Nokea
During a home visit, the PHN bag is a crucial tool for providing nursing care. The most important principle in bag technique states that it:
- A. Should save time and effort
- B. Should minimize, if not totally prevent, the spread of infection
- C. Should not overshadow concern for the patient and their family
- D. May be done in a variety of ways depending on the home situation
Correct Answer: B
Rationale: The correct answer is B: Should minimize, if not totally prevent, the spread of infection. The bag technique in home visits is crucial to prevent the spread of infections between different households. By ensuring that all equipment is properly sanitized and stored in the bag, the risk of contamination is minimized. This approach follows the principles of infection control and promotes patient safety. The other choices are incorrect because: A does not prioritize infection control, C is important but not the primary focus of the bag technique, and D undermines the importance of consistency in infection prevention.
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Which statement is true of primary facilities?
- A. They are usually government-run.
- B. Their services are provided on an outpatient basis.
- C. They are training facilities for health professionals.
- D. A community hospital is an example of this level of health facility.
Correct Answer: B
Rationale: Certainly! The correct answer is B because primary facilities typically provide healthcare services on an outpatient basis, focusing on preventive care and initial treatment of common illnesses. This contrasts with secondary and tertiary facilities that offer more specialized and complex care. Choices A, C, and D are incorrect because primary facilities are not necessarily government-run, training facilities, or community hospitals, which are generally considered secondary facilities.
What process is required for population-focused nursing practice?
- A. Community organizing
- B. Nursing process
- C. Community diagnosis
- D. Epidemiologic process
Correct Answer: C
Rationale: The correct answer is C: Community diagnosis. This process involves assessing the health needs and concerns of a specific population to develop targeted interventions. Community organizing (A) focuses on mobilizing community members for advocacy. The nursing process (B) is a framework for individualized care. Epidemiologic process (D) is about studying disease patterns in populations. Community diagnosis is essential for population-focused nursing as it helps identify priority health issues and develop evidence-based interventions.
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.
What other statistic may be used to determine attainment of longevity besides reaching the average life span of Filipinos?
- A. Age-specific mortality rate
- B. Proportionate mortality rate
- C. Swaroop's index
- D. Case fatality rate
Correct Answer: C
Rationale: The correct answer is C: Swaroop's index. Swaroop's index measures the proportion of deaths occurring after a certain age, typically 70 years old, providing a more accurate assessment of longevity than just reaching the average lifespan. Age-specific mortality rate (A) focuses on mortality at specific age groups, not overall longevity. Proportionate mortality rate (B) measures the proportion of deaths from a specific cause, not overall longevity. Case fatality rate (D) is the proportion of deaths from a specific disease, not a measure of overall longevity. In summary, Swaroop's index is the most appropriate statistic for assessing longevity beyond just reaching the average lifespan.
Which of the following exemplifies the school nurse's health care provider function?
- A. Requesting BCG vaccine from the RHU for school entrance immunization
- B. Conducting random classroom inspections during a measles epidemic
- C. Taking corrective action on an accident hazard in the school playground
- D. Observing areas in the school where pupils spend their free time
Correct Answer: B
Rationale: Step-by-step rationale:
1. School nurse's role is to provide health care.
2. Conducting random classroom inspections during a measles epidemic is a proactive measure to prevent the spread of disease.
3. This function aligns with the nurse's duty to promote health and prevent illness.
Summary:
- A: Requesting BCG vaccine is administrative, not direct health care provision.
- C: Correcting an accident hazard is addressing safety, not health care.
- D: Observing areas where pupils spend free time is monitoring, not direct health care provision.