ATI Community Health Proctored Exam 2019

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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.

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In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

  • A. 0 crude death rate for the year 2012
  • B. 50% (Swaroop's) index for the year 2011
  • C. 0 infant mortality rate for the year 2011
  • D. 0 crude birth rate for the year 2011
Correct Answer: C

Rationale: The correct answer is C: 0 infant mortality rate for the year 2011. This is the best indicator of health status because it reflects the number of infants who died before their first birthday, which is a critical measure of the overall health and well-being of a community. A low infant mortality rate signifies access to quality healthcare, nutrition, and sanitation.

Rationale:
1. Infant mortality rate directly reflects the health outcomes for the most vulnerable population.
2. A 0 infant mortality rate suggests effective healthcare interventions and a healthy environment for infants.
3. Crude death rate (A) doesn't specifically focus on infants and may not capture the overall health status.
4. Swaroop's index (B) is a measure of life expectancy and doesn't solely indicate health status.
5. Crude birth rate (D) is a measure of population growth and doesn't directly reflect health outcomes.

Summary:
Infant mortality rate is the best indicator as it directly reflects the health status

Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'

  • A. Risk for undetected testicular cancer
  • B. Young men
  • C. Insufficient knowledge about the disease and methods of prevention
  • D. High rates of late initiation of treatment
Correct Answer: C

Rationale: The correct answer is C: Insufficient knowledge about the disease and methods of prevention. This component of the community diagnosis is the etiologic or causal statement because it identifies the root cause of the increased risk for undetected testicular cancer among young men. Insufficient knowledge about the disease and methods of prevention leads to high rates of late initiation of treatment, which in turn contributes to the increased risk. The other choices (A, B, and D) are not the etiologic statement because they are either outcomes or demographic factors related to the issue, but they do not directly address the root cause of the problem.

Which action exemplifies a policy-level intervention in community health?

  • A. Providing health education to the community
  • B. Advocating for legislative changes
  • C. Implementing new treatment protocols
  • D. Developing health policies
Correct Answer: B

Rationale: The correct answer is B: Advocating for legislative changes. Policy-level interventions focus on creating systemic change through laws or regulations. Advocating for legislative changes involves influencing policies that impact community health on a broader scale. This action can address underlying social determinants of health and create sustainable improvements. Providing health education (A) is important but is at an individual or community level, not policy-level. Implementing new treatment protocols (C) and developing health policies (D) are important but are specific actions within the healthcare system, not overarching policy-level interventions like advocating for legislative changes.

A traditional plant used to lower uric acid is being used by Rosario, a 55-year-old client with rheumatism. This herbal plant is called "ulasimang bato." What is its common name?

  • A. Lagundi
  • B. Pancit-pancitan
  • C. Bayabas
  • D. Sambong
Correct Answer: B

Rationale: The correct answer is B: Pancit-pancitan. Ulasimang bato is commonly known as "Pancit-pancitan" in the Philippines. This plant is known for its diuretic properties and is traditionally used to lower uric acid levels. Lagundi (A) is known for its anti-inflammatory properties, Bayabas (C) is guava, and Sambong (D) is used for kidney stones and urinary tract infections, making them incorrect choices for this specific scenario.

What is a key component of a successful community health program?

  • A. Engaging community members
  • B. Sufficient funding
  • C. Effective leadership
  • D. Lowering health care expenses
Correct Answer: A

Rationale: The correct answer is A: Engaging community members. In community health programs, involving community members fosters ownership, trust, and sustainability. It promotes active participation, cultural relevance, and tailored interventions. Sufficient funding (B) is important but not a guarantee of success without community engagement. Effective leadership (C) is crucial, but without community involvement, the program may lack grassroots support. Lowering health care expenses (D) is a potential outcome, not a primary component of success.

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