Nursing Elites

1. Which best describes a primary goal of community health nursing?

• A. Promoting health and preventing disease
• B. Providing direct patient care
• C. Reducing health care costs
• D. Ensuring access to health care services

Correct answer: A

Rationale: The primary goal of community health nursing is to promote health and prevent disease within the community. Community health nursing focuses on improving the overall health of the population by implementing strategies that prevent illnesses and promote well-being. While providing direct patient care, reducing healthcare costs, and ensuring access to services are important aspects of nursing, the main emphasis of community health nursing is on proactive health promotion and disease prevention for the community at large.

2. What is the MOST COMMON cause of vaginal bleeding immediately after birth?

• A. Uterine atony
• B. Genital lacerations
• C. Abnormal clotting mechanisms
• D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

3. In the Philippines, Community Health Nursing (CHN) involves health care provisions for individuals, families, population groups, and communities. During community health work, various health care strategies are utilized. The legal basis for incorporating traditional, non-traditional, alternative, or complementary health care strategies may be found in:

• A. PhilHealth Act
• B. Traditional and Alternative Health Care Law
• C. Philippine Nursing Act
• D. Philippine Medical Act

Correct answer: B

Rationale: The Traditional and Alternative Health Care Law serves as the legal foundation for integrating traditional, non-traditional, alternative, or complementary health care strategies within Community Health Nursing practice in the Philippines.

4. What procedure is performed prior to a blood transfusion to detect incompatibilities?

• A. Grouping and crossmatching
• B. Complete blood count
• C. D-dimer test
• D. Blood clotting test

Correct answer: A

Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.

5. Which method is commonly used to evaluate community health programs?

• A. Conducting randomized controlled trials
• B. Using focus groups to gather feedback
• C. Measuring changes in health behaviors
• D. Surveying community health needs

Correct answer: C

Rationale: Measuring changes in health behaviors is a common method used to evaluate the effectiveness of community health programs. By assessing changes in health behaviors, such as dietary choices, exercise habits, or preventative care utilization, program evaluators can determine the impact of the intervention on the target population's health outcomes.

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