Nokea
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.
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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.
According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?
- A. Health and longevity as birthrights
- B. The mandate of the state to protect the birthrights of its citizens
- C. Public health nursing as a specialized field of nursing
- D. The worth and dignity of man
Correct Answer: D
Rationale: The correct answer is D because the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This foundational principle guides public health nurses to provide care and support to all individuals, regardless of their background or circumstances. Choice A is incorrect because health and longevity are not considered birthrights but rather outcomes influenced by various factors. Choice B is incorrect as public health nursing focuses on individuals' well-being, not just state mandates. Choice C is incorrect as public health nursing is a holistic approach encompassing various aspects of nursing, not just a specialized field.
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.
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.
Which of the following is an epidemiologic function of the nurse during an epidemic?
- A. Conducting assessments of suspected cases to detect communicable diseases
- B. Monitoring the condition of cases affected by the communicable disease
- C. Participating in the investigation to determine the source of the epidemic
- D. Educating the community on preventive measures against the disease
Correct Answer: C
Rationale: The correct answer is C because participating in the investigation to determine the source of the epidemic is a key epidemiologic function of the nurse during an epidemic. This involves identifying the origin of the outbreak to implement targeted control measures and prevent further spread.
A is incorrect because while conducting assessments is important, it is not a specific epidemiologic function related to determining the source of an epidemic. B is incorrect as monitoring cases focuses on individual care rather than epidemiologic investigation. D is incorrect as educating the community, while important, is not directly related to determining the source of the epidemic.