A community health RN believes that immunization rates in a lower socioeconomic section of the city are probably below the target set by the state health department. What action should the RN take FIRST to intervene with this health problem?

Correct Answer: C

Rationale: The correct first action for the community health RN to take in this situation is to review current epidemiological population data that might document a low immunization rate. By doing so, the RN can gather evidence to support further intervention strategies. Option A is incorrect because taking a health history would not provide immediate data on immunization rates in the community. Option B is incorrect as initiating an immunization program without confirming the actual immunization rates may not address the specific needs of the community. Option D is incorrect as a blanket referral without assessing the situation may not be the most effective first step.

Correct Answer: A

Rationale: The correct answer is A) Bawang (garlic) as a home remedy for toothache. Garlic has natural analgesic and anti-inflammatory properties that can help alleviate tooth pain temporarily. It also has antimicrobial properties that can help prevent infection. In a situation where conventional medication like mefenamic acid is not available, turning to natural remedies like garlic can be a viable option. Option B) Lagundi is commonly used for coughs and asthma, not for toothaches. Option C) Sambong is used for urinary tract infections and kidney stones, not for toothaches. Option D) Tsaang gubat is known for its anti-diarrheal properties, not for toothaches. Educationally, this question highlights the importance of knowing alternative and natural remedies in emergency situations when conventional medications are not readily available. It emphasizes the value of traditional knowledge and the potential benefits of using medicinal plants in first-aid situations. It also underscores the importance of being resourceful and adaptable in providing care, especially in community health settings where access to medical facilities may be limited.

Correct Answer: B

Rationale: While considering food preferences of family members is important in promoting adherence to a healthy diet, the best strategies to address nutrition problems related to non-communicable diseases should focus on evidence-based approaches like aiming for an ideal body weight, building healthy nutrition-related practices, and choosing food wisely to improve overall health outcomes.

Correct Answer: D

Rationale: The correct answer is D: Design and initiation. These elements such as choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities belong to the design and initiation stage of community organizing. This stage focuses on setting up the foundation and structure of the community organization. The other choices are incorrect because: A) Program maintenance-consolidation refers to maintaining and strengthening existing programs, not establishing new ones; B) Dissemination-Reassessment involves spreading information and evaluating programs already in place; C) Community Analysis/diagnosis is about assessing community needs and identifying issues, not about setting up the initial structure.

Correct Answer: B

Rationale: In community health nursing, understanding the different levels of primary health care workers is crucial for effective healthcare delivery. In this context, a rural sanitary inspector falls under the category of intermediate level health workers. This is because rural sanitary inspectors play a vital role in promoting community health by ensuring sanitation practices, disease prevention, and health education at the community level. Option A, village health workers, typically focus on providing basic health services and health education within a specific village or community. While they are important, their scope of practice is usually more limited compared to the responsibilities of a rural sanitary inspector. Option C, barangay health workers, are community health workers who operate at the barangay (village or neighborhood) level in the Philippines. They play a significant role in health promotion and disease prevention within their assigned areas but do not usually have the same level of training and responsibilities as intermediate level health workers like rural sanitary inspectors. Option D, "All of the above," is incorrect in this context because while village health workers and barangay health workers are essential members of the primary healthcare team, the role of a rural sanitary inspector is distinct and typically requires a higher level of training and expertise in sanitation and public health practices. Understanding the different levels of primary health care workers helps ensure that the right personnel are deployed to address specific health needs within communities, ultimately contributing to more effective and comprehensive healthcare delivery.