According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?

Correct Answer: D

Rationale: The correct answer is D because the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This foundational principle guides public health nurses to provide care and support to all individuals, regardless of their background or circumstances. Choice A is incorrect because health and longevity are not considered birthrights but rather outcomes influenced by various factors. Choice B is incorrect as public health nursing focuses on individuals' well-being, not just state mandates. Choice C is incorrect as public health nursing is a holistic approach encompassing various aspects of nursing, not just a specialized field.

Correct Answer: C

Rationale: The correct answer is C: To empower the people and promote their self-reliance. This is the primary goal of devolution under RA 7160. Devolution aims to transfer power and resources to local government units, enabling them to be more responsive to the needs of their constituents. By empowering the people and promoting self-reliance, communities can actively participate in decision-making, leading to more effective and sustainable development. Choice A (To strengthen local government units) is not the primary goal, although it may be an outcome of devolution. Choice B (To allow greater autonomy to local government units) is related to the goal but not as comprehensive as promoting self-reliance. Choice D (To make basic services more accessible to the people) is a potential benefit of devolution but not the primary goal, which is focused on empowering the people and promoting self-reliance.

Correct Answer: D

Rationale: The correct answer is D because person-to-person propagated epidemics typically exhibit a gradual build-up of cases before becoming easily noticeable. This is due to the slow transmission of the disease from one individual to another. In contrast, choice A is incorrect because having more cases than expected is not a characteristic unique to person-to-person propagation. Choice B is incorrect as person-to-person transmission does not necessarily involve a vector. Choice C is incorrect because common vehicle spread refers to a different mode of disease transmission.

Correct Answer: C

Rationale: The correct answer is C: Foreseeable crisis. This is because the situation of a 6-year-old child entering school for the first time represents a significant life event that can lead to stress and adjustment challenges for both the child and the parents. A foreseeable crisis refers to an anticipated event that may disrupt the family's equilibrium and require adjustments. In this case, the transition to school is a major life change that can potentially impact the family dynamics and routines, making it a foreseeable crisis. Choice A (Health threat) is incorrect because there is no indication of any health-related issues in the scenario. Choice B (Health deficit) is also incorrect as there is no mention of any existing health problems within the family. Choice D (Stress point) is not as appropriate as choice C because it does not capture the anticipatory nature of the crisis and the potential impact on family functioning that a foreseeable crisis does.

Correct Answer: C

Rationale: The correct answer is C: Home visit. This type of family-nurse contact offers the best opportunity to observe family dynamics as it allows the nurse to witness interactions, relationships, and environment firsthand. During a home visit, the nurse can observe family members' roles, communication patterns, living conditions, and support systems, providing valuable insights into their dynamics. A: Clinic consultation limits observation to a brief encounter in a controlled setting. B: Group conferences involve multiple families, making it challenging to focus on individual family dynamics. D: Written communication lacks the depth and richness of in-person interactions needed to observe family dynamics accurately.

Correct Answer: A

Rationale: The Mayor serves as the Chairman of the Municipal Health Board because they are the head of the local government and responsible for decision-making. The Mayor has the authority to oversee and lead various municipal departments, including public health. The Municipal Health Officer (Choice B) is responsible for implementing health programs but does not necessarily serve as the Chairman. The Public Health Nurse (Choice C) and Any qualified physician (Choice D) may have important roles within the health board but do not typically hold the position of Chairman.

Correct Answer: B

Rationale: The correct answer is B because the primary goal of community health nursing is to empower individuals, families, and communities to manage their health needs effectively. By enhancing their capacity to cope with health issues, community health nurses promote self-reliance and sustainability in health practices. Choice A is incorrect because while supporting medical efforts is a component of community health nursing, it is not the primary goal. Choice C is incorrect because the goal is not solely focused on increasing productivity but rather on improving overall well-being. Choice D is incorrect as it emphasizes a specific aspect of health promotion (family welfare) rather than the overarching goal of empowering individuals and communities.

Correct Answer: C

Rationale: The correct answer is C, the Public Health nurse of the RHU of their municipality. This nurse is trained in public health and can address the occupational health needs of the factory workers. The Provincial Health Office nurse (choice A) may not have direct involvement with the factory. The physician employed by the factory (choice B) may prioritize the company's interests over the workers. The Rural Sanitary inspector (choice D) may lack the necessary expertise in occupational health. The Public Health nurse is the most suitable choice as they have the right training and focus on community health.

Correct Answer: A

Rationale: The correct answer is A because successful community organizing involves active participation of community members in addressing the problem collectively. By participating in community activities, individuals feel empowered and invested in finding solutions. Choice B is incorrect as implementation alone does not guarantee community involvement. Choice C focuses on planning only, neglecting the importance of actual participation. Choice D is also incorrect as mere identification of the problem does not demonstrate successful community organizing without further action.