Nursing Elites

1. Which of the following is a key component of the IMCI strategy?

• A. Promoting hospital-based care
• B. Providing routine immunizations
• C. Enhancing maternal nutrition
• D. Integrated case management of childhood illnesses

Correct answer: D

Rationale: Integrated Management of Childhood Illness (IMCI) is a strategy developed by WHO and UNICEF. The key components of IMCI include integrated case management of childhood illnesses, where healthcare providers are trained to assess, classify, and treat common childhood illnesses holistically. This approach aims to improve the quality of care for children under five years of age by focusing on overall health, nutrition, immunization, and family and community practices. Therefore, promoting hospital-based care, providing routine immunizations, and enhancing maternal nutrition, while important, are not the sole key components of the IMCI strategy.

2. 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.

3. 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.

4. Which of the following is an appropriate method for treating dehydration in infants?

• A. Administering oral rehydration solution
• B. Providing fruit juice
• C. Increasing milk intake
• D. Administering antibiotics

Correct answer: A

Rationale: Administering oral rehydration solution is an appropriate method for treating dehydration in infants. Oral rehydration solution helps replace lost fluids and electrolytes effectively, aiding in the rehydration process. It is specifically formulated to address dehydration and is recommended by healthcare professionals for managing this condition in infants.

5. What is an advantage of conducting a home visit?

• A. It enables the nurse to provide nursing care to a greater number of people
• B. It provides an opportunity to conduct a firsthand appraisal of the home situation
• C. It allows sharing of experiences among people with similar health problems
• D. It fosters the family’s initiative in providing for the health needs of its members

Correct answer: B

Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.

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