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Community Health HESI Study Guide
1. The delivery of basic health services was decentralized to the local government units. The legal basis for this is embodied in:
- A. RA 7035
- B. EO 119
- C. RA 7160
- D. PD 999
Correct answer: C
Rationale: The correct answer is C, RA 7160. This law, also known as the Local Government Code, decentralizes health services to local government units. RA 7035 is not the legal basis for decentralizing basic health services. EO 119 and PD 999 are also not the correct legal bases for the decentralization of health services.
2. What components should a nurse include when conducting a community health assessment?
- A. Personal health history of community members
- B. Number of hospitals in the community
- C. Demographic data, health status indicators, and community resources
- D. Results of laboratory tests
Correct answer: C
Rationale: When conducting a community health assessment, it is essential to gather demographic data (such as age, gender, ethnicity), health status indicators (like prevalence of diseases, mortality rates), and information on community resources (such as healthcare facilities, social services). These components help in understanding the health needs of the community and planning appropriate interventions. Choices A, B, and D are not typically part of a community health assessment as they focus on individual health data or specific medical information rather than the broader population health perspective required for community assessments.
3. As the new PHN in barangay Masinag, what is necessary to conduct in order to get a picture of the health and social status of the community?
- A. Mass information campaign
- B. Home visit
- C. Community assembly
- D. Community health survey
Correct answer: D
Rationale: To accurately assess the health and social status of a community, conducting a community health survey is essential. This method provides a comprehensive and systematic way to gather data on various health indicators and social determinants within the community. Choices A, B, and C are not as effective in providing a holistic view of the community's health and social status. A mass information campaign may raise awareness but lacks in-depth data collection, a home visit focuses on individual households rather than the entire community, and a community assembly may not reach all community members or provide structured data collection.
4. Which of these clients would the triage nurse request the healthcare provider to examine immediately?
- A. A 5-month-old infant with audible wheezing and grunting
- B. An adolescent with soot on the face and shirt
- C. A middle-aged man with second-degree burns on the right hand
- D. A toddler with singed ends of long hair extending to the waist
Correct answer: A
Rationale: The correct answer is A. Audible wheezing and grunting in an infant indicate respiratory distress, which is a critical condition requiring immediate assessment and intervention by the healthcare provider. Choices B, C, and D do not present with immediate life-threatening conditions that require urgent evaluation. Soot on the face and shirt, second-degree burns on the hand, and singed hair, while concerning, do not pose an immediate threat to life compared to respiratory distress in an infant.
5. An activity designed to diagnose and treat a disease or condition in its earliest stages, before it becomes full-blown, would be classified as:
- A. primary prevention
- B. secondary prevention
- C. tertiary prevention
- D. health education
Correct answer: B
Rationale: The correct answer is B, secondary prevention. Secondary prevention focuses on early diagnosis and intervention to prevent the progression of a disease or condition. This involves detecting and treating the illness in its early stages to reduce its impact. Choice A, primary prevention, aims to prevent the development of a disease or injury before it occurs by promoting healthy behaviors. Choice C, tertiary prevention, involves managing and improving the quality of life of individuals with established conditions to prevent complications and further deterioration. Choice D, health education, refers to providing information and promoting awareness about health issues to enable individuals to make informed decisions and adopt healthy behaviors.
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