TEST BANK
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Community and Public Health Nursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing IIll IIll IIll IIll
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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IIll thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic IIll IIll IIll IIll IIll IIll IIll IIll
IIll surgicaltechniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
D) Performing continuous glucose monitoring of a client while the client is in IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
thehospital
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ANSWER: A IIll
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, IIll IIll IIll IIll IIll IIll IIll
IIll families, and lifestyles. Clients become active participants in their own care, and
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IIll monitoring health becomes the client's responsibility. To help clients and their
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IIll healthcare providers make better decisions, the Agency for Healthcare Research and
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IIll Quality (AHRQ) has developed a series of tools that empower clients and assist
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IIll providers in achieving desired outcomes, including client-reported functional status
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IIll indicators. Computer-assisted robotic surgical techniques, electronic health records,
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IIll andcontinuous glucose monitoring in the hospital are all technological advances in
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IIll healthcare, but they do not help the client become a more active participant in his
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IIll or hercare, and thus are not good examples of patient-centered care.
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Origin: I I l l Chapter 1- Public Health Nursing, 2 IIll IIll IIll IIll IIll
2. A nurse is caring for an older client who is struggling to manage her type 2
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IIll diabetes mellitus. The nurse should recognize which social determinants of this
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IIll client's health?(Select all that apply.)
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A) Household income of $23,000 per year IIll IIll IIll IIll IIll
B) Reading level of a third grader IIll IIll IIll IIll IIll
C) Medication ineffective due to error in prescription IIll IIll IIll IIll IIll IIll
, D) Originally from Sudan IIll IIll
E) No family in the
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areaANSWER:
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IIll D, E Feedback:
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The social conditions in which people live, their income, social status, education,
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IIll literacy, home and work environment, support networks, gender, culture, and
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IIll availability of health services are the social determinants of health. These conditions
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IIll have an impact on the extent to which a person or community possesses the
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IIll physical, social, and personal resources necessary to attain and maintain health. A
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IIll medical erroron the part of the client's primary care provider or nurse would not
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IIll constitute a social determinant of the client's health.
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