Below is an example of a primary health care program that should be available in the community. Choose the best answer.*1 pointCollaborative researchCompetitiveness in Agriculture Land use and Agrarian reformSetting up of private facilities for leisure activitiesDisaster Management preparedness program

What is the Primary Purpose of Planning Health Programs for Community Development19 of 100ATo provide Immediate Medical Treatment to individuals in the CommunityBTo Educate Healthcare Professionals about Community Health IssuesCTo address the underlying determinants of Health and Promote Long-term Improvements in the Health of the CommunityDTo increase the Number of Healthcare Facilities in the Communit

Chapter 5 explores the central importance of integrating public health and primary care to the PHC approach. Public health and primary care add value to each other. Separating them because public health has a population perspective, while primary care typically focuses on the individual, is artificial and creates unnecessary barriers. PHC integrates both perspectives, encouraging greater efficiency and effectiveness, and creating the conditions for more community engagement and multisectoral action, so strengthening health systems and fostering resilience. Key messages include: ■ Primary care and public health services have natural synergies, particularly in the five key areas of: ■ health protection ■ health promotion ■ disease prevention ■ surveillance, monitoring and population health analysis ■ public health emergency preparedness and response. ■ A PHC-oriented system can integrate primary care and public health in a range of ways from maintaining two distinct services but ensuring mutual awareness, through cooperation and collaboration, to full integration in a single, merged organization. ■ Enabling the integration of two strands of health care delivery with different paradigms is not straightforward in practice. Country experiences highlight the importance of: ■ creating a clear shared vision, goals and mandates that public health and primary care co-own ■ acknowledging the distinct training, culture and ways of working in public health and primary care, and ensuring that change management and leadership styles acknowledge these differences ■ revisiting education and training to combine primary care and public health perspectives, and to make collaboration the norm ■ establishing shared data systems and shared protocols that bridge individual patient and community-level data and facilitate integration ■ joint funding that minimizes or rules out any perception of competition for resources.

15. A client is admitted to a hospital for secondary health care services. An example of secondary health care services would be the client who:*1 pointA. goes to the public health clinic for family planning services.B. requires physical therapy to regain function after experiencing a stroke.C. undergoes an appendectomy for a ruptured appendix.D. attends a support group for smoking cessation.16. In reviewing the guiding principles in health promotion, the community health nurse should look into the:*1 pointA. World Health OrganizationB. Ottawa charterC. Charter ChangeD. Department of Health17. This is the result of good group processbased on trust, respect, and openness:*1 pointA. Community feedbackB. Positive organizational cultureC. Established recruitment planD. Integrated interventionSituation 3– You are active participant of Project Entrepre Nurse whose higher goals is to build Philippine Nursing’s economic milieu, however this comes with realities embedded in the present Philippine Health Care Delivery System (PHCDS).18. Which of the following is TRUE of the Philippine Health Care System (PHCDS)? *1 pointA. Health insurance companies dictate the current referral system in the country.B. Health care delivery system in the country was specifically designed for the poor congruent with the Primary health Care concept.C. The PHCDS is composed of a 3-tierreferral systemD. The Department of Interior and Local Government is the country’s foremost health coordinating agency because of the implementation of devolution19. The current frontline health care providers in the PHCDS are the:*1 pointA. Traditional healers/helotsB. DoctorsC. Barangay health workersD. Rural health nurses20. When beginning a relationship with a familyon home visit, the community health nurse: *1 pointA. is accepting and listens carefully toproblem of all family membersB. allows the discussion to be open and non-directionalC. focuses on the problem of one of the family membersD. encourages others to speak for the main client to get an unbiased view

Choose 1 characteristic of a healthy community. *1 pointEngages in Large-scale, conventional and industrialized farmingHas limited transportation for people to access for leisure activitiesHas accessible and appropriate health services and facilitiesHas food system vulnerability

Which of the following is a common strategy for evaluating the effectiveness of health-related community service programs?Group of answer choicesConducting surveys of program participantsTracking changes in health outcomes over timeAssessing the cost-effectiveness of the programAll of the above