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. In a study on the factors contributing to the high mortality rate due to heart diseases in the municipality, which branch of epidemiology is being practiced?

• A. Descriptive
• B. Analytical
• C. Therapeutic
• D. Evaluation

Correct answer: B

Rationale: Analytical epidemiology focuses on studying factors or determinants that affect the patterns of disease occurrence and distribution in a community. In this scenario, the nurse is analyzing various factors contributing to the high mortality rate due to heart diseases, which aligns with the principles of analytical epidemiology.

3. Which step in community organizing involves the training of potential leaders in the community?

• A. Integration
• B. Community organization
• C. Community study
• D. Core group formation

Correct answer: D

Rationale: In core group formation, potential or informal community leaders are trained in community organizing techniques to empower them to take on leadership roles within the community. This step is crucial in building capacity and sustainability within the community organizing process.

4. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

5. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

• A. The community health nurse continuously develops personally and professionally.
• B. Health education and community organizing are essential in providing community health services.
• C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
• D. The goal of community health nursing is to provide nursing services to people in their own place of residence.

Correct answer: B

Rationale: Freeman and Heinrich highlight that community health nursing involves developing the health capability of individuals through health education and community organizing activities. These components are crucial in addressing the health needs of the community and empowering individuals to lead healthier lives. Therefore, choice B, emphasizing the importance of health education and community organizing in providing community health services, best illustrates the developmental nature of community health nursing as described by Freeman and Heinrich.

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