Nokea
Which level of health facility is the usual point of entry for a client into the healthcare delivery system?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct Answer: A
Rationale: The correct answer is A: Primary. Primary health facilities, such as clinics or community health centers, are the usual point of entry for clients into the healthcare system. They provide basic healthcare services and act as the first contact for individuals seeking medical care. Clients typically start their healthcare journey at the primary level for initial diagnosis, treatment, and preventive services. Secondary, intermediate, and tertiary facilities offer more specialized and advanced care, but the primary level serves as the foundation for the healthcare delivery system. Choices B, C, and D are incorrect because they represent higher levels of care that are typically accessed after initial assessment and treatment at the primary level.
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When determining whether resources were maximized in implementing Ligtas Tigdas, what is being evaluated?
- A. Effectiveness
- B. Efficiency
- C. Adequacy
- D. Appropriateness
Correct Answer: B
Rationale: The correct answer is B: Efficiency. Efficiency refers to achieving the desired outcome with minimal waste of resources. In implementing Ligtas Tigdas, evaluating efficiency involves assessing how well resources such as time, money, and manpower were utilized to achieve the goal of preventing measles. Effectiveness (Choice A) focuses on the outcome achieved, not necessarily the resources used. Adequacy (Choice C) evaluates whether resources were sufficient but doesn't consider waste. Appropriateness (Choice D) pertains to the suitability of resources but doesn't directly address resource utilization. Thus, Efficiency is the most accurate choice for evaluating whether resources were maximized in implementing Ligtas Tigdas.
RA 7160 mandates the devolution of basic services from the national government to local government units. What is the primary goal of this devolution?
- A. To strengthen local government units
- B. To allow greater autonomy to local government units
- C. To empower the people and promote their self-reliance
- D. To make basic services more accessible to the people
Correct Answer: C
Rationale: The correct answer is C: To empower the people and promote their self-reliance. This is the primary goal of devolution under RA 7160. Devolution aims to transfer power and resources to local government units, enabling them to be more responsive to the needs of their constituents. By empowering the people and promoting self-reliance, communities can actively participate in decision-making, leading to more effective and sustainable development.
Choice A (To strengthen local government units) is not the primary goal, although it may be an outcome of devolution. Choice B (To allow greater autonomy to local government units) is related to the goal but not as comprehensive as promoting self-reliance. Choice D (To make basic services more accessible to the people) is a potential benefit of devolution but not the primary goal, which is focused on empowering the people and promoting self-reliance.
In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?
- A. Occupational health nurse at the Provincial Health Office
- B. Physician employed by the factory
- C. Public Health nurse of the RHU of their municipality
- D. Rural Sanitary inspector of the RHU in their municipality
Correct Answer: C
Rationale: The correct answer is C, the Public Health nurse of the RHU of their municipality. This nurse is trained in public health and can address the occupational health needs of the factory workers. The Provincial Health Office nurse (choice A) may not have direct involvement with the factory. The physician employed by the factory (choice B) may prioritize the company's interests over the workers. The Rural Sanitary inspector (choice D) may lack the necessary expertise in occupational health. The Public Health nurse is the most suitable choice as they have the right training and focus on community health.
What level of facility is Region IV Hospital classified as?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct Answer: D
Rationale: The correct answer is D: Tertiary. Region IV Hospital is classified as a tertiary facility because it provides specialized and advanced medical services such as organ transplants, neurosurgery, and complex cancer treatments. Tertiary hospitals are equipped with specialized medical staff and advanced technology to handle complex cases and provide specialized care.
A: Primary facilities offer basic healthcare services without specialized care.
B: Secondary facilities provide more specialized services than primary care but not as advanced as tertiary care.
C: Intermediate is not a common classification for healthcare facilities and does not accurately describe Region IV Hospital.
One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the:
- A. Public health nurse
- B. Rural health midwife
- C. Municipal health officer
- D. Any of these health professionals
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Municipal health officer) being correct:
1. Municipal health officers have authority over health services in the local government.
2. They are responsible for overseeing healthcare facilities and responding to emergencies.
3. Municipal health officers can coordinate with hospitals and specialists for complex cases.
4. Referring a labor complication case to a municipal health officer ensures proper management and timely intervention.
Summary:
A (Public health nurse) lacks authority to manage complex cases. B (Rural health midwife) may not have the resources for all complications. D (Any of these health professionals) is too general, and specific expertise is needed. C is the best choice due to authority and coordination capabilities.