Tertiary prevention is needed in which stage of the natural history of disease?

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 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: B

Rationale: The correct answer is B: Ensure accessibility and quality of health. This is because the Department of Health's primary mission is to provide accessible and high-quality healthcare services to the population. This mission encompasses both ensuring that health services are within reach of all individuals and that the services provided are of the highest possible standard. Choices A, C, and D are incorrect because they do not fully capture the comprehensive mission of the Department of Health, which goes beyond just improving health status or setting a specific target year for health outcomes.

Correct Answer: A

Rationale: The correct answer is A: Primary. Primary health facilities, such as clinics or community health centers, are the usual point of entry for clients into the healthcare system. They provide basic healthcare services and act as the first contact for individuals seeking medical care. Clients typically start their healthcare journey at the primary level for initial diagnosis, treatment, and preventive services. Secondary, intermediate, and tertiary facilities offer more specialized and advanced care, but the primary level serves as the foundation for the healthcare delivery system. Choices B, C, and D are incorrect because they represent higher levels of care that are typically accessed after initial assessment and treatment at the primary level.

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 graph to compare the frequency of leading causes of mortality is a bar graph (Choice B). A bar graph is ideal for comparing different categories of data, such as causes of mortality. The length of each bar represents the frequency of each cause, allowing for easy visual comparison. Line graphs (Choice A) are better for showing trends over time. Pie charts (Choice C) are suitable for showing parts of a whole, not for comparison. Scatter diagrams (Choice D) are used to show the relationship between two variables, not for comparing frequencies.

Correct Answer: D

Rationale: The correct answer is D because public health nursing's main focus is on preventive measures to promote and protect the health of populations. This involves activities such as health education, immunizations, and screenings to prevent illness and promote wellness. Providing home care (choice A) is a part of public health nursing but not the most prominent feature. Providing free services (choice B) may be an aspect of public health nursing, but it is not the defining characteristic. Functioning as part of a team (choice C) is important in public health nursing, but it is not the most prominent feature; the emphasis is on preventive services.

Correct Answer: B

Rationale: The correct answer is B: Efficiency. Efficiency refers to achieving the desired outcome with minimal waste of resources. In implementing Ligtas Tigdas, evaluating efficiency involves assessing how well resources such as time, money, and manpower were utilized to achieve the goal of preventing measles. Effectiveness (Choice A) focuses on the outcome achieved, not necessarily the resources used. Adequacy (Choice C) evaluates whether resources were sufficient but doesn't consider waste. Appropriateness (Choice D) pertains to the suitability of resources but doesn't directly address resource utilization. Thus, Efficiency is the most accurate choice for evaluating whether resources were maximized in implementing Ligtas Tigdas.

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.