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: D

Rationale: The correct answer is D: Municipal Health Board. The rationale is as follows: 1. Municipal Health Boards oversee health services at the local level, including midwifery services. 2. Submitting the request to the Municipal Health Board ensures it is addressed promptly and efficiently. 3. Rural Health Unit (A) may not have the authority to approve additional midwife items. 4. District Health Office (B) and Provincial Health Office (C) are higher levels of authority and may not handle local requests for midwife items.

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: 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: 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: A

Rationale: The correct answer is A: Act 3573. This law mandates the reporting of notifiable diseases by healthcare professionals in the Philippines. Act 3573 specifically outlines the requirement for healthcare providers to report cases of certain diseases to the Department of Health for surveillance and control measures. Choice B, RA 3753, does not pertain to the reporting of notifiable diseases. Choice C, RA 1054, and choice D, RA 1082, are not relevant laws in this context. Therefore, the correct answer is A as it directly addresses the reporting of notifiable diseases by healthcare professionals in the Philippines.

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: C

Rationale: The correct answer is C because strictly following RHU guidelines can limit flexibility and personalized care. A: Having a clear purpose is essential for effective home visits. B: Centering the plan around family's health needs promotes patient-centered care. D: Involving a responsible family member enhances care continuity and family engagement. Therefore, C is contrary to effective home visit planning.

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.