Nursing Elites

1. The delos Reyes couple have a 6-year-old child entering school for the first time. The delos Reyes family has a:

• A. Health threat
• B. Health deficit
• C. Foreseeable crisis
• D. Stress point

Correct answer: C

Rationale: The entry of the 6-year-old into school is a significant transition that can create an anticipated period of unusual demand on the family. This situation represents a foreseeable crisis as it involves a new experience that requires adjustment and adaptation from the family. It is not classified as a health threat, health deficit, or stress point, but rather a foreseeable crisis due to the expected challenges associated with a child starting school.

2. 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.

3. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

4. Which of the following is a function of epidemiology?

• A. Identifying disease conditions based on manifestations presented by a client
• B. Determining factors that contributed to the occurrence of pneumonia in a 3-year-old
• C. Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia
• D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

Correct answer: D

Rationale: The function of epidemiology includes evaluating the effectiveness of interventions, programs, or policies implemented to improve public health outcomes. In this context, epidemiology aids in assessing the impact and success of strategies like the Integrated Management of Childhood Illness in community health practice.

5. You are tasked with collecting data for nutritional assessment of a specific area. You will gather information solely from families with members who are part of the target population for Protein-Energy Malnutrition (PEM). Which method of data collection is most suitable for this purpose?

• A. Census
• B. Survey
• C. Record Review
• D. Review of civil registry

Correct answer: B

Rationale: A survey, specifically a sample survey, is the most appropriate method for gathering data about a sample of the population. In this scenario, focusing on families with members who are part of the target population for PEM requires collecting specific data from a subset of the overall population, making a survey the best choice for this purpose.

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