Nokea
Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?
- A. Census tracts
- B. Vital statistics
- C. National Health Survey data
- D. Needs assessment
Correct Answer: B
Rationale: The correct answer is B: Vital statistics. Vital statistics provide information on births, deaths, and marriages which are crucial indicators of a community's health and population trends. This data aids the nurse in understanding the demographic characteristics and health needs of the community. Census tracts (A) provide geographical boundaries, not specific health data. National Health Survey data (C) focuses on health behaviors and conditions, not vital events. Needs assessment (D) involves identifying community health needs, not specifically births, deaths, and marriages.
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Why is environmental health more challenging than other variables related to an individual's health?
- A. Environmental health affects susceptible individuals more than groups.
- B. Environmental health demands that individuals be willing to change their beliefs.
- C. Environmental health is dependent on social neighborhoods and geography.
- D. Environmental health requires social, economic, and political changes to improve.
Correct Answer: D
Rationale: The correct answer is D because environmental health issues are complex and interconnected with social, economic, and political factors. Improving environmental health often involves addressing systemic issues and implementing large-scale changes. This includes policies, regulations, and community initiatives. Choices A, B, and C are incorrect because environmental health impacts both individuals and groups, requires more than just individual behavior change, and goes beyond just social neighborhoods and geography.
A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?
- A. Acute care hospital nursing
- B. Community-based nursing
- C. Community health nursing
- D. Public health nursing
Correct Answer: B
Rationale: The correct answer is B: Community-based nursing. In this scenario, the nurse is providing follow-up care to a patient at home, which falls under community-based nursing. This type of nursing focuses on providing care outside of the hospital setting, in the community where the patient resides. It involves assessing the patient's home environment, educating the patient and family, and promoting health and wellness in the community.
Incorrect choices:
A: Acute care hospital nursing - This choice is incorrect because the nurse is not providing care in the hospital setting but rather in the patient's home.
C: Community health nursing - While similar to community-based nursing, community health nursing typically involves broader population-based health promotion and disease prevention efforts rather than individual patient care.
D: Public health nursing - Public health nursing focuses on promoting health at the population level through programs and policies, not individual patient care in the home setting.
Why is it difficult to get others interested in environmental health?
- A. Environmental problems are not perceived as interesting or dramatic.
- B. It is difficult to get the media interested.
- C. People respond more to an acute crisis than chronic environmental problems.
- D. People respond more to an individual asking for help than a community asking for help.
Correct Answer: C
Rationale: The correct answer is C because people tend to respond more to immediate and acute crises rather than chronic environmental issues, which may not have immediate visible impacts. This is known as the "finite pool of worry" theory. People prioritize urgent problems over long-term issues. This is why it is difficult to get others interested in environmental health, as they may not perceive the gradual degradation of the environment as an urgent matter. Choices A, B, and D are incorrect because they do not address the fundamental psychological and behavioral aspect of human response to environmental issues.
Which of the following strategies is NOT the BEST approach to addressing the nutrition problems of Filipinos related to Non-communicable diseases?
- A. Aim for ideal body weight
- B. Consider food preferences of family members
- C. Build healthy nutrition-related practices
- D. Choose food wisely
Correct Answer: B
Rationale: The correct answer is B: Consider food preferences of family members. This is not the best approach because addressing nutrition problems related to non-communicable diseases requires focusing on evidence-based strategies that prioritize health outcomes over personal preferences. A: Aim for ideal body weight is important for overall health. C: Build healthy nutrition-related practices promotes long-term positive habits. D: Choose food wisely emphasizes making informed choices. B, however, may lead to compromising nutritional quality for taste preferences, which can hinder efforts to combat non-communicable diseases effectively.
In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
- A. Proactively assessing the health needs of the entire panel and planning accordingly
- B. Focusing on providing care to young and seemingly vulnerable patients
- C. Spending most time with patients who regularly attend their visits
- D. Prioritizing care by responding to the oldest patients first
Correct Answer: A
Rationale: The correct answer is A: Proactively assessing the health needs of the entire panel and planning accordingly. This is because in population health management, the primary goal is to improve the health outcomes of a large group of individuals. By proactively assessing the health needs of the entire panel, the nurse can identify trends and patterns, prioritize interventions, and allocate resources effectively. This approach allows for early identification of health issues, implementation of preventive measures, and tailored care plans.
Choices B, C, and D are incorrect because they focus on specific subgroups or individuals within the panel rather than the entire population. Focusing only on young or seemingly vulnerable patients (B) may neglect the health needs of other demographic groups. Spending most time with patients who regularly attend their visits (C) may result in overlooking those who do not attend regularly. Prioritizing care by responding to the oldest patients first (D) does not consider the diverse health needs present across the entire panel.