You organize community groups to participate in the community activities. You can BEST motivate to participate in community health development program by:

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Allowing the people to exercise decision-making is the best way to motivate participation in community health development programs. This approach promotes ownership and empowerment among the community members, leading to higher engagement and commitment. By involving them in decision-making, they feel valued and are more likely to actively contribute to the program's success. Summary of Incorrect Choices: A (Conducting group works): While group work can foster collaboration, it may not necessarily motivate participation as effectively as allowing decision-making. B (Instructing the people to agree with your plans): This approach lacks autonomy and may lead to resistance or lack of genuine engagement from the community members. D (Assigning people participative roles): Assigning roles can be beneficial, but true motivation comes from allowing individuals to have a say in decision-making processes.

Correct Answer: C

Rationale: The correct answer is C because withholding results from the community until they can be statistically confirmed goes against the principles of community assessment. Here's why: 1. Transparency is key in community assessment to build trust and collaboration. 2. Sharing preliminary findings can engage the community in the process. 3. Waiting for statistical confirmation unnecessarily delays action and may lead to missed opportunities for intervention. 4. While ensuring accuracy is important, it should not come at the cost of excluding the community from the process.

Correct Answer: C

Rationale: The correct answer is C: Maintaining specific daily servings of food groups. The Filipino Food Guide Pyramid emphasizes this to ensure a balanced and nutritious diet. By following specific daily servings of food groups, individuals can meet their nutritional needs and maintain overall health. Choice A is too general and does not address the importance of specific food group servings. Choice B focuses only on fats and sugar, neglecting other essential nutrients. Choice D is vague and does not provide actionable guidance for healthy eating.

Correct Answer: D

Rationale: The correct answer is D because fee-for-service care typically involves fees that vary and are not uniform across states due to minimal regulation. This variability allows providers to set their own prices based on factors such as demand, competition, and cost of services. This system promotes flexibility but can lead to inconsistencies and higher costs. A is incorrect because fee-for-service care is not typically based on the patient's ability to pay or capped. B is incorrect because fees are not necessarily reflective of the fair market value and can be influenced by other factors. C is incorrect because fee schedules are not the primary factor enabling hospitals and clinics to function properly in a fee-for-service system.

Correct Answer: D

Rationale: The correct answer is D: Windshield survey. This is because a windshield survey involves physically driving or walking through a community to observe its environmental layout, location of agencies, hospitals, industries, and other key features. This step helps the community health nurse to gain an initial understanding of the community's resources, strengths, and potential health issues. A: Census survey involves collecting demographic data, not direct observation. B: Needs survey focuses on identifying community health needs through specific data collection methods. C: Informant survey involves gathering information from key community members, not direct observation. In summary, the windshield survey is the appropriate choice as it aligns with the description of physically observing the community to gather initial information.

Correct Answer: C

Rationale: The correct answer is C because proper stool disposal and advising against using it as fertilizer are crucial in preventing the spread of parasites. This intervention targets the source of parasitic infections. Choice A is incorrect as administering antihelminthic treatment is reactive, not preventive. Choice B is important for preventing bacterial contamination, not specifically for parasitism. Choice D is a general hygiene measure and does not directly address parasitism issues. Thus, choice C is the most appropriate nursing intervention for addressing parasitism.

Correct Answer: C

Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.

Correct Answer: A

Rationale: Primary prevention aims to prevent the occurrence of a disease or health condition before it happens. Providing prenatal education classes falls under primary prevention as it educates expecting mothers on healthy behaviors during pregnancy to prevent complications. This empowers them with knowledge and skills to promote their own and their baby's wellbeing. Screening for gestational diabetes (B) is a form of secondary prevention, as it detects a condition early to prevent its progression. Providing postpartum support groups (C) and offering breastfeeding support (D) are important interventions for promoting maternal and newborn health, but they are considered more as supportive or tertiary prevention measures rather than primary prevention.

Correct Answer: C

Rationale: The correct answer is C because public health nurses in the NFP model focus on collaborating with other healthcare professionals and community resources to address the social determinants of health. By collaborating with the social work services team when recognizing that a patient is unhoused, the nurse is delegating the appropriate intervention to address the patient's social needs, which is a key aspect of the public health nurse role. Choices A, B, and D are incorrect because they all involve direct patient care interventions that are typically within the scope of practice of the nurse themselves, rather than delegating to other professionals or resources. Option A involves administering IV antibiotics, which is a nursing task. Option B involves conducting a respiratory exam, which is also a nursing task. Option D involves teaching a patient about necessary vaccinations, which is an educational intervention within the nurse's scope of practice.