Nursing Elites

1. In a mother’s class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?

• A. The baby takes shallow, rapid sucks
• B. The mother does not feel nipple pain
• C. The baby’s mouth is only partly open
• D. Only the mother’s nipple is inside the baby’s mouth

Correct answer: B

Rationale: When a baby has properly latched onto the breast, they take deep, slow sucks, their mouth is wide open, and much of the areola is inside their mouth. A key indicator of a proper latch is that the mother does not feel nipple pain, indicating that the baby is positioned correctly and feeding effectively.

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. To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful?

• A. Tally report
• B. Output report
• C. Target/client list
• D. Individual health record

Correct answer: C

Rationale: The Target/Client List is a record that specifically tracks clients enrolled in MDT and includes essential data like the dates when clients collected their monthly drug supplies. This list is crucial for monitoring and managing clients in long-term regimens, providing a comprehensive overview of client participation and treatment progress.

4. Which level of health facility is the usual point of entry for a client into the healthcare delivery system?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: The primary level of health facility is the usual point of entry for a client into the healthcare delivery system. This level typically involves initial consultations, preventive care, and basic treatment services. Clients often start their healthcare journey at the primary level before being referred to higher levels of care if needed.

5. Which of the following is a characteristic of Primary Health Care?

• A. Focuses on specialized care
• B. Emphasizes community participation
• C. Relies solely on hospital-based services
• D. Ignores preventive measures

Correct answer: B

Rationale: Primary Health Care is characterized by its emphasis on community participation, which involves active involvement of communities in health promotion, disease prevention, and healthcare decision-making. It is a comprehensive approach that encompasses preventive, promotive, curative, and rehabilitative services, aiming to provide accessible, affordable, and equitable healthcare to all individuals.

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