TEST BANK FOR COMMUNITY AND PUBLIC HEALTH
NURSING: EVIDENCE FOR PRACTICE 4TH EDITION
BYDEMARCO AND WALSH/COMPLETE GUIDE
, Origin: CH: 1- Public Health Nursing, 1
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1. A nursing attendant is striving to practice hospital client-
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centered care at a health center. Whichaction best exemplifies providing hosp
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ital client-centered care?
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A) Having a hospital client complete a self- qm qm qm qm qm qm
reported functional status indicator andthen reviewing it with the ho
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spital client qm
B) Explaining to a hospital client the benefits of computer- qm qm qm qm qm qm qm qm
assisted robotic surgical techniques, which the health center rec
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ently implemented qm
C) Recording a hospital client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a hospital client while the h qm qm qm qm qm qm qm qm qm qm
ospital client is inthe health center qm qm qm q
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ACCURATE ANSWER:-A qm
Reasoning :->> qm
Hospital client- qm
centered care considers cultural traditions, personal preferences, values, families, an
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d lifestyles. Hospital clients become active participants in their own care, and monit
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oring health becomes the hospital client's responsibility. To help hospital clients an
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d their healthcare providers make better decisions, the Agency for Healthcare Resea
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rch and Quality (AHRQ) has developed a series of tools that empower hospital clien
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ts and assist providers in achieving desired outcomes, including hospital client-
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reported functional status indicators. Computer-
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assisted robotic surgical techniques, electronic health records, andcontinuous glucose
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mmonitoring in the health center are all technological advances in healthcare, but the
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y do not help the hospital client become a more active participant in his or her care,
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and thus are not good examples of hospital client-centered care.
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Origin: CH: 1- Public Health Nursing, 2
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2. A nursing attendant is caring for an older hospital client who is struggling to
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manage her type 2 diabetes mellitus. The nursing attendant should recognize w
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hich social determinants of thishospital client's health? (Select all that apply.)
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A) Household income of $23,000 per year qm qm qm qm qm
B) Reading level of a third grader qm qm qm qm qm
C) Medication ineffective due to error in prescription qm qm qm qm qm qm
D) Originally from Sudan qm qm
E) No family in the are qm qm qm qm
aACCURATE ANSWER:
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-A, B,D, E qm q
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Reasoning:->>
The social conditions in which people live, their income, social status, education, lite
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racy, home and work environment, support networks, gender, culture, and availabili
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ty of health services are the social determinants of health. These conditions have an
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mimpact on the extent to which a person or community possesses the physical, social
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, and personal resources necessary to attain and maintain health. A medical erroron t
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he part of the hospital client's primary care provider or nursing attendant would no
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t constitute a social determinant of the hospital client's health.
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, Origin: CH: 1- Public Health Nursing, 3
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3. A nursing attendant successfully persuades an obese hospital client to perform a
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weekly weigh- qm
in athome using a digital scale and record the weight in a log. This strategy is an
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mexampleof: q
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A) Telehealth
B) Health information technology qm qm
C) Personal responsibility for health qm qm qm
D) Evidence-
based nursingACCURATE qm q
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ANSWER:-C Reasoning:- qm
>>
Personal responsibility for health involves active participation in one's own health t
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hrough education and lifestyle changes. In this case, the hospital client makes a pos
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itive change in lifestyle by monitoring body weight weekly. Telehealth is the use of
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melectronic information and telecommunications technologies to support long-
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distance clinical healthcare, hospital client and professional health-
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related education, public health, andhealth administration. Health information techn
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ology (HIT) is defined as the comprehensive management of health information and
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its exchange between consumers, providers, government, and insurers in a secure
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manner. Evidence- qm
based nursing is the integration of the best evidence available with clinical expertis
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e and the values of the hospital client to increase the quality of care.
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Origin: CH: 1- Public Health Nursing, 4
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4. A nursing attendant performs a variety of tasks as part of the nursing attendant'
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s position at a healthcenter. Which task best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into
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dailypractice q
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B) Instructing a hospital client on how to best care for a suture site at home qm qm qm qm qm qm qm qm qm qm qm qm qm qm
C) Participating in a videoconference call with a hospital client who lives in a remote are
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a
D) Facilitating a community- qm qm
wide smoking cessation program one month out of theyear
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ACCURATE ANSWER:-D qm
Reasoning:->>
Public health is what society does collectively to ensure the conditions exist in whic
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h people can be healthy. A community-
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wide smoking cessation program is a great example of a public health intervention, i
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n that it involves the collective effort of societyto improve the health of its members.
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Reading and applying the latest nursing research is an example of evidence-
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based nursing. Instructing a hospital client on how to best care for a suture site at h
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ome is an example of personal responsibility for health, but it is not focused on the
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health of the greater community. Participating in a videoconference call with a hospi
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tal client who lives in a remote area is an example of hospital client-
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centered care and of an effective implementation of technology, but it is not particul
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arly related to public health.
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