Nokea
The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?
- A. Referring cases or patients to the midwife
- B. Providing technical guidance to the midwife
- C. Providing nursing care to cases referred by the midwife
- D. Formulating and implementing training programs for midwives
Correct Answer: B
Rationale: The correct answer is B: Providing technical guidance to the midwife. This is a supervisory function as it involves overseeing and advising the midwife on technical aspects of their work. This ensures quality and consistency in healthcare delivery. Referring cases (A) is more of a collaborative function. Providing nursing care (C) is a direct care function. Formulating training programs (D) is a managerial function, not a direct supervisory role.
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Which of the following is an epidemiologic function of the nurse during an epidemic?
- A. Conducting assessments of suspected cases to detect communicable diseases
- B. Monitoring the condition of cases affected by the communicable disease
- C. Participating in the investigation to determine the source of the epidemic
- D. Educating the community on preventive measures against the disease
Correct Answer: C
Rationale: The correct answer is C because participating in the investigation to determine the source of the epidemic is a key epidemiologic function of the nurse during an epidemic. This involves identifying the origin of the outbreak to implement targeted control measures and prevent further spread.
A is incorrect because while conducting assessments is important, it is not a specific epidemiologic function related to determining the source of an epidemic. B is incorrect as monitoring cases focuses on individual care rather than epidemiologic investigation. D is incorrect as educating the community, while important, is not directly related to determining the source of the epidemic.
To maintain the cleanliness of the bag and its contents, what should the nurse do?
- A. Wash their hands before and after providing care to family members
- B. Use only items from the bag when caring for family members
- C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
- D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward
Correct Answer: A
Rationale: The correct answer is A because washing hands before and after providing care to family members helps prevent the spread of germs and maintains cleanliness. Before care, clean hands reduce the risk of introducing contaminants into the bag. After care, washing hands prevents spreading any germs picked up during the visit. Choice B is incorrect as using items solely from the bag does not address hand hygiene. Choice C focuses on uniform protection, not bag cleanliness. Choice D is about the lining and doesn't address hand hygiene.
During which step are plans formulated for solving community problems?
- A. Mobilization
- B. Community organization
- C. Follow-up/extension
- D. Core group formation
Correct Answer: B
Rationale: The correct answer is B: Community organization. This step involves formulating plans to address community problems by mobilizing resources, building partnerships, and creating strategies for effective problem-solving. Mobilization (A) focuses on engaging community members, Follow-up/extension (C) involves evaluating and extending existing programs, and Core group formation (D) pertains to establishing a core team, but not specifically for solving community problems. Therefore, the correct choice is B as it directly relates to the formulation of plans for addressing community issues.
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.
Which is a characteristic of person-to-person propagated epidemics?
- A. There are more cases of the disease than expected
- B. The disease must necessarily be transmitted through a vector
- C. The spread of the disease can be attributed to a common vehicle
- D. There is a gradual build-up of cases before the epidemic becomes easily noticeable
Correct Answer: D
Rationale: The correct answer is D because person-to-person propagated epidemics typically exhibit a gradual build-up of cases before becoming easily noticeable. This is due to the slow transmission of the disease from one individual to another. In contrast, choice A is incorrect because having more cases than expected is not a characteristic unique to person-to-person propagation. Choice B is incorrect as person-to-person transmission does not necessarily involve a vector. Choice C is incorrect because common vehicle spread refers to a different mode of disease transmission.