Which of the following is the most prominent feature of public health nursing?
- A. Providing home care to sick people who are not confined in the hospital
- B. Providing free services to people within the catchment area
- C. Functioning as part of a team to provide a public health nursing service
- D. Focusing on preventive, not curative services
Correct Answer: D
Rationale: The correct answer is D because public health nursing's main focus is on preventive measures to promote and protect the health of populations. This involves activities such as health education, immunizations, and screenings to prevent illness and promote wellness. Providing home care (choice A) is a part of public health nursing but not the most prominent feature. Providing free services (choice B) may be an aspect of public health nursing, but it is not the defining characteristic. Functioning as part of a team (choice C) is important in public health nursing, but it is not the most prominent feature; the emphasis is on preventive services.
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The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?
- A. Referring cases or patients to the midwife
- B. Providing technical guidance to the midwife
- C. Providing nursing care to cases referred by the midwife
- D. Formulating and implementing training programs for midwives
Correct Answer: B
Rationale: The correct answer is B: Providing technical guidance to the midwife. This is a supervisory function as it involves overseeing and advising the midwife on technical aspects of their work. This ensures quality and consistency in healthcare delivery. Referring cases (A) is more of a collaborative function. Providing nursing care (C) is a direct care function. Formulating training programs (D) is a managerial function, not a direct supervisory role.
Which principle is CONTRARY to planning a home visit?
- A. A home visit should have a clear purpose or objective
- B. The plan should be centered around the family's health needs
- C. A home visit should strictly follow RHU guidelines
- D. Involving a responsible family member in continuing care planning is essential
Correct Answer: C
Rationale: The correct answer is C because strictly following RHU guidelines can limit flexibility and personalized care. A: Having a clear purpose is essential for effective home visits. B: Centering the plan around family's health needs promotes patient-centered care. D: Involving a responsible family member enhances care continuity and family engagement. Therefore, C is contrary to effective home visit planning.
To maintain the cleanliness of the bag and its contents, what should the nurse do?
- A. Wash their hands before and after providing care to family members
- B. Use only items from the bag when caring for family members
- C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
- D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward
Correct Answer: A
Rationale: The correct answer is A because washing hands before and after providing care to family members helps prevent the spread of germs and maintains cleanliness. Before care, clean hands reduce the risk of introducing contaminants into the bag. After care, washing hands prevents spreading any germs picked up during the visit. Choice B is incorrect as using items solely from the bag does not address hand hygiene. Choice C focuses on uniform protection, not bag cleanliness. Choice D is about the lining and doesn't address hand hygiene.
Which of the following is a function of epidemiology?
- A. Identifying disease conditions based on manifestations presented by a client
- B. Determining factors that contributed to the occurrence of pneumonia in a 3-year-old
- C. Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia
- D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness
Correct Answer: D
Rationale: The correct answer is D: Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness. Epidemiology is the study of patterns, causes, and effects of health and disease conditions in populations. Evaluating the effectiveness of implementing protocols like the Integrated Management of Childhood Illness falls under the domain of epidemiology as it involves monitoring and assessing the impact of healthcare interventions on public health outcomes.
A: Identifying disease conditions based on manifestations presented by a client is more aligned with clinical diagnosis rather than epidemiology.
B: Determining factors that contributed to the occurrence of pneumonia in a 3-year-old is more related to etiology and risk factors, which are part of epidemiological studies but not the primary function.
C: Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia is more focused on clinical pharmacology and treatment outcomes rather than the broader population-based approach of epidemiology.
Which of the following is a mission of the Department of Health?
- A. Health for all Filipinos
- B. Ensure accessibility and quality of health
- C. Improve the general health status of the population
- D. Health in the hands of the Filipino people by the year 2020
Correct Answer: B
Rationale: The correct answer is B: Ensure accessibility and quality of health. This is because the Department of Health's primary mission is to provide accessible and high-quality healthcare services to the population. This mission encompasses both ensuring that health services are within reach of all individuals and that the services provided are of the highest possible standard. Choices A, C, and D are incorrect because they do not fully capture the comprehensive mission of the Department of Health, which goes beyond just improving health status or setting a specific target year for health outcomes.
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