Nursing Elites

1. The public health nurse takes an active role in community participation. What is the primary goal of community organizing?

• A. To educate the people regarding community health problems
• B. To mobilize the people to resolve community health problems
• C. To maximize the community’s resources in dealing with health problems
• D. To develop the people’s self-reliance in dealing with health problems

Correct answer: C

Rationale: Community organizing aims to maximize the community’s resources in addressing health problems. This approach focuses on empowering the community to effectively address their health challenges by utilizing their collective resources and strengths. While educating and mobilizing the community are important components, the primary goal is to enhance the community's capacity to tackle health issues independently.

2. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

• A. 4.1/1000
• B. 5.2/1000
• C. 6.3/1000
• D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

3. At what age is the first dose of the MMR vaccine typically administered to a child?

• A. At birth
• B. 6 months
• C. 12 months
• D. 18 months

Correct answer: C

Rationale: The first dose of the MMR vaccine is typically administered to a child at 12 months of age to provide protection against measles, mumps, and rubella. Administering the vaccine at this age ensures that the child's immune system is developed enough to generate a protective response to the vaccine.

4. During which step are plans formulated for solving community problems?

• A. Mobilization
• B. Community organization
• C. Follow-up/extension
• D. Core group formation

Correct answer: B

Rationale: Community organization is the step where community assemblies occur. It is during these assemblies that the community formalizes its organization and develops plans for community action to address a community health issue. This step is crucial for coordinating efforts and resources towards solving community problems effectively.

5. If the RHU needs additional midwife items, to whom should you submit the request for approval?

• A. Rural Health Unit
• B. District Health Office
• C. Provincial Health Office
• D. Municipal Health Board

Correct answer: D

Rationale: When the RHU requires additional midwife items, the request for approval should be submitted to the Municipal Health Board. According to R.A. 7160, basic health services have been decentralized from the national government to local government units, including municipalities. The Municipal Health Board plays a crucial role in overseeing health-related matters at the local level, making it the appropriate authority to seek approval for additional midwife items.

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