How should a healthcare provider determine a client's reading level?
- A. Ask the client how they would rate their ability to read.
- B. Have the client assess their own health literacy and provide examples.
- C. Determine the client's completed years of formal education.
- D. Utilize literacy assessment tools available in the literature.
Correct Answer: A
Rationale: The correct answer is A because directly asking the client about their reading level allows for self-assessment, which is crucial in understanding their actual ability. This approach respects client autonomy and provides an opportunity for open communication.
Option B is incorrect as it focuses on health literacy rather than overall reading level. Option C is incorrect because completed years of education may not necessarily reflect reading ability accurately. Option D is incorrect as it assumes a standardized literacy tool can accurately capture an individual's reading level without considering personal context.
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The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:
- A. a measure of association between an exposure and an outcome
- B. an absolute risk increase
- C. a measure of statistical significance
- D. a measure of precision
Correct Answer: A
Rationale: The correct answer is A because an odds ratio is a measure of association between an exposure (hypertension) and an outcome (severe COVID-19). It quantifies the strength of the relationship between the two variables. In this case, an odds ratio of 2.49 indicates that individuals with hypertension are about 2.5 times more likely to have severe COVID-19 compared to those without hypertension.
Choice B is incorrect because an odds ratio does not measure absolute risk increase but rather the relative risk or likelihood of an outcome. Choice C is incorrect because an odds ratio does not measure statistical significance; it measures the strength of association. Choice D is incorrect because an odds ratio does not measure precision; it quantifies the strength of the relationship between variables.
What is the FIRST STEP for thermal protection of a newborn?
- A. Drying the baby thoroughly immediately after birth
- B. Covering the baby with a clean, dry cloth after the cord has been cut
- C. Drying the baby thoroughly after the cord has been cut
- D. Covering the baby with a clean, dry cloth immediately after birth
Correct Answer: A
Rationale: The correct answer is A: Drying the baby thoroughly immediately after birth. This is the first step for thermal protection as it helps prevent heat loss and hypothermia in the newborn. By drying the baby immediately after birth, any amniotic fluid on the skin is removed, allowing the baby's body temperature to stabilize. Covering the baby with a clean, dry cloth after drying would be the next step to maintain warmth. Choices B, C, and D are incorrect because they do not address the crucial initial step of drying the baby immediately after birth to prevent hypothermia.
In the Philippines, Community Health Nursing (CHN) involves health care provisions for individuals, families, population groups, and communities. During community health work, various health care strategies are utilized. The legal basis for incorporating traditional, non-traditional, alternative, or complementary health care strategies may be found in:
- 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 specifically addresses the integration of traditional, non-traditional, alternative, or complementary health care strategies into the healthcare system. This legal basis allows for the incorporation of diverse health care practices to cater to the cultural beliefs and preferences of the Filipino population.
A: PhilHealth Act primarily focuses on health insurance and financial assistance, not on the integration of traditional health care strategies.
C: Philippine Nursing Act regulates the nursing profession and does not specifically address the integration of traditional health care practices.
D: Philippine Medical Act governs medical practice standards and does not directly relate to the incorporation of traditional or alternative health care strategies.
Which of the following strategies is NOT the BEST approach to addressing the nutrition problems of Filipinos related to Non-communicable diseases?
- A. Aim for ideal body weight
- B. Consider food preferences of family members
- C. Build healthy nutrition-related practices
- D. Choose food wisely
Correct Answer: B
Rationale: The correct answer is B: Consider food preferences of family members. This is not the best approach because addressing nutrition problems related to non-communicable diseases requires focusing on evidence-based strategies that prioritize health outcomes over personal preferences. A: Aim for ideal body weight is important for overall health. C: Build healthy nutrition-related practices promotes long-term positive habits. D: Choose food wisely emphasizes making informed choices. B, however, may lead to compromising nutritional quality for taste preferences, which can hinder efforts to combat non-communicable diseases effectively.
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. All except workers in factories
- C. Families in their homes, school population, workers in factories, patients in hospitals
- D. All except patients in hospitals
Correct Answer: D
Rationale: Step 1: Community health nursing focuses on promoting health and preventing diseases within communities.
Step 2: Patients in hospitals are already receiving healthcare services, so they are not the primary focus of community health nursing.
Step 3: Excluding patients in hospitals from the population coverage allows the nurse to focus on preventive care for the community.
Step 4: Choices A, B, and C include populations that can benefit from community health nursing interventions, but they are not the primary target population.
Summary: Option D is correct because it aligns with the primary goal of community health nursing to promote health and prevent diseases within the community by excluding those who are already receiving healthcare services in hospitals. Options A, B, and C include additional populations that may benefit from nursing interventions but are not the primary focus.