Community and Occupational Health Nursing

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Questions and Answers

What is the primary goal of community health nursing?

  • To enhance the capacity of individuals, families and communities to cope with their health needs. (correct)
  • To increase the productivity of the people by providing them with services that will increase their level of health.
  • To contribute to national development through promotion of family welfare, focusing particularly on mothers and children.
  • To support and supplement the efforts of the medical profession in the promotion of health and prevention of disease.

Which statement best explains what community-based practice means in community health nursing?

  • The services are based on the available resources within the community.
  • The service is provided in the natural environment of people. (correct)
  • Priority setting is based on the magnitude of the health problems identified.
  • The nurse has to conduct community diagnosis to determine nursing needs and problems.

Population-focused nursing practice requires which of the following processes?

  • Epidemiologic process. (correct)
  • Community organizing.
  • Nursing process.
  • Community diagnosis.

What additional factor must be considered in determining occupational health privileges according to RA 1054?

<p>Type of occupation: agriculture, commercial, industrial. (D)</p> Signup and view all the answers

How many employees must a business firm employ before it is required to hire an occupational health nurse?

<p>201 (B)</p> Signup and view all the answers

When applying ergonomic principles, what role is being performed by the occupational health nurse?

<p>Environment manager. (D)</p> Signup and view all the answers

If a garment factory lacks an occupational nurse, who is responsible for meeting the occupational health needs of the workers?

<p>Occupational health nurse at the Provincial Health Office. (D)</p> Signup and view all the answers

Which of the following examples best illustrates the function of the school nurse in public health?

<p>Requesting for BCG from the RHU for school entrance immunization (A)</p> Signup and view all the answers

In evaluating the implementation of a health program, which aspect focuses on whether the resources were used efficiently?

<p>Efficiency (C)</p> Signup and view all the answers

How many more midwife items will the RHU need?

<p>3 (C)</p> Signup and view all the answers

As a new B.S.N. graduate seeking a public health nursing position, which institution is the most appropriate to apply to?

<p>Provincial Health Office (B)</p> Signup and view all the answers

Who must approve the request for additional midwife items needed by the RHU?

<p>Provincial Health Office (B)</p> Signup and view all the answers

What is the primary objective of the devolution of basic services as mandated by RA 7160?

<p>To strengthen local government units (B)</p> Signup and view all the answers

Who has the ultimate authority as the Chairman of the Municipal Health Board?

<p>Mayor (A)</p> Signup and view all the answers

Which law requires the reporting of cases of notifiable diseases?

<p>Act 3573 (C)</p> Signup and view all the answers

At which level of health care facility does a client generally first seek entry into the health care system?

<p>Primary Care (C)</p> Signup and view all the answers

What exemplifies the developmental nature of community health nursing as stated by Freeman and Heinrich?

<p>Necessity of health education and community organizing (A)</p> Signup and view all the answers

Which disease was targeted for eradication in the Philippines under Presidential Proclamation No. 4?

<p>Poliomyelitis (C)</p> Signup and view all the answers

Which responsibility is categorized as a supervisory function of the public health nurse over rural health midwives?

<p>Providing technical guidance to the midwife (A)</p> Signup and view all the answers

To whom should a hilot training participant refer a patient who is in labor and develops complications?

<p>Public health nurse (B)</p> Signup and view all the answers

For comparing leading causes of mortality, which type of graph should the public health nurse use?

<p>Bar (B)</p> Signup and view all the answers

In which phase of community organizing is the training of potential leaders conducted?

<p>Core group formation (B)</p> Signup and view all the answers

What is primarily targeted in the mobilization step of community organizing?

<p>Mobilizing to resolve community health issues (C)</p> Signup and view all the answers

During which stage of the epidemic investigation do you compare the current frequency of the disease with the usual frequency in the community?

<p>Establishing the epidemic (A)</p> Signup and view all the answers

How is the seasonal increase of Dengue fever towards the end of the rainy season best described?

<p>Cyclical variation (B)</p> Signup and view all the answers

What is the most appropriate action to take when informing a client about a sensitive health result?

<p>Refer the client to the physician since he is the best person to reveal the result to the client (A)</p> Signup and view all the answers

What is the sex ratio in the Philippines as per the 1995 census data provided?

<p>100.94:100 (C)</p> Signup and view all the answers

Which indicator best reflects success in the implementation of primary health care?

<p>Health workers provide care based on needs (B)</p> Signup and view all the answers

What method is most effective for public health nurses to trace potential sources of sexually transmitted infections?

<p>Contact tracing (A)</p> Signup and view all the answers

Which medical herb is traditionally used for treating fever, headache, and cough?

<p>Lagundi (A)</p> Signup and view all the answers

What is the law that established the Philippine Institute of Traditional and Alternative Health Care?

<p>RA 8423 (C)</p> Signup and view all the answers

Which disease was the Philippines declared 'free' from by WHO in 1980?

<p>Smallpox (A)</p> Signup and view all the answers

Which action is considered the most effective control measure for preventing AIDS transmission?

<p>Using a condom during each sexual contact (D)</p> Signup and view all the answers

Which opportunistic infection associated with AIDS is known for causing tonsillopharyngitis?

<p>Respiratory candidiasis (D)</p> Signup and view all the answers

The occurrence of false negatives in sputum examinations for tuberculosis indicates issues with which characteristic of diagnostic tests?

<p>Sensitivity (B)</p> Signup and view all the answers

Which statement about antiretroviral agents used in the management of AIDS is incorrect?

<p>They are able to bring about a cure of the disease condition (D)</p> Signup and view all the answers

What is the best advice to give to women in the first trimester of pregnancy during a German measles outbreak to prevent congenital rubella?

<p>Consult at the health center where rubella vaccine may be given (A)</p> Signup and view all the answers

Which of the following is not a characteristic of opportunistic infections in AIDS patients?

<p>They only occur in individuals with a known HIV diagnosis (C)</p> Signup and view all the answers

Which patient behavior is crucial for reducing the risk of HIV transmission among partners?

<p>Maintaining a monogamous relationship (A)</p> Signup and view all the answers

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Study Notes

Community Health Nursing

  • Primary Goal: Enhance the capacity of individuals, families, and communities to cope with their health needs
  • Community-Based Practice: Services are provided in the natural environment of people
  • Population-Focused Nursing Practice Requires: Community organizing, nursing process, community diagnosis, and the epidemiologic process

Occupational Health Nursing

  • RA 1054 (Occupational Health Act): Requires occupational health privileges based on the number of employees and type of occupation
  • Minimum Employees for Occupational Health Nurse: 201 employees
  • Ergonomic Principles: Implemented by the occupational nurse as an environment manager role

Healthcare Delivery System

  • Levels of Health Facilities:
    • Primary: Point of entry for clients
    • Secondary: Provide specialized services
    • Tertiary: Specialized treatment for complicated cases
  • Supervisory Function of Public Health Nurse: Providing technical guidance to rural health midwives
  • Referral for Complicated Labor: Public health nurse, rural health midwife, or municipal health officer

Public Health Nurse Roles

  • Supervisory Function: Overseeing and guiding rural health midwives
  • Reporting Notifiable Diseases: Mandated by RA 3573

Community Organizing

  • Goal of Community Organizing: Mobilize people to resolve community health problems
  • Steps in Community Organizing:
    • Community study
    • Core group formation
    • Mobilization
    • Integration
    • Community organization
    • Follow-up/extension
  • Indicator of Success: People actively participate in solving community health problems

Epidemiology

  • Epidemic Occurrence: A significant increase in cases of a disease above the usual frequency
  • Notifiable Diseases: Diseases required to be reported to authorities
  • World Health Organization (WHO): Declared the Philippines free of poliomyelitis in 1980

Primary Health Care

  • Approach: Total approach to community development
  • Indicator of Success: Health services are provided based on identified health needs of the people

Traditional and Alternative Health Care

  • RA 8423: Created the Philippine Institute of Traditional and Alternative Health Care
  • Key Concept in Traditional Chinese Medicine:
    • Yin: Yielding, negative, feminine force
    • Yang: Positive, masculine force

HIV/AIDS

  • Best Control Measure: Being faithful to a single sexual partner
  • Opportunistic Infections: Infections that take advantage of a weakened immune system
    • Respiratory candidiasis: Characterized by tonsillitis
  • Antiretroviral Agents: Prolong the life of clients with AIDS and reduce the risk of opportunistic infections but do not bring about a cure
  • Preventing Congenital Rubella (German Measles): Consult a physician for rubella immunoglobulin

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