Nokea
The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?
- A. Counseling - Blue wedge
- B. Advocacy - Yellow wedge
- C. Outreach - Red wedge
- D. Screening - Red wedge
Correct Answer: B
Rationale: The correct answer is B: Advocacy - Yellow wedge. Advocacy involves working to influence policies, laws, and regulations to improve health outcomes for communities. In this scenario, partnering with the American Heart Association to develop public policy statements aligns with advocacy as it aims to promote the expansion of the Double Up Food Bucks program through policy change. This action directly impacts the social and economic factors affecting health, making it an advocacy intervention. Choices A, C, and D do not involve influencing policies or advocating for systemic changes, making them incorrect in this context.
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The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
- A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
- B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
- C. I collaborated with the social work services team when I noted that my patient was unhoused.
- D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct Answer: C
Rationale: The correct answer is C because public health nurses in the NFP model focus on collaborating with other healthcare professionals and community resources to address the social determinants of health. By collaborating with the social work services team when recognizing that a patient is unhoused, the nurse is delegating the appropriate intervention to address the patient's social needs, which is a key aspect of the public health nurse role.
Choices A, B, and D are incorrect because they all involve direct patient care interventions that are typically within the scope of practice of the nurse themselves, rather than delegating to other professionals or resources. Option A involves administering IV antibiotics, which is a nursing task. Option B involves conducting a respiratory exam, which is also a nursing task. Option D involves teaching a patient about necessary vaccinations, which is an educational intervention within the nurse's scope of practice.
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.
The C/PHN reviews the process of how a bill becomes a federal law. They note that which of the following statements is true?
- A. The bill will go to the appropriate committee to be discussed, research, and expert testimony heard.
- B. The bill will first be reviewed by the President to see if it aligns with the country's goals.
- C. The bill must have a complete consensus in both houses of the legislature.
- D. A bill cannot be vetoed by the President if the Senate supports it 100%.
Correct Answer: A
Rationale: The correct answer is A because it accurately describes the process of how a bill becomes a federal law. Initially, a bill is sent to the appropriate committee where it is discussed, researched, and expert testimonies are heard. This step allows for thorough examination and evaluation of the bill's content and implications. This committee review is essential in shaping the bill before it moves to the full legislative body for further debate and voting.
Choices B, C, and D are incorrect:
B: The bill is not first reviewed by the President in the legislative process. The President's involvement typically occurs at a later stage, after the bill has been passed by both houses of the legislature.
C: Complete consensus in both houses of the legislature is not required for a bill to become a law. It needs a majority vote in each house.
D: The President has the power to veto a bill, regardless of the level of support it receives in the Senate. The veto can be overridden by a two-thirds majority vote in
Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?
- A. Census tracts
- B. Vital statistics
- C. National Health Survey data
- D. Needs assessment
Correct Answer: B
Rationale: The correct answer is B: Vital statistics. Vital statistics provide information on births, deaths, and marriages which are crucial indicators of a community's health and population trends. This data aids the nurse in understanding the demographic characteristics and health needs of the community. Census tracts (A) provide geographical boundaries, not specific health data. National Health Survey data (C) focuses on health behaviors and conditions, not vital events. Needs assessment (D) involves identifying community health needs, not specifically births, deaths, and marriages.
When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?
- A. Education
- B. Safety
- C. Policy-making
- D. Vaccination
Correct Answer: B
Rationale: The correct answer is B: Safety. The first priority when caring for a first-time mom and baby should be ensuring their safety. Safety is crucial to prevent harm and promote well-being. Prioritizing safety includes addressing physical, emotional, and environmental factors that may impact the mother and baby. Education (choice A) is important but comes after ensuring safety. Policy-making (choice C) and vaccination (choice D) are important but not immediate priorities when caring for a first-time mom and baby.