CHN is a community-based practice. What best explains this statement?

Correct Answer: B

Rationale: The correct answer is B because in community-based nursing, conducting a community diagnosis is crucial to identify the specific nursing needs and problems of the community. This helps in planning and implementing appropriate interventions. Choice A is incorrect as providing services in the natural environment is a characteristic of community health nursing, not community-based practice specifically. Choice C is incorrect because community-based practice focuses on utilizing resources beyond just those available within the community. Choice D is incorrect as priority setting is based on the identified needs, not just the magnitude of health problems.

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: Step-by-step rationale for choice C (Municipal health officer) being correct: 1. Municipal health officers have authority over health services in the local government. 2. They are responsible for overseeing healthcare facilities and responding to emergencies. 3. Municipal health officers can coordinate with hospitals and specialists for complex cases. 4. Referring a labor complication case to a municipal health officer ensures proper management and timely intervention. Summary: A (Public health nurse) lacks authority to manage complex cases. B (Rural health midwife) may not have the resources for all complications. D (Any of these health professionals) is too general, and specific expertise is needed. C is the best choice due to authority and coordination capabilities.

Correct Answer: B

Rationale: Certainly! The correct answer is B because primary facilities typically provide healthcare services on an outpatient basis, focusing on preventive care and initial treatment of common illnesses. This contrasts with secondary and tertiary facilities that offer more specialized and complex care. Choices A, C, and D are incorrect because primary facilities are not necessarily government-run, training facilities, or community hospitals, which are generally considered secondary facilities.

Correct Answer: B

Rationale: The correct answer is B: Should minimize, if not totally prevent, the spread of infection. The bag technique in home visits is crucial to prevent the spread of infections between different households. By ensuring that all equipment is properly sanitized and stored in the bag, the risk of contamination is minimized. This approach follows the principles of infection control and promotes patient safety. The other choices are incorrect because: A does not prioritize infection control, C is important but not the primary focus of the bag technique, and D undermines the importance of consistency in infection prevention.

Correct Answer: D

Rationale: The correct answer is D, Environment manager. By utilizing ergonomic principles, the occupational health nurse is focusing on designing and managing the work environment to optimize safety and efficiency. This includes adjusting equipment, layout, and processes to prevent injuries and promote well-being. A health care provider (A) focuses on diagnosing and treating health conditions, not environment management. Health educator (B) involves providing information and guidance on health-related topics, not specifically environment management. Health care coordinator (C) involves coordinating care among different healthcare providers, which is not directly related to the application of ergonomic principles in the work environment.

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: A

Rationale: The correct answer is A because washing hands before and after providing care to family members helps prevent the spread of germs and maintains cleanliness. Before care, clean hands reduce the risk of introducing contaminants into the bag. After care, washing hands prevents spreading any germs picked up during the visit. Choice B is incorrect as using items solely from the bag does not address hand hygiene. Choice C focuses on uniform protection, not bag cleanliness. Choice D is about the lining and doesn't address hand hygiene.

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.