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