Nursing Elites

1. How should contaminated instruments used during delivery be handled?

• A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
• B. Soak in 0.5% chlorine solution for 30 minutes
• C. Wash with soap and water and boil for 2 hours
• D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.

2. When planning a health promotion program for a community, what information should be considered first?

• A. The health needs of the population
• B. The available resources for the program
• C. The current health status of the population
• D. The demographic characteristics of the population

Correct answer: A

Rationale: When planning a health promotion program for a community, the health needs of the population should be considered first. Understanding the specific health needs of the community helps in designing a program that addresses relevant health issues and is tailored to be effective. By identifying the prevalent health concerns, the program can be targeted towards making a meaningful impact on the community's well-being.

3. Which factor is most critical for the sustainability of health programs?

• A. Continuous community involvement
• B. Support from local government
• C. Availability of funding
• D. Regular program evaluation

Correct answer: A

Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.

4. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

• A. Proactively assessing the health needs of the entire panel and planning accordingly
• B. Focusing on providing care to young and seemingly vulnerable patients
• C. Spending most time with patients who regularly attend their visits
• D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

5. All of the following are objectives of FHSIS except:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

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