Nokea
An indicator of success in community organizing is when people are able to:
- A. Participate in community activities to address a community problem
- B. Implement activities to address the community problem
- C. Plan activities to address the community problem
- D. Identify the community problem as a common concern
Correct Answer: A
Rationale: The correct answer is A because successful community organizing involves active participation of community members in addressing the problem collectively. By participating in community activities, individuals feel empowered and invested in finding solutions. Choice B is incorrect as implementation alone does not guarantee community involvement. Choice C focuses on planning only, neglecting the importance of actual participation. Choice D is also incorrect as mere identification of the problem does not demonstrate successful community organizing without further action.
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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.
Tertiary prevention is needed in which stage of the natural history of disease?
- A. Pre-pathogenesis
- B. Pathogenesis
- C. Predromal
- D. Terminal
Correct Answer: D
Rationale: Tertiary prevention occurs during the Terminal stage of the natural history of disease. This stage involves managing the disease to prevent complications and improve the quality of life. Tertiary prevention focuses on rehabilitation, palliative care, and support to prevent further deterioration. In contrast, Pre-pathogenesis is before the disease develops, Pathogenesis is the development and progression of the disease, and Predromal is the early signs and symptoms before the disease fully manifests. These stages are not where tertiary prevention interventions are typically implemented.
According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?
- A. Health and longevity as birthrights
- B. The mandate of the state to protect the birthrights of its citizens
- C. Public health nursing as a specialized field of nursing
- D. The worth and dignity of man
Correct Answer: D
Rationale: The correct answer is D because the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This foundational principle guides public health nurses to provide care and support to all individuals, regardless of their background or circumstances. Choice A is incorrect because health and longevity are not considered birthrights but rather outcomes influenced by various factors. Choice B is incorrect as public health nursing focuses on individuals' well-being, not just state mandates. Choice C is incorrect as public health nursing is a holistic approach encompassing various aspects of nursing, not just a specialized field.
In a study on the factors contributing to the high mortality rate due to heart diseases in the municipality, which branch of epidemiology is being practiced?
- A. Descriptive
- B. Analytical
- C. Therapeutic
- D. Evaluation
Correct Answer: B
Rationale: The correct answer is B: Analytical epidemiology. This branch focuses on investigating the causes and risk factors of diseases, such as heart diseases in the municipality. It involves comparing groups to identify associations and determine causality, which aligns with studying factors contributing to high mortality rates. Descriptive epidemiology (choice A) describes the distribution of diseases but does not delve into causes. Therapeutic epidemiology (choice C) focuses on treatment interventions, not causes. Evaluation epidemiology (choice D) assesses the effectiveness of programs, not specifically causes of diseases.
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.