Nokea
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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James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct Answer: C
Rationale: The correct classification for James' breathing is "C: Normal breathing." The respiratory rate for a child of his age should be between 20-30 breaths/minute. Since James has a respiratory rate of 41 breaths/minute, it may seem elevated. However, it is important to consider that children under 2 years often have higher respiratory rates compared to older children and adults. In the absence of other danger signs such as chest in-drawing, grunting, or stridor, a respiratory rate of 41 breaths/minute in an 18-month-old child with a cough does not necessarily indicate very fast breathing. Therefore, James' breathing is classified as normal based on his age group and the absence of other concerning signs.
Summary:
A: Slow breathing - Incorrect, as James' respiratory rate is elevated, not slow.
B: Fast breathing - Incorrect, as James' respiratory rate does not meet the criteria for very fast breathing.
D: Very fast breathing - Incorrect
Which term refers to nurses in the local/national health departments or public schools?
- A. Public health nursing
- B. Public health nurse
- C. Registered midwives
- D. Registered nurses
Correct Answer: B
Rationale: The correct answer is B: Public health nurse. Public health nurse specifically refers to nurses working in local/national health departments or public schools, focusing on promoting and protecting the health of communities. Choice A, public health nursing, is a broader term encompassing various nursing roles in public health settings. Choices C and D, registered midwives and registered nurses, do not specifically indicate nurses working in public health departments or schools.
What is community health nursing practiced in the public sector known as?
- A. Public health nursing
- B. Public health nurse
- C. Registered nurse
- D. Registered midwives
Correct Answer: A
Rationale: The correct answer is A: Public health nursing. Community health nursing practiced in the public sector focuses on promoting health and preventing diseases within communities. Public health nursing specifically addresses the health needs of the population at large, aiming to improve overall health outcomes. Registered nurse (C) and registered midwives (D) are specific roles within the healthcare system, but they do not encompass the broader scope of community health nursing in the public sector. Public health nurse (B) is a close choice, but it specifically refers to the individual healthcare professional rather than the practice itself.
Which of the following is an example of tertiary prevention?
- A. Vaccination
- B. Screening for cancer
- C. Physical therapy
- D. Health education
Correct Answer: C
Rationale: Tertiary prevention aims at reducing the impact of an already established disease. Physical therapy falls under tertiary prevention as it helps improve function and quality of life in individuals with existing health conditions. Vaccination (A) is an example of primary prevention, screening for cancer (B) is secondary prevention, and health education (D) can be part of primary or secondary prevention but not specific to tertiary prevention.
What are stressful occurrences referred to as?
- A. Health deficit
- B. Health threats
- C. Health need
- D. Foreseeable crisis
Correct Answer: D
Rationale: The correct answer is D: Foreseeable crisis. Stressful occurrences are referred to as "foreseeable crisis" because they are events or situations that are anticipated to cause significant stress or disruption. This term implies that the stressful situation is expected or can be predicted in advance.
A: Health deficit - This term refers to a lack or shortage in health resources or well-being, not specifically related to stressful occurrences.
B: Health threats - While stress can be a threat to health, this term does not specifically capture the idea of anticipated or predictable stressful occurrences.
C: Health need - This term refers to requirements for maintaining or improving health, but it does not directly address the concept of stressful occurrences.
In summary, "foreseeable crisis" is the correct choice as it accurately describes the nature of stressful occurrences being anticipated or predictable. The other choices do not capture this specific aspect of stressful situations.