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Community and Public Health Nursing Fundamentals
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Community and Public Health Nursing Fundamentals
Community and Public Health Nursing Fundamentals
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1
Question
What is the primary goal of community health nursing practice?
Page 1
Answer
To enhance the capacity of individuals, families, and communities to cope with their specific health needs.
2
Question
Why is public health nursing considered a community-based practice?
Page 1
Answer
Because the services are provided directly within the natural environments of the people, such as the home, school, or workplace.
3
Question
Under R.A. 1054, what is the distance criteria for employing an occupational health nurse?
Page 1
Answer
A nurse must be employed when the workplace is more than 1 kilometer away from the nearest health center.
4
Question
What is Swaroop’s index used to determine regarding a community population?
Page 2
Answer
It determines the proportion of deaths occurring at age 50 years or older, reflecting longevity within a population.
5
Question
How does public health nursing differ from hospital-based care in terms of focus?
Page 2
Answer
Public health nursing focuses primarily on preventive rather than curative services for the residential community.
6
Question
Which level of health facility serves as a training ground for regional health professionals?
Page 2
Answer
Tertiary facilities, such as regional hospitals, serve as training centers for health professionals.
7
Question
What is the primary motivation behind the devolution of health services under R.A. 7160?
Page 2
Answer
To empower local people and promote self-reliance in managing their own community health needs.
8
Question
Who serves as the chairman of the Municipal Health Board?
Page 2
Answer
The local mayor of the municipality.
9
Question
How should a nurse approach the technical guidance of a rural health midwife?
Page 3
Answer
The nurse provides technical support, particularly regarding the implementation of management guidelines for common health problems.
10
Question
What is the main purpose of Act 3573, the Law on Reporting of Communicable Diseases?
Page 3
Answer
It mandates the reporting of specified communicable diseases to the nearest health station to enable timely intervention.
11
Question
Why is a bar graph preferred when presenting leading causes of mortality in a community?
Page 3
Answer
A bar graph allows for a clear comparison of distinct frequency values among different disease categories.
12
Question
What is the primary goal of community organizing in a health care context?
Page 4
Answer
To develop the community's capacity and self-reliance in maximizing available resources to resolve their own health problems.
13
Question
When does a family nursing problem qualify as a 'health deficit'?
Page 4
Answer
A health deficit exists when a family member fails to develop according to expected standards, such as in cases of mental retardation.
14
Question
Why is a home visit considered superior for observing family dynamics?
Page 4
Answer
The home environment allows the nurse to observe family interactions in their natural, non-clinical setting.
15
Question
What is the main purpose of bag technique during a home visit?
Page 5
Answer
To minimize or prevent the spread of infection to and from the patient by maintaining asepsis.
16
Question
How does analytical epidemiology differ from descriptive epidemiology?
Page 5
Answer
Analytical epidemiology studies specific determinants and factors affecting disease patterns, whereas descriptive epidemiology only characterizes occurrences.
17
Question
What defines a person-to-person propagated epidemic?
Page 5
Answer
It is characterized by an insidious, gradual buildup of cases before the epidemic becomes easily noticeable.
18
Question
Which medicinal herb is used to treat diarrhea?
Page 6
Answer
Tsaang gubat is the herb recommended to help relieve diarrhea.
19
Question
What is the basis for determining a population's susceptibility to protein energy malnutrition?
Page 7
Answer
Children aged 1 to 4 years are the most susceptible because they have been weaned and are often victims of poor food distribution within the family.
20
Question
How is neonatal mortality rate calculated?
Page 7
Answer
Divide the number of deaths of babies under 28 days old by the total number of live births, multiplied by 1,000.
21
Question
What makes a pregnant woman ineligible for a home delivery?
Page 9
Answer
A woman is ineligible if she has had 5 or more pregnancies, making it a high-risk situation.
22
Question
Why is breastfeeding initiation within 30 minutes after delivery critical?
Page 9
Answer
It stimulates the prolactin reflex in the anterior pituitary gland, which initiates the production of breast milk.
23
Question
What is the primary indicator of proper latching during breastfeeding?
Page 9
Answer
The mother does not feel any nipple pain while the baby is feeding.
24
Question
Which EPI biological requires storage in the freezer?
Page 9
Answer
Measles vaccine and Oral Polio Vaccine (OPV) require freezer storage due to high heat sensitivity.
25
Question
Why is DPT vaccine contraindicated if a child experiences seizures after a first dose?
Page 10
Answer
Seizures within 3 days indicate hypersensitivity to the pertussis component, which is a specific contraindication for subsequent doses.
26
Question
Under IMCI guidelines, what constitutes 'fast breathing' in a 3-month-old infant?
Page 10
Answer
A respiratory rate of 50 breaths per minute or more is classified as fast breathing.
27
Question
What is the primary indicator of severe pneumonia according to IMCI?
Page 10
Answer
Chest indrawing, which is a visible sign that the child is struggling for air.
28
Question
What signs classify an infant with diarrhea as having 'some dehydration'?
Page 10
Answer
The infant shows two or more signs: restlessness or irritability, sunken eyes, or the skin returning slowly after a pinch.
29
Question
How should a mother manage a child who vomits while taking Oresol for diarrhea?
Page 11
Answer
The mother should let the child rest for 10 minutes and then continue giving the Oresol more slowly.
30
Question
Why does a child with Kwashiorkor exhibit edema?
Page 11
Answer
Edema is caused by decreased colloidal osmotic pressure in the blood due to hypoalbuminemia from protein deficiency.