Nokea
In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
- A. Proactively assessing the health needs of the entire panel and planning accordingly
- B. Focusing on providing care to young and seemingly vulnerable patients
- C. Spending most time with patients who regularly attend their visits
- D. Prioritizing care by responding to the oldest patients first
Correct Answer: A
Rationale: The correct answer is A: Proactively assessing the health needs of the entire panel and planning accordingly. This is because in population health management, the primary goal is to improve the health outcomes of a large group of individuals. By proactively assessing the health needs of the entire panel, the nurse can identify trends and patterns, prioritize interventions, and allocate resources effectively. This approach allows for early identification of health issues, implementation of preventive measures, and tailored care plans.
Choices B, C, and D are incorrect because they focus on specific subgroups or individuals within the panel rather than the entire population. Focusing only on young or seemingly vulnerable patients (B) may neglect the health needs of other demographic groups. Spending most time with patients who regularly attend their visits (C) may result in overlooking those who do not attend regularly. Prioritizing care by responding to the oldest patients first (D) does not consider the diverse health needs present across the entire panel.
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Which of the following describes a valid way to collect data for community assessment?
- A. Using a library database to conduct a literature review
- B. All of these strategies are helpful in conducting a community assessment
- C. Using surveys or questionnaires to gather information from members of the community
- D. Reading government documents to determine if similar data have already been collected
Correct Answer: B
Rationale: The correct answer is B because conducting a community assessment involves utilizing multiple strategies to gather comprehensive data. This includes using library databases for literature reviews (A), surveys/questionnaires to collect community input (C), and examining government documents for existing data (D). By combining these methods, a more thorough and accurate assessment can be achieved. Option B acknowledges the importance of employing a variety of strategies to ensure a well-rounded approach to data collection. Options A, C, and D are individually valid methods but do not encompass the full range of strategies necessary for a comprehensive community assessment.
What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)
- A. Writing a community diagnosis
- B. Evaluating the outcomes
- C. Collecting assessment data
- D. Identifying the cause of the problem, planning community interventions
Correct Answer: D
Rationale: The correct answer is D: Identifying the cause of the problem, planning community interventions. This step is crucial in the community assessment process as it helps community health nurses understand the root cause of health issues and develop effective interventions. First, identifying the cause allows for targeted interventions. Second, planning interventions ensures that resources are allocated efficiently. Writing a community diagnosis (A) is an important step but comes after identifying the cause. Evaluating outcomes (B) is necessary but occurs after interventions are implemented. Collecting assessment data (C) is an initial step but does not encompass the entire community assessment process.
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.
The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:
- A. Pre-contemplation
- B. Contemplation
- C. Preparation
- D. Action
Correct Answer: C
Rationale: The correct answer is C: Preparation. In the Transtheoretical Model of health behavior change, the Preparation stage signifies that the individual is actively preparing to make a change within the next month. In this case, the client has already taken steps to eliminate processed foods most days of the week, indicating a readiness to change. However, the struggle to consistently add fruits and vegetables shows that the change is not fully implemented yet, placing the client in the Preparation stage.
Choice A: Pre-contemplation is incorrect because the client is already taking action to change her eating habits.
Choice B: Contemplation is incorrect as the client has moved past just thinking about changing her behavior.
Choice D: Action is incorrect because the client has not fully implemented the desired change yet, but is actively preparing for it.
The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
- A. Susceptibility
- B. Self-efficacy
- C. Severity
- D. Cue to action
Correct Answer: B
Rationale: The correct answer is B: Self-efficacy. Self-efficacy in the Health Belief Model refers to an individual's belief in their ability to successfully perform a behavior, such as quitting smoking. In this scenario, the client expressing doubt in their ability to quit indicates a lack of self-efficacy. This belief can greatly impact their motivation and likelihood of success in behavior change.
Summary:
A: Susceptibility relates to the individual's belief in their vulnerability to a health condition, not their confidence in behavior change.
C: Severity pertains to the individual's perception of the seriousness of the health condition, not their belief in their ability to make a change.
D: Cue to action refers to external stimuli triggering behavior change, not the individual's confidence in their ability to perform the behavior.