TEST BANK w
COMMUNITY AND w
w PUBLICHEALTHNURSING w
EvidenceforPractice
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3RD EDITION
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BY DEMARCO & WALSH
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TEST BANK
,TEST BANK: Community and Public Health Nursing 3rd Edition DeMarco & Walsh
Contents:
Chapter 1: Public Health Nursing: Present, Past, and Future
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Chapter 2: Public Health Systems
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Chapter 3: Health Policy, Politics, and Reform
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Chapter 4: Global Health: A Community Perspective
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Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
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Chapter 6: Epidemiology: The Science of Prevention
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Chapter 7: Describing Health Conditions: Understanding and Using Rates
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Chapter 8: Gathering Evidence for Public Health Practice
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Chapter 9: Planning for Community Change
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Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
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Chapter 11: Community Assessment
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Chapter 12: Care Management, Case Management, and Home Healthcare
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Chapter 13: Family Assessment
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Chapter 14: Risk of Infectious and Communicable Diseases
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Chapter 15: Emerging Infectious Diseases
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Chapter 16: Violence and Abuse
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Chapter 17: Substance Use
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Chapter 18: Underserved Populations
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Chapter 19: Environmental Health
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Chapter 20: Community Preparedness: Disaster and Terrorism
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Chapter 21: Community Mental Health
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Chapter 22: School Health
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Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
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Chapter 24: Palliative and End-of-Life Care
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Chapter 25: Occupational Health Nursing
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,Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 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
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thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic w w w w w w w w
surgicaltechniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record w w w w w w w w w w
D) Performing continuous glucose monitoring of a client while the client is in w w w w w w w w w w w
thehospital w w
Ans: A w
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
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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 and
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Quality (AHRQ) has developed a series of tools that empower clients and assist
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providers in achieving desired outcomes, including client-reported functional status
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indicators. Computer-assisted robotic surgical techniques, electronic health records,
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andcontinuous glucose monitoring in the hospital are all technological advances in
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healthcare, but they do not help the client become a more active participant in his or
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hercare, and thus are 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 diabetes
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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 year w w w w w
B) Reading level of a third grader w w w w w
C) Medication ineffective due to error in prescription w w w w w w
D) Originally from Sudan w w
E) No family in the w w w
areaAns: A, B, D, E
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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 conditions
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have an impact on the extent to which a person or community possesses the physical,
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social, and personal resources necessary to attain and maintain health. A medical
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erroron the part of the client's primary care provider or nurse would not constitute a
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social determinant of the client's health.
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, Origin: Chapter 1- Public Health Nursing, 3
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 example
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of:
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A) Telehealth
B) Health information technology w w
C) Personal responsibility for health w w w
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-distance
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clinical healthcare, client and professional health-related education, public health, and
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health administration. Health information technology (HIT) is defined as the
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comprehensive management of health information and its exchange between
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consumers, providers, government, and insurers in a secure manner. Evidence-based
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nursing is the integrationof the best evidence available with clinical expertise and the
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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 w w w w w w w w w
dailypractice w w
B) Instructing a client on how to best care for a suture site at home w w w w w w w w w w w w w
C) Participating in a videoconference call with a client who lives in a remote area w w w w w w w w w w w w w
D) Facilitating a community-wide smoking cessation program one month out of w w w w w w w w w
theyear w w
Ans: D w
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
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people can be healthy. A community-wide smoking cessation program is a great
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example of a public health intervention, in that it involves the collective effort of
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societyto improve the health of its members. Reading and applying the latest nursing
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research is an example of evidence-based nursing. Instructing a client on how to best
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care for a suture site at home is an example of personal responsibility for health, but it is
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not focused on the health of the greater community. Participating in a videoconference
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call with a client who lives in a remote area is an example of patient-centered care and
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of an effective implementation of technology, but it is not particularly related to public
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health.
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