Nursing Elites

1. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

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. What is the best reason for administering vitamin A to a postpartum client?

• A. To help strengthen her immune system
• B. To improve her vision
• C. To protect her from infection
• D. To promote wound healing

Correct answer: A

Rationale: Vitamin A is crucial for maintaining the integrity of epithelial tissues, which are the body's first line of defense against pathogens. By supporting the immune system, vitamin A helps protect the postpartum client from infections and promotes overall health.

4. 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.

5. 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.

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