TEST BANK FOR COMMUNITY AND PUBLIC HEALTH
NURSING: EVIDENCE FOR PRACTICE 4TH EDITION BY
DEMARCO AND WALSH/COMPLETE GUIDE
, Origin: CH: 1- Public Health Nursing, 1
1. A nursing attendant is striving to practice hospital client-centered care at a
health center. Whichaction best exemplifies providing hospital client-centered
care?
A) Having a hospital client complete a self-reported functional status
indicator andthen reviewing it with the hospital client
B) Explaining to a hospital client the benefits of computer-assisted
robotic surgical techniques, which the health center recently
implemented
C) Recording a hospital client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a hospital client while the
hospital client is inthe health center
ACCURATE ANSWER:-A
Reasoning :->>
Hospital client-centered care considers cultural traditions, personal preferences, values,
families, and lifestyles. Hospital clients become active participants in their own care,
and monitoring health becomes the hospital client's responsibility. To help hospital
clients and their healthcare providers make better decisions, the Agency for Healthcare
Research and Quality (AHRQ) has developed a series of tools that empower hospital
clients and assist providers in achieving desired outcomes, including hospital client-
reported functional status indicators. Computer-assisted robotic surgical techniques,
electronic health records, andcontinuous glucose monitoring in the health center are all
technological advances in healthcare, but they do not help the hospital client become a
more active participant in his or her care, and thus are not good examples of hospital
client-centered care.
Origin: CH: 1- Public Health Nursing, 2
2. A nursing attendant is caring for an older hospital client who is struggling to
manage her type 2 diabetes mellitus. The nursing attendant should recognize
which social determinants of this hospital 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
ACCURATE ANSWER:-
A, B,D, E
Reasoning:->>
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 hospital client's primary care provider or nursing attendant would not
constitute a social determinant of the hospital client's health.
Pg 1
, Origin: CH: 1- Public Health Nursing, 3
3. A nursing attendant successfully persuades an obese hospital client to perform a
weekly weigh-in at home using a digital scale and record the weight in a log. This
strategy is an exampleof:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
ACCURATE ANSWER:-C
Reasoning:->>
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. In this case, the hospital client makes a
positive change in lifestyle by monitoring body weight weekly. Telehealth is the use of
electronic information and telecommunications technologies to support long-distance
clinical healthcare, hospital client and professional health-related education, public
health, and health administration. Health information technology (HIT) is defined as
the comprehensive management of health information and its exchange between
consumers, providers, government, and insurers in a secure manner. Evidence-based
nursing is the integration of the best evidence available with clinical expertise and the
values of the hospital client to increase the quality of care.
Origin: CH: 1- Public Health Nursing, 4
4. A nursing attendant performs a variety of tasks as part of the nursing attendant's
position at a healthcenter. Which task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a hospital client on how to best care for a suture site at home
C) Participating in a videoconference call with a hospital client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the
year
ACCURATE ANSWER:-D
Reasoning:->>
Public health is what society does collectively to ensure the conditions exist in which
people can be healthy. A community-wide smoking cessation program is a great
example of a public health intervention, in that it involves the collective effort of society
to improve the health of its members. Reading and applying the latest nursing research
is an example of evidence-based nursing. Instructing a hospital client on how to best
care for a suture site at home is an example of personal responsibility for health, but it
is not focused on the health of the greater community. Participating in a
videoconference call with a hospital client who lives in a remote area is an example of
hospital client-centered care and of an effective implementation of technology, but it is
not particularly related to public health.
Pg 2
, Origin: CH: 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
ACCURATE
ANSWER:-A
Reasoning:->>
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public
health nursing interventions but are not domains of public health nursing practice.
Origin: CH: 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
ACCURATE ANSWER:-C
Reasoning:->>
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
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