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. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

3. What is the primary goal of community health nursing?

• A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases
• B. To enhance the capacity of individuals, families, and communities to cope with their health needs
• C. To increase the productivity of people by providing them with services that will increase their level of health
• D. To contribute to national development through the promotion of family welfare, focusing particularly on mothers and children

Correct answer: B

Rationale: The primary goal of community health nursing is to enhance the capacity of individuals, families, and communities to cope with their health needs. This involves empowering them with the knowledge and resources to address their health concerns effectively, promoting overall well-being and preventing illnesses. While other choices touch on aspects of community health nursing, such as supporting the medical profession, increasing productivity, and contributing to national development, the core focus remains on empowering individuals and communities for better health outcomes.

4. Which of the following is the most effective method for preventing the spread of infectious diseases?

• A. Antibiotic treatment
• B. Quarantine of infected individuals
• C. Vaccination
• D. Nutritional supplementation

Correct answer: C

Rationale: Vaccination is the most effective method for preventing the spread of infectious diseases as it helps in developing immunity against specific pathogens, reducing the likelihood of infection and transmission within a population. Antibiotics are used to treat infections, not prevent their spread. Quarantine limits the contact of infected individuals but does not provide long-term prevention. Nutritional supplementation can support overall health but is not a primary method for preventing infectious diseases.

5. What is the best reason for administering vitamin A to a postpartum client?

• A. To help strengthen her immune system
• B. To improve her vision
• C. To protect her from infection
• D. To promote wound healing

Correct answer: A

Rationale: Vitamin A is crucial for maintaining the integrity of epithelial tissues, which are the body's first line of defense against pathogens. By supporting the immune system, vitamin A helps protect the postpartum client from infections and promotes overall health.

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