Nursing Elites

1. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?

• A. Clinic consultation
• B. Group conferences
• C. Home visit
• D. Written communication

Correct answer: C

Rationale: The best opportunity to observe family dynamics is through a home visit. This setting allows the nurse to observe the family in their natural environment, providing valuable insights into their relationships, interactions, and living conditions. By being present in the home, the nurse can better understand the family dynamics, communication patterns, and potential stressors that may not be evident in other forms of contact such as clinic consultations, group conferences, or written communication.

2. 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.

3. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

4. In the Field Health Services and Information System (FHSIS) in the Philippines, the monthly field health service activity report is a form used in which component of the FHSIS?

• A. Tally report
• B. Output report
• C. Target/client list
• D. Individual health record

Correct answer: A

Rationale: The correct answer is 'A: Tally report.' A tally report is completed monthly or quarterly by the Rural Health Unit (RHU) personnel and then sent to the Provincial Health Office for further processing and analysis.

5. When the occupational health nurse employs ergonomic principles, they are performing which of their roles?

• A. Health care provider
• B. Health educator
• C. Health care coordinator
• D. Environment manager

Correct answer: D

Rationale: When an occupational health nurse applies ergonomic principles, they are acting as an environment manager. Ergonomics involves optimizing the work environment for efficiency and safety by considering factors like workplace design, equipment, and furniture to enhance worker well-being and productivity. By focusing on ergonomics, the nurse aims to create a workspace that minimizes physical strain, reduces the risk of musculoskeletal injuries, and promotes overall health and comfort for the employees.

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