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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.
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Which of the following is the most prominent feature of public health nursing?
- A. Providing home care to sick people who are not confined in the hospital
- B. Providing free services to people within the catchment area
- C. Functioning as part of a team to provide a public health nursing service
- D. Focusing on preventive, not curative services
Correct Answer: D
Rationale: The correct answer is D because public health nursing's main focus is on preventive measures to promote and protect the health of populations. This involves activities such as health education, immunizations, and screenings to prevent illness and promote wellness. Providing home care (choice A) is a part of public health nursing but not the most prominent feature. Providing free services (choice B) may be an aspect of public health nursing, but it is not the defining characteristic. Functioning as part of a team (choice C) is important in public health nursing, but it is not the most prominent feature; the emphasis is on preventive services.
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.
If the RHU needs additional midwife items, to whom should you submit the request for approval?
- A. Rural Health Unit
- B. District Health Office
- C. Provincial Health Office
- D. Municipal Health Board
Correct Answer: D
Rationale: The correct answer is D: Municipal Health Board. The rationale is as follows:
1. Municipal Health Boards oversee health services at the local level, including midwifery services.
2. Submitting the request to the Municipal Health Board ensures it is addressed promptly and efficiently.
3. Rural Health Unit (A) may not have the authority to approve additional midwife items.
4. District Health Office (B) and Provincial Health Office (C) are higher levels of authority and may not handle local requests for midwife items.
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.
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.