Nokea
Which of the following is not considered one of the four cornerstones or pillars in primary health care?
- A. Active community participation
- B. Support mechanisms made available
- C. Use of appropriate technology
- D. Inter-sectoral linkages only
Correct Answer: D
Rationale: Rationale: The correct answer is D because inter-sectoral linkages are not the only cornerstone of primary health care. The four cornerstones are active community participation, support mechanisms, appropriate technology, and inter-sectoral collaboration. Inter-sectoral linkages refer to collaboration between different sectors, but it is not the sole pillar. Active community participation involves engaging communities in decision-making, support mechanisms ensure access to essential health services, and appropriate technology focuses on the use of suitable tools for healthcare delivery. Therefore, D is the correct answer as it does not encompass the comprehensive scope of primary health care principles.
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All of the following are objectives of FHSIS except:
- A. To complete the clinical picture of chronic diseases and describe their natural history
- B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
- C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
- D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion
Correct Answer: A
Rationale: The correct answer is A: "To complete the clinical picture of chronic diseases and describe their natural history." This objective is not typically a primary focus of the Field Health Service Information System (FHSIS). The main purpose of FHSIS is to collect and provide standardized, facility-level data for monitoring and evaluation of health programs.
Rationale:
A: Incorrect. Completing the clinical picture of chronic diseases is more aligned with clinical research and patient care, not with the primary objective of FHSIS.
B: Incorrect. Providing a standardized database for more in-depth studies is a key objective of FHSIS, enabling researchers to access and analyze data.
C: Incorrect. Minimizing recording burden and allowing more time for patient care is a potential benefit of FHSIS, but not its primary objective.
D: Incorrect. Ensuring useful, accurate, and timely data dissemination is a core objective of FHSIS to support evidence-based decision-making.
Which of the following statements about TB treatment is INCORRECT?
- A. Combination of 3-4 anti-TB drugs is the treatment of choice
- B. Single drug therapy is appropriate
- C. Treatment renders patients non-infectious and cured
- D. Tuberculosis is a curable disease
Correct Answer: B
Rationale: The correct answer is B because single drug therapy is not appropriate for TB treatment. TB is caused by bacteria that can develop resistance if not treated with a combination of drugs. A: Correct - Combination therapy is essential to prevent drug resistance. C: Correct - Proper treatment leads to cure and non-infectiousness. D: Correct - TB is curable with proper treatment. B: Incorrect - Single drug therapy can lead to drug resistance and treatment failure.
After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:
- A. Change the medication to the second-line antibiotics
- B. Advise the mother to observe the child and continue giving the antibiotics
- C. Give the first dose of antibiotics and refer urgently
- D. Observe the child at the center
Correct Answer: C
Rationale: The correct answer is C because chest indrawing and stridor indicate respiratory distress, which can be life-threatening. Giving the first dose of antibiotics and referring urgently ensures prompt assessment and appropriate management by a higher-level healthcare provider. Changing medication without proper assessment (choice A) can delay necessary treatment. Advising to continue antibiotics (choice B) overlooks the urgency of the situation. Observing the child at the center (choice D) is not sufficient for managing respiratory distress.
James' illness can be classified as:
- A. Pneumonia
- B. Very severe illness
- C. Severe pneumonia
- D. No pneumonia
Correct Answer: D
Rationale: The correct classification for James' illness is D: No pneumonia. This is because the question specifically states that James does not have pneumonia. Therefore, it is important to focus on the information provided in the question itself. Choices A, B, and C all suggest some form of pneumonia, which contradicts the information given. It is crucial to accurately interpret and address the details provided in the question to arrive at the correct answer.
Which of the following is used to monitor specific groups eligible for a certain program of the DOH?
- A. Family treatment record
- B. Target Client list
- C. Reporting forms
- D. Output record
Correct Answer: B
Rationale: The correct answer is B: Target Client list. This is used to monitor specific groups eligible for a certain program of the Department of Health (DOH).
- A: Family treatment record is specific to tracking treatment history, not program eligibility monitoring.
- C: Reporting forms are used to collect data but not specifically to monitor eligible groups.
- D: Output record refers to the results of a process, not the monitoring of eligible groups.