Nursing Elites

1. CHN is a community-based practice. What best explains this statement?

• A. The service is provided in the natural environment of people
• B. The nurse conducts community diagnosis to determine nursing needs and problems
• C. The services are based on the available resources within the community
• D. Priority setting is based on the magnitude of the health problems identified

Correct answer: B

Rationale: In community-based practice, healthcare providers deliver care to individuals in their natural environments, such as homes, schools, and workplaces. Conducting community diagnosis allows nurses to assess the specific needs and problems within the community, enabling them to tailor their services effectively and address the identified health concerns.

2. In immunization, which of the following measures is considered the most effective in controlling the occurrence of diseases?

• A. Immunization coverage
• B. Cold chain
• C. Potency of vaccines
• D. Health education

Correct answer: A

Rationale: Immunization coverage is the proportion of the target population that has been immunized. To control the occurrence of diseases effectively, it is crucial that a high percentage of the population is immunized. This not only protects individuals but also helps in achieving herd immunity, reducing the spread of diseases within the community. Therefore, ensuring high immunization coverage is a key strategy in disease prevention and control.

3. Which age group is most vulnerable to protein-energy malnutrition (PEM)?

• A. Infants below 6 months
• B. Children aged 1-4 years
• C. Adolescents
• D. Elderly

Correct answer: B

Rationale: Children aged 1-4 years are most vulnerable to protein-energy malnutrition (PEM) due to their rapid growth and development, increased nutritional requirements, and sometimes inadequate diets. This age group is particularly susceptible to malnutrition if they do not receive adequate protein and energy-rich foods to support their growth and development.

4. 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.

5. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

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