, Origin: Chapter 1- Public Health Nursing, 1
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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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thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic NM NM NM NM NM NM NM NM
surgicaltechniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record NM NM NM NM NM NM NM NM NM NM
D) Performing continuous glucose monitoring of a client while the client is in NM NM NM NM NM NM NM NM NM NM NM
thehospital NM N
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Ans: A NM
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, NM NM NM NM NM NM NM
families, and lifestyles. Clients become active participants in their own care, and
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monitoring health becomes the client's responsibility. To help clients and their
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healthcare providers make better decisions, the Agency for Healthcare Research and
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Quality (AHRQ) has developed a series of tools that empower clients and assist
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providers in achieving desired outcomes, including client-reported functional status
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indicators. Computer-assisted robotic surgical techniques, electronic health records,
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andcontinuous glucose monitoring in the hospital are all technological advances in
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healthcare, but they do not help the client become a more active participant in his or
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hercare, and thus are not good examples of patient-centered care.
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Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2
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diabetes mellitus. The nurse should recognize which social determinants of this
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client's health?(Select all that apply.)
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A) Household income of $23,000 per year NM NM NM NM NM
B) Reading level of a third grader NM NM NM NM NM
C) Medication ineffective due to error in prescription NM NM NM NM NM NM
D) Originally from Sudan NM NM
E) No family in the NM NM NM
areaAns: A, B, D, E
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Feedback:
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The social conditions in which people live, their income, social status, education,
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literacy, home and work environment, support networks, gender, culture, and
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availability of health services are the social determinants of health. These
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conditions have an impact on the extent to which a person or community possesses
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the physical, social, and personal resources necessary to attain and maintain health.
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A medical erroron the part of the client's primary care provider or nurse would not
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constitute a social determinant of the client's health.
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,3. A nurse successfully persuades an obese client to perform a weekly weigh-in at
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homeusing a digital scale and record the weight in a log. This strategy is an
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example of:
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A) Telehealth
B) Health information technology NM NM
C) Personal responsibility for health NM NM NM
D) Evidence-based
nursingAns: C
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Feedback:
Personal responsibility for health involves active participation in one's own health
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through education and lifestyle changes. In this case, the client makes a positive
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changein lifestyle by monitoring body weight weekly. Telehealth is the use of
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electronic information and telecommunications technologies to support long-distance
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clinical healthcare, client and professional health-related education, public health,
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and health administration. Health information technology (HIT) is defined as the
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comprehensive management of health information and its exchange between
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consumers, providers, government, and insurers in a secure manner. Evidence-based
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nursing is the integrationof the best evidence available with clinical expertise and the
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values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
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Whichtask best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into
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dailypractice
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B) Instructing a client on how to best care for a suture site at home NM NM NM NM NM NM NM NM NM NM NM NM NM
C) Participating in a videoconference call with a client who lives in a remote area NM NM NM NM NM NM NM NM NM NM NM NM NM
D) Facilitating a community-wide smoking cessation program one month out of NM NM NM NM NM NM NM NM NM
theyear NM N
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Ans: D NM
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
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people can be healthy. A community-wide smoking cessation program is a great
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example of a public health intervention, in that it involves the collective effort of
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societyto improve the health of its members. Reading and applying the latest nursing
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research is an example of evidence-based nursing. Instructing a client on how to best
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care for a suture site at home is an example of personal responsibility for health, but
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it is not focused on the health of the greater community. Participating in a
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videoconference call with a client who lives in a remote area is an example of
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patient-centered care and of an effective implementation of technology, but it is not
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particularly related to public health.
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, Origin: Chapter 1- Public Health Nursing,
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5. Public
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NM health nursing is distinguished from other specialties by adherence to
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eightprinciples. Which is one of the eight domains of public health nursing
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practice?
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A) Analytic assessment skills NM NM
B) Investigation of disease NM NM
C) Referral and follow-up NM NM
D) Case
managementAns: A
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic
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assessment skills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills,financial planning and management skills, and leadership and
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systems thinking skills.
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Investigation of disease, referral and follow-up, and case management are all
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publichealth nursing interventions but are not domains of public health nursing
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practice.
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Origin: Chapter 1- Public Health Nursing, 6
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6. Public health nursing is distinguished from other specialties by adherence to
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eightprinciples. Which is one of the eight domains of public health nursing
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practice?
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A) Policy development and individual planning skills
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B) Individual dimensions of practice skills NM NM NM NM
C) Financial planning and management skills NM NM NM NM
D) Leadership and individual critical thinking NM NM NM NM
skillsAns: C
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic
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assessment skills, policy development and program planning skills, communication
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skills, cultural competency skills, community dimensions of practice skills, public
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health science skills,financial planning and management skills, and leadership and
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systems thinking skills.
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