Nursing Elites

1. In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?

• A. Occupational health nurse at the Provincial Health Office
• B. Physician employed by the factory
• C. Public Health nurse of the RHU of their municipality
• D. Rural Sanitary inspector of the RHU in their municipality

Correct answer: C

Rationale: In the scenario where a garment factory lacks an occupational nurse, the responsibility of addressing the occupational health needs of the factory workers falls under the jurisdiction of the Public Health nurse of the Rural Health Unit (RHU) in their municipality. Public Health nurses are trained to provide essential health services to the community, including monitoring and promoting health in workplaces. They can assess workplace hazards, provide health education, and facilitate access to medical care when necessary, making them the most suitable option among the given choices to cater to the occupational health needs of the factory workers.

2. What is the primary purpose of conducting an epidemiologic investigation?

• A. Delineate the etiology of the epidemic
• B. Encourage cooperation and support of the community
• C. Identify groups at risk of contracting the disease
• D. Identify the geographical locations of disease cases in the community

Correct answer: A

Rationale: The primary purpose of conducting an epidemiologic investigation is to delineate the etiology of the epidemic, which involves identifying the cause or origin of the disease outbreak. This process helps in understanding how the disease spreads, its risk factors, and developing strategies for control and prevention.

3. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?

• A. Clinic consultation
• B. Group conferences
• C. Home visit
• D. Written communication

Correct answer: C

Rationale: The best opportunity to observe family dynamics is through a home visit. This setting allows the nurse to observe the family in their natural environment, providing valuable insights into their relationships, interactions, and living conditions. By being present in the home, the nurse can better understand the family dynamics, communication patterns, and potential stressors that may not be evident in other forms of contact such as clinic consultations, group conferences, or written communication.

4. What is the legal basis of the Primary Health Care approach in the Philippines?

• A. Alma Ata Declaration on PHC
• B. Letter of Instruction No. 949
• C. Presidential Decree No. 147
• D. Presidential Decree No. 996

Correct answer: B

Rationale: The correct answer is B, the Letter of Instruction No. 949. This instruction was issued by then President Ferdinand Marcos, directing the Ministry of Health (now the Department of Health) to utilize the Primary Health Care approach in planning and implementing health programs. This legal basis established the foundation for implementing Primary Health Care in the Philippines, aligning with the global Alma Ata Declaration's principles.

5. Which numerator is used in computing the general fertility rate?

• A. Estimated midyear population
• B. Number of registered live births
• C. Number of pregnancies in the year
• D. Number of females of reproductive age

Correct answer: B

Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.

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