TEST BANK - Community and Public Health Nursing:
Evidence for Practice, 3rd Edition (DeMarco),
Chapters 1 - 25 | All Chapters
,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing JG JG JG JG
1. A nurse is striving to practice patient-
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centered care at a hospital. Which action bestexemplifies providing patient-
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centered care? JG
A) Having a client complete a self-
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reported functional status indicator and thenreviewing it with the client
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B) Explaining to a client the benefits of computer-
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assisted robotic surgicaltechniques, which the hospital recently imple
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mented
C) Recording a client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a client while the client is in
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thehospital
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ANSWER: A JG
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, an
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d lifestyles. Clients become active participants in their own care, and monitoring he
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alth becomes the client's responsibility. To help clients and their healthcare provider
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s make better decisions, the Agency for Healthcare Research and Quality (AHRQ) h
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as developed a series of tools that empower clients and assist providers in achieving
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desired outcomes, including client-reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose
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monitoring in the hospital are all technological advances in healthcare, but they do
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not help the client become a more active participant in his or hercare, and thus are
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not good examples of patient-centered 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 diabe
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tes mellitus. The nurse should recognize which social determinants of this client's
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health?(Select all that apply.)
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, A) Household income of $23,000 per yearJG JG JG JG JG
B) Reading level of a third grader
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C) Medication ineffective due to error in prescription
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D) Originally from Sudan JG JG
E) No family in the are
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aANSWER: A, B, D, E
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Feedback:
The social conditions in which people live, their income, social status, education, lit
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eracy, home and work environment, support networks, gender, culture, and availabil
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ity of health services are the social determinants of health. These conditions have a
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n impact on the extent to which a person or community possesses the physical, soci
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al, and personal resources necessary to attain and maintain health. A medical erroron
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JG the part of the client's primary care provider or nurse would not constitute a social
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Gdeterminant of the client's health. JG JG JG JG
