Nokea
Which of the following is a key principle of Primary Health Care (PHC)?
- A. Centralized health planning
- B. Community participation
- C. Focus on specialized care
- D. High technology healthcare
Correct Answer: B
Rationale: The correct answer is B: Community participation. This is a key principle of Primary Health Care (PHC) as it emphasizes involving communities in decision-making, planning, and implementation of healthcare services. Community participation ensures that healthcare services are culturally appropriate, accessible, and meet the specific needs of the population. It also promotes empowerment and ownership of health initiatives within the community.
Centralized health planning (A) goes against the decentralized and community-focused approach of PHC. Focus on specialized care (C) contradicts the comprehensive and holistic nature of PHC. High technology healthcare (D) may not always be feasible or accessible in resource-limited settings, which is a key consideration in PHC implementation.
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Which of the following is an appropriate method for treating dehydration in infants?
- A. Administering oral rehydration solution
- B. Providing fruit juice
- C. Increasing milk intake
- D. Administering antibiotics
Correct Answer: A
Rationale: The correct answer is A: Administering oral rehydration solution. This is the appropriate method for treating dehydration in infants because it helps replace lost fluids and electrolytes effectively. Oral rehydration solution contains the right balance of water, salts, and sugars needed to rehydrate the infant. It is safe and easy for infants to consume. Providing fruit juice (B) is not recommended as it may contain too much sugar and not enough electrolytes. Increasing milk intake (C) can worsen dehydration due to difficulty digesting milk during dehydration. Administering antibiotics (D) is not necessary for dehydration treatment as it does not address the primary issue of fluid and electrolyte loss.
Which age group is most vulnerable to protein-energy malnutrition (PEM)?
- A. Infants below 6 months
- B. Children aged 1-4 years
- C. Adolescents
- D. Elderly
Correct Answer: B
Rationale: The correct answer is B: Children aged 1-4 years. This age group is most vulnerable to PEM due to their rapid growth and development, high energy requirements, and dependency on caregivers for nutrition. Infants below 6 months are typically protected by breast milk, adolescents have lower risk due to fewer growth demands, and elderly are more at risk for other types of malnutrition. Therefore, children aged 1-4 years are the most vulnerable to PEM.
What is the purpose of a community needs assessment?
- A. To diagnose individual health conditions
- B. To identify and prioritize community health needs
- C. To evaluate the effectiveness of a treatment plan
- D. To provide emergency medical services
Correct Answer: B
Rationale: The purpose of a community needs assessment is to identify and prioritize the health needs of a community as a whole, not individual health conditions. This process helps in understanding the specific issues affecting the community and guides the development of effective intervention strategies. Evaluating treatment plans or providing emergency medical services is not the primary goal of a needs assessment. Therefore, option B is correct as it aligns with the main objective of assessing community health needs.
What is the appropriate action to take if a child is found to have a fever on the day of immunization?
- A. Administer the vaccine as scheduled
- B. Delay the immunization until the fever subsides
- C. Give a lower dose of the vaccine
- D. Administer an antipyretic before the vaccine
Correct Answer: B
Rationale: The correct action is to delay the immunization until the fever subsides. This is because administering a vaccine during a fever may affect the body's immune response and efficacy of the vaccine. Giving a lower dose (choice C) may not provide adequate protection. Administering an antipyretic (choice D) may temporarily reduce fever but does not address the underlying illness causing the fever. Administering the vaccine as scheduled (choice A) can be harmful and is not recommended when the child has a fever.
Which of the following is a characteristic of Primary Health Care?
- A. Focuses on specialized care
- B. Emphasizes community participation
- C. Relies solely on hospital-based services
- D. Ignores preventive measures
Correct Answer: B
Rationale: The correct answer is B: Emphasizes community participation. Primary Health Care is a holistic approach that focuses on involving the community in decision-making and care delivery. This empowers individuals and communities to take charge of their health. Choice A is incorrect as Primary Health Care prioritizes comprehensive and generalist care over specialized care. Choice C is incorrect as Primary Health Care aims to provide care at the grassroots level, not solely relying on hospital-based services. Choice D is incorrect as Primary Health Care places a strong emphasis on preventive measures to promote overall health and well-being.