Nokea
A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?
- A. Reviewing the most recent hospital patient data collected by the local college of nursing
- B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
- C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
- D. Giving testimony to the state legislature on a new health and safety bill
Correct Answer: A
Rationale: The correct answer is A because reviewing hospital patient data is not directly related to immediate community health nursing tasks. This task can be postponed without compromising ongoing patient care or community health programs. In contrast, options B, C, and D involve critical decision-making and evaluation processes that directly impact the effectiveness and success of community health initiatives. Deciding on new clinic options, evaluating screening program results, and giving testimony to the state legislature are all time-sensitive tasks that require immediate attention to ensure the well-being of the community and compliance with regulations. Prioritizing tasks based on urgency and impact on community health outcomes is essential in managing workload effectively.
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A traditional plant used to lower uric acid is being used by Rosario, a 55-year-old client with rheumatism. This herbal plant is called "ulasimang bato." What is its common name?
- A. Lagundi
- B. Pancit-pancitan
- C. Bayabas
- D. Sambong
Correct Answer: B
Rationale: The correct answer is B: Pancit-pancitan. Ulasimang bato is commonly known as "Pancit-pancitan" in the Philippines. This plant is known for its diuretic properties and is traditionally used to lower uric acid levels. Lagundi (A) is known for its anti-inflammatory properties, Bayabas (C) is guava, and Sambong (D) is used for kidney stones and urinary tract infections, making them incorrect choices for this specific scenario.
In the Philippines, Community Health Nursing (CHN) involves health care provisions for individuals, families, population groups, and communities. During community health work, various health care strategies are utilized. The legal basis for incorporating traditional, non-traditional, alternative, or complementary health care strategies may be found in:
- A. PhilHealth Act
- B. Traditional and Alternative Health Care Law
- C. Philippine Nursing Act
- D. Philippine Medical Act
Correct Answer: B
Rationale: The correct answer is B: Traditional and Alternative Health Care Law. This law specifically addresses the integration of traditional, non-traditional, alternative, or complementary health care strategies into the healthcare system. This legal basis allows for the incorporation of diverse health care practices to cater to the cultural beliefs and preferences of the Filipino population.
A: PhilHealth Act primarily focuses on health insurance and financial assistance, not on the integration of traditional health care strategies.
C: Philippine Nursing Act regulates the nursing profession and does not specifically address the integration of traditional health care practices.
D: Philippine Medical Act governs medical practice standards and does not directly relate to the incorporation of traditional or alternative health care strategies.
What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?
- A. Motivating
- B. Counseling
- C. Disease prevention
- D. Health education
Correct Answer: D
Rationale: The correct answer is D: Health education. This learning process focuses on improving health through knowledge, attitudes, and practices. Health education aims to empower individuals to make informed decisions for their well-being. Motivating (A) is about encouraging action, counseling (B) involves providing guidance and support, and disease prevention (C) targets specific strategies to reduce the risk of illnesses. In this context, health education encompasses a broader approach to promoting overall health and wellness.
What are the major risk factors common to the above mentioned 4 major NCDs?
- A. Unhealthy diet, physical inactivity, and smoking
- B. Hypertension, sedentary lifestyle, and poor stress management
- C. Obesity, sedentary lifestyle, and smoking
- D. Unhealthy diet, alcoholism, and sedentary lifestyle
Correct Answer: A
Rationale: Step 1: Unhealthy diet contributes to conditions like heart disease, diabetes, cancer, and respiratory diseases.
Step 2: Physical inactivity is a risk factor for heart disease, stroke, diabetes, and some cancers.
Step 3: Smoking is a major risk factor for heart disease, cancer, and respiratory diseases.
Summary: B is incorrect as it mentions hypertension and poor stress management, which are not common to all 4 NCDs. C is incorrect as it includes obesity, not common to all 4 NCDs. D is incorrect as it includes alcoholism, which is not common to all 4 NCDs.
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.