Nokea
For Barangay Mabulaklak, you intend to conduct health education sessions for a group of mothers. Which of the following topics for discussion will be given least priority:
- A. proper selection and preparation of food
- B. handwashing before preparing food
- C. cutting children's fingernails short
- D. overcrowding and its effect
Correct Answer: D
Rationale: The correct answer is D - 'overcrowding and its effect.' While overcrowding is an important topic, it will be given least priority compared to the other choices when conducting health education sessions for a group of mothers. Proper selection and preparation of food (Choice A) is crucial for ensuring adequate nutrition, handwashing before preparing food (Choice B) is essential for preventing foodborne illnesses, and cutting children's fingernails short (Choice C) is important for maintaining good hygiene. Overcrowding, although significant in the context of public health, might be considered less immediately relevant for a group of mothers in a health education session focused on more direct and practical aspects of family health and hygiene.
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The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse (RN) or a practical nurse (PN)?
- A. Assessment of the speech pattern of a mobile adult who had a mild stroke last year.
- B. Safety teaching for an older male client whose wife complains that he uses an unsafe ladder while painting.
- C. Wound care for a client who had a postoperative infection following abdominal surgery two weeks ago.
- D. Evaluation of crutch use by a 65-year-old male client who broke his tibia while snow skiing.
Correct Answer: C
Rationale: The correct answer is C because wound care for a postoperative infection is a skilled service that qualifies for Medicare reimbursement. Choices A, B, and D involve assessments, teaching, and evaluation, which may not meet the criteria for Medicare reimbursement as they do not directly involve a skilled nursing service related to a postoperative condition.
To succeed in her health education program, the PHN needs to be adept in:
- A. teaching-learning strategies
- B. providing accurate information
- C. communicating ideas effectively
- D. all of these
Correct Answer: D
Rationale: To excel in a health education program, a Public Health Nurse (PHN) must possess a combination of teaching-learning strategies to effectively impart knowledge, provide accurate information to ensure credibility, and communicate ideas effectively to engage and interact with the audience. Therefore, all of these skills are essential for a PHN to succeed in her health education program. Choices A, B, and C are integral components of a successful health education program, making option D the correct answer.
As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, School population, Workers in factories
- B. Families in their homes, School population, Patients in hospital
- C. All except workers in factories
- D. All except patients in hospital
Correct Answer: A
Rationale: The correct answer is A: 'Families in their homes, School population, Workers in factories.' As a community health nurse, you are responsible for providing healthcare services and promoting health within the community. This includes visiting families in their homes to assess their health needs, working with the school population to educate them on preventive health measures, and ensuring the health and safety of workers in factories. Choices B, C, and D are incorrect because they do not encompass the full scope of a community health nurse's responsibilities. Choice B does not include workers in factories, Choice C excludes an important population group, and Choice D excludes an essential setting where healthcare services are provided.
While caring for a client with infective endocarditis, the nurse must be alert for signs of pulmonary embolism. Which of the following assessment findings suggests this complication?
- A. Positive Homan's sign
- B. Fever and chills
- C. Dyspnea and cough
- D. Sensory impairment
Correct Answer: C
Rationale: The correct answer is C: 'Dyspnea and cough.' Pulmonary embolism often presents with a sudden onset of dyspnea (difficulty breathing) and cough, which are due to the obstruction of blood flow in the pulmonary arteries. Choices A, B, and D are incorrect. Positive Homan's sign is associated with deep vein thrombosis, fever and chills are nonspecific symptoms commonly seen in infective endocarditis, and sensory impairment is not typically indicative of pulmonary embolism.
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how it is determined that a person has AIDS other than a positive HIV test. The nurse responds:
- A. The complaints of at least 3 common findings.
- B. The absence of any opportunistic infection.
- C. CD4 lymphocyte count is less than 200.
- D. Developmental delays in children.
Correct Answer: C
Rationale: The correct answer is C. A CD4 count less than 200 cells/mm³ is a diagnostic criterion for AIDS. Choices A, B, and D are incorrect. Choice A is vague and does not reflect the diagnostic criteria for AIDS. Choice B is not accurate, as the presence of opportunistic infections, not their absence, is indicative of AIDS. Choice D is unrelated to the diagnosis of AIDS in adults.