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According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?
- A. The community health nurse continuously develops personally and professionally.
- B. Health education and community organizing are essential in providing community health services.
- C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
- D. The goal of community health nursing is to provide nursing services to people in their own place of residence.
Correct Answer: B
Rationale: The correct answer is B because health education and community organizing are essential components of community health nursing, aligning with the concept of developmental service. Health education promotes individual and community empowerment, while community organizing fosters partnerships and collaboration for sustainable health outcomes.
Now, let's analyze why the other choices are incorrect:
A: While personal and professional development is important for a community health nurse, it does not directly illustrate the developmental service aspect of community health nursing.
C: Health promotion, prevention, and treatment of disease are important aspects of community health nursing, but they do not specifically highlight the developmental service nature.
D: Providing nursing services in people's residences is a common practice in community health nursing, but it does not directly relate to the developmental service aspect emphasized by Freeman and Heinrich.
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The public health nurse takes an active role in community participation. What is the primary goal of community organizing?
- A. To educate the people regarding community health problems
- B. To mobilize the people to resolve community health problems
- C. To maximize the community's resources in dealing with health problems
- D. To develop the people's self-reliance in dealing with health problems
Correct Answer: C
Rationale: The correct answer is C: To maximize the community's resources in dealing with health problems. Community organizing aims to empower communities by utilizing their existing resources effectively. This approach fosters sustainable solutions and encourages community members to take ownership of their health outcomes.
Explanation:
1. A: While education is important, the primary goal of community organizing is not solely to educate but to actively engage the community in problem-solving.
2. B: Mobilizing the community is a crucial step, but the ultimate goal is to maximize resources for long-term sustainability.
3. D: Developing self-reliance is a positive outcome, but the primary focus is on collective action and resource optimization to address health issues effectively.
Isolation of a child with measles belongs to which level of prevention?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. Isolating a child with measles is a primary prevention measure as it aims to prevent the spread of the disease to others who are not yet infected. Primary prevention focuses on preventing the occurrence of a disease before it happens. Isolation helps contain the spread of measles to reduce the risk of further transmission.
Choice B: Secondary prevention involves early detection and treatment of a disease to prevent complications. Isolating a child with measles is not focused on early detection or treatment.
Choice C: Intermediate prevention is not a recognized level of prevention and is not applicable in this context.
Choice D: Tertiary prevention aims to minimize the impact of a disease that has already occurred by preventing complications and improving quality of life. Isolating a child with measles is not considered tertiary prevention as it is focused on controlling the spread of the disease rather than managing its consequences.
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.
The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:
- A. Epidemic occurrence
- B. Cyclical variation
- C. Sporadic occurrence
- D. Secular occurrence
Correct Answer: B
Rationale: Step 1: Cyclical variation refers to a pattern that repeats at regular intervals.
Step 2: The increase in Dengue fever cases at the end of the rainy season is a recurring pattern.
Step 3: The rise in cases is linked to the environmental conditions during the rainy season.
Step 4: This cyclic increase in cases is not a sudden outbreak (epidemic) or random (sporadic).
Step 5: Secular occurrence refers to long-term trends, not short-term patterns like the end of a season.
Summary: Choice B is correct because the pattern of Dengue fever cases increasing at the end of the rainy season aligns with cyclical variation, unlike the other options which do not accurately describe this specific pattern.
The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?
- A. Referring cases or patients to the midwife
- B. Providing technical guidance to the midwife
- C. Providing nursing care to cases referred by the midwife
- D. Formulating and implementing training programs for midwives
Correct Answer: B
Rationale: The correct answer is B: Providing technical guidance to the midwife. This is a supervisory function as it involves overseeing and advising the midwife on technical aspects of their work. This ensures quality and consistency in healthcare delivery. Referring cases (A) is more of a collaborative function. Providing nursing care (C) is a direct care function. Formulating training programs (D) is a managerial function, not a direct supervisory role.