Nursing Elites

1. Who serves as the Chairman of the Municipal Health Board?

• A. Mayor
• B. Municipal Health Officer
• C. Public Health Nurse
• D. Any qualified physician

Correct answer: A

Rationale: The Mayor, who is the local executive, typically serves as the Chairman of the Municipal Health Board. As the head of the municipality, the Mayor is responsible for overseeing various aspects of local governance, including public health matters. Therefore, the Mayor holds the position of Chairman on the Municipal Health Board to provide leadership and direction in health-related decisions and policies at the municipal level.

2. What is the primary goal of health education?

• A. To diagnose diseases
• B. To change behavior for improved health
• C. To provide emergency medical care
• D. To perform surgeries

Correct answer: B

Rationale: The primary goal of health education is to empower individuals with knowledge and skills to make informed decisions and adopt behaviors that lead to improved health outcomes. It focuses on promoting healthy habits, disease prevention, and overall well-being.

3. 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.

4. Tertiary prevention is needed in which stage of the natural history of disease?

• A. Pre-pathogenesis
• B. Pathogenesis
• C. Predromal
• D. Terminal

Correct answer: D

Rationale: Tertiary prevention focuses on actions taken to prevent complications and further deterioration among individuals already diagnosed with a disease. It is implemented during the terminal stage of a disease when efforts are made to prevent disability, restore function, and improve quality of life. This stage is crucial for managing the disease's progression and enhancing the patient's well-being.

5. 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.

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