A1 PASSERS TRAINING, RESEARCH, REVIEW AND DEVELOPMENT COMPANY COMMUNITY HEALTH NURSING SET 1
PRINCIPLES AND STANDARDS OF CHN Situation: CHN theoie! an" #a$o %on%e&t! 1. Obstacles Obstacles to Winslow’ Winslow’s s bit! i"!ts i"!ts o# !ealt! !ealt! an$ lon"e%it& lon"e%it& ae ae t!e #ollowin" #ollowin" e'ce(t) e'ce(t) a. Mis(i Mis(ioi oitie ties s o# t!e "o%en* "o%en*ent ent %' Pi# Pi#a a( ( hea hea)t )th h %a %ae e b. Glob Global alii+ati +ation on $. ,i% ,i%at ati+ i+at atiion -. T!e *ain *ain conce(t conce(t o# o# Hanlon Hanlon is total $e%elo $e%elo(*ent (*ent w!ic! (etains (etains to) a. A*o(!is* c. /alis* b. Essentia tialis* "' Ho)i!# 0. ,/lo*’s ,/lo*’s conce(t conce(t o# (/blic (/blic !ealt! !ealt! (actice (actice (etains (etains to t!ese t!ese (!ases (!ases o# !/*an !/*an $e%elo(* $e%elo(*ent) ent) a. In#a In#anc nc& & an$ an$ c!il c!il$! $!oo oo$ $ c. Mi$ Mi$ an$ an$ late late a$/l a$/lt! t!oo oo$ $ b. A$oles A$olescen cence ce an$ &o/n" &o/n" a$/lt! a$/lt!oo$ oo$ "' A)) A)) &ha! &ha!e! e! o* o* "e+e "e+e)o )o&# &#en entt . T!e !i"! !i"!est est o# o# 2ee*an 2ee*an’s ’s $e#i $e#init nition ion o# o# CHN is) is) a. e%e e%elo lo(i (in" n" a soci social al *ac *ac!i !ine ne& & c. O"a O"ani ni+e +e$ $ co** co**/n /nit itie ies s ' Enhan% Enhan%inin- %a&ai %a&ai)i )itie tie! ! o* &eo&)e &eo&)e $. Sin" Sin"l& l& as as in$i in$i%i %i$/ $/al al "o "o/( /( 3. Most i*(li i*(licit cit in in CHN is t!e t!e a((lica a((lication tion o# o# t!is (ocess) (ocess) a' Nu! Nu!iin- &o &o%e!! %e!! c. ,ob ,oble le*4 *4so sol% l%in in" " (oc (oces ess s b. Rese Resea ac! c! (o (oce cess ss $. Co** Co**/n /nit it& & o"an o"ani+ i+in in" " (oce (ocess ss e' *' Situ Situat atio ion: n: CHN CHN Pin Pin%i %i&) &)e! e! 5. Consi$ Consi$ee ee$ $ as %ital %ital (ats (ats o# CHN (ac (actic tice e incl/$e incl/$es) s) a' Hea)th Hea)th e"u%at e"u%ation ion an" %oun!e %oun!e)i )innc. Heal Healt! t! an$ an$ lon lon"e "e%i %it& t& b. Social Social *obili *obili+at +ation ion an$ 6/stic 6/stice e $. St/" St/""l "le e a"a a"ain inst st (o%e (o%et& t& 7. To ens/e co*(etent co*(etent (actic (actice e an$ 8/alit& 8/alit& cae9 cae9 n/ses n/ses */st) */st) a' Atten" Atten" !e#ina !e#ina!, !, !(#&o! !(#&o!ia ia an" *oa *oa c. Con$ Con$/c /ct: t:(a (ati tici ci(a (ate te in esea eseac c! ! b. Go on "a "a$/ $/at ate e st/$ st/$ie ies s $. ,ac ,acti tice ce n/ n/si sin" ;. In collaboate collaboate elatio elations ns a*on" a*on" t!e *e*bes *e*bes o# t!e !ealt! !ealt! tea*9 tea*9 t!e n/se /s/all& /s/all& (e#o* (e#o*s s t!is ole) ole) a. Sec Secet eta a& & o# o# t!e t!e tea* tea* c. O"a O"ani ni+e +e o# o# soc socia ials ls b. ,o( ,o(e et& t& c/st c/sto$ o$ia ian n "' Coo Coo"i "ina nato to o* !e+ !e+i% i%e! e! <. In$i"eno/s In$i"eno/s co**/nit& co**/nit& eso/ces eso/ces w!ile w!ile t!e CH n/se n/se can /tili+e /tili+e ae t!e #ollow #ollowin" in" e'ce(t) e'ce(t) a. =ent =ent/s /sa a o $& c/(( c/((in in" " c. Ta$ Ta$it itio iona nall !ilo !ilots ts ' Mi%o i%o!o !o*t *t .o" .o" $. Heb Hebal al *e$i *e$ici cine ne 1>. Res(ectin" %al/es9 c/sto*s9 an$ belie#s o# (eo(le e8/ie w!ic! w!ic! o# t!e #ollowin" #ollowin" actions? a' A.ae .aene ne!! !! ta tain inin inc. isco isco/ /a" a"in in" " !a*# !a*#/l /l (ac (acti tices ces b. Inco* Inco*e4 e4"e "ene nea ati tin" n" (o6 (o6ect ects s $. Coll Collab aboa oati ti%e %e (ac (acti tice ces s e. *' Situat Situation ion:: The a&&) a&&)i%a i%atio tion n o* CHN %on%e %on%e&t! &t! an" an" &o%e! &o%e!!e! !e!'' 11. 11. W!ic! o# t!e #ollowi #ollowin" n" state*ents state*ents is not coect? coect? a. As (at o# (atici(ati (atici(ation on to (olic& #o*/lat #o*/lation9 ion9 t!e n/se n/se (la&s an acti%e acti%e ole in lobb&in" lobb&in" #o a*en$*e a*en$*ents nts to t!e n/sin" law. b. In t!e co**/nit& co**/nit&99 t!e n/se aises aises t!e le%el le%el o# awaeness awaeness o# t!e (eo(le to i$enti#& i$enti#& e'istin" e'istin" (oble*s (oble*s an$ an$ (otentials to a$$ess s/c! (oble*s. %' I* the &eo&)e &eo&)e o* the %o##unit( %o##unit( .ant .ant *ee #e"i%ine! #e"i%ine!,, the nu!e %o#&)ie! %o#&)ie! a! the the a!i! o* !e+i%e! !e+i%e! !hou)" !hou)" e on the &eo&)e/! nee"!' $. I# *a& o# t!e taine$ taine$ co**/nit& co**/nit& !ealt! !ealt! wo@es wo@es esi"ne$9 esi"ne$9 t!e t!e n/se !as !as to stat all o%e o%e a"ain a"ain an$ ne%e ne%e "i%es /(. 1-. W!ic! o# t!e t!e #ollowin" #ollowin" state*ent state*ent is coect? coect? a' I* &eo&)e &eo&)e ae not atten"in atten"in- to the !e+i%e! !e+i%e! o**ee" o**ee" ( the hea)th hea)th !ta**, !ta**, the tea# tea# #u!t #u!t e0a!!e!! e0a!!e!! the nee"! o* the &eo&)e' b. In (atici(ato (atici(ato& & a((oac!9 a((oac!9 t!e t!e n/se */st $e%ote$l& $e%ote$l& a$!ee a$!ee to w!at (eo(le (eo(le want. want. c. In a (leasant (leasant co**/nit& co**/nit& w!ee w!ee t!e (eo(le (eo(le ae #i"!tin" #i"!tin" #o #o lan$ ownes!i( ownes!i(99 t!e n/se */st */st not (atici(a (atici(ate te as t!is is not a !ealt! concen. $. N/ses N/ses */st not 6oin 6oin (otect (otect actions actions as n/ses n/ses */st */st be ne/tal ne/tal at at all ti*es. ti*es. 10. ,eo(le !a%e t!e (otential #o c!an"in" t!ei be!a%io. T!is *eans) a. One cannot cannot teac! teac! ol$ ol$ $o"s $o"s new new tic@s. tic@s. b. A(at!& an$ an$ (assi%it& (assi%it& cannot cannot be a$$esse$ a$$esse$ as as t!ese ae $e#ense $e#ense *ec!ani *ec!anis*s s*s $e%elo(e$ $e%elo(e$ b& (eo(le (eo(le t!e*sel%es. %' E"u%ation E"u%ation an" tainintainin- ae #eant #eant to in%ea!e in%ea!e a.aene a.aene!! !! to.a"! to.a"! e!&on!i) e!&on!i)e e a%tion' a%tion' $. Social Social o##en$es o##en$es */st */st alwa&s alwa&s be watc!e$ watc!e$ o/t as t!e& !a%e !a%e t!e ten$enc& ten$enc& to e%et e%et to t!ei t!ei #o*e sel%es. sel%es. 1. I# a (atic/la (atic/la !ealt! se%ice se%ice #alls9 #alls9 t!e *ost basic basic sit/ation sit/ation is) a. Is t!is t!is w!a w!att t!e (eo (eo(l (le e $e*a $e*an$ n$e$ e$? ? c. Is t!is t!is w!at w!at (eo( (eo(le le nee$ nee$? ? ' Wha What .ent .ent .on .on- $. W!o is es(on es(onsib sible le #o t!e #ail/ #ail/e? e? 13. In a *eetin" wit! t!e (eo(le’s (eo(le’s o"ani+ation in t!e co**/nit&9 co**/nit&9 t!e n/se was as@e$ e"a$in" !e (osition on "a*blin" "a*blin" an$ /s/&. T!e *ost a((o(iate es(onse is) a. As lon" lon" as as (eo(le (eo(le $o $o not !a* !a* ot!e ot!es9 s9 itit is o@a& o@a& b. Ga*blin" Ga*blin" an$ an$ /s/& /s/& ae ae (at (at o# 2ili( 2ili(ino ino c/lt/e c/lt/e so let let t!e* be c. Ga*b Ga*bli lin" n"99 &es &es99 /s/ /s/& &99 no "' Con!i"e Con!i"e othe othe *o#! *o#! o* e%eati e%eation on an" an" e%ono#i e%ono#i% % e!ou%e! e!ou%e! 15. 12' Situation: 3no.)e"-e 3no.)e"-e o* the %on%e&t! %on%e&t! an" &o%e!!e! o* CHN i! i! i#&otant' 1;. T!e concen o# t!e CH n/se is is not onl& t!ose w!o "o to t!e cente b/t also also t!ose w!o $o not. W!at is t!e eason #o t!is? a. ete*ine ete*ine t!e easons easons w!& (eo(le (eo(le w!o $o not not "o to t!e cente. cente. b. I$enti I$enti#& #& !ealt !ealt! ! nee$s nee$s o# (eo( (eo(le le w!o w!o $o not not co*e co*e..
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c. e#ine e#ine t!e t!e nee$s nee$s an$ an$ (obl (oble*s e*s o# o# t!ose t!ose w!o w!o co*e. co*e. "' En!ue En!ue that that CH !e+ !e+i%e i%e! ! ae %o#& %o#&ehe ehen!i n!i+e' +e' W!ic! o# t!e t!e #ollowin" #ollowin" state*ent state*ents s is coect? coect? a. Co"ni+ant Co"ni+ant o# t!e $e%ol/tio $e%ol/tion n o# !ealt! se%ices9 se%ices9 $ecision4* $ecision4*a@in" a@in" on !ealt! !ealt! a##ais a##ais s!o/l$ be *a$e *a$e b& t!e o##ice o##ice o# t!e *a&o at t!e */nici(al le%el. b. Gi%en t!e co**/ni co**/nit&9 t&9 t!e n/se n/se can /(li#t t!e sit/atio sit/ation n b& !esel !esel#. #. c. Healt! illness illness !a%e !a%e t!e t!e sa*e sa*e *eanin" *eanin"s s in a !o*o"eno !o*o"eno/s /s co**/ni co**/nit& t& "' Whi)e Whi)e hea)th i! i! the e!&on!i e!&on!ii)it( i)it( o* the hea)th hea)th "e&at#ent, "e&at#ent, it i! a! #u%h #u%h a! the e!&on!i e!&on!ii)i i)it( t( o* the &eo&)e, a! .e)) To #acilitate i*(le*entation o# a CHN CHN (o6ect9 t!e #ollowin" ae to be consi$ee$ e'ce(t) a. Clea Clea tas@s tas@s an$ es(on es(onsib sibili ilitie ties s c. S(eci# S(eci#ic ic ob6e ob6ecti% cti%es es wit! wit! *eas *eas/a /able ble o/t( o/t(/t /t ' Li#ite Li#ite" " in+o) in+o)+e# +e#ent ent o* o* %o##un %o##unit( it( $. A%ai A%aila labl ble e *ate *ateia ials ls an$ an$ s/((l s/((l& & #e#e! W!en (o*otin" t!e !ealt! o# an in$i%i$/al9 in$i%i$/al9 #a*il& an$ co**/nit&9 co**/nit&9 t!e #ist #ist ste( to ta@e b& t!e CH n/se is to) a. Esta Establ blis is! ! a e"is e"ist& t& o# o# #a*il #a*ilie ies s %' Do a hea hea)t )th h a!!e a!!e!! !!#e #ent nt b. Con$ Con$/c /ctt a co* co**/ */ni nit& t& cen cens/s s/s $. O"a O"ani ni+e +e t!e t!e co** co**/n /nit& it& T!e n/se *a@es a contin/o/s a((aisal a((aisal #o t!e cae s!e (o%i$es #o t!e co**/nit& co**/nit& in elation to t!e ob6ecti%es o# o# cae an$ es(onse o# t!e co**/nit&. T!is (ocess is calle$ co**/nit& !ealt! a. Assess*ent b. ia"nosis c. ,atici(atio tion "' E+a)uatio tion
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c. e#ine e#ine t!e t!e nee$s nee$s an$ an$ (obl (oble*s e*s o# o# t!ose t!ose w!o w!o co*e. co*e. "' En!ue En!ue that that CH !e+ !e+i%e i%e! ! ae %o#& %o#&ehe ehen!i n!i+e' +e' W!ic! o# t!e t!e #ollowin" #ollowin" state*ent state*ents s is coect? coect? a. Co"ni+ant Co"ni+ant o# t!e $e%ol/tio $e%ol/tion n o# !ealt! se%ices9 se%ices9 $ecision4* $ecision4*a@in" a@in" on !ealt! !ealt! a##ais a##ais s!o/l$ be *a$e *a$e b& t!e o##ice o##ice o# t!e *a&o at t!e */nici(al le%el. b. Gi%en t!e co**/ni co**/nit&9 t&9 t!e n/se n/se can /(li#t t!e sit/atio sit/ation n b& !esel !esel#. #. c. Healt! illness illness !a%e !a%e t!e t!e sa*e sa*e *eanin" *eanin"s s in a !o*o"eno !o*o"eno/s /s co**/ni co**/nit& t& "' Whi)e Whi)e hea)th i! i! the e!&on!i e!&on!ii)it( i)it( o* the hea)th hea)th "e&at#ent, "e&at#ent, it i! a! #u%h #u%h a! the e!&on!i e!&on!ii)i i)it( t( o* the &eo&)e, a! .e)) To #acilitate i*(le*entation o# a CHN CHN (o6ect9 t!e #ollowin" ae to be consi$ee$ e'ce(t) a. Clea Clea tas@s tas@s an$ es(on es(onsib sibili ilitie ties s c. S(eci# S(eci#ic ic ob6e ob6ecti% cti%es es wit! wit! *eas *eas/a /able ble o/t( o/t(/t /t ' Li#ite Li#ite" " in+o) in+o)+e# +e#ent ent o* o* %o##un %o##unit( it( $. A%ai A%aila labl ble e *ate *ateia ials ls an$ an$ s/((l s/((l& & #e#e! W!en (o*otin" t!e !ealt! o# an in$i%i$/al9 in$i%i$/al9 #a*il& an$ co**/nit&9 co**/nit&9 t!e #ist #ist ste( to ta@e b& t!e CH n/se is to) a. Esta Establ blis is! ! a e"is e"ist& t& o# o# #a*il #a*ilie ies s %' Do a hea hea)t )th h a!!e a!!e!! !!#e #ent nt b. Con$ Con$/c /ctt a co* co**/ */ni nit& t& cen cens/s s/s $. O"a O"ani ni+e +e t!e t!e co** co**/n /nit& it& T!e n/se *a@es a contin/o/s a((aisal a((aisal #o t!e cae s!e (o%i$es #o t!e co**/nit& co**/nit& in elation to t!e ob6ecti%es o# o# cae an$ es(onse o# t!e co**/nit&. T!is (ocess is calle$ co**/nit& !ealt! a. Assess*ent b. ia"nosis c. ,atici(atio tion "' E+a)uatio tion
A1 PASSERS TRAINING, RESEARCH, REVIEW AND
||3 DEVELOPMENT COMPANY ||3 45' 46' SIT7ATION SIT7ATION:: Nu!e 8o( i! the ne. PHN in he #uni%i&a)it(' #uni%i&a)it(' She $u!t ha" he )i%en!e an" i! +e( e9%ite" aout he ne. $o' -1. As a n/se9 o& @nows @nows %e& well t!at s!e can (e#o* (e#o* all o# t!e #ollowin" #ollowin" e'ce(tB a.Con$/ct lect/es on t!e i*(otance o# (enatal %isits to all (e"nant wo*en. b.,e#o* Leo(ol$’s *ane/%e in t!e !o*e settin". c.Assist in !o*e $eli%eies "'Sutue 4 n" "e-ee )a%eation! "uin- ho#e "e)i+eie! --. As a ,HN9 o& @nows t!at one o# t!e t!e #ollowin" state*ent state*ents s is not t/e. W!ic! one is it? a.All (/blic !ealt! n/ses ae e*(lo&e$ b& t!e "o%en*ent 'A)) %o##unit( hea)th nu!e! ae e#&)o(e" ( the -o+en#ent c. All co**/nit& !ealt! n/ses (o%i$e cae in t!e co**/nit& settin" $.All (/blic !ealt! n/ses (o%i$e cae in (/blic !ealt! settin"s -0. W!en as@e$9 n/se o& i$enti#ie$ i$enti#ie$ t!e #ollowin" #ollowin" as t!e (atient (atient o# t!e co**/nit& co**/nit& n/seB a.In$i%i$/al c. ,o(/ ,o(/la lati tion on "o/ "o/( ( b.2a*il& "' Co##unit( -. N/se o& 8/ote$ C.E. Winslow Winslow w!en s!e sai$ t!at !e 6ob also $eals wit! wit! a((l&in" !e @nowle$"e o# t!e t!e Science an$ at o# (e%entin" $isease9 (olon"in" li#e9 (o*otin" !ealt! to enable e%e& citi+en to eali+e !is bit!i"!t to !ealt! an$ lon"e%it&.D T!is state*ent is C.E.Winslow’s C.E.Winslow’s $e#inition o# a'Pu)i% hea)th c. Co** Co**/n /nit it& & !eal !ealt! t! b.,/blic !ealt! n/sin" $. Co** Co**/n /nit it& & !eal !ealt! t! n/ n/si sin" n" -3. N/se o& @nows t!at t!at onl& one o# t!e t!e #ollowin" state*ents state*ents is coect. W!ic! is it? a. In CHN9 t!e t!e client client is consi$ee$ consi$ee$ as (assi%e (assi%e eci(ie eci(ient nt o# cae9 not not an acti%e acti%e (atne. (atne. b. T!e "oal "oal o# CHN is ac!ie%e ac!ie%e$ $ t!o/"! t!o/"! secto sectoal al e##ot e##ots s %' CHN &a%ti%e &a%ti%e i! a**e%te" a**e%te" ( "e+e)o&#enta) "e+e)o&#enta) in hea)th te%hno)o-(, te%hno)o-(, in &ati%u)a an" %han-e! %han-e! in !o%iet( in -enea)' $. CHN is in$e(en$ in$e(en$ent ent #o* #o* t!e !ealt! !ealt! cae s&ste* s&ste* an$ t!e la"e la"e !/*an !/*an se%ices se%ices s&ste* s&ste* 4' 42' SIT7A SIT7ATION: TION: Si#on Si#onette ette i! i! the PHN in the the #uni%i #uni%i&a)i &a)it( t( o* Ri;a)' Ri;a)' A! A! a PHN, PHN, !he !he a!!u#e! a!!u#e! "i**e "i**eent ent o)e!, o)e!, "e&en"in- on the %)ient nee"!' In the #onth o* Au-u!t, !he noti%e" that thee ha! een a i!in- in%i"en%e o* "iahea *o a #onth in the (oun- %hi)"en in he #uni%i&a)it(' The !ituation %a))e" *o he to %onto) the !&ea" o* the hea)th &o)e#' -;. Si*onette con$/cts a *ot!e’s class class to $isc/ss t!e i*(otance o# boilin" boilin" wate to *a@e it sa#e #o $in@in". $in@in". W!ic! a*on" t!e #ollowin" ole is s!e (e#o*in"? a. Clinician c. Lea$e ' Hea) Hea)th th e"u% e"u%at ato o $. Reseac!e !e -<. Si*onette o"ani+e$ a "o/( o# &o/n" a$/lts a$/lts an$ teena"es to !el( clean /( t!e "aba"e nea t!e co**/nit&’s co**/nit&’s wate so/ce. W!ic! a*on" t!e #ollowin" is s!e (e#o*in"? a. Clinician %' Lea"e b. Heal ealt! e$/c e$/cat ato o $. Reseac!e !e 0>. W!en Si*onette inst/cte$ inst/cte$ t!e co**/nit& (eo(le an$ t!e !ealt! wo@es wo@es to contin/o/sl& e(ot t!e t!e cases o# $ia!ea an$ t!e *i$wi%es to (o(el& $oc/*ent t!e cases9 s!e was (e#o*in" !e ole as a? a. Clinician c. Lea$e b. Heal ealt! e$/c e$/cat ato o "' Re!ea% a%he 01. /in" t!e !o*e %isits9 Si*onette Si*onette i$enti#ie$ cases o# se%ee se%ee $e!&$ation a*on" c!il$en an$ i**e$iatel& i**e$iatel& e#ee$ t!e* to t!e $istict !os(ital. W!ic! a*on" o# t!e #ollowin" oles is s!e (e#o*in"? a' C)ini%ian c. Lea$e b. Heal ealt! e$/c e$/cat ato o $. Reseac!e !e 0-. W!ic! a*on" t!e #ollowin" #ollowin" oles tanscen$s tanscen$s all $i*ensions $i*ensions o# n/sin"?
a. Clinician ' Hea)th e"u%ato
c. Lea$e $. Reseac!e
e' *' -' h' SIT7ATION: 3i!, 3ath, 3aen an" 3e))( ae ne. %o##unit( hea)th nu!e!' 00. Fis is es(onsible #o (o%i$in" i**/ni+ation to #acto& wo@es in a #acto& #o canne$ #oo$s. W!at #iel$ o# CHN is Fis in? a. Co**/nit& Mental Healt! N/sin" c. Sc!ool Healt! n/sin" ' O%%u&ationa) Hea)th Nu!in$. None o# t!e abo%e 0. Fat! o"ani+e$ !ealt! e$/cation classes on !/*an se'/alit& a*on" t!e #ist &ea !i"! sc!ool st/$ents in !e wo@(lace. W!at #iel$ o# CHN is Fat! in? a. Co**/nit& Mental Healt! N/sin" %' S%hoo) Hea)th Nu!inb. Occ/(ational Healt! N/sin" $. None o# t!e abo%e 03. Fonnie eco**en$e$ to t!e a$*inistation t!at t!e e*(lo&ees be (o%i$e$ wit! (esonal (otecti%e e8/i(*ents. W!at #iel$ o# CHN is Fonnie in? a. Co**/nit& Mental Healt! N/sin" c. Sc!ool Healt! N/sin" ' O%%u&ationa) Hea)th Nu!in$. None o# t!e abo%e 05. Faen o"ani+e$ a lect/e $isc/ssion on t!e (e%ention o# s/bstance ab/se a*on" t!e o/t o# sc!ool &o/t! in !e wo@(lace. W!at #iel$ o# CHN is Faen in? a' Co##unit( Menta) Hea)th Nu!inc. Sc!ool Healt! N/sin" b. Occ/(ational Healt! N/sin" $. None o# t!e abo%e 07. Fell& o"ani+e$ t!e clean /( o# sta"nant canals an$ $is(osal o# /nco%ee$ wate ece(tacles in t!e sc!ool to (e%ent $en"/e. W!at #iel$ o# CHN is Fell& in? a. Co**/nit& Mental Healt! N/sin" %' S%hoo) Hea)th Nu!inb. Occ/(ational Healt! N/sin" $. None o# t!e abo%e e. *' Situation: You ae a!!i-ne" a! a PHN in the RH7 I o* the Muni%i&a)it( o* Li.a(.a(' 0;. Yo/ es(onsibilities incl/$e t!e #ollowin" e'ce(tB a. ,atici(ate in t!e i*(le*entation an$ e%al/ation o# t!e */nici(al !ealt! (lan #o t!e &ea ->1' Pati%i&ate in the anti < in!u-en%( "i+e o* the #i)ita( in (ou #uni%i&a)it( c. O"ani+e tainin"s on t!e stan$a$s #o !&(etension $etection an$ , ta@in" #o *i$wi%es $. O"ani+e anti abies i**/ni+ations #o t!e $o"s in t!e */nici(alit& 0<. Yo/ oles incl/$e t!e #ollowin" e'ce(t) a. Cae (o%i$e c. E(i$e*iolo"ist b. Collaboato "' =u"-et o**i%e >. Relate$ to (atient cae9 &o/ tas@s incl/$e t!e #ollowin" e'ce(tB a. A$*iniste ste(to*&cin IMJ to cate"o& II ,T (atients ' In!et the NGT !in%e it i! a+ai)a)e in the ho#e !ettin- an" &o+i"e ORS to a !e+ee)( "eh("ate" %hi)" e*oe e*ea) c. Close a inc! c/t b& s/t/in" it a#te local in#iltation wit! anest!esia $. Cleanse a sta"e - $ec/bit/s /lce in a be$i$$en (atient in t!e !o*e settin" 1. Yo/ @now %e& well t!at &o/ s!o/l$ o"ani+e acti%ities in t!e aeas o# . a. Healt! (o*otion c. Re!abilitation b. isease (e%ention "' A)) o* the ao+e
-. In te*s o# a. ' c. $. 0.
e$/cational (e(aation9 a ,HN s!o/l$ !a%e . A S N/sin" $e"ee A =S nu!in- "e-ee an" #u!t e a e-i!tee" nu!e A S N/sin" e"ee9 be a e"istee$ n/se an$ *asteal /nits A S N/sin" e"ee9 be a e"istee$ n/se9 an$ *asteal $e"ee.
66' Situation: The %o##unit( hea)th nu!e #u!t e a"e&t .ith the %on%e&t! o* Co##unit( Hea)th Nu!in-' 3. T!e co**/nit& is an inte"al (at o# an& "i%en societ&. T!is *eans t!e #ollowin" e'ce(tB a. Co**/nit& (oble*s ae o#ten e#lections o# societ& (oble*s. b. C/lt/e s!a(es (eo(les as (eo(le s!a(es c/lt/e. %' A %o##unit( %an e%o#e !e)*0e)iant .hi)e an a"$a%ent one i! not' $. Societal #actos *a& !a%e $iect e##ects on t!e co**/nit& sit/ation. 5. T!e co**/nit& is alwa&s in a state o# contin/o/s *o%e*ent an$ c!an"e. T!is *eans t!at) a' Chan-e in the %o##unit( i! inheent' b. A#te a (atic/la (eio$ o# ti*e9 a co**/nit&’s sit/ation beco*es (e$ictable. c. T!e con$ition in t!e co**/nit& is static. $. Ta$itional inte%entions ae alwa&s a((licable at an& "i%en ti*e an$ sit/ation. 7. I# t!e con$ition in t!e co**/nit& is alwa&s c!an"in"9 it is necessa& toB a. Isolate co**/nit& (oble*s #o* societal (oble*s. b. e%elo( a co**/nit& !ealt! (lan. c. I$enti#& so/ces o# con#licts in t!e co**/nit&. "' Continuou!)( a!!e!! %o##unit( !ituation!' ;. T!e Co**/nit& Healt! N/se eco"ni+es t!e ole o# co**/nit& lea$es beca/seB a. T!e n/se as a lea$e can $ictate t!e (eo(le. b. Lea$es!i( is bon o/t o# lo%e #o (eo(le. c. Co**/nit& *e*bes ae $e(en$ent on t!ei lea$es. "' Co##unit( &ati%i&ation #u!t e u&he)" at a)) ti#e!' <. T!e Co**/nit& Healt! se%ices (o%i$e$ b& t!e n/se */st be base$ onB a. Nee$s an$ (oble*s i$enti#ie$ b& t!e n/se ' The i"enti*ie" nee"! on %o##unit( "ia-no!i! c. ,lan o# action $. Ob6ecti%es o# t!e (lan 3>. >1' Situation: Re!&on!ii)itie! o* a Co##unit( Hea)th Nu!e 5. T!e n/se acti%el& (atici(ates in t!e $e%elo(*ent o# t!e co**/nit& !ealt! (lan in o$e toB a. Re(esent t!e co**/nit& in t!e !ealt! tea* b. I*(ess t!e ot!e *e*bes o# t!e (lannin" (!ase o# t!e n/sin" (ocess %' En!ue that thee i! a nu!in- %o#&onent in an( hea)th un"eta?in$. See to it t!at t!e ste(s in t!e (lannin" (!ase ae caie$ o/t 7. W!at is t!e basic (/(ose o# eseac! in CHN? a. So/ces o# #/n$s an$ ot!e eso/ces %' I#&o+e#ent o* hea)th %ae b. Me$ia (o6ection $. ,oo# o# co*(etence ;. T!e n/se is (acticin" CHN i# s!e a. =isits an ol$ wo*an in !e !o*e to c!an"e !e (ost4s/"ical $essin" b. Inst/cts a co/(le on newbon cae c. Sets /( a s/((ot (o"a* #o teena"e (e"nant wo*an "' Doe! an( o* the!e <. At all ti*es9 t!e co**/nit& !ealt! n/se */st (o%i$e 8/alit& n/sin" se%ices base$ on) a' Stan"a"! o* &a%ti%e c. N/sin" (!iloso(!& b. ,inci(les $. Conce(ts an$ ob6ecti%es o# CHN 3>. T!e conte't o# CHN (actice is) a' E9i!tin- hea)th &o)e#! an" nee"! o* c. OH "oals the &eo&)e $. e%ol/tion o# tea* b. C/ent !ealt! stat/s o# t!e (eo(le e. *' Situation: Te!!ie i! a ne. %o##unit( hea)th nu!e a!!i-ne" in a ua) %o##unit(' 31. S!e notice$ t!at Na& Lota9 t!e local !ebolaia is sn/bbin" !e. T!e best t!in" #o !e to $o is to a. Sn/b !e as well an$ (eten$ s!e $oes not e'ist b. As@ t!e *i$wi#e to #etc! !e an$ !a%e a *eetin" wit! !e at t!e !ealt! cente to clai#& *attes c. Ma@e a co/tes& call b& %isitin" !e at w!ee s!e li%es "' Sen" an in+itation *o a tainin- o* %o##unit( hea)th .o?e! 3-. S!e *a$e a !o*e %isit to Ma&lin an$ ose to "i%e (e4natal inst/ctions. S!e notice$ t!at t!e two ae !a%in" a 8/ael. W!at will s!e sa&? a. W!& ae &o/ 8/aelin"? Tell *e so I can 6/$"e w!o is at #a/lt.D b. Can &o/ sto( 8/aelin"? We will be tal@in" abo/t *oe i*(otant t!in"s.D c. Sto( it ose. Yo/ ae $oin" !a* to t!e bab&.D "' @I! it a)i-ht i* I $u!t %o#e a%? !o#e othe ti#e 30. In a !ealt! wo@es’ tainin"9 &o/ #o/n$ o/t t!at t!e (atici(ants toll alon" t!ei s*all c!il$en. Antici(atin" con#/sion $/in" t!e tainin"9 t!e best action is to) a' Put a)) %hi)"en in anothe oo# an" ha+e !o#eone )oo? a*te the#' b. Tell t!e (atici(ants to "o !o*e an$ !a%e so*eone ta@e cae o# t!ei c!il$en. c. Let t!e c!il$en be9 an&wa&9 t!e (atici(ants !a%e to ta@e cae o# t!ei &o/n". $. ,ost(one t!e tainin" #o a $a& w!en (atici(ants can co*e b& t!e*sel%es alone. 3. It was election ti*e an$ a can$i$ate co*es to &o/ an$ e8/ests &o/ in a #ee clinic w!ic! is (at o# !is ca*(ai"n. W!at will &o/ $o?
Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >
a'
A!? *o an a&o)o-( *o not &ati%i&atin- an" te)) hi# that the &eo&)e %an %o#e to the hea)th %ente an(ti#e the( nee" thei !e+i%e!' b. =ei#& #ist i# t!e can$i$ate can "i%e &o/ a s/bstantial (o#essional #ee. c. Yo/ li@e !i*9 no 8/estions as@9 "oK $. Wait /ntil t!e i%al can$i$ate co*es in an$ t!e one w!ic! &o/ #eel */st win. 33. A wo*an went into t!e cente #o teat*ent o# s&(!ilis. Yo/ *i$wi#e s!ae$ t!e *atte to *ot!es w!o wee t!ee $/in" t!at ti*e. W!at will &o/ $o? a. Con#i* t!e sto& to t!e *ot!e ' E9&)ain to #othe! that !(&hi)i! %an e teate" c. I"noe t!e inci$ent $. Ma@e a $enial e. *' Situation: Co##unit( hea)th nu!in- &a%ti%e .i)) euie the a&&)i%ation o* a!i% %on%e&t! that .i)) enhan%e !e+i%e &o+i!ion to &eo&)e' 35. Co**/nit& (atici(ation is essential. T!is is *a$e (ossible b&) a' Con"u%tin- %on!u)tation #eetin-! .ith ?e( )ea"e! o* the %o##unit(' b. 2/ll (atici(ation o# t!e n/ses in $ecision *a@in". c. S!ae$ lea$es!i( in t!e co**/nit& o# t!e onset o# t!e (o"a*. $. ,o%ision o# co*(e!ensi%e an$ /n$estan$able in#o*ation. 37. To e##ecti%el& (o%i$e n/sin" cae to t!e co**/nit&9 t!e n/ses */st #ist) a. Un$estan$ t!e co**/nit&’s c/lt/e. b. Re%iew e'istin" !ealt! eco$s. c. I$enti#& #o*al lea$es. "' A!!e!! the hea)th e)ie*! o* the &eo&)e' 3;. T!e *ini*/* le%el o# t!e (eo(le’s (atici(ation is) a' Con!u)tation c. In#o*ation b. Citi+en’s contol $. ,atnes!i( 3<. In a$$essin" t!e !ealt! (oble*s o# t!e co**/nit&9 t!e n/ses */st ens/e t!at) a' Peo&)e i"enti*( an" &ioiti;e thei o.n &o)e#!' b. Healt! tea* *e*bes "i%e t!ei s!ae o# es(onsibilit& in !ealt! cae. c. ,eo(le ae (assi%e eci(ients o# se%ices. $. OH (o"a*s ae caie$ o/t. 5>. ,eo(le’s (atici(ation is *a$e (ossible t!o/"!) a. ,i*a& !ealt! cae b. Use o# */lti$isci(lina& a((oac! %' Co##unit( o-ani;in$. Local "o%en*ent co$e e. *' Situation: Co##unit( hea)th nu!e! &o+i"e %ae to in"i+i"ua)! .ho +i!it the hea)th %ente' 51. In con$/ctin" is@ assess*ent9 t!e n/se /tili+es t!e (inci(le t!at) a' Ea%h in"i+i"ua) i! uniue' c. An in$i%i$/al is (at o# t!e #a*il&. b. Client’s t/st is necessa&. $. Ra((ot */st be establis!e$. 5-. In t!e !ealt!4belie# *o$el9 an in$i%i$/al will ta@e (e%enti%e !ealt! actions i# !e (ecei%es) 50. 1. His s/sce(tibilit& to $isease 5. -. T!e se%eit& o# $isease 53. 0. ene#its o e##icienc& o# actions 55. . T!e n/se is t/stwot!& a. All o# t!e abo%e c. 1 an$ - onl& ' 1,4 an" 5 $. 1 onl& 57. In (o*otin" t!e !ealt!& li#est&le o# t!e in$i%i$/al9 t!e n/se */st e*(!asi+e t!e in$i%i$/al’s) a' Se)*0e!&on!ii)it( c. Sel#4es(ect b. Sel#4wot! $. Sel#4$i"nit& 5;. In $ealin" wit! t!e !ealt! (oble* o# an in$i%i$/al9 t!e n/se loo@s into t!e $i##eent #actos a##ectin" !ealt! as e#lecte$ in t!is *o$el) a. Ge* t!eo& b. E(i$e*iolo"ical *o$el c. Wellness4illness contin//* "' Mu)ti&)e %au!ation #o"e) e. *' Situation: A! the ne. &u)i% hea)th nu!e o* =a(o 3e&o! =a(an, Pia a&&)ie! the ?e( %on%e&t! an" &in%i&)e! o* Co##unit( Hea)th Nu!in-' 53. As a Co**/nit& Healt! N/se9 ,ia’s concen will be t!e #ollowin" (o(/lation "o/() ". 1. 2a*ilies in t!ei !o*es !. -. Sc!ool (o(/lation i. 0. Wo@es in t!e #actoies 6. . ,atients con#ine$ at CG Hos(ital a. All o# t!e abo%e c. All e'ce(t 0 ' A)) e9%e&t 6 $. All e'ce(t 55. A*on" !e e##ots as a !ealt! n/se9 ,ia’s concen will be t!e #ollowin" (o(/lation "o/() a. ,o%i$e se%ices to all in$i%i$/als in t!e co**/nit&. ' I"enti*( hi-h i!? &o&u)ation -ou&! in the %o##unit(' c. ,o%i$e cae to #a*ilies in t!e co**/nit&. $. Ta"et t!e "eneal (/blic #o co**/nit& !ealt! se%ice (o%ision. 57. T!e *ain #oc/s o# ,ia’s e##ots will be on) a. ,o%ision o# !ealt! an$ ens/in" (eace#/l $eat! ' Hea)th &o#otion an" "i!ea!e &e+ention c. Ens/in" t!e i"!t to !ealt! an$ lon"e%it& Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))!
$. Sel# eliance in !ealt! 5;. ,ia will !a%e to coo$inate wit! t!e ot!e *e*bes o# t!e !ealt! tea*. T!e a((oac! w!ic! is inte"ate$ an$ co*(e!ensi%e is e#ee$ to as) a. M/lti4lateal a((oac! c. M/lti4cas/al a((oac! ' Inte0"i!%i&)ina( a&&oa%h $. M/lti4sectoal a((oac! 5<. Reco"ni+in" t!e #act t!at t!e con$ition in t!e co**/nit& is $&na*ic. ,ia */st) a. Assess e'istin" conta$ictions:con#licts to i$enti#& so/ces o# (oble*s. ' A!!e!! %o##unit( !ituation to i"enti*( !ou%e! o* &o)e#! an" &o!!i)e !o)ution!' c. Re"a$ co**/nit& as ne%e static9 !ence9 e8/iin" ea$& an$ #i'e$ !ealt! (o"a*s. $. Consi$e co**/nit& as co*(ose$ o# inte"al (ats o# societ&. Situation: Phoee an" Pia ae in+o)+e" in hea)th e"u%ation .o?' 7-. 2o !ealt! e$/cation to be s/ccess#/l9 t!e n/ses ens/e t!at it is) a. ase$ on anal&sis o# e'istin" !ealt! (o"a*s. b. An o/tco*e o# e%al/ation o# e'istin" e$/cational eso/ces c. In acco$ance to t!e teac!in" co*(etencies o# t!e n/se "' =a!e" on i"enti*ie" nee"! o* the &eo&)e 70. Healt! e$/cation is *ost nee$e$ w!en) a' Pe!on! ae !ti)) hea)th( b. ,eo(le at eal& sta"e o# illness c. ,eo(le ae sic@ $. In$i%i$/als at e!abilitation (!ase e. *' Situation: CHN i! a !(nthe!i! o* nu!in- &a%ti%e an" &u)i% hea)th &a%ti%e' 7-. W!at is t!e ai* o# CHN? a. To se%e all a"es o# (o(/lation c. e%elo(*ent o# !/*an bein" ' Po#otin- an" &e!e+in- hea)th $. Li*itation to cetain a"e onl& 70. W!ee is CHN e'ten$e$? a' In"i+i"ua)!, *a#i)ie! an" %o##unitie! c. Mat/e an$ el$el& b. 2e*ale (o(/lation onl& $. A$olescents9 a$/lt an$ a"e$ 7. W!at ae t!e citeia to beco*e a (/blic !ealt! n/se? a' =SN -a"uate .ith )i%en!e c. S(ecialist in an& #iel$ b. S(ecialist in CHN $. C/* la/$e on "a$/ation 73. T!e $&na*ic cae o# t!is n/sin" tool (o%i$es *eas/e*ents o# (o"ess. W!at is t!e scienti#ic9 s&ste*atic (ocess #o 8/alit& cae? a. N/sin" (olicies b. N/sin" stan$a$ c. N/sin" (oce$/es "' Nu!in- &o%e!! e' *' Situation: Hea)th an" We))ne!! %on%e&t! 75. T!e *o$en conce(t o# !ealt! e#es to) a. How in$i%i$/als can be calle$ $isease4#ee b. How in$i%i$/als can a%ail t!e #/nction o# t!ei i**/ne s&ste* %' Ho. in"i+i"ua)! #aintain #a9i#u# )e+e) o* .e))ne!! $. How in$i%i$/als a%oi$ $iseases 77. T!e #acto in ecos&ste* a##ectin" t!e in$i%i$/al’s !ealt! t!at is in%ol%e$ in t!e *enace o# (o(/lation9 basicall& *an4*a$e is) a. e!a%ioal %' En+ion#enta) in*)uen%e! b. Socio4econo*ic $. ,olitical 7;. T!e #acto in t!e ecos&ste* a##ectin" t!e in$i%i$/al’s !ealt! t!at is in%ol%e$ in t!e (o%ision o# essential !ealt! se%ices w!et!e co**/nit&4base$9 accessible9 s/stainable9 an$ a##o$able is t!e) a. Socio4econo*ic c. e!a%ioal ' Hea)th Cae De)i+e( S(!te# $. ,olitical 7<. W!ic! is not an e'a*(le o# be!a%ioal in#l/ences in t!e o(ti*/* le%el o# #/nctionin" on !ealt! stat/s? a. Ci"aette s*o@in" an$ alco!ol $in@in" b. A "an$*ot!e wit! an a$/lt4onset $iabetes c. Se$enta& li#est&le o# an o##ice wo@e "' E9&o!ue to to9i% !u!tan%e! in the .o?&)a%e ' ;1. T!e le%el o# !ealt! o# an in$i%i$/al9 #a*il&9 "o/(9 (o(/lation9 o co**/nit& is calle$) a. Healt! assets c. Healt! (oble* ' Hea)th !tatu! $. Healt! nee$s ;-. In t!e !ealt! cae $eli%e& s&ste*9 i$eall&9 e!abilitation se%ices be"in) a' 7&on a"#i!!ion o* %)ient! in the hea)th %ae !(!te# b. U(on $isc!a"e o# clients #o* !ealt! cae s&ste* c. A#te t!e client’s (!&sical con$ition stabili+es $. Soon a#te t!e client !as e8/este$ #o e!ab se%ices ;0. 6' Situation: Con%e&t! o* Co##unit( Hea)th Nu!in- ae u!e" in .o?in- .ith the %)ient!, in"i+i"ua)!, *a#i)ie!, -ou& an" %o##unitie!' ;-. T!e #oc/s o# CHN is t!e (o*otion o# !ealt!. W!ic! one below is t!e es(onsibilit& o# t!e n/se /(on *eetin" a client? a. S(ot *a((in" o# t!e location b. Ma@in" e#eal s&ste* c. I$enti#&in" a%ailable eso/ces "' A!!e!!#ent o* hea)th !tatu! ;0. T!e CHN s(en$ lon" (eio$ o# ti*e wit! t!e #a*il& as co**/nit& clients in %aie$ !ealt! settin"s. W!at @in$ o# !ealt! cae se%ices ae (o%i$e$ to *e*bes o# t!is #a*il&? Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 2
a. Re#eal onl& b. Selecte$ (oble*s %' A)) t(&e! $. ,ioit& cases ;. In t!e (actice o# co**/nit& !ealt! n/sin"9 a contin//* c&cle o# t!is $&na*ic (ocess is $one /ntil te*ination o# n/sin" is i*(licit. W!ic! n/sin" @nowle$"e is t!is? a. N/sin" (oce$/e ' Nu!in- &o%e!! c. N/sin" eseac! $. N/sin" *ana"e*ent ;3. T!e @nowle$"e o# t!e n/se in t!e co**/nit& is not li*ite$ to n/sin" b/t a e8/ie$ an$ /($ate$ @nowle$"e in biolo"ical an$ social sciences9 ecolo"& an$ /tili+ation o# t!isB a. Co**/nit& !ealt! eso/ces b. Healt! (o"a*s #o* t!e e"ion c. Rec/ite$ #a*il& *e*bes "' Co##unit( hea)th o-ani;ation! >' ' Situation: The %onte9t o* CHN i! an in!tu#ent to %o##unit( "e+e)o&#ent' ;5. W!ic! (o"a* s!o/l$ a CHN (atici(ate acti%el& to s/((ot "lobal action #o t!e en%ion*ent? a. To'ic c!e*ical waste *ana"e*ent b. Anti4s*o@e belc!in" c. eo4!os(ital waste *ana"e*ent "' eo0!o)i" .a!te #ana-e#ent ;7. T!e ai* o# (atnes!i( an$ collaboation wit! t!e (eo(le is to) a' Get &eo&)e to .o? to-ethe to a""e!! %on%en! that a**e%t the# b. Gi%e (eo(le an o((ot/nit& to lean s@ills in inta(esonal elations c. a (eo(le in t!e $ecision4*a@in" (ocess $. E'(ect (eo(le to (atici(ate in t!e conte't o# a/tocatic lea$es!i( ;;. T!e basic easons w!& co**/nit& o"ani+es nee$ to (!ase o/t #o* t!e co**/nit& is to enable) a. N/ses to o(en CO wo@ in ot!e $e(esse$ co**/nities ' Peo&)e to e9e%i!e !e)*0e)ian%e c. T!e (eo(le’s o"ani+ation to e'(an$ t!ei co%ea"e $. ,eo(le to test t!ei /nit& an$ sten"t! ;<. T!e i*(otant #o/n$ation in co**/nit& o"ani+ation is to bin" to"et!e se%eal in$i"eno/s lea$es. T!is is) a. Inte"ation c. Re(esentation ' Coe -ou& *o#ation $. Mobili+ation <>. W!at is t!e *et!o$ o# establis!in" a((ot wit! t!e (eo(le an$ e'ecisin" e##ot to i*bibe co**/nit& li#est&le wit! t!e*? a' Inte-ation c. Re(esentation b. Coe "o/( #o*ation $. Sociali+ation <1. T!e n/se an$ ot!e *e*bes o# t!e !ealt! tea* (o%i$e tainin" on basic !ealt! cae an$ ot!e concens to o"ani+e$ "o/( lea$es. W!ic! o# t!e #ollowin" (!ases o# t!e CO,AR (ocess is t!e tainin" $one? a' Su!tenan%e an" !ten-thenin- &ha!e b. O"ani+ation4b/il$in" (!ase c. ,e4ent& (!ase $. Ent & (!ase e. #.
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-' LEVELS OF CLIENTELE h' i' Situation: The In"i+i"ua) a! a C)ient T!e #ollowin" ae a((lications o# t!e ato*istic a((oac! in loo@in" at *an ECE,TB a. ,o%ision o# a te(i$ s(on"e bat! to lowe t!e te*(eat/e o# t!e client ' Fa#i)( thea&( c. N/ses’ a$*inistation o# *e$ications at t!e i"!t ti*e $. ,e#o*ance o# (o(e wo/n$ cae Ho(elessness as a n/sin" (oble* #alls /n$e w!ic! $i*ension o# *an? a. Social %' S&iitua) b. ,s&c!olo"ical $. Intellect/al T!e !olistic a((oac! in loo@in" at an in$i%i$/al states t!atB a. Man is e8/al to t!e s/* o# !is (ats b. Man is co*(ose$ o# s(ae (ats c. Man’s (ats9 w!en 6oine$ to"et!e9 #o* a w!ole "' Man i! "i**eent *o#, an" i! #oe than the !u# o* it! &at! W!ic! o# t!e #ollowin" state*ents (etains to a *an’s social $i*ension? a. Ma6oit& o# *en $e%elo( an /n8/estionin" belie# in so*eone o so*et!in" ' The *a#i)( i! #an/! *i!t !o%ia)i;in- a-ent c. Man’s ationalit& *a@e !i* *eci#/l $. Man is $i##eent #o*9 an$ is *oe t!an t!e s/* o# !is (ats Lino Oban was "ante$ a tetia& e$/cation sc!olas!i( b& t!ei town *a&o to an& (i%ate sc!ool in Manila. Co*in" #o* a (oo #a*in" co**/nit&9 &o/ @now t!at !is #ist #ew $a&s in sc!ool wo/l$ (ose as a t!eat to w!ic! o# t!e #ollowin" $i*ensions? a. ,!&sical c. S(iit/al ' So%ia) $. Intellect/al Ms. S/e ,la$a cons/lte$ t!e n/se at t!e in$/stial clinic an$ was a$%ise$ to !a%e a !e*o"lobin co/nt. a' Ph(!i%a) b. Social Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))!
c. S(iit/al $. Intellect/al <;. <<. All o# t!e #ollowin" con$itions ae e'a*(les o# t!e a((lication o# t!e ato*istic a((oac!9 e'ce(tB a. Ta@in" t!e te*(eat/e o# t!e (atient c. Assessin" t!e t&(e o# #a*il& b. Testin" %is/al ac/it& "' A"#ini!tein- #e"i%ation! 1>>. W!ic! o# t!e #ollowin" state*ents e"a$in" !olistic a((oac! is coect? a. ,eo(le in a !o*o"eno/s co**/nit& s!ae t!e sa*e !ealt! (ece(tions b. ,oble*s o# t!e in$i%i$/al s!o/l$ be teate$ as se(aate #o* t!e (oble*s o# t!e #a*il& %' An in"i+i"ua) %an &e*o# +aiou! o)e! at the !a#e ti#e $. We cannot teac! new tic@s to ol$ $o"sD 1>1. T!e #ollowin" ae e%i$ence t!at !/*an bein"s !ol$ s/(e*ac& o%e all o# li#e #o*s ECE,TB a. ,eo(le ae blesse$ wit! intellect an$ will. ' Hu#an! %ou)" eithe e #a)e o *e#a)e' c. T!e !/*ans ae ca(able o# establis!in" si"ni#icant elations a*on" ot!es. $. An in$i%i$/al belie%es in t!e %it/es o# !o(e9 #ait!9 an$ c!ait&. 1>-. 15' 16' 1>' 1' 12' 1' 1' 11' 111' 114' 115' 116' 11>' 11' 112' 11' 11' Set 4 14' 141' A! a %o##unit( hea)th nu!e, (ou %)ient! ae u!ua))( "i+e!e' It i! i#&otant that (ou !hou)" e a.ae o* the nee"! o* the!e %)ient! a%%o"in- to thei "e+e)o&#enta) !ta-e!' 1. ,incess9 -- &eas ol$9 !as 6/st been acce(te$ in an a*b/lato& !ealt! clinic. S!e a((oac!e$ &o/ to e(ot an o/tbea@ o# in#l/en+a in t!ei nei"!bo!oo$ an$ !as s!ae$ wit! &o/ !ow s!e an'io/sl& awaits !e #ist 6ob. T!e *a6o $e%elo(*ent #oc/s o# ,incess an$ !e a"e "o/( isB a. Rebellin" a"ainst (aental contol in *attes o# $atin" an$ "oin" o/t wit! #ien$s b. eci$in" w!at wot! can be s!ae$ b& t!e ne't "eneation %' Fin"in- one!e)* an" "e+e)o&in- initia) %o##it#ent! $. Resol%in" !ow one will con#ont $eat! -. In one o# &o/ clinics9 &o/ *et Ms. ab&9 a -4&ea4ol$ wo*an9 w!o be"an to #eel an'io/s abo/t !e li#e. He !/sban$ !as been %e& b/s&9 !a%in" been (o*ote$ as CEO o# t!ei co*(an&. He ol$est c!il$ is alea$& wo@in" an$ t!e two &o/n"e ones ae in sc!ool. S!e $a&$ea*s abo/t !a%in" anot!e bab&. Yo/ wo/l$ consi$e !e sit/ation asB a. E'(ectin" *i$li#e $isill/sion*ent c. Seio/s $e%elo(*ental abno*alit& ' Hea)th( )i*e e9&e%tation $. O/t o# contol *i$li#e cisis 0. M. Melanio9 3> &eas ol$9 is @nown to be obsesse$ wit! !is "a&in" an$ bal$in" !ai. He *a@es #e8/ent ne"ati%e e#eences to !is bo$& an$ ene"& le%el9 an$ at one ti*e9 !e tol$ !is wi#e to lea%e !i* #o a &o/n"e *an. His be!a%io (obabl& in$icates . a. Mental o ne/otic $iso$e c. esie to se(aate #o* t!e wi#e b. Loss o# se'/alit& "' A.aene!! o* a-in- an" #ota)it( . Alin" Melo$&9 73 &eas ol$9 is %e& acti%e in c!/c! acti%ities. S!e is in "oo$ (!&sical !ealt! b/t was bo/"!t to &o/ clinic b& !e ol$est $a/"!te. He $a/"!te is $ist/be$ beca/se Alin" Melo$& alwa&s tal@s abo/t w!en s!e $iesD. S!e !as "i%en awa& so*e o# !e (ossessions to #ien$s an$ ot!e close elati%es. S!e also tol$ !e #a*il& abo/t wantin" to be ce*ate$ w!en t!e ti*eD co*es. S!e sa&s s!e is #ine an$ 6/st wants to be ealistic an$ ea$&. Yo/ n/sin" inte%entions wo/l$ *ost li@el& be to . a' E9&)ain that he eha+io i! "e+e)o&#enta))( no#a) b. Loss o# se'/alit& c. esie to se(aate #o* t!e wi#e $. Awaeness o# a"in" an$ *otalit& 3. M. =aleos9 7> &eas ol$9 ca*e to t!e clinic co*(lainin" abo/t */scle wea@ness9 #ati"/e9 an$ s!otness o# beat! wit! !is e"/la wal@in" e'ecise in t!e *onin". U(on e'a*ination9 !is , is 105:;5 an$ (/lse ate is 7> beats:*in. He sai$ t!at a#te t!e s!ot est9 !e #eels #ine a"ain. He is not ta@in" an& *e$ication. Yo/ anal&sis wit! !is assess*ent wo/l$ be *ost li@el& t!at !e . a' Poa)( e9&eien%e! !i-n! o* no#a) a-inb. Nee$s to ta@e (e%enti%e anti4!&(etensi%eD *e$ication c. Has ca$iac (at!olo"& an$ nee$s to be seen b& t!e $octos $. None o# t!e abo%e e. *' Situation: The Fa#i)( a! a C)ient Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))!
5. T!e #a*il& t!eo& t!at sees t!e (eson as #/l#illin" oles wit!in t!e social s&ste*B a' Stu%tua)0*un%tiona) theo( c. e%elo(*ental sta"e t!eo& b. Cisis t!eo& $. Inteactional t!eo& 7. T!is #a*il& t!eo& states t!at t!e #a*il&’s *a6o tas@ is to ceate an en%ion*ent9 in w!ic! eac! #a*il& *e*be can *aste t!e $e%elo(*ental tas@s e8/ie$ o# t!e* to acco*(lis! at eac! sta"e o# $e%elo(*ent. a. St/ct/al4#/nctional t!eo& %' De+e)o&#enta) !ta-e theo( b. Cisis t!eo& $. Inteactional t!eo& ;. T!e bit! o# ose(! . to t!e teena"e $a/"!te o# t!e Santos co/(le co*(elle$ eac! #a*il& *e*be to ta@e t/ns in cain" #o !i* so t!at !is *ot!e wo/l$ be able to "o bac@ to sc!ool. T!e #a*il& t!eo& a((licable to s/c! as sit/ation is t!e . a. St/ct/al4#/nctional t!eo& c. e%elo(*ental sta"e t!eo& ' Ci!i! theo( $. Inteactional t!eo& <. 2ail/e to atten$ to t!e #a*il& !ealt! tas@s9 as i$enti#ie$ b& 2ee*an9 constit/tes . a. 2a*il& cisis c. 2a*il& wea@nesses ' Fa#i)( nu!in- &o)e#! $. 2a*il& nee$s 1>. In 1<;09 Ric!a$ Falis! a$a(te$ Maslow’s Hieac!& o# Nee$s to co*e /( wit! a t!eo& on t!e nee$s o# a #a*il&. W!ic! a*on" t!e #ollowin" nee$s liste$ below is /ni8/e to Falis! Hieac!& o# Nee$s? a' Sti#u)ation nee" c. E'(loation nee$s b. ,ain a%oi$ance nee$ $. ,otection e. #. 2o N/*bes ->4-3B W!ic! o# t!e #ollowin" is c!aactei+e$ b& t!e $esci(tions "i%en below? a. e%elo(*ental t!eo& b. St/ct/al4#/nctional t!eo& c. Role t!eo& $. Cisis t!eo& 11. T!e e*(t& nest sta"e is one o# its s/b4sta"es. A 1-. It a$$esses t!e *e*bes!i( o# t!e #a*il& t!e $&a$ic elations!i(s a*on" *e*bes. = 10. Role stain occ/s w!en in$i%i$/als !a%e $i##ic/lt& *eetin" ot!e e'(ectations. C 1. One o# t!e *ain #/nctions o# t!e #a*il& is to a$$ an$ to sociali+e new *e*bes. = 13. T!e ass/*(tion is t!at t!e #a*il& is *a$e /( o# *e*bes w!o *a& e'(eience !a+a$o/s e%ents in t!ei li#e. D 15. Eac! #a*il& *e*be !as oles t!at ae s(eciali+e$ o s!ae$ $e(en$in" on a"e9 se'9 stat/s9 an$ co*(le*entait&. C ". h' Situation: The Po&u)ation Gou& a! a C)ient i. 2o N/*bes 174-1B C!oose t!e (o(/lation "o/( $escibe$ in eac! n/*be. a. C!il$en c. Wo*en b. El$el& $. In$i"eno/s "o/(s 17. S/##es #o* $o/ble b/$en. C 1;. A##licte$ wit! (otein4ene"& *aln/tition an$ *icon/tient $e#iciencies. A 1<. S/##es #o* $ecease$ sten"t! an$ senso& (oble*s. = ->. Loo@s $i##eent #o* t!e est9 asi$e #o* !a%in" /ni8/e c/lt/al (actices. D -1. =icti*s o# *ale an$ clan a/t!oit&. C --. --. T!e constant (esence o# an etiolo"ical #acto an$ a $isease in a (atic/la aea is calle$ a. S(oa$ic c. E(i$e*ic ' En"e#i% $. ,an$e*ic -0. To establis! new cases o# $isease b& st/$&in" t!ose e'(ose$ to a is@ #acto9 t!e n/se */st con$/ct t!is st/$&) a. Case contol %' Po!&e%ti+e b. Coss4sectional $. E'(ei*ental -. T!e (i*a& ai* o# occ/(ational !ealt! n/sin" is) a' Re"u%tion o* ha;a"! in the .o? aea b. Maintenance o# a !ealt!& wo@ en%ion*ent c. ,o*otion o# o(ti*/* !ealt! an$ (e%ention o# $iseases an$ in6/ies $. In$/stial (eace a*on" wo@es an$ *ana"e*ent -3. Wo@es *a& be e'(ose$ to $i##eent !a+a$s o# wo@ li@e biolo"ical !a+a$s e'e*(li#ie$ b& a. Stess9 ten/e9 sala& c. Heat9 col$9 !/*i$it& b. /st9 #/*es9 c!e*icals "' Fun-i, +iu!, a%teia -5. To wee$ o/t $/" /ses in t!e sc!ool9 t!e n/se sets /( a $/" watc! co**/nit&. T!is is an acti%it& /n$e t!at co*(onent o# sc!ool !ealt! n/sin". a. Sc!ool !ealt! se%ices b. Sc!ool !ealt! inst/ction c. Healt!#/l sc!ool li%in" "' S%hoo)0%o##unit(0)in?a-e
e. *' Situation: Cae o* &o&u)ation -ou&! )e" to the "e+e)o&#ent o* !&e%ia)i;e" *ie)" in CHN' -7. Co**/nit& !ealt! n/sin" e*(!asi+es) a' Menta) hea)th &o#otion c. Mental !&"iene b. Mental $isease (e%ention $. Mental stess *ana"e*ent -;. In Occ/(ational Healt! N/sin"9 t!e n/se *a& establis! t!e (ossible so/ces o# occ/(ational !ealt! (oble*s in t!e wo@ aea9 t!o/"! con$/ctin" s/%eillance. S/c! acti%it& is a (at o# t!e *et!o$s o# w!at le%el o# $isease (e%ention? a. Inte*e$iate %' Se%on"a( b. ,i*a& $. Tetia& -<. T!e (i*a& ai* o# t!e Occ/(ational Healt! N/se is) a' Re"u%tion o* i!?! in the .o? aea b. Maintenance o# a !ealt!& wo@ en%ion*ent c. ,e%ention o# $iseases an$ in6/ies an$ (o*otion o# o(ti*/* in !ealt! Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 1
$. Ma'i*/* (o$/cti%it& o# t!e wo@es an$ labo !a*on& 0>. In t!e sc!ool settin"9 t!e n/se *a& #acilitate $ills as (e(aation #o $isastes. T!is is /n$e t!e co*(onent o# Sc!ool Healt! N/sin" calle$) a. Healt! inst/ction %' Hea)th*u) !%hoo) )i+inb. Sc!ool !ealt! se%ices $. Sc!ool4co**/nit& lin@a"e 01. T!e sc!ool n/se’s es(onsibilities in sc!ool !ealt! se%ices will incl/$e t!e #ollowin" e'ce(t) a. Maintainin" a sc!ool clinic b. Re#eals an$ #ollow t!o/"! %' I!o)ation o* %o##uni%a)e "i!ea!e! $. 2oo$ sanitation o# sc!ool canteen
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ML, an e)"e)( &atient, 1 (ea! o)", )o+e! to .a)?' She ha! *ai)in- e(e!i-ht, .o)( )e-!, i! !tuon an" e)ie+e! !he %an !ti)) #ana-e' W!at (e%enti%e *eas/e will t!e n/se (escibe #o !e well4bein" t!at is9 lettin" !e wal@ as s!e li@es9 b/t at t!e sa*e ti*e (otectin" !e #o* ill e%ents in li#e? a' A!? he to ha+e a %o#&anion .ho# !he *ee)! at ea!e .ith an" to u!e a %ane' b. Tal@ to !e an$ wan !e not to wal@ an&*oe beca/se it’s $an"eo/s. c. S/""est i$in" a w!eelc!ai at e"/la ti*es $/in" t!e $a&. $. Gi%e !e libet& wal@ b/t at !e own is@. W!en cain" #o ol$e (esons9 w!at bioet!ical (inci(le s!o/l$ &o/ @ee( in *in$? a. A/tono*& c. /stice ' =ene*i%en%e $. Non4*ale#icence Re"a$less o# social stat/*9 c!aacte9 o $i##ic/lties o# t!e ol$ (eson’s (esonalit& an$ be!a%io9 w!ic! s!o/l$ be acco$e$ to t!e ol$ (eson? a. ,aise an$ well4wis!es b. Mano po "est/es c. Gatit/$e an$ !/*ble se%ice "' Re!&e%t, %ou&)e" .ith %ae an" ut#o!t attention 03. A! in%)u"e" in the WHO/! Health for All in the Philippines, the e)"e)( &eo&)e ae &o&e)( %ae" *o at ho#e' W!ic! o# t!e #ollowin" nee$s9 acco$in" to Maslow9 a((l& to ol$ (eo(le? a' =e)on-in-ne!! c. E*otional b. Econo*ic $. S(iit/al H/*anitaian iss/es a##ect t!e cae o# t!e el$el&. 2ili(ino %al/es ae c!an"in". W!ic! one wo/l$ &o/ *aintain in t!e cae o# t!e el$el&? a. Labo an$ *ana"e*ent c. E$/cational an$ eceational b. Inco*e o# el$el& "' Se%uit( an" &ote%tion W!at wo/l$ be t!e t!/st o# t!e (o"a* t!at &o/ wo/l$ *a@e #o t!e el$el&? a. In%o@e el$el& in a %ol/ntee wo@ ' E"u%ate the %hi)"en to e e!&on!i)e *o thei &aent! c. ,o%i$e in#o*ation on (!&sical an$ social (ocesses $. /il$ !o*es #o t!e el$el& In o/ co/nt&9 senio citi+ens ae "i%en t!e (i%ile"e w!en t!e& (/c!ase t!ei *e$icines. How */c! is t!e $isco/nt? a. -3 c. 13 b. 1> "' 4J e. *' Situation: The Co##unit( a! a C)ient ". W!ic! a*on" t!e #ollowin" is NOT an ai* o# Co**/nit& Healt! N/sin"? a' Re)ie* an" ehai)itation #ea!ue! c. Mana"e*ent an$ teat*ent o# $iseases b. Healt! (o*otion $. isease (e%ention Reco"nition o# t!e co**/nit& as !a%in" been *a$e /( o# instit/tions o"ani+e$ into a social s&ste* is *ani#este$ in all o# t!e #ollowin" ECE,TB a. T!e *i$wi#e co/ses t!e in#o*ation e"a$in" a sc!e$/le$ i**/ni+ation in t!e baan"a& !all t!o/"! t!e !ea$ o# t!e HW. b. T!e co**/nit& o"ani+es con$/ct an initial co/tes& call wit! t!e baan"a& o##icials c. T!e i*(le*entation o# t!e !ealt! (o"a*s is acco*(lis!e$ wit! t!e !el( o# t!e *e*bes o# t!e baan"a& &o/t! cl/b. "' The &u)i% hea)th nu!e %on"u%t! ho#e +i!it! to &o+i"e nu!in- %ae to !i%? in"i+i"ua)!' W!ic! o# t!e #ollowin" state*ents abo/t a co**/nit& is not t/e? a' The "(na#i%! in one %o##unit( i! the !a#e a! an( othe %o##unit( in the %ount( b. T!e co**/nit& is a "o/( o# (eo(le s!ain" co**on "eo"a(!ic bo/n$aies9 o co**on %al/es an$ inteests. c. A co**/nit& #/nctions wit!in a socio4c/lt/al conte't in t!at t!e (eo(le s!ae t!e sa*e c/lt/al !eita"e9 *a@in" ac! co**/nit& /ni8/e #o* anot!e. $. T!e (!&sical c!aacteistics o# t!e en%ion*ent %a& an$ t!is a##ects t!e econo*ic (o$/ction o# t!e (eo(le.
-. 65' HEALTH CARE DELIVERY SYSTEM -. W!ic! o# t!e #ollowin" contib/tes to (oo !ealt! sit/ation o# t!e *a6oit&? . 1. Hi"! cost o# !ealt! se%ices 3. -. Low (ioit& #o !ealt! 5. 0. Cisis oiente$ conce(t o# !ealt! Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 11
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3>.
7. . Globali+ation a. 1 onl& c. 190 an$ b. 19- an$ 0 "' A)) o* the!e T!e #ollowin" state*ents $escibe t!e !ealt! !/*an eso/ces e'ce(tB a.E%e& &ea t!ee is a *a@e$ incease in t!e n/*be o# !ealt! (o#essionals b.es(ite t!e incease in t!e n/*be o# !ealt! (o%i$es9 t!ee is still an eno*o/s nee$ in t!e /al aeas %'The -o.in- nu#e o* hea)th &o*e!!iona)! %ontiute! to thei )o. !a)aie! an" )a%? o* ene*it! $.Mi"ation to ot!e co/nties is (i*ail& an econo*ic iss/e es(ite t!e nat/e o# $isease (attens9 !os(itals !a%e been $e%elo(e$ an$ *aintaine$ as (i*a& %en/es o# !ealt! se%ices beca/se 3. 1. So*e $iseases ae #a a$%ance$ an$ e8/ie !os(itali+ation 5. -. Not all $iseases can be (e%ente$ at t!e co**/nit& le%el 7. 0. Hos(itals ae in#ast/ct/es t!at se%e as (oo# o# $e%elo(*ent ;. . Hos(ital (actice is oote$ in t!e colonial !ealt! science e$/cation s&ste* a' 1 an" 4 c. 19- an$ 0 b. -90 an$ $. 19-90 an$ T!is (ocess e#es to t!e act b& w!ic! t!e national "o%en*ent con#es (owe an$ a/t!oit& /(on t!e %aio/s local "o%en*ent /nits to (e#o* s(eci#ic #/nctions an$ es(onsibilities a.Globali+ation %' De+o)ution b.,i%ati+ation $. Libeali+ation W!ic! o# t!e #ollowin" ae t!e co*(onents o# Healt! Secto Re#o* A"en$a? 31. 1. Healt! #inancin" e#o*s 3-. -. Local !ealt! s&ste* e#o*s 30. 0. ,/blic !ealt! (o"a* e#o*s 3. . Hos(ital s&ste*s e#o*s 33. 3. Healt! e"/lato& e#o*s 35. 5. ,/blic in%est*ent e#o*s a. All o# t!ese c. -9099395 ' 1,4,5,6 K > $. -909 5 e' PRIMARY HEALTH CARE AS A STRATEGY
*' -' 7. ,i*a& !ealt! cae9 as a se%ice $eli%e& (olic& o# t!e OH9 (e*eates all state"ies an$ t!/sts o# "o%en*ent !ealt! (o"a*s at w!ic! le%els? 1J National le%el -J Local "o%en*ent le%el 0J Co**/nit& le%el J ,i%ate secto le%el 3J Se*i4(i%ate secto le%el 5J Hos(ital le%el a. All o# t!ese c. 19 09 ' 1, 4, K 5 $. 19 9 3 ;. T!e conestones o# (i*a& !ealt! cae incl/$e all o# t!e #ollowin"9 ECE,TB a. Acti%e co**/nit& (atici(ation ' 7!e o* )ate!t te%hno)o-( c. Inta4an$ inte4sectoal lin@a"es $. S/((ot *ec!anis* *a$e a%ailable <. 3>. As a n/se in t!e R/al Healt! Unit9 &o/ (lan wit! t!e *i$wi#e t!e #a*il& (lannin" (o"a* o# a *ot!e. W!o a*on" o# t!e #ollowin" is in%ol%e$ in &o/ (lan? a.M/nici(al !ealt! o##ice b.N/titionist c.octo on $/t& "'Co##unit( hea)th .o?e 31. T!e ele*ents o# (i*a& !ealt! cae incl/$e w!ic! o# t!e #ollowin"? 1J En%ion*ental sanitation -J Contol o# co**/nicable $iseases 0J A$e8/ate #oo$ an$ (o(e n/tition J ,o%ision o# essential $/"s 3J E*e"enc& teat*ent 5J Teat*ent o# locall& en$e*ic $iseases a' A)) o* the!e c. 19 -9 09 b. 19 -9 39 5 $. None o# t!e abo%e 3-. T!is e#es to t!e s*allest *ana"eable !ealt! /nit in aeas t!at ae s*all eno/"! to be *ana"e$ wit!o/t bein" bo""e$ $own b& */c! b/ea/cac&9 &et la"e eno/"! to *a@e !ealt! cae $eli%e& #easible. a. Re#eal s&ste* %' Di!ti%t hea)th !(!te# b. Re#eal !os(ital $. R/al !ealt! /nit 30. T!e #ist intenational con#eence on ,i*a& Healt! Cae was !el$ at . a. Gene%a9 Swit+elan$ on 1<7; c. Aca(/lco9 Me'ico in 1<7; b. Was!in"ton9 USA in 1<7< "' A)#a Ata, 7SSR in 12' 3. To es(on$ to (e%ailin" !ealt! (oble*s o# t!e 2ili(ino (eo(le9 t!e e*(!asis o# t!e !ealt! cae s&ste* */st be . a. isease (e%ention Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 14
b. Healt! (o*otion c. Healt! (o*otion an$ $isease (e%ention "' Pe+ention an" inte-ation to "e+e)o&#ent 33. T!e #ollowin" state*ents abo/t (i*a& !ealt! cae ae t/e9 ECE,TB a. ,i*a& !ealt! cae eco"ni+es t!e !ealt! o# t!e (eo(le as essential in socio4econo*ic $e%elo(*ent. ' Pi#a( hea)th %ae #a?e! a "i!tin%tion et.een the "i**eent %)a!!e! o* the &eo&)e c. T!e "oal o# (i*a& !ealt! cae is attaine$ t!o/"! t!e (o%ision o# a$e8/ate !ealt! se%ices. $. ,i*a& !ealt! cae is t!e n/cle/s o# t!e co/nt&’s !ealt! c ae s&ste*. 35. T!e "oal o# (i*a& !ealt! cae ae acco$in" to t!e WHO is !ealt! #o all b& t!e &ea ->>> an$ be&on$. W!at *a@es t!is "oal ac!ie%able? a. A"ent4!ost4en%ion*ent c. E%ol/tiona&4base$ b. Healt!4illness contin//* "' Hi-h0)e+e) .e))ne!! 37. T!e */lti4sectoal a((oac!9 in ,HC9 eco"ni+es intesectoal an$ intasectoal lin@a"es in !ealt!. T!is *eans t!at !ealt! wo@es s!o/l$ wo@ closel& wit! all o# t!e #ollowin" sectos9 ECE,TB a. Local "o%en*ents c. A"ic/lt/e b. E$/cation "' Phi)i&&ine a#( e' *'
37.
3;.
3<.
5>.
51.
5-.
50.
5.
Situation: Pi#a( Hea)th Cae i! the %oe !tate-( in &o-a# thu!t! o* -o+en#ent in a)) )e+e)! < nationa), e-iona), &o+in%ia) an" %o##unit(' In intasectoal lin@a"es9 w!ic! o# t!e #ollowin" le%els o# Healt! Se%ices in t!e (&a*i$al o"ani+ation #oc/ses on t!e teat*ent o# (e%alent $iseases in t!e co**/nit&? a' Rua) c. Re"ional b. istict $. National In intesectoal lin@a"es9 t!e (/(ose is to /ni#& t!e e##ot o# !ealt! secto an$ ot!es concene$. W!ic! o# t!e #ollowin" $e%elo(*ent is e'(ecte$ #o* t!e ,i*a& Healt! Cae A((oac!? a' So%ia) an" E%ono#i% c. Intellect/al an$ E*otional b. ,!&sical an$ Social $. S(iit/al an$ ,s&c!olo"ical To w!ic! o# t!e #ollowin" !ealt! cae #acilities ae cases e#ee$ to be&on$ t!e ca(abilit& o# t!e ,i*a& Healt! Cae Units an$ !ealt! wo@es co*(etence? a. Co**/nit& !os(ital %' Inte#e"iate b. Re"ional $. ,ei(!eal ,i*a& Healt! Cae en$oses t!e conce(t o# tea* wo@. W!ic! o# t!e #ollowin" #actos wo/l$ *a@e t!e !ealt! se%ice sssse##ecti%e an$ e##icient? c. Wo@s!o(s a' Tea# &)anninb. Go/( wo@ $. Tea* b/il$in" T!e Co**/nit& Healt! N/ses9 as a !ealt! wo@e9 */st (esent a (ositi%e attit/$e #o t!e ,i*a& Healt! Cae se%ices to be e##ecti%e. W!ic! o# t!e #ollowin" s!o/l$ be $one b& t!e n/se? a. Re#e to (oliticians t!e !ealt! (oble*s ' Di!%a" ta"itiona) attitu"e! c. Let (eo(le $e(en$ on t!e n/se $. Enco/a"e b/ea/catic set /( e. *' Situation: The &i#a( hea)th %ae BPHC a&&oa%h T!e #ollowin" state*ents (etainin" to ,HC ae coect e'ce(t) a. Ulti*ate "oal is sel#4eliance c. Res(on$s to i**e$iatel& !ealt! (oble*s ' A)tenati+e hea)th !(!te# $. Utili+es a((oac! tec!nolo"& T!e ,HC is e##ecti%e w!en CH n/ses a. Ae *o$els o# !ealt! c. Initiate *ass actions b. Lea$ (eo(le in co**/nit& *obili+ation "' Tu!t &eo&)e/! %a&ai)itie! T!e "oal o# ,HC acco$in" to t!e OH is) a. Healt! #o all b& &ea ->>> ' Hea)th *o a)) ( 4 an" hea)th in the han"! o* the &eo&)e ( 44 c. Healt! #o all in ->>> an$ be&on$ $. ,o%i$e e8/it& an$ 8/alit& !ealt! cae in (atnes!i( wit! (eo(le.
53. 55. 2' LEVELS OF HEALTH CARE AND LEVELS OF DISEASE PREVENTION 53. W!ic! o# t!e #ollowin" se%ices #all /n$e tetia& le%el o# !ealt! cae se%ices? a.Cit& !os(itals c. ,o%incial !os(itals 'Re-iona) #e"i%a) %ente! $. E*e"enc& !os(itals 55. Healt! (oble*s be&on$ t!e ca(abilit& o# t!e %illa"e !ealt! wo@es ae e#ee$ to an inte*e$iate !ealt! #acilit&9 /s/all& a a. istict !os(ital c. S(ecialt& clinic b. Me$ical cente "' Rua) hea)th unit 57. T!is s&ste* is establis!e$ so t!at lowe le%el !ealt! #acilities: se%ices e#e *oe seio/s an$ co*(licate$ cases to !i"!e le%el #acilities. a. M/lti(le e#eal s&ste* %' T.o < .a( e*ea) !(!te# b. One wa& e#eal s&ste* $. M/lti le%el e#eal s&ste* 5;. W!ic! o# t!e #ollowin" ae inte*e$iate le%el !ealt! wo@es? 1. Sanita& ins(ecto -. M/nici(al !ealt! o##ice 0. N/titionist . =illa"e !ealt! wo@e 3. ,/blic !ealt! n/se 5. Mi$wi#e Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 15
a. All o# t!ese ' 1,4,> an" 5<.
7>.
71.
7-.
70.
7.
73.
75.
77.
c. 19-90 an$ $. None o# t!e abo%e
e. *' Situation: Hea)th Po#otion T!e "oal o# !ealt! (o*otion is to a. I$enti#& an$ *ini*i+e is@ #actos c. ,o(/lai+e !ealt!& !abits b. Re!abilitate sic@ in$i%i$/als "' In%ea!e .e))ne!! )e+e) W!ic! o# t!e #ollowin" (etains to !ealt! (o*otion? a. Healt! (otection *ani#estin" be!a%io b. S(eci#ic to a (atic/la !ealt! (oble* %' A&&oa%h a%ti+itie! to enhan%e hea)th %a&ai)itie! $. S!oten t!e $/ation o# t!e $isease (ocess In$i%i$/al wellness e#es to) a. T!e (eson’s abilit& to abi$e b& t!e co**/nit& no*s ' The &e!on/! #aintenan%e o* hea)th( )i*e!t()e c. T!e (eson’s abilit& to a$a(t to !is e'tenal en%ion*ent $. T!e in$i%i$/al’s #o*ation o# !ealt! belie#s an$ !abits In !ealt! (o*otion9 co**/nit& wellness is ens/e$ t!o/"! t!e (o*otion o# a' Hea)th( )i*e!t()e! c. Healt!& be!a%io an$ belie#s b. Healt!& en%ion*ent $. Healt!& no*s N/tition9 as an i*(otant *et!o$ o# !ealt! (o*otion is ens/e$ t!o/"! a. Gowt! *onitoin" c. Ta@in" %ita*ins ' =a)an%e" "iet $. Mico4n/tient s/((le*entation e. *' Situation: Phoee e%o#e! e!&on!i)e in the hea)th &o#otion &o-a# o* the hea)th unit' ,!oebe */st /n$estan$ t!at t!e "oal o# !ealt! (o*otion is centee$ on) a. eceasin" is@ #actos t!at will en$an"e !ealt!. b. i%etin" t!e occ/ence o# a $isease con$ition o a !ealt! (oble*. %' Enhan%in- the )e+e) o* .e))ne!! o* the "i**eent %)iente)e' $. Healt! (otection a"ainst (atic/la !ealt! (oble*s. At t!e le%el o# in$i%i$/al wellness9 t!e n/se ens/es t!at an in$i%i$/al *aintains) a. Co**it*ent to societal no*s c. Healt! be!a%ios an$ belie#s ' Hea)th( )i*e!t()e $. Healt! s/o/n$in"s In !ealt! (o*otion9 a *ost basic n/sin" inte%ention to be (ioiti+e$ is) a' C)ient tea%hinc. ,i*a& !ealt! cae b. Co**/nit& o"ani+in" $. Ris@ a((aisal In !ealt! (o*otion9 it is belie%e$ t!at !ealt! be!a%ios an$ belie#s ae #o*e$ at t!e le%el o# t!e) a. In$i%i$/al c. Co**/nit& ' Fa#i)( $. Societ&
7;. 7<. ,esonal !abits a##ectin" !ealt! ae e#ee$ to asB a. H&"iene (actices b. Healt! be!a%io c. Healt! li%in" "' Li*e!t()e e. *' Situation: A%ti+itie! in hea)th &o#otion an" "i!ea!e &e+ention ;>. Establis!in" &o/t! cl/bs an$ *ot!e’s o"ani+ation in t!e co**/nit& is) a. ,i*a& le%el $isease (e%ention c. Tetia& le%el $isease (e%ention b. Secon$a& le%el $isease (e%ention "' Hea)th &o#otion ;1. Assistance in (!&sical t!ea(& o# a ta/*a (atient) a. ,i*a& le%el $isease (e%ention %' Tetia( )e+e) "i!ea!e &e+ention b. Secon$a& le%el $isease (e%ention $. Healt! (o*otion ;-. Con$/ctin" clinics in (isons to $ete*ine t!e e'tent o# in#ectio/s $iseases is a. ,i*a& le%el $isease (e%ention c. Tetia& le%el $isease (e%ention ' Se%on"a( )e+e) "i!ea!e &e+ention $. Healt! (o*otion ;0. Gi%in" lect/es on se' e$/cation to !i"! sc!ool st/$ents is a. ,i*a& le%el $isease (e%ention c. Tetia& le%el $isease (e%ention b. Secon$a& le%el $isease (e%ention "' Hea)th &o#otion ;. I$enti#&in" sic@ in$i%i$/als in t!e co**/nit& #o (o*(t teat*ent is a. ,i*a& le%el $isease (e%ention ' Se%on"a( )e+e) "i!ea!e &e+ention c. Tetia& le%el $isease (e%ention $. Healt! (o*otion
;. S(eci#ic (otection a"ainst $isease is an acti%it& /n$e a' Pi#a( &e+ention c. Tetia& (e%ention b. Secon$a& (e%ention $. None o# t!e abo%e ;3. T!e #ollowin" acti%ities ae e'a*(les o# tetia& (e%ention e'ce(tB a. Colosto*& s/((ot "o/( c. ,assi%e ROM e'ecises ' Po&e tan!*ein- te%hniue! $. C/tc! wal@in" ;5. ;7. ' SIT7ATION 4: Gi+en the *o))o.in- a%ti+itie!, i"enti*( .hi%h )e+e) o* "i!ea!e &e+ention o hea)th &o#otion .ou)" e)on- to a. ,i*a& le%el o# $isease (e%ention b. Secon$a& le%el o# $isease (e%ention Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 16
c. Tetia& le%el o# $isease (e%ention $. Healt! (o*otion ;<. Mana"e*ent o# e(i$e*ics 0 C <>. Con$/ctin" s(/t/* *icosco(& on T s/s(ects 0 = <1. Establis!in" &o/t! cl/bs an$ *ot!e’s o"ani+ation in t!e co**/nit& 4 <-. Assistance in t!e (!&sical t!ea(& o# ta/*a (atient 4 C <0. Con$/ctin" e(i$e*iolo"ic in%esti"ations to i$enti#& t!e e'tent o# s(ea$ o# in#ectio/s $isease 4 C <. ,o*otion o# con$o* /se 4D >' Teac!in" sel# in6ection ins/lin to $iabetic 0 C <5. Male cic/*cision 0 D <7. Se' e$/cation 0 D ' all oo* $ancin" #o t!e *i$$le a"e$ 0 D <<. east#ee$in" < D 1' O(eation Ti*ban" in "&. 53 0 = 11' Use o# !a$ !ats in const/ction sites 0 A 1>-. S/"ical !an$was!in" 0 C 1>0. Use o# *os8/ito nets 0 A 1>. 1>3. 1>5. 1>7. 1>;. 1><. 11>. 111'Set 5 11-. 115'Situation: Di!ea!e Pe+ention 1. T!e best ti*e #o $isease (e%ention is $/in" t!is (!ase o# t!e $isease (ocess. a. As&*(to*atic c. S&*(to*atic ' Pe&atho-eni% $. ,at!o"enic -. ,i*a& le%el $isease (e%ention *et!o$s ae a((lie$ $/in" t!is (!ase a. As&*(to*atic c. S&*(to*atic ' Pe&atho-eni% $. ,at!o"enic 0. Secon$a& le%el $isease (e%ention *et!o$s ae a((lie$ in t!is (!ase) a. As&*(to*atic %' S(#&to#ati% b. ,e(at!o"enic $. ,at!o"enic . Tetia& le%el o# (e%ention is a((lie$ in t!is (!ase) a. As&*(to*atic %' S(#&to#ati% b. ,e(at!o"enic $. ,at!o"enic 3. A (atic/la $isease is #a a$%ance$ i# it is at t!is (!ase) a. As&*(to*atic b. ,e(at!o"enic c. S&*(to*atic "' Patho-eni%
5. Cat!etei+ation o# a client to (o*ote /ina& eli*ination is an e'a*(le o# a. ,i*a& le%el $isease (e%ention c. Tetia& le%el $isease (e%ention ' Se%on"a( )e+e) "i!ea!e &e+ention $. Healt! (o*otion a. 7. How co/l$ eseac! $ata be /tili+e$ in t!e (e%ention o# $iseases? ' In e%o"in- e&i"e#i%! an" %o##uni%a)e "i!ea!e! c. In (escibin" *e$s #o co**/nicable $iseases $. In *onitoin" (i*a& !ealt! cae e##ects e. In e(otin" case #in$in"s ;. T!e #ollowin" acti%ities #all /n$e secon$a& (e%ention e'ce(tB a. ,a( s*ea %' Denta) &o&h()a9i! b. Sel# beast e'a*ination $. C!e*ot!ea(& <. T!e #ollowin" acti%ities ae e'a*(les o# !ealt! (o*otion e'ce(tB a. Re"/la e'ecises ' 7!e o* in!e%t e&e))ant! c. Stess *ana"e*ent $. Maintenance o# i$eal bo$& wei"!t a' ' Situation: Di!ea!e &e+ention i! an e#&ha!i! in %o##unit( hea)th .o?' 1>. ,i*a& (e%ention *et!o$s will best be e'e*(li#ie$ b&B a. Sceenin" tests %' A+oi"an%e o* %a%ino-en!a))e-en! b. ,o*(t teat*ent $. Contact tacin" 11. isease (e%ention is *ost e##ecti%e i# $one wit! (atnes!i( o# t!e) a. aan"a& o##icials c. Local "o%en*ent ' Peo&)e $. Me*bes o# t!e !ealt! tea* 1-. 10. A#te (el%ic s/"e&9 t!e si"n t!at wo/l$ be in$icati%e o# a $e%elo(in" t!o*bo(!lebitis wo/l$ be) a. ,ittin" e$e*a on t!e an@le c. A e$$ene$ aea in t!e an@le b. ,/it/s on t!e cal# an$ t!i"! "' A ten"e, &ain*u) aea on the )e1. ,i*a& le%el (e%ention is ill/state$ b&) Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 1>
a.
13.
15.
17.
1;.
Teac!in" t!e *ot!e o# t!e c!il$ wit! $ia!ea c. Con$/ctin" O(eation Ti*ban" !ow to /se Oesol $. Teac!in" a (atient (ost4*astecto*& e'ecises ' I!o)ation o* the %hi)" .ith %hi%?en &o9 W!ic! is a secon$a& le%el o# #acilit&? a. San Isi$o R/al Healt! Unit %' Ho%u! Po+in%ia) Ho!&ita) b. San La+ao Hos(ital $. Uni%esit& o# Santo To*as Hos(ital W!ic! o# t!e #ollowin" is a #ail/e in !ealt! *aintenance? a' Hea)th "e*i%it c. 2oeseeable cisis b. Healt! t!eats $. Healt! nee$s W!ic! ae con$itions con$/cti%e to $iseases9 acci$ent o #ail/e to eali+e one’s (otential? a' Hea)th theat! c. 2oeseeable cisis b. Healt! $e#icit $. Healt! nee$s Absence o# e"/la !ealt! c!ec@4/( is an e'a*(le o#) a. Healt! t!eats ' Hea)th "e*i%it c. 2oeseeable cisis $. Healt! nee$s
e' *' FAMILY HEALTH N7RSING PROCESS -' h'
Situation: Fa#i)( hea)th nu!in- *o%u!e! on the &o#otion o* hea)th o* the *a#i)(' Gi+en that (ou %)ient i! the Gan"aa Fa#i)( o* =aio 3a&o!' 1;. W!ic! o# t!e #ollowin" is t!e to( (ioit& #o t!e Gan$aa #a*il&? a. Une*(lo&*ent o# Roel9 t!e !ea$ o# t!e #a*il& b. Scabies o# R&an9 t!e el$est son %' Mi)" ane#ia in the &e-nan%( o* Ai"a, the #othe $. ,oo !o*e en%ion*ent 1<. Une*(lo&*ent is a) a. Healt! t!eat %' Ste!! &oint b. Healt! $e#icit $. ot! !ealt! $e#icit an$ stess (oint ->. W!en all t!e c!il$en "ot *aie$ an$ le#t t!e Gan$aa’s9 t!e sta"e is e#ee$ to b& /%all as t!e) a' =e-innin- *a#i)( b. 2a*il& wit! teena"es c. La/"!in" cente $. Ol$ a"e:etie*ent #a*il&
e' #. -' Situation: Fi!t Le+e) a!!e!!#ent o* the Fa#i)( !. 2o n/*bes -1 -;9 c!oose t!e t&(e o# $ata t!at $escibes t!e e'a*(les "i%en below. a. 2a*il& st/ct/e9 c!aacteistics an$ $&na*ics b. Socio econo*ic an$ c/lt/al c!aacteistics c. Ho*e an$ en%ion*ent $. Healt! stat/s o# eac! #a*il& *e*be e. elie#s an$ (actices 41' N/titional inta@e o# eac! #a*il& *e*be 0 D 44' All *e*bes o# t!e #a*il& #inis!e$ !i"! sc!ool in (/blic sc!ool 0 = -0. Ci"aette s*o@in" 0 C 46' ,ail s&ste* 0 C -3. E'ten$e$ #a*il& 0 A -5. El$est c!il$ wit! a !isto& o# (i*a& co*(le' 0 D -7. 2a*il& *e*bes ae non *e*bes o# an& baan"a& o"ani+ation 0 = -;. Con"este$ nei"!bo!oo$ 0 C i. 6. 2o n/*bes -< 0;9 i$enti#& t!e t&(e o# n/sin" (oble* $escibe$ below. a. Wellness con$ition b. Healt! t!eat c. Healt! $e#icit $. Stess (oints: #oeseeable cisis sit/ation -<. lin$ness 0 C 0>. Re"/la e'ecise 0 A 01. Hos(itali+ation o# a #a*il& *e*be 0 D 0-. 2a*il& $is/nit& 0 = 00. Maln/tition 0 C 0. Resettle*ent in a new %illa"e 0 D 03. S(iit/al well bein" 0 A 05. STs 0 C 07. Loss o# 6ob o# a co/(le wit! se%en c!il$en 0 = 0;. ,oo i*(/lse contol 0 = @. )' SIT7ATION: Se%on" Le+e) Hea)th A!!e!!#ent o* the Fa#i)( *. N/*bes 0< 7 $escibe client acti%ities t!at (ossibl& lea$ to #a*il& n/sin" (oble*s. C!oose t!e a((o(iate 2a*il& N/sin" ,oble* w!ic! t!e sit/ations $escibe$ wo/l$ lea$ to a. Inabilit& to eco"ni+e t!e (esence o# t!e (oble* b. Inabilit& to *a@e $ecisions wit! es(ect to ta@in" a((o(iate !ealt! action c. Inabilit& to (o%i$e a$e8/ate n/sin" cae to t!e sic@9 $isable$9 $e(en$ent o at is@ *e*be o# t!e #a*il& Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 1
$. Inabilit& to (o%i$e a !o*e en%ion*ent con$/ci%e to !ealt! *aintenance 0<. enial o# t!e e'istence e*(!&se*a 4 A >. Lac@ o# (aentin" s@ills 4 C 1. Lac@ o# @nowle$"e e"a$in" (o(e toilet const/ction 4 D -. Lac@ o# #inancial eso/ces9 s/c! as #ae #o a (e"nant wo*an to "et to a neab& #acilit& #o (e natal c!ec@ /( 4 D 0. Role con#lict between t!e a$/lt *e*bes o# t!e #a*il& 4 C . Lac@ o# @nowle$"e e"a$in" t!e si"ns an$ s&*(to*s o# $iabetes an$ its co*(lications 4 A 3. Client (ece(tion o# !&(etension as low salience 4 A 6' Con#lictin" o(inions o# #a*il& *e*bes e"a$in" w!ic! #a*il& (lannin" *et!o$ to /se 4 = 7. Sti"*a associate$ wit! t/bec/losis 4 A n. o' Situation 5: Pioit( Settin- o* Fa#i)( Nu!in- Po)e#! (. N/*be ; 3- $escibe t!e citeia in $ete*inin" (ioities a*on" !ealt! con$itions. C!oose t!e a((o(iate citeion in (ioit& settin" t!at $escibes t!e e'a*(les "i%en below a. Nat/e o# t!e con$ition b. Mo$i#iabilit& o# t!e con$ition o (oble* c. ,e%enti%e (otential $. Salience ;. #oeseeable cisis 4 A <. e#es to t!e nat/e an$ *a"nit/$e o# #/t/e (oble*s t!at can be *ini*i+e$ 4 C 3>. e#es to t!e #a*il&’s (ece(tion o# t!e seio/sness o# a !ealt! con$ition o (oble* 4 D 31. wellness state 4 A 3-. e#es to t!e (obabilit& o# s/ccess in ea$icatin" t!e (oble* 4 = 30. I# t!e #i"/es below (etain to scoes w!en (ioit& settin" was $one b& t!e n/se9 w!ic! !ealt! (oble* $o &o/ t!in@ s!o/l$ t!e n/se (ioiti+e? a' 6 an" 45 c. 0 an$ -:0 b. $. - an$ -:0 3. W!ic! o# t!e #ollowin" is t!e !i"!est (ossible scoe o# an& !ealt! (oble*? a. 7 %' > b. 5 $. 33. W!ic! o# t!e #ollowin" is t!e lowest (ossible scoe o# an& !ealt! (oble*? a. > c. 1:0 b. 1 "' 45 35. T!e n/se consi$es t!e #ollowin" #actos in $ete*inin" t!e *o$i#iabilit& o# a !ealt! con$ition9 e'ce(tB a. C/ent @nowle$"e9 tec!nolo"& an$ c. Reso/ces o# t!e #a*il& inte%entions "' Ga+it( o* the hea)th &o)e# b. Reso/ces o# t!e n/se 37. T!e n/se consi$es t!e #ollowin" in scoin" #o t!e (e%enti%e (otential o# a !ealt! con$ition9 e'ce(tB a. E'(os/e o# an& !i"! is@ "o/( %' Hi!to( o* i))ne!!e! b. /ation o# t!e (oble* $. C/ent *ana"e*ent o# t!e $isease e. *' COMM7NITY HEALTH N7RSING PROCESS -' Situation: Co##unit( Dia-no!i! 3;. Co**/nit& $ia"nosis as a (ocess in%ol%es a. Ste( b& ste( $ata "at!ein" b. I$enti#ication o# t!e !ealt! (oble*s o# t!e co**/nit& %' A %ontinuou! )eanin- e9&eien%e *o the nu!e an" the %o##unit( &eo&)e $. Contin/o/s $e%elo(*ent o# t!e co**/nit& !ealt! (o"a*s 3<. Co**/nit& $ia"nosis as a (o#ile in%ol%es a. ata "at!ein"9 $ata collation an$ $ata anal&sis ' To i"enti*( the e!ou%e! a+ai)a)e to the %o##unit( &eo&)e c. To enable t!e n/se to set (ioities #o (lannin" $. To coo$inate !ealt! se%ices wit! ot!e socio econo*ic se%ices in t!e co**/nit& 5>. Co**/nit& $ia"noses is $one beca/se o# t!e #ollowin" easons9 e'ce(tB a. To !a%e a clea (ict/e o# t!e (oble*s o# t!e co**/nit& b. To i$enti#& t!e eso/ces a%ailable to t!e co**/nit& (eo(le c. To enable t!e n/se to set (ioities #o (lannin" "' To %oo"inate hea)th !e+i%e! .ith othe !o%io < e%ono#i% !e+i%e! in the %o##unit( 51. T!is t&(e o# co**/nit& $ia"noses ai*s to obtain "eneal in#o*ation abo/t t!e co**/nit& o a cetain (o(/lation "o/(. a' Co#&ehen!i+e %o##unit( "ia-no!e! b. ,oble* oiente$ co**/nit& $ia"noses c. Ra(i$ /al a((aisal $. None o# t!e abo%e 5-. e*o"a(!ic %aiables s!ow t!e #ollowin"9 e'ce(t) a. ,o(/lation si+e %' Po&u)ation %onto) b. ,o(/lation $istib/tion $. ,o(/lation co*(osition 50. T!e #ollowin" ae e'a*(les o# $e*o"a(!ic $ata nee$e$ in t!e co**/nit& $ia"nosis9 e'ce(tB a. ,attens o# i**i"ation %' Po)iti%a) -ou&! i"enti*ie" b. Gowt! ate $. Total (o(/lation e. #. 2o n/*bes 5 7. T!e #ollowin" ae socioecono*ic $ata nee$e$ #o co**/nit& $ia"nosis. C!oose t!e cate"o& to w!ic! t!e "i%en e'a*(les belon" toB Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 12
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a. Social in$icatos c. En%ion*ental in$icatos b. Econo*ic in$icatos $. C/lt/al in$icatos Li"!t in$/st& 0 = Two wa& a$io 4 A 57 ae !i"! sc!ool /n$e"a$/ates 4 A Co%ee$ bas@etball co/t 4 = 0 (acticin" co*(ostin" 4 C S/ob 4 D Nat/al s(in" 4 C Uso" 4 D O(en (it (i%& 4 C ,e$$icab $i%e 4 = an&on 4 D En%ion*ental in$icatos incl/$e i. ,!&sical c!aacteistics o# t!e co**/nit& ii. Wate s/((l& iii. Lan$ ownes!i( i%. Tans(otation %. Waste $is(osal %i. Ai9 wate an$ lan$ (oll/tion a. All9 e'ce(t 1 an$ %' A)), e9%e&t 5 an" 6 b. All9 e'ce(t - an$ 0 $. All9 e'ce(t an$ 3 Healt! illness (atten as an as(ect o# t!e co**/nit& $ia"nosis incl/$es t!e #ollowin"9 e'ce(tB a. To( #i%e ca/ses o# *otalit& b. N/*be o# *ot!es $&in" $/e to (e"nanc&9 $eli%e& an$ (/e(ei/* c. N/*be o# new cases o# a $isease "' To& ten "e+e)o&#enta) i!!ue! Healt! eso/ces incl/$e i. /$"et allot*ent (e !o/se!ol$ ii. Co**/nit& eceational #acilities iii. Healt! *an(owe a%ailable i%. Healt! b/$"et an$ e'(en$it/es %. Cate"oies o# !ealt! se%ices a%ailable %i. Geo"a(!ic $istib/tion o# !ealt! *an(owe a' A)), e9%e&t 1 an" 4 c. All9 e'ce(t 0 an$ b. All9 e'ce(t - an$ 0 $. All9 e'ce(t an$ 3 T!ee ae t!ee le%els o# $ata "at!ein" w!en $oin" co**/nit& $ia"nosis. W!ic! o# t!e #ollowin" state*ents9 w!en *a$e b& t!e n/se9 in$icates an acce(table le%el o# $ata "at!ee$ in a cetain (o(/lation? a. We will con$/ct a s/%e& o# 1> !o/se!ol$s in "&. Sta. L/cia b. I will inte%iew 1> o# t!e enliste$ CHWs in "&. Sta L/cia %' I .i)) -athe "ata *o# a#on- 1J o* the ta"itiona) hea)e! i"enti*ie" in =-(' Sta Lu%ia' $. We will lea%e t!e 8/estionnaie in 0> o# t!e !o/se!ol$s #o t!e* to answe an$ (ic@ t!e* /( t!e #ollowin" $a&. T!e #ollowin" ae inst/*ents in $ata "at!ein"9 ECE,TB a' =io"ata *o# c. Inte%iew "/i$e b. S/%e& 8/estionnaie $. Obse%ation c!ec@list Ta"et settin" in co**/nit& $ia"nosis in%ol%es w!ic! o# t!e #ollowin"? a' Con!tu%tin- ti#e &)an b. Con$/ctin" !o/se!ol$ calls c. Moti%atin" co**/nit& *e*bes to (atici(ate in t!e st/$& $. e%elo(in" a s(ot *a( o# t!e co**/nit& W!ic! o# t!e #ollowin" is NOT a co**/nit& $i*ension secon$ail& elate$ to !ealt!? a. ,esence o# a concete oa$ ' >J o* %hi)"en ae #a)noui!he" c. -0 ae I"lesia ni Cisto $. A (i""e& in t!e so/t!en (at $oes not (actice (o(e e'ceta $is(osal T!e #ollowin" ae co**/nit& $i*ensions $iectl& elate$ to !ealt!9 ECE,TB a. 2oo$ an$ n/tition c. T&(e o# in6/ies b. En$e*ic $isease "' None o* the ao+e Co**/nit& !ealt! n/sin" (oble*s *a& be cate"oi+e$ as t!e #ollowin"9 ECE,TB a. Healt! elate$ (oble*s c. Healt! eso/ces (oble*s b. Healt! stat/s (oble*s "' None o* the ao+e To #acilitate $ata collection9 t!e c!oices in t!e s/%e& #o* s!o/l$ beB a. Co$e$ c. M/t/all& bene#icial b. Enco$e$ "' Mutua))( e9%)u!i+e T!e #ollowin" ae e'a*(les o# an e'!a/sti%e cate"o&9 ECE,TB a. Se'B *ale9 #e*ale9 ot!es ' In%o#e: e)o. P1 P11 < P> ao+e > c. E$/cational attain*entB None9 Ele*enta& Un$e"a$/ate9 ele*enta& Ga$/ate9 Hi"! Sc!ool Un$e"a$/ate9 Hi"!sc!ool Ga$/ate9 Colle"e Un$e"a$/ate9 Colle"e Ga$/ate9 Ga$/ate le%el o# st/$ies $. Reli"ionB Ro*an Cat!olic9 ,otestant9 Isla* an$ ot!es W!ic! o# t!e #ollowin" is not an acti%it& /n$e t!e i*(le*entation (!ase o# co**/nit& $ia"nosis Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 1
a. Act/al $ata "at!ein" b. 2ee$bac@ o# es/lts to t!e co**/nit& c. Action (lannin" "' Ta-et !ettin;7. W!ic! o# t!e #ollowin" e#es to acti%ities t!at s!o/l$ be con$/cte$ as a es/lt o# t!e co**/nit& $ia"nosis? a' A%tion &)anninc. ,lannin" b. Healt! action $. e%elo(*ent (o"a*s e. #. 2o n/*bes ;; <;. T!e #ollowin" ae co**/nit& !ealt! n/sin" (oble*s i$enti#ie$ t!o/"! co**/nit& $ia"nosis. C!oose t!e cate"o& to w!ic! t!e "i%en e'a*(les belon" to. a. Healt! stat/s (oble*s c. Healt! elate$ (oble*s b. Healt! eso/ces (oble*s $. None o# t!e abo%e ;;. Malaia 4 A ;<. Una((oac!able RHU sta## 4 = <>. Lac@ o# antibiotics in t!e R/al Healt! Unit 4 = <1. Se'/al an$ Re(o$/cti%e Ri"!ts bill H 0770J 4 C 4' 3 o# t!e (o(/lation (actice es(onsible (a ent!oo$ 4 A <0. Hi"! (e%alence o# UTI a*on" t!e wo*en A <. 1B 1>>9>>> *i$wi#e to (o(/lation atio 4 = >' Absence o# neb/li+e in t!e baan"a& !ealt! station 4 = <5. Acti%e *ilita& o(eations a"ainst t!e N,As 4 C <7. Un(e$ictable !as! weat!e 4 C <;. Mal#/nctionin" wei"!in" scale at t!e !ealt! cente 4 = <<. I*(assable oa$s $/e to lan$sli$e 4 C 1>>. ,ioit& settin" o# co**/nit& !ealt! n/sin" (oble*s *a@e /se o# t!e #ollowin" citeia 1. Nat/e o# t!e (oble* -. Salience o# t!e (oble* 0. Ma"nit/$e o# t!e (oble* . Social concen 3. ,e%enti%e (otential 5. Mo$i#iabilit& o# t!e (oble* a. All9 e'ce(t 1 c. All9 e'ce(t 0 ' A)), e9%e&t 4 $. All9 e'ce(t 1>1. 1>-. 1>0. 1>. 1>3. 1>5. 1>7. 1>;. 1><. 11>. 111. 11-. 110. 11. 113. 115. 117. 11;. 11<. 1->. 1-1. 1--. 1-0. 1-. 1-3. 1-5. 1-7. 1-;. 1-<. 10>. 101. 10-. 100. 10. 103. 105. 107. 10;. 10<. 1>. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 1
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SIT7ATION: P)annin- *o %o##unit( Hea)th &o-a#! 2o n/*bes 1 39 c!oose t!e t&(e o# (lan t!at #its t!e e'a*(le: $esci(tion "i%en below a. Co*(e!ensi%e (lan $. Me$i/* te* (lan b. O(eational (lan e. S!ot te* (lan c. Lon" te* (lan 1. ,/c!ase o# a *ont!’s s/((l& o# cotton an$ alco!ol . ,esi$ent Ra*os’ (lan #o ,!ili((ines to eac! t!e #o a (e$iatic clinic 4 = newl& in$/stiali+in" co/nt& stat/s b& t!e &ea ->>>. -. National !ealt! (lan 4 C 4D 0. WHO (lan to ea$icate t/bec/losis wol$wi$e 4 A 3. Re"/la (/c!ase o# o##ice s/((lies #o t!e !ealt! cente 4 = 153. 1' Situation: Co##unit( Dia-no!i! 5. T!e *ost co**on *et!o$ o# co**/nit& $ia"nosis t!at acco/nts #o t!e b/l@ o# $ate is) a. Cens/s c. Inte%iew $. Sa*(le s/%e& ' Re%o"! e+ie. 7. T!e #ollowin" ae ste(s on (ocessin" $ata. Aan"e t!e* in o$e. ;. 1. $ata anal&sis <. -. $ata collection 1>. 0. $ata (esentation 11. . $ata collation a. -991 an$ 0 %' 4,6,5 an" 1 b. -909 an$ 1 $. -9091 an$ 1-. T!e *a6o #actos a##ectin" t!e (o(/lation incl/$e t!e #ollowin" e'ce(t) a. it!s c. Mi"ation b. eat!s "' Moi"it ( 10. A (o(/lation (&a*i$ wit! a tian"/la s!a(e an$ boa$ base in$icates t!e #ollowin" e'ce(t) a. eat! ates c. Yo/n" (o(/lation b. ,o%et& "' Moe *e#a)e! 1. T!e sa*(lin" *et!o$ /se$ #o a eliable co**/nit& $ia"nosis is) a. Si*(le an$o* b. M/lti4sta"e c. Cl/ste "' S(!te#ati% an"o#
e. *'
COMM7NITY ORGANIING ". Sit/ationB Co**/nit& O"ani+in" ,atici(ato& Action Reseac! CO,ARJ 11. T!e #ollowin" $escibes co**/nit& o"ani+in"9 e'ce(tB a. It is a contin/o/s an$ s/staine$ (ocess o# e$/catin" t!e (eo(le to /n$estan$ an$ $e%elo( t!ei citical awaeness on t!ei con$ition. ' It in+o)+e! #oti+atin- the e)e%te" )ea"e to .o? *o the -oo" o* the !e)e%te" #e#e! o* the %o##unit(' c. It entails wo@in" wit! t!e (eo(le collecti%el& an$ e##icientl& on t!ei i**e$iate an$ lon"4te* (oble*s. $. It incl/$es *obili+in" t!e (eo(le #o ca(abilit&4b/il$in" (ocess. 1-. W!ic! o# t!e #ollowin" state*ents e"a$in" t!e $e#initions o# CO,AR is not t/e? a. CO,AR is a social $e%elo(*ent a((oac! t!at ai*s to tans#o* t!e a(at!etic9 in$i%i$/alistic9 an$ %oiceless (oo into a (oliticall& es(onsi%e co**/nit&. b. CO,AR is a contin/o/s an$ s/staine$ (ocess o# e$/catin" t!e (eo(le to /n$estan$ an$ $e%elo( t!ei citical awaeness o# t!ei e'istin" con$ition. c. CO,AR is a (ocess b& w!ic! t!e co**/nit& i$enti#ies its nee$s an$ ob6ecti%es an$ $e%elo(s con#i$ence to ta@e action to sol%e t!ei own (oble*s. $. COPAR i! a %o))e%ti+e, &ati%i&ato(, an" a *i9e" &o%e!! o* ui)"in- %o##unit( o-ani;ation! . 10. W!ic! o# t!e #ollowin" state*ents is t/e wit! e"a$ to t!e i*(otance o# CO,AR? Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 4
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0.
a. Role CO,AR (la&"eneates inco*e #o t!e o((esse$ secto o# t!e societ&. %' Va)i"ation ' COPAR b. ,o"a*&e&ae! (lannin" &eo&)e to e+entua))( ta?e o+e the #ana-e#ent $. *eetin"s o* "e+e)o&#ent &o-a#!' T!e #ollowin" c. CO,AR acti%ities *a'i*i+es #all /n$et!e t!eeso/ces (e4ent& o# o t!e (e(aato& /((e class (!ase o# societ&. o# co**/nit& o"ani+in"9 ECE,TB $. Social a. CO,AR (e(aation "eneates t!o/"! inco*e #o sensiti+ation t!e o((esse$ o# baan"a& secto o# lea$es t!e societ&. W!ic! o#b.t!eCo**/nit& #ollowin" state*ents (o#ilin" is TRUE wit! e"a$ to t!e (inci(les o# CO,AR? a' Site c. The selection #o!t o&&e!!e" an" e9&)oite" !e%to! o* the !o%iet( ae o&en to %han-e' b. Ent( "' CO,AR into s!o/l$ the %o##unit( be base$ on t!e inteest o# t!e /((e class o# societ&. T!e ot!e c. te* T!e#o (ooest t!e ent& secto (!ase o# t!e is . societ& esists social c!an"e. $. Oientation a. CO,AR will(!ase onl& te*(oail& lea$ to sel#4eliance beca/se (oo c. (eo(le9 Social b& oientation nat/e9 nee$s (!ase$isci(line9 an$ ' So%ia) "/i$ance. &e&aation &ha!e $. ,e(aation (!ase W!ic! T!is (!ase o# t!esi"nals #ollowin" t!estate*ents act/al ent&iso#NOT t!e co**/nit& TRUE e"a$in" o"ani+e t!e ,ROCESSES into t!e co**/nit&. in%ol%e$ in CO,AR? a. ,e4ent& CO,AR /tili+es a (o"essi%e c&cle o# action4e#lection4actionc. (ocess. O"ani+ational b/il$in" (!ase b. Ent( ' Conscio/sness aisin" t!o/"! e'(eiential leanin" is cental$.to CO,AR. ,e(aation (!ase e. %' COPAR i! )ea"e0oiente" thu!, it *o%u!e! on %oe -ou& *o#ation' *' CHN, the nu!e uti)i;e! %o##unit( o-ani;in- BCO' $. Situation: CO,AR is In (atici(ato& an$ *ass4base$. T!e "oal o# CO is One o# t!e (/(oses o# inte"ation in CO,AR is to . a' Co##unit( &ati%i&ation c. ,eo(le’s a. Gat!e $ata t!at is necessa& in t!e i$enti#ication o# co**/nit& !ealt!o"ani+ation (oble*s. b. ' Co**/nit& $e%elo(*ent $. ,eo(le’s awaeness 7n"e!tan" "ee&)( the %u)tue an" )i*e!t()e in the %o##unit(' ,eli*ina& in%esti"ation /tili+es!ealt! nee$s i$enti#ie$ ealie. c. social =ali$ate t!e co**/nit& a' Pi#a( "atat!e !ou%e! c. Re"isties an$ eco$s $. I$enti#& co**/nit& lea$es t!at *a& be ta((e$ #o o"ani+in" (/(oses. b. Inte%iews an$ o"ani+ations $. 2oc/s "o/( $isc/ssions Met!o$s o# inte"ation incl/$e t!e #ollowin"9 ECE,TB U(on ent& to t!e co**/nit&9 t!e n/se can stat t!e #ollowin" e'ce(t) a. ,atici(ation in $iect (o$/ction acti%ities o# t!e (eo(le. a. ee(enin" social in%esti"ation c. S*all "o/( #o*ation b. Con$/ct !o/se4to4!o/se %isits b. Co**/nit& inte"ation "' So%ia) &e&aation c. Hel(in" o/t in !o/se!ol$ c!oes Mana"eable /nits o# t!e co**/nit& to #acilitate se%ice $eli%e& an$ (eo(le’s (atici(ation) in a)) the !o%ia) a%ti+itie! o* the (outh in%'theCoe %o##unit( a. "' S(otPati%i&atin*a( -ou& Social anal&+in" $ata "o/( to $aw a clea (ict/e o# t!e b. in%esti"ation S*all "o/( is a s&ste*ic (ocess o# collectin"9 collatin"9 an$ $. O"ani+in" co**/nit&9 e'ce(t) T!e basic easons w!& t!e co**/nit& o"ani+es nee$ to (!ase o/t t!e co**/nit& is to enable t!e) a. Tainin" co**/nit& lea$es in $oin" social in%esti"ation a. N/se to o(eno#CO wo@ in ot!e $e(esse$ c. ,eo(le’s o"ani+ation to e'(an$ t!ei co%ea"e b. Anal&sis o# secon$a& $ata a%ailable s!o/l$ be consi$ee$ as nottototest $/(licate $ata an$ waste ti*e aeas $. so,eo(le t!ei /nit& an$ sten"t!s an$ e##ot. ' Peo&)e to e9e%i!e !e)*0e)ian%e c. ,o(e inte"ation o# !ealt! is necessa& An inst/*ent #o "at!ein" ob6ecti%e $ata wo@es #o* an in$i%i$/al is) in #acilitatin" social in%esti"ation. Data!isto& -athein- !hou)" uti)i;e !u+e( ue!tionnaie! c. Use o# laboato& e'a* #in$in"s a. "' N/sin" ' Ph(!i%a) a!!e!!#ent $. ,ocess eco$in" Go/n$wo@ is $e#ine$ as . T!e e'act o# t!e&eo&)e c/ent on (oble*atic sit/ation is state$ as a)to.a"! the e!o)ution o* %o##unit( &o)e#! a' o((osite Moti+atina one0on0one a!i! to .o? a. b. ,lanGoin" ao/n$ an$ "i%in" tas@s to (eo(le so t!at co**/nit& c. (oble*s Ob6ecti%e will be sol%e$. ' Goa) $. E%al/ation c. Unitin" t!e co**/nit& (eo(le as a "o/( on t!e (o(e action towa$s t!e esol/tion o# co**/nit& In t!e assess*ent (!ase o# t!e #a*il& !ealt! n/sin" (ocess9 an in$icato #o (oble* (ioiti+ation o# a #a*il& !ealt! (oble*s. (oble* $. is t!e) Meas/in" t!e o/tco*e o# acti%ities i*(le*ente$ %es/s t!e ob6ecti%es t!at wee set. a' Natue the. &o)e# c. Mo$i#iabilit& Re#lection $ealso*wit! b. a' ,e%enti%e (otential A""e!!in- .ith the "ee&e an" on-oin- %on%en! o*$. theSalience %o##unit( &o)e#! .i)) e !o)+e" & its nat/e9 w!ic! o# t!e #ollowin" (oble*s will be "i%en least (ioit&? b. Ec!oin" t!e lessons leane$ #o* one o"ani+ation to t!e ot!e. a' 7ne#&)o(#ent c. ,oo !o*e en%ion*ent c. Establis!in" a *io i*a"e o# t!e s/ccess#/l o"ani+ation in one baan"a& in anot!e baan"a&. b. Scabies $. Ascaiasis $. Actin" o/t t!e tas@s t!at will be $one so as to b/il$ t!e co**/nit& o"ani+ation. W!ic! o# t!e #ollowin" in$ications ae /se$ #o $ete*inin" t!e #a*il&’s %al/e on (e%ention? T!e #ollowin" ae citical acti%ities /n$e CO,AR9 e'ce(tB 03. 1. U($ate$ i**/ni+ation sc!e$/le 05. -. 2a*il&’s conce(t o# (e%ention 07. 0. Co*(liant be!a%io 0;. . Eatin" !abits a. 1 an$ b. 1 an$ %' 1,4 an" 5 $. 19-90 an$ e. *' Situation: To en!ue the &eo&)e/! &ati%i&ation, Pia an" Phoee e#&)o(e" Co##unit( O-ani;in- BCO' Co**/nit& o"ani+in" is a contin/o/s an$ s/staine$ a. A((oac! c. State"& ' Po%e!! $. Inte%ention T!e "oal o# CO is) a. Co**/nit& in%ol%e*ent %' Co##unit( &ati%i&ation b. Co**/nit& $e%elo(*ent $. Co**/nit& inte"ation Awaeness aisin" is an i*(otant ele*ent o# CO beca/se) a' It i! the &i#a( #oti+ation to a%tion' c. It *a& es/lt to c!aos i# (eo(le ae not awae. b. It *eans co**/nit& in%ol%e*ent. $. It (ese%es a c/lt/e o# silence. ,eli*ina& social in%esti"ation /tili+es) a' Pi#a( "ata c. Act/al inte%iews b. Re"isties #o* t!e */nici(al !all $. Oc/la ins(ection T!e best ent& to t!e co**/nit& is) a' Lo. ?e( a&&oa%h b. Ent& wit! a (ais! (iest c. En$ose*ent b& t!e *a&o $. 2ee clinic
e. *' COMM7NITY ORGANIING >. T!is (!ase entails t!e #o*ation o# *oe #o*al st/ct/es in t!e co**/nit&. a. ,e4ent& (!ase b. Ent& (!ase Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 41
%' O-ani;ationa) ui)"in- &ha!e $. S/stenance an$ sten"t!enin" (!ase 1. T!is (!ase entails t!e incl/sion o# *oe #o*al (oce$/es o# (lannin"9 i*(le*entin"9 an$ e%al/atin" co**/nit&4wi$e acti%ities. a. ,e4ent& (!ase %' O-ani;ationa) ui)"in- &ha!e b. Ent& (!ase $. S/stenance an$ sten"t!enin" (!ase -. T!is (!ase occ/s w!en t!e co**/nit& o"ani+ation !as alea$& been establis!e$ an$ t!e co**/nit& *e*bes ae alea$& (atici(atin" in t!e co**/nit&4wi$e. a. ,e4ent& (!ase c. O"ani+ational b/il$in" (!ase b. Ent& (!ase "' Su!tenan%e an" !ten-thenin- &ha!e 0. T!e #ollowin" ae "/i$elines t!at s!o/l$ be #ollowe$ in t!e ent& (!ase9 e'ce(tB a. Reco"ni+e t!e ole o# local a/t!oities b. Li#est&le o# o"ani+e s!o/l$ be in @ee(in" wit! t!ose o# t!e co**/nit& esi$ents %' O-ani;e !hou)" e *a#ou! a#on- the %o##unit( &eo&)e $. T!e co**/nit& o"ani+e s!o/l$ act as a ole *o$el . T!e tainin" an$ e$/cation o# t!e co**/nit& !ealt! o"ani+ation *e*bes is i*(otant #o t!e #ollowin" (/(oses9 e'ce(tB a. To consoli$ate t!e o"ani+ation b. To *oti%ate t!e *e*bes to act as a /nite$ w!ole c. To e8/i( t!e *e*bes o# t!e o"ani+ation wit! t!e necessa& lea$es!i( an$ !ealt! s@ills "' None o* the ao+e 3. T!e #ollowin" ae tainin" (o"a*s a co**/nit& !ealt! o"ani+ation *e*be s!o/l$ /n$e"o9 e'ce(tB a. Sel#4awaeness lea$es!i( tainin" %' =a!i% nu!in- !?i))! b. asic !ealt! s@ills tainin" $. A$%ance !ealt! s@ills tainin" e. 5. One s/(e%ise$ (o6ect in t!e baan"a& is (/ttin" /( oti@a n" aan"a&D w!ic! is s/(e%ise$ b& one o# t!e #ollowin" !ealt! cae (o%i$esB a' Pha#a%i!t c. Mi$wi#e b. ,!&sician $. N/se 7. W!ic! o# t!e #ollowin" is not a #/nction o# t!e Co**/nit& Healt! O"ani+ation? a' Re-u)a &)annin- an" %on"u%t o* ARAS b. Ens/es collecti%e (atici(ation in $ecision4*a@in"9 (lannin"9 i*(le*entation9 an$ e%al/ation o# co**/nit& (o6ects c. Raisin" t!e co**/nit&’s conscio/sness on !ealt! $. None o# t!e abo%e ;. O"ani+ation b/il$in" in co**/nit& o"ani+in" in%ol%es t!e #ollowin" e'ce(tB a. S(ottin" an$ $e%elo(in" (otential c. Coe "o/( #o*ation lea$es $. Settin" /( o# t!e co**/nit& ' Co##unit( inte-ation o"ani+ation <. W!ic! o# t!e #ollowin" is not an acti%it& /n$e t!e s/stenance an$ sten"t!enin" (!ase o# CO,AR? a. e%elo(*ent o# #inancial *ana"e*ent s&ste*s b. A((lication #o SEC e"istation %' Con"u%t o* )ea"e!hi& tainin- !e#ina! a#on- %oe -ou& #e#e! $. Collaboation an$ #o*in" #e$eations wit! ot!e "o/(s o o"ani+ations 3>. T!e #ollowin" ae state"ies /n$e t!e s/stenance an$ sten"t!enin" (!ase9 e'ce(tB a. E$/cation an$ tainin" %' So)i%itation o* #ateia) e!ou%e! b. Con$/ct o# *obili+ations nee"e" $. e%elo(in" secon$a& lea$es 31. CO,AR as a conce(t is i*(otant in co**/nit& !ealt! n/sin" beca/seB a' It i! a %o#&ehen!i+e an" it! &in%i&)e! ae in ?ee&in- .ith the &in%i&)e! o* &i#a( hea)th %ae b. Co**/nit& o"ani+in" is necessa& in all co**/nit& settin"s. c. Its *et!o$s ae alea$& (o%en to be e##ecti%e $. It is a$o(te$ as a co**/nit& !ealt! n/sin" a((oac! b& all n/sin" sc!ools. >4' >5' Situation: Co##unit( De+e)o&#ent 3. T!e t!ee *ain "oals o# co**/nit& $e%elo(*ent incl/$e t!e en!ance*ent o# t!e #ollowin"9 e'ce(tB a' Peo&)e/! ?no.)e"-e c. ,eo(le’s ca(abilit& b. ,eo(le’s (atici(ation $. ,eo(le’s well4bein" 33. T!e t!ee *ain #iel$s o# co**/nit& $e%elo(*ent incl/$e t!e #ollowin"9 e'ce(tB a. Co**/nit& e$/cation %' Co##unit( ente&i!e b. Co**/nit& o"ani+ation $. Co**/nit& eso/ce *ana"e*ent 35. Co**/nit& e$/cation in%ol%es t!e #ollowin" "oals9 e'ce(tB a. Conscienti+ation c. Co**/nit& %al/e #o*ation ' Net.o?in$. S@ills $e%elo(*ent 37. T!e #ollowin" ae basic (inci(les o# co**/nit& $e%elo(*ent (ocesses. e. 14 e*ocatic an$ inte4 an$ inta4lin@e$ #. -4 c/lt/e4sensiti%e an$ "en$e4sensiti%e ". 04 &na*ic an$ inte"ate$ !. 4 S/stainable an$ e*(owein" a. All9 e'ce(t 1 %' A)), e9%e&t 5 b. All9 e'ce(t $. All o# t!e abo%e e. *' SELECTED P7=LIC HEALTH PROGRAMS -'
Situation: The a!i! o* the &o-a#! ( nu!e! i! the %o##unit(/! hea)th !ituation' Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 44
35. T!e co**/nit&’s sit/ation e#lects t!e c!aacteistics at t!e national le%el. T!/s9 n/ses i$enti#& t!e #ollowin" as $esci(ti%e state*ents o# t!e !ealt! o# t!e (eo(le e'ce(t) a. In#ectio/s $iseases $o*inatin" in t!e $isease (attens b. Wi$es(ea$ *aln/tition c. A &o/n" (o(/lation as in$icate$ b& low *e$ian a"e "' Hi-h in*ant #ota)it( ate an" %onto))e" #atena) #ota)it( ate 37. T!e /n$el&in" oot o# t!e (oo !ealt! sit/ation in t!e co/nt& is) a' Lo&!i"e" &ioitie! o* the -o+en#ent c. ,o%et& b. Ga#t an$ co/(tion $. ac@wa$ c/lt/e 3;. I*(o%e*ent in !ealt! is onl& *a$e (ossible t!o/"!) a. Moe !ealt! (o#essionals co**ittin" t!e*sel%es in co**/nit& wo@ b. Go%en*ent ens/in" !i"! b/$"et allocation #o !ealt! %' Genuine &eo&)e/! &ati%i&ation $. Re4oientation o# !ealt! science c/ic/la 3<. Hi"! in#ant *otalit& ate will e8/ie i*(o%e*ents o# !ealt! se%ices in t!is (o"a*) a' Un$e4#i%e clinic c. E'(an$e$ i**/ni+ation (o"a* $. 2a*il& (lannin" ' Matena) an" %hi)" hea)th 5>. Re%iewin" t!e lea$in" ca/se o# *obi$it& an$ *otalit&9 t!e *ost co**on $isease acco$in" to tans*ission ae) a' Re!&iato( c. e"eneati%e b. S&ste*atic $. =ecto4bone e.
*' Situation: Fa#i)( P)annin-' 51. Nat/al #a*il& (lannin" *et!o$s incl/$e i. I*(lants ii. IU iii. asal o$& Te*(eat/e i%. S&*(to4T!e*al Met!o$ %. Abstinence %i. Ce%ical M/c/s Met!o$ ". a. 19 0 an$ 3 b. 09 9 3 an$ 5 h' ' 5, 6 an" c. All o# t!ese 5-. C!il$ s(acin" in%ol%es t!e co/(le’s $ecision to i*(le*ent an& o# t!e #ollowin"B i. Ho*onal *et!o$s o# 2, ii. ,e*anent *et!o$s o# 2, iii. Nat/al *et!o$s o# 2, i%. iolo"ic *et!o$s o# 2, %. aie *et!o$ o# 2, %i. Sa#e se' 50. a. 19 -9 0 an$ a' 1,5,6 an" > 5. b. 19093 an$ 5 b. All o# t!e abo%e 53. 2o #a*il& (lannin" to s/ccee$9 an i*(otant consi$eation in t!e $ecision4*a@in" (ocess e"a$in" t!e a((o(iate *et!o$ to /se is t!e ' a. Wo*an’s $ecision %' Cou&)e/! "e%i!ion 57. b. Man’s $ecision $. Healt! wo@e’s $ecision 5;. W!ic! o# t!e #ollowin" is an e'a*(le o# a biolo"ic *et!o$ o# c!il$ s(acin"? 5<. a' La%tation a#enohea #etho" c. I*(lants 7>. b. ia(!a"* $. e(o4(o%ea 71. T!e ce%ical */c/s *et!o$ in$icates t!at t!e wo*an s!o/l$ obse%e t!e #ollowin"9 ECE,T a. M/c/s secetions ' Fee)in- o* hea+ine!! in the &einea) aea c. =a"inal sensations o# wetness o $&ness $. Menst/al $a&s 7-. 2a*il& (lannin" (inci(les an$ "oals incl/$e i. Wo*an’s !ealt! ii. Res(onsible (aent!oo$ iii. Sa#e Se' i%. ,enatal cae %. C!il$’s !ealt! %i. Sa#e *ot!e!oo$ 70. a. 19 -9 0 an$ b. -909 an$ 3 %' 1,4,> an" $. All o# t!e abo%e 7. T!e #ollowin" *et!o$s ae << e##ecti%e9 ECE,T a. T/bal li"ation c. Steili+ation b. =asecto*& $' LAM 73. T!e #ollowin" state*ents e"a$in" t/bal li"ation ae t/e9 ECE,T a. It can be (e#o*e$ i"!t a#te a wo*an "i%es bit!. b. It !as an e##ect on t!e 8/antit& o# t!e beast*il@ (o$/ce$ b& t!e wo*an. c. It !as no @nown lon"4te* si$e4e##ect. "' It he)&! &ote%t a-ain!t o+aian %an%e' 75. T!e #ollowin" state*ents abo/t %asecto*& ae t/e9 ECE,T a. It is #/ll& e##ecti%e onl& a#te -> e6ac/lations o t!ee *ont!s. b. It !as no e##ect n t!e se'/al (e#o*ance o# t!e *ale. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 45
c. Its co**on co*(lication incl/$es (ain in t!e scot/*9 swellin" an$ b/isin". "' It e!u)t! in "e%ea!e" !e#en &o"u%tion 77. T!e ce%ical */c/s o# a wo*an in t!e #etile (eio$ (ossesses t!e #ollowin" c!aacteistics i. Sli((e& ii. No secetions iii. Elastic i%. ea@s w!en stetc!e$ %. Wate& %i. S*ell& 7;. a. - onl& c. 0 onl& b. -9 an$ 5 "' 1,5 an" > 7<. ' Situation: The De&at#ent o* Hea)th i! the hea" a"#ini!tati+e a-en%(, -o+enin- the hea)th !e%to in the Phi)i&&ine!' 71. T!e %ision o# t!e OH is) a' Hea)th *o a)) Fi)i&ino! b. Healt! in t!e !an$s o# t!e (eo(le b& t!e &ea ->-> c. T!e lea$e9 sta/nc! a$%ocate an$ *o$el in (o*otin" !ealt! #o all in t!e ,!ili((ines $. G/aantee e8/itable9 s/stainable9 an$ 8/alit& !ealt! #o all 2ili(inos9 es(eciall& t!e (oo an$ s!all lea$ t!e 8/est #o e'cellence in !ealt! 7-. T!e "oal o# t!e OH is Healt! Secto Re#o* A"en$a HSRAJ9 wit! t!e National Ob6ecti%es o# Healt! NOHJ se%in" as t!e oa$*a( #o all sta@e!ol$es in !ealt!. All o# t!e #ollowin" ae easons #o !ealt! secto e#o*9 e'ce(t) a. Slowin" $own in t!e e$/ction o# bot! in#ant an$ *atenal *otalit& ates b. Risin" an$ !i"! b/$en #o* c!onic9 $e"eneati%e $iseases an$ in#ectio/s $iseases9 es(ecti%el& c. Unatten$e$ e*e"in" !ealt! is@s #o* en%ion*ental an$ wo@ elate$ #actos "' =u"en o* "i!ea!e i! hea+ie!t on the a**)uent 70. T!e #ollowin" ae consi$ee$ as a s(eci#ic ole o# t!e OH base$ on EO 1>-9 e'ce(t) a. Lea$e in !ealt! c. Enable an$ ca(acit& b/il$e ' Re*o#i!t *o hea)th "e+e)o&#ent $. A$*inistato o# s(eci#ic se%ices 7. T!e Healt! Secto Re#o* A"en$a HSRAJ /tili+es 2OUR*/la ONE #o Healt! as its #a*ewo@9 !a%in" #o/ co*(onents s/c! as !ealt! #inancin"9 !ealt! e"/lation9 se%ice $eli%e&9 an$ "oo$ "o%enance. W!ic! o# t!e #ollowin" is not incl/$e$ in t!e "oals o# t!is #a*ewo@? a. ette !ealt! o/tco*es %' Stea#)inin- hea)th !(!te# b. Moe es(onsi%e !ealt! s&ste* ueau%a%( $. E8/itable !ealt! cae #inancin" 73. T!e #ollowin" ae incl/$e$ in t!e Milleni/* e%elo(*ent Goals t!at is base$ on t!e #/n$a*ental %al/es o# #ee$o*9 e8/alit&9 soli$ait&9 toleance9 !ealt!9 es(ect o# nat/e an$ s!ae$ es(onsibilit&. W!ic! is not !ealt!4elate$? a' Ea"i%ate e9te#e &o+et( c. I*(o%e *atenal !ealt! b. ,o*ote "en$e e8/alit& an$ e*(owe $. Ens/e en%ion*ental s/stainabilit& wo*en e. *' Situation: The DOH *o#u)ate" the &)an!, &o-a#! an" &o$e%t! .ith the +i!ion @Hea)th *o a)) Fi)i&ino!' 75. W!ic! o# t!e #ollowin" is t!e *ission o# t!e OH? a. (o*ote !ealt!& li#est&le ' en!ue a%%e!!ii)it( an" ua)it( o* hea)th %ae c. e$/ce *obi$it& an$ *oatalit& $. i*(o%e "eneal stat/s o# t!e (eo(le 77. W!ic! o# t!e #ollowin" is not a basic (inci(le in t!e ac!ie%e*ent o# i*(o%e$ !ealt!? a. Healt! an$ n/tition as (ioities ". b. Uni%esal access to !ealt! se%ices !. c. En!ance*ent o# (e#o*ance on !ealt! secto i' "' Fun"in- *o# non0-o+en#ent o-ani;ation 7;. W!ic! o# t!e #ollowin" is not t!e (i*a& state"& to ac!ie%e !ealt! "oals? 6. a. S/((ot o# local !ealt! s&ste* @. b. e%elo(*ent o# national stan$a$ #o !ealt! l. c. Ass/ance o# !ealt! cae #o all #' "' Fun"in- *o# non0-o+en#ent o-ani;ation 7<. T!e $ental !ealt! (o"a* o# t!e OH !as co**itte$ to contib/te to t!e i*(o%e*ent o# t!e 8/alit& o# li#e o# 2ili(inos t!o/"! its (o6ect San" Mil&on" Se(il&oD #o w!ic! state"&? n. a. O(eation eseac! st/$& o' ' So%ia) #oi)i;ation (. c. ,atnes!i( wit! ot!e sectos 8. $. Ca(abilit& b/il$in" an$ %al/e #o*ation ;>. T!e Senton" Si"la Mo%e*entD is t!e 6oint (o"a* o# t!e OH an$ t!e local "o%en*ent le%els9 w!at is t!e ai* o# t!is *o%e*ent? ' a' Po#ote ua)it( o* hea)th !e+i%e! s. b. Ceti#ication an$ eco"nition (o"a*s t. c. ene#its #o local e'ec/tion an$ !ealt! wo@es /. $. ette an$ *oe e##ecti%e collaboation %. .' Situation: Man( %han-e! in the DOH ha&&ene" !in%e 11' In 12>, the DOH Nationa) Hea)th P)an e+ie.e" the hea)th !(!te#' ;1. W!at was i*(le*ente$ a#te t!e est/ct/in" o# t!e OH? a. ,!ili((ine Heat Cente o# Asia c. Tetia& Hos(itals b. Al*a Ata Rest/ct/in" o# WHO Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 46
"'
;-.
;0.
;.
;3.
Re!tu%tue" Hea)th Cae De)i+e( S(!te# W!& was t!ee $e%ol/tion? a. To bin" se%ices nea to (eo(le %' To e%o#e !e)* e)iant b. To e*(owe local (atici(ants $. To sto( #/n$in" #o* national #/n$s . Winslow $e#ines (/blic !ealt! as science an$ at o# (e%entin" $isease. W!at is at in t!e (/blic !ealt!? a. Lea$es!i( s@ills on t!e n/se c. Ceati%it& in *a@in" !ealt! (o"a*s ' O-ani;in- &eo&)e to &ati%i&ate $. Tea* b/il$in" in "o/( wo@ Hanlon stesses t!at (/blic !ealt! is $e$icate$ to co**on attain*ent o# !i"!est le%el o# (!&sical !ealt!9 *ental9 an$ social well bein". W!at is t!e c oncise $e#inition? a. E*otional 8/otient ' Tota) .e))0einc. 2oc/s on (!&sical illness $. 2a"*ente$ !ealt! In co**/nit& !ealt!9 assess*ent o# t!e client e8/ies */lti$isci(lina& a((oac!. W!o is t!e tea* lea$e o# t!e "o/(? a. N/sin" st/$ents ' Do%to c. Taine$ !eale $. N/se
;5. 2' Situation: Fa#i)( P)annin-, EPI ;5. T!e #ollowin" state*ents e#e to t!e #a*il& (lannin" (o"a* e'ce(t) a. ,olic& (o"a* a$%ocates (atnes!i(9 (atici(ation an$ (o*otion o# !ealt!. ' The #ain ai# o* the &o-a# i! ith %onto)' c. T!e (o"a* is anc!oe$ on sa#e *ot!e!oo$ an$ c!il$ s/%i%al. $. 2e*ales *a& $eci$e in$e(en$entl& on contace(ti%e *et!o$. ;7. W!ic! o# t!e #ollowin" state*ents is coect? a. E##ecti%eness on steilit& will co*e a#te -3 to > $a&s a#te %asecto*&. b. Mu)ti&aou! .o#en ha+e hi-h *eti)it( &o!t I7D e#o+a) . c. ,ills ae a$%isable to t!ose w!o !a%e occasional se'. $. Con$o*s can be e/se$. ;;. Li#e4lon" i**/nit& #o tetan/s is ac!ie%e$ b& a wo*an a#te a. 0 (e"nancies %' 5 oo!te "o!e! b. - $oses $/in" (e"nancies $. 2o/t! tetan/s to'oi$ ;<. ,T is "i%en at a. >.>3 *l9 I c. >.3 *l9 SP ' '> #), IM $. >.1 *l9 I
<>. T!e se%en E,I $iseases ae sc!e$/le$ #o i**/ni+ation to (o%i$e i**/nit& $/in" w!ic! one o# t!ese in#ants’ a"e? a' A*te the %hi)"/! *i!t ith"a( b. Newbon to si' *ont!s c. e#oe t!e c!il$’s bit!$a& $. Si' *ont!s to one &ea Situation: E9&an"e" Po-a# on I##uni;ation <1. All t!ese $iseases *a& b e contacte$ t!o/"! t!e $o(let in#ection9 ECE,T a. i(!t!eia c. ,et/ssis b. Measles "' Po)io#(e)iti! <-. <-. A #/ll& i**/ni+e$ c!il$ is one w!o !as ecei%e$ t!e #ollowin"B i. CG ii. T, iii. Measles %accine i%. O,= %. TT %i. He(atitis s&n$o*e a' 1,4,5 an" 6 c. 0993 an$ 5 b. -909 an$ 3 $. All o# t!e abo%e <0. T!is %accine is "i%en b& *o/t!B a. OPV c. TT b. CG $. T, <. T!e #ollowin" ae ta"et (o(/lations o# t!e E,I9 ECE,T a. In#ants c. Sc!ool entants b. ,e"nant wo*en "' A"o)e!%ent! <3. A wo*an is consi$ee$ to !a%e a li#eti*e i**/nit& a"ainst tetan/s a#te w!ic! $ose? a. Secon$ $ose c. 2o/t! $ose b. T!i$ $ose "' Fi*th "o!e <5. W!at is t!e eli"ible a"e #o "i%in" i**/ni+ations? a' =e*oe the %hi)" tun! one (ea o)" b. e#oe t!e c!il$ eac!es t!ee &eas ol$ c. e#oe t!e c!il$ eac!es si' &eas ol$ $. An& a"e <7. =accines a"ainst t!ese $iseases no*all& es/lt in #e%e wit!in t!e #ist - !o/s9 ECE,T a. i(!t!eia c. Tetan/s b. Mea!)e! $. W!oo(in" co/"! <;. T!e #ollowin" ae contain$ications to "i%in" %accines9 ECE,T Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 4>
a. Con%/lsions b. 2e%e o# 0<⁰C <<. T!e #ollowin" %accines ae "i%en t!ee ti*es in a &ea9 ECE,T a. He(atitis b. O,= 1>>. W!ic! o# t!e #ollowin" is a co**on si$e e##ect o# CG? a. 3o%h/! &heno#enon b. ee( abscess at %accination site 1>1. 1>-. 1>0. 1>. 1>3. 1>5. 1>7. 1>;. 1><. 11>. 111. 11-. 110. 11. 113. 115. 117. 11;. 11<. 1->. 1-1. 1--. 1-0. 1-. 1-3. 1-5. 1-7. 1-;. 1-<. 10>. 101. 10-. 100. 10. 103. 15' Set > 107. 1. T!e #ollowin" %accines ae a$*inistee$ inta*/sc/lal&9 ECE,T a. ,T b. =CG -. W!en is t!e ealiest ti*e #o t!e a$*inistation o# an anti4*easles in a. 0 *ont!s b. #onth!
%' Ma)nutition $. e!&$ation c. ,T "' Mea!)e! c. In$olent /lceation $. L&*(! no$e enla"e*ent
c. Anti4!e(atitis %accine $. All o# t!e abo%e case t!ee is an e(i$e*ic in a localit&? c. < *ont!s $. an&ti*e9 since t!ee is $an"e o# coss 10;. in#ection
0. A*on" newbons9 tetan/s *a& be tans*itte$ t!o/"! a. ,/nct/e wo/n$s ' I#&o&e han")in- o* %o" !tu#& c. I*(o(el& cleane$ bab& bottle $. it& wate . T!is $isease is c!aactei+e$ b& a (se/$o*e*bane in t!e /((e es(iato& tactB a. ,/l*ona& t/bec/losis c. ,et/ssis b. Di&htheia $. Measles 3. T!e #ollowin" i**/ni+ations *a& be a$*inistee$ b& "i%in" a >.3*l o# t!e %accine9 ECE,T a. =CG c. Anti4*easles %accine b. ,T $. Anti4!e(atitis %accine 10<. 16' Situation: Thee ae othe i#&otant a!i% ?no.)e"-e in the &e*o#an%e o* ou ta!? a! Co##unit( Hea)th Nu!e in e)ation to i##uni;ation' The!e in%)u"e 5. T!e coect te*(eat/e to stoe %accines in a e#i"eato is) a' =et.een 4 "e- C an" "e- C c. etween 4; $e" C an$ > $e" C b. etween 4 $e" C an$ Q; $e" C $. etween 4; $e" C an$ Q $e" C 7. W!ic! o# t!e #ollowin" %accines is not $one b& inta*/sc/la IMJ in6ection? a' Mea!)e! +a%%ine c. Tetan/s to'oi$s b. He(a4 %accine $. ,T ;. W!ic! o# t!e #ollowin" $ose o# tetan/s to'oi$ is "i%en to t!e *ot!e to (otect !e in#ant #o* neonatal tetan/s an$ li@ewise (o%i$es 1> &eas (otection #o t!e *ot!e? Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 4
a. Tetan/s to'oi$ 1 c. Tetan/s to'oi$ 0 b. Tetan/s to'oi$ "' Tetanu! to9oi" 6 <. W!ic! o# t!e #ollowin" con$itions is not t/e abo/t contain$ication to i**/ni+ation? a. o not "i%e CG i# t!e c!il$ !as @nown AIS. ' Do not -i+e =CG i* the %hi)" ha! ?no.n he&atiti!' c. o not "i%e ,T- an$ ,T0 to a c!il$ w!o !as !a$ con%/lsions wit!in 0 $a&s o# ,T $. o not "i%e ,T to a c!il$ w!o !as ec/ent con%/lsions on acti%e ne/olo"ic $isease. 1>. W!ic! o# t!e #ollowin" state*ents abo/t i**/ni+ation is not t/e? a' A %hi)" .ith "iahea .ho i! "ue *o OPV !hou)" e%ei+e the OPV an" #a?e e9ta "o!e in the ne9t +i!it' b. A c!il$ s!o/l$ be i**/ni+e$ in t!e !ealt! cente be#oe e#eal. c. T!ee is no contain$ication to i**/ni+ation i# t!e c!il$ is well eno/"! to "o !o*e. $. T!ee is no contain$ication to i**/ni+ation i# t!e c!il$ is well eno/"! to "o !o*e an$ i# t!e c!il$ s!o/l$ be i**/ni+e$ in t!e !ealt! cente be#oe e#eal ae bot! coect. 11. 1-. Situation: I##uni;ation !%he"u)e i! to e u!e" in o"e to &o+i"e #a9i#u# i##unit( to the !e+en EPI "i!ea!e! e*oe the %hi)" ea%he! one (ea . 11. T!is e#es to t!e bo$& esistance w!ic! (etains to t!e (otein (esent in t!e se/* o# bloo$. a. Antito'in c. Anti"en b. Alle"en "' Antio"( 1-. W!ic! o# t!e #ollowin" %accines is "i%en at bit!? a. NA %' =CG b. O,= $. ,T 10. W!ic! one o# t!e #ollowin" is t!e *ain (inci(le o# t!e e'(an$e$ (o"a* on i**/ni+ation? a' The &o-a# i! a!e" on e&i"e#io)o-i%a) !ituation' b. Ro/tine i**/ni+ation sc!e$/le */st be en#oce$. c. Its ob6ecti%e w!ic! is e$/ction o# *obi$it& an$ *otalit& $. T!e le"al basis an$ e'istin" (olicies 1. Ealie sc!e$/le o# *easles %accine "i%en at < *ont!s "i%es w!at (ecenta"e o# (otection? a. <3 c. Li#eti*e b. 1>> "' >J e. *' Situation: Nu!e E ha! een taine" *o ne.on !%eenin- in Mani)a' A! a %o#&etent nu!e, Nu!e E %o#&)ie! .ith the Ne.on S%eenin- A%t o* 46' 13. T!e law t!at (o%i$es a *an$ate #o newbon sceenin" is w!ic! o# t!e #ollowin"? a' RA 4 c. RA 75>> b. RA ;<75 $. RA 771< 15. W!en is newbon sceenin" $one? a. Wit!in 1 $a&s %' A*te 46 hou!, not )ate than 5 "a(! b. A#te 7- !o/s o 0 $a&s $. Wit!in 7 $a&s 17. W!& s!o/l$ t!e bab&’s !eel be not s8/ee+e$? a. To (e%ent incoect es/lts b. To (e%ent !e*ol&sis an$ inco(oation o# tiss/e #l/i$ c. To (e%ent inco(oation o# tiss/e #l/i$ "' To &e+ent he#o)(!i! 1;. N/se E !as to acti%ate bloo$ cic/lation. T!is is $one b&) a' A&&)(in- .a# to.e) on the *oot c. Wa*in" t!e #oot "entl& b. A((l&in" *oist co*(ess on t!e #oot $. Wa*in" t!e #oot wit! !ot wate ba" 1<. Newbon sceenin" is /se$ to $etect t!e #ollowin" *etabolic $iso$es e'ce(t) a. Con"enital !&(et!&oi$is* b. Con"enital !&(e(lasia c. Galactose*ia "' GPD e. *' Situation: Gea)" i! 14 (ea! o)"' He .a! i##uni;e" .hen he entee" !%hoo)' No., he i! at the "o%to/! o**i%e .ith #ea!)e!' ->. W!at ca/se$ t!e *easles o# Geal$9 a 1- &ea ol$ bo& now? a' Pi#a( +a%%ine *ai)ue c. Mateial an$ antibiotics b. Weanin" o# t!e %accine $. Hi"! tittee$ %accine -1. Measles %accine is stoe$ at t!e e#i"eato te*(eat/e o# 03 $e"ees Celsi/s to 3 $e"ees Celsi/s an$ */st be @e(t #o* li"!t9 !ow lon" s!o/l$ t!e %accine be e'(ose$ a#te w!ic! it is to be $isca$e$? a. -> *in/tes c. 1- !o/s b. ; !o/s "' hou! --. W!ic! a*on" t!e n/sin" es(onsibilities s!o/l$ a n/se $o to contol (atient contact an$ en%ion*ent at once? a. Re(ot to local a/t!oit& %' In$e%t attenuate" +a%%ine b. isin#ect all bottles $. I**/ni+e wit! li%e %accine -0. In instit/tional o/tbea@ an$ $e(en$in" on a$*inistation (olic&9 w!at is t!e best t!in" to $o? a' In$e%t I- #ea!)e! c. As@ e%e&one to contib/te b. I**/ni+e e%e&one $. Re(ot to OH #o #ee %accine -. I**/ni+ation o# contact is a contol *eas/e. How *an& !o/s o# e'(os/e to t!e $isease co/l$ &o/ "i%e t!e %accine? a. - b. 05 %' 24 $. ;
e. *' Situation: Conto) o* Diahea) Di!ea!e!' -3. Two *ain $an"es o# $ia!ea ae $e!&$ation lea$in" to $eat! an$ /n$en/tition. T!ese ae *ost o#ten ca/se$ b& a. Loss o# a((etite o# t!e (eson wit! $ia!ea Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 42
' Lo!! o* )a-e a#ount o* .ate an" !a)t *o# the o"( c. To'ins (oisonin" t!e bloo$stea* $. Loss o# bloo$ %ol/*e in bloo$& $ia!ea -5. T!e #ollowin" ae at is@ #o $ia!eaB i. In#ants ta@in" in#ant #o*/las ii. Yo/n" c!il$en w!o ae teet!in" iii. east#e$ c!il$en i%. C!il$en in co**/nities wit! no (otable wate s/((l& -' a. All e'ce(t %' A)) e9%e&t 6 b. All e'ce(t 0 $. All o# t!e abo%e -7. asic $ia!ea (e%ention incl/$e i. east#ee$in" ii. In#ant i**/ni+ation a"ainst *easles iii. Use o# latine i%. 2es!l& (e(ae$ #oo$ %. Clean $in@in" wate %i. Han$was!in" !. a. All e'ce(t c. All e'ce(t b. All e'ce(t 0 "' A)) o* the ao+e -;. ia!ea can ca/se /n$en/tition a*on" c!il$en beca/se i. N/tients ae lost #o* t!e bo$& in $ia!ea ii. N/tients ae /se$ to e(ai $a*a"e$ tiss/e at!e t!an #o* "owt! iii. A c!il$ wit! $ia!ea *a& not #eel !/n"& i%. Mot!es *a& not #ee$ t!ei c!il$en no*all& beca/se o# #ea o# *a@in" t!e $ia!ea wose. i. a. All e'ce(t c. All e'ce(t ' All e'ce(t 0 "' A)) o* the ao+e -<. C!il$en wit! t!e #ollowin" si"ns ae s/##ein" #o* SE=ERE $e!&$ation i. S/n@en an$ $& e&es) teas absent ii. C!il$ $in@s ea"el& b/t is still t!ist& iii. Restless an$ iitable i%. ,oo s@in t/"o %. Mo/t! an$ ton"/e ae $& %i. ows& an$ loo@s #lo((& 6. a' 1, 6 an" c. 9 3 an$ 5 b. 19 0 an$ 3 $. All o# t!ese 0>. T!e t!ee /les #o teatin" $ia!ea at !o*e ae t!e #ollowin"9 ECE,T a. ,e%ent $e!&$ation4 "i%e ceeal "/el9 ORS b. ,e%ent /n$en/tition4 beast#e$ o "i%e /s/al *il@9 ceeal9 #/it 6/ice %' Sto& "iahea0 -i+e anti"iahea) #e"i%ation!, antiioti%! $. Cons/lt !ealt! wo@e i# t!e #ollowin" $e%elo(s4 e(eate$ %o*itin"9 #e%e9 bloo$ in t!e stool 01. W!en teac!in" a *ot!e to "i%e oal e!&$ation sol/tion to !e c!il$9 t!e #ollowin" ae ta@en into consi$eation i. Gi%e *oe w!en t!e c!il$ wants *oe ORS t!an w!at was "i%en ii. I**e$iatel& "i%e ORS w!en t!e c!il$ %o*ite$ iii. Gi%e a teas(oon#/l o# ORS e%e& 14- *in/tes #o a c!il$ /n$e - &eas i%. 2o an ol$e c!il$9 *oe #e8/ent ORS si(s #o* a c/( *a& be "i%en @. a. -9 0 an$ ' 1,5 an" 6 c. 19- an$ $. All o# t!e abo%e l. #' Situation 6: Nationa) Tue%u)o!i! Po-a# 0-. T!is e#es to t!e co*(e!ensi%e state"& w!ic! (i*a& !ealt! se%ices /se to $etect an$ c/e T (atientsB a' Die%t)( O!e+e" Teat#ent Shot0Cou!e Thea&( b. Mana"e*ent o# (/l*ona& (atients c. Essential c!e*ot!ea(& $. Inte"ate$ $isease contol o# T 00. T s&*(to*atic e'!ibit t!e #ollowin" si"ns an$ s&*(to*sB i. Co/"! #o - wee@s o *oe ii. A#tenoon: ni"!t #e%e iii. C!est (ain i%. Une'(laine$ wei"!t loss %. loo$ in t!e s(/t/* %i. Enla"e$ l&*(! no$e n. a. 1 to 3 ' 4 to c. 0 to 5 $. All o# t!e abo%e 0. S!ot co/se c!e*ot!ea(& #o 5 *ont!s "i%en to t!ose wit! i. S(/t/* s*ea (ositi%e cases ii. T ela(se iii. 4J s(/t/* s*ea i%. QJ e'tensi%e l/n" lesion Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 4
%. QJ a$io"a(!ic l/n" lesion %i. E'ta(/l*ona& cases 03. a. All o# t!ese b. 19-90 an$ c. 19-9 an$ 5 "' 1,6,> an" 05. W!at is t!e (/(ose o# t!e SCC4MT #o t/bec/losis (atients? a. To e$/ce t!e sti"*a attac!e$ to t!e t/bec/losis ' To ea"i%ate an" %o#&)ete)( &e+ent the e)a&!e o* the "i!ea!e c. To e*(!asi+e t!e i*(otance o# s/staine$ t!ea(& $. To (e%ent t!e $e%elo(*ent o# t/bec/losis 07. Ms. Ma& Sa&a$ is a (/blic !ealt! n/se *annin" t!e local !ealt! cente in &o/ localit&. S!e was con$/ctin" a e%iew o# t!e NT, eco$s w!en s!e notice$ t!at *a6oit& o# t!e NT, enollees wee wal@4in (atients #o* t!e baan"a& w!o (esente$ si"ns o# ,T. As &o/ @now9 t!is t&(e o# case #in$in" is calle$ a. Wal@4in case #in$in" %' Pa!!i+e %a!e *in"inb. Acti%e case #in$in" $. In$i%i$/al case #in$in" 0;. Lolo Oben is a (atient #o* Sitio Fi@ilo w!o s/b*itte$ 0 s(/t/* s(eci*ens to &o/. U(on s(/t/* *icosco(&9 &o/ leane$ t!at two o# !is s(/t/* sa*(les ae (ositi%e #o aci$4#ast bacilli. As &o/ @now9 a (atient wit! at least two s(/t/* s(eci*ens (ositi%e #o A2 b& *icosco(& 9 wit! o wit!o/t a$io"a(!ic abno*alities consistent wit! ,T is @nown as a a' Pu)#ona( !#ea c. o/bt#/l ,T case &o!iti+e %a!e $. E'ta(/l*ona& b. ,/l*ona& s*ea t/bec/losis case ne"ati%e case 0<. Collection o# t!e s(/t/* s(eci*ens #o *icosco(ic st/$& s!o/l$ be $one wit!in a. 1- !o/s c. 05 !o/s b. - !o/s "' 6 hou! >. Cate"o& 1 #o t!e teat*ent o# ,T incl/$e t!e #ollowin" *e$ications ECE,T a. Ri#a*(icin c. ,&a+ina*i$e b. Isonia+i$ "' Ste&to#(%in 1. 64' Situation: Tue%u)o!i!, a &i#a( e!&iato( "i!ea!e i! %o##on a#on- #a)noui!he" in"i+i"ua)! )i+in- in %o."e" &)a%e!' The De&at#ent o* Hea)th !u+e( o* 12 e+ea)! that thee ae , a%ti+e)( !&ea"in- the "i!ea!e an" 1 #i))ion Fi)i&ino! ae a**)i%te"' 0. T!e bacteia (o$/cin" t!e $isease isB a. M&cobactei/* bo%is c. M&cobactei/* a#ican/* ' M(%oa%teiu# tue%u)o!i! $. M&cobactei/* le(ae . W!ic! o# t!e #ollowin" is t!e *o$e o# tans*ission o# (/l*ona& t/bec/losis? a. In"este$ #oo$ %' Aione "o&)et b. S@in contact $. Use$ /tensils 3. W!ic! %accine is a (e%enti%e *eas/e $/in" in#anc& an$ "a$e sc!ool entants? a' =CG c. ,T b. T/bec/losis $. O,= 5. W!ic! o# t!e #ollowin" to(ics is consi$ee$ in &o/ !ealt! teac!in" in cases o# co**/nicable $iseases? a. ,e%alence o# $iseases in co**/nit& %' Mo"e o* !&ea" an" %onto) #ea!ue! b. Ann/al is@ o# in#ection $. Motalit& ate a*on" a$/lts an$ in#ants 7. W!ic! o# t!e #ollowin" co*(e!ensi%e state"ies is /se$ to $etect an$ c/e t/bec/losis? a. Cate"o& an$ teat*ent e"i*en b. Case #in$in" an$ *aintenance %' Die%t o!e+e" teat#ent *o !hot %ou!e $. Sten"t!en national T contol (o"a* ;. 6' Situation: The u"en o* in*e%tiou! "i!ea!e! in ou %ount( i! !ti)) hea+(, a! announ%e" ( the De&at#ent o* Hea)th' One o* the )ea"in- %au!e! o* #oi"it( i! !ti)) Pu)#ona( Tue%u)o!i!' 3. T/bec/losis is (i*ail& a es(iato& $isease ca/se$ b& t/becle bacilli. W!ic! *o$e o# tans*ission is e'te*el& conta"io/s? a. In"estion o# #oo$ c. Ani*al !an$lin" ' Aione $. S@in contact 5. W!ic! o# t!e #ollowin" s!o/l$ a n/se $o to $etect (e%alence o# ,T? a. loo$ s*ea c. S@in sca((in" b. O"an bio(s& "' PPD te!tin7. W!ic! o# t!e #ollowin" is t!e (ioit& ob6ecti%e in ,T contol? a. S(/t/* teat*ent c. CG i**/ni+ation ' Re"u%tion o* i!? $. I$enti#ication o# (ositi%e cases ;. As a n/se9 w!ic! o# t!e #ollowin" basic (e%enti%e action is $one to ea$icate ,T? a' Hea)th tea%hin-! c. istib/tion o# *e$icine b. I*(o%e*ent o# social con$ition $. Re#eal to !ealt! centes <. W!en an ol$e (eson is a##ecte$ wit! ,T9 w!ic! o# t!e #ollowin" *eas/es will &o/ a$%ise to e##ecti%el& (e%ent t!e s(ea$ o# t!e $iseases to t!e ot!e *e*bes o# t!e #a*il&? a' Co+e #outh an" no!e .hen %ou-hinc. 4a& *e*bes o# t!e #a*il& an" !nee;in$. Contin/e ta@in" *e$ication b. Isolate t!e (eson 3>. A "a*ent #acto& $oes not !a%e an occ/(ational n/se. W!o s!all (o%i$e t!e occ/(ational !ealt! nee$s o# #acto& wo@es? a. Occ/(ational !ealt! n/se at t!e ,o%incial Healt! O##ice Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 4
b. ,!&sician e*(lo&e$ b& t!e #acto& %' Pu)i% Hea)th Nu!e o* the RH7 o* thei #uni%i&a)it( $. R/al Sanita& Ins(ecto o# t!e RHU o# t!ei */nici(alit& 31. ,/blic !ealt! se%ice ae "i%en #ee o# c!a"e. Is t!is state*ent t/e o #alse? a. T!e state*ent is t/e) it is t!e es(onsibilit& o# t!e "o%en*ent to (o%i$e t!ese se%ices. ' The !tate#ent i! *a)!e &eo&)e &a( in"ie%t)( *o &u)i% hea)th !e+i%e!' c. T!e state*ent *a& be t/e o #alse) $e(en$in" on t!e s(eci#ic se%ice e8/ie$. $. T!e state*ent *a& be t/e o #alse) $e(en$in" on (olicies o# t!e "o%en*ent concene$. 3-. Acco$in" to C.E Winslow9 w!ic! o# t!e #ollowin" is t!e "oal o# ,/blic Healt!? a' Fo &eo&)e to attain thei ithi-ht! an" )on-e+it( b. 2o (o*otion o# !ealt! an$ (e%ention o# $iseases c. 2o (eo(le to !a%e access to basic !ealt! se%ices $. 2o (eo(le to be o"ani+e$ in t!ei !ealt! e##ots
30. 30. T!e t!ee *a6o *icon/tient $e#iciencies e*(!asi+e$ b& t!e W HO ae t!e #ollowin"B i. =ita*in A $e#icienc& ii. =ita*in E $e#icienc& iii. Ion $e#icienc& ane*ia i%. Io$ine $e#icienc& $iso$e %. =ita*in $e#icienc& %i. ,otein4ene"& *aln/tition 3. a. 19 - an$ 33. c. -90 an$ ' 1,5 an" 6 35. $. 190 an$ 5 3. 2oo$ #oti#ication in%ol%es t!e a$$ition o# a *icon/tient $e#icient in t!e $iet to t!e #ollowin" i. So& sa/ce ii. Cats/( iii. Salt i%. Ma"aine %. MSG %i. Noo$les 33. a. All e'ce(t 5 c. 0 an$ 3 35. b. -9 an$ 5 "' A)) o* the ao+e 37. T!e te* /se$ to $escibe$ all t!e e&e si"ns o# =ita*in A $e#icienc& is a. i"ot’s s(ot %' eo&tha)#ia b. Fwas!io@o $. O(t!al*ia neonato/* 3;. T!e #ollowin" ae e'a*(les o# *acon/tients i. 2ats ii. Mineals iii. =ita*ins i%. ,oteins %. Cabo!&$ates %i. Caloies 3<. a. 19 - an$ 0 %' 1, 6 an" > 5>. b. -9 3 an$ 5 $. -9 0 an$ 51. A c!e*ical ele*ent /se$ b& t!e t!&oi$ "lan$ to (o$/ce !o*ones t!at ! el( e"/late bo$il& *ec!anis*B a. Io"ine c. ,otassi/* b. Ion $. inc 5-. Also @nown as (otein *aln/tition a. Feato*alacia c. Maas*/s ' eo(t!al*ia "' 3.a!hio?o 50. A t&(e o# ,EM t!at a##licts an ol$e c!il$ w!en t!e ne't bab& is bonB a. Feato*alacia c. Maas*/s b. eo(t!al*ia "' 3.a!hio?o 5. T!e #ollowin" ae so*e o# t!e best so/ces o# =ita*in A9 ECE,T a. Mal/n""a& %' Wheat ea" b. east*il@ $. E""s 53. T!e best so/ce o# Io$ine ae a. Meat (o$/cts c. Yellow %e"etables b. Geen lea#& %e"etables "' Sea*oo"! 55. Io$ine $e#icienc& $iso$es *a& es/lt in t!e #ollowin" ECE,T a. Goite c. Mental eta$ation b. Stillbit! "' =)in"ne!! 57. ' Situation : Ma)aia an" Den-ue Conto) Po-a# 5<. T!e c!aacteistics o# t!e *os8/ito %ecto t!at ca/ses Malaia ae an i*(otant consi$eation in $ isease (e%ention. Its c!aacteistics incl/$e t!e #ollowin"B i. It is a #e*ale *os8/ito ii. It is an Ano(!eles *os8/ito iii. It is $a& bitin" i%. It li%es in slow4#lowin"9 #es! stea*s %. It is calle$ Ae$es Ae"&(ti %i. It is ni"!t bitin" 7>. a. 19 -9 0 an$ c. 19 09 an$ 3 71. ' 1, 4, 6 an" $. All o# t!e abo%e Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 5
7-. ,e%enti%e *eas/es #o *alaia incl/$e i. C!e*o(o(!&la'is wit! C!loo8/ine ii. Insectici$e teat*ent o# *os8/ito nets iii. Ho/se s(a&in" wit! an insectici$e i%. C/ttin" o# %e"etation o%e!an"in" alon" stea* ban@s %. On stea* see$in" wit! la%i%oo/s #is! %i. Mos8/ito4eatin" #o" (o(a"ation 70. a. 19 -9 09 3 an$ 5 %' 1, 4, 5, 6 an" > b. 19 -9 09 an$ 5 $. All o# t!e abo%e 7. T!e *ost i*(otant (e%enti%e *eas/e #o ta%eles "oin" to Malaia4en$e*ic aeas incl/$e a. Use o# insectici$e teate$ *os8/ito nets ' Che#o&o&h()a9i! .ith %h)oouine c. A%oi$ance o# swi**in" in stea*s $. En%ion*ental s(a&in" wit! insectici$e 73. ,las*o$i/*9 t!e (aasite ca/sin" Malaia9 is a a. =i/s c. A*oeba b. acteia "' Poto;oa 75. T!e Malaia (aasites (i*ail& in%a$e an$ $esto& t!e 9 t!/s ca/sin" its c!aacteistic si"n an$ s&*(to*s o# #e%e9 c!ills9 ane*ia9 *alaise an$ ot!es. a. R=C c. Ne/to(!ils b. WC $. loo$ ,las*a 77. T!e c!aacteistics o# t!e *os8/ito %ecto t!at ca/ses $en"/e !e*o!a"ic #e%e is an i*(otant consi$eation in $isease (e%ention. Its c!aacteistics incl/$e t!e #ollowin"B i. It is a #e*ale *os8/ito ii. It is an ano(!eles *os8/ito iii. It is $a& bitin" i%. It la& e""s in clea wate containes v. It is calle$ Aedes aegypti vi. It is ni"!t bitin" a' 19 -9 0 an$ %' 1, 5, 6 an" > b. 19 -9 an$ 5 $. All o# t!e abo%e 7;. T!e $ia"nostic test #o $en"/e !e*o!a"ic #e%e t!at is easil& $one b& (/blic !ealt! n/ses at t!e !ealt! cente is t!e a. loo$ s*ea c. Co*(lete bloo$ co/nt b. Touniuet te!t $. He*o"lobin co/nt 7<. Met!o$s o# (e%ention an$ contol #o $en"/e incl/$e i. esto&in" bee$in" (laces o# *os8/ito s/c! as /bbe ties an$ e*(t& cans ii. Fee(in" wate containes insi$e t!e !o/se co%ee$ iii. C!an"in" t!e wate o# #lowe %ases once a wee@ i%. Sc/bbin" t!e si$e o# %ases an$ wate containes %. Resi$/al s(a&in" wit! insectici$es %i. A%oi$ !an"in" too *an& clot!es insi$e t!e !o/se ;>. a. 19 -9 0 an$ c. 19 09 an$ 3 b. 19 -9 0 an$ 5 "' A)) o* the ao+e ;1. Teat*ent o# en"/e incl/$e t!e #ollowin" ECE,T a. Re(lace*ent o# bo$& #l/i$s b& "i%in" ORS o I= #l/i$s ' Teat#ent o* *e+e ( -i+in- A!&iin c. e$ est to (o*ote eco%e& $. Teat*ent o# !ea$ac!e b& "i%in" ,aaceta*ol ;-. Malaia an$ en"/e ae a' En"e#i% in the Phi)i&&ine! b. iseases associate$ wit! (o%et& c. iseases t!at ae $i##ic/lt to (e%ent an$ contol $. Ca/se$ b& %i/ses ;0. 6' Situation: Lani, a 140(ea o)" -i) .a! to)" ( he #othe to %)ean the a%?(a" an" un the )ea+e! o* the $a%?*uit tee' A*te 6 "a(!, Lani #ani*e!te" &ete%hia) he#oha-e .ith !)i-ht *e+e' She i! ou-ht to the Rua) Hea)th 7nit' ;3. U(on seein" Lani9 w!ic! o# t!e #ollowin" 8/estions s!o/l$ t!e n/se as@ !e to obtain !isto& o# !e illness? a. W!& $i$ &o/ not s!ow &o/ *ot!e &o/ s@in (atc!es i"!t awa&?D b. on’t &o/ !a%e a *ai$ to clean &o/ bac@&a$?D c. o &o/ !a%e a co**/nicable $isease?D "' @Wee (ou itten ( #o!uitoe! .hen (ou .ee %)eanin- (ou (a" ;5. W!at is t!e i**e$iate so/ce o# in#ection o# Lani9 $ia"nose$ wit! $en"/e #e%e? a' Ve%to #o!uito Ae"e! Ae-(&ti c. Co**on !o/selies b. Ro$ents an$ insects $. Coc@oac!es an$ #leas ;7. W!ic! o# t!e #ollowin" is i**e$iatel& $one to test t!e (esence o# en"/e #e%e on Lani? a. ELISA c. loo$ co/nt ' Ru#&e) Lea"! $. ,latelet co/nt ;;. T!e best *eas/e to contol s(ea$ o# !e*o!a"ic #e%e is toB a. A%oi$ !an"in" clot!es in t!e bac@&a$ b. Fee( wate containe co%ee$ c. S(a& insectici$e wee@l& "' E)i#inate +e%to/! ee"in- &)a%e! e. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 51
*'
77.
7;.
7<.
;>.
;1.
Situation: En"e#i% #a)aia o%%u! in the to&i% an" !uto&i% aea! .hee !o%io0e%ono#i% %on"ition i! +e( &oo'
". W!ic! a*on" t!e in#ectio/s a"ents o# *alaia is *ost seio/s to a##ect *an? a. ,las*o$i/* basilan/* c. ,las*o$i/* %i%a' b. ,las*o$i/* *alaiae "' P)a!#o"iu# *a)%i&au# /in" &o/ assess*ent9 w!ic! a*on" t!e si"ns an$ s&*(to*s nee$ e#eal to t!e secon$a& o tetia& cae #acilit&? a. Sweatin" an$ !ea$ac!e $. 2e%e an$ c!ill ' I%teu! an" !ho%? e. Renal o li%e #ail/e T!e *o$e o# tans*ission o# t!is $isease is t!o/"! t!e bite o# an in#ecte$ #e*ale *os8/ito. W!at $o &o/ call t!is #e*ale a""essi%e *os8/ito? a. A*ino(!&lline "' Ano&he)ine b. S(io+oites e. He(atoc&tes Laboato& con#i*ation o# *alaia is $one in bloo$ #il*. W!at $o &o/ e'(ect to see in t!e #il*? a. Antibo$ies $. Malaial (/inates ' Ma)aia) &aa!ite! e. Anti"en W!at $/" o# c!oice is o$ee$ #o *alaia? a' Ch)oouine $. ,!os(!ate b. ,i*a8/ine e. S/l#ates
#.
". h' Situation: A%ute Re!&iato( In*e%tion ;-. T!e #ollowin" ae si"ns to loo@ #o in a 1 *ont! ol$ c!il$ wit! (ossible ,ne/*onia i. 2ast beat!in" ii. Se%ee /n$en/tition iii. C!est in$awin" i%. Con%/lsions %. Low bo$& te*(eat/e %i. W!ee+in" i. a. 1 an$ c. 1 an$ 1. 1 an" 5 $. 1 an$ 3 ;0. A t!ee4*ont!4ol$ c!il$ !as #ast beat!in" i# !is es(iato& ate is all o# t!e #ollowin"9 ECE,TB a. 5 eath! &e #inute c. 5> beat!s (e *in/te b. 3 beat!s (e *in/te $. 50 beat!s (e *in/te ;. IMCI stan$s #o a. Illness Mana"e*ent o# C!il$en’s Ina$e8/acies b. Inte"ate$ Mana"e*ent o# C!il$en’s In#ections c. Inte"ate$ Mana"e*ent o# C!onic In#ections "' Inte-ate" Mana-e#ent o* Chi)"hoo" I))ne!! ;3. T!is si"n e#es to a contin/o/s !i"! (itc!e$ ins(iato& so/n$ si*ila to a w!istlin" so/n$B a. W!ee+in" c. Rales ' Sti"o $. eat! so/n$s ;5. T!is is alwa&s "i%en as a e*e$& to a c!il$ wit! (ne/*oniaB a. ,aaceta*ol b. Oesol c. Salb/ta*ol "' Antiioti% ;7. A t!ee4&ea4ol$ c!il$ !as a no*al ate o# beat!in" i# !is es(iato& ate is a. 1< beat!s (e *in/te ' 5 eath! &e #inute c. 3 beat!s (e *in/te $. 50 beat!s (e *in/te ;;. Ho*e cae #o a c!il$ a"e$ less t!an two *ont!s wit! se%ee ARI incl/$e all o# t!e #ollowin" i. east#ee$in" ii. Gi%e antibiotics iii. Fee( t!e c!il$ wa* i%. Cleain" t!e nose o# secetions %. ,o%i$e inta%eno/s sol/tion %i. Gi%e soli$ #oo$s to t!e c!il$ 'a' 1, 4, 5 an" 6 c. All e'ce(t 0 b. -9 09 $. All e'ce(t 3 an$ 3 ;<. A se%en4*ont!4ol$ bab& !as no*al beat!in" i# !is es(iato& ate is a. -1 beat!s (e *in/te ' 6> eath! &e #inute c. 37 beat!s (e *in/te $. 5 beat!s (e *in/te a. '
Situation: 8o!ie, 6 (ea! o)", i! ou-ht to the Rua) Hea)th 7nit *o %ou-h, *e+e an" a!he!' The "o%to "ia-no!e" he a! #ea!)e!' <>. W!ic! o# t!e #ollowin" s!o/l$ &o/ $o #ist? a. ,e#o* a (oce$/e %' A!!e!! the &atient b. ,lan #o &o/ cae e"i*en $. I$enti#& $ia"nosis <1. Yo/ #o/n$ w!itis!9 "a&is! (ec@s in t!e inne s/#ace o# osie’s c!ee@s. W!ic! o# t!e #ollowin" e#e to t!ese? a. Mo!ili e/(tion c. Scalet *a@s ' 3o&)i? !&ot! $. Stawbe& ton"/e <-. W!ic! o# t!e #ollowin" (oce$/e s!o/l$ &o/ teac! osie’s siste w!en osie !as #e%e at !o*e? a. ,o(e (ositionin" b. Hot sit+ bat! Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 54
c. Isolation tec!ni8/e "' Te&i" !&on-e ath <0. W!ic! o# t!e #ollowin" co*(lication s!o/l$ be watc!e$? a. Menin"itis c. Otitis *e$ia ' Pneu#onia $. La&n"itis <. W!ic! o# t!e #ollowin" consi$eation wo/l$ be en$ee$ to a%oi$ co*(lication o# (ne/*onia? a. ,otect e&es #o* "lae o# s/nli"!t b. Coect tec!ni8/e o# s(on"e bat! %' Venti)ate" oo# ut *ee *o# "a*t! $. C!ec@ (escibe$ *e$ications #ait!#/ll& <3. ' Situation: One o* the )ea"in- %au!e! o* #oi"it( an" #ota)it( ae &u)#ona( in*e%tion!' A%ute e!&iato( in*e%tion BARI %ou)" e #ana-e" at ho#e, -i+en the &o&e &oto%o)' <7. <3. W!ic! o# t!e #ollowin" s!o/l$ &o/ incl/$e in t!e !ealt! teac!in"s "i%en to *ot!es to (e%ent ARI? a. Was! !an$s a#te /sin" t!e toilet %' A+oi" "o&)et in*e%tion b. A%oi$ s*o@in" in t!e !o*e $. Cons/lt t!e $octo e"/lal& <5. In a$/lts wit! (ne/*onia o ARI in t!e !o*e9 w!ic! $/" */st be a%ailable at t!e RHU base$ on t!e stan$a$ *ana"e*ent? a. C!loa*(!enicol %' Coti#o9a;o)e b. O'&"en tan@s $. In6ectable "enta*&cin <7. In #a #l/n" aeas9 w!o co/l$ $is(ense ARI stan$a$ o$es in case o# (ne/*onia in c!il$en? a. Sanitaian c. N/se ' Mi".i*e $. aan"a& !ealt! wo@e <;. /in" !o*e %isit9 &o/ assesse$ t!e c!il$ wit! ARI. W!ic! o# t!e #ollowin" si"ns in$icate i**e$iate *e$ical attention? a' Inai)it( to "in? c. Te*(eat/e is 07.7 $e" C b. Restlessness $. ,oo a((etite <<. W!ic! o# t!e #ollowin" is not incl/$e$ in t!e (e%ention o# ac/te es(iato& in#ection? a' Mea!)e! i##uni;ation b. A%oi$ s*o@in" c. east #ee$in" $. Goo$ %entilation
1>>.
Ma"nit/$e o# t!e (oble* is $e#ine$ as . a' The !e+eit( o* the &o)e# that %an e #ea!ue" in te#! o* the &o&otion o* the &o&u)ation a**e%te" ( the &o)e# b. Classi#ication o# t!e (oble* as !ealt! stat/s9 !ealt! eso/ce o !ealt! elate$ (oble* c. T!e (obabilit& o# e$/cin"9 contollin" o ea$icatin" t!e (oble* $. T!e (obabilit& o# contollin" o e$/cin" t!e e##ects (ose$ b& t!e (oble* e.
*' -' h' Set i' $' Situation: Nu!e Cita i! &e&ain- *o a ho#e +i!it to he T(&e II "iaeti% &atient, Man- 8o!e' 1. N/se Cita @nows %e& well t!at all o# t!e #ollowin" ae is@ #actos #o $iabetes9 ECE,T a. Obesit& ' A-e 5> (ea! c. H&(etension $. HL c!olesteol le%el 03 *":$l -. Man" ose in#o*e$ N/se Cita t!at !e !as been ea$in" a lot abo/t t!e $i##eent t&(es o# $iabetes beca/se !e wante$ to *a@e s/e t!at !e /n$estoo$ t!e $isease well. W !ic! o# t!e #ollowin" %ebali+e$ state*ents o# Man" ose is NOT CORRECT a. T&(e I $iabetes is also @nown as 6/%enile4onset $iabetes ' T(&e II "iaeti% &atient! .i)) ne+e nee" in!u)in to &e!e+e )i*e c. T&(e I $iabetic (atients nee$ ins/lin to (ese%e li#e $. T&(e II $iabetes is also @nown as *at/it&4onset $iabetes. 0. . N/se Cita wante$ to coect Man" ose’s *isconce(tion e"a$in" $iabetes. W!ic! a*on" t!e #ollowin" also nee$s to be coecte$? a' Diaete! i! a !eiou! %honi% %a"io+a!%u)a "i!ea!e %haa%tei;e" ( an in%ea!e in )oo" !u-a )e+e)!' b. iabetes occ/s w!en ins/lin is not a$e8/atel& (o$/ce$ b& t!e (anceas. c. iabetes also !a((ens w!en t!e bo$& cannot (o(el& /se ins/lin. $. iabetes *ellit/s is c!aactei+e$ b& !&(e"l&ce*ia. 3. All o# t!e #ollowin" ae incl/$e$ in t!e citeia #o t!e $ ia"nosis o# $iabetes *ellit/s9 ECE,T a' S(#&to#! o* "iaete! &)u! %a!ua) *a!tin- -)u%o!e %on%entation -eate than o eua) to 4#-")' b. Two4!o/ (ost loa$ "l/cose "eate t!an o e8/al to ->> *":$l $/in" an oal "l/cose toleance test OGTTJ. c. 2astin" (las*a "l/cose "eate t!an o e8/al t 1-5 *":$l $. S&*(to*s o# iabetes (l/s cas/al (las*a "l/cose concentation "eate t!an o e8/al to ->>*":$l 5. N/se Cita state$ tal@in" abo/t t!e #i%e co*(onents o# $iabetes *ana"e*ent. T!ese incl/$e t!e #ollowin" e'ce(t a. ,!a*acolo"ic t!ea(& b. N/tition Mana"e*ent c. E'ecise "' Re"u%e" !#o?inRe+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 55
7. iet an$ wei"!t contol constit/te t!e #o/n$ation o# $iabetes *ana"e*ent. W!ic! a*on" t!e #ollowin" s!o/l$ NOT E INCLUE a*on" t!e t!in"s t!at N/se Cita s!o/l$ $isc/ss wit! Man" ose? a. A%oi$ si*(le s/"as li@e ca@es an$ c!ocolates. b. Cons/*e co*(le' cabo!&$ates li@e ice9 (asta9 ceeals an$ #es! #/its. c. Eat *oe #ibe4ic! #oo$s li@e %e"etables. "' =a)an%e !a)t an" !u-a inta?e' ;. E'ecise lowes bloo$ "l/cose b& inceasin" t!e /(ta@e o# "l/cose b& bo$& */scles an$ b& i*(o%in" ins/lin /tili+ation. W!ic! a*on" t!e #ollowin" s!o/l$ be incl/$e$ in t!e "eneal (eca/tions #o $iabetic (atients $/in" e'ecise? a. Use (otecti%e $e%ices s/c! as /bbe boots to a%oi$ in6/& to t!e #oot. ' E9e%i!e on)( "uin- %o)" .eathe to &o#ote %o#*ot' c. Alwa&s ca& 8/ic@ s/"a so/ces li@e can$& o so#t$in@ to a%oi$ !&(o"l&ce*ia. $. Ins(ect #eet $ail& #o callo/s a#te e'ecise. <. 1' Situation: Tetanu! i! an a%ute "i!ea!e in"u%e" ( to9in o* tetanu! a%i))i -o.in- anaeoi%a))( in .oun"! an" at the !ite o* u#i)i%u! a#on- ne.on o* in*ant!, %haa%tei;e" ( #u!%u)a %onta%tion' ;. Little Ana9 - wee@s ol$9 was bo/"!t to &o/ at RHU b& !e *ot!e $/e to #e%e an$ */scle twitc!in". Yo/ #ist action is toB a. la*e t!e *ot!e c. Re(ot to !ealt! o##ice ' In!&e%t the u#i)i%a) %o" $. C!ec@ te*(eat/e *an/all& <. To "at!e $ata base wit! t!e !el( o# little Ana’s *ot!e9 w!ic! ste( o# n/sin" (ocess wo/l$ &o/ $o? a. ,lannin" c. E%al/ation ' A!!e!!#ent $. Inte%ention 1>. Mo$e o# tans*ission in Tetan/s Neonato/* is t!o/"! conta*ination #o* %aie$ so/ces li@e soil9 $/st o ani*al #eces. W!ic! one below wo/l$ &o/ teac! t!e *ot!e o# little Ana? a. oil t!e wate be#oe $in@in" c. in" t!e bab& to t!e !ealt! cente e%e&$a& b. Use new $ia(es "' Wa!h han"! e*oe tou%hin- the %o" 11. Met!o$ o# contol o# Tetan/s a*on" in#ants is sc!e$/le$ i**/ni+ation o# tetan/s to'oi$ onB a. ,aents o# t!e bab& ' Pe-nant .o#en c. Newbon babies $. Installation o# bi"!t li"!t
$. e'
Situation: 8a#e! ha! een !#o?in- 4 (ea! no.' When he +i!ite" the hea)th %ente to-ethe .ith hi! .i*e, he !a. a &a#&h)et on hea)th( )i*e!t()e eha+io' 1-. All o# t!e #ollowin" ae incl/$e$ in !ealt!& li#est&le9 ECE,T a. Not s*o@in" b. Ha%in" a e"/la e'ecise %' Eatin- a "e)i%iou! "iet e+e("a( $. Wei"!t contol 10. W!ic! o# t!e #ollowin" is t!e *ost acc/ate state*ent abo/t t!e bene#its o# e"/la e'ecise? a. I*(o%es t!e is@ o# $e%elo(in" !i"! bloo$ (ess/e b. Inceases t!e is@ o# $e%elo(in" non4ins/lin $e(en$ent T&(e IIJ iabetes Mellit/s c. Ca/ses #eelin"s o# $e(ession an$ an'iet& "' He)&! &eo&)e a%hie+e an" #aintain a hea)th( o"( .ei-ht 1. S*o@in" ca/ses a. Coona& ate& $isease9 !eat $isease9 !a$enin" o# ateies an$ co*(lication o# bloc@e$ ateies9 !&(etension9 bloo$ clots b. isease o# t!e oal ca%it& an$ (e(tic /lce $isease c. CO,’s s/c! as c!onic bonc!itis an$ e*(!&se*a "' A)) o* the ao+e 13. T!is te* e#es to $iectl& s*o@in" #o* a li"!te$ ci"aette o ot!e tobacco (o$/ctsB a' A%ti+e !#o?inb. ,assi%e s*o@in" c. Mainstea* s*o@in" $. Secon$4!an$ s*o@in" 15. T!is te* e#es to s*o@e e'!ale$ b& a s*o@e an$ in!ale$ b& ot!e (eo(leB a. Acti%e s*o@e b. ,assi%e s*o@e c. Mainstea* sto@e "' Se%on"0han" !#o?e 17. A s*o@e li@e a*es is e'(ose$ to a' Main!tea# !#o?e an" !i"e !tea# !#o?e b. Secon$4!an$ s*o@e an$ si$e stea* s*o@e c. Mainstea* s*o@e an$ secon$4!an$ s*o@e $. None o# t!e abo%e 1;. W!ic! o# t!e #ollowin" ae bene#its o# 8/ittin" s*o@in"? i. Wit!in -> *in/tes9 t!e bloo$ (ess/e an$ (/lse ate $o( to no*al9 t!e bo$& te*(eat/e o# t!e !an$s an$ #eet et/ns to no*al. ii. Wit!in ; !o/s9 t!e cabon *ono'i$e le%el in bloo$ $o(s to no*al an$ t!e o'&"en le%el o# t!e bloo$ inceases to no*al. iii. Wit!in - !o/s9 t!e is@ o# a s/$$en !eat attac@ $eceases. i%. Wit!in ; !o/s9 ne%e en$in"s be"in to e"eneate an$ a (eson’s abilit& to s*ell an$ taste et/ns to no*al. %. Wit!in - wee@s to 0 *ont!s9 bloo$ cic/lation i*(o%es an$ l/n" #/nction inceases /( to 0>. %i. Wit!in 14< *ont!s9 o%eall ene"& inceases w!ile co/"!in"9 nasal con"estion9 #ati"/e9 an$ s!otness o# beat! ae *a@e$l& e$/ce$. b. a. 19 - an$ 0 c. 09 an$ 3 b. -9 0 an$ "' A)) o* the ao+e Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 56
c. "' Situation: Loena, a !tu"ent nu!e, i! t(in- to &e&ae *o a ui; on IMCI' 1<. Loena @nows t!at all o# t!e #ollowin" ae $an"e si"ns t!at e8/ie e#eal ECE,T a. C!il$ %o*its e%e&t!in" ' Chi)" i! una)e to !)ee& c. Con%/lsions $. C!il$ is /nconscio/s o let!a"ic ->. Geneall& s(ea@in"9 a seio/sl& ill c!il$ !as a. All #o/ o# t!e $an"e si"ns c. Two to t!ee o# t!e $an"e si"ns b. T!ee to #o/ o# t!e $an"e si"ns "' One o #oe o* the "an-e !i-n! a. -1. A#te c!ec@in" #o "eneal $an"e si"ns9 Loena @nows t!at t!e !ealt! cae (o%i$e */st c!ec@ #o *ain s&*(to*s. T!e IMCI clinical "/i$elines s/""est c!ec@in" #o a. Co/"! o $i##ic/lt beat!in" c. 2e%e b. ia!ea "' A)) o* the ao+e --. T!e @e& clinical si"ns ae /se$ to assess a sic@ c!il$ wit! co/"! o $i##ic/lt beat!in". T!is incl/$es t!e es(iato& ate9 lowe c!est wall in$awin" an$ sti$o. Lowe c!est wall in$awin" a. istin"/is!es c!il$en w!o !a%e (ne/*onia #o* t!ose w!o $o not ' In"i%ate! !e+ee &neu#onia in %hi)"en c. In$icates se%ee (ne/*onia an$ e8/ies !os(ital a$*ission o# c!il$en $. In$icates (ne/*onia an$ e8/ies !o*e *ana"e*ent o# c!il$en -0. In case o# $ia!ea9 Loena @nows t!at all c!il$en s!o/l$ be assesse$ #oB a. Si"ns o# $e!&$ation b. T!e (eio$ t!e c!il$ !as !a$ $ia!ea c. loo$ in t!e stool to $ete*ine o# t!e c!il$ !as $&sente& "' A)) o* the ao+e -. W!en assessin" #o t!e elasticit& o# t!e s@in9 Loena s!o/l$ (e#o* t!is in t!e ab$o*en wit! t!e #ol$ o# t!e s@in a. Hoi+ontal to t!e c!il$’s bo$& $. In $i##eent $iections wit! t!e c!il$’s ' Veti%a) to the %hi)"/! o"( bo$& c. ia"onal to t!e c!il$’s bo$& -3. A #l/i$ $e#icit o# 1> (ecent o# t!e bo$& wei"!t is in$icati%e o# a' Se+ee "eh("ation c. Mo$eate $e!&$ation b. So*e $e!&$ation $. No $e!&$ation -5. ,o(e #ee$in" is t!e *ost i*(otant as(ect o# teat*ent #o c!il$en wit! $ia!ea #o 1 $a&s o *oe o (esistent $ia!ea. T!e "oals o# n/titional t!ea(& incl/$e a. Te*(oail& e$/ce t!e a*o/nt o# ani*al: e$/cin" *il@ in t!e $iet b. ,o%i$in" a s/##icient inta@e o# ene"&9 (otein9 %ita*in san$ *ineals to #acilitate t!e e(ai (ocess in t!e $a*a"e$ "/t */cosa an$ i*(o%e n/titional stat/s c. Ens/in" a$e8/ate #oo$ inta@e $/in" con%alescence to coect an& *aln/tition "' A)) o* the ao+e -7. Wit! e"a$ to $etection o# ac/te o c/ent *easles9 Loena s!o/l$ @now t!at t!is is base$ on #e%e wit! a "eneali+e$ as!9 (l/s a. Re$ e&es b. R/nn& nose c. Co/"! "' At )ea!t an( o* the *o))o.in- !i-n!0 e" e(e!, unn( no!e o %ou-h -;. U"ent e#eal to a !os(ital is nee$e$ w!en a c!il$ wit! *easles $is(la&s a' Letha-( &)u! !e+ee !to#atiti! .ith "ee& an" e9ten!i+e #outh u)%e! o !e+ee e(e %o#&)i%ation!, !u%h a! %)ou"in- o* the %onea b. ,/s $ainin" #o* t!e e&e o non4$ee( an$ non4e'tensi%e *o/t! /lces c. E&e o *o/t! co*(lications wit! (ne/*onia9 $ia!ea o ea in#ection $. A an$ -<. 2o c!il$en wit! ea (oble*s9 w!ic! o# t!e #ollowin" clinical si"ns s!o/l$ be assesse$? a. Ea $isc!a"e %' =oth o* the!e b. Ea (ain $. Neit!e o# t!ese 0>. Ten$e swellin" be!in$ t!e ea is in$icati%e o# a' Ma!toi"iti! c. C!onic ea in#ection b. Ac/te ea in#ection $. No ea in#ection 01. ,e4e#eal teat*ents #o c!il$en a"e$ - *ont!s /( to 3 &eas9 incl/$e i. A((o'i*ate antibiotic ii. P/inine #o se%ee *alaiaJ iii. =ita*in A i%. ,e%ention o# !&(o"l&ce*ia wit! beast*il@ o s/"a wate %. Oal anti*alaial %i. ,aaceta*ol #o !i"! #e%e 0;.3⁰ C o abo%eJ o (ain %ii. Tetac&cline e&e oint*ent i# wit! clo/$in" o# t!e conea o (/s $ainin" #o* e&eJ %iii. ORS sol/tion so t!at t!e *ot!e can "i%e #e8/ent si(s on t!e wa& to t!e !os(ital 0-. 00. 0. a. 19 -9 09 b. All e'ce(t 3 a. -9 09 9 3 %' A)) o* the ao+e 03. Loena @nows t!at =ita*in A !el(s esist *easles %i/s in#ection in t!e e&e as well as in t!e la&e o# cells t!at line t!e l/n" "/t9 *o/t! an$ t!oat t!at is w!& it is "i%en to a c!il$ wit! *easles o se%ee *aln/tition. T!e #ist $ose s!o/l$ be "i%en to t!e c!il$ in t!e !ealt! cente w!ile t!e secon$ $ose s!o/l$ be "i%en Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 5>
a. & t!e n/se at t!e !ealt! cente9 t!e ne't $a& b. To t!e *ot!e9 #o !e to "i%e it to t!e c!il$ t!e ne't $a& at !o*e c. & t!e n/se at t!e !ealt! cente9 t!e #ollowin" wee@ "' None !in%e thee i! no !e%on" "o!e 05. All o# t!e #ollowin" cases n ee$ to be et/ne$ #o #ollow4/( at t!e !ealt! cente9 not late t!an - $a&s ECE,T a. ,ne/*onia c. Malaia9 i# #e%e (esists b. &sente& "' None o* the ao+e 07. All o# t!e #ollowin" cases n ee$ to be et/ne$ #o #ollow4/( at t!e !ealt! cente not late t!an 3 $a&s ECE,T a. ,esistent $ia!ea c. 2ee$in" (oble* b. Ac/te ea in#ection "' None o* the ao+e e. 0;. 2o a c!il$ w!o is one wee@ to - *ont!s ol$9 t!e #ollowin" con$ition e8/ies beast#ee$in" assess*ent ECE,T a' Chi)" i! ta?in- #u)ti+ita#in! b. An in#ant !as $i##ic/lt& #ee$in" c. C!il$ is beast#e$ less t!an ; ti*es in - !o/s $. C!il$ is ta@in" ot!e #oo$s o $in@s 0<. Si"ns o# "oo$ attac!*ent incl/$e i. C!il$’s c!in to/c!in" beast ii. C!il$’s *o/t! wi$e o(en iii. C!il$’s ton"/e (ot/$es in4between s/c@in" i%. C!il$’s lowe li( t/ne$ o/twa$ %. C!il$ s/c@s wit! c!aacteistic so/n$ %i. Moe aeola %isible abo%e tan below t!e *o/t! b. a. 19 09 3 an$ 5 $. 19 -9 09 an$ %' 1, 4, 6 an" e. All o# t!e abo%e >. All o# t!e #ollowin" in$icates t!at t!e c!il$ is s/c@in" e##ecti%el&9 ECE,T a. Slow s/c@in" c. S/c@in" wit! so*e (a/sin" b. ee( s/c@s "' None o* the ao+e 0;. How wo/l$ &o/ classi#& a 054*ont! ol$ c!il$ w!o !as %e& low wei"!t an$ so*e (al*a (allo? a. Se%ee *aln/tition an$ se%ee ane*ia %' Ane#ia an" +e( )o. .ei-ht b. Se%ee ane*ia an$ %e& low wei"!t $. Se%ee ane*ia 0<. How wo/l$ &o/ classi#& a 0>4*ont! ol$ c!il$ w!o !as #e%e wit! *alaia is@ an$ *easles (esent an$ t!ee ae no si"ns o# se%ee classi#ication an$ no bloo$ s*ea ta@en? a. 2e%e no *alaia c. =e& se%ee #ebile $isease:*alaia ' Fe+e #a)aia un)i?e)( $. Malaia >. How wo/l$ &o/ classi#& a 3 &ea ol$ bo& w!o !as #e%e wit! *alaia is@ an$ no /nn& nose9 no *easles9 no ot!e ca/se o# #e%e an$ no bloo$ s*ea ta@en? a. 2e%e no *alaia c. =e& se%ee #ebile $isease:*alaia b. 2e%e *alaia /nli@el& "' Ma)aia 1. How wo/l$ &o/ classi#& a 054*ont! ol$ c!il$ w!o !as %e& low wei"!t an$ se%ee (al*a (allo? a. Se%ee ane*ia c. Se%ee *aln/tition an$ se%ee ane*ia ' Se+ee ane#ia an" +e( )o. .ei-ht $. Ane*ia an$ %e& low wei"!t -. How wo/l$ &o/ classi#& an 1;4*ont! ol$ c!il$ w!o !as %isible se%ee wastin" an$ se%ee (al*a (allo? a. Se%ee *aln/tition c. =e& low wei"!t b. Se%ee ane*ia "' Se+ee #a)nutition an" !e+ee ane#ia 0. How wo/l$ &o/ classi#& a < *ont! ol$ c!il$ w!o !as $ia!ea #o 0 $a&s wit! bloo$ in stool? T!e c!il$ is estless an$ iitable) no s/n@en e&es9 $in@s ea"el&9 t!ist& an$ s@in (inc! "oes bac@ i**e$iatel&? a. No $e!&$ation c. No $e!&$ation an$ $&sente& b. So*e $e!&$ation an$ se%ee (esistent "' So#e "eh("ation an" "(!ente( $ia!ea . How wo/l$ &o/ classi#& an 11 *ont! ol$ c!il$ w!o !as $ia!ea #o 1 $a&s an$ wit! no bloo$ in stool. T!e c!il$ is estless an$ iitable) no s/n@en e&es9 $in@s ea"el&9 t!ist& an$ s@in (inc! "oes bac@ slowl&. a. No $e!&$ation an$ $&sente& "' So#e "eh("ation an" !e+ee b. So*e $e!&$ation an$ $&sente& &e!i!tent "iahea c. No $e!&$ation 3. How wo/l$ &o/ classi#& a 1- *ont! ol$ c!il$ w!o !as $ia!ea #o - $a&s wit! no bloo$ in t!e stool? T!e c!il$ is not abno*all& slee(& o $i##ic/lt to awa@en) not estless an$ iitable) no s/n@en e&es9 is able to $in@ b/t is not t!ist& an$ s@in (inc! "oes bac@ i**e$iatel&. a' No "eh("ation c. No $e!&$ation an$ $&sente& b. So*e $e!&$ation an$ se%ee (esistent $. So*e $e!&$ation an$ $&sente& $ia!ea 5. How wo/l$ &o/ classi#& a ->4*ont! ol$ c!il$ w!o !as an ea (oble* an$ no (/s is seen $ainin" #o* t!e ea an$ $isc!a"e is e(ote$ #o - $a&s. a' No ea in*e%tion c. Ac/te ea in#ection b. C!onic ea in#ection $. Mastoi$itis 7. How wo/l$ &o/ classi#& a -> *ont! ol$ c!il$ w!o !as an ea (oble* an$ ten$e swellin" be!in$ t!e ea? a. No ea in#ection c. Ac/te ea in#ection b. C!onic ea in#ection "' Ma!toi"iti! ;. How wo/l$ &o/ classi#& a 1- *ont! ol$ c!il$ w!o !as si"ns s/""estin" *easles an$ (/s $ainin" #o* t!e e&e an$ no si"n #o se%ee classi#ication? a. Measles c. Se%ee co*(licate$ *easles b. Measles wit! *o/t! co*(lications "' Mea!)e! .ith e(e %o#&)i%ation! <. How wo/l$ &o/ classi#& a 13 *ont! ol$ c!il$ w!o !as an ea (oble* an$ !as ea (ain? a. Mastoi$itis c. C!onic ea in#ection ' A%ute ea in*e%tion $. No ea in#ection Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 5
3>. How wo/l$ a' &o/ Se+ee classi#& #a)nutition a < *ont! ol$ c!il$ w!o !as e$e*a on bot! #eet? c. =e& low wei"!t b. Se%ee ane*ia $. Ane*ia 31. How wo/l$ &o/ classi#& a 13 *ont! ol$ c!il$ w!o !as si"ns s/""estin" *easles an$ $ee( o e'tensi%e *o/t! /lce? a. Measles %' Se+ee %o#&)i%ate" #ea!)e! b. Measles wit! e&e co*(lication $. Measles wit! e&e co*(lications 3-. How wo/l$ &o/ classi#& a 1- *ont! ol$ c!il$ w!o !as si"ns s/""estin" *easles an$ (/s $ainin" #o* e&e an$ no si"ns #o t!e se%ee classi#ication? a. Measles c. Se%ee co*(licate$ *easles ' Mea!)e! .ith e(e %o#&)i%ation! $. Measles wit! *o/t! co*(lications 30. A &ellow colo in t!e IMCI c!at si"ni#ies) a. Ho*e *ana"e*ent %' Teat#ent at the hea)th %ente b. U"ent e#eal $. E*e"enc& tia"e an$ teat*ent 3. In !o*e *ana"e*ent o# a c!il$ wit! (ne/*onia9 t!e caeta@e is co/nselle$ on !ow not to) a. Gi%e oal $/"s c. W!en to et/n b. Teat local in#ection at !o*e "' Di!%ontinue *ee"in33. In !isto& ta@in" an$ co**/nicatin" wit! t!e cae"i%e9 %ital co**/nication tec!ni8/e is e*(!asi+e$. W!ic! o# t!e #ollowin" will !in$e e##ecti%e co**/nication? a' A!?in- the %ae-i+e i* !he i! -i+in- an un!ue an!.e b. Gi%in" t!e cae"i%e ti*e to answe t!e 8/estion c. Usin" wo$s t!e cae"i%e /n$estan$s $. Listenin" 35. W!ic! o# t!e #ollowin" is not a $an"e si"n? a. Con%/lsion c. Let!a"&:/nconscio/sness b. Inabilit& to $in@ o beast#e$ "' Di**i%u)t( eathin37. A *ot!e co*(lains t!at !e c!il$ !as inabilit& to $in@ o beast#e$. T!e n/se %ei#ies t!is e%i$ence b& as@in") a. T!e c!il$ *a& not be !/n"& t!at is w!& !e is not $in@in" o #ee$in".D b. ,lease tell *e *oe abo/t t!is.D c. W!en $i$ t!e c!il$ last ate?D "' @Ma( I o!e+e (ou .hi)e (ou ae *ee"in- the %hi)" 3;. I# t!e c!il$ !as onl& one o# t!e $an"e si"ns i*(licitl& state$ in t!e IMCI "/i$eline9 t!is c!il$ will be classi#ie$ /n$e w!at colo? a' Pin? c. Geen b. l/e $. Yellow 3<. W!ic! %ital si"n is i*(otant in classi#&in" a c!il$ wit! (ne/*onia #o* t!ose w!o $o not !a%e? a. Te*(eat/e c. C!est in$awin" ' Re!&iato( ate $. Sti$o 5>. W!ic! o# t!e #ollowin" c!il$ !as sti$o an$ nee$s to be e#ee$? a. olens9 (o$/cin" a w!ee+in" noise w!en !e beat!es o/t b. Ro$oa*an9 an a"itate$ c&in" c!il$ e'e*(li#&in" !as! noise $/in" in!alation c. entot9 an a"itate$ c&in" c!il$ wit! a w!ee+in" noise as !e beat!es o/t "' Din--a(, a %a)# %hi)" .ith ha!h noi!e "uin- inha)ation 51. Llo&$ was bo/"!t to t!e !ealt! cente #o c!ec@ /( an$ #o !is secon$ s!ot o# ,T. His es(iato& ate is > b(*9 wit!o/t c!est in$awin" an$ absence o# $an"e si"ns an$ s&*(to*s. Llo&$ is classi#ie$ /n$e) a. =e& se%ee $isease c. ,ne/*onia b. Se%ee (ne/*onia "' No &neu#onia 5-. I# (ne/*onia is (esent wit! *a6o $an"e si"ns an$ s&*(to*s9 teat*ent will incl/$e) a' Coti#o9a;o)e &o =ID c. ORS -> cc e%e& loose stool b. A*o'icillin (o I $. ,ocaine (enicillin IM O 50. Maites9 a 3 &ea ol$ c!il$ was bo/"!t to t!e !ealt! cente wit! t!ese si"ns an$ s&*(to*sB s@in (inc! test at 1 secon$9 $in@s ea"el& an$ is t!ist&9 iitable wit! s/n@en e&es. Yo/ wo/l$ classi#& Maites asB a. ,in@B Se%ee $e!&$ation c. GeenB No $e!&$ation b. Re$B =e& se%ee $e!&$ation "' Ye))o.: So#e "eh("ation 5. Mi"/elito9 a 00 lb c!il$ is bo/"!t b& !is #at!e $/e to e(iso$es o# loose stools. I# Mi"/elito alea$& lost 193>> *l o# bo$& #l/i$s9 !e is classi#ie$ /n$e) a' Pin?: Se+ee "eh("ation c. GeenB No $e!&$ation b. Re$B =e& se%ee $e!&$ation $. YellowB So*e $e!&$ation 53. A c!il$ wit! $&sente& is to be s/s(ecte$ o# w!ic! in#ectio/s *icoo"anis*? a. Sal*onella %' Shi-e))a b. =ibio c!olea $. E. coli 55. Measles $eat! a*on" c!il$en ae *ost co**onl& ca/se$ b&) a. LT c. onc!ioectasis b. Ence(!alitis "' Pneu#onia an" )a(n-ota%heiti! 57. ino9 a 0 &ea ol$ c!il$9 was bo/"!t to t!e !ealt! cente beca/se o# #e%e. A'illa& te*(eat/e is 07.5 $e"ees Celsi/s. Lea!9 t!e n/se tic@les ino’s #oot an$ notices t!at t!ee is a esistance w!en ino #le' !is le"s. ino cie$. Lea!9 /sin" IMCI will classi#& ino asB a' Pin?: Ve( !e+ee *ei)e "i!ea!e c. GeenB Unco*(licate$ #e%e b. Re$B Se%ee #ebile $isease $. YellowB Malaia 5;. In a low *alaia is@ aea9 a c!il$ wit! #e%e o# 0; $e"ees Celsi/s wit! co*(laints o# /nn& nose is classi#ie$ as) a. ,in@B =e& se%ee #ebile $isease c. GeenB Unco*(licate$ #e%e ' Geen: Fe+e 0 Ma)aia un)i?e)( $. YellowB Malaia 5<. en%e was bo/"!t to t!e RHU beca/se o# *easles9 (/s $ainin" #o* !is e&es an$ *o/t! /lces. He !as been classi#ie$ b& an9 t!e ,HN9 as YELLOWB Measles wit! *o/t! an$ e&e co*(lications. W!ic! o# t!e # ollowin" is t!e teat*ent o# c!oice #o en%e? 7>. 1. Gentian %iolet to be coate$ on !is c!ee@s 71. -. Gentian %iolet #o !is *o/t! /lces 7-. 0. Tetac&cline oint*ent #o !is e&es 70. . As(iin #o #e%e Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 52
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77.
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3. =ita*in A s/((le*ent a' 4,5,> c. 19093 b. 19-90993 $. 19-9093 A*on" t!e #ollowin"9 t!e *ost seio/s co*(lication o# an ea in#ection is) a. Heain" loss c. ,ain ' Ma!toi"iti! $. ea#ness lea$in" to leanin" (oble*s W!ic! o# t!e #ollowin" be!a%io best s/""ests t!at t!e c!il$ is e'(eiencin" ea (ain? a. 2e8/ent t/""in" o# t!e ea c. =oacio/s a((etite b. Slee(iness "' Iitai)it( An ea in#ection o# 13 $a&s is classi#ie$ as) a. Ac/te otitis *e$ia c. Mastoi$itis ' Choni% otiti! #e"ia $. S/bac/te otitis *e$ia In t!e teat*ent o# $e!&$ation9 t!e co**eciall& a%ailable I= #l/i$ c!oice is w!ic! o# t!e #ollowin"? a. NSS c. 3> e'tose in Wate ' D>LR $. 3NSS Enesto9 a &ea ol$ c!il$ was bo/"!t to t!e o/t(atient #acilit&9 w!o *ani#ests estlessness an$ iitabilit&9 s/n@en e&eball an$ (oo s@in t/"o. He is classi#ie$ b& N/se .G. as C!il$ . t!e # ist #o/ !o/s a# te assess*ent) will "i%e !ow *an& *l o# ORS? a. ->>4>> *l c. 7>>4<>> *l b. >>47>> *l "' 01 #) A"at!a9 a 3 &ea ol$ c!il$ will be "i%en !ow *an& *l o# ORS #o e%e& loose:wate& stool? a. 3>41>> *l c. ->>43>> *l ' 104 #) $. As toleate$ A *ot!e o# a 0 &ea4ol$ c!il$ co*(lains t!at !is son is ne"ati%istic an$ alwa&s sa&s no. T!e *ot!e as@e$ t!e n/se w!& !is son is alwa&s li@e t!at. T!e n/se is coect b& es(on$in") a. Yo/ son is bein" s(oile$ an$ s!o/l$ be (/nis!e$. b. E%e& ti*e !e acts t!at wa&9 6/st i"noe !i*. %' It/! uite no#a) *o hi! a-e to a%t that .a( *o it/! hi! .a( to !ea%h *o in"e&en"en%e' $. It is !is wa& to e'(loe t!e en%ion*ent9 it is best &o/ enco/a"e !i* to $o t!at. T!e #o/n$ation o# all (s&c!osocial tas@ is sai$ to be) a' Lo+e c. Cain" b. T/st $. Sel# act/ali+ation Acco$in" to Ei@son9 t!e (s&c!osocial tas@ o# a to$$le is) a. In$/st& %s. In#eioit& %' Autono#( +!' Sha#e an" Dout b. Initiati%e %s. G/ilt $. T/st %s. Mist/st T!e sc!ool a"e c!il$ is at t!e coect (s&c!osocial tas@ as !e leans to $e%elo( w!ic! o# t!e #ollowin"? a. T& new t!in"s c. Ceate t!in"s b. e%elo( in$e(en$ence "' Stat ne. thin-! T!e (aent o# a c!il$ can best teac! t!e c!il$ (o(e *annes an$ con$/ct b&) a' Mo"e)inc. Reli"io/s teac!in" b. Sc!oolin" $. ,ositi%e ein#oce*ent All t!e #ollowin" ae seen in a c!il$ wit! *easles. W!ic! one is not? a. Re$$ene$ e&es %' Pu!tu)e b. Co&+a $. Co/"! T!e WHO state$ t!e beast#ee$in" s!o/l$ be state$ wit!in 0> *in/tes a#te no*al bit!. T!e n/se is obse%in" t!e *ot!e $/in" beast#ee$in". W !ic! o# t!e #ollowin" obse%ation s!ows t!at t!e bab& latc!e$ o(ti*all&? a. T!e bab&’s lowe li( is t/ne$ inwa$ an$ lowe (otion o# t!e aeola is *oe co%ee$ t!an t!e /((e (otion. b. T!e bab&’s lowe li( is t/ne$ o/twa$ an$ (otion o# t!e lowe aeola is *oe co%ee$ t!an t!e /((e (otion. %' The a(/! )o.e )i& i! tune" out.a" an" &otion o* the u&&e aeo)a i! #oe %o+ee" than the )o.e &otion' $. T!e bab&’s lowe li( is t/ne$ inwa$ an$ t!e /((e (otion o# t!e aeola is *oe co%ee$ t!an t!e lowe (otion. east *il@9 /nli@e o$ina& *il@ contains w!ic! o# t!e #ollowin"? a. It contains *oe n/tients t!an o$ina& *il@. b. It !as a !i"!e (otein9 #at an$ cabo!&$ate content t!an o$ina& *il@. c. It contains anti"ens t!at boost t!e c!il$’s i**/ne s&ste*. "' It ha! #atena) antio"ie! that &ote%t the %hi)" *o# i))ne!!e! *o a &eio" o* ti#e'
;0. 6' Situation: Atten"in- to the nee"! o* a &e-nant .o#an, a .o#an in )ao an" a!!i!tin- in %hi)"ith ae &at o* the %o##unit( hea)th nu!e/! e!&on!ii)itie!' ;. N/se S!eila is atten$in" to wo*en w!o ca*e to t!e !ealt! cente #o (enatal c!ec@4/(. U(on assess*ent9 s!e notice$ t!at !e client9 Alin" Rosa9 !a$ (ale (al*s an$ con6/ncti%a. S!e e8/este$ Alin" Rosa to !a%e !e !e*o"lobin teste$ an$ e'(laine$ t!at !e*o"lobin le%els below t!is %al/e is in$icati%e o# ane*ia. W !ic! o# t!ese !e*o"lobin le%els is N/se S!eila e#ein" to? a. 7": $L c. < ": $L ' Q11 - "L $. 5 ":$L ;3. In t!e Inte"ate$ Mana"e*ent o# ,e"nanc& an$ C!il$bit! o IM,AC9 w!ic! o# t!ese !e*o"lobin le%els in$icates se%ee ane*ia? a' Q 2 - "L c. < ": $L b. 11 ": $L $. 5 ": $L ;5. Teat*ent #o se%ee ane*ia incl/$e a. 1 tablet o# ion twice $ail& #o 0 *ont!s %' =oth o* the!e b. U"ent e#eal to t!e !os(ital $. Neit!e o# t!ese ;7. N/se S!eila was calle$ to atten$ to a wo*an in labo on !e ; t! *ont! o# (e"nanc&. T!e wo*an was still in t!e ta'i o/tsi$e t!e !ealt! cente an$ was e(ote$ to be wet #o* t!e waist $own wit! a clea #l/i$ #o* !e %a"ina. U(on Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 5
8/ic@ inte%iew o# t!e wo*an’s co*(anion9 N/se S!eila $eci$e$ to e#e t!e wo*an to t!e neaest !os(ital. W!ic! a*on" t!e si"ns below is in$icati%e o# /"ent e#eal to a neab& !os(ital? a. 2o/l4s*ellin" %a"inal $isc!a"e b. R/(t/e o# *e*banes at less t!an ; *ont!s o# (e"nanc& c. Te*(eat/e o# 0;⁰C an$ abo%e "' A)) o* the ao+e ;;. A wo*an co*(lainin" i# #e%e 0; ⁰ C an$ abo%e an$ an& o# #lan@ (ain o b/nin" sensation on /ination *ost (obabl& !as a. Uina& tact in#ection c. Lowe /ina& tact in#ection ' 7&&e uina( ta%t in*e%tion $. An& o# t!e abo%e ;<. A 4wee@ (ost(at/* wo*an ca*e to t!e !ealt! cente an$ co*(laine$ o# c/$4li@e %a"inal $isc!a"e an$ intense %/l%al itc!in". N/se S!eila s/s(ecte$ t!is as a case o# a. ,ossible "ono!eal in#ection c. ,ossible tic!o*onas in#ection b. ,ossible bacteial in#ection "' Po!!i)e %an"i"a in*e%tion <>. N/se S!eila is (o%i$in" !ealt! teac!in"s to a "o/( o# *ot!es on t!e $an"e si"ns o# (e"nanc& t!at e8/ie i**e$iate e#eal to a neab& !os(ital. T!ese incl/$eB i. =a"inal blee$in" ii. Con%/lsions iii. Se%ee !ea$ac!es wit! bl/e$ %ision i%. 2e%e an$ too wea@ to "et o/t o# be$ %. Se%ee ab$o*inal (ain %i. 2ast o $i##ic/lt beat!in" <1. a. 19 -9 an$ 5 b. 1 to 3 onl& a. All e'ce(t %' A)) o* the ao+e <-. W!en co/nselin" on #a*il& (lannin" *et!o$s to beast#ee$in" wo*en9 N/se S!eila e*(!asi+e$ t!at t!is *et!o$ s!o/l$ onl& be /se$ 5 *ont!s a#te c!il$bit!. W!ic! one is s!e e#ein" to? a' La%tationa) a#enohea #etho" c. Co*bine$ oal contace(ti%es b. Con$o*s $. ,o"esteone4onl& in6ectables <0. N/se S!eila con"at/late$ t!e (e"nant wo*en #o co*in" to t!e !ealt! cente #o t!ei (enatal c!ec@4/(. S!e eiteate$ t!at all (e"nant wo*en s!o/l$ !a%e a total o# at least !ow *an& o/tine antenatal %isits? a. - o/tine antenatal %isits c. 5 o/tine antenatal %isits ' 6 outine antenata) +i!it! $. ; o/tine antenatal %isits <. Acco$in" to N/se S!eila9 t!e t!i$ o/tine a ntenatal %isit s!o/l$ be $one b& t!e wo*an at w!ic! *ont! o# (e"nanc&? a. e#oe *ont!s %' At #onth! b. At 5 *ont!s $. At < *ont!s e. *'
Situation: In (ou !e)*0#ana-e" Chi)" Hea)th Nu!in- C)ini%, (ou en%ounte the!e %a!e! &etainin- to the %ae o* %hi)"en .ith &u)#ona( in*e%tion!' <3. ose bo/"!t !e 04*ont! ol$ c!il$ to &o/ beca/se o# co/"! an$ col$. W!ic! o# t!e #ollowin" is &o/ (i*a& action? a. Gi%e coti*o'a+ole tablet o s&/(. ' A!!e!! the &atient u!in- the %hat on #ana-e#ent o* %hi)"en .ith %ou-h' c. Re#e to t!e $octo. $. Teac! t!e *ot!e !ow to co/nt !e c!il$’s beat!in". a. <5. In es(on$in" to t!e cae concens o# c!il$en wit! se%ee $isease9 e#eal to t!e !os(ital is t!e essence es(eciall& i# t!e c!il$ *ani#ests w!ic! o# t!e # ollowin"? a. W!ee+in" %' Di**i%u)t to a.a?en b. Sto((e$ #ee$in" well $. 2ast beat!in" <7. W!ic! o# t!e #ollowin" t!ee#oe is t!e *ost es(onsibilit& o# a n/se in t!e (e%ention o# /nnecessa& $eat!s #o* (ne/*onia an$ ot!e se%ee $iseases? a. Ta@in" t!e te*(eat/e o# t!e sic@ c!il$ c. Wei"!in" t!e c!il$ ' Po+i!ion o* %ae*u) a!!e!!#ent $. Gi%in" antibiotics <;. Yo/ wee able to i$enti# & #actos t!at lea$ to es(iato& (oble*s in t!e co**/nit& w!ee &o/ !ealt! #acilit& se%es. To e$/ce *obi$it& cases $/e to (ne/*onia9 &o/ (i*a& ole is to) a' Tea%h #othe! ho. to e%o-ni;e ea)( !i-n! an" !(#&to#! o* &neu#onia' b. Re#e cases to !os(itals. c. Ma@e a !o*e %isit to sic@ c!il$en. $. See@ assistance an$ *obili+e t!e HWs to !a%e a *eetin" wit! *ot!es. <<. Usin" t!e IMCI *o$el9 t!e (in@ ow nee$sB a. No s(eci#ic teat*ent c. Ho*e teat*ent b. S(eci#ic antibiotics "' 7-ent e*ea) e. *' Situation: A#on- %o##on %on"ition! *oun" in %hi)"en e!&e%ia))( a#on- &oo %o##unitie! ae ea in*e%tion!&o)e#!' The *o))o.in- ue!tion! a&&)(' <<. A c!il$ wit! ea (oble* s!o/l$ be assesse$ #o t!e #ollowin" e'ce(t) a. Ea (ain c. Ea $isc!a"e ' I! thee an( *e+e $. I# $isc!a"e is (esent9 #o !ow lon"? 1>>. I# t!e c!il$ $oes not !a%e an ea (oble*9 /sin" IMCI9 w!at s!o/l$ &o/9 as a n/se9 $o? a. C!ec@ #o ten$e swellin"s be!in$ t!e ea. c. C!ec@ #o ea $isc!a"e. ' Go to the ne9t ue!tion! %he%? *o $. C!ec@ #o ea (ain. #a)nutition' e. #. ". Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 5
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a/. a%. An ea $isc!a"e t!at !as been (esent #o *oe t!an 1 $a&s9 can be classi#ie$ as) a' Choni% ea in*e%tion c. Co*(licate$ ea in#ection b. Ac/te ea in#ection $. Mastoi$itis An ea $isc!a"e t!at !as been (esent #o less t!an 1 $a&s9 can be classi#ie$ as) a. Co*(licate$ ea in#ection c. C!onic ea in#ection ' A%ute ea in*e%tion $. Mastoi$itis I# &o/ c!il$ !as se%ee classi#ication beca/se o# ea (oble*9 w!at s!o/l$ be t!e best t!in" t!at &o/9 as t!e n/se9 can $o? a. & t!e ea b& wic@in". $. Inst/ct *ot!e w!en to et/n ' Re*e u-ent)(' i**e$iatel&. c. Gi%e an antibiotic #o 3 $a&s. e' *' Situation: A %hi)" .ith "iahea e-i!te! one !i-n in the &in? o. an" one in the (e))o. o. o* the IMCI Chat' We can classi#& t!e (atient as) a. Mo$eate $e!&$ation c. Se%ee $e!&$ation b. No $e!&$ation "' So#e "eh("ation A c!il$ w!o !as !a$ $ia!ea #o 1 $a&s b/t !as no si"n o# $e!&$ation is classi#ie$ as) a. Se%ee $&sente& c. &sente& b. Se%ee (esistent $ia!ea "' Pe!i!tent "iahea I# t!e c!il$ !as s/n@en e&es9 $in@in" ea"el&9 t!ist& an$ s@in (inc! "oes bac@ slowl&9 t!e classi#ication wo/l$ be) a. Mo$eate $e!&$ation c. No $e!&$ation ' So#e "eh("ation $. Se%ee $e!&$ation A c!il$ wit! %isible se%ee wastin" o se%ee (al*a (allo *a& be classi#ie$ as) a. Mo$eate *aln/tition:ane*ia c. Not %e& low wei"!t) no ane*ia ' Se+ee #a)nutitionane#ia $. Ane*ia:=e& low wei"!t A c!il$ !as so*e (al*a (allo. He can be classi#ie$ as) a. Not %e& low wei"!t) no ane*ia c. Mo$eate ane*ia:no*al wei"!t b. Se%ee *aln/tition:ane*ia "' Ane#ia +e( )o. .ei-ht e. *' Situation: Po&e *oo" an" nutition ae i#&otant *a%to! that %ontiute to *a!t e%o+e( an" ehai)itation o* &atient!' A! !u%h, #eetin- the nutitiona) nee"! o* &atient! #u!t e a #a$o &at o* the nu!in- %ae &)an' W!ic! o# t!e c!e*ical s/bstance ae (esent in t!e #oo$ w!ic! @ee( bo$& !ealt!&9 s/((l& *ateials #o "owt! an$ e(ai o# tiss/es an$ (o%i$e ene"& #o wo@ an$ (!&sical acti%ities? a' Nutient! c. Mineals b. Ne/obions $. =ita*ins Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 6
1>. Yo/ assesse$ a c!il$ wit! %isible se%ee wastin"9 !e !as) a. LM c. E$e*a ' Maa!#u! $. Fwas!io@o 11. A 1> *ont! ol$ bab& !as *easles) !e !a$ loose bowel *o%e*ent w!ile in t!e !os(ital. W!ic! o# t!e #ollowin" wo/l$ &o/ a$%ise t!e *ot!e to contin/e as !&$ation t!ea(& at !o*e? a. il/te$ so/( an$ tea %' Ri%e0a!e" !o)ution o @a# b. iscontin/e beast *il@ $. Oan"e 6/ice o co@e 1-. N/se , is $isc/ssin" abo/t t!e #l/i$ nee$s o# t!e &o/n" c!il$. W!at is t!e best #l/i$ to o##e to t!e c!il$ to elie%e t!ist? a. 2/it 6/ice at all ti*e c. 2i++& $in@s b. Hi"!l& sweetene$ $in@s "' Wate e. #. -' Situation: Nutition, IMCI, CDD 10. T!e #ollowin" state*ents ae t/e e"a$in" Fwas!io@o e'ce(t) a' Foo" i! the on)( %ue' b. T!e c!il$ is a(at!etic an$ $oes not want to eat. c. C!aactei+e$ b& s@in oes9 e$e*a an$ *oon4#ace. $. It /s/all& stats w!en t!e c!il$ is less t!an one &ea ol$. 1. T!e eci(ients o# ta"ete$ #oo$ assistance (o"a* ae t!e) a. Geneal (/blic c. ,e"nant wo*en b. C!il$en "' Chi)"en an" &e-nant .o#en 13. elen is 1 *ont! ol$ an$ !as (ne/*onia. T!e inte%ention s!o/l$ be) a. Te(i$ s(on"e bat! c. Re#e i**e$iatel& ' Po+i"e antiioti%! an" !ee a*te 4 "a(! $. Assess #o ot!e si"ns 15. T!e initial si"n o# $e!&$ation in $ia!ea is) a. Wei"!t loss c. Co*atose b. ,ositi%e s@in #ol$ test "' Thi!t 17. Ana is 1 &ea ol$ an$ wit! 3 bo/ts o# $ia!ea in a $a&. W!at s!o/l$ be "i%en at e%e& !o/? a. c/( o# wate ' One -)a!! oe!o) c. Antibiotic $. I= #l/i$s
e' *'
Situation: Le&o!( i! a %honi% in*e%tiou! "i!ea!e %au!e" ( M(%oa%teiu# )e&ae, an a%i"0*a!t, o"0!ha&e" a%i))u!' The "i!ea!e a**e%t! the !?in, the &ei&hea) ne+e!, #u%o!a o* the u&&e e!&iato( ta%t an" a)!o the e(e!' 1;. A $ia"nosis o# le(os&9 acco$in" to t!e OH is *a$e /sin" a' C)ini%a) !i-n! an" !(#&to#! a! a!i! b. Micosco(ic e'a*ination o# t!e bacilli in t!e s@in $isc!a"e c. S(/t/* *icosco(& $. C/lt/e an$ Sensiti%it& test 1<. In an en$e*ic co/nt&9 an in$i%i$/al s!o/l$ be e"a$e$ as !a%in" le(os& i# !e o s!e *ani#ests at least one o# t!e ca$inal si"ns o# le(os&. T!ese incl/$e a. S@in lesion wit! $e#inite senso& loss %' =oth o* the!e b. ,ositi%e s@in s*eas $. Neit!e o# t!ese ->. T!ee ae two *a6o classi#ications o# le(os& base$ on s@in4s*ea es/lts. T!ese incl/$e (a/cibacilla& le(os& (atients. T!e co**/nit& !ealt! n/se s!o/l$ wan a (atient t!at one o# t!ese $/"s ca/ses a bownis!4blac@ $iscoloation an$ $&ness o# t!e s@in. W!ic! $/" is it? a. A s/s(ect case i# le(os& c. A case o# */ltibacilla& le(os& ' A %a!e o* &au%ia%i))a( )e&o!( $. A case o# le(os& e*ission -1. /"s /se$ in t!e MT o# le(os& (atients ae a co*bination o# Ri#a*(icin9 Clo#a+i*ine an$ a(sone #o */ltibacilla& le(os& (atients9 an$ Ri#a*(icin an$ a(sone #o (a/cibacilla& le(os& (atients. T!e co**/nit& !ealt! n/se s!o/l$ wan a (atient t!at one o# t!ese $/"s ca/ses a bownis!4blac@ $iscoloation an$ $&ness o# t!e s@in. W!ic! $/" is it? a. Ri#a*(icin c. a(sone ' C)o*a;i#ine $. All o# t!e abo%e --. T!e co**/nit& !ealt! n/se s!o/l$ a ssess t!e (atient #o !isto& o# alle"ies be#oe le(os& teat*ent. W!ic! o# t!ese $/"s s!o/l$ not be "i%en to (atients w!o ae alle"ic to S/l(!a $/"s? a. Ri#a*(icin %' Da&!one b. Clo#a+i*ine $. All o# t!ese e. *' Situation: Di!ea!e! o* the heat an" +a!%u)a !(!te# e#ain to e the *i!t an" the !e%on" )ea"in%au!e! o* #ota)it( a#on- Fi)i&ino!, e!&e%ti+e)(, a! o* 44' A%%o"in- to the DOH, the!e ae #ain)( "ue to h(&eten!ion, %oona( heat "i!ea!e an" !to?e' -0. N/se ,ela was con$/ctin" a !o*e %isit in a neab& baan"a& w!en Man" ,e$o a((oac!e$ !e an$ e8/este$ t!at !is bloo$ (ess/e be ta@en. It was t!e #ist ti*e #o N/se ,ela to *eet Man" ,e$o. U(on assess*ent9 Man" ,e$o’s bloo$ (ess/e was 13>:< **H". W!ic! a*on" t!e #ollowin" s!o/l$ N/se ,ela $o ne't? a. In#o* Man" ,e$o t!at !e is !&(etensi%e an$ enco/a"e !i* to (actice !ealt!& li#est&le. ' A!? Man- Pe"o to +i!it the hea)th %ente a*te one .ee? *o *uthe a!!e!!#ent an" en%oua-e hi# to &a%ti%e hea)th( )i*e!t()e' c. In#o* Man" ,e$o t!at !e is !&(etensi%e an$ (escibe anti!&(etensi%es. $. As@ Man" ,e$o to %isit t!e !ealt! cente a#te one wee@ #o #/t!e assess*ent9 b/t in t!e *eanti*e9 (escibe an anti!&(etensi%e $/". -. A#te a #ew consec/ti%e cons/ltations at t!e !ealt! cente9 Man" ,e$o’s a%ea"e bloo$ (ess/e ea$in" was eco$e$ at 1>:<> **H". N/se ,ela @no ws t!at Man" ,e$o belon"s to w!ic! cate"o&? Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 61
a. No*al bloo$ (ess/e %' H(&eten!ion, !ta-e 1 b. ,e!&(etension $. H&(etension9 sta"e -3. N/se ,ela is cae#/l in c!oosin" t!e e8/i(*ent t!at will be /se$ #o , ta@in". S!e @nows %e& well t!at a , c/## t!at is too naow will lea$ to a. 2alse low s&stolic ea$in" c. 2alse low ea$in" b. 2alse !i"! s&stolic ea$in" "' Fa)!e hi-h ea"in-5. N/se ,ela $ele"ate$ %ital si"ns to t!e /al !ealt! *i$wi#e at t!e !ealt! cente. U(on initial assess*ent o# Man" ,e$o’s bloo$ (ess/e in t!e le#t a*9 t!e *i$wi#e *isse$ !eain" t!e (atient’s %asc/la so/n$ beca/se o# t!e noise in t!e en%ion*ent. W!ic! o# t!e #ollowin" actions in$icate t!at t!e *i$wi#e is (acticin" t!e clinical stan$a$s in bloo$ (ess/e ta@in"? a' The #i".i*e .ait! 104 #inute! e*oe #a?in- *uthe #ea!ue#ent! on the !a#e a#' b. T!e *i$wi#e $e#lates t!e c/## co*(letel&9 e*o%es t!e c/##9 as@s Man" ,e$o to *o%e !is a*9 waits #o 14 - *in/tes an$ tans#es t!e , c/## on t!e i"!t a*. c. T!e *i$wi#e $e#lates t!e c/## co*(letel&9 e*o%es t!e c/##9 as@s Man" ,e$o to *o%e !is a*9 waits #o 14 - *in/tes an$ "ets t!e , on t!e sa*e a*. $. T!e *i$wi#e $e#lates t!e c/## co*(letel&9 e*o%es t!e c/##9 as@s Man" ,e$o to *o%e !is a*9 waits #o 14 - *in/tes an$ tans#es t!e , c/## on t!e i"!t a*. -7. N/se ,ela ta/"!t Man" ,e$o li#est&le *o$i#ication to !el( *ana"e !is !&(etension. T!is incl/$es a $ieta& so$i/* inta@e o# less t!an a. 0 "a*s NaCl c. < "a*s NaCl ' -a#! NaC) $. 1- "a*s NaCl -;. Man" ,e$o as@e$ i# !e co/l$ still $in@ bee wit! !is #ien$s es(eciall& $/in" s(ecial occasions. N/se ,ela in#o*e$ Man" ,e$o t!at t!e eco**en$e$ $ieta& inta@e o# e"/la bee s!o/l$ not e'cee$ a. 1 bottle c. 0 bottles ' 4 ott)e! $. bottles -<. Coona& ate& $isease CAJ is also #ast e*e"in" as a ca/se o# *obi$it& an$ *otalit& a*on" 2ili(inos. All o# t!e #ollowin" ae *o$i#iable is@ #actos o# CA. W!ic! o# t!ese ae t!e *a6o is@ #actos acco$in" to st/$ies? i. H&(etension ii. Lac@ o# e'ecise iii. Hi"! c!olesteol i%. ,esonalit& %. Ci"aette S*o@in"9 tobacco /se %i. Obesit& %ii. iabetes Mellit/s %iii. Hi"! coa"/labilit& o# t!e bloo$ a. 19 -9 0 an$ c. -9 9 5 an$ ; ' 1, 5, > an" 2 $. 09 9 3 an$ 5 0>. C!olesteol is (ocesse$ b& t!e GIT into li(o(otein "lob/les calle$ c!&lo*icons. i##eent t&(es o# c!olesteols !a%e $i##eent e##ects in t!e bo$&. W!ic! o# t!e #ollowin" is t!e e##ect o# low4$ensit& li(o(oteins? a' The( a"hee to +u)nea)e &oint! in the ateia) en"othe)iu#, thu! )ea"in- to the *o#ation o* *oa# %e))! an" &)aue *o#ation' b. T!e& (o*ote t!e /se o# total c!olesteol b& tans(otin" it to t!e li%e w!ee it is bio$e"a$e$ an$ e'cete$ late on. c. T!e& (o*ote t!e $est/ction o# !i"!4$ensit& li(o(oteins. $. T!e& in"est t!e (la8/e t!at #o*e$ in t!e ateial en$ot!eli/*9 t!eeb& i*(o%in" cic/lation t!o/"! t!e ateies. 01. N/se ,ela ta/"!t Man" ,e$o t!at t!is t&(e o# c!olesteol is a ston" ne"ati%e is@ #acto #o !eat $isease. c. ot! o# t!ese a' Lo.0"en!it( )i&o&otein! b. Hi"!4$ensit& li(o(oteins $. None o# t!ese 0-. W!ic! o# t!e #ollowin" t&(es o# #ats s!o/l$ be *ini*i+e$ b& Man" ,e$o since it aises low4$ensit& li(o(otein an$ lowes !i"!4$ensit& li(o(otein? a. Monosat/ate$ #at %' Satuate" *at b. ,ol&/nsat/ate$ #at $. Monosat/ate$ #at 00. 0. 03. A ceebo%asc/la $iso$e is an /*bella te* t!at e#es to a cental ne%o/s s&ste* #/nctional abno*alit& $/e to t!e $is/(tion o# t!e no*al bloo$ s/((l& in t!e bain. Ceebo%asc/la Acci$ent C=AJ in t!e wol$. Sto@e is $i%i$e$ into two *a6o cate"oiesB Isc!e*ic an$ He*o!a"ic. Man" ,e$o’s !&(etension is t!e *a6o is@ #acto i$enti#ie$ in a. Isc!e*ic Sto@e %' =oth o* the!e b. He*o!a"ic sto@e $. Neit!e o# t!ese 05. Isc!e*ic sto@e is t!e *ost co**on t&(e. W!ic! o# t!e #ollowin" is a co**on s&*(to* o# Isc!e*ic sto@e? a. E'(lo$in" !ea$ac!e b. ecease$ le%el o# conscio/sness c. Tinnit/s an$ $i++iness "' Nu#ne!! o .ea?ne!! o* the *a%e, a# o* )e-, e!&e%ia))( on one !i"e o* the o"( 07. Man" ,e$o s*o@es ten stic@s o# ci"aettes e%e&$a&. N/se ,ela tol$ Man" ,e$o t!at !e s!o/l$ sto( s*o@in" soon beca/se s*o@in" is t!e (i*a& is@ #acto in a. C!onic bonc!itis c. onc!ial ast!*a b. E*(!&se*a "' A)) o* the!e 0;. N/se ,ela ecalle$ t!at a client s!o/l$ be s/s(ecte$ o# CO,9 i# t!e client i. Is *oe t!an > &eas ol$ ii. Is *oe t!an 3> &eas ol$ iii. Is s*o@in" -> stic@s (e $a& Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 64
i%. Has been s*o@in" #o *an& &eas %. Has $i##ic/lt& in beat!in" %i. Has s&*(to*s o# (o"essi%e an$ inceasin" s!otness o# beat! in e'etion %ii. Has c!onic $& co/"! %iii. Has c!onic (o$/cti%e co/"! a. All o# t!e abo%e %' 4, 6, an" b. 19 09 3 an$ 7 $. 9 39 5 an$ 7 e. *' Situation: Natua) *a#i)( &)annin- #etho"! ae a"+o%ate" e%au!e o* it! nu#eou! ene*it!' The *ou !%ienti*i% natua) #etho"! ae: La%tationa) A#enohea Metho" BLAM, O+u)ation Metho" Ce+i%a) Mu%u! Metho", =a!a) =o"( Te#&eatue Metho" B==T an" S(#&tothe#a) Metho" BSTM' ". 0<. All o# t!e #ollowin" ae t!e bene#its o# nat/al #a*il& (lannin"9 ECE,T a. It !as no si$e e##ects ' It i! e#&o.ein- e%au!e the &i#a( "e%i!ion to &a%ti%e e!i"e! in the .o#an c. Ma@es t!e wo*an awae o# t!e (ocesses in !e bo$& $. It ai$s in (lannin" #o (e"nanc& beca/se it i$enti#ies t!e #etile an$ in#etile $a&s in a wo*an >. LAM (o%i$es nat/al (otection a"ainst (e"nanc& an$ enco/a"es statin" anot!e *et!o$ at t!e (o(e ti*e. A wo*an is nat/all& (otecte$ a"ainst (e"nanc& w!en i. He bab& "ets at least ;3 o# !is o !e #ee$in"s as beast*il@ ii. He bab& is beast#e$ o#ten9 $a& an$ ni"!t iii. He *enst/al (eio$ !as not et/ne$ i%. He bab& is less t!an 5 *ont!s ol$ a. 1 an$ 0 onl& c. -9 0 an$ b. - an$ onl& "' A)) o* the ao+e 1. W!ic! o# t!e #ollowin" nat/al #a*il& (lannin" *et!o$s will (otect t!e wo*an a"ainst STs9 incl/$in" HI=: AIS? a. O%/lation *et!o$: ce%ical */c/s c. ot! o# t!ese *et!o$ "' Neithe o* the!e b. S&*(tot!e*al *et!o$ -. ,ete an$ Ticia ae (acticin" ce%ical */c/s *et!o$. 2o a #ew $a&s9 Ticia notice$ t!at !e secetions !a%e t/ne$ stic@&9 (ast& an$ c/*bl&. 2o (o(e c!il$ s(acin"9 w!ic! a*on" t!e #ollowin" $ecisions o# t!e co/(le is coect? a' The %ou&)e "e%i"e" to ha+e un&ote%te" inte%ou!e unti) #en!tuation e-an a-ain' b. T!e co/(le $eci$e$ to a%oi$ inteco/se. c. T!e co/(le $eci$e$ to /se a baie *et!o$. $. T!e co/(le $eci$e$ to (actice wit!$awal. 0. W!en /sin" basal bo$& te*(eat/e9 w!ic! o# t!e #ollowin" s!o/l$ be obse%e$? i. Wo*an c!ec@s !e bo$& te*(eat/e oall& e%e&$a& ii. Wo*an c!ec@s !e bo$& te*(eat/e at a con%enient site e%e&$a& iii. Wo*an c!ec@s !e bo$& te*(eat/e at t!e sa*e ti*e eac! *onin"9 be#oe s!e "ets o/t o# be$. i%. Wo*an c!ec@s !e bo$& te*(eat/e at t!e sa*e ti*e eac! *onin"9 a#te was!in" !esel#. %. Wo*en eco$s !e te*(eat/e on a s(ecial "a(! %i. Wo*en eco$s !e te*(eat/e on !e $ia& %ii. T!e wo*an obse%es i# !e te*(eat/e !as isen abo%e !e e"/la te*(eat/e an$ !as sta&e$ /( #o 0 #/ll $a&s. T!is *eans t!at o%/lation !as occ/e$ an$ !as (asse$. %iii. T!e wo*an obse%es i# !e te*(eat/e !as isen abo%e !e e"/la te*(eat/e an$ !as sta&e$ /( #o 0 #/ll $a&s. T!is *eans t!at *enst/ation !as occ/e$ an$ !as (asse$. a. 1 to onl& %' 1, 5, >, an" 2 b. 3 to ; onl& $. All o# t!e abo%e . W!en /sin" basal bo$& te*(eat/e9 i# t!e wo*an’s te*(eat/e !as isen abo%e !e e"/la te*(eat/e an$ sta&e$ /( #o 0 #/ll $a&s9 t!e co/(le *a& !a%e /n(otecte$ inteco/se #o !ow *an& $a&s? a. O%e t!e ne't 347 $a&s9 /ntil t!e wo*an’s ne't *enst/al blee$in" (eio$ be"ins b. O%e t!e ne't 741> $a&s9 /ntil t!e wo*an’s ne't *enst/al blee$in" (eio$ be"ins %' O+e the ne9t 1014 "a(!, unti) the .o#an/! ne9t #en!tua) )ee"in- &eio" e-in! $. O%e t!e ne't 1-41 $a&s9 /ntil t!e wo*an’s ne't *enst/al blee$in" (eio$ be"ins 3. 6' Situation: Nu!e Nan%( .a! on "ut( at the Ma-ana Hea)th Cente .hen =o( .a! ou-ht in "ue to a "oite in the )e*t )o.e )e-' 7. Alin" Tan&a9 obb&’s *ot!e9 is #antic t!at obb& wo/l$ "et abies. N/se Nanc& be"an $isc/ssin" t!e si"ns an$ s&*(to*s o# abies. T!is incl/$e t!e #ollowin"B i. 2e%e ii. Anoe'ia iii. Na/sea an$ %o*itin" i%. Hea$ac!e %. ,ain o (aest!esias at bite site %i. Si"ns o# ne%o/s s&ste* $&s#/nction as !&(eacti%it&9 $isoientation9 !all/cination9 sei+/es9 an$ (aal&sis. %ii. itin" at inani*ate ob6ects %iii. Ai*less /nnin" an $ (olon"e$ (o"essi%eness a' A)) o* the ao+e c. All e'ce(t an$ 3 b. All e'ce(t 1 an$ $. All e'ce(t 7 an$ ; ;. Rabies in#ection !as t!ee (!ases. T!is incl/$es all o# t!e #ollowin" ECE,T a. In%asion ,!ase ' In%uation Pha!e Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 65
c. Ne/olo"ic ,!ase $. ,aal&tic ,!ase <. Alin" Tan&a tol$ N/se Nanc& t!at i**e$iatel& a#te t!e inci$ent9 s!e t!oo/"!l& was! t!e wo/n$ wit! soa( an$ wate an$ a((lie$ antise(tic at t!e wo/n$ site. W!ic! o# t!e #ollowin" es(onses wo/l$ be *ost a((o(iate? a. T!at’s a "oo$ *o%e. It will ens/e t!at t!e wo/n$ wo/l$ not "et in#ecte$. b. Yo/ s!o/l$ not !a%e $one t!at. T!e wo/n$ wo/l$ be in#la*e$ as an e##ect o# was!in" wit! wate. %' Wa!hin- .ith !oa& an" .ate an" %)ean!in- it .ith an anti!e&ti% .i)) &e+ent in*e%tion' $. T!at’s not necessa& beca/se t!e abies %i/s co/l$ not be @ille$ t!o/"! was!in" an&wa&. 3>. N/se Nanc& $isc/sses t!e wa&s on !ow to (e%ent #/t/e abies in#ection. T!is incl/$es all o# t!e #ollowin" ECE,T a. A#te an ani*al bite9 t!e (atient s!o/l$ cons/lt a %eteinaian o taine$ (esonal to obse%e t!e ani*al. ' I* the ani#a) !ho.e" !i-n! o* eha+ioa) %han-e "uin- the o!e+ation &eio", i##e"iate)( ?i)) it' c. Ens/e t!at t!e $o"s ae %accinate$ at 0 *ont!s o# a"e an$ e%e& &ea t!eea#te $. o"s s!o/l$ be leas!e$ o con#ine$ in a ca"e. 31. T!e Rabies Contol ,o"a* acco$in" to N/se Nanc& #oc/ses on netwo@in" as a @e& state"& in contollin" abies. Netwo@in" wit! t!e sc!ool is $one #o t!e sc!ool (esonnel an$ st/$ents to !a%e an acti%e in%ol%e*ent in t!is en$ea%o. T!e sc!ool o##icials !a%e t!e #ollowin" es(onsibilities. W!ic! one is not incl/$e$? i. I$enti#& teac!es w!o can be @e& lea$es in o"ani+in" Anti Rabies Sco/tes in t!e sc!ool ii. Initiate incl/sion o# abies (e%ention an$ contol in ,TA *eetin"s iii. O"ani+e (aents’ class to $e%elo( necessa& @nowle$"e an$ attit/$e on abies (e%ention an$ contol i%. Ta( (otential c!il$en lea$es #o* "a$es 9 3 an$ 5 w!o can acti%el& (atici(ate in t!e anti4 abies acti%ities a. 1 onl& %' None o* the ao+e b. onl& $. All o# t!e abo%e ' %' Situation: Nu!e 8u)ia, a ne. e-i!tee" nu!e, i! a!!i-ne" in a %o##unit( hea)th %ente in the &o+in%e o* Sa#a' She ?no.! that the &o+in%e i! en"e#i% .ith !%hi!to!o#ia!i!' 3-. S!e was on !e wa& to con$/ct a !o*e %isit in a neab& baan"a& w!en s!e notice$ t!at a "o/( o# sc!ool4a"e$ c!il$en wee !a((il& "at!ein" s*all nails in t!e s!allow wates o# a stea*. S!e i**e$iatel& tol$ t!e* to $esto& t!e snails t!at t!e& !a%e "at!ee$ beca/se t!ose wee Oncomelania hupensis quadrasi 9 t!e inte*e$iate !ost o# sc!istoso*iasis. N/se /lia @nows t!at wee Oncomelania hupensis quadrasi (ossess t!e #ollowin" c!aacteistics ECE,T a. A$/lt snail is "eenis!4bown in colo an$ is 6/st a little bit bi""e t!an a (ala& "ain b. A"u)t !nai) ta!te! )i?e %hi%?en .hen %oo?e" in a %o%onut #i)? . c. A$/lt snail co/l$ be #o/n$ clin"in" to #es! an$ $eca&in" lea%es o# wate (lants o "asses9 (ieces o# ottin" woo$ an$ (ot/$in" oc@s $. A$/lt snail co/l$ also be #o/n$ in san$&4loa* soil 30. N/se /lia wane$ t!e c!il$en not to swi* in t!e stea*. S!e e'(laine$ t!at *a& "et sc!istoso*iasis b& swi**in" in t!e in#ecte$ wate t!o/"! s@in (enetation o# t!e (aasite. S@in (enetation is a ca(abilit& o# a. O%/* %' Ce%aiae b. Miaci$i/* $. Sc!istoso*iasis 3. N/se /lia e'(laine$ #/t!e t!at eal& in#ection wit! sc!istoso*iasis is also @nown as a. Fata&a*a #e%e c. Go/n$ itc! ' S.i##e/! it%h $. Na@a&a*a #e%e 33. N/se /lia e'(laine$ to t!e *ot!es t!at t!ee ae se%eal *et!o$s o# $ia"nosin" sc!istoso*iasis. T!is incl/$es all o# t!e #ollowin". Ne%et!eless9 s!e e*(!asi+e$ t!at in t!e ,!ili((ines9 t!e $e#initi%e $ia"nosis o# sc!istoso*iasis is a' Ci%u#o+a) Pe%i&itin Te!t b. Fato4@at+ tec!ni8/e to en/*eate t!e e""s c. En+&*e4lin@e$ i**/nosobent assa& o ELISA $. In$iect !e*a"l/tination /sin" a$/lt wo*s an$ anti"ens 35. Contol o# t!e Oncomelania hupensis quadrasi snails co/l$ be $one t!o/"! i. aina"e o# bee$in" sites an$ (o(e *ana"e*ent o# ii"ation s&ste* ii. Re*o%al o# s!a$e b& cleain" %e"etation ao/n$ bo$ies o# wate iii. ,e%ention o# bee$in" on ban@s o# stea*s an$ ii"ation canals b& linin" t!ese wit! concete i%. Co%ein" snail !abitats wit! lan$#ill a. 1 an$ - onl& c. 1 an$ onl& b. - an$ 0 onl& "' A)) o* the ao+e e. #. -'
Situation: A)e$an"o )i+e! in a !uatte/! aea' He -oe! to the nea( !%hoo)' He he)&! hi! #othe -athe #o))u!?! a*te !%hoo)' One "a(, he .a! a!ent e%au!e o* *e+e, #a)ai!e, anoe9ia, nau!ea an" a"o#ina) "i!%o#*ot' 30. U(on assess*ent9 Ale6an$o was $ia"nose$ to !a%e He(atitis A. W!ic! *o$e o# tans*ission !as t!e in#ectio/s a"ent ta@en? a' Fe%a)0oa), one to t.o .ee?! e*oe the on!et b. 2ecal4oal a#te t!e a((eaance o# 6a/n$ice c. Ho*olo"o/s a#te attac@ $. Geneal s/sce(tibilit& 3. W!ic! o# t!e #ollowin" is t!e conc/ent $isin#ection in t!e case o# Ale6an$o? a. In%esti"ation o# contact c. In#ection o# (owe#/l He(a A ' Sanita( "i!&o!a) o* *e%e!, uine an" $. P/aantine o# sic@ in$i%i$/al )oo" 33. W!ic! o# t!e #ollowin" */st be e*(!asi+e$ $/in" *ot!e’s class o# Ale6an$o’s *ot!e? a. A$*inistation o# I" to #a*ilies ' Thoou-h han" .a!hin- e*oe eatin- an" a*te toi)etinRe+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 66
c. Use o# atten/ate$ %accine $. oilin" o# #oo$ es(eciall& *eat 35. isaste contol s!o/l$ be /n$eta@en w!en t!ee ae t!ee o *oe !e(atitis A. a' E)i#inate *e%a) %onta#ination o* *oo" c. b. isse*inate (inte$ *ateials $. 37. W!at is t!e a%ea"e inc/bation (eio$ o# !e(atitis A? a' 5 "a(! c. b. 5> $a&s $. e.
W!ic! a*on" t!ese *eas/es is a (ioit&? Healt! e$/cation e%e& wee@ Mass a$*inistation o# I" 3> $a&s - $a&s
*' Situation: The Co##uni%a)e Di!ea!e Conto) Se+i%e o* the De&at#ent o* Hea)th %eate" the Soi)0 tan!#itte" He)#inthia!i! BSTH Conto) Po-a# in 1 to he)& !o)+e thi! &e!i!tent &o)e# in the Phi)i&&ine!' ". 3;. N/se E*& i$enti#ie$ Ascaiasis9 Tic!/iasis an$ Hoo@wo* in#estation a*on" t!e co**on soil4tans*itte$ !el*int!iasis in t!e ,!ili((ines. Ane*ia is a co**on !ealt! (oble* associate$ wit! t!ese ECE,T a' A!%aia!i! c. Hoo@wo* in#estation b. Tic!/iasis $. All o# t!e abo%e 3<. Rectal (ola(se9 acco$in" to n/se E*& is a !ealt! (oble* in a. Ascaiasis c. Hoo@wo* in#estation ' Ti%huia!i! $. All o# t!e t!ese 5>. A co**on $ia"nostic (oce$/e #o all incl/$es *icosco(ic i$enti#ication o# e""s in t!e stool. W!ic! a*on" t!ese *a& also be %is/ali+e$ $/in" bai/* e'a*ination? a' A!%aia!i! c. Hoo@wo* in#estation b. Tic!/iasis $. All o# t!e t!ese 51. Acco$in" to N/se E*&9 *ass teat*ent o# -41 &ea ol$ c!il$en is t!e *ain state"& o# t!e (o"a* beca/se t!is a"e "o/( is t!e *ost at is@ "o/( an$ t!e& !a%e t!e !i"!est (e%alence an$ intensit& o# in#ection. Mass teat*ent o# t!is a"e "o/( will a/to*aticall& e$/ce t!e (e%alence an$ intensit& o# in#ection #o t!e w!ole co**/nit&. W!ic! a*on" t!e #ollowin" state*ents is t!e least a cc/ate $esci(tion o# t!e teat*ent state"&? a. Ta"et clients ae c!il$en a"e$ -41 &eas beca/se t!e 541 &eas ol$ !abo t!e "eatest loa$ o# in#ection w!eeas -43 &eas ol$ s/##e t!e "eatest *obi$it& w!en in#ecte$. b. T!e s/""este$ #e8/enc& o# teat*ent is twice a &ea beca/se o# ein#ection. %' Rein*e%tion i! >J at #onth! a*te teat#ent' $. Teat*ent s!o/l$ last 0 &eas beca/se in#ecti%e e""s e*ain %iable in t!e soil an$ ae able to in#ect (eo(le #o a *a'i*/* o# - &eas. 5-. Alben$a+ole an$ *eben$a+ole ae ben+i*i$a+ole $ei%ati%es. T!e& !a%e t!e wi$est s(ect/* o# acti%it& an$ *o$e o# action a"ainst intestinal !el*int!es. W!ic! one is @nown to be *oe e##ecti%e a"ainst !oo@wo*? a' A)en"a;o)e b. Meben$a+ole c. ot! o# t!ese $. None o# t!ese 50. 6' Situation: A)tenati+e #e"i%ine in%)u"e! the u!e o* hea) #e"i%ine, an" the &a%ti%e o* a%u&e!!ue, a%u&un%tue, ao#athea&(, et%' 50. A "o/( o# (atients in a co**/nit& is sec/in" t!e !el( o# t!e co**/nit& !ealt! n/se on t!e a((o(iate !ebal *e$icine to /se. W!ic! o# t!e #ollowin" (atients e8/ie nee$ #o #/t!e teac!in"? a. A (atient wit! bite /sin" Yeba /ena b. A (atient wit! e$e*a /sin" sa*bon" c. A (atient wit! #/n"al in#ection /sin" a@a(/l@o "' A &atient .ith hea"a%he u!in- a.an5. A %ine w!ic! beas tin& #/its an$ "ows wil$ in bac@&a$ t!at is /se$ as ati4!el*int!ic is) a. a&abas c. A*(ala&a b. Sa*bon" "' Ni(u-0ni(u-an 53. All o# t!e #ollowin" ae e*in$es on t!e (o(e /se o# !ebal (lants e'ce(t) a. Use onl& one (at o# t!e (lant bein" a$%ocate$. b. A%oi$ t!e /se o# insectici$es as t!ese *a& lea%e (oisons on (lants. %' 7!e %)a( &ot an" %o+e it .hi)e oi)in-' $. Use onl& one @in$ o# !ebal (lant #o eac! t&(e o# s&*(to*s an$ sic@ness. 55. W!at is t!e !ebal (lant t!at can lowe /ic aci$ (o$/ction #o (atients wit! !e/*atis* an$ "o/t? a. Ni&/"4ni&/"an c. Tsaan" "/bat b. La"/n$i "' 7)a!i#an- ato 57. It can be /se$ as anti4e$e*a9 $i/etic an$ anti4/olit!iasis b/t is not a *e$icine #o @i$ne& in#ections. a. Yeba /ena %' Sa#onb. Ni&/"4ni&/"an $. A@a(/l@o 5;. ase$ on t!e (inci(le t!at li#e is t!e es/lt #o PI o li#e ene"&9 w!at is t!e altenati%e *e$icine (actice t!at *aintains !ealt!9 teats $iseases9 an$ alle%iates (ain b& *assa"in" cetain (oints o# t!e bo$& s/#aces? a. Tai C!i %' A%u&e!!ue b. C/((in" $. Ao*at!ea(& 5<. W!ic! o# t!e #ollowin" laws (a%e$ wa& #o t!e ceation o# t!e ,!ili((ine Instit/te o# Ta$itional an$ Altenati%e Healt! Cae? a. RA 715> ' RA 645 c. RA ;-0 $. RA 7;73
e' *'
Situation: 7ti)i;ation o* #e"i%ina) &)ant! in the %o##unit( &o+i"e! !e)*0a.aene!! an" !e)*0 a&&e%iation' 7>. 2o co**on co/"! an$ col$s9 t!e *e$icinal (lant o# c!oice isB Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 6>
a. /!o@ n" *ais c. ' La-un"i $. 71. 2o ascaiasis9 t!e #ollowin" is a$%isable) a. /!o@ n" *ais %' b. La"/n$i $. 7-. 2o toot!ac!e wit! swollen "/*s9 t!e n/ses a$*iniste t!is *e$icinal (lant. a. /!o@ n" *ais c. b. La"/n$i "' 70. S@in $iseases can be c/e$ b& (lants !i"! in) a. ,otassi/* b. Tannin an$ (ectin c. Ao*atic oils "' A)?a)oi"!
Ni&o"4ni&o"an a&abas Ni(o-0ni(o-an a&abas Ni&o"4ni&o"an Yea =uena
e' *' RESEARCH AND 7ALITY IMPROVEMENT -' Situation: En+ion#enta) &ote%tion i! a -)oa) %on%en' 7. How can eseac! $ata be /tili+e$ in t!e (e%ention o# $isease? a'In e%o"in- e&i"e#i%! an" in %o##uni%a)e "i!ea!e %onto)' b.In (escibin" *e$ications #o co**/nicable $iseases. c. In *onitoin" e##ects in (i*a& !ealt! cae $.In e(otin" case #in$in"s. 73. W!ic! ste( in t!e eseac! (ocess /ses s/%e&s an$ inte%iews to obtain $ata? a.Statistical anal&sis o# t!e $ata c. Re%iew o# elate$ liteat/e b.State*ent o# t!e (oble* "' Data %o))e%tion $. e' Situation: Nu!e Lu;+i#in"a i! intee!te" in %on"u%tin- a #ini0e!ea%h on e!&on!i)e &aenthoo"' 75. How s!o/l$ n/se L/+%i*in$a stat t!e (ocess o# eseac!? a.Ma@e a s/%e& in t!e nei"!bo!oo$. 'I"enti*( the *o%u! on the !tu"(' c.Obse%e #a*il& elations!i(s at !o*e. $.Watc! #a*il& inteactions in teleno%elas an$ #a*il& s!ows. 77. W!ee else will n/se L/+%i*in$a "et i$eas to *a@e t!e es(onsible (aent!oo$ st/$&? a.Con%esations wit! class*ates an$ #ien$s e. c. Co**/nit& $ata "' ' Liteatue an" e+ie.' #. $. Notes #o* lect/e 7;. “Responsible parenthood is a 50-50% sharing o responsibilities bet!een the husband and the !ie." W!ic! (at o# t!e eseac! canon $oes t!is state*ent belon" to? a.Reseac! !&(ot!esis c. Tool (aa$i"* b.,oble* state*ent "' Con%e&tua) *a#e.o? 7<. Res(onsible (aent!oo$ t!o/"! s/%e& eseac! is best anal&+e$ b& w!ic! $esi"n? a.Coelation c. Tian"/lation b.P/alitati%e "' uantitati+e ;>. T!e $ata t!at &o/ will "at!e in a st/$& abo/t es(onsible (aent!oo$ s!o/l$ "i%e t!e answe to &o/ . a.H&(ot!esis %' Re!ea%h &o)e# b.Conce(t/al #a*ewo@ $. Inst/*entation $. e' Situation: Sa#&)in-' A! a e-innin- e!ea%he, (ou ae a.ae that !a#&)in- i! an e!!entia) e)e#ent o* the e!ea%h &o%e!!' #. ;1. W!at $oes a sa*(le "o/( e(esent? a.Contol "o/( c. Uni%ese 'Genea) &o&u)ation $. St/$& s/b6ects ;-. W!at is t!e *ost i*(otant c!aacteistic o# a sa*(le? a.A((o(iate n/*be %' Re&e!entati+ene!! b.A((o(iate location $. Ran$o*i+ation ;0. Ran$o* sa*(lin" ens/es t!at eac! s/b6ect !as . a'an eua) %han%e o* !e)e%tion c. been selecte$ base$ on citeia b.been selecte$ s&ste*aticall& $. c!aacteistics t!at *atc! ot!e sa*(les ;. W!ic! o# t!e #ollowin" sa*(lin" *et!o$s allows /se o# an& "o/( o# eseac! s/b6ects? a'Con+enien%e c. Snowball b.,/(osi%e $. P/ota ;3. Yo/ $eci$e$ to incl/$e 3 baan"a&s in &o/ */nici(alit& an$ c!ose a sa*(lin" *et!o$ t!at wo/l$ "et e(esentati%e sa*(les #o* eac! baan"a&. W!at is t!e a((o(iate *et!o$ #o &o/ to /se in t!is case? a'C)u!te !a#&)inc. S&ste*atic sa*(lin" b.Stati#ie$ sa*(lin" $. Ran$o* sa*(lin" $. e' Situation: Theoeti%a) Fa#e.o?' A&&)( (ou ?no.)e"-e on the "i**eent nu!in- theoie! in the !u%%ee"inue!tion!' ;5. 2o t!e eseac! entitle #actors Aecting $ost-Operative $atients &ecision to 'ee( Assistance rom )urses !ith their A&*s9D select t!e *ost a((o(iate t!eoetical #a*ewo@. a.enne’s 2i%e le%els o# ,o#icienc& o# N/ses 'Dootea Oe#/! Se)*0Cae De*i%it Theo( c. Ni"!tin"ale’s En%ion*ental T!eo& $.Callista Ro&’s A$a(tation Mo$el Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 6
;7. 2o t!e eseac! entitle$ +he Relationship bet!een the )urses *evel o 'ociali,ation and the uality o their $atient are9D select t!e *ost a((o(iate t!eoetical #a*ewo@. a'=enne/! Fi+e Le+e)! o* Po*i%ien%( o* Nu!e! b.ootea Oe*’s Sel#4Cae e#icit T!eo& c. Ni"!tin"ale’s En%ion*ental T!eo& $.Callista Ro&’s A$a(tation Mo$el ;;. 2o t!e eseac! entitle$ “oping /ehaviors o $reschool hildren in ast" select t!e *ost a((o(iate t!eoetical #a*ewo@. a.ootea Oe*’s Sel#4Cae e#icit T!eo& b.Ni"!tin"ale’s En%ion*ental T!eo& %'Ca))i!ta Ro(/! A"a&tation Mo"e) $.Ma$eleine Leinin"e’s Tansc/lt/al Cae T!eo& ;<. 2o t!e eseac! entitle$ “A 'tudy on the ommunity 1ealth )urses )ursing are &ecisions in a $redominantly &umagat-$opulated ommunity" select t!e *ost a((o(iate t!eoetical #a*ewo@. a.ootea Oe*’s Sel#4Cae e#icit T!eo& b.Ni"!tin"ale’s En%ion*ental T!eo& c. Callista Ro&’s A$a(tation Mo$el "'Ma"e)eine Leinin-e/! Tan!%u)tua) Cae Theo( $. e' Situation: T(&e! o* Re!ea%h' The u!e o* #a!!a-e an" #e"itation to he)& "e%ea!e !te!! an" &ain ha+e een !ton-)( e%o##en"e" a!e" on "o%u#ente" te!ti#onia)!' <>. Mat!a wants to $o a st/$& on t!e to(ic “2ects o massage and meditation on stress and pain." T!e t&(e o# eseac! t!at best s/its t!is to(ic is . a'a&&)ie" e!ea%h c. basic eseac! b.8/alitati%e eseac! $. 8/antitati%e eseac! <1. T!is eseac! to(ic !as t!e (otential to contib/te to n/sin" beca/se it see@s to . a.incl/$e new *o$alities o# cae c. clai#& an a*bi"/o/s *o$alit& o# cae b.esol%e a clinical (oble* "' enhan%e %)ient %ae <-. Mat!a $oes a e%iew o# liteat/e #o t!e (/(ose o# . a.ete*inin" statistical teat*ent o# eseac! $ata 'Gathein- "ata aout .hat i! a)ea"( ?no.n o un?no.n aout the &o)e# c.I$enti#&in" i# t!e (oble* can be e(licate$ $.Answein" t!e eseac! 8/estion <0. T!e client’s i"!ts s!o/l$ be (otecte$ w!en $oin" eseac! /sin" !/*an s/b6ects. Mat!a i$enti#ies t!ese i"!ts as #ollows9 ECE,TB a.Ri"!t to sel#4$ete*ination c. Ri"!t to (i%ac& 'Ri-ht to %o#&en!ation $. Ri"!t not to be !a*e$ <. <3. Yo/ ae inteeste$ in st/$&in" t!e eects o meditation and rela3ation on the pain e3perienced by cancer patients. W!at t&(e o# %aiable is (ain? a'De&en"ent c. Coelational b.In$e(en$ent $. e*o"a(!ic <5. Yo/ wo/l$ li@e to co*(ae t!e s/((ot s&ste* o# (atients wit! c!onic illness to t!at o# t!ose wit! ac/te illness. How will &o/ best state &o/ (oble*? a.T!e E##ect o# t!e T&(e o# S/((ot S&ste* o# ,atients wit! C!onic Illness an$ t!ose wit! Ac/te Illness. b.A esci(ti%e St/$& to Co*(ae t!e S/((ot S&ste* o# ,atients wit! C!onic Illness in te*s o# e*o"a(!ic ata an$ Fnowle$"e abo/t Inte%entions. c. A Co*(aati%e Anal&sis o# t!e S/((ot S&ste* o# ,atients wit! C!onic Illness an$ t!ose wit! Ac/te Illness. "'A Stu"( to Co#&ae the Su&&ot S(!te# o* Patient! .ith Choni% I))ne!! to that o* tho!e .ith A%ute I))ne!!' <7. Yo/ wo/l$ li@e to co*(ae t!e s/((ot s&ste* o# (atients wit! c!onic illness to t!at o# t!ose wit! ac/te illness. W!at t&(e o# eseac! is t!at? a'De!%i&ti+e b.E'(ei*ental c.Coelational $.P/asi4e'(ei*ental $. <;. Yo/ ae s!own a Li@et scale t!at will be /se$ in e%al/atin" &o/ (e#o*ance in t!e clinical aea. W!ic! o# t!e #ollowin" 8/estions will &o/ NOT /se in citi8/in" t!e Li@et scale? a.Is t!e inst/*ent cleal& $escibe$? b.I# t!e Li@et Scale is to be /se$ #o a st/$&9 was t!e $e%elo(*ent (ocess $escibe$? %'I! in*o#ation on the e)iai)it( an" +a)i"it( o* the !%a)e &o+i"e" $.Ae t!e tec!ni8/es to co*(lete an$ scoe t!e scale (o%i$e$? $. e' *' Situation: Stati!ti%a) te!t!' <<. Gi%en t!e !&(ot!esis9 “$rimiparas discharged early have a poorer perception o maternal competence than those discharged later." Select t!e *ost a((o(iate statistical test. a'Chi !uae b.Me$ian test c.ANO=A $.t 4 test #o in$e(en$ent sa*(les Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 62
1>>. Gi%en t!e !&(ot!esis9 “$ost-treatment cigarette smo(ing incidence !ill be less in behavior modiication therapy group than in the hypnosis group" select t!e *ost a((o(iate statistical test. a.C!i s8/ae b.Me$ian test c.ANO=A "'t- te!t *o in"e&en"ent !a#&)e! 1>1. Gi%en t!e !&(ot!esis9 “A higher proportion o patients on a planned nursing instruction on sel-medication !ill be more compliant than those on the traditional mode o instruction" Select t!e *ost a((o(iate statistical test. a.C!i S8/ae b.Me$ian Test %'ANOVA $.t-test #o in$e(en$ent sa*(les "' e' *' -' h' i' $' ?' )' #' n' o' &' ' ' !' t' u' +' .' 9' (' Set ;' aa' Situation: Ethi%a) Con!i"eation! 1. All o# t!e #ollowin" ae *ani#estations o# a eseac!e’s consi$eation o# t!e s/b6ect’s i"!t to #ai teat*ent9 ECE,TB a. Honoin" o# all a"ee*ents *a$e between t!e eseac!e an$ t!e s/b6ect b. S/b6ect’s access to eseac! (esonnel at an& (oint in st/$& to clai#& in#o*ation c. ebie#in" "' Re&otin- o* unethi%a) eha+io -. All o# t!e #ollowin" ae in$ications t!at in#o*ation abo/t a client *a& be e%eale$9 ECE,TB a. T!e s/b6ect !as co**itte$ acts o# %iolence a"ainst anot!e in$i%i$/al. ' The !u$e%t i! a &o)iti%a) a%ti+i!t' c. T!e s/b6ect is $ia"nose$ to !a%e a ae co**/nicable $isease. $. T!e s/b6ect !as a noti#iable $isease as classi#ie$ b& t!e OH. 0. 6' VITAL STATISTICS 3. Stillbit! ate9 o t!e atio o# t!e stillbon in#ants (e 19>>> li%e bit!s9 is also @nown as . a. ,einatal $eat! *otalit& ' Feta) "eath ate c. Neonatal *otalit& ate $. ,ost4neonatal *otalit& ate 5. W!ic! o# t!e #ollowin" state*ents is coect wit! e"a$ to t!e eco$in" an$ inte(etation o# %ital statistical $ata? a' A 20(ea o)" #an .ho "ie" o* CVA .hi)e +i!itin- hi! -an"%hi)"en in Ceu Cit( .i)) e e-i!tee" in Ceu Cit(' b. A (e"nant wo*an w!o $ie$ o# */lti(le in6/ies ac8/ie$ #o* a %e!ic/la acci$ent is eco$e$ as *atenal $eat!. c. A #e*ale w!o !as s/((ose$ to celebate !e -7t! bit!$a& on a 2i$a& b/t was stabbe$ to $eat! on T!/s$a& be#oe t!at $ie$ at t!e a"e o# -7 &eas. $. A 0-4&ea ol$ wo*an in labo w!o sli((e$ an$ !it !e !ea$9 an$ $ie$ o# a *assi%e ceebal !e*o!a"e will be eco$e$ as *atenal $eat!. 7. A Swaoo(’s in$e' o# 0> i*(lies t!at . a. 0> $ie$ at t!e a"e o# 3>. b. 7> $ie$ at t!e a"e o# 3>. c. 0> $ie$ be#oe t!e a"e o# 3> "' 2 J "ie" e*oe the a-e o* > 5. W!ic! o# t!e #ollowin" is a sensiti%e in$e' o# t!e !ealt! con$itions in a co**/nit& in#l/ence$ (i*ail& b& en%ion*ental at!e t!an en$o"eno/s #actos? a. C/$e $eat! ate c. Matenal *otalit& ate ' In*ant #ota)it( ate $. 2etal $eat! ate 7. W!ic! o# t!e #ollowin" is a *eas/e o# (e%alence? a' The nu#e o* a"u)t! .ith hi-h )oo" &e!!ue a! e+ea)e" ( a !u+e(' Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 6
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b. T!e ann/al e(ot o# noti#iable cases in t!e ,!ili((ines b& t!e isease Intelli"ence Cente c. An ann/al e(ot o# HI= an$ AIS cases in t!e ,!ili((ines in ->>1 $. T!e wee@l& n/*be o# cases o# in#l/en+a e(ote$ b& t!e cit& !ealt! o##ice. T!e #ollowin" *eas/e t!e (obabilit& o# $eat! #o* a cetain $isease in a (o(/lation ECE,T a' Cu"e "eath ate c. A"e4s(eci#ic ate b. Case #atalit& ate $. ,o(otional *otalit& ate A case #atalit& ate o# ;1 #o $en"/e !e*o!a"ic #e%e in$icates. a. A c!onic $isease con$ition %' A +e( *ata) "i!ea!e %on"ition b. An ac/te $isease con$ition $. A *il$ $isease con$ition In an e(i$e*ic o# c!olea9 t!e inci$ence ate can be e'(ecte$ to be. a. e8/al to its (e%alence ate c. lowe t!an its (e%alence ate ' hi-he than it! &e+a)en%e ate $. not elate$ to its (e%alence ate W!ic! *eas/e is /tili+e$ in i$enti#&in" t!e ten lea$in" ca/se o# $eat!? a. Attac@ ate %' Cau!e o* "eath ate b. Case #atalit& ate $. ,o(otional *otalit& ate W!ic! o# t!e #ollowin" ates is /se$ in $ete*inin" (o(/lation "owt!? a' Cu"e ith ate c. Geneal #etilit& ate b. A"e4s(eci#ic #etilit& ate $. C/$e $eat! ate W!ic! o# t!e #ollowin" "i%es t!e *ost acc/ate (ict/e o# t!e #oce o# *otalit& in a "i%en (o(/lation? a. C/$e $eat! ate c. A"e4s(eci#ic ate ' Ca!e *ata)it( ate $. Ca/se4s(eci#ic $eat! ate
1. 13. To $ete*ine t!e (ecenta"e o# all $eat!s attib/table to a cetain $isease9 we co*(/te #o t!e . a. Case #atalit& ate c. S(eci#ic $eat! ate b. Ca/se4s(eci#ic $eat! ate "' Po&otiona) #ota)it( ate 15. A Swaoo(’s in$e' o# -> i*(lies t!at . a. -> $ie be#oe t!e a"e o# 3>. ' J "ie e*oe the a-e o* > c. -> o# $eat! ae (esons w!o ae in t!e a"e o# 3> &eas alone $. ;> o# $eat!s ae (esons w!o ae in t!e a"e o# 3> &eas alone 17. In e%al/atin" t!e lon"stan$in" n/*be o# cases o# abies in a */nici(alit&9 w!ic! statistical *eas/e will t!e n/se /se? a. Inci$ence ate c. Mobi$it& ate ' Pe+a)en%e ate $. Motalit& ate 1;. A $isease will !a%e t!e !i"!est case #atalit& ate a*on" a list o# $isease i#9 it !as t!e !i"!est . a. N/*be o# case b. N/*be o# $eat!s c. ,ecenta"e o# cases o%e $eat!s "' Pe%enta-e o* "eath! o+e %a!e! 1<. W!ic! o# t!e #ollowin" is /se$ in $ete*inin" (o(/lation "owt! in a co/nt&? a' Cu"e =ith ate c. A"e4s(eci#ic ate b. Geneal #etilit& ate $. Ca/se4s(eci#ic $eat! ate ->. A ate is a (obabilit& #i"/e i# t!e. a. n/*eato is a (at o# $eno*inato. b. $eno*inato coes(on$s to t!e sa*e ti*e (eio$ as t!e n/*eato %' "eno#inato %on!titute! the &o&u)ation at i!? $. $eno*inato coes(on$s to t!e sa*e a"e "o/( o se' as t!e n/*eato. -1. 44' Situation: You ae a!!i-ne" to a #uni%i&a)it( .ith a tota) &o&u)ation o* 4>, ' O* thi!, 1,5> &e!on! "ie" .ithin the &a!t (ea' Thit(0!i9 o* the!e "eath! .ee "ue to &neu#onia .hi)e >6 o* tho!e .ho "ie" .ee a-e" > an" ao+e' -0. W!at is t!e Swaoo(’s in$e' in t!e co**/nit&? a. 0> %' 6J b. 03 $. 3 -. W!at n/*eato will be /se$ in co*(/tin" neonatal *otalit& ate? a. N/*be o# $eat!s at a"e 1 wee@ o below ' Nu#e o* "eath! at a-e 1 #onth o e)o. c. N/*be o# $eat!s at a"e -; $a&s o below $. N/*be o# $eat!s at a"e 11 *ont!s o below -3. W!at $eno*inato is /se$ in co*(/tin" #o t!e "eneal #etilit& ate? a. Esti*ate *i$4&ea (o(/lation b. N/*be o# e"istee$ li%e bit! c. N/*be o# (e"nancies o# t!e &ea "' Nu#e o* *e#a)e! in the e&o"u%ti+e a-e -5. In "at!ein" $ata abo/t t!e co**/nit&9 w!ic! o# t!e #ollowin" is i*(otant? a. ,eo(le’s *a6o concen e%en i# t!e& ae not !ealt!4elate$ b. T!e occ/(ation9 "eo"a(!ic $istib/tion an$ seasonal *o%e*ent o# t!e (o(/lation c. Healt! stat/s9 n/tition9 !o/sin" an$ sanitation "' A)) o* the ao+e -7. W!en t!e n/se collects in#o*ation abo/t 1>> o# t!e (o(/lation9 s!e is con$/ctin" a:an. a. Co**/nit& s/%e& %' Cen!u! b. E(i$e*iolo"& s/%e& $. None o# t!e abo%e b. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 6
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Situation: I#&otant an" "ie%t hea)th in"i%ato! ae &e!ente" thou-h +ita) !tati!ti%!' Gi+en the !e)e%te" !tati!ti%! o* Pa!on- Ta)a ,o(/lationB 9>>> eat!s /e to TB > Total it!sB 3>> Cases o# TB ;> Total eat!sB >> Total In#ant eat!sB T!e in#ant *otalit& ate is co*(/te$ asB a. :>>> ' 1>>> %' 6> 9 1 b. :>> ' 1>>> $. >>: ' 1>>> T!e case #atalit& ate o# T is) a. ;>:> ' 1>> c. ;>:>>> ' 1>> ' 6 9 1 $. >:>>> ' 1>> T!e elati%e i*(otance o# T as a @ille is s!own t!o/"!) a. >:;> ' 1>> c. >:3>> ' 1>> ' 66 9 1 $. >:>>> ' 1>> To co*(/te #o t!e an@ o# T as a @ille9 we /se t!is) a' 66 9 1 c. >:>> ' 1>> b. ;>:>>> ' 1>>>> $. ;>:>> ' 1>> Mobi$it& ate o# T is co*(/te$ as) a. ;>:3>> ' 1>>>> ' 6 9 1 c. ;>:>> ' 1>>>> $. >:;> ' 1>>>> T!e c/$e bit! ate o# co**/nit& is 0>.3. T!is *eans t!at) a. 0>.3 bit!s in e%e& 1>>> (o(/lation $. 0> bit!s in 1>>> (o(/lation o# wo*en ' 51 ith! in e+e( 1 &o&u)ation 134 &eas ol$ c. 0> bit!s in e%e& 1>>> (o(/lation In#ant *otalit& ate e#es to $eat!s in e%e& 1>>> bit!s belon"in" to) a. >4-5 $a&s c. >41 wee@ b. >41 *ont! "' 014 #onth! T!ee ae -> cases o# *easles in a co**/nit& an$ 3 $ie$. W!at is t!e case #atalit& ate o# *easles? a. >.>-3 %' 4> J b. -.3 $. -3> T!e elati%e i*(otance o# a ca/se o# a $eat! is co*(/te$ as) a. Case #atalit& ate %' Po&otionate #ota)it( ate b. Ca/se o# $eat! ate $. Inci$ence ate In esti*atin" t!e an@ o# a ca/se as a co**on illness9 t!e n/se *a@es /se a. Inci$ence ate ' Pe+a)en%e ate c. Swaoo(’s in$e' $. Attac@ ate e. *' Situation: A %o##unit( hea)th nu!e #u!t e ?no.)e"-ea)e on the +ita) !tati!ti%! o* the %o##unit( !he i! !e+in-' W!ic! o# t!e #ollowin" e#es to t!e s&ste*atic st/$& o# %ital e%ents in a cetain co**/nit&? a. E(i$e*iolo"& c. Co**/nit& statistics b. ,o(/lation cens/s "' Vita) !tati!ti%! Ma6o #actos a##ectin" (o(/lation incl/$e t!e #ollowin"9 e'ce(t) a. it!s %' Mi-ation b. eat!s $. Mobi$it& W!ic! o# t!e #ollowin" (attens is inte*ittent an$ con#ine$ to cetain "eo"a(!ical aea o localit&? a. S(oa$ic ' En"e#i% c. E(i$e*ic $. ,an$e*ic
Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >
0;. A sensiti%e in$e' o# t!e !ealt! con$itions obtaine$ in t!e co**/nit& w!ic! is in#l/ence$ *oe b& en%ion*ental at!e t!an en$o"eno/s #actos is t!e) a. C/$e $eat! ate c. 2etal $eat! ate ' In*ant #ota)it( ate $. Matenal *otalit& ate 0<. T!e c/$e bit! ate o# Co**/nit& is 0>. T!is *eansB a. 0> bit!s in e%e& 1>> (o(/lation ' 5 ith! in e+e( 1 &o&u)ation c. 0> bit!s in 1>> (o(/lation o# wo*an 134< &eas ol$ $. 0> bit!s in 1>>> (o(/lation o# wo*an 134< &eas ol$
>. 61' EPIDEMIOLOGY 64' Situation: Fo# 8anua( to Se&te#e 4, thee .ee t.o outea?! o* t(&hoi" *e+e in Ca+ite Cit(' E&i"e#io)o-i% in+e!ti-ation .a! un"eta?en ( the ua) hea)th unit to in+e!ti-ate the outea?!' >. As a (/blic !ealt! n/se9 &o/ @now t!at t&(!oi$ #e%e is ca/se$ b& . a.(oo (esonal !&"iene (actices c. in!alation o# conta*inate$ ai 'inta?e o* un!a*e *oo" o .ate $.#o*ites 1. T!e (i*a& (/(ose o# con$/ctin" an e(i$e*iolo"ical in%esti"ation is to . a.i$enti#& w!o ae at is@ o# contactin" t!e $isease. '"e)ineate the etio)o-( o* the e&i"e#i%' c. enco/a"e coo(eation an$ s/((ot o# t!e co**/nit&. $.I$enti#& "eo"a(!ical location o# t!e $isease in t!e co**/nit&. -. T!is ste( o# e(i$e*iolo"ic in%esti"ation ascetains t!e n/*be o# cases o# t&(!oi$ #e%e occ/in" in a co**/nit&B a'E!ta)i!hin- the e&i"e#i% b.Establis!in" t!e ti*e an$ s(ace elations!i( o# t!e $isease. c. Establis!in" t!e elations!i( between cases to t!e c!aacteistic o# t!e co**/nit& $.Coelatin" all t!e $ata obtaine$ 0. As an e(i$e*iolo"ist9 a*on" ot!e t!in"s9 &o/ ae e'(ecte$ to . a'in!titute a&&o&iate %onto) #ea!ue! in the %on*i#ation o* an outea?' b.c!ec@ t!e (esence o# si"ns an$ s&*(to*s in (atients acco$in" to t!e stan$a$ case $e#inition o# t!e $isease. c. *onito t!e occ/ence o# selecte$ noti#iable $iseases b& wee@l& c!atin" o "a(!in" o# cases. $.(lan an$ sec/e necessa& eso/ce nee$e$ #o $isease contol *eas/e. . T!e e'(an$e$ ole o# t!e (/blic !ealt! n/se incl/$es classi#&in" *e$ical (oble*s w!en t!e (!&sician is not #o/n$. W!at is /se$ as a "/i$e in ( e#o*in" t!is tas@? a.Mana"e*ent "/i$elines b.ia"nostic "/i$elines c.Assess*ent "/i$elines "'Stan"a" %a!e "e*inition 3. Latel&9 an e(i$e*iolo"ic s!i#t in t!e !ealt! stat/s o# 2ili(inos is sai$ to be occ/in" as an e##ect o# a c!an"e in li#est&le. An e(i$e*iolo"ic s!i#t is c!aactei+e$ b& . a.es/"ence o# t/bec/losis as an i*(otant an$ la"el& /natten$e$ $isease b/$en. 'in%ea!in- i#&otan%e o* %honi% "i!ea!e! !i"e ( !i"e .ith in*e%tiou! "i!ea!e a! a #a$o %au!e o* "eath' c. i*(o%e$ contol o# en$e*ic $iseases %es/s contol o# e(i$e*ics. $.inceasin" le%el o# (oll/tion in t!e en%ion*ent. 5. 62' Situation: The )e+e) o* i##unit( o* the in"i+i"ua) i! an i#&otant *a%to in &e+entin- the tan!#i!!ion o* "i!ea!e' ;. W!ic! o# t!e #ollowin" is an e'a*(le o# a non4s(eci#ic bo$& $e#ense? a.Cell/la i**/nit& %'In*)a##ato( e!&on!e b.Antibo$ies $.,!a"oc&tes <. O# t!e #ollowin" bo$il& $e#enses a"ainst in#ection9 w!ic! one is an e'a*(le o# a s(eci#ic $isease? a'L(#&ho%(te *o#ation c. Nasal cilia b.Intact s@in $.Sto*ac! aci$ 3>. I**/nit& obtaine$ as a es/lt o# e'(eiencin" an illness is @nown as . a'A%ti+e natua) i##unit( c. Acti%e ac8/ie$ i**/nit& b.,assi%e nat/al i**/nit& $.,assi%e ac8/ie$ i**/nit& 31. Micoo"anis*s !a%e t!e abilit& to in%a$e t!e bo$& tiss/es an$ (oli#eate9 t!/s ca/sin" in#ection. One #acto is %i/lence o# o"anis*. W!at is t!e ot!e #acto? a.Wea@ness o# t!e bo$& c. Resistance o# t!e o"anis* 'Re!i!tan%e o* the ho!t $.Wea@ness o# t!e o"anis* b. %' Situation: De!%i&ti+e e&i"e#io)o-( "ea)! .ith the %o))e%tion, o-ani;ation, an" ana)(!i! o* "ata e-a"inthe o%%uen%e o* "i!ea!e an" othe hea)th %on"ition!' Po&e +ei*i%ation o* "i!ea!e! "ea)! .ith !%eenin-, %a!e *in"in-, !u+ei))an%e an" %onta%t ta%in-' 3-. Sensiti%it& an$ s(eci#icit& ae c!aacteistics o# e##ecti%e sceenin" (oce$/es. Sensiti%it& e#es to t!e a%oi$ance o# w!ic! t&(e o# es/lt? a.T/e (ositi%e c. T/e ne"ati%e b.2alse (ositi%e "'Fa)!e ne-ati+e 30. W!ic! o# t!e #ollowin" in$icates t!e /ni8/eness o# t!e association between a si"n:s&*(to* an$ t!e $isease? a.Sensiti%it& c.ot! 'S&e%i*i%it( $.Neit!e 3. T!e #ollowin" $escibes acti%e i**/nit&9 ECE,TB Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >1
a.Host (o$/ces own antibo$ies in es(onse to nat/al anti"ens 'Ho!t &o"u%e! o.n antio"ie! in e!&on!e to #othe/! antio"ie! c. Host (o$/ces own antibo$ies in es(onse to ati#icial anti"ens $.To'oi$s ae a$*inistee$ to t!e !ost 33. T!e #ollowin" $escibes (assi%e i**/nit&9 ECE,TB a' Antio"ie! ae *o#e" in the &e!en%e o* a #i)" in*e%tion b. Antibo$ies #o* t!e *ot!e is ac8/ie$ c. Antibo$ies #o* ot!e so/ces ae a$*inistee$ $. I**/ne se/* #o* ani*als ae in6ecte$ to !/*ans 35. 37. 2o ite*s 3 to 3<9 c!oose t!e t&(e o# t!e co**/nit&’s es(onse to a $isease a"ent in%asionB 3;. -40 cases o# $en"/e !e*o!a"ic #e%e in "&. 2ilo*ena a' S&oa"i% b. E(i$e*ic c. En$e*ic $. ,an$e*ic 3<. Mass #oo$ (oisonin" a. S(oa$ic ' E&i"e#i% c. En$e*ic $. ,an$e*ic 5>. Sc!istoso*iasis in Le&te a. S(oa$ic b. E(i$e*ic %' En"e#i% $. ,an$e*ic 51. ,ne/*onia a. S(oa$ic b. E(i$e*ic c. En$e*ic "' Pan"e#i% 5-. Moe s/sce(tible t!an !/*an in$i%i$/als a. S(oa$ic ' E&i"e#i% c. En$e*ic $. ,an$e*ic 50. Moe i**/ne t!an s/sce(tible in$i%i$/als 5. a' S&oa"i% b. E(i$e*ic c. En$e*ic $. ,an$e*ic 53. ' DEMOGRAPHY 2' Situation: =a!i% %on%e&t! on "e#o-a&h(' 5;. Co**/nit& !ealt! n/ses ae e'(ecte$ to /tili+e $e*o"a(!ic $ata #o e##ecti%e (lannin" an$ i*(le*entation o# !ealt! (o"a*s. 5>. A se' atio o# << in "&. San ose in$icates t!at . a. t!ee ae << #e*ales in "&. San ose b. t!ee ae << *ales in "& San ose c. t!ee ae << #e*ales #o e%e& 1>> *ales in "&. San ose "' thee ae #a)e! *o e+e( 1 *e#a)e! in =-(' San 8o!e 51. W!ic! o# t!e #ollowin" is consi$ee$ an econo*icall& (o$/cti%e a"e "o/(? a' 1>06 (ea! o)" b. 1345> &eas ol$ c. 1;45> &eas ol$ $. 1;453 &eas ol$ 5-. T!e state*entB 'eventy-eight dependents had to be supported by every 400 persons in the economically productive age groups in aloocan in 46" in$icates t!at a. Caloocan in 1<<7 was c!aactei+e$ b& a !/"e n/*be o# econo*icall& (o$/cti%e in$i%i$/als. ' Ca)oo%an in 12 .a! %haa%tei;e" ( a hu-e nu#e i* +e( (oun- an" e)"e)( e%ono#i% "e&en"ent!' c. Caloocan in 1<<7 was c!aactei+e$ b& a !i"! bit! ate an$ $eat! ate. $. Caloocan in 1<<7 was c!aactei+e$ a !i"! #etilit& ate. 50. I# &o/ ae a n/se assi"ne$ in a co/nt& wit! a T&(e 1 (o(/lation (&a*i$9 w!ic! s!o/l$ be &o/ s(ecialt&? a. ,e$iatic n/sin" b. Matenal n/sin" %' Matena) an" %hi)" nu!in$. Geiatic n/sin" 5. Li#e e'(ectanc& at bit! is also @nown as . a. li%ebit!s b. e'(ecte$ li%ebit!s %' )i*e!&an Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >4
$. l#eti*e e'(ectation 53. T!e /ban4/al $istib/tion o# a co/nt& ai$s national (lannes in i$enti#&in" t!e aea w!ee to concentate its !ealt! se%ices on. As a co**/nit& !ealt! n/se9 "i%en t!e /ban4/al $istib/tion in t!e ,!ili((ines9 &o/ @now %e& well t!at !ealt! se%ices s!o/l$ "eneall& be concentate$ in . a' the ua) aea! b. t!e /ban aeas c. selecte$ aeas in t!e cit& $. /ban (oo co**/nities 55. Yo/ ae a CHN assi"ne$ in "&. 7;<. A((l&in" &o/ @nowle$"e o# $e*o"a(!&9 &o/ note$ t!at Man" Teo&’s !o/se!ol$ !as a cow$in" in$e' o# 19 w!ile Man" Ton&o’s !o/se!ol$ !as a cow$in" in$e' o# -. Anal&+in" t!e $ata9 w!ee will $isease tans*ission be #aste? a. In Man" Teo&’s !o/se!ol$ ' In Man- Ton(o/! hou!eho)" c. In bot! o# t!e !o/se!ol$s $. In neit!e o# t!e !o/se!ol$s beca/se t!e $ata is iele%ant to $isease tans*ission 57. T!e state*ent9 T!e !i"!e t!e (o(/lation $ensit&9 t!e *oe con"este$ t!e aea9 t!e easie t!e $isease tans*ission9D "eneall& *eans t!atB a. E(i$e*ics ae li@el& to occ/ in /al co/nties. b. E(i$e*ics ae li@el& to occ/ in *i$$le class s/b$i%ision in cities. %' E&i"e#i%! ae )i?e)( to o%%u in uan &oo %o##unitie!' $. E(i$e*ics !a%e not!in" to $o wit! a (o(/lation $ensit&. 5;. A *et!o$ o# $oin" cens/s w!ee (eo(le ae assi"ne$ to t!e (lace w!ee t!e& ae (!&sicall& (esent at t!e ti*e o# t!e cens/s9 e"a$less o# t!ei /s/al (lace o# esi$ence is . a. de 7ure b. de 7uror %' de facto $. in acto 5<. A t&(e o# e"istation s&ste* t!at @ee(s a contin/o/s eco$ o# all %ital e%ents li@e bit!s9 $eat!s an$ *aia"e bo$&B a. Contin/in" (o(/lation e"istes ' Vita) e-i!tation c. =ote’s e"istation s&ste* $. Ci%il e"ist& 7>. T!e #ollowin" ae co*(onents o# $e*o"a(!&9 ECE,TB a. ,o(/lation co*(osition b. ,o(/lation si+e %' Po&u)ation &(a#i" $. ,o(/lation $istib/tion 71. A"e4$e(en$enc& atio !as t!e #ollowin" ass/*(tions9 ECE,TB a. All c!il$en below 13 &eas ol$ ae econo*icall& /n(o$/cti%e. ' A)) &e!on! ao+e > (ea! o)" ae e%ono#i%a))( &o"u%ti+e' c. All (esons a"e$ 1345 ae econo*icall& (o$/cti%e. $. Econo*icall& $e(en$ent (esons incl/$e t!ose abo%e 53 &eas 7-. o# a"e. 70. T!e a"e $e(en$enc& atio in t!e ,!ili((ines in 1<<> was 73.0. T!is co/l$ be inte(ete$ asB a. In t!e ,!ili((ines in 1<<>9 73.0 o# t!e (o(/lation was econo*icall& (o$/cti%e. ' Thee .ee 2> "e&en"ent! *o e+e( 1 &e!on! .ho .a! e%ono#i%a))( &o"u%ti+e in the Phi)i&&ine! in 1' c. In t!e ,!ili((ines in 1<<>9 e%e& 73 (esons in t!e econo*icall& (o$/cti%e a"e "o/( !a$ to s/((ot 1>> $e(en$ents. $. None o# t!e abo%e. 7. 2>' Situation: In %o##unit( hea)th .o?, the nu!e a&&)ie! !&e%i*i% !%ien%e! )i?e De#o-a&h(' 70. In "at!ein" $ata e"a$in" t!e (o(/lation o# t!e co**/nit&9 t!e best an$ i$eal *et!o$ to /se is) a. Sa*(le s/%e& c. Reco$s e%iew b. Inte%iews o# baan"a& co/ncil "' Cen!u! 7. Sitio Mel%e !as 197; !o/se!ol$s) ,ia wants to con$/ct a s/%e& o# -3 o# !o/se!ol$s. T!is *eans !ow *an& !o/se!ol$s? a' 52 c. 073 b. 17 $. -> 73. T&(ical c!aacteistics o# a (oo co**/nit& ae t!e #ollowin" e'ce(t) a. ,o(/lation (&a*i$ wit! a boa$ base %' Hi-h !e9 atio b. Low *e$ian a"e $. Hi"! (o(/lation $ensit& 75. e*o"a(!& is concene$ wit! t!e #ollowin" e'ce(t) a. Si+e o# t!e (o(/lation in t!e (ast9 at t!e (esent an$ in t!e #/t/e b. C!aacteistics o# t!e (o(/lation9 es(eciall& a"e9 se'9 socioecono*ic stat/s9 etc. c. S(atial $istib/tion o# (eo(le in a (atic/la teito& "' In%ea!e in in%i"en%e o* &ati%u)a "i!ea!e! &e!u#e" to e ou-ht aout ( #i-ation
77. 2' FIELD HEALTH SERVICES AND INFORMATION SYSTEM BFHSIS 2' Situation: Nu!e Ya!#in i! #a?in- an annua) e&ot *o the ua) hea)th unit' Thi! &o#&te" he to e+ie. the i#&otan%e o* the *ie)" hea)th !e+i%e! an" in*o#ation !(!te# o FHSIS' 77. T!is constit/tes t!e *ec!anis* o# tans*ittin" $ata #o* one #acilit& to anot!eB a. 2a*il& teat*ent eco$ b. Ta"et client list Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >5
%' Ta))( *o# $. O/t(/t e(ot 7;. T!e secon$ b/il$in" bloc@ o #o/n$ation o# t!e 2HSIS is t!e . a. 2a*il& teat*ent eco$ ' Ta-et %)ient )i!t c. Tall& #o* $. O/t(/t eco$ 7<. T!e #/n$a*ental b/il$in" bloc@ o #o/n$ation o# t!e 2HSISB Fa#i)( teat#ent e%o" Ta"et client list Tall& #o* O/t(/t e(ot ;>. T!is is w!ee t!e (esentin" s&*(to*s o# c!ie# co*(laint o# t!e (atient on cons/ltation9 t!e $ia"nosis9 teat*ent an$ teat*ent $ata ae eco$e$. a' Fa#i)( teat#ent e%o" b. Ta"et client list c. Tall& #o* $. O/t(/t e(ot ;1. ;-. W!ic! o# t!ese is *aintaine$ as (at o# t!e s&ste* o# eco$s o# t!e HS9 t!e HC9 t!e RHU9 t!e MHC o t!e !os(ital o/t(atient #acilit&? a' Fa#i)( teat#ent e%o" b. Ta"et client list c. Tall& #o* $. O/t(/t e(ot ;0. In t!e 2HSIS9 t!e lowest le%el o# e(otin" /nit is t!e . a. ,o%incial !ealt! o##ice b. istict !ealt! o##ice c. R/al !ealt! /nit "' =aan-a( hea)th !tation ;. >' Situation: Fie)" hea)th !e+i%e! an" in*o#ation !(!te# &o+i"e! !u##a( "ata on hea)th !e+i%e "e)i+e( an" !e)e%te" &o-a# *o# the aan-a( )e+e) u& to the nationa) )e+e)' A! a nu!e, (ou !hou)" ?no. the &o%e!! on ho. thi! in*o#ation e%a#e &o%e!!e" an" %on!o)i"ate"' ;0. All o# t!e #ollowin" ae ob6ecti%e o# 2HSIS e'ce(t) a' To %o#&)ete the %)ini%a) &i%tue o* %honi% "i!ea!e an" "e!%ie thei natua) hi!to( b. To (o%i$e stan$a$i+e$9 #acilit& le%el $ata base w!ic! can be assesse$ #o *oe in $e(t! st/$ies c. To *ini*i+e eco$in" an$ e(otin" b/$en allowin" *oe ti*e #o (atient cae an$ (o*ote acti%ities $. To ens/e t!at t!e $ata e(ote$ ae /se#/l an$ acc/ate an$ ae $isse*inate$ in a ti*el& an$ eas& to /se #as!ion ;. W!at is t!e #/n$a*ental bloc@ o #o/n$ation o# t!e #iel$ !ealt! se%ice in#o*ation s&ste*? a' Fa#i)( teat#ent e%o" c. Re(otin" #o*s b. Ta"et client list $. O/t(/t eco$ ;3. W!ic! o# t!e #ollowin" is /se$ to *onito (atic/la "o/(s t!at ae 8/ali#ie$ as eli"ible to a cetain (o"a* o# t!e OH? a. 2a*il& teat*ent eco$ ' Ta-et %)ient )i!t c. Re(otin" #o*s $. O/t(/t eco$
;5.
;7.
;;.
;<.
e' ental !ealt! se%ices ae e(ote$ . a. I**e$iatel& b. Wee@l& %' Month)( $. P/atel& C!il$ bit!s atten$e$ to b& t!e LGU (esonnel ae e(ote$ . a. I**e$iatel& b. Wee@l& %' Month)( $. P/atel& Cases o# i(!t!eia s!o/l$ be e(ote$ on w!ic! basis? a. I**e$iatel& ' Wee?)( c. Mont!l& $. P/atel& #. -' ENVIRONMENTAL SANITATION h' Situation: Nu!e The)#a i! no. a e-i!tee" nu!e hie" a! a %o##unit( hea)th nu!e in the Muni%i&a)it( o* =oni*a%io' On he *i!t "a( o* .o?, !he "e%i"e" to ha+e an o%u)a !u+e( o* the aea .hee !he i! a!!i-ne"' She noti%e" that one o* the aan-a( in thei #uni%i&a)it( ha" en+ion#enta) !anitation &o)e#!' N/se T!el*a @nows t!e #actos a##ectin" en%ion*ental sanitation incl/$eB 1J Wate sanitation -J 2oo$ sanitation 0J Re#/se an$ "aba"e $is(osal Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >6
J E'ceta $is(osal 3J Ani*al bite contol 5J Ho/sin" 7J Ai (oll/tion ;J Stea* (oll/tion a. All e'ce(t 0 ' A)) e9%e&t > c. All e'ce(t 7 $. All o# t!e abo%e <>. En%ion*ental sanitation (o*otion is (i*ail& a #/nction o# t!e OH. S(eci#icall&9 t!is is a es(onsibilit& o# w!ic! a"enc& in t!e OH? a. En%ion*ental Sanitation o##ice ' En+ion#enta) an" O%%u&ationa) Hea)th O**i%e c. National Cente #o isease ,e%ention an$ Contol ,o"a* $. National Cente #o isease ,e%ention an$ Contol O##ice <1. T!e state"ies o# t!e OH to (o*ote en%ion*ental sanitation incl/$e all o# t!e #ollowin"9 ECE,TB a. Wate 8/alit& s/%eillance b. ,o(e soli$ an$ li8/i$ waste *ana"e*ent %' Sanitation o* &i+ate &)a%e! $. Sanitation *ana"e*ent o# $isaste aeas <-. N/se T!el*a notice$ t!at in t!e o/ts@its o# "&. Mali"a&a9 so*e #acilities "at!e wate #o* a s(in" wit! a ce*ente$ encase*ent. S!e @nows t!at it belon"s to w!at t&(e o# a((o%e$ wate #acilit&? a' Le+e) 1 b. Le%el c. Le%el 0 $. Le%el <0. N/se T!el*a wis!e$ t!at t!e (eo(le in "&. Mali"a&a !a$ access to a wate s&ste* wit! a (i(e$ $istib/tion netwo@. N/se T!el*a is e#ein" to w!ic! t&(e o# a((o%e$ wate #acilit&? a. Le%el 1 ' Le+e) 4 c. Le%el 0 $. Le%el <. Howe%e9 N/se T!el*a @nows t!at a (i(e$ $istib/to netwo@ is not #easible in "&. Mali"a&a beca/se t!is is *ost s/itable inB a. R/al aeas w!ee !o/ses ae t!inl& scattee$ b. R/al aeas w!ee !o/ses ae cl/stee$ $ensel& %' Den!e)(0&o))ute" uan aea! $. ensel&4(oll/te$ /ban (oo aeas <3. U(on ecall9 s!e is awae t!at wit! an a%ea"e o# 1>> !o/se!ol$s wit!in -3 *etes $istance #o* t!e so/ce o# wate9 t!is t&(e o# wate #acilit& co/l$ be OH4a((o%e$. a. Le%el 1 ' Le+e) 4 c. Le%el 0 $. Le%el i. <5. Una((o%e$ t&(e o# wate #acilit& incl/$eB a. O(en $/" wells b. Uni*(o%e$ s(in"s c. Wells t!at nee$ (i*in" "' A)) o* the ao+e <7. isin#ection o# wate s/((l& is $one b& t!eB a. T!e */nici(al !ealt! o##ice b. T!e (/blic !ealt! n/se c. T!e /al !ealt! *i$wi#e "' The !anita( in!&e%to <;. isin#ection o# wate s/((l& is e8/ie$ in all o# t!e #ollowin"9 ECE,TB a. Newl&4const/cte$ wate #acilit& b. Wate s/((l& #acilit& c. acteiolo"& (ositi%e wate s/((l& so/ces "' None o* the ao+e <<. Containe $isin#ection o# $in@in" wate collecte$ #o* wate #acilities t!at co/l$ be econta*inate$ s!o/l$ be (e#o*e$. T!is incl/$es wate #o* a ll o# t!e #ollowin"9 ECE,TB a. O(en $/" wells b. Uni*(o%e$ s(in" c. S/#ace wate "' None o* the ao+e 1>>. In an& eseac! st/$& wee in$i%i$/al (esons ae in%ol%e$9 it is i*(otant t!at an in#o*e$ consent #o t!e st/$& is obtaine$. T!e #ollowin" ae essential in#o*ation t!at &o/ s!o/l$ $ isclose to t!e (os(ecti%e s/b6ects) ECE,T a. Ass/ance o# anon&*it& an$ con#i$entialit& b. E'(lanation o# t!e (oce$/e %' Con!ent to in%o#&)ete "i!%)o!ue $. esci(tion o# bene#its9 is@s an$ $isco*#ots 6. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >>
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)' Set #' n' Situation 4: Stu"ent nu!e Ce%i) i! &e&ain- *o a ui; in he %o##unit( hea)th nu!in- !u$e%t' She i! !tu"(in- the Po&e E9%eta an" Se.a-e Di!&o!a) Po-a# o* the DOH' Wit! e"a$ to toilet #acilities9 w!ic! o# t!e #ollowin" state*ents b& st/$ent n/se Cecil is inacc/ate? a. Le%el 1 toilet #acilit& incl/$es (it latines an$ t!e %entilate$ i*(o%e$ (it ' Le+e) 4 toi)et *a%i)it( in%)u"e! ee" o"o)e!! eath %)o!et c. Le%el - toilet #acilit& incl/$es wate seale$ t&(e wit! se(tic tan@ a. Le%el 0 toilet #acilit& incl/$es toilet #acilities connecte$ to a sewea"e s&ste*9 t!en to a teat*ent (lant. S!e ecalle$ t!at in one o# !e /al co**/nit& e'(os/e9 s!e was able to /tili+e a toilet #acilit& t!at e8/ie$ a (ail o# wate #o #l/s!in". T!is is an e'a*(le o# . a' Le+e) 1 toi)et *a%i)it( b. Le%el - toilet #acilit& c. Le%el 0 toilet #acilit& $. Le%el toilet #acilit& St/$ent n/se Cecil @nows t!at in t!e ,!ili((ine /al aeas9 t!is t&(e o# a((o%e$ toilet #acilit& is not &et #easibleB a. Le%el 1 toilet #acilit& %' Le+e) 5 toi)et *a%i)it( b. Le%el - toilet #acilit& $. Le%el toilet #acilit& e. *' Situation 5: Pu)i% hea)th nu!e Rita i! eoientin- he!e)* on &o&e !o)i" .a!te #ana-e#ent' Re#/se is a "eneal te* a((lie$ to soli$ an$ se*i4soli$ waste *ateials ot!e t!an !/*an e'ceta. Waste *ateial in e#/se *a& be $i%i$e$ into all o# t!e #ollowin"9 ECE,TB a. Gaba"e b. R/bbis! Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >
3.
c. Man/e "' None o* the ao+e T!is te* e#es to le#to%e %e"etable9 ani*al9 an$ #is! *ateial #o* @itc!en an$ #oo$ establis!*ents9 w!ic! !a%e t!e ten$enc& to $eca&9 t!/s9 "i%in" o## #o/l o$o an$ so*eti*es also se%e as #oo$ #o #lies an$ atsB
5. a' Gaa-e c. Man/e b. R/bbis! $. None o# t!e abo%e 7. T!is te* e#es to waste *ateials s/c! as bottles9 bo@en "lass9 tin cans9 waste (a(e9 $isca$e$ te'tile *ateials9 (ocelain waes9 (ieces o# *etal an$ ot!e wa((in" *ateials. W!ic! te* is it? a. Gaba"e c. Man/e ' Rui!h $. None o# t!e abo%e ;. <. Un$e t!e en%ion*ental !ealt! se%ices9 w!ic! o# t!e #ollowin" s!o/l$ t!e n/se (atici(ate? a. Wate $iseases b. Gastointestinal $iseases %' En+ion#enta) *ien")( $. ia!ea an$ %ecto bone 1>. All o# t!e #ollowin" s!o/l$ co*(l& wit! t!e e8/ie*ent o# ac8/iin" a !ealt! ceti#icates9 e'ce(tB a. Gace9 a cew in anibee #ast#oo$ c!ain ' M' Ga%ia, the %a!hie at the !%hoo) %a*eteia c. Man" Ton&o9 t!e sio*ai %en$o nea t!e ,RC $. Ms. Re&es9 t!e c!e# in t!e esta/ant o# t!e /ni%esit& !otel 11. 2oo$ *a& be conta*inate$ in all o# t!e #ollowin"9 e'ce(tB a. So/ce o# #oo$ s/((l& c. istib/tion o# #oo$ b. Tans(otation o# #oo$ "' None o* the ao+e 1-. T!e #o/ i"!ts on #oo$ sa#et& incl/$e t!e i"!t so/ce9 i"!t (e(aation9 i"!t coo@in" an$ i"!t stoa"e. All o# t!e #ollowin" ae as(ects o# t!e i"!t so/ ce9 e'ce(tB 1J In%ol%es b/&in" #es! #oo$ -J C!ec@in" e'(i& $ates o# (ocesse$ #oo$s 0J A%oi$ance o# b/&in" canne$ #oo$ wit! b/l"es9 $ents9 an$ bo@en seals J Usin" wate #o* clean an$ sa#e so/ces 3J In%ol%es was!in" !an$s an$ @itc!en /tensils be#oe an$ a#te (e(ain" #oo$ 5J /&in" (aste/i+e$ *il@ an$ #/it 6/ices onl& a. 1 an$ c. an$ 3 b. 0 an$ "' > an" 10. St/$ent Leslie ecalle$ !e *ot!e’s #oo$ (e(aation (actices. S!e concl/$e$ t!at one o# t!e #ollowin" (actices nee$s coection. a. Stoin" le#to%e #oo$ in ti"!tl&4seale$ containes ' Lun%hti#e %on!u#&tion o* untou%he" ea?*a!t %o+ee" .ith a &)ate on the "inin- ta)e c. Rec&clin" le#to%e #oo$ b& e!eatin" t!e* a#te stoa"e in t!e e#i"eato $. inneti*e cons/*(tion o# /nto/c!e$ l/nc! (lace$ in t!e e#i"eato t!e entie a#tenoon. 1. St/$ent n/se Leslie t!in@s t!at all o# t!e #ollowin" state*ents ae coect. W!ic! one is not? a' Coo?e" *oo" !hou)" not e )e*t at oo# te#&eatue *o #oe than 6 hou! to &e+ent #u)ti&)i%ation o* #i%oo-ani!#!' b. I# #oo$ is to be stoe$ in !ot con$ition9 t!e te*(eat/e s!o/l$ be 5>ᵒC. c. I# #oo$ is to be stoe$ in col$ con$ition9 t!e te*(eat/e s!o/l$ be V 1>ᵒC. $. Micoo"anis*s */lti(l& best at a te*(eat/e an"e o# 1>45>ᵒC. 13. W!en e!eatin" #oo$9 w!ic! a*on" t!e #ollowin" te*(eat/es9 at t!e *ini*/*9 s!o/l$ be attaine$? a. ;>ᵒC. c. 5>ᵒC. ' 2ᵒC' $. 3>ᵒC. e' *' Situation: Nu!e 8ana i! t(in- to #e#oi;e the #oe e%ent )a.! an" &o)i%ie! a**e%tinen+ion#enta) hea)th an" !anitation' 15. T!e law e8/ies all %e!icles to (ass t!e s*o@e e*ission stan$a$s (io to e"istationB a' RA 26 c. RA <>>0 b. RA 5<5< $. RA <-73 17. T!is law *an$ates a co**/nit&4base$ a((oac! *ana"e*ent t!o/"! co*(ostin" an$ ec&clin"B a. RA ;7< %' RA 5 b. RA 5<5< $. RA <-73 1;. T!is law bans t!e /se o# incineation #o */nici(al9 bio*e$ical an$ !a+a$o/s wastesB a' RA 26 c. RA <>>0 b. Senate Resol/tion 575 $. RA <-73 1<. T!is law bans t!e /se o# (esistent o"anic (oll/tants in !o/se!ol$ an$ in$/stiesB a. RA ;7< c. RA <>>0 ' Senate Re!o)ution 2 $. RA <-73 ->. W!ic! a*on" t!e #ollowin" state*ents is INCORRECT? a. T!e Clean Ai Act o# 1<<< bans s*o@in" ae in enclose$ (/blic (laces9 incl/$in" (/blic tans(ot. ' The C)ean Wate A%t o* 46 euie! the eu!e o* hou!eho)" .a!te .ate e*oe it i! e)ea!e" into the i+e' c. T!e clean Ai Act o# 1<<< bans t!e incineation o# !os(ital wastes. $. T!e Clean Wate Act o# ->> e8/ies t!e LGUS to #o* wate *ana"e*ent aeas. -1. T!e state*ent9 /nin" o# wastes in t!e co**/nit&9 is allowe$ in RA ;72
e. *'
Situation: Situation: Wate Wate ua)it( ua)it( an" #onitoin #onitoin- *o !u+ei))an !u+ei))an%e %e i! the e!&on!ii e!&on!ii)it( )it( o* ea%h #uni%i #uni%i&a)it( &a)it( thou-h RH7' P)annin- #u!t e a!!i!te" ( the En+ion#enta) Hea)th Se+i%e' ->. T!e n/se s!o/l$ @now t!at t!e e'a*ination o# $in@in" wate b & t!e "o%en*ent o non4"o%en*ent */nici(alit& t!o/"! t!e RHU. ,lannin" */st be assiste$ b & t!e En%ion*ental Healt! Se%ices) a. Sani Sanita ta& & En"i En"ine nee e %' De&a De&at t#e #ent nt o* o* Hea Hea)t )th h b. M/nici(alit& it& $. Cit& o# He Healt! -1. isin#ection o# wate s/((l& is e8/ie$ in newl& const/cte$ well. Re(aie$ wate (i(es9 conta*inate$ wate an$ w!at else? a. Uni* Uni*( (o% o%e$ e$ s(i s(in" n" c. S/#ac #ace wate b. O(en well "' Ri+e "a "a# --. A((o%e$ t&(es o# toilet #acilities *a& nee$ wate an$ not $e(en$in" on ecei%in" s(ace. W!at t&(e o# toilet is wit!o/t t!e nee$ o# wate? a' Pit )ati tine! c. 2l/s! toilet b. Wat Wate seale$ $. A8/a (i% i%ies -0. Hos(ital waste *ana"e*ent (o"a* is a e8/ie*ent be#oe const/ction o# a new #acilit&. T!e !os(ital (esonnel ae e8/ie$ to tain in waste *ana"e*ent to (e%ent w!ic! o# t!e #ollowin"? a. Co** Co**/n /nic icab able le $ise $iseas ase e c. Cos Coss s in#ec n#ecti tion on ' No!o No!o%o %o#i #ia) a) in*e in*e%ti %tion on $. Tan Tans* s*is issi sion on o# o# in#e in#ecti ction on -. N/sin" es(onsibilities an$ acti%ities to wa$ o## en%ion*ental (oll/tion is be&on$ *eas/e. T!e n/se is in best (osition to con$/ct !ealt! e$/cation t!o/"! w!ic! o# t!e #ollowin"? a. e%elo e%elo(*e (*ent nt o# o# $esi" $esi"ns ns o (o" (o"a* a*s s %' De+e)o De+e)o&#e &#ent nt an" an" "i!t "i!ti iuti ution on o* o* IEC IEC b. Use Use o# o# co** co**/n /nic icati ation on *e$ *e$ia ia #ateia)! $. Role Role *o$e *o$eli lin" n" a(( a((oa oac! c! e' *' Situation: Situation: En+ion En+ion#enta #enta)) hea)th hea)th i! a an%h an%h o* &u)i% &u)i% hea)th hea)th that "ea)! "ea)! .ith .ith the !tu"( o* o* &e+entin&e+entini))ne!!e! ( #ana-in- the en+ion#ent an" %han-in- &eo&)e/! eha+io to e"u%e e9&o!ue to io)o-i%a) an" non0io)o-i%a) a-ent! o* "i!ea!e an" in$u(' -3. W!ic! o# t!e #ollowin" #ollowin" is es(onsible #o t!e (o*otion o# o# !ealt!& en%ion*ental con$itions an$ (e%ention o# en%ion*ental elate$ $iseases? a' En+io En+ion#e n#enta nta)) an" an" O%%u& O%%u&ati ationa ona)) Hea)t Hea)th h c. Cent Cente e #o #o Healt Healt! ! an$ e% e%el elo( o(*e *ent nt O**i%e $. R/al R/al Healt! Healt! an$ Sanita Sanita& & O##ice O##ice b. En%io En%ion*e n*ental ntal Sanita Sanitatio tion n Co$e Co$e o# t!e t!e ,!ili((ines -5. A (otecte$ (otecte$ well o $e%elo(e$ $e%elo(e$ s(in" wit! an o/tlet b/t wit!o/t wit!o/t a $istib/tion s&ste* s&ste* is @nown as) a' Point !ou%e c. Stan$ (ost b. Co* Co**/nal /nal #a/c #a/cet et $. Wate Watew wo o@s @s s&st s&ste* e* -7. ,o/4#l/s! an$ a8/a (i%ies ae classi#ie$ /n$e w!at le%el o# a((o%e$ toilet #acilities? #acilities? a' Le+e) I c. Le%el III b. Le%el II $. Le%el I= -;. T!e #o/ i"!ts i"!ts in #oo$ sa#et& incl/$e incl/$e t!e #ollowi #ollowin"9 n"9 e'ce(t) e'ce(t) a. Ri"!t so/ce ce ' Ri-h Ri-htt han han" ")in)inc. Ri"! Ri"!tt (e( (e(a aat atio ion n $. Ri"!t co coo@in @in"
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Situation: Situation: A)) A)) #ateia)! #ateia)!,, io)o-i%a) io)o-i%a) o non0io non0io)o-i )o-i%a), %a), that that ae "i!%a"e" "i!%a"e" in an( hea)th hea)th %ae *a%i)it( *a%i)it( an" not inten"e" *o an( othe u!e !hou)" e han")e" &o&e)(' W!ic! a*on" t!e #ollowin" is an i*(otant e8/ie*ent #o e"istation an$ enewal o# licenses o# newl& newl& const/cte$ an$ e'istin" !os(itals? a' Ho!&i Ho!&ita) ta) Wa!te Wa!te Mana-e Mana-e#en #entt PoPo-a# a# b. M/nici M/nici(al (al Re#/se Re#/se is(os is(osal al S&ste* S&ste* c. Incine Incineati ation on S&ste* S&ste* o# o# Ha+a$o Ha+a$o/s /s Hos(it Hos(ital al Waste Wastes s $. isin#ecti isin#ection on teat*ent teat*ent to (e%ent (e%ent tans*issio tans*ission n o# $iseases $iseases Tiss/e Tiss/e (a(e (a(e is t!own t!own in) in) a. Yellow bi bin c. Re$ bin b. lac@ bin "' Geen i in T!e co$e co$e o# o# sanitation sanitation is) a' PD > c. RA 5<5< b. RA <>>0 $. RA ;7< Altenati%e tec!nolo"ies to teat !os(ital !os(ital waste ae t!e #ollowin"9 e'ce(t) e'ce(t) a' In%ineato to c. ,&ol&sis b. Micowa%e $. A/tocla%e E*(lo&*ent E*(lo&*ent in ,o6ect ,o6ect NARS NARS is /n$e t!e a/s(ices a/s(ices o#) a. OH c. ,RC ' DOLE $. ON T!e #ollowin" ae t!e #/nctions o# n/ses as waios #o wellness9 wellness9 e'ce(t) a' I#&)e#ent b. Initiate c. In#o* $. $. I* I**/ni+e e. *' Situ Situat atio ion: n: Mi9 Mi9e" e" Con Con%e %e&t &t! ! Yo/ Yo/ e'(lain to a beast#ee$in" *ot!e t!at beast*il@ beast*il@ is s/##icient #o t!e bab&’s bab&’s entie n/tient nee$s onl& /( to) a. 0 *ont!s ' #o #onth! c. 1 &ea $. - &eas Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >
05. W!at is "i%en "i%en to a wo*an wit!in wit!in a *ont! a#te $eli%e& $eli%e& o# a bab&? a. Mal/ Mal/n" n""a "a& & ca(s ca(s/l /le e %' Reti Retino no)) 4 4, , I7 1 %a& %a& b. 2e 2eo/ o/s s s/l s/l#a #ate te 1>> 1>> *" *" O O $. ,ota ,otassi ssi/* /* io$ io$at ate e ->> ->> *"9 *"9 1 ca( ca( 07. W!ic! biolo"i biolo"ical cal %accine %accine /se$ in E,I is stoe$ stoe$ in t!e #ee+e? #ee+e? a. ,T %' Mea! Mea!))e! +a%% +a%%iine b. Tetan/ tan/s s to' to'oi oi$ $ $. He(a He(ati titi tis s %acc %accin ine e 0;. Un/se$ CG s!o/l$ be $isca$e$ !ow *an& !o/s a#te econstit/tion? a. %' b. $. At t!e t!e en$ en$ o# t!e t!e $a& $a& 0<. In i**/ni+in" sc!ool entants entants wit! CG9 &o/ ae not obli"e$ to sec/e (aental consent. T!is is beca/se beca/se o# w!ic! le"al $oc/*ent? a' PD c. ,esi ,esi$e $enti ntial al ,oc ,ocla la*a *ati tion on No. No. 5 b. RA 7;5 $. ,esi$ ,esi$enti ential al ,ocla ,ocla*at *ation ion No. 5 >. W!ic! i**/ni+ i**/ni+ation ation (o$/ces (o$/ces a (e*anent (e*anent sca? a. ,T c. Meas Measle les s %ac %acci cina nati tion on ' =CG $. He(a He(ati titi tis s %acc %accin inati ation on 1. A wee@ wee@ ol$ bab& was bo/"!t to t!e !ealt! cente #o !is #ist i**/ni+ation. W!ic! can be be "i%en to !i*? a. ,T1 %' In*ant =CG b. O,=1 $. He(a He(ati titi tis s %acc %accin ine e -. Yo/ Yo/ will not "i%e ,T - i# t!e *ot!e *ot!e sa&s t!at t!e in#ant in#ant !a$? a' Sei; Sei;u ue! e! a "a( "a( a*te a*te DPT DPT1 1 c. Absc Absces ess s #o* #o*at atio ion n a#te a#te ,T1 ,T1 b. 2e%e 2e%e #o #o 0 $a&s $a&s a#te a#te ,T1 ,T1 $. Local Local ten$ ten$en eness ess #o 0 $a&s $a&s a#te a#te ,T1 ,T1 0. A -4*ont! -4*ont! ol$ in#ant was was bo/"!t to t!e !ealt! !ealt! cente #o i**/ni+ation. i**/ni+ation. /in" assess*ent9 t!e in#ant’s te*(eat/e e"istee$ at 0;.1 $e" C. w!ic! is t!e best co/se o# action t!at &o/ will ta@e? a' Go on on .ith .ith the the in*an in*ant/! t/! i##uni i##uni;ati ;ation' on' b. Gi%e Gi%e (aace (aaceta* ta*ol ol an$ wait wait #o #o !is #e%e #e%e to s/bs s/bsi$e i$e.. c. Re#e Re#e t!e in#an in#antt to t!e (!&sic (!&sician ian #o #o #/t!e #/t!e asses assess*e s*ent. nt. $. A$%ise A$%ise t!e in#ant’s in#ant’s *ot!e to bin" !i* bac@ bac@ #o i**/ni+ i**/ni+ation ation w!en w!en !e is is well. well. t! . A (e"nant (e"nant wo*an wo*an !a$ !a$ 6/st ecei%e$ ecei%e$ !e $ose o# tetan/s t o'oi$. S/bse8/entl&9 !e bab& will !a%e (otection a"ainst tetan/s #o !ow lon"? a' 1 (ea c. 1> &eas b. 0 &eas $. Li#eti*e 3. A 4*ont! ol$ ol$ in#ant was bo/"!t to t!e !ealt! cente o# co/"!) co/"!) !e es(iato& ate is -:*in/te. Usin" t!e IMCI "/i$elines "/i$elines o# assess*ent9 !e beat!in" is consi$ee$) a. 2ast %' No#a) b. Slow $. Insi Insi"n "nii#ica #icant nt 5. Usin" IMCI "/i$elines9 &o/ &o/ classi#& a c!il$ as !a%in" se%ee se%ee (ne/*onia. W!at is t!e best *ana"e*ent *ana"e*ent #o t!e c!il$? a. ,es ,esc cib ibe e anti antibi biot otic ic $. Inst/ Inst/ct ct t!e t!e *ot!e *ot!e to cont contin in/e /e ' Re*e Re*e hi# hi# u-ent u-ent)( )( to to the the ho!&i ho!&ita) ta) beast#ee$in" c. Inst/c Inst/ctt t!e *ot!e *ot!e to to ince incease ase #l/i$ #l/i$ inta inta@e @e 7. A 34*ont! ol$ ol$ in#ant was bo/"!t b& !is *ot!e *ot!e to t!e !ealt! cente beca/se o# $ia!ea occ/in" 3 ti*es a $a&. His s@in (inc! "oes bac@ slowl& a#te a s@in (inc! an$ !is e&es ae s/n@en. Usin" t!e IMCI "/i$elines9 &o/ will classi#& t!is in#ant in w!ic! cate"o&? a. No si"n si"n o# $e!& $e!&$ $at atio ion n c. Se%e Se%ee e $e!& $e!&$ $at atio ion n ' So#e So#e "eh( "eh(" "at atio ion n $. T!e T!e $ata $ata is ins/ ins/## ##ic icie ient nt ;. ase$ on t!e assess*ent9 &o/ classi#ie$ a 04*ont! ol$ in#ant wit! t!e c!ie# c!ie# co*(laint o# $ia!ea in t!e cate"o& o# so*e so*e $e!&$ation. ase$ on t!e IMCI *ana"e*ent "/i$elines9 w!ic! o# t!e #ollowin" will &o/ $o? a. in" t!e in#ant in#ant to t!e neaest neaest #acilit& #acilit& w!ee I= #l/i$s #l/i$s can can be "i%en. "i%en. ' Su&e+i!e Su&e+i!e the #othe #othe in -i+in-i+in- 4 4 to 6 #) #) o* Oe!o) Oe!o) in 6 hou!' hou!' c. Gi%e t!e in#ant’s in#ant’s *ot!e *ot!e inst/cti inst/ctions ons on !o*e !o*e *ana"e*ent *ana"e*ent.. $. Fee( t!e in#ant in#ant in &o/ &o/ !ealt! !ealt! cente cente #o close close obse%at obse%ation. ion. <. A *ot!e is is /sin" Oesol in t!e *ana"e*ent *ana"e*ent o# $ia!ea o# !e 04&ea ol$ c!il$. c!il$. S!e as@e$ &o/ w!at to $o i#i# !e c!il$ %o*its. Yo/ Yo/ will tell !e to) a. in" t!e c!il$ c!il$ to t!e neaest neaest !os(ital !os(ital #o #/t!e #/t!e assess* assess*ent. ent. b. in" in" t!e t!e c!il$ c!il$ to t!e t!e !ealt !ealt! ! cente cente #o #o I= t!ea t!ea(& (& c. in" t!e c!il$ c!il$ to t!e !ealt! !ealt! cente cente #o assess*ent assess*ent b& t!e t!e (!&sicia (!&sician. n. "' Let the %hi)" %hi)" e!t *o 1 1 #inute!, #inute!, then %ontinue %ontinue -i+in-i+in- Oe!o) Oe!o) #oe !)o.)( !)o.)('' 3>. A &ea &ea ol$ c!il$ c!il$ was classi#i classi#ie$ e$ as !a%in" !a%in" 0$ $e"ee o# (otein ene"& *aln/tition9 Fwas!io@o. W!ic! o# t!e #ollowin" si"ns will be *ost a((aent in t!is c!il$? a. =oaci acio/ o/s s a(( a((et etit ite e c. A(at! & b. Wastin" "' E"e#a 31. Assess*ent o# a -4&ea ol$ c!il$ e%eale$ e%eale$ bo""& (antsD. Usin" t!e IMCI "/i$elines9 "/i$elines9 !ow will &o/ &o/ *ana"e t!e c!il$? a' Re*e the %hi)" %hi)" u-ent)( u-ent)( to to a ho!&i ho!&ita) ta) *o *o %on*ine# %on*ine#ent ent b. Coo$inate Coo$inate wit! wit! t!e social social wo@e wo@e to enoll enoll t!e c!il$ c!il$ in in a #ee$in" #ee$in" (o"a* c. Ma@e a teac!in" teac!in" (lan (lan #o t!e *ot!e9 *ot!e9 #oc/s t!e *en/ *en/ (lannin" (lannin" #o !e !e c!il$ c!il$ $. Assess Assess an$ teat t!e c!il$ c!il$ #o !ealt! !ealt! (oble*s (oble*s li@e li@e in#ection in#ections s an$ intestinal intestinal (aasit (aasitis* is* 3-. /in" t!e (!&sical e'a*ination o# a &o/n"9 w!at is t!e ealiest si"n o# o# 'eo(!t!al*ia t!at *a& *a& be obse%e$? a. Feo Feoto to* *alac alacia ia c. Ni"! Ni"!tt bli blin$ne n$ness ss b. Con Conea eall o(ac o(aciit& "' Con$ Con$un un%ti %ti+a +a)) 9eo 9eo!i !i! ! 30. To (e%ent 'eo(!t!al*ia9 &o/n" c!il$en ae "i%en Retinol ca(s/le e%e& 5 *ont!s. W!at is t!e $ose "i%en to (esc!ooles? a. 1>9>>> IU c. 1>>9>>> IU b. ->9>>> IU "' 4, I7 I7 3. T!e *a6o si"n o# ion $e#icienc& ane*ia is (allo9 (allo9 w!at w!at (at is best e'a*ine$ e'a*ine$ #o (allo? a' Pa)#! c. Ao/ Ao/n$ n$ t!e t!e li(s b. Nailbe$s $. Lowe Lowe con6/ con6/nct ncti% i%al al sac sac e. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >
33. 2oo$ #oti#ication is one o# t!e state"ies to (e%ent (e%ent *icon/tient $e#icienc& con$itions. RA ;<75 *an$ates #oti#ication o# o# cetain #oo$ ite*s. W!ic! o# t!e #ollowin" is a*on" t!ese #oo$ ite*s? a. S/"a c. Ma"aine b. Rice "' Fi))e" #i #i)? 35. W!at is t!e best co/se o# action w!en w!en t!ee is a *easles e(i$e*ic e(i$e*ic in a neab& neab& */nici(alit&? a' Gi+e Gi+e #ea!)e #ea!)e! ! +a%%in +a%%ine e to aie! aie! a-e" a-e" 5 to #ont #onth! h! b. Gi%e babie babies s a"e$ to 5 to 11 *ont!s *ont!s one $ose o# o# 1>>9>>> 1>>9>>> IU o# o# Retinol Retinol c. Inst/ct Inst/ct *ot!e *ot!e to @ee( @ee( t!ei t!ei babies babies at !o*e !o*e to (e%ent (e%ent $isease $isease tans*is tans*ission sion $. Inst/ct Inst/ct *ot!e *ot!e to #ee$ #ee$ t!ei t!ei babies babies a$e8/atel a$e8/atel& & t!ei t!ei bab&’s bab&’s esista esistance nce 37. A *ot!e bo/"!t bo/"!t !e $a/"!te9 &eas &eas ol$9 to t!e RHU beca/se o# co/"! an$ col$s. 2ollowin" t!e IMCI IMCI assess*ent "/i$e9 w!ic! o# t!e #ollowin" is a $an"e si"n t!at in$icates t!e nee$ #o /"ent e#eal to a !os(ital? a' Ina Inai) i)it it( ( to to "i "in? n? c. Si"n Si"ns s o# o# se% se%ee ee $e!& $e!&$ $ati ation on b. Hi"! Hi"! "a$ "a$e e #e% #e%e e $. Co/" Co/"! ! #o #o *oe *oe t!an t!an 0> $a&s $a&s 3;. Mana"e*ent o# c!il$ wit! *easles incl/$es incl/$es t!e a$*inistation a$*inistation o# w!ic! o# t!e #ollowin"? a. Gent Gentiian %iol %iolet et b. Anti Antibi bioti otic c to (e%e (e%ent nt (ne/ (ne/*o *oni nia a c. Tetac& etac&cli cline ne e&e e&e oint*en oint*entt #o cone coneal al o(aci o(acit& t& "' Retino) Retino) %a&!u)e %a&!u)e! ! e-a")e! e-a")e!! ! o* .hen .hen the )a!t "o!e "o!e .a! .a! -i+en -i+en 3<. A *ot!e bo/"!t bo/"!t !e 1> *ont! ol$ in#ant #o cons/ltation beca/se beca/se o# #e%e w!ic! state$ $a&s (io to cons/ltation. cons/ltation. To $ete*ine *alaia is@9 w!at will &o/ $o? a. o a to/ to/n ni8 i8/e /ett tes testt c. Get Get a s(e s(eci ci*e *en n #o #o bloo bloo$ $ s*ea s*ea ' A!? A!? .hee .hee the the *a#i *a#i)( )( e! e!i" i"e! e! $. As@ i# t!e #e%e #e%e is is (esen (esentt e%e& e%e&$a& $a& 5>. T!e #ollowin" ae t!e state"ies i*(le*ente$ b& t!e OH to (e%ent *os8/ito4bone $iseases. $iseases. W!ic! o# t!ese is *ost e##ecti%e in t!e contol o# $en"/e #e%e? a. Stea* Stea* see$ see$in" in" wit! wit! la%a la%a4ea 4eatin tin" " #is!e #is!es s ' De!to( De!to(inin- ee" ee"inin- &)a% &)a%e! e! o* #o!u #o!uito itoe! e! c. C!e*o(o(!& C!e*o(o(!&la'is la'is o# non4i** non4i**/ne /ne (esons (esons "oin" to en$e*i en$e*ic c aeas aeas $. Teac!in" Teac!in" (eo(le (eo(le in en$e*ic en$e*ic aeas aeas to /se /se c!e*icall& c!e*icall& teate$ teate$ *os8/i *os8/ito to nets 51. Secon$a& Secon$a& (e%ention (e%ention #o *alaia *alaia incl/$e incl/$es? s? a. ,lanti ,lantin" n" o# o# nee* nee* o e/cal& e/cal&(t/s (t/s tees tees b. Resi$/ Resi$/al al s(a& s(a&in" in" o# o# insect insectici ici$es $es at at ni"!t ni"!t %' Dete# Dete#in ine e .hethe .hethe the &)a% &)a%e e i! en"e# en"e#i% i% o not not $. Gowin" Gowin" la%a4ea la%a4eatin" tin" #is!es #is!es in *os8/ito *os8/ito bee$in" bee$in" (laces (laces 5-. Scotc! ta(e ta(e swab is $one to c!ec@ c!ec@ w!ic! intestin intestinal al (aasite? (aasite? a. Ascais c. Hoo@wo* ' Pin.o# $. Sc!istoso* so*a 50. W!ic! o# t!e #ollowin" #ollowin" si"ns in$icates in$icates t!e nee$ #o s(/t/* s(/t/* e'a*ination #o A2? a. He*ate*esis %' CouCou-h h *o *o 5 .ee?! ee?! b. 2e% 2e%e #o #o 1 wee@ ee@ $. C!es C!estt (ai (ain n #o #o 1 wee wee@ @ 5. W!ic! clients clients ae consi$ee$ consi$ee$ ta"ets #o OTS OTS cate"o&? cate"o&? a. S(/t S(/t/* /* ne"a ne"ati ti%e %e ca%i ca%ita ta& & case cases s "' C)ient C)ient "ia"ia-no! no!e" e" *o *o the the *i!t *i!t ti# ti#e e b. Clie Client nts s et/ et/ni nin" n" a#te a#te $e# $e#a/ a/lt lt thou-h a &o!iti+e !&utu# e9a# c. Rela Rela(s (ses es an$ an$ #ail #ail/ /es es o# (e% (e%io io/s /s 53. W!en esi$ents obtain wate #o* an atesian well well in t!e nei"!bo!oo$9 t!e le%el o# o# t!is a((o%e$ t&(e o# wate #acilit& isB a. I c. III ' II $. I= 55. MWSS (o%i$es wate to Manila an$ ot!e clients in Meto Manila. Manila. T!is is an e'a*(le e'a*(le o# w!ic! le%el o# wate wate #acilit&? a. I %' III b. II $. I= 57. Antieto%ial a"ents9 s/c! as AT9 AT9 ae /se$ in t!e *ana"e*ent o# AIS. W!ic! o# t!e #ollowin" #ollowin" is not an action e'(ecte$ o# o# t!ese $/"s? a. T!e& (olon (olon" " t!e li#e li#e o# o# t!e clie client nt wit! wit! AIS AIS b. T!e& e$/ce e$/ce t!e t!e is@ is@ o# o((ot o((ot/ni /nisti stic c in#ecti in#ections ons c. T!e& s!ot s!oten en t!e (ei (eio$ o$ o# co**/n co**/nica icabil bilit& it& o# t!e t!e $isease $isease "' The( ae ae a)e a)e to inin- aout aout a %ue o* o* the "i!ea! "i!ea!e e %on"ition %on"ition 5;. W!ic! clients clients ae consi$ee$ consi$ee$ ta"ets #o OTS OTS cate"o&? cate"o&? a. S(/t S(/t/* /* ne"a ne"ati ti%e %e ca%i ca%ita ta& & case cases s b. Clie Client nts s et/ et/ni nin" n" a#te a#te $e# $e#a/ a/lt lt c. Rela(s Rela(ses es an$ #ail/ #ail/e e o# o# t!e t!e (e% (e%io/ io/s s "' C)ient C)ient "ia-no! "ia-no!e" e" *o *o the *i!t ti#e thou-h thou-h a &o!iti &o!iti+e +e !&utu# !&utu# e9a# 5<. To i*(o%e co*(liance to t!e teat*ent9 w!at inno%ation is bein" i*(le*ente$ i*(le*ente$ in OTS? a. Ha%in" Ha%in" t!e t!e !ealt! !ealt! wo@e wo@e #ollow #ollow4/( 4/( t!e clie client nt at !o*e !o*e ' Ha+inHa+in- the hea)th hea)th .o?e .o?e o a e!&on!i) e!&on!i)e e *a#i)( #e#e #e#e #onito #onito the "u- inta?e inta?e c. Ha%in" Ha%in" t!e (atient (atient co*e to to t!e !ealt! !ealt! cente cente e%e& e%e& *ont! *ont! to "et !is !is *e$icati *e$ication on $. Ha%in" Ha%in" a ta"et ta"et list to c!ec@ c!ec@ on on wet!e wet!e t!e client client collecte$ collecte$ !is *ont!l& *ont!l& s/((l& s/((l& o# o# t!e $/" 7>. ia"nosis o# le(os& is !i"!l& $e(en$ent on eco"nition o# s&*(to*s. s&*(to*s. W!ic! o# t!e #ollowin" is an eal& si"n o# le(os&? a. Mac/l ac/la a lesi esion %' Thi% Thi%?e ?ene ne" " &ai &ain* n*u) u) ne+ ne+e! e! b. Inab Inabil ilit& it& to clos close e e&el e&eli$ i$s s $. Sin@i Sin@in" n" o# t!e t!e nos nose e bi bi$" $"e e 71. In t!e ,!ili((ines9 w!ic! con$ition is t!e *ost #e8/ent ca/se o# $eat! associate associate wit! sc!istoso*iasis? sc!istoso*iasis? a. Li%e cance c. la$$e can cance ' Li+e Li+e %i %iho ho!i !i! ! $. Intes Intesti tina nall (e#o (e#oat atio ion n 7-. W!at is t!e *ost *ost e##ecti%e wa& o# o# contollin" sc!istoso*iasis sc!istoso*iasis in t!e en$e*ic en$e*ic aea? a. Use Use o# *oll *oll/s /sci ci$e $es s $. Use o# o# (otec (otecti% ti%e e #ootwe #ootwea a s/c! s/c! as as /bbe /bbe b. /il /il$i $in" n" o# #oot #oot bi$" bi$"es es boots %' Po& Po&e e u!e u!e o* o* !ani !anita ta( ( toi) toi)et et! ! 70. 2o (e%ention o# !e(atitis A9 A9 &o/ $eci$e$ to con$/ct a !ealt! e$/cation e$/cation acti%it&. W!ic! o# t!e #ollowin" is iele%ant? iele%ant? a' 7!e o* !tei !tei)e )e !(i !(in-e n-e! ! an" an" nee") nee")e! e! Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))!
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b. Sa#e #oo$ (e(aation an$ #oo$ !an$lin" b& %en$os c. ,o(e $is(osal o# !/*an e'ceta an$ (esonal !&"iene $. I**e$iate e(otin" o# wate (i(e lea@s an$ ille"al wate connections W!ic! o# t!e #ollowin" biolo"ical %accine /se$ in E,I t!at s!o/l$ not be stoe$ in t!e #ee+e? a' DPT c. Measles %accine b. O,= $. MMR Yo/ will con$/ct an o/teac! i**/ni+ation in a baan"a& wit! a (o(/lation o# abo/t 13>>. Esti*ate t!e n/*be o# in#ants in t!e baan"a&. a' 6> c. 55 b. 3> $. 5> T!e (at!o"no*onic si"n o# *easles is Fo(li@ s(ot. Yo/ *a& see @o(li@ s(ot b& ins(ectin" t!e? a. Nasal */cosa c. S@in o# t!e ab$o*en ' =u%%a) #u%o!a $. S@in on t!e antec/bital s/#ace A*on" t!e #ollowin" $iseaseS9 w!ic! is aibone? a. =ial con6/ncti%itis c. i(!t!eia b. Ac/te (olio*&elitis "' Mea!)e! A*on" t!e c!il$en a"e$ - *ont!s to 0 &eas9 t!e *ost (e%alent #o* o# *enin"itis is ca/se$ b& w!at o"anis*? a' Hae#o&hi)u! in*)uen;a c. Ste(tococc/s (ne/*oniae b. Mobilli%i/s $. Neisseia *enin"iti$es H/*an bein"s ae t!e *a6o ese%oi o# *alaia. W!ic! o# t!e #ollowin" state"ies in *alaia contol is base$ on t!is #act? a. stea* see$in" c. est/ction o# bee$in" (laces b. Stea* cleain" "' oo&o&h()a9i! In t!e ,!ili((ines9 w!ic! s(ecie o# sc!istoso*a is en$e*ic in cetain e"ions? a. S. Mansoni c. S. Mala&ensis ' S' 8a&oni%u# $. S. Hae*atobi/* W!ic! o# t!e #ollowin" o((ot/nistic in#ections #o* AIS %i/s t!at is c!aactei+e$ b& tonsillo(!a&n"itis? a. Res(iato& can$i$iasis c. C&to*e"alo%i/s $isease $. ,ne/*oc&stis cainii (ne/*onia ' In*e%tiou! #ononu%)eo!i! To $ete*ine t!e (ossible so/ces o# se'/all& tans*itte$ in#ections9 w!ic! is t!e EST *et!o$ t!at *a& be /n$eta@en b& t!e ,/blic Healt! N/se? a' Conta%t ta%inc. Mass sceenin" test b. Co**/nit& s/%e& $. Inte%iew s/s(ects W!ic! is t!e best contol *eas/e #o AIS? c. A%oi$in" se'/al contact wit! co**ecial a' =ein- *aith*u) to a !in-)e !e9ua) &atne se' wo@es b. Usin" a con$o* $/in" eac! se'/al $. Ma@in" s/e t!at one’s se'/al (atne #oes contact not !a%e si"ns o# AIS 33. >' Situation: Nu!in- %ae "uin- %hi)" ith #u!t en!ue %)ean an" !a*e "e)i+eie! at ho#e o in Rua) Hea)th 7nit!' W!o s!o/l$ !an$le !o*e $eli%eies? a. License$ !ealt! (esonnel c. Taine$ !ilot ' Taine" ith atten"ant $. Alb/la&o T!e (ointes t!at t!e n/se s!o/l$ consi$e $/in" !o*e $eli%e& ae t!ese) a. Clean be$ s!eets9 clean !an$s9 an$ clean co$ ' C)ean han"!, %)ean !u*a%e an" %)ean %o" c. Clean !an$s9 no*al $eli%e& an$ co*(lete e'(/lsion o# (lacenta $. S(ontaneo/s $eli%e&9 no laceation an$ no co*(lication In (e(aation #o !o*e $eli%e&9 w!ic! s!o/l$ be $one #ist b& N/se L in t!e #ist sta"e o# labo? a. Set /( steile aea b. Wea steile "lo%es %' Wa!h han"! .ith !oa& an" .ate, &e&ae oo# an" e" an" !et u& thin-! nee"e" *o "e)i+e( $. Cleanse %/l%a wit! soa( an$ wate an$ *il$ $isin#ection W!at ae t!e (o$/cts co%ee$ b& t!e Mil@ Co$e o EO 31? a. east *il@ onl& "' =ea!t #i)? !u!titute!, othe #i)? b. 2o*/la *il@ &o"u%t!, *oo"! an" e+ea-e! c. Cow’s *il@ alone Ho*e $eli%eies #o no*al (e"nancies ae a$*itte$ b& license$ !ealt! (esonnelB a. W!en t!e taine$ !ilots !a%e $eli%ee$ *oe o#ten t!an ten cases ' When the #othe i! #u)ti&aou! an" )ee"inc. W!en t!e license$ (esonnel ae b/s& wit! ot!e $eli%eies $. W!en t!ee ae no license$ (esonnel in an aea A#te t!e $eli%e&9 t!e n/se @nows t!at t!e #ist (ost4(at/* c!ec@4/( s!o/l$ be con$/cte$ w!en? a. Wit!in -3 !o/s c. 5 wee@s ' Within 1 .ee? $. 1> $a&s 03. An e*e"in" #o* o# cae is !os(ice cae. T!is cae is inceasin"l& beco*in" (o(/la nowa$a&s beca/se t!e #a*il& o# a !os(ice client cannot a##o$ t!e !os(ital costs o# lon" te* cae. W!ic! o# t!e #ollowin" is t/e wit! e"a$s to !os(ice cae? a. Hos(ice cae (olon"s li#e9 alle%iate s/##ein" an$ estoe !ealt! i# (ossible. b. Hos(ice cae is an a##o$able cost #o teatin" te*inall& ill clients. c. Hos(ice cae !el(s client $ie in co*#ot an$ $i"nit&. "' Ho!&i%e %ae &o+i"e! ehai)itati+e e**ot! to e!toe %)ient! an" he)& the# a%hie+e thei o&ti#u# )e+e) o* *un%tionin-' W!ic! $isease is $eclae$ t!o/"! ,esi$ential ,ocla*ation No. as a ta"et #o ea$ication in t!e ,!ili((ines? a. ,olio*&elitis c. Rabies ' Mea!)e! $. Neonatal tetan/s T!e (/blic !ealt! n/se is es(onsible #o (esentin" t!e */nici(al !ealt! statistics /sin" "a(!s an$ tables. To co*(ae t!e #e8/enc& o# t!e lea$in" ca/ses o# *otalit& in t!e */nici(alit&9 w!ic! "a(! will &o/ (e(ae? Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 1
a. Line c. ,ie ' =a $. Scatte $ia"a* <0. W!ic! ste( in co**/nit& o"ani+in" in%ol%es tainin" o# (otential lea$es in t!e co**/nit&? a. Inte"ation c. Co**/nit& st/$& ' Co##unit( o-ani;ation $. Coe "o/( #o*ation <. In w!ic! ste( ae (lans #o*/late$ #o sol%in" co**/nit& (oble*s? a. Mobili+ation c. 2ollow4/(:e'tension ' Co##unit( o-ani;ation $. Coe "o/( #o*ation <3. T!e (/blic !ealt! n/se ta@es an acti%e ole in co**/nit& (atici(ation. W!at is t!e (i*a& "oal o# co**/nit& o"ani+in"? a. To e$/cate t!e (eo(le e"a$in" co**/nit& !ealt! (oble*s ' To #oi)i;e the &eo&)e to e!o)+e %o##unit( hea)th &o)e#! c. To *a'i*i+e t!e co**/nit&’s eso/ces in $ealin" wit! !ealt! (oble*s $. To sten"t!en t!e bon$ between t!e (eo(le <5. An in$icato o# s/ccess in co**/nit& o"ani+in" is w!en (eo(le ae able toB a' Pati%i&ate in %o##unit( a%ti+itie! *o the !o)ution o* a %o##unit( &o)e# b. I*(le*ent acti%ities #o t!e sol/tion o# t!e co**/nit& (oble* c. ,lan acti%ities #o t!e sol/tion o# t!e co**/nit& (oble* $. I$enti#& t!e !ealt! (oble* as a co**on concen <7. Tetia& (e%ention is nee$e$ in w!ic! sta"e o# t!e nat/al !isto& o# $isease? a. ,e4(at!o"enesis c. ,o$o*al b. ,at!o"enesis "' Te#ina) <;. Isolation o# a c!il$ wit! *easles belon"s to w!at le%el o# (e%ention? a' Pi#a( c. Inte*e$iate b. Secon$a& $. Tetia& <<. On t!e ot!e !an$9 O(eation Ti*ban" is (e%ention? a. ,i*a& c. Inte*e$iate ' Se%on"a( $. Secon$a& 1>>. W!ic! t&(e o# #a*il&4n/se contact will (o%i$e &o/ wit! t!e best o((ot/nit& to obse%e #a*il& $&na*ics? a. Clinic cons/ltation %' Ho#e +i!it b. Go/( con#eences $. Witten co**/nication e. #. ". !. i. 6. @. l. *. n. o. (. ' ' !' t' u' +' Set 1 w. '. 1. W!ic! o# t!e #ollowin" $e*onstates inte4sectoal lin@a"es? a. Two4wa& e#eal s&ste* b. Tea* a((oac! c. En$ose*ent $one b& a *i$wi#e to anot!e *i$wi#e "' Coo&eation et.een PHN an" &u)i% !%hoo) tea%he -. T!e 2iel$ Healt! Se%ices an$ In#o*ation S&ste* 2HSISJ is t!e eco$in" an$ e(otin" s&ste* in t!e (/blic !ealt! cae in t!e ,!ili((ines. T!e *ont!l& #iel$ !ealt! se%ice acti%it& e(ot is a #o* /se$ in w!ic! o# t!e co*(onents o# t!e 2HSIS? a. Tall& e(ot %' Ta-et%)ient )i!t b. O/t(/t e(ot $. In$i%i$/al !ealt! eco$ 0. To $escibe t!e se' co*(osition o# t!e (o(/lation9 w!ic! $e*o"a(!ic tool *a& be /se$? a. Se' atio c. ,o(/lation (&a*i$ b. Se' (o(otion "' An( o* thi! #a( e u!e" 3.
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W!ic! o# t!e #ollowin" is a natalit& ate? a' Cu"e ith ate c. In#ant *otalit& ate b. Neonatal *otalit& ate $. Geneal #etilit& ate Fnowin" t!at *aln/tition is a #e8/ent co**/nit& !ealt! (oble*9 &o/ $eci$e$ to con$/ct n/titional assess*ent. W!at (o(/lation is (atic/lal& s/sce(tible to (otein ene" & *aln/tition ,EMJ? a. ,e"nant wo*en an$ t!e el$el& %' 106 (ea o)" %hi)"en b. Un$e 3 &ea ol$ c!il$en $. Sc!ool a"e c!il$en W!ic! o# t!e #ollowin" statistics can "i%e &o/ t!e *ost acc/ate e#lection o# t!e !ealt! stat/s o# a co**/nit&? a. 14 &ea ol$ a"e4s(eci#ic *otalit& ate c. Swaoo(s’ in$e' ' In*ant #ota)it( ate $. C/$e $eat! ate W!ic! o# t!e #ollowin" statistics best e#lects t!e n/titional stat/s o# a (o(/lation? a' 106 (ea o)" a-e0!&e%i*i% #ota)it( ate c. In#ant *otalit& ate b. ,o(otionate *otalit& ate $. Swaoo(’s in$e' Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 4
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W!at a.n/*eato Esti*ate$ is /se$ *i$&ea in co*(/tin" (o(/lation"eneal #etilit& ate? c. N/*be o# (e"nancies in t!e &ea ' Nu#e o* e-i!tee" )i+e ith $. N/*be o# #e*ales o# e(o$/cti%e a"e Yo/ will "at!e $ata #o n/titional assess*ent o# a ,/o@. Yo/ will "at!e in#o*ation onl& #o* #a*ilies wit! *e*bes w!o belon" in t!e ta"et (o(/lation o# ,EM. W!at *et!o$ o# $ata "at!ein" is best #o t!is (/(ose? a. Cens/s c. Reco$s e%iew ' Su+e( $. Re%iew o# ci%il e"ist& In t!e con$/ct o# a cens/s9 t!e *et!o$ o# (o(/lation assi"n*ent base$ on t!e act/al (!&sical location o# t!e (eo(le is te*e$) a. e 6/e %' De *a%to b. e locs/s $. e no%o To *onito clients e"istee$ in lon"4te* e"i*ens9 s/c! as t!e */lti4$/" t!ea(&9 w!ic! co*(onent will be *ost /se#/l? a. Tall& e(ot %' Ta-et%)ient )i!t b. O/t(/t e(ot $. In$i%i$/al !ealt! eco$ Ci%il e"isties ae i*(otant so/ces o# $ata. W!ic! law e8/ies e"istation o# bit!s wit!in 0> $a&s #o* t!e occ/ence o# t!e bit!? a' PD >1 c. RA 0370 b. Act 0370 $. RA 0073 W!ic! o# t!e #ollowin" (o#essionals can si"n t!e bit! ceti#icate? a. ,/blic Healt! N/se c. M/nici(al !ealt! o##ice b. R/al Healt! Mi$wi#e "' An( o* the!e hea)th &o*e!!iona)! W!ic! citeion in (ioit& settin" o# !ealt! (oble*s is /se$ onl& in co**/nit& !ealt! cae? a. Mo$i#iabilit& o# t!e (oble* c. Ma"nit/$e o# t!e !ealt! (oble* ' Natue o* the &o)e# &e!ente" $. ,e%enti%e (otential o# t!e !ealt! (oble* T!e Senton" Si"la Mo%e*ent !as been la/nc!e$ to i*(o%e !ealt! se%ice $eli%e&. W!ic! o# t!e #ollowin" is:ae t/e o# t!is *o%e*ent? a. T!is is a (o6ect s(ea!ea$e$ b& local "o%en*ent /nits. b. It is a basis #o inceasin" #/n$in" #o* local "o%en*ent /nits. c. It enco/a"es !ealt! centes to #oc/s on $isease (e%ention an$ contol. "' It! #ain !tate-( i! %eti*i%ation o* hea)th %ente! .hi%h i! a)e to %o#&)( .ith it! !tan"a"! W!ic! o# t!e #ollowin" wo*en s!o/l$ be consi$ee$ as s(ecial ta"ets #o #a*il& (lannin"? a. T!ose w!o !a%e c!il$en o *oe. b. T!ose wit! *e$ical con$itions s/c! as ane*ia. c. T!ose &o/n"e t!an -> &eas an$ ol$e t!an 03 &eas. "' Tho!e .ho $u!t ha" a "e)i+e( .ithin the &a!t 1> #onth!' 2ee$o* o# c!oice is one o# t!e (olicies o# t!e 2a*il& ,lannin" ,o"a* o# t!e ,!ili((ines. W!ic! o# t!e #ollowin" ill/states t!is (inci(le? a. In#o*ation $isse*ination abo/t t!e nee$ #o #a*il& (lannin" b. S/((ot o# eseac! an$ $e%elo(*ent in #a*il& (lannin" *et!o$s %' A"euate in*o#ation *o %ou&)e! e-a"in- the "i**eent #etho"! $. Enco/a"e*ent o# co/(les to ta@e #a*il& (lannin" as a 6oint es(onsibilit& A wo*an9 5 *ont!s (e"nant9 co*es to t!e cente #o cons/ltation. W!ic! o# t!e #ollowin" s/bstances is contain$icate$? a. Tetan/s to'oi$ c. 2eo/s s/l#ate ->> *" ' Retino) 4, I7 $. ,otassi/* io$ate ->> *" ca(s/le /in" (enatal cons/ltation9 a client as@e$ &o/ to i# s!e can !a%e !e $eli%e& at !o*e. A#te !isto& ta@in" an$ (!&sical e'a*ination9 &o/ a$%ise$ !e a"ainst a !o*e $eli%e&. W!ic! o# t!e #ollowin" $is8/ali#ies #o a !o*e $eli%e&? a' He O= !%oe i! G>P5 b. S!e !as so*e (al*a (allo c. He bloo$ (ess/e is 10>:;> $. He bab& is in ce(!alic (esentation e. *' Situation: It .a! e&ote" that thee .a! a !u-e o* in%i"en%e! o* "iahea an" u&&e e!&iato( ta%t in*e%tion! a#on- !ton- e+a%uee! in Caan-an E)e#ta( S%hoo) in Le-a;&i Cit(' The Ma(on Vo)%ano "i!a!te tea# $oine" ( the nu!e! note" that thee .ee 4 *a#i)ie! in a %)a!!oo# an" #a?e!hi*t toi)et! ae on the a"$a%ent aea!' E(i$e*iolo"ical conce(ts w!ic! can be a((lie$ in t!e sit/ation incl/$es t!e #ollowin" e'ce(t) a. Ma6o $is/(tion a##ectin" socio4econo*ic en%ion*ent. b. Con"estion (o%i$in" escalate$ is@ o# coss4in#ection. c. Inte(la& o# bot! e'tinsic an$ intinsic #actos. "' Hi-h he" i##unit( o* the e+a%uee!' /in" ti*es o# $isastes li@e t!is9 e%ac/ation centes o#ten ti*es beco*e a "alle& o# illnesses. T!ose w!o i**e$iatel& $e%elo(e$ illness as co*(ae$ to ot!es is calle$ t!e) a' Vu)nea)e -ou&! c. Go/(s wit! low i**/nit& b. He$ (o(/lation $. Case "o/(s A e(ot o# !i"! inci$ence o# $ia!ea was note$ a#te (eo(le ate san$wic!es $onate$ b& a ci%ic "o/(. T!e $isease occ/ence is) a. S(oa$ic %' E&i"e#i% b. En$e*ic $. ,an$e*ic e. #. -' Situation: In the &a%ti%e o* CHN, nu!e! ae in+o)+e" in hea)th %a#&ai-n!' T!e ai*s o# #a*il& (lannin" ae t!e #ollowin" e'ce(t) a. Ri"!t to in#o*e$ c!oice %' =ith %onto) b. C!il$ s/%i%al $. Sa#e *ot!e!oo$ e' *' Situation: Co##unit( hea)th .o? in+o)+e! #ana-e#ent o* %o##on hea)th &o)e#! )i?e "iahea, #a)nutition, an" &neu#onia' Most co**on ant!o(o*etic $ata to assess *aln/tition is) Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 5
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a' Wei-ht c. asal *etabolic ate b. Hei"!t $. ail& caloic inta@e e. *' Situation: The hea)th !ituation o* the Phi)i&&ine!' T!e basis o# (oo !ealt! sit/ation in t!e co/nt& is) a. ,o%et& %' Lo. &ioit( o* hea)th b. Lac@ o# "o%en*ent s/((ot $. Ga#t an$ co/(tion T!e #ollowin" contib/te to (oo !ealt! sit/ation o# t!e *a6oit&. -7. 1. !i"! cost o# !ealt! se%ices -;. -. low (ioit& #o !ealt! -<. 0. cisis4oiente$ conce(t o# !ealt! 0>. . bac@wa$ econo*& a. 1 onl& c. 190 an$ ' 1,4 an" 5 $. All o# t!ese T!e #ollowin" state*ents $escibe t!e !ealt! !/*an eso/ces e'ce(t) a. E%e& &ea9 t!ee is a *a@e$ incease in n/*be o# !ealt! (o#essionals. b. es(ite in t!e incease in t!e n/*be o# !ealt! (o%i$es9 t!ee is still an eno*o/s nee$ in t!e co/nt&si$e. c. T!e "owin" n/*be o# !ealt! (o#essionals contib/tes to t!ei low salaies an$ lac@ o# bene#its. "' Mi-ation to othe %ountie! i! !o)e)( an e%ono#i% i!!ue' es(ite o# t!e (e%enti%e nat/e o# t!e $iseases co*(isin" *obi$it& an$ *otalit& (attens9 !os(itals !a%e been $e%elo(e$ an$ *aintaine$ as (i*a& %en/es o# !ealt! se%ices beca/se 00. 1. iseases ae #a a$%ance$ an$ e8/ie !os(itali+ation. 0. -. Not all $iseases can be (e%ente$ at co**/nit& le%els. 03. 0. Hos(itals ae in#ast/ct/es #o t!at (o6ect $e%elo(*ent. 05. . Hos(ital (actice is oote$ #o* colonial4oiente$ !ealt! science an$ e$/cation. a' 1 an" 4 c. - an$ 0 b. 19- an$ 0 $. 19-90 an$ e. 2o co**on co/"!s an$ col$s9 t!ese *e$icinal (lants can be /se$ e'ce(t) a. La"/n$i %' =a(aa! b. Sa*bon" $. L/&a Ni&o"4ni&o"an is best #o) a. Co/"!s an$ col$s %' A!%aia!i! b. ia!ea $. Ast!*a e. *' Situation: Co##uni%a)e "i!ea!e! ae %)a!!i*ie" a%%o"in- to the &ota) o* ent(' 0<. W!ic! o# t!e #ollowin" co**/nicable $iseases is not t!o/"! t!e /((e es(iato& s&ste*? a. C!ic@en (o' c. M/*(s b. Measles "' Ma)aia e. 0-. W!ic! o# t!e #ollowin" co**/nicable $iseases is not "astointestinal tact as (otal o# ent&? a' Le&o!( c. T&(!oi$ b. ,aat&(!oi$ $. &sente& e. #. ". !. i. Lean$o9 a client wit! sc!i+o(!enia was sent bac@ !o*e in Malabon a#te teat*ent in NCMH. T!o/"! c/e$9 t!e #a*il& o# Lean$o e6ecte$ t!e !o*e tans#e an$ tol$ t!e NCMH sta## t!e& $o not @now Lean$o9 e%en i# t!e eco$s is s!owin" t!at t!e& ae t!e i**e$iate #a*il&. T!ese #acets o# (/blic !ealt! b/$en a e calle$) a. e#ine$ b/$en c. Hi$$en b/$en ' 7n"e*ine" u"en $. 2/t/e b/$en Mobi$it& a*on" t!e ol$e (eson a"e 53 an$ abo%e is *ainl& $/e to w!ic! o# t!e #ollowin" (e%entable illness? a. In#l/en+a c. T/bec/losis ' Pneu#onia $. Heat $isease Motalit& a*on" t!e el$e (o(/lation is ca/se$ b&) a. In#ection c. ia!ea b. iseases o# t!e !eat "' Pneu#onia As a co/nselo9 t!e ,HN s!o/l$ /tili+e w!ic! o# t!e #ollowin" *ost i*(otant tec!ni8/es? a. In#o*in" c. A$%isin" ' A%ti+e )i!tenin$. Co/nselin" T!ese %accines ae "i%en 0 $oses at one *ont! inte%al) a. ,T9 CG9 TT c. CG9 ,T9 He(a ' DPT, OPV $. Measles9 ,T9 He(a I# e%e con%/lsion occ/s a#te a$*inistein" ,T9 w!at s!o/l$ t!e n/se best s/""est to t!e *ot!e? a' Do not an(#oe %ontinue the DPT +a%%ination' b. Gi%e T instea$ o# ,T. c. Gi%e t!e (et/ssis co*(onent o# t!e ,T %accine an$ e*o%e t!e T co*(onent. $. A$%ise t!e *ot!e to co*e bac@ 1 &ea #o e%accination. W!ic! o# t!e #ollowin" is a /se#/l tool in s!owin" t!e #a*il& nee$s %es/s t!e eso/ces a%ailable #o /tili+ation? a. O*a!a s&ste* c. 2a*il& !ealt! tee b. Geno"a* "' E%o#a& In a (o(/lation o# -3>9>>>9 !ow *an& *ot!es ae calc/late$ to ecei%e tetan/s to'oi$ i**/ni+ation? a' ,2> c. 793>> b. ;793>> $. 739>>> In a (o(/lation o# 1;<9;;< t!e eli"ible sc!ool entant c!il$en nee$in" CG %accination is) a. 395<5 ' >,2 Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 6
c. 5955 $. 5957 -. A co**/nit& wit! a (o(/lation o# 3>>9>>> will nee$ !ow *an& ,HN? a. 3> c. 1>> ' 4> $. 3>> 0. W!ic! is t!e (i*a& "oal o# co**/nit& !ealt! n/sin"? a. To s/((ot t!e e##ots o# t!e *e$ical (o#ession in t!e (o*otion o# !ealt! an$ (e%ention o# illness. ' To enhan%e the %a&a%it( o* in"i+i"ua)!, *a#i)ie! an" %o##unitie! to %o&e .ith thei hea)th nee"!' c. To incease t!e (o$/cti%it& o# t!e (eo(le b& (o%i$in" t!e* wit! se%ices t!at will incease t!ei le%el o# !ealt!. $. To contib/te to national $e%elo(*ent t!o/"! (o*otion o# #a*il& wel#ae9 #oc/sin" (atic/lal& on *ot!e an$ c!il$en. . CHN is a co**/nit&4base$ (actice. W!ic! best e'(lains t!is state*ent? a. T!e se%ice is (o%i$e$ in t!e nat/al en%ion*ent o# (eo(le. ' The nu!e ha! to %on"u%t %o##unit( "ia-no!i! to "ete#ine nu!in- nee"! an" &o)e#!' c. T!e se%ice is base$ on t!e a%ailable eso/ces wit!in t!e co**/nit&. $. ,ioit& settin" is base$ on t!e *a"nit/$e o# t!e !ealt! (oble*s i$enti#ie$. 3. ,o(/lation4#oc/se$ n/sin" (actice e8/ies w!ic! o# t!e #ollowin" (ocesses? a. Co**/nit& o"ani+in" %' Co##unit( "ia-no!i! b. N/sin" (ocess $. E(i$e*iolo"ic (ocess 5. Acco$in" to Ma"aet S!etlan$9 t!e (!iloso(!& o# (/blic !ealt! n/sin" is base$ on w!ic! o# t!e #ollowin"? a. Healt! an$ lon"e%it& as bit!i"!ts b. T!e *an$ate o# t!e state to (otect t!e bit!i"!ts o# its citi+ens c. ,/blic !ealt! n/sin" as a s(eciali+e$ #iel$ o# n/sin" "' The .oth an" "i-nit( o* #an 7. W!ic! o# t!e #ollowin" is t!e *ission o# t!e e(at*ent o# Healt!? a. Healt! #o all 2ili(inos ' En!ue the a%%e!!ii)it( an" ua)it( o* hea)th c. I*(o%e t!e "eneal stat/s o# t!e (o(/lation $. Healt! in t!e !an$s o# t!e 2ili(ino (eo(le b& t!e &ea ->-> ;. Re"ion I= !os(ital is classi#ie$ as w!at le%el o# #acilit&? a. ,i*a& c. Inte*e$iate b. Secon$a& "' Tetia( <. W!at is t/e o# (i*a& #acilities? a. T!e& ae /s/all& "o%en*ent4/n. b. T!ei se%ices ae (o%i$e$ on an o/t4(atient basis. c. T!e& ae tainin" #acilities #o !ealt! (o#essionals. "' A %o##unit( ho!&ita) i! an e9a#&)e o* thi! )e+e) o* hea)th *a%i)it(' 3>. W!en t!e n/se $ete*ines w!et!e eso/ces wee *a'i*i+e$ in i*(le*entin" Li"tas Ti"$as9 s!e is e%al/atin"B a. E##ecti%eness c. A$e8/ac& ' E**i%ien%( $. A((o(iateness 31. Yo/ ae a new SN "a$/ate. Yo/ want to beco*e a ,/blic Healt! N/se. W!ee will &o/ a((l&? a. e(at*ent o# Healt! c. Re"ional Healt! O##ice b. ,o%incial Healt! O##ice "' Rua) Hea)th 7nit 3-. RA 715> *an$ates t!e $e%ol/tion o# basic se%ices #o* t!e national "o%en*ent to local "o%en*ent /nits. W!ic! o# t!e #ollowin" is t!e *a6o "oal o# $e%ol/tion? a. To sten"t!en local "o%en*ent /nits b. To allow "eate a/tono*& to local "o%en*ent /nits c. To e*(owe t!e (eo(le an$ (o*ote t!ei sel#4eliance "' To #a?e a!i% !e+i%e! #oe a%%e!!i)e to the &eo&)e 30. W!o is t!e c!ai*an o# t!e M/nici(al Healt! oa$? a' Ma(o c. ,/blic Healt! N/se b. M/nici(al Healt! N/se $. An& 8/ali#ie$ (!&sician 3. W!ic! le%el o# !ealt! #acilit& is t!e /s/al (oint o# ent& o# a client into t!e !ealt! cae $eli%e& s&ste*? a' Pi#a( c. Inte*e$iate b. Secon$a& $. Tetia& 33. T!e ,/blic Healt! N/se is t!e s/(e%iso o# /al !ealt! *i$wi%es. W!ic! o# t!e #ollowin" is a s/(e%iso& #/nction o# t!e (/blic !ealt! n/se? a. Re#ein" cases o (atients to t!e *i$wi#e ' Po+i"in- te%hni%a) -ui"an%e to the #i".i*e c. ,o%in" n/sin" cae to cases e#ee$ b& t!e baan"a& !ealt! cente $. 2o*/latin" an$ i*(le*entin" tainin" (o"a*s #o *i$wi%es 35. One o# t!e (atici(ants in a !ilot tainin" class as@e$ &o/ to w!o* s!e s!o/l$ e#e a (atient in labo w!o $e%elo(s a co*(lication. W!at will be &o/ answe? a. ,/blic !ealt! n/se %' Muni%i&a) hea)th o**i%e b. R/al !ealt! *i$wi#e $. An& o# t!ese !ealt! (o#essionals 37. Yo/ ae t!e (/blic !ealt! n/se in a */nici(alit& wit! a total (o(/lation o# abo/t ->9>>>. T!ee ae 0 !ealt! *i$wi%es a*on" t!e RHU (esonnel. How *an& *oe *i$wi%es ae nee$e$? a' 1 b. c. 0 $. 3;. I# t!e RHU nee$s a$$itional *i$wi#e ite*s9 &o/ will s/b*it t!e e8/est #o t!ese ite*s #o a((o%al to t!e) a. R/al Healt! Unit c. ,o%incial Healt! O##ice b. istict Healt! O##ice "' Muni%i&a) Hea)th =oa" 3<. As an e(i$e*iolo"ist9 t!e n/se is es(onsible #o e(otin" cases o noti#iable $iseases. W!ic! law *an$ates e(otin" cases o# noti#iable $iseases? a' A%t 5>25 c. R.A. 1>3 b. R.A. 0730 $. R.A. 1>;5>. T!e n/*be o# cases o# $en"/e #e%e /s/all& inceases towa$s t!e en$ o# t!e ain& season. T!is (atten o# occ/ence o# $en"/e #e%e is best $escibe$ as) a. E(i$e*ic occ/ence ' C(%)i%a) +aiation Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! >
c. S(oa$ic occ/ence $. Sec/la occ/ence 51. In t!e &ea 1<;>9 t!e Wol$ Healt! O"ani+ation $eclae$ t!e ,!ili((ines9 to"et!e wit! so*e ot!e co/nties in Westen ,aci#ic Re"ion9 #eeD o# w!ic! $isease? a. ,ne/*onic (la8/e %' S#a)) &o9 b. ,olio*&elitis $. Ant!a' 5-. In t!e cens/s o# t!e ,!ili((ines in 1<<39 t!ee wee abo/t 039-<<9>>> *ales an$ abo/t 09<5;9>>> #e*ales. W!at is t!e se' atio? a. <<.>5B1>> c. 3>.-0 ' 1'6:1 $. <.75 50. 5. S(/t/* e'a*ination is t!e *a6o sceenin" tool #o (/l*ona& t/bec/losis. Clients wo/l$ so*eti*es "et #alse ne"ati%e in t!is e'a*. T!is *eans t!at t!e test is not (e#ect in te*s o# w!ic! c!aacteistic o# a $ia"nostic e'a*ination? a. E##ecti%eness c. S(eci#icit& b. E##icac& "' Sen!iti+it( 53. Use o# a((o(iate tec!nolo"& e8/ies @nowle$"e o# in$i"eno/s tec!nolo"&. W!ic! *e$ical !eb is "i%en #o #e%e9 !ea$ac!e an$ co/"!? a. Sa*bon" c. A@a(/l@o b. Tsaan" "/bat "' La-un"i 55. In ta$itional C!inese *e$icine9 t!e &iel$in"9 ne"ati%e an$ #e*inine #oce is te*e$) a' Yin c. Pi b. Yan" $. C!ai 57. W!at is t!e le"al basis o# ,i*a& Healt! Cae a((oac! in t!e ,!ili((ines? a. Al*a Ata eclaation o# ,HC c. ,esi$ential ecee No. 17 ' Lette o* In!tu%tion No' 6 $. ,esi$ential ecee <<5 e. *' Situation: De+o)ution o* hea)th !e+i%e! tan!*ee" &o.e! an" authoit( to the )o%a) -o+en#ent unit! *o !e)*0e)ian%e' 5;. W!o a*on" t!e #ollowin" a((oints n/sin" (esonnel in t!e */nici(alities? a. Cit& Ma&o %' Muni%i&a) Ma(o b. Con"ess*an o# t!e istict $. Senato e(esentin" t!e OH (o"a* 5<. W!ic! o# t!e #ollowin" is t!e (i*a& #/nction o# t!e co**/nit& !ealt! n/se? a. Assistin" s(ecial !ealt! nee$s %' Po#otion o* hea)th an" &e+ention o* b. E%al/atin" !ealt! (o"a*s "i!ea!e! $. I*(le*entin" (o"a*s o# t!e OH 7>. Wol$ Healt! O"ani+ation $e#ines co**/nit& !ealt! as one o# t!e #ollowin") a. A tea*wo@ base$ on social an$ nat/al sciences b. Assess*ent o# client’s !ealt! nee$s c. Ac!ie%e*ent o# !/*an (otentials "' S&e%ia) *ie)" in nu!in- in%)u"in- !o%ia) a!!i!tan%e 71. W!ic! o# t!e #ollowin" conce(ts in Co**/nit& Healt! N/sin" is /se$ to wo@ wit! clients? a. Fnowle$"e o# Wol$ Healt! o"ani+ation c. E'tension o# bene#its to clients stan$a$s "' Hea)th &o#otion b. ,i*a& (e%ention 7-. W!ic! o# t!e #ollowin" acti%ities o# Co**/nit& Healt! N/sin" is $iecte$ towa$s t!e o(ti*/* le%el o# #/nctionin"? a. Secon$a& (e%ention c. ,i*a& (e%ention ' E%o!(!te# a&&oa%h $. Tetia& (e%ention e. *' Situation: Co##uni%a)e "i!ea!e! ae %)a!!i*ie" a%%o"in- to &ota) o* ent(' 70. W!ic! o# t!e #ollowin" co**/nicable $iseases is not s@in an$ */co/s *e*bane ent&? a. Gono!ea c. Scabies b. en"/e "' S(&hi)i! 7. Micoo"anis*s !a%e t!e abilit& to in%a$e t!e bo$& tiss/e an$ (oli#eate9 ca/sin" in#ection. One #acto is %i/lence o# t!e o"anis*. W!at is t!e ot!e #acto? a. Wea@ness o# t!e bo$& %' Re!i!tan%e o* the ho!t b. Resistance o# t!e bo$& $. Wea@ness o# t!e o"anis* e. *' Situation: Matena) an" Chi)" hea)th !e+i%e! i! one +ita) &o-a# in the De&at#ent o* Hea)th' 7. W!ic! a*on" t!e #ollowin" is t!e o%eall "oal o# t!e *atenal !ealt! (o"a*? a. Re$/ce (einatal *otalit& ' I#&o+e the !u+i+a), hea)th, an" .e))0ein- o* #othe an" the unon c. I*(le*ent t!e asic E*e"enc& Obstetic Cae EMOCJ State"& $. I*(o%e t!e 8/alit& o# (enatal an$ (ostnatal cae 73. At least !ow *an& ti*es c!ec@ /( s!o/l$ be $one wit! e"a$s to (enatal cae? a. Once c. T!ice (e se*este b. Twice a *ont! "' Fou ti#e! 75. A *ot!e w!o !as co*(lete$ all t!e $oses o# tetan/s to'oi$ is calle$ as) a' Fu))( I##uni;e" Mothe BFIM c. Tetan/s42ee Mot!e T2MJ b. 2/ll& I**/ni+e$ Wo*an 2IWJ $. Co*(letel& I**/ni+e$ Wo*en CIWJ 77. W!ic! o# t!e #ollowin" can be "i%en to a (e"nant client? a. =ita*in A c. Io$ine b. Ion "' A)) o* the!e e. *' Situation: The nu#e o* o)"e &e!on! in%ea!e! in ou %ount( an" e+en in the -)oa) !%enaio' The( nee" tota) nu!in- %ae too' 7;. W!ic! o# t!e #ollowin" "oal o# !ealt! cae o# ol$e (esons? a. Ri"!ts o# ol$e (esons %' I#&o+e ua)it( o* )i*e b. M/lti$isci(lina& cae $. Lon"e $isabilit&4#ee li#e Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))!
7<. ;>. All o# t!e #ollowin" ae c!aacteistics o# ol$e (esons e'ce(t) a. 2inanciall&4$isa$%anta"e$ b. Ho/sebo/n$
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Ha+e a ten"en%( to a).a(! e&ot i))ne!! Ma& $e%elo( a$%ese $/" eactions
;1. ;-. ;0. T!e ol$e (esons ae s/sce(tible to acci$ents in t!e !o*e. W!at s!o/l$ be t!e n/se’s inst/ction to t!e cae"i%es? a. Alwa&s sta& besi$e t!e ol$e (eson c. Sta& in t!e oo* all t!e ti*e b. Maintain "oo$ n/tition "' A+oi" en+ion#enta) ha;a"! e. #. -' Situation: Re&o"u%ti+e hea)th i! a i-ht an" a #aie" %ou&)e ha! the *ee"o# to "o .hat the( )i?e .ith %oe!&on"in- e!&on!ii)it(' ;1. In t!e local #a*ewo@ o# RH9 w!ic! one is t!e /lti*ate "oal? a. Wo*en’s !ealt! in e(o$/ction c. Ac!ie%e*ent o# wo*en’s stat/s b. Attain*ent o# o(ti*/* !ealt! "' =ette ua)it( )i*e o* Fi)i&ino! ;-. T!e #oc/s o# ,!ili((ine RH incl/$es w!ic! o# t!e #ollowin"? a. Wo*en’s !ealt! %' Hea)th o* #en an" .o#en b. =iolence a"ainst wo*en $. A$olescent RH ;0. W!ic! a*on" t!e #ollowin" is not a coe (inci(le o# t!e ,!ili((ine RH? a. Ri"!ts4base$ c. Gen$e es(onsi%e b. C/lt/all&4oiente$ "' Poa%ti+e -en"e %ae ;. One (e%enti%e cae *ana"e*ent t!at t!e n/se can teac! in e(o$/cti%e !ealt! in#ection is) a. Use o# #e*inine was! e%e& ni"!t %' Coun!e)in- on hu#an !e9ua)it( b. ,o(e !&"iene o# wo*en $. Use o# con$o* e. #. -' Situation: One i#&otant too) a %o##unit( hea)th nu!e u!e! in the %on"u%t o* hi!he a%ti+itie! i! the CHN =a-' ;3. T!e Co**/nit&:,/blic Healt! a" is) a. As essential an$ in$is(ensable e8/i(*ent o# t!e co**/nit& !ealt! n/se ' A too) u!e" ( the %o##unit( hea)th nu!e in en"ein- the e**e%ti+e nu!in- &o%e"ue! "uin- a ho#e +i!it' c. Contains basic *e$ications an$ aticles /se$ b& t!e co**/nit& !ealt! n/se $. A e8/ie*ent #o !o*e %isits ;5. W!ic! o# t!e #ollowin" is t!e content o# a ba"? a. Tiss/e (a(e c. loo$ (ess/e a((aat/s ' =ene"i%t/! !o)ution $. ,esci(tion (a(e ;7. How *an& scissos ae in t!e (/blic !ealt! ba"? a. 1 %' 5 b. $. ;;. W!at is t!e ationale #o t!e /se o# ba" tec!ni8/e $/in" !o*e %isits? a. It s!o/l$ *ini*i+e o (e%ent t!e s(ea$ o# in#ection #o* in$i%i$/als to #a*ilies. b. It sa%es ti*e an$ e##ot o# t!e n/se in t!e (e#o*ance o# n/sin" (oce$/es. %' It he)&! en"e e**e%ti+e nu!in- %ae to %)ient! o othe #e#e! o* the *a#i)(' $. It s!o/l$ not o%es!a$ow concens #o t!e (atient. ;<. W!ic! a*on" t!e #ollowin" is i*(otant in t!e /se o# t!e ba" tec!ni8/e $/in" !o*e %isit? a' Mini#i;e i* not tota))( &e+ent the !&ea" o in*e%tion b. Aan"e*ent o# t!e ba"’s contents */st be con%enient #o t!e n/se c. e s/e to t!oo/"!l& clean &o/ ba" es(eciall& w!en e'(ose$ to co**/nicable $iseases $. T!e ba" s!o/l$ contain all necessa& s/((lies an$ e8/i(*ent ea$& #o /se <>. In consi$eation o# t!e ste(s in a((l&in" ba" tec!ni8/e9 w!ic! si$e o# t!e (a(e linin" o# t!e CHN ba" is consi$ee$ clean to *a@e anon4conta*inate$ wo@ aea? a. T!e /((e ti( %' The in!i"e !u*a%e b. T!e o/te s/#ace $. T!e lowe ti( e' *' Situation: The DOH o* ou %ount( -i+e! "ue i#&otan%e to the %ontiution o* Fi)i&ino Nu!e! in the i#&o+e#ent o* the hea)th %ae !(!te#' <1. W!ic! o# t!e #ollowin" is t!e #oc/s o# t!e (o*oti%e le%el o# cae in co**/nit& !ealt! n/sin"? a' E+a)uation c. ,lannin" b. Assess*ent $. ia"nosis <-. T!e n/se assi"ne$ in R/al Healt! Unit as a be"innin" n/se (actitione is $escibe$ as one o# t!e #ollowin"B a. S(ecialist %' Genea)i!t b. Mot!e4c!il$ n/se e'(et $. Ho*e cae n/se <0. In R/al Healt! Units9 w!ic! @in$ o# !ealt! se%ices is a%ailable? a. Sa#e *ot!e!oo$ c. Ho*e cae b. ,ost !os(itali+ation "' A)) t(&e! <. W!ic! o# t!ese scienti#ic a((oac!es is t!e best tool a n/se can $e(en$ on #o 8/alit& cae in t!e co**/nit& o an& settin"? a. N/sin" *ana"e*ent c. N/sin" (otocol ' Nu!in- &o%e!! $. N/sin" eseac! <3. W!ic! one o# t !e #ollowin" (ocesses is /se$ b& t!e n/se w!eein biolo"ical an$ sociolo"ical sciences ae /tili+e$ to obtain co**/nit& eso/ces? a. Co**/nit&4base$ %' Hea)th net.o?inb. Co**/nit& !ealt! $. N/sin" (ocess e. Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))! 2
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Situation: T.o hea)th .o?e! ae &)annin- *o a nutition &o-a#' The nu!e/! *un%tion o+e)a&! .ith that o* the #i".i*e' <5. W!at is t!e best to $o w!en t!ee is o%ela((in" o# #/nctions? a. Re(ot to t!e s/(e%iso %' Re*e to #anua) b. Get a law&e $. Re(ot to t!e (!&sician <7. In t!e inte%ention (!ase o# n/tition9 t!e n/se assists in t!e i*(le*entation o# (o"a*. W!at will &o/ $o? a. S(onso $ieta& co/nselin" c. Hol$ *ot!es ca#t ' De+e)o&"i!tiute IEC #ateia)! $. Con$/ct wet #ee$in" <;. Monitoin" an$ s/(e%ision ae t!e - *ain #/nctions o# t!e n/se. To w!o* wo/l$ &o/ "i%e #ee$bac@ a#te a !o*e %isit e"a$in" n/tition (o"a*? a' Ma(o/! o**i%e c. Re"ional o##ice b. ,o%incial o##ice $. Mi$wi#e on $/t& <<. W!ile t!e *i$wi#e is *a((in"9 t!e n/s e cl/stes t!e *a(. W !at is it’s (/(ose? a. Lo"istics c. Tain *i$wi#e ' Dete%t nutition &o)e# $. Consoli$ate $ata 1>>. W!ic! $ata ae consoli$ate$ in a n/tition (o"a*? a. Lo"istics %' Nutition !ituation b. Tec!ni8/es in o(eation ti*ban" $. 2in$in"s o# (o"a*s e. #. ". *. !. n. i. o. 6. (. @. 8. l. . s. t. /. %.
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Re+ie. *o the Phi)i&&ine Nu!e! Li%en!ue E9a#ination BPNLE < Inten!i+e Di))!
