Nokea
What is the primary advantage of having a target client list?
- A. Nurses do not need to go back to the Family Treatment Record to monitor treatment and services, thus saving time and effort
- B. Helps monitor services rendered to clients in general
- C. Facilitates monitoring and supervision of services
- D. Facilitates easier reporting
Correct Answer: A
Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, saving time and effort. This is because having a target client list streamlines the process by providing quick access to relevant information, allowing nurses to efficiently track progress and deliver timely care.
Other choices are incorrect because:
B: Helps monitor services rendered to clients in general - This is too broad and does not specify the direct benefit of a target client list.
C: Facilitates monitoring and supervision of services - While this is related to the advantages of having a target client list, it does not address the specific time-saving aspect highlighted in the correct answer.
D: Facilitates easier reporting - This choice is also related to the benefits of a target client list but does not emphasize the key advantage of time and effort saved by not having to refer back to the Family Treatment Record.
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James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct Answer: C
Rationale: The correct classification for James' breathing is "C: Normal breathing." The respiratory rate for a child of his age should be between 20-30 breaths/minute. Since James has a respiratory rate of 41 breaths/minute, it may seem elevated. However, it is important to consider that children under 2 years often have higher respiratory rates compared to older children and adults. In the absence of other danger signs such as chest in-drawing, grunting, or stridor, a respiratory rate of 41 breaths/minute in an 18-month-old child with a cough does not necessarily indicate very fast breathing. Therefore, James' breathing is classified as normal based on his age group and the absence of other concerning signs.
Summary:
A: Slow breathing - Incorrect, as James' respiratory rate is elevated, not slow.
B: Fast breathing - Incorrect, as James' respiratory rate does not meet the criteria for very fast breathing.
D: Very fast breathing - Incorrect
Which of the following is NOT a principle of Primary Health Care?
- A. Health promotion
- B. Community participation
- C. Inter-sectoral collaboration
- D. Accessibility
Correct Answer: D
Rationale: The correct answer is D: Accessibility is NOT a principle of Primary Health Care. Primary Health Care principles include health promotion, community participation, and inter-sectoral collaboration. Accessibility is related to the delivery of healthcare services but is not considered a core principle. Primary Health Care focuses on providing comprehensive, holistic, and equitable care to all individuals, emphasizing prevention, community involvement, and collaboration among different sectors. The other choices align with the core values and principles of Primary Health Care, making them incorrect options for this question.
Which term involves the voluntary fortification of processed foods?
- A. Garantisadong Pambata
- B. Food Fortification
- C. Sangkap Pinoy Seal
- D. Child Health Week
Correct Answer: C
Rationale: Step 1: Sangkap Pinoy Seal is a voluntary fortification program in the Philippines.
Step 2: It encourages food manufacturers to fortify processed foods with essential micronutrients.
Step 3: Garantisadong Pambata focuses on ensuring the quality of essential medicines for children.
Step 4: Food Fortification is a general term for fortifying food products but not specific to voluntary fortification.
Step 5: Child Health Week is an event to raise awareness about child health but not related to fortifying processed foods.
Summary: Sangkap Pinoy Seal is the correct answer as it specifically involves voluntary fortification of processed foods, while the other choices are unrelated or not specifically about voluntary fortification.
After organizing, follow-up visits are also necessary. What should you do first?
- A. Explain the purpose of the visit
- B. Wash your hands and perform the necessary procedure
- C. Conduct environmental surveillance
- D. Greet the patient/resident and introduce yourself
Correct Answer: A
Rationale: Certainly! The correct answer is A: Explain the purpose of the visit. This is important because it establishes clear communication between the healthcare provider and the patient/resident. By explaining the purpose first, it sets expectations and ensures the patient understands the reason for the follow-up visit. This step builds trust and allows for any questions or concerns to be addressed upfront.
Summary of why the other choices are incorrect:
B: Washing hands and performing necessary procedures should come after explaining the purpose of the visit.
C: Conducting environmental surveillance is not typically the first step in a follow-up visit.
D: Greeting the patient and introducing yourself is important but should follow after explaining the purpose of the visit.
After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:
- A. Change the medication to the second-line antibiotics
- B. Advise the mother to observe the child and continue giving the antibiotics
- C. Give the first dose of antibiotics and refer urgently
- D. Observe the child at the center
Correct Answer: C
Rationale: The correct answer is C because chest indrawing and stridor indicate respiratory distress, which can be life-threatening. Giving the first dose of antibiotics and referring urgently ensures prompt assessment and appropriate management by a higher-level healthcare provider. Changing medication without proper assessment (choice A) can delay necessary treatment. Advising to continue antibiotics (choice B) overlooks the urgency of the situation. Observing the child at the center (choice D) is not sufficient for managing respiratory distress.