Nokea
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.
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Which principle is CONTRARY to planning a home visit?
- A. A home visit should have a clear purpose or objective
- B. The plan should be centered around the family's health needs
- C. A home visit should strictly follow RHU guidelines
- D. Involving a responsible family member in continuing care planning is essential
Correct Answer: C
Rationale: The correct answer is C because strictly following RHU guidelines can limit flexibility and personalized care. A: Having a clear purpose is essential for effective home visits. B: Centering the plan around family's health needs promotes patient-centered care. D: Involving a responsible family member enhances care continuity and family engagement. Therefore, C is contrary to effective home visit planning.
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.
CHN is a community-based practice. What best explains this statement?
- A. The service is provided in the natural environment of people
- B. The nurse conducts community diagnosis to determine nursing needs and problems
- C. The services are based on the available resources within the community
- D. Priority setting is based on the magnitude of the health problems identified
Correct Answer: B
Rationale: The correct answer is B because in community-based nursing, conducting a community diagnosis is crucial to identify the specific nursing needs and problems of the community. This helps in planning and implementing appropriate interventions. Choice A is incorrect as providing services in the natural environment is a characteristic of community health nursing, not community-based practice specifically. Choice C is incorrect because community-based practice focuses on utilizing resources beyond just those available within the community. Choice D is incorrect as priority setting is based on the identified needs, not just the magnitude of health problems.
To maintain the cleanliness of the bag and its contents, what should the nurse do?
- A. Wash their hands before and after providing care to family members
- B. Use only items from the bag when caring for family members
- C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
- D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward
Correct Answer: A
Rationale: The correct answer is A because washing hands before and after providing care to family members helps prevent the spread of germs and maintains cleanliness. Before care, clean hands reduce the risk of introducing contaminants into the bag. After care, washing hands prevents spreading any germs picked up during the visit. Choice B is incorrect as using items solely from the bag does not address hand hygiene. Choice C focuses on uniform protection, not bag cleanliness. Choice D is about the lining and doesn't address hand hygiene.
The delos Reyes couple have a 6-year-old child entering school for the first time. The delos Reyes family has a:
- A. Health threat
- B. Health deficit
- C. Foreseeable crisis
- D. Stress point
Correct Answer: C
Rationale: The correct answer is C: Foreseeable crisis. This is because the situation of a 6-year-old child entering school for the first time represents a significant life event that can lead to stress and adjustment challenges for both the child and the parents. A foreseeable crisis refers to an anticipated event that may disrupt the family's equilibrium and require adjustments. In this case, the transition to school is a major life change that can potentially impact the family dynamics and routines, making it a foreseeable crisis.
Choice A (Health threat) is incorrect because there is no indication of any health-related issues in the scenario. Choice B (Health deficit) is also incorrect as there is no mention of any existing health problems within the family. Choice D (Stress point) is not as appropriate as choice C because it does not capture the anticipatory nature of the crisis and the potential impact on family functioning that a foreseeable crisis does.