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Which level of care serves as a referral center for primary health facilities?
- A. Secondary level of care
- B. Tertiary level of care
- C. Primary level of care
- D. Intermediate level of care
Correct Answer: B
Rationale: The correct answer is B: Tertiary level of care. Tertiary care serves as a referral center for primary health facilities due to its specialized services and expertise in complex medical conditions. It offers advanced diagnostic and treatment options beyond what primary and secondary levels can provide. Primary care (C) focuses on preventive and basic health services. Secondary care (A) offers specialized services like outpatient care and diagnostic procedures. Intermediate care (D) is not a standard level in the healthcare system and does not fit the description of a referral center for primary health facilities.
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The classic definition of public health is:
- A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
- B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
- C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
- D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.
Correct Answer: D
Rationale: The correct answer is D because it provides a comprehensive and accurate definition of public health. It mentions key components such as preventing disease, prolonging life, and promoting health through community efforts. It also includes essential public health activities like sanitation, disease control, and health education.
Explanation:
1. Preventing disease: Public health aims to prevent illnesses and promote well-being.
2. Prolonging life: Public health initiatives seek to increase life expectancy and quality of life.
3. Promoting health through community efforts: Collaborative community actions are crucial for improving public health.
4. Organized community efforts for sanitation, disease control, and health education: These are fundamental aspects of public health practice, making option D the most comprehensive and accurate definition.
Summary:
A, B, and C are incorrect because they do not encompass the breadth and specificity of public health activities and goals outlined in option D. Option A focuses on individual well-being rather than community efforts, while B and C are vague and lack
What term refers to a systematic approach of obtaining, organizing, and analyzing numerical facts so that conclusions may be drawn from them?
- A. Vital statistics
- B. Statistics
- C. Morbidity
- D. Mortality
Correct Answer: B
Rationale: The correct answer is B: Statistics. Statistics is the systematic approach of obtaining, organizing, and analyzing numerical facts to draw conclusions. Vital statistics (A) refer to data related to births, deaths, marriages, and divorces. Morbidity (C) refers to the incidence of illness in a population. Mortality (D) refers to the incidence of death in a population. Therefore, the other choices are incorrect as they do not specifically pertain to the systematic approach of analyzing numerical facts.
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.
What is the primary goal of public health?
- A. To achieve health equity
- B. To prevent disease and disability
- C. To prolong life
- D. To promote health
Correct Answer: B
Rationale: The primary goal of public health is to prevent disease and disability. This is because by preventing diseases and disabilities, public health efforts aim to improve overall population health and well-being. This includes implementing interventions such as vaccinations, health education, and policy changes to reduce the burden of preventable illnesses. Achieving health equity, prolonging life, and promoting health are important aspects of public health but they are secondary to the core goal of preventing disease and disability.
Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?
- A. Program maintenance-consolidation
- B. Dissemination-Reassessment
- C. Community Analysis/diagnosis
- D. Design and initiation
Correct Answer: D
Rationale: The elements mentioned are key components of designing and initiating a community organizing effort. Choosing structure, recruiting members, defining mission, vision, and goals, and clarifying roles are essential in the initial stages of organizing a community. This stage sets the foundation for the entire process. Program maintenance-consolidation (A) occurs after the program has been established. Dissemination-Reassessment (B) involves spreading information and evaluating outcomes. Community Analysis/diagnosis (C) is the initial assessment of community needs, which precedes the design and initiation phase. Thus, the correct answer is D as it aligns with the early stages of community organizing.