Why is epidemiologic data useful in the planning phase of the community assessment process?
- A. Help discover the patterns of health and illness distribution in a population.
- B. Help construct benchmarks to gauge achievement of program objectives.
- C. Identify the population at risk.
- D. Explain the nature of the health problem.
Correct Answer: A
Rationale: The correct answer is A because epidemiologic data helps in understanding the patterns of health and illness distribution in a population, which is essential for planning effective community health interventions. By analyzing these patterns, public health planners can identify priorities and tailor interventions to address specific needs.
Choice B is incorrect because while epidemiologic data can help in setting benchmarks, it is not the primary purpose in the planning phase. Choice C is incorrect as identifying the population at risk is just one aspect of using epidemiologic data and not the main reason for its usefulness in planning. Choice D is incorrect because while epidemiologic data can provide insights into the nature of health problems, it is not the main reason for its utility in the planning phase.
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Diabetes has become a major health problem. How can healthcare professionals help to reduce the incidence of diabetes?
- A. Conducting extensive screening of individuals with diabetes risk factors
- B. Facilitating the implementation of Republic Act 8191 - National Diabetes Act
- C. Establishing support groups for individuals with diabetes
- D. Increasing community awareness of diabetes prevention
Correct Answer: D
Rationale: The correct answer is D because increasing community awareness of diabetes prevention can help educate the public on lifestyle changes and risk factors. This empowers individuals to make healthier choices, ultimately reducing the incidence of diabetes. Conducting extensive screening (A) focuses on detection rather than prevention. Facilitating the implementation of a specific act (B) may not be feasible or effective in all settings. Establishing support groups (C) is beneficial for those already diagnosed but does not directly address prevention on a larger scale.
Barriers to a patient's engagement in self-care include all of the following except:
- A. Mental health issues
- B. Lack of knowledge
- C. High health literacy
- D. Financial issues
Correct Answer: C
Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.
If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:
- A. Massage the uterus
- B. Insert a urinary catheter
- C. Start an IV
- D. Check the placenta to ensure completeness
Correct Answer: A
Rationale: The correct answer is A: Massage the uterus. This is the first action to take as uterine massage helps to contract the uterus, which can help stop the bleeding. By massaging the uterus, you are promoting the expulsion of any retained products and enhancing uterine tone. Calling for help is essential for additional support. Inserting a urinary catheter (B) is not the priority in managing postpartum bleeding. Starting an IV (C) may be necessary to administer medications, but addressing the bleeding is the immediate priority. Checking the placenta for completeness (D) is important but not the first step in managing postpartum bleeding.
A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?
- A. Acute care hospital nursing
- B. Community-based nursing
- C. Community health nursing
- D. Public health nursing
Correct Answer: B
Rationale: The correct answer is B: Community-based nursing. In this scenario, the nurse is providing follow-up care to a patient at home, which falls under community-based nursing. This type of nursing focuses on providing care outside of the hospital setting, in the community where the patient resides. It involves assessing the patient's home environment, educating the patient and family, and promoting health and wellness in the community.
Incorrect choices:
A: Acute care hospital nursing - This choice is incorrect because the nurse is not providing care in the hospital setting but rather in the patient's home.
C: Community health nursing - While similar to community-based nursing, community health nursing typically involves broader population-based health promotion and disease prevention efforts rather than individual patient care.
D: Public health nursing - Public health nursing focuses on promoting health at the population level through programs and policies, not individual patient care in the home setting.
Joseph, a 45-year-old community resident of Baranggay 22-A, suddenly had 2 bouts of soft to almost watery stools after having lunch. While observing his condition at home to decide whether to refer him for medical treatment, you recommended that he boil a decoction of 10-15 leaves of what medicinal plant for 15 minutes on low heat?
- A. Bayabas
- B. Pancit pacitan
- C. Sambong
- D. Lagundi
Correct Answer: A
Rationale: The correct answer is A: Bayabas. Step-by-step rationale:
1. Bayabas (guava) has antimicrobial properties that can help in treating diarrhea.
2. Boiling a decoction of bayabas leaves can help alleviate Joseph's symptoms due to its astringent properties.
3. The astringent properties of bayabas can help firm up loose stools.
4. Bayabas is commonly used in traditional medicine for gastrointestinal issues like diarrhea.
Summary of other choices:
B: Pancit pacitan - Not commonly used for treating diarrhea.
C: Sambong - More commonly used for urinary tract infections, not diarrhea.
D: Lagundi - More commonly used for respiratory issues, not gastrointestinal problems.