Nokea
Which of the following best describes primary health care?
- A. A comprehensive way to address issues of social justice
- B. Giving care to manage acute or chronic conditions
- C. Giving direct care to ill individuals within their family setting
- D. Having the goal of health promotion and disease prevention
Correct Answer: A
Rationale: Step 1: Primary health care focuses on providing comprehensive and holistic care to individuals, families, and communities.
Step 2: It addresses not only physical health but also social determinants of health, promoting social justice.
Step 3: Primary health care emphasizes health promotion, disease prevention, and addressing social inequalities.
Step 4: Choice A aligns with the principles of primary health care, making it the correct answer.
Summary:
B: Incorrect - Primary health care is not limited to managing acute or chronic conditions.
C: Incorrect - Primary health care extends beyond direct care to include community and population health.
D: Incorrect - While health promotion and disease prevention are aspects, they are not the sole focus of primary health care.
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A community health nurse (CHN) states, "The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs." What response does this statement exemplify?
- A. Cultural awareness
- B. Cultural blindness
- C. Cultural knowledge
- D. Cultural preservation
Correct Answer: B
Rationale: The correct answer is B: Cultural blindness. This statement exemplifies cultural blindness because it ignores the importance of cultural differences and assumes that everyone has the same expectations and needs. Cultural awareness (A) involves recognizing and respecting cultural differences. Cultural knowledge (C) involves understanding different cultures. Cultural preservation (D) involves protecting and maintaining cultural traditions. In this case, the statement demonstrates a lack of awareness and sensitivity to cultural diversity, making it an example of cultural blindness.
Activities that focus on rebuilding to predisaster or near-predisaster conditions, and on community safety so that the risk of a recurrence of the disaster is reduced, occur in which part of the disaster management cycle?
- A. Disaster Vulnerability
- B. Disaster Preparedness
- C. Disaster Recovery
- D. Disaster Response
Correct Answer: C
Rationale: The correct answer is C: Disaster Recovery. During the disaster recovery phase, activities aim to rebuild to predisaster or near-predisaster conditions and focus on enhancing community safety to reduce the risk of a recurrence of the disaster. This phase involves restoring infrastructure, services, and livelihoods while implementing measures to mitigate future disasters.
Choice A (Disaster Vulnerability) is incorrect because this phase focuses on assessing the vulnerabilities of a community to potential disasters.
Choice B (Disaster Preparedness) is incorrect as it involves planning and readiness activities before a disaster occurs to minimize its impact.
Choice D (Disaster Response) is incorrect as it deals with immediate actions taken during and immediately after a disaster to save lives, protect property, and meet basic needs.
A group member who has exhibited an angry emotional outburst tearfully apologizes to the group for being "hateful." The group leader responds, "I believe I speak for all of us when I say that you did not appear hateful. You just appeared to be passionate about your beliefs." In this scenario, which of the following behaviours is the group leader exhibiting?
- A. Analyzing
- B. Clarifying
- C. Evaluating
- D. Reflecting
Correct Answer: D
Rationale: The correct answer is D: Reflecting. The group leader is reflecting by restating the group member's emotions and behaviors back to them in a non-judgmental manner. This helps the group member feel understood and validated. Analyzing (A) involves breaking down information, clarifying (B) involves making things clearer, and evaluating (C) involves making judgments or assessments. In this scenario, the group leader is not doing any of those actions, but rather reflecting back the group member's emotions.
A community health nurse (CHN) is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. What is the level of prevention represented by this activity?
- A. Primary
- B. Secondary
- C. Tertiary
- D. Both primary and secondary
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. Secondary prevention focuses on early detection and intervention to prevent the progression of a disease. In this case, the CHN is helping children with asthma recognize early signs of worsening symptoms through peak flow meter use, enabling them to take action with a rescue inhaler. This intervention aims to prevent exacerbation of asthma symptoms, making it a secondary prevention strategy.
A: Primary prevention focuses on preventing the onset of a disease through health promotion and education before it occurs.
C: Tertiary prevention involves managing and reducing the impact of a disease that has already occurred to prevent complications.
D: Both primary and secondary prevention do not apply in this scenario as it specifically targets early detection and intervention for those with an existing condition.
A client with tuberculosis (TB) wants to know why directly observed therapy (DOT) is required as part of the treatment. What community health nurse (CHN) response would be the most appropriate one?
- A. "Clients with TB are often nonadherent to their medication regimen; DOT will ensure that you take the medications prescribed to you."
- B. "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment."
- C. "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain."
- D. "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the medications regularly."
Correct Answer: B
Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.