Nursing Elites

1. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

2. Which of the following is a contraindication for the administration of live vaccines?

• A. Mild upper respiratory infection
• B. Previous allergic reaction to the vaccine
• C. Current antibiotic therapy
• D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

3. What is the primary focus of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. Hospital-based care
• B. Curative care only
• C. Prevention and treatment of childhood illnesses
• D. Surgical interventions

Correct answer: C

Rationale: The primary focus of the Integrated Management of Childhood Illness (IMCI) strategy is the prevention and treatment of major childhood illnesses. The IMCI strategy aims to reduce child mortality and morbidity by emphasizing a holistic approach that includes preventive measures along with curative interventions.

4. Which of the following diseases is targeted for eradication through the Expanded Program on Immunization (EPI)?

• A. Hepatitis B
• B. Diphtheria
• C. Poliomyelitis
• D. Tuberculosis

Correct answer: C

Rationale: Poliomyelitis is the correct answer as it is one of the diseases targeted for eradication through the Expanded Program on Immunization (EPI). The EPI aims to control and eliminate vaccine-preventable diseases globally, with a specific focus on polio due to its severe consequences and the feasibility of eradication through vaccination campaigns.

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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