Nokea
In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?
- A. Establishing the epidemic
- B. Testing the hypothesis
- C. Formulation of the hypothesis
- D. Appraisal of facts
Correct Answer: A
Rationale: The correct answer is A: Establishing the epidemic. During this stage, comparing the present disease frequency with the usual frequency helps determine if there is a significant increase, indicating an epidemic. This step is crucial for recognizing and confirming the outbreak. Testing the hypothesis (B) comes after the epidemic is established. Formulation of the hypothesis (C) involves developing a theory based on observations, not comparing frequencies. Appraisal of facts (D) occurs after data collection, not during the initial comparison.
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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.
According to C.E. Winslow, what is the goal of Public Health?
- A. For people to attain their birthrights and longevity
- B. For the promotion of health and prevention of diseases
- C. For people to have access to basic health services
- D. For people to be organized in their health efforts
Correct Answer: A
Rationale: The correct answer is A: For people to attain their birthrights and longevity. This goal emphasizes the fundamental rights of individuals to live a healthy and fulfilling life, aligning with Winslow's vision of public health as a means to ensure all people can achieve their full potential. Choice B focuses on disease prevention only, neglecting the broader aspects of well-being. Choice C is limited to access to services, overlooking the holistic nature of public health. Choice D is too narrow, as organizational efforts are just one aspect of public health, not the overarching goal.
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.
Who serves as the Chairman of the Municipal Health Board?
- A. Mayor
- B. Municipal Health Officer
- C. Public Health Nurse
- D. Any qualified physician
Correct Answer: A
Rationale: The Mayor serves as the Chairman of the Municipal Health Board because they are the head of the local government and responsible for decision-making. The Mayor has the authority to oversee and lead various municipal departments, including public health. The Municipal Health Officer (Choice B) is responsible for implementing health programs but does not necessarily serve as the Chairman. The Public Health Nurse (Choice C) and Any qualified physician (Choice D) may have important roles within the health board but do not typically hold the position of Chairman.
The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:
- A. Epidemic occurrence
- B. Cyclical variation
- C. Sporadic occurrence
- D. Secular occurrence
Correct Answer: B
Rationale: Step 1: Cyclical variation refers to a pattern that repeats at regular intervals.
Step 2: The increase in Dengue fever cases at the end of the rainy season is a recurring pattern.
Step 3: The rise in cases is linked to the environmental conditions during the rainy season.
Step 4: This cyclic increase in cases is not a sudden outbreak (epidemic) or random (sporadic).
Step 5: Secular occurrence refers to long-term trends, not short-term patterns like the end of a season.
Summary: Choice B is correct because the pattern of Dengue fever cases increasing at the end of the rainy season aligns with cyclical variation, unlike the other options which do not accurately describe this specific pattern.