Nursing Elites

1. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?

• A. Health and longevity as birthrights
• B. The mandate of the state to protect the birthrights of its citizens
• C. Public health nursing as a specialized field of nursing
• D. The worth and dignity of man

Correct answer: D

Rationale: Dr. Margaret Shetland emphasized that the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This principle underscores the core values of public health nursing, focusing on respect for human life and the promotion of health for all individuals, regardless of their background or circumstances.

2. Which of the following demonstrates intersectoral linkages?

• A. Two-way referral system
• B. Team approach
• C. Endorsement by a midwife to another midwife
• D. Cooperation between public health nurse and public school teacher

Correct answer: D

Rationale: Intersectoral linkages involve collaborations between the health sector and other sectors for community development. In this scenario, cooperation between a public health nurse (PHN) and a public school teacher exemplifies intersectoral linkages, as it represents a partnership between the health and education sectors.

3. Which of the following is NOT a component of Primary Health Care (PHC)?

• A. Community participation
• B. Use of appropriate technology
• C. Equitable distribution of resources
• D. Exclusive focus on curative care

Correct answer: D

Rationale: Primary Health Care (PHC) is a comprehensive approach that includes preventive, promotive, curative, and rehabilitative care. It focuses on prevention, community participation, equitable distribution of resources, and the use of appropriate technology to address health needs. Exclusively focusing on curative care goes against the holistic nature of PHC.

4. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

• A. Establishing the epidemic
• B. Testing the hypothesis
• C. Formulation of the hypothesis
• D. Appraisal of facts

Correct answer: A

Rationale: During the investigation of an epidemic, establishing the epidemic involves comparing the current frequency of the disease with the typical frequency for that time of year in the community. This comparison helps determine whether an epidemic is occurring by assessing if the number of cases exceeds the expected baseline, as well as establishing the link between the cases of the disease.

5. Which of the following is a common sign of dehydration in infants?

• A. Frequent urination
• B. Sunken fontanelle
• C. Excessive drooling
• D. Increased appetite

Correct answer: B

Rationale: A sunken fontanelle is a common sign of dehydration in infants. The fontanelle is the soft spot on an infant's head where the skull bones have not yet fused. When an infant is dehydrated, the fontanelle can appear sunken or indented. It is important for caregivers and healthcare providers to recognize this sign promptly to ensure timely intervention and hydration for the infant.

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