Nokea
During which step are plans formulated for solving community problems?
- A. Mobilization
- B. Community organization
- C. Follow-up/extension
- D. Core group formation
Correct Answer: B
Rationale: The correct answer is B: Community organization. This step involves formulating plans to address community problems by mobilizing resources, building partnerships, and creating strategies for effective problem-solving. Mobilization (A) focuses on engaging community members, Follow-up/extension (C) involves evaluating and extending existing programs, and Core group formation (D) pertains to establishing a core team, but not specifically for solving community problems. Therefore, the correct choice is B as it directly relates to the formulation of plans for addressing community issues.
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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.
Who serves as the Chairman of the Municipal Health Board?
- A. Mayor
- B. Municipal Health Officer
- C. Public Health Nurse
- D. Any qualified physician
Correct Answer: A
Rationale: The Mayor serves as the Chairman of the Municipal Health Board because they are the head of the local government and responsible for decision-making. The Mayor has the authority to oversee and lead various municipal departments, including public health. The Municipal Health Officer (Choice B) is responsible for implementing health programs but does not necessarily serve as the Chairman. The Public Health Nurse (Choice C) and Any qualified physician (Choice D) may have important roles within the health board but do not typically hold the position of Chairman.
As a new B.S.N. graduate aspiring to become a Public Health Nurse, where should you consider applying?
- A. Department of Health
- B. Provincial Health Office
- C. Regional Health Office
- D. Rural Health Unit
Correct Answer: D
Rationale: The correct answer is D: Rural Health Unit. As a new B.S.N. graduate aspiring to become a Public Health Nurse, working in a Rural Health Unit allows you to directly serve underserved populations, gain diverse experience, and make a significant impact on community health. Choosing A, B, or C may limit your exposure to diverse health issues and community needs compared to working in a rural setting. Additionally, rural areas often face unique health challenges that can provide valuable learning opportunities for a public health nurse.
Which principle is CONTRARY to planning a home visit?
- A. A home visit should have a clear purpose or objective
- B. The plan should be centered around the family's health needs
- C. A home visit should strictly follow RHU guidelines
- D. Involving a responsible family member in continuing care planning is essential
Correct Answer: C
Rationale: The correct answer is C because strictly following RHU guidelines can limit flexibility and personalized care. A: Having a clear purpose is essential for effective home visits. B: Centering the plan around family's health needs promotes patient-centered care. D: Involving a responsible family member enhances care continuity and family engagement. Therefore, C is contrary to effective home visit planning.
One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the:
- A. Public health nurse
- B. Rural health midwife
- C. Municipal health officer
- D. Any of these health professionals
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Municipal health officer) being correct:
1. Municipal health officers have authority over health services in the local government.
2. They are responsible for overseeing healthcare facilities and responding to emergencies.
3. Municipal health officers can coordinate with hospitals and specialists for complex cases.
4. Referring a labor complication case to a municipal health officer ensures proper management and timely intervention.
Summary:
A (Public health nurse) lacks authority to manage complex cases. B (Rural health midwife) may not have the resources for all complications. D (Any of these health professionals) is too general, and specific expertise is needed. C is the best choice due to authority and coordination capabilities.