TEST BANK - Community and Public Health Nursing:
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Evidence for Practice, 3rd 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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best exemplifies 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 then reviewing 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 implementedIl IIll IIll IIll IIll IIll
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
the hospital
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ANSWER: A I I ll
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
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IIll and Quality (AHRQ) has developed a series of tools that empower clients and
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IIll assist providers in achieving desired outcomes, including client-reported functional
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IIll status indicators. Computer-assisted robotic surgical techniques, electronic health
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records, andcontinuous glucose monitoring in the hospital are all technological
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IIll advances in healthcare, but they do not help the client become a more active
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IIll participant in his or her care, and thus are not good examples of patient-centered
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IIll care.
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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area ANSWER:
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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
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IIll conditions have an impact on the extent to which a person or community possesses
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IIll the physical, social, and personal resources necessary to attain and maintain health.
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IIll A medical error on 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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