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. What other statistic may be used to determine attainment of longevity besides reaching the average life span of Filipinos?

• A. Age-specific mortality rate
• B. Proportionate mortality rate
• C. Swaroop’s index
• D. Case fatality rate

Correct answer: C

Rationale: Swaroop’s index is a useful statistic to determine attainment of longevity as it focuses on the percentage of deaths aged 50 years or older. Its inverse reflects the percentage of untimely deaths, which are those who died younger than 50 years. By considering Swaroop’s index in addition to average life span, a more comprehensive assessment of longevity can be achieved.

3. Which of the following is a mission of the Department of Health?

• A. Health for all Filipinos
• B. Ensure accessibility and quality of health
• C. Improve the general health status of the population
• D. Health in the hands of the Filipino people by the year 2020

Correct answer: B

Rationale: The mission of the Department of Health is to ensure the accessibility and quality of health services for the population. This encompasses providing healthcare services that are both easily reachable and of high standards to promote the well-being of the community.

4. What is an advantage of conducting a home visit?

• A. It enables the nurse to provide nursing care to a greater number of people
• B. It provides an opportunity to conduct a firsthand appraisal of the home situation
• C. It allows sharing of experiences among people with similar health problems
• D. It fosters the family’s initiative in providing for the health needs of its members

Correct answer: B

Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.

5. In a municipality with a population of about 20,000, estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months.

• A. 1,500
• B. 1,800
• C. 2,000
• D. 2,300

Correct answer: D

Rationale: To estimate the number of 1-4 year old children in a population, you can multiply the total population by the percentage of children in that age group. In this case, using the Philippine population composition as reference, which is about 11.5% for 1-4 year olds, the calculation would be 20,000 x 0.115 = 2,300 children.

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