Nursing Elites

1. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?

• A. private health care practitioner
• B. a patient-centered medical home
• C. hospital clinic
• D. subacute facility

Correct answer: B

Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.

2. In the Philippines, Community Health Nursing (CHN) involves health care provisions for individuals, families, population groups, and communities. During community health work, various health care strategies are utilized. The legal basis for incorporating traditional, non-traditional, alternative, or complementary health care strategies may be found in:

• A. PhilHealth Act
• B. Traditional and Alternative Health Care Law
• C. Philippine Nursing Act
• D. Philippine Medical Act

Correct answer: B

Rationale: The Traditional and Alternative Health Care Law serves as the legal foundation for integrating traditional, non-traditional, alternative, or complementary health care strategies within Community Health Nursing practice in the Philippines.

3. Which of the following statements best describes the role of a community health nurse?

• A. Provides direct patient care in hospital settings
• B. Conducts health education and community organizing activities
• C. Coordinates care for individuals and families
• D. Advocates for health policies and programs

Correct answer: B

Rationale: The correct answer is B. Community health nurses play a crucial role in conducting health education and community organizing activities within the community. They focus on promoting health, preventing diseases, and improving the overall well-being of the community members by organizing educational programs and initiatives. While they may be involved in coordinating care to some extent, their primary focus lies in health education and community outreach.

4. Which of the following is used to monitor specific groups eligible for a certain program of the DOH?

• A. Family treatment record
• B. Target Client list
• C. Reporting forms
• D. Output record

Correct answer: B

Rationale: The Target Client List is specifically designed to monitor and track specific groups that are eligible for the programs offered by the DOH. This list helps in identifying and managing the individuals or populations that qualify for specific services or interventions, ensuring that resources are allocated efficiently and effectively to those who meet the eligibility criteria.

5. What is the MOST COMMON cause of vaginal bleeding immediately after birth?

• A. Uterine atony
• B. Genital lacerations
• C. Abnormal clotting mechanisms
• D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

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