Test Bank For Community and Public Health Nursing: Evidence for Practice 4th Edition by
DeMarco & Walsh, All Chapters 1-25 |Complete Guide | With Rationales | Latest Edition
2024-2025|Graded A+|
,Test Bank For Community and Public Health Nursing: Evidence for
Practice 4th Edition by DeMarco & Walsh, All Chapters 1-25
|Complete Guide | With Rationales | Latest Edition 2024-2025|Graded A+|
Origin: Chapter 1- Public Health Nursing, 1
1. A nurse practitioner is striving to practice patient-centered care at a hospital.
Which action best exemplifies providing patient-centered care?
A) Having a Patient complete a self-reported functional status indicator and
thenreviewing it with the Patient
B) Explaining to a Patient the benefits of computer-assisted robotic
surgicaltechniques, which the hospital 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
thehospital
CORRECT: 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 hospital are all technological advances in
healthcare, but they do not help the Patient become a more active participant in his or
hercare, and thus are not good examples of patient-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse practitioner is caring for an older Patient who is struggling to manage her
type 2 diabetes mellitus. The nurse practitioner 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
CORRECT: 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 nurse practitioner would not
constitute a social determinant of the Patient's health.
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, Origin: Chapter 1- Public Health Nursing, 3
3. A nurse practitioner successfully persuades an obese Patient to perform a weekly
weigh-in at homeusing 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
CORRECT: 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 integrationof the best evidence available with clinical expertise and the
values of the Patient to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse practitioner performs a variety of tasks as part of the nurse practitioner's
position at a hospital. Whichtask 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
CORRECT: 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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