A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

Correct Answer: A

Rationale: The correct answer is A because reviewing hospital patient data is not directly related to immediate community health nursing tasks. This task can be postponed without compromising ongoing patient care or community health programs. In contrast, options B, C, and D involve critical decision-making and evaluation processes that directly impact the effectiveness and success of community health initiatives. Deciding on new clinic options, evaluating screening program results, and giving testimony to the state legislature are all time-sensitive tasks that require immediate attention to ensure the well-being of the community and compliance with regulations. Prioritizing tasks based on urgency and impact on community health outcomes is essential in managing workload effectively.

Correct Answer: C

Rationale: The correct answer is C: Maintaining specific daily servings of food groups. The Filipino Food Guide Pyramid emphasizes this to ensure a balanced and nutritious diet. By following specific daily servings of food groups, individuals can meet their nutritional needs and maintain overall health. Choice A is too general and does not address the importance of specific food group servings. Choice B focuses only on fats and sugar, neglecting other essential nutrients. Choice D is vague and does not provide actionable guidance for healthy eating.

Correct Answer: B

Rationale: The correct answer is B: Vital statistics. Vital statistics provide information on births, deaths, and marriages which are crucial indicators of a community's health and population trends. This data aids the nurse in understanding the demographic characteristics and health needs of the community. Census tracts (A) provide geographical boundaries, not specific health data. National Health Survey data (C) focuses on health behaviors and conditions, not vital events. Needs assessment (D) involves identifying community health needs, not specifically births, deaths, and marriages.

Correct Answer: A

Rationale: The correct answer is A: Bayabas. Step-by-step rationale: 1. Bayabas (guava) has antimicrobial properties that can help in treating diarrhea. 2. Boiling a decoction of bayabas leaves can help alleviate Joseph's symptoms due to its astringent properties. 3. The astringent properties of bayabas can help firm up loose stools. 4. Bayabas is commonly used in traditional medicine for gastrointestinal issues like diarrhea. Summary of other choices: B: Pancit pacitan - Not commonly used for treating diarrhea. C: Sambong - More commonly used for urinary tract infections, not diarrhea. D: Lagundi - More commonly used for respiratory issues, not gastrointestinal problems.

Correct Answer: B

Rationale: The correct answer is B: a patient-centered medical home. A patient-centered medical home provides comprehensive, coordinated care for patients with multiple health issues. It offers a team-based approach to managing care, including primary care, specialists, and other services. The patient does not need to be under medical supervision, but having insurance is beneficial for accessing the services offered. Referring the patient to a private health care practitioner (A) may not provide the level of coordination needed. Hospital clinics (C) typically focus on acute care, not comprehensive management. Subacute facilities (D) are for patients who need ongoing medical supervision and rehabilitation, which may not be necessary in this case.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Critical theory focuses on analyzing power dynamics and social structures that lead to oppression within society. 2. It emphasizes enabling group action to challenge and transform these oppressive structures. 3. In nursing, critical theory promotes advocacy for marginalized populations and addressing social determinants of health. 4. Health Belief Model and Orem's theory focus more on individual behavior and self-care, whereas critical theory looks beyond individual actions to systemic issues. Summary: A - Incorrect. Critical theory is not exclusive to nurses; it can be utilized by professionals in various fields to address social injustices. C - Incorrect. Critical theory is directly associated with health promotion through addressing social inequalities and advocating for social change. D - Incorrect. While critical theory may challenge individual beliefs as part of addressing systemic issues, its primary focus is on social structures and group action.

Correct Answer: D

Rationale: The correct answer is D: Using open-ended questioning. The RN's question is open-ended, allowing the teen to express thoughts and feelings freely. This technique helps the client explore their concerns and motivations, fostering self-reflection and problem-solving. This approach aligns with motivational interviewing principles, aiming to evoke the client's own reasons for change. Choices A, B, and C are incorrect: A: Moving the teen to find a new friend group - This option involves a directive approach, which is contrary to motivational interviewing's collaborative and client-centered nature. B: Addressing the problem of teen awkwardness - While acknowledging the teen's feelings, this choice focuses on the issue rather than facilitating the client's exploration of their own perspective. C: Agreeing that awkwardness is hard - This choice reflects empathy, but it does not encourage the client to elaborate on their feelings and thoughts, limiting the depth of the conversation.

Correct Answer: D

Rationale: Step 1: Community health nursing focuses on promoting health and preventing diseases within communities. Step 2: Patients in hospitals are already receiving healthcare services, so they are not the primary focus of community health nursing. Step 3: Excluding patients in hospitals from the population coverage allows the nurse to focus on preventive care for the community. Step 4: Choices A, B, and C include populations that can benefit from community health nursing interventions, but they are not the primary target population. Summary: Option D is correct because it aligns with the primary goal of community health nursing to promote health and prevent diseases within the community by excluding those who are already receiving healthcare services in hospitals. Options A, B, and C include additional populations that may benefit from nursing interventions but are not the primary focus.

Correct Answer: A

Rationale: The correct answer is A: Bawang (garlic). Garlic has natural antibacterial properties that can help alleviate toothache caused by bacterial infection. When chewed or applied topically, garlic can reduce inflammation and pain. It is a common home remedy for toothaches. Summary of other choices: B: Lagundi - Lagundi is known for its anti-inflammatory and analgesic properties, but it is more commonly used for respiratory issues, not toothaches. C: Sambong - Sambong is primarily used for its diuretic and anti-inflammatory properties, not typically for toothache relief. D: Tsaang gubat - Tsaang gubat is a medicinal plant used for stomach and digestive issues, not specifically for toothaches.