Nursing Elites

1. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

2. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

3. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

• A. The community health nurse continuously develops personally and professionally.
• B. Health education and community organizing are essential in providing community health services.
• C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
• D. The goal of community health nursing is to provide nursing services to people in their own place of residence.

Correct answer: B

Rationale: Freeman and Heinrich highlight that community health nursing involves developing the health capability of individuals through health education and community organizing activities. These components are crucial in addressing the health needs of the community and empowering individuals to lead healthier lives. Therefore, choice B, emphasizing the importance of health education and community organizing in providing community health services, best illustrates the developmental nature of community health nursing as described by Freeman and Heinrich.

4. What is the primary goal of community health nursing?

• A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases
• B. To enhance the capacity of individuals, families, and communities to cope with their health needs
• C. To increase the productivity of people by providing them with services that will increase their level of health
• D. To contribute to national development through the promotion of family welfare, focusing particularly on mothers and children

Correct answer: B

Rationale: The primary goal of community health nursing is to enhance the capacity of individuals, families, and communities to cope with their health needs. This involves empowering them with the knowledge and resources to address their health concerns effectively, promoting overall well-being and preventing illnesses. While other choices touch on aspects of community health nursing, such as supporting the medical profession, increasing productivity, and contributing to national development, the core focus remains on empowering individuals and communities for better health outcomes.

5. 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.

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