontinuous glucose monitoring of aJclientJwhile the clientJis in thehosp o o o o o o o
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ANSWER:J A
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
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o es. Clients become active participants in their own care, and monitoring health becomesJthe c
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o lient'sJresponsibility. To help clients and their healthcare providers make better decisions, th e
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o Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e
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o mpower clients and assistJproviders in achieving desired outcomes, includingJclient- reported
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functional status indicators. Computer-
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assistedroboticsurgicaltechniques, electronicJhealth records, andcontinuousJglucose monit
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o oring in the hospital are all technological advances in healthcare, but they do not helpJthe clie
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o ntJbecome a more active participant in his or hercare, and thus are not good examples of patie nt-
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centered care. o
Origin: Chapter 1-JPublic Health Nursing, 2
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2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitus.
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o The nurse should recognize which social determinantsJof this client'sJhealth?(SelectJ allJthat
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o apply.)
, A) Household income of$23,000 per year o o o o
B) Reading level ofa third grader
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C) Medicationineffective due toJerror in prescription
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D) Originally from Sudan o o
E) No family in the area
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o ANSWER:J o o o A, B, D, E o o o
Fee dback:
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The social conditions in whichJpeople live, their income, social status, education, literacy, ho
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o me and workenvironment, support networks, gender, culture, and availability of health
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o services are the social determinants of health. These conditionsJhave an impact on the extent to
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o o hich o a o person o or o community o possesses o the o physical, o social, o and
o personalresourcesnecessary toJattain and maintain health. AJmedical erroronJthe partJof the o o o o o o o o
client's primary care provider or nurse would not constitute a social determinant of the client's
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health.
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