Nokea
Which of the following exemplifies the school nurse's health care provider function?
- A. Requesting BCG vaccine from the RHU for school entrance immunization
- B. Conducting random classroom inspections during a measles epidemic
- C. Taking corrective action on an accident hazard in the school playground
- D. Observing areas in the school where pupils spend their free time
Correct Answer: B
Rationale: Step-by-step rationale:
1. School nurse's role is to provide health care.
2. Conducting random classroom inspections during a measles epidemic is a proactive measure to prevent the spread of disease.
3. This function aligns with the nurse's duty to promote health and prevent illness.
Summary:
- A: Requesting BCG vaccine is administrative, not direct health care provision.
- C: Correcting an accident hazard is addressing safety, not health care.
- D: Observing areas where pupils spend free time is monitoring, not direct health care provision.
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When the occupational health nurse employs ergonomic principles, they are performing which of their roles?
- A. Health care provider
- B. Health educator
- C. Health care coordinator
- D. Environment manager
Correct Answer: D
Rationale: The correct answer is D, Environment manager. By utilizing ergonomic principles, the occupational health nurse is focusing on designing and managing the work environment to optimize safety and efficiency. This includes adjusting equipment, layout, and processes to prevent injuries and promote well-being. A health care provider (A) focuses on diagnosing and treating health conditions, not environment management. Health educator (B) involves providing information and guidance on health-related topics, not specifically environment management. Health care coordinator (C) involves coordinating care among different healthcare providers, which is not directly related to the application of ergonomic principles in the work environment.
Who serves as the Chairman of the Municipal Health Board?
- A. Mayor
- B. Municipal Health Officer
- C. Public Health Nurse
- D. Any qualified physician
Correct Answer: A
Rationale: The Mayor serves as the Chairman of the Municipal Health Board because they are the head of the local government and responsible for decision-making. The Mayor has the authority to oversee and lead various municipal departments, including public health. The Municipal Health Officer (Choice B) is responsible for implementing health programs but does not necessarily serve as the Chairman. The Public Health Nurse (Choice C) and Any qualified physician (Choice D) may have important roles within the health board but do not typically hold the position of Chairman.
The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:
- A. Epidemic occurrence
- B. Cyclical variation
- C. Sporadic occurrence
- D. Secular occurrence
Correct Answer: B
Rationale: Step 1: Cyclical variation refers to a pattern that repeats at regular intervals.
Step 2: The increase in Dengue fever cases at the end of the rainy season is a recurring pattern.
Step 3: The rise in cases is linked to the environmental conditions during the rainy season.
Step 4: This cyclic increase in cases is not a sudden outbreak (epidemic) or random (sporadic).
Step 5: Secular occurrence refers to long-term trends, not short-term patterns like the end of a season.
Summary: Choice B is correct because the pattern of Dengue fever cases increasing at the end of the rainy season aligns with cyclical variation, unlike the other options which do not accurately describe this specific pattern.
If the RHU needs additional midwife items, to whom should you submit the request for approval?
- A. Rural Health Unit
- B. District Health Office
- C. Provincial Health Office
- D. Municipal Health Board
Correct Answer: D
Rationale: The correct answer is D: Municipal Health Board. The rationale is as follows:
1. Municipal Health Boards oversee health services at the local level, including midwifery services.
2. Submitting the request to the Municipal Health Board ensures it is addressed promptly and efficiently.
3. Rural Health Unit (A) may not have the authority to approve additional midwife items.
4. District Health Office (B) and Provincial Health Office (C) are higher levels of authority and may not handle local requests for midwife items.
What is the primary goal of community health nursing?
- A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases
- B. To enhance the capacity of individuals, families, and communities to cope with their health needs
- C. To increase the productivity of people by providing them with services that will increase their level of health
- D. To contribute to national development through the promotion of family welfare, focusing particularly on mothers and children
Correct Answer: B
Rationale: The correct answer is B because the primary goal of community health nursing is to empower individuals, families, and communities to manage their health needs effectively. By enhancing their capacity to cope with health issues, community health nurses promote self-reliance and sustainability in health practices. Choice A is incorrect because while supporting medical efforts is a component of community health nursing, it is not the primary goal. Choice C is incorrect because the goal is not solely focused on increasing productivity but rather on improving overall well-being. Choice D is incorrect as it emphasizes a specific aspect of health promotion (family welfare) rather than the overarching goal of empowering individuals and communities.