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. Which principle is CONTRARY to planning a home visit?

• A. A home visit should have a clear purpose or objective
• B. The plan should be centered around the family's health needs
• C. A home visit should strictly follow RHU guidelines
• D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

3. Which medical herb is commonly used for fever, headache, and cough?

• A. Sambong
• B. Tsaang gubat
• C. Akapulko
• D. Lagundi

Correct answer: D

Rationale: Lagundi is a medical herb commonly used to alleviate symptoms of fever, headache, and cough. Sambong is known for its diuretic properties, Tsaang gubat is used to relieve diarrhea, and Akapulko is valued for its antifungal properties, making Lagundi the correct choice for addressing fever, headache, and cough symptoms.

4. 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.

5. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

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