Nokea
Community Health Nursing (CHN) in the Philippines encompasses healthcare provisions affecting four clients: individuals, families, population groups, and communities. In the course of our community health work, traditional, non-traditional, alternative, or complementary health care strategies are utilized. The legal basis for this action may be derived from the:
- 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 provides the legal basis for integrating alternative health care strategies. The PhilHealth Act (Choice A) focuses on health insurance, the Philippine Nursing Act (Choice C) regulates the nursing profession, and the Philippine Medical Act (Choice D) pertains to the medical profession. These laws are not directly related to the integration of traditional, non-traditional, alternative, or complementary health care strategies in community health work.
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After accepting the position of school nurse in a public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?
- A. Review all health records of the students currently enrolled in classes.
- B. Talk with the current members of the parent-teacher association.
- C. Send a survey form to parents of third-grade students.
- D. Conduct a windshield survey of the geographic areas served by the school.
Correct Answer: D
Rationale: Conducting a windshield survey is the best strategy for the nurse to obtain an overview understanding of the student body. This method allows the nurse to observe the community, its resources, potential health hazards, and demographic information. Reviewing health records (Choice A) would provide detailed health information but not an overview of the student body. Talking with the parent-teacher association (Choice B) may offer insights but not a comprehensive overview. Sending a survey form to parents (Choice C) may provide specific information but may not capture a broad understanding of the student body.
James is an 18-month-old child who has had a cough for 7 days with no general danger signs, a temperature of 37.5°C, and a respiratory rate of 41 breaths per minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct Answer: C
Rationale: The correct answer is 'Normal breathing.' A respiratory rate of 41 breaths per minute is considered normal for an 18-month-old child. Choices A, B, and D are incorrect because a respiratory rate of 41 breaths per minute falls within the normal range for a child of James' age and does not indicate slow, fast, or very fast breathing.
In order to determine what specific health teaching should be appropriate for the people of this municipality, which of the following is the best method to use?
- A. interviewing midwives
- B. reviewing records and reports
- C. studying knowledge, attitudes, and practices of the people
- D. reviewing health statistics
Correct Answer: C
Rationale: Studying knowledge, attitudes, and practices of the people is the best method to determine appropriate health teaching for a community. This approach provides valuable insights into the specific needs, beliefs, and behaviors of the population, allowing for tailored and effective health education interventions. Interviewing midwives may offer some insights, but focusing on the broader community is more comprehensive. Reviewing records and reports can provide historical data but may not capture current community needs as effectively as studying current knowledge, attitudes, and practices. Reviewing health statistics is important but may not provide the detailed understanding of community perceptions and behaviors that directly impact health education planning.
In addition to disturbances in mental awareness and orientation, a client with cognitive impairment is also likely to show loss of ability in
- A. Hearing, speech, and sight
- B. Endurance, strength, and mobility
- C. Learning, creativity, and judgment
- D. Balance, flexibility, and coordination
Correct Answer: C
Rationale: Individuals with cognitive impairment often experience difficulties in learning new information, creative thinking, and making sound judgments. Loss of ability in hearing, speech, and sight (Choice A) is more closely related to sensory impairments rather than cognitive impairment. Endurance, strength, and mobility (Choice B) are more associated with physical capabilities rather than cognitive functions. Balance, flexibility, and coordination (Choice D) are related to motor skills and physical coordination, not cognitive impairment.
Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?
- A. Provide written pre and post tests
- B. Ask questions during practice
- C. Allow another diabetic to assist
- D. Observe a return demonstration
Correct Answer: D
Rationale: The best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes is to observe a return demonstration. This method ensures that the client can correctly perform the technique. Providing written pre and post tests (choice A) may assess knowledge but not application. Asking questions during practice (choice B) may help with understanding but not necessarily with the actual performance. Allowing another diabetic to assist (choice C) may provide peer support but does not guarantee correct technique demonstration.