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. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

3. Which of the following is a function of epidemiology?

• A. Identifying disease conditions based on manifestations presented by a client
• B. Determining factors that contributed to the occurrence of pneumonia in a 3-year-old
• C. Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia
• D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

Correct answer: D

Rationale: The function of epidemiology includes evaluating the effectiveness of interventions, programs, or policies implemented to improve public health outcomes. In this context, epidemiology aids in assessing the impact and success of strategies like the Integrated Management of Childhood Illness in community health practice.

4. In immunization, which of the following measures is considered the most effective in controlling the occurrence of diseases?

• A. Immunization coverage
• B. Cold chain
• C. Potency of vaccines
• D. Health education

Correct answer: A

Rationale: Immunization coverage is the proportion of the target population that has been immunized. To control the occurrence of diseases effectively, it is crucial that a high percentage of the population is immunized. This not only protects individuals but also helps in achieving herd immunity, reducing the spread of diseases within the community. Therefore, ensuring high immunization coverage is a key strategy in disease prevention and control.

5. Which of the following diseases is prevented by administration of the Hepatitis B vaccine?

• A. Jaundice
• B. Liver cancer
• C. Pneumonia
• D. Tuberculosis

Correct answer: B

Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine helps prevent liver cancer by preventing chronic Hepatitis B infection. While Hepatitis B infection can lead to jaundice, the primary goal of the vaccine is to prevent liver complications such as cirrhosis and liver cancer.

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