TEST BANK
Community and Public Health Nursing:
Evidence for Practice, 4th Edition (DeMarco),
Chapters 1 - 25 | All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
ANS: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
and lifestyles. Clients become active participants in their own care, and monitoring health
becomes the client's responsibility. To help clients and their healthcare providers make
better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed
a series of tools that empower clients and assist providers in achieving desired outcomes,
including client-reported functional status indicators. Computer-assisted robotic surgical
techniques, electronic health records, andcontinuous glucose monitoring in the hospital are
all technological advances in healthcare, but they do not help the client 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 is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
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, C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
ANS: A, B, D, E
Feedback:
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 erroron the part of the client's
primary care provider or nurse would not constitute a social determinant of the client's
health.
3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using 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
ANS: C
Feedback:
Personal responsibility for health involves active participation in one's own health through
education and lifestyle changes. In this case, the client makes a positive changein lifestyle
by monitoring body weight weekly. Telehealth is the use of electronic information and
telecommunications technologies to support long-distance clinical healthcare, client 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 client to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
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