A barangay had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay?

Correct Answer: C

Rationale: The correct answer is C: Consult at the health center where rubella vaccine may be given. In the first trimester of pregnancy, it is crucial for women to consult with healthcare professionals to ensure they receive appropriate care and guidance. Rubella vaccine is contraindicated during pregnancy, but receiving the vaccine postpartum can prevent future rubella infections. This advice is the best course of action to prevent congenital rubella. A: Advising on the sign of German Measles is important, but it does not directly prevent congenital rubella in the first trimester. B: Avoiding crowded places can help reduce the risk of exposure to infections, but it is not as effective as receiving the rubella vaccine. D: Consulting a physician for rubella immunoglobulin is not the standard recommendation for prevention in the first trimester; the focus is on vaccination preconception or postpartum.

Correct Answer: D

Rationale: To identify the community's view of itself, the nurse would focus on the self-perception-self-concept pattern in Gordon's functional health patterns. This pattern explores how individuals perceive themselves and their identities, which is crucial in understanding the community's self-image. By assessing this pattern, the nurse can gain insights into the community's beliefs, values, and attitudes about themselves. Rationale: A: Cognitive-perceptual focuses on sensory perception and cognitive functions, not self-perception. B: Health perception-health management relates to the individual's perception of health and their behaviors towards managing it, not the community's view of itself. C: Nutritional-metabolic pertains to nutrition and metabolism, not self-perception or community identity.

Correct Answer: B

Rationale: The correct answer is B because in the Culture of Health Action Framework, cross-sector collaboration involves working with multiple sectors such as schools and law enforcement to address health issues. By collaborating with schools and law enforcement to reduce drug overdoses in adolescents, the nurse can implement prevention strategies, education programs, and enforcement measures to tackle the issue comprehensively. This approach aligns with the framework's emphasis on partnership and collective action across sectors. Choices A, C, and D are incorrect because they do not specifically involve cross-sector collaboration with schools and law enforcement, which is essential for addressing overdose deaths effectively in adolescents. Encouraging community members to vote on a referendum for substance misuse education (A) may be important but lacks the multi-sectoral approach. Supporting research for substance misuse prevention programs (C) and creating community-based substance misuse treatment programs (D) are valuable initiatives but do not directly address the need for cross-sector collaboration as required in the given context.

Correct Answer: A

Rationale: The correct answer is A because assessment in the first step of the nursing process provides vital data for identifying community health issues. By collecting information on demographics, health behaviors, and environmental factors, nurses can recognize patterns and prioritize areas for intervention. Planning (B) involves setting goals based on assessment data, implementation (C) involves executing interventions based on the plan, and evaluation (D) assesses the effectiveness of interventions but does not directly inform the identification of health issues.

Correct Answer: C

Rationale: The correct answer is C: Value-belief. By looking at community disaster plans and public safety, the nurse is assessing the community's values and beliefs related to health and safety. This pattern involves examining cultural, religious, and spiritual beliefs that influence health decisions and behaviors. The other choices are incorrect because coping-stress tolerance (A) focuses on individual coping mechanisms, health perception-health management (B) involves personal beliefs and behaviors related to health, and D is not provided.