Nursing Elites

1. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?

• A. Health and longevity as birthrights
• B. The mandate of the state to protect the birthrights of its citizens
• C. Public health nursing as a specialized field of nursing
• D. The worth and dignity of man

Correct answer: D

Rationale: Dr. Margaret Shetland emphasized that the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This principle underscores the core values of public health nursing, focusing on respect for human life and the promotion of health for all individuals, regardless of their background or circumstances.

2. What is the appropriate action to take if a child is found to have a fever on the day of immunization?

• A. Administer the vaccine as scheduled
• B. Delay the immunization until the fever subsides
• C. Give a lower dose of the vaccine
• D. Administer an antipyretic before the vaccine

Correct answer: B

Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.

3. To maintain the cleanliness of the bag and its contents, what should the nurse do?

• A. Wash their hands before and after providing care to family members
• B. Use only items from the bag when caring for family members
• C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
• D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward

Correct answer: A

Rationale: The most crucial step in maintaining cleanliness when caring for family members and handling the bag and its contents is to wash the nurse's hands before and after providing care. This practice helps prevent the spread of germs and maintains proper hygiene standards, reducing the risk of contamination. Washing hands is a fundamental infection control measure that all healthcare professionals should adhere to in their daily practice.

4. Which vaccine is typically administered to newborns within the first 24 hours of birth?

• A. Hepatitis B
• B. BCG
• C. OPV
• D. Measles

Correct answer: A

Rationale: The correct answer is A, Hepatitis B. The Hepatitis B vaccine is usually administered to newborns within the first 24 hours of birth to provide protection against Hepatitis B infection. This early vaccination helps prevent transmission of the virus from infected mothers to their babies during childbirth, reducing the risk of chronic liver disease and liver cancer later in life.

5. In the year 1980, the World Health Organization declared the Philippines, along with some other countries in the Western Pacific Region, 'free' of which disease?

• A. Pneumonic plague
• B. Poliomyelitis
• C. Smallpox
• D. Anthrax

Correct answer: C

Rationale: The correct answer is C, Smallpox. The World Health Organization declared the Philippines, along with other countries in the Western Pacific Region, 'free' of Smallpox in 1980. The last documented case of Smallpox worldwide was in 1977 in Somalia, leading to the global eradication of the disease.

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