Community Health Nursing Concepts

• Community health nursing's primary goal is to enhance the capacity of individuals, families, and communities to cope with their health needs.
• CHN is a community-based practice, meaning the service is provided in the natural environment of people.
• Population-focused nursing practice requires community diagnosis.
• RA 1054, the Occupational Health Act, requires consideration of the type of occupation, (agriculture, commercial, industrial) to determine occupational health privileges for workers.
• A business firm must employ an occupational health nurse when it has at least 21 employees.
• When employing ergonomic principles, the occupational health nurse is acting as a health educator.
• If a garment factory lacks an occupational nurse, the Public Health Nurse of the RHU of their municipality provides occupational health needs.
• The statement that "Public health services are given free of charge" may be false, as people pay indirectly for public health services.
• According to C.E. Winslow, the goal of Public Health is for promotion of health and prevention and diseases.
• Besides longevity, Swaroop's index may be used to determine the attainment of longevity.
• The most prominent feature of public health nursing is its focus on preventive, not curative services.
• According to Margaret Shetland, the philosophy of public health nursing is based on the worth and dignity of man.
• The mission of the Department of Health is health for all Filipinos.
• Region IV Hospital is classified as a secondary level facility.
• Primary facilities usually provide services on an out-patient basis.
• An example of the school nurse's health care provider function is requesting for BCG from the RHU for school entrance immunization.
• When a nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating efficiency.
• To become a Public Health Nurse as a new BSN graduate, one should apply to the Department of Health.
• RA 7160 mandates devolution of basic services from the national government to local government units, its major goal is to allow greater autonomy to local government units.
• The Chairman of the Municipal Health Board is the Mayor.
• The primary level of health facility is the usual point of entry of a client into the health care delivery system.
• The public health nurse supervises rural health midwives, and one supervisory function is providing technical guidance to the midwife.
• A participant in a hilot training class should refer a patient in labor who develops a complication to any of these health professionals.
• In a municipality of 20,000 people with 3 health midwives, the RHU needs 1 more midwife item.
• If the RHU needs additional midwife items, you will submit the request for additional midwife items for approval to the Provincial Health Office.
• The Public Health Nurse plays an active role in community participation, the primary goal of community organizing revolves around mobilizing the people to resolve community health problems.
• An indicator of success in community organizing is when people are able to participate in community activities for the solution of a community problem.
• Tertiary prevention is needed in the terminal stage of the natural history of disease.
• Isolation of a child with measles belongs to the secondary level of prevention.
• Operation Timbang, on the other hand, is primary prevention.
• Home visits provide the best opportunity to observe family dynamics.
• In the typology of family nursing problems, the youngest child of the delos Reyes family has been diagnosed as mentally retarded. This is classified as a health deficit.
• The delos Reyes family have a 6-year-old child entering school for the first time, this would be a stress point for them.
• An advantage of a home visit is that it provides an opportunity to do first hand appraisal of the home situation.
• Home visits should be conducted in the manner prescribed by RHU.
• The most important principle in bag technique states in providing nursing care during a home visit is, that it should minimize if not totally prevent the spread of infection
• Wash hands before and after providing nursing care to family members to maintain the cleanliness of the Public Health Nurse bag and its contents.
• If a public health department conducts a study on mortality factors linked to heart disease, the nurse practices analytical epidemiology.
• Determining factors that contributed to the occurrence of pneumonia in a 3 year old is a function of epidemiology.
• An epidemiologic function of the nurse during an epidemic is participating in the investigation to determine the source of epidemic.
• The primary purpose of an epidemiologic investigation is to delineate the etiology of the epidemic.
• A characteristic of a person-to-person propagated epidemic is that there is gradual build up of cases before the epidemic becomes easily noticeable.
• When investigating an epidemic and comparing the present disease frequency to the usual frequency at this time of year, you are formulating the hypothesis.
• Dengue fever usually increases toward the end of the rainy season, this is an example of Cyclical variation when describing it's occurrence.
• In 1980, the World Health Organization declared the Philippines free of small pox?
• In the 1995 census with 35,299,000 males and 34,968,000 females, the sex ratio was 100.94:100.
• An indicator of success in the use of the primary health care approach is health workers are also able to provide care based on identified health needs of the people.
• False negative results in sputum examination for pulmonary tuberculosis indicate the test's imperfection in terms of sensitivity.
• Lagundi is the medical herb given for fever, headache, and cough in indigenous technology.
• RA 8423 created the Philippine Institute of Traditional and Alternative Health Care.
• In traditional Chinese medicine, the yielding, negative, and feminine force is termed Yin.
• Letter of Instruction No. 949 is the legal basis of Primary Health Care approach in the Philippines.
• The cooperation between PHN and a public school teacher demonstrates inter-sectoral linkages.
• A municipality with a population of 20,000 will have 1,800 1-4 year old children who are given Retinol capsule 200.000 every 6 months
• The estimated number of pregnant women who should get tetanus toxoid during an immunization outreach activity as part of the population, with about 1,500 people is 300.
• Sex ratio may be use to describe the sex composition of the population.
• Crude birth rate is a natality rate.
• The crude death rate would be 5.2/1000 if there were 94 deaths with a total population of around 18,000. Within that 20 died with heart diseases, and 32 were aged 50 or older.
• Under 5-year-old children are particularly susceptible to protein-energy malnutrition (PEM).
• The 1-4 year old age-specific mortality rate can give the most accurate reflection of the health status of a community.
• Neonatal mortality rate is 43.5/1000 in Barangay A, with an average population of 1655, 46 babies were born there in that year, 2 of whom died less than 4 weeks after they were born, and there were 4 recorded stillbirths.
• The statistic that best reflects the nutritional status of a population is 1-4 year old age-specific mortality rate.
• The numerator used to compute the general fertility rate is number of registered live births.
• Data for nutritional assessment of a purok, gathering information only from families with members belonging to the target population for PEM, would best be done by survey.
• De facto is the term for the method of population assignment based on the actual physical location of the people when conducting a census.
• The monthly field health service activity report uses the tally report.
• Target/client list are most useful to monitor clients registered in long-term regimens, such as the Multi-Drug Therapy.
• Act 3573 requires registration of births within 30 days from occurrence.
• Any of these healthcare professionals are able to sign the birth certificate, including: Public health nurse, Rural health midwife and Municipal health officer.
• Preventative potential of the health problem is only ever used in community health care as regarding what the the priority setting of health problems is used.
• The following is/are true of the Sentrong Sigla Movement:
  • This is a project spearheaded by local government units, and,
  • Its main strategy is certification of health centers able to comply with standards
• Those younger than 20 years and older than 35 years should be considered as special targets for family planning.
• Adequate information for couples regarding the different methods illustrates the principle freedom of choice in one of the policies of the Family Planning Program of the Philippines
• Potassium iodate 200 mg, capsule is contraindicated for a 6 months pregnant woman
• Her blood pressure is 130/80
• If some palmar pallor during prenatal consultation is present in someone, advise clients against home delivery.
• Inadequate intake of Folic Acid by the pregnant women may cause neural tube defects.
• Noting the interval, duration and intensity of labor and contractions are the first thing you do in a client's home to attend to a delivery
• Primigravida patients should be told that, Explain to her that putting the baby to breast will lessen blood loss after delivery when preparing breastfeeding mothers.
• A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes after delivery to make sure that the baby is able to get the colostrum
• The baby does not feel nipple pain is a sign that the baby has lactated on the breast property according to mothers.
• It should be explained to breastfeeding mother's that breast milk is sufficient up to only to 6 months worth.
• Provide Retinol 200.000 IU 1 capsule to new mothers within a month after the delivery of a baby?
• Measles vaccine is the biological use in EPI is stored in the freezer?
• Unused BCG should be discarded at the end of the day after reconstitution.
• PD 996 means you are not always obliged to secure parental consent in immunity school entrants with BCG, this is because of which legal document?
• BCG produces a permanent scar related to immunization.
• Hepatitis B Vaccine can be given to a 4 week old baby, who has just been brought to the health center for his first immunization?
• Seizures a day after DPT1, means you will not give DPT 2 if the mother says after assessment.
• Go on with the infants immunization should be given during assessment, as a 2-month old temperatures read at 38.1 C and brought to the health center for immunization.
• A baby will have protection against tetanus for approximately 1 year, if the recently received their 4th dose of of tetanus toxoid.
• Her respiratory rate is normal rate if its 42/minute in a 4-month old infant that, based on to assessment brought to you at by the health center due to a cough. -According to the Integrated Management of Child Illness (IMCI) guidelines of assessment.
• Chest indrawing is a sigh that will indicate if a young child is suffering from severe pneumonia.
• Refer him urgently to the hospital, if a client with severe pnuemonia is undergoing guidelines, you must classified, according to IMCI.
• If the infant is with some dehydration classify and 5-month old infant , mother brought him for diarrhea that happen about to 4-5 times a day. His skin goes back after a skin
• If a 3-month old classifies in same dehydration bring them to the nearest facility will you due
• Let the child rest for 10 minutes then continue giving Oresol more slowly, if they start vomiting.
• • Edema would apper if a 1 1/2-year old child was classified as having 3rd degree protein energy malnutrition, kwashiorkor.
• A 2-year is revealing assessment how will you do the manage the Child coordinate or refer,
• Keratomalacia during physical is the sign during of the sign of xeropthalmia.
• children 200000 iU is the xerostomia given that capsule every six months?
• Best part to test for pallor is the lower conjunctival sac.
• Sugar what is the best food to start?
• To prevent measles what is the best action?
• Is the what indicated referral that requires a cough what is the sign?
• Management of measles is to have a does.
• To test for malaria ask there where abouts.
• What is the best way to stop mosquitos streming?
• What do patients need help with cleaning.
• What one should be avoided?
• With stream and stream they need help cleaning.
• What is cholera and what they go?
• Schimotoma is the species?
• Hepatitis A in the other is where their waded for the start of a month?
• In area 1 what can you due to the level of water.

Explore key concepts in community health nursing (CHN), focusing on enhancing community capacity and community-based practices. Also discussed are occupational health regulations, the role of occupational health nurses, and public health services.