When writing a community diagnosis, the community health nurse notes that the 'among' phrase:
- A. Presents a synthesis of all assessment data.
- B. Provides the supporting data.
- C. Specifies the aggregate that will benefit from the nurse's plan.
- D. Describes the cause of the health problem and directs focus of interventions.
Correct Answer: C
Rationale: The correct answer is C because specifying the aggregate that will benefit from the nurse's plan is a key component of a community diagnosis. This step helps in identifying the target population for interventions and ensures that resources are allocated effectively.
A: Presenting a synthesis of all assessment data is important but not specific to the 'among' phrase.
B: Providing supporting data is necessary but does not directly relate to the 'among' phrase.
D: Describing the cause of the health problem and directing focus of interventions is crucial but not the primary focus of the 'among' phrase.
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Which method of gathering data is most effective for remote and vulnerable segments of a community and for those communities with underdeveloped opinions?
- A. Interviewing community informants
- B. Community forum
- C. Focus groups
- D. Telephone surveys
Correct Answer: A
Rationale: The correct answer is A: Interviewing community informants. This method is most effective for remote and vulnerable segments and underdeveloped opinions because informants have insider knowledge and can provide valuable insights. They can bridge communication gaps, build trust, and gather accurate data. Community forums (B) may not reach remote areas, focus groups (C) may not include diverse perspectives, and telephone surveys (D) may not be accessible to all community members. Overall, interviewing informants is the most personalized and reliable approach for obtaining data in these contexts.
A traditional plant used to lower uric acid is being used by Rosario, a 55-year-old client with rheumatism. This herbal plant is called "ulasimang bato." What is its common name?
- A. Lagundi
- B. Pancit-pancitan
- C. Bayabas
- D. Sambong
Correct Answer: B
Rationale: The correct answer is B: Pancit-pancitan. Ulasimang bato is commonly known as "Pancit-pancitan" in the Philippines. This plant is known for its diuretic properties and is traditionally used to lower uric acid levels. Lagundi (A) is known for its anti-inflammatory properties, Bayabas (C) is guava, and Sambong (D) is used for kidney stones and urinary tract infections, making them incorrect choices for this specific scenario.
How can health professionals address social determinants of health?
- A. Providing direct care to underserved populations
- B. Advocating for policy changes
- C. Conducting health screenings
- D. Educating about healthy lifestyle behaviors
Correct Answer: B
Rationale: The correct answer is B because advocating for policy changes can address systemic issues that impact social determinants of health on a larger scale. Health professionals have the potential to influence policies that can improve access to healthcare, housing, education, and other social factors that impact health outcomes. Providing direct care (A) addresses immediate needs but does not address root causes. Health screenings (C) focus on early detection but do not tackle underlying social determinants. Educating about healthy lifestyle behaviors (D) is important but may not address the broader social context that influences health.
The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:
- A. A lack of interest in this topic by many citizens of the state.
- B. An inability to gather statistics to understand the magnitude of the problem.
- C. Special interest groups that exert influence on legislators.
- D. The idea that gun violence is not a significant public health concern in the US.
Correct Answer: C
Rationale: The correct answer is C: Special interest groups that exert influence on legislators. Special interest groups, such as gun rights organizations, often lobby against tighter gun control laws, influencing legislators' decisions. This influence can create significant challenges in passing legislation.
Incorrect choices:
A: A lack of interest in this topic by many citizens of the state - While lack of interest can be a challenge, it is not as significant as special interest group influence.
B: An inability to gather statistics to understand the magnitude of the problem - Lack of statistics may hinder decision-making but is not the primary challenge.
D: The idea that gun violence is not a significant public health concern in the US - This is a misconception, and while it may be a challenge, it is not as prominent as special interest group influence.
Diabetes has become a major health problem. How can healthcare professionals help to reduce the incidence of diabetes?
- A. Conducting extensive screening of individuals with diabetes risk factors
- B. Facilitating the implementation of Republic Act 8191 - National Diabetes Act
- C. Establishing support groups for individuals with diabetes
- D. Increasing community awareness of diabetes prevention
Correct Answer: D
Rationale: The correct answer is D because increasing community awareness of diabetes prevention can help educate the public on lifestyle changes and risk factors. This empowers individuals to make healthier choices, ultimately reducing the incidence of diabetes. Conducting extensive screening (A) focuses on detection rather than prevention. Facilitating the implementation of a specific act (B) may not be feasible or effective in all settings. Establishing support groups (C) is beneficial for those already diagnosed but does not directly address prevention on a larger scale.