Nursing Elites

1. 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.

2. What process is required for population-focused nursing practice?

• A. Community organizing
• B. Nursing process
• C. Community diagnosis
• D. Epidemiologic process

Correct answer: C

Rationale: Population-focused nursing practice involves identifying and addressing the health needs of a specific population group. Community diagnosis is a crucial process in population-focused nursing as it helps in understanding the health issues, concerns, and determinants within a community. Through community diagnosis, nurses can develop targeted interventions and strategies to promote the health and well-being of the population.

3. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

4. Which of the following conditions is a contraindication for breastfeeding?

• A. Maternal HIV infection
• B. Maternal diabetes
• C. Maternal anemia
• D. Maternal hypertension

Correct answer: A

Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.

5. What is the recommended duration of exclusive breastfeeding?

• A. 3 months
• B. 6 months
• C. 9 months
• D. 12 months

Correct answer: B

Rationale: The World Health Organization recommends exclusive breastfeeding for the first 6 months of a child's life. During this time, breast milk provides all the necessary nutrients for the baby's growth and development, offering protection against infections and supporting optimal health outcomes. After 6 months, complementary foods can be introduced while continuing breastfeeding up to 2 years of age or beyond.

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