Origin: Chapter 25- Occupational Health Nursing, 20

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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 

Origin: Chapter 25- Occupational Health Nursing, 20

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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.

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 

Origin: Chapter 25- Occupational Health Nursing, 20

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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.

Origin: Chapter 1- Public Health Nursing, 4

4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which

task best exemplifies public health?

A) Reading current nursing journals and integrating the latest research into daily practice

B) Instructing a client on how to best care for a suture site at home

C) Participating in a videoconference call with a client who lives in a remote area

D) Facilitating a community-wide smoking cessation program one month out of the year

Ans: D

Feedback:

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 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 client who lives in a remote area is an example of

patient-centered care and of an effective implementation of technology, but it is not particularly 

Origin: Chapter 25- Occupational Health Nursing, 20

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related to public health.

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 Ans: A

Feedback: