Nursing Elites

1. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

2. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

3. Which term involves the voluntary fortification of processed foods?

• A. Garantisadong Pambata
• B. Food Fortification
• C. Sangkap Pinoy Seal
• D. Child Health Week

Correct answer: C

Rationale: The Sangkap Pinoy Seal signifies the voluntary fortification of processed foods in the Philippines. It serves as a mark that indicates the inclusion of essential nutrients in processed food products to address specific nutrient deficiencies in the population.

4. Which best describes the role of surveillance in public health?

• A. Monitoring the spread of diseases
• B. Providing direct patient care
• C. Offering health education workshops
• D. Conducting epidemiological research

Correct answer: A

Rationale: Surveillance in public health primarily involves monitoring the spread of diseases. By tracking patterns of diseases and behaviors in populations, public health officials can identify potential outbreaks, assess the effectiveness of interventions, and make informed decisions to protect and improve community health. Surveillance is crucial for early detection, timely response, and prevention of the spread of infectious diseases and other health threats.

5. Which statement best describes the focus of community health nursing?

• A. Providing care to individuals and families within the community
• B. Improving the overall health of the community
• C. Ensuring access to health care for all community members
• D. Addressing the social determinants of health

Correct answer: B

Rationale: The correct answer is B because community health nursing focuses on improving the health of the entire community rather than just individuals or families. By addressing health issues at the population level, community health nurses work towards enhancing the overall well-being and health outcomes of the community.

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