Nursing Elites

1. Which of the following individuals should be considered as special targets for family planning?

• A. Individuals with two or more children
• B. Individuals with medical conditions such as anemia
• C. Individuals younger than 20 years or older than 35 years
• D. Individuals who have had a delivery within the past 15 months

Correct answer: D

Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.

2. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

• A. Establishing the epidemic
• B. Testing the hypothesis
• C. Formulation of the hypothesis
• D. Appraisal of facts

Correct answer: A

Rationale: During the investigation of an epidemic, establishing the epidemic involves comparing the current frequency of the disease with the typical frequency for that time of year in the community. This comparison helps determine whether an epidemic is occurring by assessing if the number of cases exceeds the expected baseline, as well as establishing the link between the cases of the disease.

3. The public health nurse takes an active role in community participation. What is the primary goal of community organizing?

• A. To educate the people regarding community health problems
• B. To mobilize the people to resolve community health problems
• C. To maximize the community’s resources in dealing with health problems
• D. To develop the people’s self-reliance in dealing with health problems

Correct answer: C

Rationale: Community organizing aims to maximize the community’s resources in addressing health problems. This approach focuses on empowering the community to effectively address their health challenges by utilizing their collective resources and strengths. While educating and mobilizing the community are important components, the primary goal is to enhance the community's capacity to tackle health issues independently.

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. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

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