Nokea
Joseph, a 45-year-old community resident of Baranggay 22-A, suddenly had 2 bouts of soft to almost watery stools after having lunch. While observing his condition at home to decide whether to refer him for medical treatment, you recommended that he boil a decoction of 10-15 leaves of what medicinal plant for 15 minutes on low heat?
- A. Bayabas
- B. Pancit pacitan
- C. Sambong
- D. Lagundi
Correct Answer: A
Rationale: The correct answer is A: Bayabas. Step-by-step rationale:
1. Bayabas (guava) has antimicrobial properties that can help in treating diarrhea.
2. Boiling a decoction of bayabas leaves can help alleviate Joseph's symptoms due to its astringent properties.
3. The astringent properties of bayabas can help firm up loose stools.
4. Bayabas is commonly used in traditional medicine for gastrointestinal issues like diarrhea.
Summary of other choices:
B: Pancit pacitan - Not commonly used for treating diarrhea.
C: Sambong - More commonly used for urinary tract infections, not diarrhea.
D: Lagundi - More commonly used for respiratory issues, not gastrointestinal problems.
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All of the following are characteristics of the Patient Centered Medical Home (PCMH) except:
- A. Comprehensive in scope of care
- B. Guarantees safety at home
- C. Patient needs come first
- D. Providers work together
Correct Answer: B
Rationale: The correct answer is B: Guarantees safety at home. PCMH focuses on providing patient-centered, comprehensive, coordinated care with an emphasis on patient needs and involving a team of healthcare providers. Safety at home is not a direct characteristic of PCMH. Other choices (A, C, D) align with the core principles of PCMH - comprehensive care, patient-centered approach, and collaborative teamwork among providers.
Which task will be most helpful in meeting the public health agency's goals?
- A. Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year.
- B. Actively participate in community agencies' collaborative action plan to meet the community's health goals for the year.
- C. Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester.
- D. Teach a free course on healthful living for community residents.
Correct Answer: B
Rationale: The correct answer is B because actively participating in community agencies' collaborative action plan aligns directly with the public health agency's goals of improving community health. By collaborating with other agencies, the public health agency can leverage resources, share expertise, and coordinate efforts to address community health issues effectively. This approach enhances the agency's impact and promotes a comprehensive approach to public health.
Choice A is incorrect because focusing on individual staff evaluations does not directly contribute to meeting the agency's public health goals. Choice C is also incorrect as meeting with nursing faculty is not directly related to community health goals. Choice D, teaching a course on healthful living, while beneficial, does not involve collaborating with other agencies to address broader community health issues.
As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, school population, workers in factories
- B. All except workers in factories
- C. Families in their homes, school population, workers in factories, patients in hospitals
- D. All except patients in hospitals
Correct Answer: D
Rationale: Step 1: Community health nursing focuses on promoting health and preventing diseases within communities.
Step 2: Patients in hospitals are already receiving healthcare services, so they are not the primary focus of community health nursing.
Step 3: Excluding patients in hospitals from the population coverage allows the nurse to focus on preventive care for the community.
Step 4: Choices A, B, and C include populations that can benefit from community health nursing interventions, but they are not the primary target population.
Summary: Option D is correct because it aligns with the primary goal of community health nursing to promote health and prevent diseases within the community by excluding those who are already receiving healthcare services in hospitals. Options A, B, and C include additional populations that may benefit from nursing interventions but are not the primary focus.
When writing a community diagnosis, the community health nurse notes that the 'among' phrase:
- A. Presents a synthesis of all assessment data.
- B. Provides the supporting data.
- C. Specifies the aggregate that will benefit from the nurse's plan.
- D. Describes the cause of the health problem and directs focus of interventions.
Correct Answer: C
Rationale: The correct answer is C because specifying the aggregate that will benefit from the nurse's plan is a key component of a community diagnosis. This step helps in identifying the target population for interventions and ensures that resources are allocated effectively.
A: Presenting a synthesis of all assessment data is important but not specific to the 'among' phrase.
B: Providing supporting data is necessary but does not directly relate to the 'among' phrase.
D: Describing the cause of the health problem and directing focus of interventions is crucial but not the primary focus of the 'among' phrase.
Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?
- A. Nutritional classes featuring low-fat and low-carb choices.
- B. Motivational interviewing sessions for smoking cessation.
- C. Working with the public health department to restrict smoking in public.
- D. Initiating chair yoga classes for seniors in the community.
Correct Answer: C
Rationale: The correct answer is C because working with the public health department to restrict smoking in public is an upstream factor that addresses the root cause of hypertension by reducing exposure to a risk factor (smoking). This approach focuses on population-level interventions to prevent the development of chronic illnesses.
A is incorrect as nutritional classes address individual behaviors, not population-level factors. B focuses on individual behavior change related to smoking, which is downstream from the root cause of hypertension. D is also incorrect as chair yoga classes, while beneficial for seniors, do not address the underlying factors contributing to hypertension in the community.