Nokea
The Four M's framework for Age-Friendly Health Systems includes all of the following concepts except:
- A. medication
- B. mentation
- C. mobility
- D. managed care
Correct Answer: D
Rationale: The correct answer is D: managed care. The Four M's framework for Age-Friendly Health Systems focuses on medication, mentation, and mobility to enhance the care for older adults. Managed care, which typically refers to a system of healthcare delivery, is not one of the core concepts within this framework. Medication emphasizes safe and appropriate drug use, mentation focuses on cognitive health, and mobility emphasizes maintaining physical function. Managed care does not directly address the specific health needs of older adults, making it the incorrect choice in this context.
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As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?
- A. Parasitism as a foreseeable crisis
- B. Malnutrition as a health deficit
- C. Parasitism as a health deficit
- D. Parasitism as a health threat
Correct Answer: D
Rationale: The correct answer is D: Parasitism as a health threat. This diagnosis guides the Parish Health Team to take concrete action because parasitism poses a direct risk to the community's health. By identifying parasitism as a health threat, the team can prioritize interventions to prevent and control the spread of parasites, ensuring the well-being of the population.
Choices A, B, and C are incorrect:
A: Parasitism as a foreseeable crisis - This choice does not provide a clear direction for action and lacks a sense of urgency compared to a health threat.
B: Malnutrition as a health deficit - While malnutrition is a significant issue, the question specifically mentions suspected parasitism as the focus of case findings activities.
C: Parasitism as a health deficit - This choice does not emphasize the immediate danger posed by parasitism, unlike the concept of a health threat.
If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:
- A. Massage the uterus
- B. Insert a urinary catheter
- C. Start an IV
- D. Check the placenta to ensure completeness
Correct Answer: A
Rationale: The correct answer is A: Massage the uterus. This is the first action to take as uterine massage helps to contract the uterus, which can help stop the bleeding. By massaging the uterus, you are promoting the expulsion of any retained products and enhancing uterine tone. Calling for help is essential for additional support. Inserting a urinary catheter (B) is not the priority in managing postpartum bleeding. Starting an IV (C) may be necessary to administer medications, but addressing the bleeding is the immediate priority. Checking the placenta for completeness (D) is important but not the first step in managing postpartum bleeding.
What factor most influences health disparities?
- A. Genetic factors
- B. Lifestyle choices
- C. Access to health care services
- D. Cultural beliefs
Correct Answer: C
Rationale: The correct answer is C: Access to health care services. Health disparities are largely influenced by unequal access to healthcare services, leading to disparities in health outcomes. Lack of access can result in delayed diagnosis, inadequate treatment, and poor management of health conditions. Genetic factors (A) play a role in health, but they do not solely determine health disparities. Lifestyle choices (B) can impact health but are often influenced by socio-economic factors, which tie back to access to healthcare. Cultural beliefs (D) can impact health behaviors, but without access to appropriate healthcare, disparities will persist.
You organize community groups to participate in the community activities. You can BEST motivate to participate in community health development program by:
- A. Conducting group works
- B. Instructing the people to agree with your plans
- C. Allowing the people to exercise decision-making
- D. Assigning people participative roles
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Allowing the people to exercise decision-making is the best way to motivate participation in community health development programs. This approach promotes ownership and empowerment among the community members, leading to higher engagement and commitment. By involving them in decision-making, they feel valued and are more likely to actively contribute to the program's success.
Summary of Incorrect Choices:
A (Conducting group works): While group work can foster collaboration, it may not necessarily motivate participation as effectively as allowing decision-making.
B (Instructing the people to agree with your plans): This approach lacks autonomy and may lead to resistance or lack of genuine engagement from the community members.
D (Assigning people participative roles): Assigning roles can be beneficial, but true motivation comes from allowing individuals to have a say in decision-making processes.
How should contaminated instruments used during delivery be handled?
- A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
- B. Soak in 0.5% chlorine solution for 30 minutes
- C. Wash with soap and water and boil for 2 hours
- D. Soak in 0.5% chlorine solution for 10 minutes
Correct Answer: B
Rationale: The correct answer is B: Soak in 0.5% chlorine solution for 30 minutes. This is the most effective method for handling contaminated instruments as it allows enough time for the chlorine solution to effectively disinfect the instruments and kill any pathogens present. Washing with soap and water alone may not be sufficient to completely sterilize the instruments. Soaking for a longer duration (30 minutes) ensures thorough disinfection. Options A and D are similar but do not provide an adequate soaking time, which may result in incomplete disinfection. Option C of boiling for 2 hours is unnecessary and may damage the instruments.