TEST BANK .e
COMMUNITY AND .e
.e PUBLICHEALTHNURSING .e
EvidenceforPractice .e .e
3RD EDITION
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BY DEMARCO & WALSH
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TEST BANK
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,TEST BANK: Community and Public Health Nursing 3rd Edition DeMarco & Walsh
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Contents:
Chapter 1: Public Health Nursing: Present, Past, and Future
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Chapter 2: Public Health Systems
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Chapter 3: Health Policy, Politics, and Reform
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Chapter 4: Global Health: A CommunityPerspective
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Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
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Chapter 6: Epidemiology: The Science of Prevention
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Chapter 7: Describing Health Conditions: Understanding and Using Rates
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Chapter 8: Gathering Evidence for Public Health Practice
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Chapter 9: Planning for CommunityChange
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Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
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Chapter 11: CommunityAssessment
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Chapter 12: Care Management, Case Management, and Home Healthcare
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Chapter 13: Family Assessment
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Chapter 14: Risk of Infectious and Communicable Diseases
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Chapter 15: Emerging Infectious Diseases
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Chapter 16: Violence and Abuse
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Chapter 17: Substance Use
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Chapter 18: Underserved Populations
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Chapter 19: Environmental Health
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Chapter 20: CommunityPreparedness: Disaster and Terrorism
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Chapter 21: CommunityMental Health
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Chapter 22: School Health
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Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
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Chapter 24: Palliative and End-of-Life Care
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Chapter 25: Occupational Health Nursing
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,Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
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Origin: Chapter 1- Public Health Nursing: Present, Past, and Future 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 .e .e .e .e .e .e .e .e .e
thenreviewingit with the client .e .e .e .e .e .e
B) Explaining to a client the benefits of computer-assisted robotic .e .e .e .e .e .e .e .e
surgicaltechniques, which the hospital recently implemented
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C) Recordinga client's signs and symptoms in an electronic health record .e .e .e .e .e .e .e .e .e .e
D) Performing continuous glucose monitoring of a client while the client is in .e .e .e .e .e .e .e .e .e .e .e
thehospital .e .e
Ans: A .e
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, .e .e .e .e .e .e .e .e
and lifestyles. Clients become active participants in their own care, and monitoring health
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becomes the client's responsibility. To help clients and their healthcare providers make
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better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed
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a series of tools that empower clients and assist providers in achieving desired outcomes,
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including client-reported functional status indicators. Computer-assisted robotic surgical
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techniques, electronic health records, andcontinuous glucose monitoring in the hospital
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are all technological advances in healthcare, but they do not help the client become a more
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active participant in his or hercare, and thus are not good examples of patient-centered
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care.
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Origin: Chapter 1- Public Health Nursing, 2 . e .e .e .e .e .e
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
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mellitus. The nurse should recognize which social determinants of this client's
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health?(Select all that apply.)
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A) Household income of $23,000 per year .e .e .e .e .e
B) Reading level of a third grader .e .e .e .e .e
C) Medication ineffective due to error in prescription .e .e .e .e .e .e
D) Originallyfrom Sudan .e .e
E) No familyin the .e .e .e
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 conditions
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have an impact on the extent to which a person or community possesses the physical,
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social, and personal resources necessaryto attain and maintain health. A medical erroron
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the part of the client's primary care provider or nurse would not constitute a social
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determinant of the client's health.
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, Origin: Chapter 1- Public Health Nursing, 3 . e .e .e .e .e .e
3. A nurse successfully persuades an obese client to perform a weeklyweigh-in at
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homeusing a digital scale and record the weight in a log. This strategyis an example of:
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A) Telehealth
B) Health information technology .e .e
C) Personal responsibilityfor health .e .e .e
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 changein
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lifestyle by monitoring body weight weekly. Telehealth is the use of electronic
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information and telecommunications technologies to support long-distance clinical
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healthcare, client and professional health-related education, public health, and health
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administration. Health information technology (HIT) is defined as the comprehensive
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management of health information and its exchange between consumers, providers,
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government, and insurers in a secure manner. Evidence-based nursing is the integrationof
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the best evidence available with clinical expertise and the values of the client to increase
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the qualityof care.
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Origin: Chapter 1- Public Health Nursing, 4 . e .e .e .e .e .e
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Whichtask
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best exemplifies public health?
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A) Reading current nursing journals and integrating the latest research into .e .e .e .e .e .e .e .e .e
dailypractice .e .e
B) Instructing a client on how to best care for a suture site at home .e .e .e .e .e .e .e .e .e .e .e .e .e
C) Participating in a videoconference call with a client who lives in a remote area .e .e .e .e .e .e .e .e .e .e .e .e .e
D) Facilitating a community-wide smoking cessation program one month out of .e .e .e .e .e .e .e .e .e
theyear .e .e
Ans: D .e
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 example
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of a public health intervention, in that it involves the collective effort of societyto improve
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the health of its members. Reading and applying the latest nursing research is an example
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of evidence-based nursing. Instructing a client on how to best care for a suture site at home
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is an example of personal responsibility for health, but it is not focused on the health of the
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greater community. Participating in a videoconference call with a client who lives in a
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remote area is an example of patient-centered care and of an effective implementation of
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technology, but it is not particularlyrelated to public health.
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