As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

Correct Answer: A

Rationale: The correct answer is A: 1. With a total population of about 20,000, the ideal ratio is 1 midwife per 5,000 people. Currently, there are 3 midwives for 20,000 people (1:6,666). To reach the ideal ratio, the RHU needs 1 more midwife. Choice B, C, and D are incorrect because they would exceed the ideal ratio of 1 midwife per 5,000 people, leading to inefficiency and potentially underutilizing resources.

Correct Answer: B

Rationale: The correct answer is B (101 employees) because the Occupational Safety and Health Administration (OSHA) regulations require a business to have an occupational health nurse when the workforce reaches 101 employees. Employing an occupational health nurse at this threshold ensures that the company complies with OSHA standards for employee health and safety. Choices A, C, and D are incorrect because they do not align with the specific OSHA requirement of 101 employees for employing an occupational health nurse. Option A (21 employees) is too low, and options C (201 employees) and D (301 employees) exceed the required threshold. Therefore, only option B meets the OSHA regulation criteria for when a business must employ an occupational health nurse.

Correct Answer: D

Rationale: Tertiary prevention occurs during the Terminal stage of the natural history of disease. This stage involves managing the disease to prevent complications and improve the quality of life. Tertiary prevention focuses on rehabilitation, palliative care, and support to prevent further deterioration. In contrast, Pre-pathogenesis is before the disease develops, Pathogenesis is the development and progression of the disease, and Predromal is the early signs and symptoms before the disease fully manifests. These stages are not where tertiary prevention interventions are typically implemented.

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: Community organization. This step involves formulating plans to address community problems by mobilizing resources, building partnerships, and creating strategies for effective problem-solving. Mobilization (A) focuses on engaging community members, Follow-up/extension (C) involves evaluating and extending existing programs, and Core group formation (D) pertains to establishing a core team, but not specifically for solving community problems. Therefore, the correct choice is B as it directly relates to the formulation of plans for addressing community issues.

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: D

Rationale: The correct answer is D: Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness. Epidemiology is the study of patterns, causes, and effects of health and disease conditions in populations. Evaluating the effectiveness of implementing protocols like the Integrated Management of Childhood Illness falls under the domain of epidemiology as it involves monitoring and assessing the impact of healthcare interventions on public health outcomes. A: Identifying disease conditions based on manifestations presented by a client is more aligned with clinical diagnosis rather than epidemiology. B: Determining factors that contributed to the occurrence of pneumonia in a 3-year-old is more related to etiology and risk factors, which are part of epidemiological studies but not the primary function. C: Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia is more focused on clinical pharmacology and treatment outcomes rather than the broader population-based approach of epidemiology.

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: B

Rationale: The correct answer is B: Measles. Step 1: Presidential Proclamation No. 4 in the Philippines declared measles as a target for eradication. Step 2: Measles is a highly contagious viral disease that can lead to severe complications, making it a priority for eradication efforts. Step 3: Measles eradication efforts involve vaccination campaigns to achieve herd immunity. Summary: A, Poliomyelitis, and D, Neonatal Tetanus, are also targeted for eradication globally but not specifically declared in the Philippines. C, Rabies, is a viral disease transmitted through animal bites and is not typically targeted for eradication due to the complex nature of its transmission.