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. Which of the following is a function of epidemiology?

• A. Identifying disease conditions based on manifestations presented by a client
• B. Determining factors that contributed to the occurrence of pneumonia in a 3-year-old
• C. Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia
• D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

Correct answer: D

Rationale: The function of epidemiology includes evaluating the effectiveness of interventions, programs, or policies implemented to improve public health outcomes. In this context, epidemiology aids in assessing the impact and success of strategies like the Integrated Management of Childhood Illness in community health practice.

3. In traditional Chinese medicine, the yielding, negative, and feminine force is termed:

• A. Yin
• B. Yang
• C. Qi
• D. Chai

Correct answer: A

Rationale: In traditional Chinese medicine, the force characterized by yielding, negative, and feminine aspects is referred to as Yin. Yin is associated with qualities such as darkness, passivity, cold, and intuition. On the other hand, Yang represents the male, dominating, positive, and masculine force associated with light, activity, heat, and logic. Qi is the vital energy that flows through the body, and Chai is not a term used in traditional Chinese medicine for these forces.

4. In a mother’s class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?

• A. The baby takes shallow, rapid sucks
• B. The mother does not feel nipple pain
• C. The baby’s mouth is only partly open
• D. Only the mother’s nipple is inside the baby’s mouth

Correct answer: B

Rationale: When a baby has properly latched onto the breast, they take deep, slow sucks, their mouth is wide open, and much of the areola is inside their mouth. A key indicator of a proper latch is that the mother does not feel nipple pain, indicating that the baby is positioned correctly and feeding effectively.

5. CHN is a community-based practice. What best explains this statement?

• A. The service is provided in the natural environment of people
• B. The nurse conducts community diagnosis to determine nursing needs and problems
• C. The services are based on the available resources within the community
• D. Priority setting is based on the magnitude of the health problems identified

Correct answer: B

Rationale: In community-based practice, healthcare providers deliver care to individuals in their natural environments, such as homes, schools, and workplaces. Conducting community diagnosis allows nurses to assess the specific needs and problems within the community, enabling them to tailor their services effectively and address the identified health concerns.

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