Nokea
If the RHU needs additional midwife items, to whom should you submit the request for approval?
- A. Rural Health Unit
- B. District Health Office
- C. Provincial Health Office
- D. Municipal Health Board
Correct Answer: D
Rationale: The correct answer is D: Municipal Health Board. The rationale is as follows:
1. Municipal Health Boards oversee health services at the local level, including midwifery services.
2. Submitting the request to the Municipal Health Board ensures it is addressed promptly and efficiently.
3. Rural Health Unit (A) may not have the authority to approve additional midwife items.
4. District Health Office (B) and Provincial Health Office (C) are higher levels of authority and may not handle local requests for midwife items.
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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.
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.
On the other hand, Operation Timbang is _____ prevention?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct Answer: B
Rationale: The correct answer is B: Secondary. Operation Timbang involves early detection and intervention to prevent the progression of malnutrition, which falls under secondary prevention. Primary prevention aims to prevent the occurrence of a health issue, while tertiary prevention focuses on managing and reducing the impact of an existing health problem. Intermediate prevention is not a recognized category in public health. In summary, Operation Timbang is focused on early detection and intervention, making it a form of secondary prevention.
Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?
- A. Clinic consultation
- B. Group conferences
- C. Home visit
- D. Written communication
Correct Answer: C
Rationale: The correct answer is C: Home visit. This type of family-nurse contact offers the best opportunity to observe family dynamics as it allows the nurse to witness interactions, relationships, and environment firsthand. During a home visit, the nurse can observe family members' roles, communication patterns, living conditions, and support systems, providing valuable insights into their dynamics.
A: Clinic consultation limits observation to a brief encounter in a controlled setting.
B: Group conferences involve multiple families, making it challenging to focus on individual family dynamics.
D: Written communication lacks the depth and richness of in-person interactions needed to observe family dynamics accurately.
According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?
- A. The community health nurse continuously develops personally and professionally.
- B. Health education and community organizing are essential in providing community health services.
- C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
- D. The goal of community health nursing is to provide nursing services to people in their own place of residence.
Correct Answer: B
Rationale: The correct answer is B because health education and community organizing are essential components of community health nursing, aligning with the concept of developmental service. Health education promotes individual and community empowerment, while community organizing fosters partnerships and collaboration for sustainable health outcomes.
Now, let's analyze why the other choices are incorrect:
A: While personal and professional development is important for a community health nurse, it does not directly illustrate the developmental service aspect of community health nursing.
C: Health promotion, prevention, and treatment of disease are important aspects of community health nursing, but they do not specifically highlight the developmental service nature.
D: Providing nursing services in people's residences is a common practice in community health nursing, but it does not directly relate to the developmental service aspect emphasized by Freeman and Heinrich.