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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 kr kr kr kr kr kr kr kr kr
thenreviewing it with the client
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B) Explaining to a client the benefits of computer-assisted robotic kr kr kr kr kr kr kr kr
surgicaltechniques, which the hospital recently implemented
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C) Recording a client's signs and symptoms in an electronic health record kr kr kr kr kr kr kr kr kr kr
D) Performing continuous glucose monitoring of a client while the client is in kr kr kr kr kr kr kr kr kr kr kr
thehospital kr kr
Ans: A kr
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, kr kr kr kr kr kr kr
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, 2k r kr kr kr kr kr
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 kr kr kr kr kr
B) Reading level of a third grader kr kr kr kr kr
C) Medication ineffective due to error in prescription kr kr kr kr kr kr
D) Originally from Sudan kr kr
E) No family in the kr kr kr
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 necessary to attain and maintain health. A medical
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erroron the part of the client's primary care provider or nurse would not constitute a
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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 example
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of:
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A) Telehealth
B) Health information technology kr kr
C) Personal responsibility for health kr kr kr
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, and
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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 kr kr kr kr kr kr kr kr kr
dailypractice
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B) Instructing a client on how to best care for a suture site at home kr kr kr kr kr kr kr kr kr kr kr kr kr
C) Participating in a videoconference call with a client who lives in a remote area kr kr kr kr kr kr kr kr kr kr kr kr kr
D) Facilitating a community-wide smoking cessation program one month out of kr kr kr kr kr kr kr kr kr
theyear kr kr
Ans: D kr
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 it
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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 patient-
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centered care and of an effective implementation of technology, but it is not particularly
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related to public health.
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, Origin: Chapter 1- Public Health Nursing,
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5. Public
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kr 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 kr kr
B) Investigation of disease kr kr
C) Referral and follow-up kr kr
D) Case
managementAns: A
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
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skills, policy development and program planning skills, communication skills, cultural
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competency skills, community dimensions of practice skills, public health science
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skills,financial planning and management skills, and leadership and systems thinking
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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 kr kr kr kr
C) Financial planning and management skills kr kr kr kr
D) Leadership and individual critical thinking kr kr kr kr
skillsAns: C
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Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
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skills, policy development and program planning skills, communication skills, cultural
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competency skills, community dimensions of practice skills, public health science
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skills,financial planning and management skills, and leadership and systems thinking
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skills.
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