Nokea
Which action exemplifies a policy-level intervention in community health?
- A. Providing health education to the community
- B. Advocating for legislative changes
- C. Implementing new treatment protocols
- D. Developing health policies
Correct Answer: B
Rationale: The correct answer is B: Advocating for legislative changes. Policy-level interventions focus on creating systemic change through laws or regulations. Advocating for legislative changes involves influencing policies that impact community health on a broader scale. This action can address underlying social determinants of health and create sustainable improvements. Providing health education (A) is important but is at an individual or community level, not policy-level. Implementing new treatment protocols (C) and developing health policies (D) are important but are specific actions within the healthcare system, not overarching policy-level interventions like advocating for legislative changes.
You may also like to solve these questions
Why is it difficult to get others interested in environmental health?
- A. Environmental problems are not perceived as interesting or dramatic.
- B. It is difficult to get the media interested.
- C. People respond more to an acute crisis than chronic environmental problems.
- D. People respond more to an individual asking for help than a community asking for help.
Correct Answer: C
Rationale: The correct answer is C because people tend to respond more to immediate and acute crises rather than chronic environmental issues, which may not have immediate visible impacts. This is known as the "finite pool of worry" theory. People prioritize urgent problems over long-term issues. This is why it is difficult to get others interested in environmental health, as they may not perceive the gradual degradation of the environment as an urgent matter. Choices A, B, and D are incorrect because they do not address the fundamental psychological and behavioral aspect of human response to environmental issues.
Which group is an example of a community of solution?
- A. That lives within a specific geographic location.
- B. Concerned with reducing teenage suicides.
- C. With the same ethnic background.
- D. In which all members enjoy hiking.
Correct Answer: B
Rationale: The correct answer is B because a community of solution is a group focused on addressing a specific issue or problem, in this case, reducing teenage suicides. This group works together to find solutions and support individuals affected by this issue. Choice A is incorrect because it refers to a geographic community, not a community of solution. Choice C is incorrect as it focuses on ethnic background, not a common goal or problem-solving. Choice D is incorrect as enjoying hiking is a shared interest, not a shared purpose of solving a particular issue.
The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct Answer: C
Rationale: The correct order of steps in active management of the third stage of labor includes: 1) Intramuscular injection of oxytocin to prevent postpartum hemorrhage, 2) Controlled cord traction with counter traction to the uterus to facilitate placental delivery, and 3) Uterine massage to aid in uterine contraction and reduce bleeding.
Rationale for Correct Answer (C):
- Intramuscular oxytocin is administered first to prevent excessive bleeding.
- Controlled cord traction with counter traction assists in the gentle delivery of the placenta.
- Uterine massage helps the uterus contract and reduce the risk of hemorrhage.
Summary of Incorrect Choices:
- A (Incorrect): Incorrect order of steps, ergometrine administration is not recommended.
- B (Incorrect): Incorrect order, fundal massage should be done after cord traction.
- D (Incorrect): Incorrect order, oxytocin should be administered before cord traction.
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.
During a health education program, a facilitator continues to ask questions and encourages attendees to contribute examples from their own lives relevant to the discussion. Which best describes the rationale for the facilitator's action?
- A. To avoid having to prepare more material related to the topic
- B. To let the participants feel appreciated and knowledgeable
- C. To allow the participants to learn by doing through active participation
- D. To apply Freire's principles of learning
Correct Answer: C
Rationale: The correct answer is C because by encouraging active participation and sharing personal examples, the facilitator helps attendees engage with the material, apply concepts to real-life situations, and deepen their understanding through experiential learning. This approach fosters a more interactive and dynamic learning environment, enhancing retention and application of knowledge.
A is incorrect because the facilitator's aim is to enhance learning, not avoid preparation. B is incorrect as the primary focus is on facilitating learning, not just making participants feel appreciated. D is incorrect as while the facilitator may align with Freire's principles, the main rationale is to promote active participation and learning by doing.