Nursing Elites

1. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

2. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

• A. The community health nurse continuously develops personally and professionally.
• B. Health education and community organizing are essential in providing community health services.
• C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
• D. The goal of community health nursing is to provide nursing services to people in their own place of residence.

Correct answer: B

Rationale: Freeman and Heinrich highlight that community health nursing involves developing the health capability of individuals through health education and community organizing activities. These components are crucial in addressing the health needs of the community and empowering individuals to lead healthier lives. Therefore, choice B, emphasizing the importance of health education and community organizing in providing community health services, best illustrates the developmental nature of community health nursing as described by Freeman and Heinrich.

3. One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the:

• A. Public health nurse
• B. Rural health midwife
• C. Municipal health officer
• D. Any of these health professionals

Correct answer: C

Rationale: In the context of a patient in labor developing a complication, it is essential to refer them to a Municipal Health Officer. While a public health nurse and rural health midwife can provide care during normal childbirth, a physician, such as the Municipal Health Officer, should attend to a woman with a complication during labor. Therefore, the correct choice is the Municipal Health Officer as they are trained to handle complications that may arise during childbirth.

4. When determining whether resources were maximized in implementing Ligtas Tigdas, what is being evaluated?

• A. Effectiveness
• B. Efficiency
• C. Adequacy
• D. Appropriateness

Correct answer: B

Rationale: Efficiency is the correct answer because it assesses whether the desired outcomes were achieved with the least amount of resources expended. In the context of Ligtas Tigdas, evaluating efficiency would involve determining if the program goals were met in a cost-effective manner, optimizing the use of resources to achieve the best results.

5. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?

• A. PD 651
• B. Act 3573
• C. RA 3753
• D. RA 3375

Correct answer: A

Rationale: Presidential Decree (P.D.) 651 amended Republic Act (R.A.) 3753, specifically requiring the registration of births within 30 days from their occurrence. This amendment emphasizes the timely and accurate recording of vital statistics, which is crucial for legal and administrative purposes.

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