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 calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

• A. 4.1/1000
• B. 5.2/1000
• C. 6.3/1000
• D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

3. Which of the following is a component of the Safe Motherhood Initiative?

• A. Promoting exclusive breastfeeding
• B. Providing routine immunizations
• C. Ensuring skilled attendance at birth
• D. Offering genetic counseling

Correct answer: C

Rationale: Ensuring skilled attendance at birth is a crucial component of the Safe Motherhood Initiative aimed at reducing maternal and neonatal mortality rates. By having skilled professionals attend births, complications can be identified early and appropriate care provided promptly, contributing to improved maternal and neonatal health outcomes.

4. 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.

5. Which of the following exemplifies the school nurse’s health care provider function?

• A. Requesting BCG vaccine from the RHU for school entrance immunization
• B. Conducting random classroom inspections during a measles epidemic
• C. Taking corrective action on an accident hazard in the school playground
• D. Observing areas in the school where pupils spend their free time

Correct answer: B

Rationale: Conducting random classroom inspections during a measles epidemic is a vital function of the school nurse as it involves assessing pupils and teachers for signs of a health problem prevalent in the community. This function helps in early detection, prevention, and control of diseases among students and staff, contributing to maintaining a healthy school environment.

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