Which of the following is a contribution of community health nurses to the community's health?
- A. providing health education to vulnerable populations
- B. coordinating access to integrated care for the population
- C. developing comprehensive health care systems in various settings
- D. all of the above
Correct Answer: D
Rationale: Community health nurses play a vital role in promoting community health by providing health education to vulnerable populations (Choice A), coordinating access to integrated care for the population (Choice B), and developing comprehensive health care systems in various settings (Choice C). These contributions work together to enhance the overall health and well-being of the community, making choice D, 'all of the above,' the correct answer. Choices A, B, and C are all essential aspects of the multifaceted approach that community health nurses take to improve the health outcomes of the community.
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Which finding would be the most characteristic of an acute episode of reactive airway disease?
- A. Auditory gurgling
- B. Inspiratory laryngeal stridor
- C. Auditory expiratory wheezing
- D. Frequent dry coughing
Correct Answer: C
Rationale: The correct answer is C: Auditory expiratory wheezing. Expiratory wheezing is a common sign of reactive airway disease, such as asthma, where airways are constricted, making it difficult to expel air from the lungs. Choices A, B, and D are incorrect as they are not typically associated with reactive airway disease. Auditory gurgling may suggest airway secretions or fluid accumulation, inspiratory laryngeal stridor indicates upper airway obstruction, and frequent dry coughing is more commonly seen in conditions like upper respiratory infections or postnasal drip.
The Philippine Family Program seeks to improve and maintain which of the following life-saving measures?
- A. proper spacing of pregnancies
- B. proper timing of pregnancies
- C. fewer pregnancies
- D. all of the above
Correct Answer: D
Rationale: The correct answer is D, all of the above. The Philippine Family Program aims to enhance and sustain proper spacing of pregnancies, proper timing of pregnancies, and reducing the number of pregnancies. These measures are essential for promoting maternal and child health, preventing complications, and ensuring better outcomes. Choices A, B, and C are all part of the comprehensive approach taken by the program to safeguard the well-being of families and contribute to overall public health.
Epidemiology is directly concerned with which of the following?
- A. factors influencing occurrence and distribution of diseases, defects, disability, or death of groups of individuals
- B. vital health statistics
- C. environmental sanitation
- D. treatment of a communicable disease
Correct Answer: A
Rationale: Corrected Rationale: Epidemiology is the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems. It focuses on identifying and understanding the factors that influence the occurrence and distribution of diseases, defects, disability, or death of groups of individuals. Therefore, the correct answer is A.
Choice B, vital health statistics, is not the primary focus of epidemiology. While vital health statistics may be used in epidemiological studies, it is not the direct concern of epidemiology.
Choice C, environmental sanitation, although important for public health, is not the main focus of epidemiology. Epidemiology is more concerned with the factors influencing disease occurrence and distribution, rather than environmental sanitation.
Choice D, treatment of a communicable disease, is more related to clinical medicine rather than epidemiology. Epidemiology is more focused on prevention, control, and understanding the patterns and causes of diseases rather than their treatment.
What does the term 'social determinants of health' refer to?
- A. Genetic predispositions
- B. Lifestyle choices
- C. Conditions in which people are born, grow, live, work, and age
- D. Access to medical care
Correct Answer: C
Rationale: The term 'social determinants of health' refers to the conditions in which people are born, grow, live, work, and age. This includes factors like socioeconomic status, education, physical environment, employment, and social support networks. These factors have a significant impact on health outcomes. Choices A, B, and D are incorrect because genetic predispositions, lifestyle choices, and access to medical care, although important, are not encompassed by the term 'social determinants of health.'
Which level of care serves as a referral center for primary health facilities?
- A. Secondary level health care
- B. Primary health care
- C. Tertiary level care
- D. Intermediate level care
Correct Answer: A
Rationale: Secondary level health care is the correct answer as it serves as a referral center for primary health facilities. Primary health care refers to basic health services provided in the community setting. Tertiary level care involves specialized services like hospitals with advanced medical equipment and expertise. Intermediate level care is not a standard term in the hierarchy of health care services.