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When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?
- A. I am confident in my ability to teach the new mom about all the necessary aspects of evidence-based newborn care before the baby is born.
- B. I often notice that newly expectant moms underestimate the challenges of caring for a new baby, and I emphasize this to them.
- C. Sometimes, young moms lack knowledge about self-care, and I try to correct their behavior promptly.
- D. I understand that I may not always be perfect with my patients, but I acknowledge this openly and listen to their feedback.
Correct Answer: D
Rationale: The correct answer is D because self-awareness and humility are crucial competencies for a public health nurse working with diverse populations. By acknowledging imperfections openly and listening to patient feedback, the nurse demonstrates an understanding of their own limitations and a willingness to learn and improve. This approach fosters trust and communication with clients, leading to better outcomes.
A is incorrect because it focuses on the nurse's confidence rather than self-awareness and humility. B is incorrect as it highlights a judgmental attitude towards expectant moms instead of promoting understanding and support. C is incorrect as it emphasizes correcting behavior rather than listening and understanding the individual's needs.
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While on a hiking trip, a Girl Scout unit rested on Mt. Makiling when scout Jaymee, 14 years old, complained of a sudden, moderately bearable toothache. In their first-aid kit, they discovered they had no mefenamic acid but luckily stumbled upon a home that uses alternative pain-relieving medicinal plants. Which plant would be helpful for the toothache?
- A. Bawang (garlic)
- B. Lagundi
- C. Sambong
- D. Tsaang gubat
Correct Answer: A
Rationale: The correct answer is A: Bawang (garlic). Garlic has natural antibacterial properties that can help alleviate toothache caused by bacterial infection. When chewed or applied topically, garlic can reduce inflammation and pain. It is a common home remedy for toothaches.
Summary of other choices:
B: Lagundi - Lagundi is known for its anti-inflammatory and analgesic properties, but it is more commonly used for respiratory issues, not toothaches.
C: Sambong - Sambong is primarily used for its diuretic and anti-inflammatory properties, not typically for toothache relief.
D: Tsaang gubat - Tsaang gubat is a medicinal plant used for stomach and digestive issues, not specifically for toothaches.
When assisting clients in changing their behavior, what would be the most effective approach?
- A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
- B. Encouraging them to interact with others who also need to change their behavior
- C. Showing them how the inappropriate behavior is hurting their friends and family
- D. Using subtle rewards when small steps are taken toward the appropriate behavior
Correct Answer: A
Rationale: The correct answer is A because the Ask, Advise, Assess, Assist, and Arrange approach is evidence-based and widely recognized for behavior change. Asking about behavior, advising to change, assessing readiness, assisting in making changes, and arranging follow-ups are key steps in effective behavior change interventions. Encouraging interaction with others (B) may help, but not as structured as A. Guilt-tripping (C) can lead to resistance and harm the therapeutic relationship. Subtle rewards (D) may provide short-term motivation but lack the systematic approach of A.
When studying for an epidemiology quiz, what does public health nursing surveillance involve?
- A. Having all carriers transferred to one main facility for care
- B. Gathering data to work toward primary illness prevention
- C. Establishing the incubation period of a disease
- D. Determining the colonization rate of the disease
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Public health nursing surveillance involves gathering data to prevent illnesses before they occur.
2. Surveillance helps identify trends and risk factors for diseases to inform prevention strategies.
3. By focusing on primary prevention, surveillance aims to reduce the burden of disease on populations.
4. Choice A is incorrect as it does not align with the purpose of surveillance.
5. Choice C is incorrect as establishing the incubation period is part of disease investigation, not surveillance.
6. Choice D is incorrect as colonization rate determination is more focused on transmission dynamics, not surveillance.
Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'
- A. Risk for undetected testicular cancer
- B. Young men
- C. Insufficient knowledge about the disease and methods of prevention
- D. High rates of late initiation of treatment
Correct Answer: C
Rationale: The correct answer is C: Insufficient knowledge about the disease and methods of prevention. This component of the community diagnosis is the etiologic or causal statement because it identifies the root cause of the increased risk for undetected testicular cancer among young men. Insufficient knowledge about the disease and methods of prevention leads to high rates of late initiation of treatment, which in turn contributes to the increased risk. The other choices (A, B, and D) are not the etiologic statement because they are either outcomes or demographic factors related to the issue, but they do not directly address the root cause of the problem.
As a community health nurse engaged in the process of community empowerment, what is essential for you to do?
- A. Gather data from the community
- B. Make decisions for people in the community
- C. Form partnerships with people in the community
- D. Accept responsibility for people's actions
Correct Answer: C
Rationale: The correct answer is C: Form partnerships with people in the community. As a community health nurse, forming partnerships is essential for community empowerment as it involves collaboration, sharing of resources, and building trust. This approach ensures that the community members are actively involved in decision-making processes, leading to sustainable improvements in health outcomes. Gathering data (A) is important, but forming partnerships is crucial for effective collaboration. Making decisions for people (B) goes against empowerment principles as it disempowers the community. Accepting responsibility for people's actions (D) is not the role of a nurse in community empowerment, as it focuses on supporting individuals to take responsibility for their own health.