Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank

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

Ans: 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 client-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

Ans: 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.

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Origin: Chapter 1- Public Health Nursing, 3

3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home 

using a digital scale and record the weight in a log. This strategy is an example of:

A) Telehealth

B) Health information technology

C) Personal responsibility for health

D) Evidence-based nursing

Ans: C

Feedback:

Personal responsibility for health involves active participation in one's own health 

through education and lifestyle changes. In this case, the 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, 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 client to 

increase the quality of care