CHN Final coaching 1

124問 • 1年前

問題一覧

You are a newly appointed Community Health Nurse responsible for initiating a Community Organized Participatory Action Research (COPAR) project in Barangay Liwanag, a rural community with approximately 500 households. The barangay has limited access to healthcare facilities, high rates of undernutrition among children, and frequent outbreaks of communicable diseases. Previous health programs implemented in the area have had low participation rates and limited success. As part of your duties, you need to mobilize community involvement in the COPAR process to effectively address the healthcare challenges. The process begins with the pre-entry phase, where you are to gather preliminary data and establish trust within the community. Which of the following best represents a key principle of the mobilization phase in COPAR?

Empowering the community to define priorities and take action

In the context of COPAR, why is it important for a nurse to facilitate rather than direct actions during the community diagnosis phase?

To build community capacity for self-determination and sustainability

Which outcome would indicate the successful implementation of the integration phase in a COPAR project?

Community leaders take primary responsibility for ongoing projects.

Which action best demonstrates a nurse's application of the core COPAR principle of community empowerment during the planning phase?

The nurse collaborates with the community to identify and train local health volunteers.

What is the primary goal of utilizing COPAR in a community experiencing a high incidence of non-communicable diseases?

To facilitate community-led initiatives that address lifestyle factors and local determinants of health

Continuing or deepening social investigation is part of what phase?

Entry phase

Your assigned family is the Camilla family, when you live with them, eat the food that their eating, sleep with them, and do the activities that they are doing you are under what phase of the COPAR process?

Entry phase

You called for a community assembly, identify potential leaders. With this chosen few leaders you have form core groups which will be trained and nurtured, you are under;.

Entry phase

Development of management systems and procedures, including delineation of the roles, functions and tasks of officers and members of CHO is on;

CO and capability building phase

Site selection and preliminary social investigation falls under;

Pre-entry phase

You have selected and organized a training for the selected community health workers, you are aware that this is under what phase of the COPAR process?

Community action phase

Setting up and institutionalization of a financing scheme for the community health program or activities?

Sustenance and strengthening phase

He gives command and sees that the project is implemented as planned?

Project manager

He plans with other team members of the community immersion program and coordinates with clinical coordinator on the period of immersion.

Coordinator on immersion

Basic health skills training is also being provided during COPAR, it includes the following skills except;

First Aid and emergency measures

PHC aims to strengthen the health care delivery system by increasing opportunities and supporting conditions where in people will manage their own healthcare. As a strategy, what is its main focus?

Responsibility for help rests on the individual, his family and the community

The strategies being employed in PHC are the following, EXCEPT:

Granting of incentives and supports for community leaders in the Implementation of services

Use of herbal medications allows the people to manage their own healthcare through which of the following cornerstone/pillar of Primary Health Care:

Use of Appropriate Technology

Accessible health care is the first step in making PHC a reality. Facilities for health and services delivered are situated closer to where the people are and within;

30 minutes from households

Goal of PHC in the Philippines in line with the ASTANA DECLARATION?

Health for All, No Filipino must be left behind

All of the following are player on the adaptation of ASTANA DECLARATION except;

United Nations

What is the legal basis of the implementation of Primary Health Care (PHC) in the Philippines?

Letter of instruction 949

According to the Astana Declaration, what is the role of primary health care in achieving universal health coverage (UHC)?

Primary health care is the foundation for achieving UHC.

Which of the following is a key strategy proposed by the Astana Declaration to strengthen primary health care?

Enhancing community engagement and participation

What is the significance of the Astana Declaration on Primary Health Care in advancing the global health agenda?

It reaffirms the commitment of countries to primary health.care.

Disaster Management can be defined as the organization and management of resources and responsibilities for dealing with all humanitarian aspects of emergencies, in particular preparedness, response and recovery in order to lessen the impact of disasters. During a community disaster simulation, a nurse is tasked with triaging victims. Which victim should the nurse prioritize for immediate treatment?

A patient exhibiting signs of shock with rapid, shallow breathing

A nurse is developing a disaster preparedness plan for a local hospital. What is the most crucial element to include for ensuring an effective response to mass casualty incidents?

A system for rapid communication between the hospital and first responders

In the aftermath of a natural disaster, which action should the nurse take first to prevent the outbreak of disease among the affected population?

Ensure the availability of safe drinking water

Which of the following is a primary concern for a nurse managing victims of a chemical spill?

Immediate decontamination of the victims

What is the nurse's role in the preparedness phase of disaster management?

Educating the community on disaster preparedness

According to the 2023 Citizens' Disaster Response Center's International Disaster Database. Which country placed as 4th in ranking in terms of the number of people affected by natural disasters worldwide.

Philippines

Defined as any event that causes a level of destruction, death, or injury that affects the abilities of the community to respond to the incident using available resources.

Disaster

Some disasters may affect only a few persons, whereas others can impact thousands. Which is an event that involves casualties of 100 and more individuals?

Mass Casualty

Classification of casualty that involves group of people who have fled their home or even their country as a result of a famine, drought, natural disaster, war or civil unrest.

Refugees

According to the Philippine Disaster report there are top five disasters our country is experiencing, topping the list is;

Flood

All of the following are examples of Biological Weapons of Mass Destruction, except;

Sarin

PAGASA issues 5 Public Storm Warning Signals that indicate the intensity, the areas that will be affected and the forecast direction and speed of the tropical storm or typhoon. Which signal indicates a very intense typhoon with winds of more than 185 kph and is expected within at least 12 hours and that is potentially very destructive.

Signal no. 4

To further help citizens prepare for heavy rains and flooding, PAGASA also has the following color-coded rainfall or storm surge advisory system. Which color advisory has intense rains of 15-30mm and is expected within one hour and to continue in the next 2 hours, flooding is considered a definite threat and storm surges 1 meter to 3 meters high are expected.

Orange Rainfall Advisory

Which of the following statements is false regarding Disaster preparedness?

Store at least a 3-day supply of water; 1 liter per day per person.

This stage of Disaster Management begins immediately after the disaster incident occurs. The community preparedness plans that have been developed are initiated.

Response Stage

The focus of disaster triage is to do as little as possible, for the greatest number, in the shortest period of time. One triage system that is used by first responders is the START triage system which stands for;

Simple Triage and Rapid Treatment

Decision is made regarding the status of an individual, the person is tagged with a colored triage tag. RED tag will mean;

Top priority or immediate and with life threatening conditions but can be stabilized and have high probability of Survival.

Hazmat tag will mean;

Contaminated

Steps in Disaster Triage can be coded as "30 - 2 - can do" which means ALL EXCEPT;

Respirations are over 30 per minute

Following triage, victims will be moved to an area where their condition is checked again. First aid may be provided there, until transportation is available. This area is known;

Treatment area

You are tasked with conducting a comprehensive family nursing assessment for the Songcuan family, who have recently moved into the community from a rural province. The family consists of Mr. and Mrs. Songcuan, both in their early 40s, their three children aged 15, 12, and 7, and Mrs. Songcuan' elderly mother who is 68 and has type 2 diabetes. The family lives in a modest, two-bedroom home. Mr. Songcuan works as a construction worker, while Mrs. Songcuan is a part-time seamstress working from home. The children attend the local public school. The family has minimal health insurance coverage and expresses concern about the costs of healthcare, especially for the grandmother's ongoing diabetes management. Which aspect of the family assessment should the nurse prioritize for Mrs. Songcuan' elderly mother who has type 2 diabetes?

Blood glucose monitoring

You are tasked with conducting a comprehensive family nursing assessment for the Songcuan family, who have recently moved into the community from a rural province. The family consists of Mr. and Mrs. Songcuan, both in their early 40s, their three children aged 15, 12, and 7, and Mrs. Songcuan' elderly mother who is 68 and has type 2 diabetes. The family lives in a modest, two-bedroom home. Mr. Songcuan works as a construction worker, while Mrs. Songcuan is a part-time seamstress working from home. The children attend the local public school. The family has minimal health insurance coverage and expresses concern about the costs of healthcare, especially for the grandmother's ongoing diabetes management. During the family nursing assessment, which intervention is most appropriate to address the healthcare cost concerns expressed by the Songcuan family?

Informing them about community health resources

You are tasked with conducting a comprehensive family nursing assessment for the Songcuan family, who have recently moved into the community from a rural province. The family consists of Mr. and Mrs. Songcuan, both in their early 40s, their three children aged 15, 12, and 7, and Mrs. Songcuan' elderly mother who is 68 and has type 2 diabetes. The family lives in a modest, two-bedroom home. Mr. Songcuan works as a construction worker, while Mrs. Songcuan is a part-time seamstress working from home. The children attend the local public school. The family has minimal health insurance coverage and expresses concern about the costs of healthcare, especially for the grandmother's ongoing diabetes management. What should the nurse focus on when discussing health education with the Songcuan family's children aged 15, 12, and 7?

Nutrition and physical activity

You are tasked with conducting a comprehensive family nursing assessment for the Songcuan family, who have recently moved into the community from a rural province. The family consists of Mr. and Mrs. Songcuan, both in their early 40s, their three children aged 15, 12, and 7, and Mrs. Songcuan' elderly mother who is 68 and has type 2 diabetes. The family lives in a modest, two-bedroom home. Mr. Songcuan works as a construction worker, while Mrs. Songcuan is a part-time seamstress working from home. The children attend the local public school. The family has minimal health insurance coverage and expresses concern about the costs of healthcare, especially for the grandmother's ongoing diabetes management. To best support Mr. Songcuan, who works as a construction worker, what health advice should the nurse prioritize?

Occupational safety and health risks

You are tasked with conducting a comprehensive family nursing assessment for the Songcuan family, who have recently moved into the community from a rural province. The family consists of Mr. and Mrs. Songcuan, both in their early 40s, their three children aged 15, 12, and 7, and Mrs. Songcuan' elderly mother who is 68 and has type 2 diabetes. The family lives in a modest, two-bedroom home. Mr. Songcuan works as a construction worker, while Mrs. Songcuan is a part-time seamstress working from home. The children attend the local public school. The family has minimal health insurance coverage and expresses concern about the costs of healthcare, especially for the grandmother's ongoing diabetes management. Considering Mrs. Songcuan' role as a part-time seamstress and caregiver, what is an important health promotion topic the nurse should discuss?

Ergonomic practices to prevent repetitive strain injuries

In the field of family health nursing practice as defined by Turner (1974) nursing assessment serves as the primary major phase of the nursing process involving the set of actions in which a nurse measures the status of the family as a client, its ability to maintain wellness, prevent, control or resolve problems in order to achleve health and well being among its members. Nursing assessment under this definition is categorized into how many type/s?

Two types

A group of students were assigned to determine the existing and potential health conditions or problems of a certain family. This group is engaged into which process of the family health nursing?

First-level assessment

One of the group members desires to describe the family's perception and attitudes about the performance of family health tasks on each health conditions or identified problem. This will involve which level of assessment?

Second-level assessment

After gathering the pertinent data about the family, the group members should categorized them accordingly as health threats, health deficits, stress points or foreseeable crisis. Situations like the presence of interpersonal conflicts between the family members can be categorized under:

Foreseeable crisis

The criteria that has the most weight during Family Problem Prioritization?

Modifiability of the problem

Which of the following is a critical element to consider when developing a family nursing care plan?

Addressing the health needs of the family as a unit

What should be included in a family nursing care plan to improve treatment adherence in a family where multiple members have chronic conditions?

Family education sessions on the importance of adherence to treatment plans

As the class explores further about the topic, they were able to distinguish four criteria in determining priorities among the health problems or health conditions. Among these criteria is salience. Salience can be best defined as

family's perception and evaluation of the condition or problem in terms of serious and urgency of attention needed or family readiness.

As embedded within the scope of the nursing practice, nurses are faced with the challenge and responsibility in rendering competent care to the different levels of clientele. In the practice of community health nursing, nurses should always bear in mind that their primary client is the:

Community

In the assessment of the community's health status, the nurse considers the degree of detail or depth she should go into. When confronted with an outbreak of a disease, the nurse must utilize which type of assessment?

Problem-oriented assessment

Data presentation will depend largely on the type of data obtained. Margareth, a community health nurse wishes to present the gathered numerical data using a type of graph that could show breakdown of a group or total, where the number of categories is not too many. She should present the data in which type of graph?

Pie graph

In community diagnosing, after the nurse identified the problems her next task is to prioritize them accordingly. All of the following are criteria used for priority-setting. From the options below, which one should be exempted from the group?

Health resource problem

Nurse Margareth is deciding which problem should be prioritized. To aid her in this dilemma, she utilizes the scoring system. Her data shows that 50%-74% of the population were affected by a specific problem. With this, the magnitude of the problem should be score with:

Nurse Margareth, secured a score of 2 in the extent of modifiability of the problem. this should mean that the problem has:

Moderate modifiability

Like other filed of studies, community health nursing utilizes three essential tools to assist the nurses in identifying the community's health needs. These tools are: demography, epidemiology, and vital statistics. Demography is simply defined as the science which deals with the study of the human population's size, composition and distribution in space. In the context of community health nursing, the significance of demography can be best illustrated as a science of population that.

helps the nurse to find rationale why or how a particular population is influenced by a variety of factors resulting in vulnerability to diseases.

The population size, composition and distribution are affected depending on how fast and ho slow people are added to the population as a result of births, deaths and migration in the community. As a science primarily responsible for the population, demography greatly depends on its sources of accurate and credible information. All but one are the most common sources of demographic data.

Swaroop's index

Census is a relevant component of demography which is defined as an official and periodic enumeration of population wherein demographic, economic and social data are gathered from a specific population. A census can be conducted in different methods. For an instance, Renato, a farmer who resides in Brgy. Del Pilar was present in Brgy. Paterno during the census, and his mere presence was taken into account rather than his original residency. This method is known as:

de facto method

The vital statistics as an effective tool in community diagnosis helps the nurse in describing the health status of the people. A CHN nurse is correct if she identifies the Swaroop's index into which group of vital statistical indicators?

Mortality rates

A nurse is calculating for some of the vital statistics of her locality (Brgy. Mabini). Based on the records, Brgy. Mabini has a total 30 cases of death and a midyear population of 1563. Using these data, compute for the crude death rate of Brgy. Mabini.

19.19

Epidemiology is a science which is primarily concerned with the study of occurrence and distribution of health conditions such as disease, death, deformities or disabilities of human population. Epidemiology tackles two significant concepts: the multiple causation theory and the levels of prevention of health problems. The multiple causation theory stands for the thought that a disease development is a result of multitude of factors rather than a single cause. Among the three models that seeks to explain this theory, the ecologic triad is acknowledge by many as the most helpful model. The ecologic triad model involves the following elements, except?

Mode of transmission

Health promotion and disease prevention are crucial tasks of nurses specially in the community setting. Prevention is an act or acts referring to the identification of potential problems so that the nurse can minimize or probably eradicate possible disability or deformity of a perceive health threat or problem. It is categorized into three distinct levels namely: Primary, Secondary and Tertiary. All but one are facts regarding primary prevention.

Activities are targeted at intervening after the agent enters the host and cause pathologic changes.

Farmers from Alang-Alang and Sta. Fe had to undergo stool examination and urine tests and blood specimen collection to detect any cases of Schistosomiasis. This activity belongs to which level of prevention?

Secondary

In the various places in the country food poisoning seems as a health problem that cannot be totally eradicated. However, it can only affect small number of people relative to the total population. This situation is an example of which type of disease occurrence?

Sporadic

A public health nurse is collecting data about the biological aspects of community health. What data will the nurse collect?

Traditional morbidity and mortality rates

A community that has residents who are very involved in its activities and encourage activities that promote the health of the community displays which condition of community competence?

Participation

The main characteristics of partnership are:

Trust, Open-mindedness, Commitment

When completing a community assessment, the nurse will:

Identify community needs and clarify problems.

Which domain of the Omaha System during community assessment focuses on Nutrition, Personal hygiene, and Physical Activity?

Health Related Behavior Domain

What occurs during biological terrorism?

An intentional release of viruses, bacteria, or their toxins

Which is a feature of public health surveillance?

Sharing of the results with others

Why does a nurse conduct surveillance?

To establish a baseline rate of disease occurrence and patterns of spread

A nurse is using surveillance to collect outcome data. What information would most likely be collected?

Incidence of breast cancer in the population

The SARS (severe acute respiratory syndrome) outbreak that spread over several countries. By definition, this is considered a:

Pandemic

FHSIS is the official recording and reporting system of the Department of Health and is an essential tool in monitoring the health status of the population at different levels. What is the primary purpose of the Field Health Service Information System (FHSIS) in the Philippines?

To monitor and evaluate the delivery of health services

Wnich level of the Philippine healthcare system primarily utilizes the data collected by the Field Health Service Information system (FHSIS)?

National government agencies

What is the frequency of reporting required by health facilities under the Field Health Service Information System (FHSIS)?

Monthly

The output forms or summary table is a 12-column table in which columns correspond to the 12 months of the year. It is updated on a monthly basis and is prepared by;

Midwife

Morbidity report (Q-2) is prepared by the nurse under the direction of the MHO and is submitted to the Provincial Health Office. This report is consolidated every;

3 months

FHSIS is composed of recording and reporting tools. Records are facility-based that is kept at the;

Barangay Health Station

The following are TCLs maintained to RHUs and health centers, EXCEPT;

Individual Treatment Record

According to the 2023 DOH Annual FHSIS Report, what was the most commonly reported communicable disease in the Philippines?

COVID-19

The 2023 Midyear population of the Philippines

117 M

FHSIS as official recording and reporting system of DOH is specified under the 1996 law;

EO 352

As a nurse in the community you are aware that teaching a mother on how to give Oresol to her child suffering from diarrhea to avoid dehydration is under;

Secondary

This level of prevention aims to reduce the effects of disease and injury and to restore individuals to their optimal level of functioning.

Tertiary

Rapid antibody screening test for HIV is under what level of prevention?

Secondary

Teaching new clients with diabetes how to administer insulin is under what level of prevention?

Tertiary

Mental health counseling or referral for family in crisis like the grieving family or family experiencing a marital conflict is under what level of prevention?

Tertiary

RA 8423 or the Traditional and Alternative Medicine Act of 1997 was signed into law through the efforts of then Secretary of Health Juan Flavier. Which goverment agency is responsible for regulating the registration and sale of herbal medicines in the Philippines?

Food and Drug Administration (FDA)

100

According to Republic Act 8423 (Traditional and Alternative Medicine Act), who is authorized to prescribe herbal medicines in the Philippines?

Registered medical doctors, licensed pharmacists, and traditional healers

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS