Nokea
In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?
- A. Occupational health nurse at the Provincial Health Office
- B. Physician employed by the factory
- C. Public Health nurse of the RHU of their municipality
- D. Rural Sanitary inspector of the RHU in their municipality
Correct Answer: C
Rationale: The correct answer is C, the Public Health nurse of the RHU of their municipality. This nurse is trained in public health and can address the occupational health needs of the factory workers. The Provincial Health Office nurse (choice A) may not have direct involvement with the factory. The physician employed by the factory (choice B) may prioritize the company's interests over the workers. The Rural Sanitary inspector (choice D) may lack the necessary expertise in occupational health. The Public Health nurse is the most suitable choice as they have the right training and focus on community health.
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As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: The correct answer is A: 1. With a total population of about 20,000, the ideal ratio is 1 midwife per 5,000 people. Currently, there are 3 midwives for 20,000 people (1:6,666). To reach the ideal ratio, the RHU needs 1 more midwife.
Choice B, C, and D are incorrect because they would exceed the ideal ratio of 1 midwife per 5,000 people, leading to inefficiency and potentially underutilizing resources.
CHN is a community-based practice. What best explains this statement?
- A. The service is provided in the natural environment of people
- B. The nurse conducts community diagnosis to determine nursing needs and problems
- C. The services are based on the available resources within the community
- D. Priority setting is based on the magnitude of the health problems identified
Correct Answer: B
Rationale: The correct answer is B because in community-based nursing, conducting a community diagnosis is crucial to identify the specific nursing needs and problems of the community. This helps in planning and implementing appropriate interventions. Choice A is incorrect as providing services in the natural environment is a characteristic of community health nursing, not community-based practice specifically. Choice C is incorrect because community-based practice focuses on utilizing resources beyond just those available within the community. Choice D is incorrect as priority setting is based on the identified needs, not just the magnitude of health problems.
A business firm must employ an occupational health nurse when it has at least how many employees?
- A. 21
- B. 101
- C. 201
- D. 301
Correct Answer: B
Rationale: The correct answer is B (101 employees) because the Occupational Safety and Health Administration (OSHA) regulations require a business to have an occupational health nurse when the workforce reaches 101 employees. Employing an occupational health nurse at this threshold ensures that the company complies with OSHA standards for employee health and safety.
Choices A, C, and D are incorrect because they do not align with the specific OSHA requirement of 101 employees for employing an occupational health nurse. Option A (21 employees) is too low, and options C (201 employees) and D (301 employees) exceed the required threshold. Therefore, only option B meets the OSHA regulation criteria for when a business must employ an occupational health nurse.
Which of the following is a function of epidemiology?
- A. Identifying disease conditions based on manifestations presented by a client
- B. Determining factors that contributed to the occurrence of pneumonia in a 3-year-old
- C. Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia
- D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness
Correct Answer: D
Rationale: The correct answer is D: Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness. Epidemiology is the study of patterns, causes, and effects of health and disease conditions in populations. Evaluating the effectiveness of implementing protocols like the Integrated Management of Childhood Illness falls under the domain of epidemiology as it involves monitoring and assessing the impact of healthcare interventions on public health outcomes.
A: Identifying disease conditions based on manifestations presented by a client is more aligned with clinical diagnosis rather than epidemiology.
B: Determining factors that contributed to the occurrence of pneumonia in a 3-year-old is more related to etiology and risk factors, which are part of epidemiological studies but not the primary function.
C: Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia is more focused on clinical pharmacology and treatment outcomes rather than the broader population-based approach of epidemiology.
In family nursing, the typology of family nursing problems is used in the statement of nursing diagnosis for families. The youngest child of the Delos Reyes family has been diagnosed with mental retardation. This is classified as:
- A. Health threat
- B. Health deficit
- C. Foreseeable crisis
- D. Stress point
Correct Answer: B
Rationale: The correct answer is B: Health deficit. Mental retardation in the youngest child of the Delos Reyes family represents a health deficit as it indicates a lack or impairment in the child's cognitive abilities and overall health status. The typology of family nursing problems categorizes issues that require nursing interventions, and a health deficit aligns with the child's developmental delay. A health threat (choice A) typically refers to potential risks to health, which is not the case here as the diagnosis has already been made. Foreseeable crisis (choice C) involves situations that may lead to a crisis but are not yet imminent, which does not apply in this scenario. Stress point (choice D) involves a specific event or situation causing stress, which is not the primary concern in this case.