Nursing Elites

1. What is the primary aim of the Expanded Program on Immunization (EPI)?

• A. To eliminate non-communicable diseases
• B. To increase hospital bed capacity
• C. To provide immunizations to all children
• D. To train more healthcare workers

Correct answer: C

Rationale: The primary aim of the Expanded Program on Immunization (EPI) is to provide immunizations to all children. By offering vaccines to all children, the EPI aims to protect them from vaccine-preventable diseases, ultimately reducing the burden of these illnesses on public health. Increasing hospital bed capacity, eliminating non-communicable diseases, and training more healthcare workers are important goals in healthcare but are not the primary focus of the EPI.

2. 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.

3. Knowing that malnutrition is a common community health issue, you decided to conduct a nutritional assessment. What population is particularly vulnerable to protein-energy malnutrition (PEM)?

• A. Pregnant women and the elderly
• B. Under 5-year-old children
• C. 1-4-year-old children
• D. School-age children

Correct answer: B

Rationale: Under 5-year-old children are particularly susceptible to protein-energy malnutrition (PEM) because they have generally been weaned and often rely on others for food. This population may suffer from poor intrafamilial food distribution, contributing to their vulnerability.

4. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

5. Which statement is true of primary facilities?

• A. They are usually government-run.
• B. Their services are provided on an outpatient basis.
• C. They are training facilities for health professionals.
• D. A community hospital is an example of this level of health facility.

Correct answer: B

Rationale: Primary facilities are typically healthcare facilities that offer basic outpatient services to individuals. These services are often provided without the need for an overnight stay, distinguishing them from secondary or tertiary care facilities that offer more specialized and intensive care. Therefore, the correct statement about primary facilities is that their services are provided on an outpatient basis.

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