TESTBANK n n
Community and Public Health Nursing:
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n Evidence for Practice, 4th Edition (DeMarco),
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n Chapters 1 - 25 | All Chapters
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,TABLEOFCONTENTS
,Chapter1:PublicHealth Nursing J
1. AJnurse isstriving to practice patient-
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centered care atJa hospital. Which action bestexemplifies providing patient-
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n centered care? n
A) HavingJa clientJcomplete aJself- n n
reported functional status indicator and thenreviewingJit with the client
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B) Explaining toJaJclientJthe benefits of computer- n n n
assisted robotic surgicaltechniques, which the hospital recently implemented
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C) RecordingJa client's signsand symptoms inan electronicJhealth record
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D) PerformingJcontinuous glucose monitoring of aJclientJwhile the clientJis in thehosp n n n n n n n
n ital
ANSWER:J A
Feedback:
Patient-
centered care considers cultural traditions, personal preferences, values, families, and lifestyl
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n es. Clients become active participants in their own care, and monitoring health becomesJthe c
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n lient'sJresponsibility. To help clients and their healthcare providers make better decisions, th e
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n Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that e
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n mpower clients and assistJproviders in achieving desired outcomes, includingJclient- reported
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functional status indicators. Computer-
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assistedroboticsurgicaltechniques, electronicJhealth records, andcontinuousJglucose monit
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n oring in the hospital are all technological advances in healthcare, but they do not helpJthe clie
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n ntJbecome a more active participant in his or hercare, and thus are not good examples of patie nt-
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centered care. n
Origin: Chapter 1-JPublic Health Nursing, 2
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2. A nurse is caring for an older client who is strugglingJtoJmanage her type 2 diabetesJmellitus.
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n The nurse should recognize which social determinantsJof this client'sJhealth?(SelectJ allJthat
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n apply.)
, A) Household income of$23,000 per year n n n n
B) Reading level ofa third grader
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C) Medicationineffective due toJerror in prescription
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D) Originally from Sudan n n
E) No family in the area
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n ANSWER:J n n n A, B, D, E n n n
Fee dback:
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The social conditions in whichJpeople live, their income, social status, education, literacy, ho
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n me and workenvironment, support networks, gender, culture, and availability of health
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n services are the social determinants of health. These conditionsJhave an impact on the extent to
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w
n n hich n a n person n or n community n possesses n the n physical, n social, n and
n personalresourcesnecessary toJattain and maintain health. AJmedical erroronJthe partJof the n n n n n n n n
client's primary care provider or nurse would not constitute a social determinant of the client's
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health.
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