Nursing Elites

1. 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.

2. Which is a characteristic of person-to-person propagated epidemics?

• A. There are more cases of the disease than expected
• B. The disease must necessarily be transmitted through a vector
• C. The spread of the disease can be attributed to a common vehicle
• D. There is a gradual build-up of cases before the epidemic becomes easily noticeable

Correct answer: D

Rationale: In person-to-person propagated epidemics, there is typically a gradual build-up of cases before the epidemic becomes easily noticeable. This slow onset allows for the disease to spread from one individual to another, leading to a progressive increase in cases over time.

3. What is the primary aim of the Expanded Program on Immunization (EPI)?

• A. To eliminate non-communicable diseases
• B. To increase hospital bed capacity
• C. To provide immunizations to all children
• D. To train more healthcare workers

Correct answer: C

Rationale: The primary aim of the Expanded Program on Immunization (EPI) is to provide immunizations to all children. By offering vaccines to all children, the EPI aims to protect them from vaccine-preventable diseases, ultimately reducing the burden of these illnesses on public health. Increasing hospital bed capacity, eliminating non-communicable diseases, and training more healthcare workers are important goals in healthcare but are not the primary focus of the EPI.

4. Isolation of a child with measles belongs to which level of prevention?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: Isolating a child with measles is considered a primary prevention measure. Primary prevention aims to prevent the disease from occurring by intervening before exposure to the causative agent. Isolating the child helps to contain the spread of the disease and protect those who are not already sick. This strategy falls under the realm of specific disease prevention, which is a key aspect of primary prevention.

5. Which principle is CONTRARY to planning a home visit?

• A. A home visit should have a clear purpose or objective
• B. The plan should be centered around the family's health needs
• C. A home visit should strictly follow RHU guidelines
• D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

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