Nursing Elites

1. Tertiary prevention is needed in which stage of the natural history of disease?

• A. Pre-pathogenesis
• B. Pathogenesis
• C. Predromal
• D. Terminal

Correct answer: D

Rationale: Tertiary prevention focuses on actions taken to prevent complications and further deterioration among individuals already diagnosed with a disease. It is implemented during the terminal stage of a disease when efforts are made to prevent disability, restore function, and improve quality of life. This stage is crucial for managing the disease's progression and enhancing the patient's well-being.

2. Which is a characteristic of person-to-person propagated epidemics?

• A. There are more cases of the disease than expected
• B. The disease must necessarily be transmitted through a vector
• C. The spread of the disease can be attributed to a common vehicle
• D. There is a gradual build-up of cases before the epidemic becomes easily noticeable

Correct answer: D

Rationale: In person-to-person propagated epidemics, there is typically a gradual build-up of cases before the epidemic becomes easily noticeable. This slow onset allows for the disease to spread from one individual to another, leading to a progressive increase in cases over time.

3. What level of facility is Region IV Hospital classified as?

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

Correct answer: D

Rationale: Region IV Hospital is classified as a tertiary facility. Tertiary facilities are typically advanced centers that provide specialized care, advanced medical procedures, and serve as teaching hospitals for medical professionals. These hospitals offer a wide range of medical services and are equipped with advanced technology and expertise to handle complex cases. Therefore, Region IV Hospital being a tertiary facility indicates that it offers high-level medical care and serves as a regional training center for healthcare professionals.

4. Which criterion in priority setting of health problems is uniquely used in community health care?

• A. Modifiability of the problem
• B. Nature of the problem presented
• C. Magnitude of the health problem
• D. Preventive potential of the health problem

Correct answer: C

Rationale: The correct answer is C: Magnitude of the health problem. This criterion specifically looks at the percentage of the population affected by a health issue and is primarily used in community health care settings. On the other hand, modifiability of the problem, nature of the problem presented, and preventive potential of the health problem are criteria that are considered in both family and community health care settings.

5. 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.

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