Nursing Elites

1. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. To reduce the incidence of childhood diseases
• B. To improve the nutritional status of children
• C. To reduce child mortality and morbidity
• D. To promote exclusive breastfeeding

Correct answer: C

Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.

2. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

3. What is the purpose of a community needs assessment?

• A. To diagnose individual health conditions
• B. To identify and prioritize community health needs
• C. To evaluate the effectiveness of a treatment plan
• D. To provide emergency medical services

Correct answer: B

Rationale: A community needs assessment is conducted to identify and prioritize the health needs of a community. It helps in planning appropriate interventions and allocating resources to address the most pressing health concerns of the community. This process is essential for developing effective public health programs and initiatives tailored to the specific needs of the population.

4. What is the legal basis of the Primary Health Care approach in the Philippines?

• A. Alma Ata Declaration on PHC
• B. Letter of Instruction No. 949
• C. Presidential Decree No. 147
• D. Presidential Decree No. 996

Correct answer: B

Rationale: The correct answer is B, the Letter of Instruction No. 949. This instruction was issued by then President Ferdinand Marcos, directing the Ministry of Health (now the Department of Health) to utilize the Primary Health Care approach in planning and implementing health programs. This legal basis established the foundation for implementing Primary Health Care in the Philippines, aligning with the global Alma Ata Declaration's principles.

5. An indicator of success in community organizing is when people are able to:

• A. Participate in community activities to address a community problem
• B. Implement activities to address the community problem
• C. Plan activities to address the community problem
• D. Identify the community problem as a common concern

Correct answer: A

Rationale: Success in community organizing is indicated when individuals actively participate in community activities aimed at addressing a shared community issue. While planning and implementation are essential components, active participation by community members is crucial for achieving sustainable solutions and fostering community engagement and empowerment.

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