Nokea
The family health care plan includes the following listed in sequence:
- A. objective, statement of the problem, intervention, and evaluation
- B. objectives, intervention, evaluation, and statement of the problem
- C. evaluation, statement of the problems, objectives, and interventions
- D. statement of the problems, objectives, intervention, and evaluation
Correct Answer: D
Rationale: In a family health care plan, the correct sequence should start with identifying the problems (statement of the problems), setting objectives, planning interventions, and then evaluating the outcomes. This sequence ensures a logical and structured approach to healthcare planning. Choices A, B, and C are incorrect as they do not follow the logical order of healthcare planning steps.
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What is the process of enabling people to increase control over and improve their health known as?
- A. Health promotion
- B. Disease prevention
- C. Rehabilitation
- D. Health education
Correct Answer: A
Rationale: The correct answer is A: Health promotion. Health promotion focuses on empowering individuals to take control of their health by promoting healthy behaviors, lifestyles, and environments. It aims to prevent illnesses and enhance overall well-being. Choices B, C, and D are incorrect because they do not fully encompass the concept of empowering individuals to improve their health. Disease prevention specifically targets avoiding specific illnesses, rehabilitation focuses on restoring health after an illness or injury, and health education primarily involves imparting knowledge about health-related topics.
A client with a history of deep vein thrombosis (DVT) is receiving warfarin (Coumadin). The nurse should monitor the client for which of the following laboratory values?
- A. Prothrombin time (PT)
- B. Serum potassium
- C. Blood urea nitrogen (BUN)
- D. White blood cell count (WBC)
Correct Answer: A
Rationale: The correct answer is A: Prothrombin time (PT). Prothrombin time is monitored to assess the effectiveness of warfarin therapy. Warfarin is an anticoagulant medication that works by inhibiting the synthesis of vitamin K-dependent clotting factors, including factors II, VII, IX, and X. Monitoring the PT helps ensure that the client's blood is clotting within the desired therapeutic range to prevent complications such as recurrent DVT or excessive bleeding. Choices B, C, and D are incorrect because serum potassium, blood urea nitrogen, and white blood cell count are not directly related to monitoring warfarin therapy in a client with a history of DVT.
Under the local government code, health services must be developed by the local governments. This means that local health agencies such as health centers/rural health centers must be under the:
- A. municipal government office
- B. barangay health councils
- C. district health office
- D. provincial health office
Correct Answer: A
Rationale: The correct answer is A: municipal government office. According to the local government code, local health agencies like health centers and rural health centers are managed by the municipal government office. This is because the municipal government is responsible for providing essential public services within their jurisdiction. Choice B, barangay health councils, is incorrect as they operate at a smaller administrative level than municipal government offices. Choice C, district health office, is not the correct level of government responsible for managing local health agencies. Choice D, provincial health office, is at a higher administrative level than the municipal government office and is not directly responsible for managing local health agencies.
To individualize care for a client and ensure maximum participation in that care, what should the nurse consider as the most important factor in planning the said care?
- A. environment
- B. educational attainment
- C. health beliefs and practices
- D. health status
Correct Answer: C
Rationale: The correct answer is C: health beliefs and practices. Health beliefs and practices directly influence a client's willingness and ability to participate in care. Understanding a client's health beliefs and practices helps the nurse tailor the care plan to align with the client's values and preferences. Choice A, environment, though important, may not be the most critical factor in individualizing care. Choice B, educational attainment, is relevant but not as significant as understanding the client's health beliefs and practices. Choice D, health status, is essential but does not address the individualization of care and maximizing participation as directly as health beliefs and practices.
As a community health nurse engaged in the process of community empowerment, which action is essential for you to take?
- A. Gathering data from the community
- B. Making decisions for people in the community
- C. Forming partnerships with people in the community
- D. Accepting responsibility for people's actions
Correct Answer: C
Rationale: In the process of community empowerment, forming partnerships with people in the community is essential. This fosters collaboration, engagement, and shared decision-making, enabling the community to identify its needs, resources, and priorities. Gathering data from the community (Choice A) is important for understanding the community's health status but forming partnerships goes beyond data collection by actively involving community members in decision-making. Making decisions for people in the community (Choice B) undermines empowerment as it takes away their autonomy and control. Accepting responsibility for people's actions (Choice D) is not synonymous with empowerment and can lead to disempowerment by creating dependency rather than fostering self-reliance and self-determination.