Nursing Elites

1. Which of the following is an epidemiologic function of the nurse during an epidemic?

• A. Conducting assessments of suspected cases to detect communicable diseases
• B. Monitoring the condition of cases affected by the communicable disease
• C. Participating in the investigation to determine the source of the epidemic
• D. Educating the community on preventive measures against the disease

Correct answer: C

Rationale: During an epidemic, nurses play a crucial role in participating in epidemiologic investigations to identify the source of the outbreak. By investigating the source of the epidemic, nurses can help in understanding what caused the outbreak and how it can be controlled and prevented in the future. This function is essential in managing and responding effectively to epidemics.

2. Which statistic can provide the most accurate reflection of the health status of a community?

• A. 1-4 year old age-specific mortality rate
• B. Infant mortality rate
• C. Swaroop’s index
• D. Crude death rate

Correct answer: C

Rationale: Swaroop’s index is a valuable statistic that reflects the health status of a community by indicating the proportion of deaths aged 50 years and above. A higher Swaroop’s index signifies a greater proportion of individuals who lived at least 50 years before passing away. This metric provides insight into the overall health and longevity of a population, making it a more accurate reflection of community health compared to other mortality rates.

3. 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.

4. 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.

5. Which of the following vaccines is recommended to be given at birth?

• A. BCG
• B. Hepatitis B
• C. OPV
• D. Measles

Correct answer: A

Rationale: The BCG vaccine is recommended to be given at birth to protect against tuberculosis. It is often administered soon after birth to provide early protection against the disease, especially in areas where tuberculosis is prevalent.

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