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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What level of facility is Region IV Hospital classified as?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct Answer: D
Rationale: The correct answer is D: Tertiary. Region IV Hospital is classified as a tertiary facility because it provides specialized and advanced medical services such as organ transplants, neurosurgery, and complex cancer treatments. Tertiary hospitals are equipped with specialized medical staff and advanced technology to handle complex cases and provide specialized care.
A: Primary facilities offer basic healthcare services without specialized care.
B: Secondary facilities provide more specialized services than primary care but not as advanced as tertiary care.
C: Intermediate is not a common classification for healthcare facilities and does not accurately describe Region IV Hospital.
In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?
- A. Establishing the epidemic
- B. Testing the hypothesis
- C. Formulation of the hypothesis
- D. Appraisal of facts
Correct Answer: A
Rationale: The correct answer is A: Establishing the epidemic. During this stage, comparing the present disease frequency with the usual frequency helps determine if there is a significant increase, indicating an epidemic. This step is crucial for recognizing and confirming the outbreak. Testing the hypothesis (B) comes after the epidemic is established. Formulation of the hypothesis (C) involves developing a theory based on observations, not comparing frequencies. Appraisal of facts (D) occurs after data collection, not during the initial comparison.
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.
One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the:
- A. Public health nurse
- B. Rural health midwife
- C. Municipal health officer
- D. Any of these health professionals
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Municipal health officer) being correct:
1. Municipal health officers have authority over health services in the local government.
2. They are responsible for overseeing healthcare facilities and responding to emergencies.
3. Municipal health officers can coordinate with hospitals and specialists for complex cases.
4. Referring a labor complication case to a municipal health officer ensures proper management and timely intervention.
Summary:
A (Public health nurse) lacks authority to manage complex cases. B (Rural health midwife) may not have the resources for all complications. D (Any of these health professionals) is too general, and specific expertise is needed. C is the best choice due to authority and coordination capabilities.
Which is a characteristic of person-to-person propagated epidemics?
- A. There are more cases of the disease than expected
- B. The disease must necessarily be transmitted through a vector
- C. The spread of the disease can be attributed to a common vehicle
- D. There is a gradual build-up of cases before the epidemic becomes easily noticeable
Correct Answer: D
Rationale: The correct answer is D because person-to-person propagated epidemics typically exhibit a gradual build-up of cases before becoming easily noticeable. This is due to the slow transmission of the disease from one individual to another. In contrast, choice A is incorrect because having more cases than expected is not a characteristic unique to person-to-person propagation. Choice B is incorrect as person-to-person transmission does not necessarily involve a vector. Choice C is incorrect because common vehicle spread refers to a different mode of disease transmission.