The Healthy People project is designed to:
- A. track health care trends to anticipate insurance liabilities, especially for poor and urban populations
- B. demonstrate that social factors have a significant impact on individual and community health
- C. follow health indicators such as activity, substance use, mental health, and environmental issues
- D. demonstrate that access to health care in the United States is adequate for all populations
Correct Answer: C
Rationale: The Healthy People project is designed to follow health indicators such as activity, substance use, mental health, and environmental issues to improve public health outcomes. Choice A is incorrect because the project focuses on public health indicators rather than insurance liabilities. Choice B is incorrect as the project actually acknowledges the significant impact of social factors on health. Choice D is incorrect because one of the main goals of the Healthy People project is to identify and address disparities in access to healthcare, not to demonstrate that access is adequate for all populations.
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You assisted the midwife in formulating the objectives of the plan of care for Barangay Mabulaklak. Which of the following is a well-stated objective?
- A. to reduce the number of children with ascariasis by the end of two years
- B. to protect the water sources from pollution
- C. to conduct health teachings on proper nutrition
- D. to reduce the number of underweight children by 10%
Correct Answer: D
Rationale: A specific, measurable objective like reducing the number of underweight children by 10% is well-stated. This objective is clear, quantifiable, and time-bound, making it easier to track progress and evaluate the effectiveness of the plan. Choices A, B, and C are not as well-stated as they lack specificity, measurability, and a quantifiable target.
The family presents several problems. Which of the following criteria is considered in determining the priority health problem?
- A. expected consequence of the problem
- B. cooperation and support of the family
- C. involvement of the family members in the problem
- D. modifiability of the problem
Correct Answer: D
Rationale: When determining the priority health problem within a family, one key criterion to consider is the modifiability of the problem. This means assessing whether the health issue can be changed or improved through interventions. Choices A, B, and C are not directly related to the priority of the health problem within the family. The expected consequence of the problem, cooperation and support of the family, and involvement of family members are important factors but do not specifically address the priority of the health issue based on modifiability.
The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis) vaccine to an infant. Which level of prevention is the nurse implementing?
- A. Primary prevention.
- B. Tertiary prevention.
- C. Secondary prevention.
- D. Primary nursing.
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. Administering a booster dose of DTaP vaccine to an infant is an example of primary prevention. Primary prevention aims to prevent disease or injury before it occurs by preventing exposure to risk factors. Tertiary prevention focuses on reducing the impact of a disease or injury that has already occurred, while secondary prevention involves early detection and treatment to prevent the progression of disease. Choice B, tertiary prevention, is incorrect as it deals with managing the consequences of a disease rather than preventing it. Choice C, secondary prevention, is also incorrect as it focuses on early detection and treatment rather than vaccination to prevent the disease. Choice D, primary nursing, is unrelated to the level of prevention being implemented in this scenario.
To be an effective educator, you should:
- A. listen to people's problems and decide on the approach to meet their needs
- B. select the best strategy for health action for people to implement
- C. direct people's efforts to implement community-based projects
- D. simply tell your clients what to do for their problems/needs
Correct Answer: B
Rationale: The correct answer is to select the best strategy for health action for people to implement because it empowers the community to take ownership of their health. Listening to people's problems (Choice A) is important, but the effectiveness lies in empowering them to implement solutions. Directing people's efforts (Choice C) can be directive and may not foster community ownership. Just telling clients what to do (Choice D) does not promote active participation and empowerment.
For whom is the community health nurse primarily responsible?
- A. individuals
- B. populations
- C. families
- D. class E citizens
Correct Answer: B
Rationale: Community health nurses are primarily responsible for populations. While they do provide care and support to individuals and families within the community, their focus is on the health and well-being of entire populations. Choice A is incorrect as the primary responsibility is broader than just individuals. Choice C is incorrect as families are part of the population but not the sole focus. Choice D, 'class E citizens', is too specific and not a standard term in public health, making it an incorrect choice.