What is the primary goal of community health nursing?
- A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases
- B. To enhance the capacity of individuals, families, and communities to cope with their health needs
- C. To increase the productivity of people by providing them with services that will increase their level of health
- D. To contribute to national development through the promotion of family welfare, focusing particularly on mothers and children
Correct Answer: B
Rationale: The correct answer is B because the primary goal of community health nursing is to empower individuals, families, and communities to manage their health needs effectively. By enhancing their capacity to cope with health issues, community health nurses promote self-reliance and sustainability in health practices. Choice A is incorrect because while supporting medical efforts is a component of community health nursing, it is not the primary goal. Choice C is incorrect because the goal is not solely focused on increasing productivity but rather on improving overall well-being. Choice D is incorrect as it emphasizes a specific aspect of health promotion (family welfare) rather than the overarching goal of empowering individuals and communities.
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Which of the following exemplifies the school nurse's health care provider function?
- A. Requesting BCG vaccine from the RHU for school entrance immunization
- B. Conducting random classroom inspections during a measles epidemic
- C. Taking corrective action on an accident hazard in the school playground
- D. Observing areas in the school where pupils spend their free time
Correct Answer: B
Rationale: Step-by-step rationale:
1. School nurse's role is to provide health care.
2. Conducting random classroom inspections during a measles epidemic is a proactive measure to prevent the spread of disease.
3. This function aligns with the nurse's duty to promote health and prevent illness.
Summary:
- A: Requesting BCG vaccine is administrative, not direct health care provision.
- C: Correcting an accident hazard is addressing safety, not health care.
- D: Observing areas where pupils spend free time is monitoring, not direct health care provision.
Isolation of a child with measles belongs to which level of prevention?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. Isolating a child with measles is a primary prevention measure as it aims to prevent the spread of the disease to others who are not yet infected. Primary prevention focuses on preventing the occurrence of a disease before it happens. Isolation helps contain the spread of measles to reduce the risk of further transmission.
Choice B: Secondary prevention involves early detection and treatment of a disease to prevent complications. Isolating a child with measles is not focused on early detection or treatment.
Choice C: Intermediate prevention is not a recognized level of prevention and is not applicable in this context.
Choice D: Tertiary prevention aims to minimize the impact of a disease that has already occurred by preventing complications and improving quality of life. Isolating a child with measles is not considered tertiary prevention as it is focused on controlling the spread of the disease rather than managing its consequences.
A business firm must employ an occupational health nurse when it has at least how many employees?
- A. 21
- B. 101
- C. 201
- D. 301
Correct Answer: B
Rationale: The correct answer is B (101 employees) because the Occupational Safety and Health Administration (OSHA) regulations require a business to have an occupational health nurse when the workforce reaches 101 employees. Employing an occupational health nurse at this threshold ensures that the company complies with OSHA standards for employee health and safety.
Choices A, C, and D are incorrect because they do not align with the specific OSHA requirement of 101 employees for employing an occupational health nurse. Option A (21 employees) is too low, and options C (201 employees) and D (301 employees) exceed the required threshold. Therefore, only option B meets the OSHA regulation criteria for when a business must employ an occupational health nurse.
If the RHU needs additional midwife items, to whom should you submit the request for approval?
- A. Rural Health Unit
- B. District Health Office
- C. Provincial Health Office
- D. Municipal Health Board
Correct Answer: D
Rationale: The correct answer is D: Municipal Health Board. The rationale is as follows:
1. Municipal Health Boards oversee health services at the local level, including midwifery services.
2. Submitting the request to the Municipal Health Board ensures it is addressed promptly and efficiently.
3. Rural Health Unit (A) may not have the authority to approve additional midwife items.
4. District Health Office (B) and Provincial Health Office (C) are higher levels of authority and may not handle local requests for midwife items.
What process is required for population-focused nursing practice?
- A. Community organizing
- B. Nursing process
- C. Community diagnosis
- D. Epidemiologic process
Correct Answer: C
Rationale: The correct answer is C: Community diagnosis. This process involves assessing the health needs and concerns of a specific population to develop targeted interventions. Community organizing (A) focuses on mobilizing community members for advocacy. The nursing process (B) is a framework for individualized care. Epidemiologic process (D) is about studying disease patterns in populations. Community diagnosis is essential for population-focused nursing as it helps identify priority health issues and develop evidence-based interventions.
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