Nokea
In family nursing, the typology of family nursing problems is used in the statement of nursing diagnosis for families. The youngest child of the Delos Reyes family has been diagnosed with mental retardation. This is classified as:
- A. Health threat
- B. Health deficit
- C. Foreseeable crisis
- D. Stress point
Correct Answer: B
Rationale: The correct answer is B: Health deficit. Mental retardation in the youngest child of the Delos Reyes family represents a health deficit as it indicates a lack or impairment in the child's cognitive abilities and overall health status. The typology of family nursing problems categorizes issues that require nursing interventions, and a health deficit aligns with the child's developmental delay. A health threat (choice A) typically refers to potential risks to health, which is not the case here as the diagnosis has already been made. Foreseeable crisis (choice C) involves situations that may lead to a crisis but are not yet imminent, which does not apply in this scenario. Stress point (choice D) involves a specific event or situation causing stress, which is not the primary concern in this case.
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The public health nurse takes an active role in community participation. What is the primary goal of community organizing?
- A. To educate the people regarding community health problems
- B. To mobilize the people to resolve community health problems
- C. To maximize the community's resources in dealing with health problems
- D. To develop the people's self-reliance in dealing with health problems
Correct Answer: C
Rationale: The correct answer is C: To maximize the community's resources in dealing with health problems. Community organizing aims to empower communities by utilizing their existing resources effectively. This approach fosters sustainable solutions and encourages community members to take ownership of their health outcomes.
Explanation:
1. A: While education is important, the primary goal of community organizing is not solely to educate but to actively engage the community in problem-solving.
2. B: Mobilizing the community is a crucial step, but the ultimate goal is to maximize resources for long-term sustainability.
3. D: Developing self-reliance is a positive outcome, but the primary focus is on collective action and resource optimization to address health issues effectively.
In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?
- A. Occupational health nurse at the Provincial Health Office
- B. Physician employed by the factory
- C. Public Health nurse of the RHU of their municipality
- D. Rural Sanitary inspector of the RHU in their municipality
Correct Answer: C
Rationale: The correct answer is C, the Public Health nurse of the RHU of their municipality. This nurse is trained in public health and can address the occupational health needs of the factory workers. The Provincial Health Office nurse (choice A) may not have direct involvement with the factory. The physician employed by the factory (choice B) may prioritize the company's interests over the workers. The Rural Sanitary inspector (choice D) may lack the necessary expertise in occupational health. The Public Health nurse is the most suitable choice as they have the right training and focus on community health.
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.
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.
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.