Ajuda para tarefas de saúde pública

66. An experienced public health expert comes to Ethiopia from abroad and wants information about the current health delivery system of the country. During their discussion, the woreda health manager explained about the current health care tier system used by the nation. What is the most likely explanation expected from the manager? (A) Ethiopia has four tier system (B) Primary hospital serves 15,000-25,000 people (C) General hospitals are grouped under tertiary level (D) Specialized Hospital serves 3.5-5.0 million people

58.A 50-year-old dementia patient was admitted to a hospital. On assessment, he had forgetfulness, fluctuating mood and impaired decision making ability. His son is struggling to prevent him from removing the IV line. What is the most expected immediate outcome to be achieved after hours of intervention? (A) Improved memory (B) Reduced disturbance (C) Reduced mood fluctuation (D) Improved ability to make own decision

56. A group of patients with substance use disorder were admitted to substance rehabilitation center. Most of them deny their problem. The nurse is preparing a teaching plan for them to help their recovery. What is the most appropriate information to be included in the nursing plan? (A) Communicate one can use substance for their stress relieving effect (B) Focus on change in the patient's motivation probably has the best impact (C) Persons with substance-related problems can recover without formal treatment (D) Communicate that substance use is a problem not related to individual weakness 57. A 67-year-old woman was brought to a hospital due to progressive deterioration of memory and language ability in the last two years. Her son reports that she couldn't stay at home, wandering on the street and often miss to return to home . During examination.she is alert, has memory problem and talks alone appearing as if discussing with someone. What is the most likely outcome of treating this patient? (A) Peaceful death within a short period of time (B) Eventual full return to pre morbid level of functioning (C) Eventual partial return of pre morbid level of functioning (D) Behavioral control with delaying of cognitive deterioration 58.A 50-year-old dementia patient was admitted to a hospital. On assessment, he had forgetfulness, fluctuating mood and impaired decision making ability. His son is struggling to prevent him from removing the TV line. What is the most expected immediate outcome to be achieved after hours of intervention? (A) Improved memory (B) Reduced disturbance (C) Reduced mood fluctuation (D) Improved ability to make own decision

50. A 55-year-old woman came to a clinic for psychiatric evaluation. At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

BOOKLET CODE: 012 17. A nurse wants to initiate feeding for 1.5kg neonate admitted in neonata intensive care unit. The infant had a very week sucking reflex and on risk for necrotized enterocolitis. What is the most appropriate initial step in this patient 's care? (A) Pouring the expressed breast milk via NG tube continuousl y as demanded (B) Inject 4 .Sml expressed breast milk using 10ml syringe at a time per feeding (C) Give bolus 3ml expressed breast milk via NG tube over 20-25 min per feeding (D)Give bolus the expressed breast milk using 10ml syringe over 5.-10min per feeding 18. A nurse assessed the progress of a two-year-old child who was on phase one management of severe acute malnutrition The child was improved clinically with an evidence of reduced edem to grade two and complications were completely treated. What is the most likely additional finding used to proceed to the transition phase? (A) The edema has to be reduced to grade for a day (B) The edema has to be lost completely for consecutive days (C) Improved appetite evidenced by finishing F-75 food easily (D) Improved appetite evidenced by finishing F-100 food easily 19. A 16-hour-old preterm neonate who was born at home was admitted to the NICU due to inability to feed and lethargy.On examination the neonate had body temperature of 36.2^circ C pulse rate 140/min and blood glucos level of 35mg/dl. What is the best nursing intervention to manage the neonate'problem? (A) Provide intravenous glucose (B) Put skin-to-skin with mother (C) Provide milk through NG tube (D) Warm the child using hot water bottle SUBJECT CODE: 02 A nurse who is giving immediate newborn care dries and stimulates the newborn Unfortunately the newhom do not cry. What is the most appropriate next step for this newborn? (A) Suck fluid from the nose (C) Observe and evaluate breathing (B) Bag and mask ventilation (D) Back rubbing and flicking soles A six-day-old neonate was admitted to a hospital for management of breathing difficulty. The neonate had spontaneous breathing at birth but breathing difficulty started on second day of birth and worsened on the fourth day. The neonate was put on Continuous Positive Airway Pressure Ventilation. What is the best and safest method of checking the progress of this neonate? (A) Pulse oximetry (C) Pulmonary function test (B) Blood gas analysis (D) Carbon dioxide monitoring