Nursing Elites

1. 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.

2. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

• A. The community health nurse continuously develops personally and professionally.
• B. Health education and community organizing are essential in providing community health services.
• C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
• D. The goal of community health nursing is to provide nursing services to people in their own place of residence.

Correct answer: B

Rationale: Freeman and Heinrich highlight that community health nursing involves developing the health capability of individuals through health education and community organizing activities. These components are crucial in addressing the health needs of the community and empowering individuals to lead healthier lives. Therefore, choice B, emphasizing the importance of health education and community organizing in providing community health services, best illustrates the developmental nature of community health nursing as described by Freeman and Heinrich.

3. Which of the following demonstrates intersectoral linkages?

• A. Two-way referral system
• B. Team approach
• C. Endorsement by a midwife to another midwife
• D. Cooperation between public health nurse and public school teacher

Correct answer: D

Rationale: Intersectoral linkages involve collaborations between the health sector and other sectors for community development. In this scenario, cooperation between a public health nurse (PHN) and a public school teacher exemplifies intersectoral linkages, as it represents a partnership between the health and education sectors.

4. What other statistic may be used to determine attainment of longevity besides reaching the average life span of Filipinos?

• A. Age-specific mortality rate
• B. Proportionate mortality rate
• C. Swaroop’s index
• D. Case fatality rate

Correct answer: C

Rationale: Swaroop’s index is a useful statistic to determine attainment of longevity as it focuses on the percentage of deaths aged 50 years or older. Its inverse reflects the percentage of untimely deaths, which are those who died younger than 50 years. By considering Swaroop’s index in addition to average life span, a more comprehensive assessment of longevity can be achieved.

5. What is the primary method of transmission for tuberculosis?

• A. Vector-borne
• B. Airborne
• C. Waterborne
• D. Fecal-oral

Correct answer: B

Rationale: The correct answer is 'Airborne.' Tuberculosis is mainly transmitted through the air via respiratory droplets when an infected person coughs or sneezes. This allows the bacteria to be inhaled by others and infect their lungs. It is important to implement infection control measures to prevent the spread of tuberculosis in healthcare settings and the community.

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