Nursing Elites

1. 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.

2. In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed:

• A. De jure
• B. De locus
• C. De facto
• D. De novo

Correct answer: C

Rationale: The correct term for the method of population assignment based on the actual physical location of the people is 'de facto.' On the other hand, 'de jure' is the method based on the usual place of residence of the people.

3. What is the recommended duration for exclusive breastfeeding according to the World Health Organization (WHO)?

• A. 3 months
• B. 6 months
• C. 9 months
• D. 12 months

Correct answer: B

Rationale: The World Health Organization (WHO) recommends exclusive breastfeeding for the first 6 months of life. This means that infants should be fed only breast milk (no other liquids or solids) during this period to ensure optimal growth, development, and health benefits.

4. You are tasked with collecting data for nutritional assessment of a specific area. You will gather information solely from families with members who are part of the target population for Protein-Energy Malnutrition (PEM). Which method of data collection is most suitable for this purpose?

• A. Census
• B. Survey
• C. Record Review
• D. Review of civil registry

Correct answer: B

Rationale: A survey, specifically a sample survey, is the most appropriate method for gathering data about a sample of the population. In this scenario, focusing on families with members who are part of the target population for PEM requires collecting specific data from a subset of the overall population, making a survey the best choice for this purpose.

5. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

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