TEST BANK - Community and Public Health Nursing : Evidence for Practice, 4th Edition (DeMarco), Chapter s 1 - 25 | All Chapters TABLE OF CONTENTS 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 ANSWER: 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 c lient-reported functional status indicators. Computer -assisted robotic surgical techniques, electronic health records, and continuous 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 her care, 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 C) Medication ineffective due to error in prescription D) Originally from Sudan E) No family in the area ANSWER: 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 error on the part of the client's primary care provider or nurse would not constitute a social determinant of the client's health.
