Nursing Elites

1. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

2. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:

• A. Families in their homes, school population, workers in factories
• B. All except workers in factories
• C. Families in their homes, school population, workers in factories, patients in hospitals
• D. All except patients in hospitals

Correct answer: D

Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.

3. Which method of gathering data is most effective for remote and vulnerable segments of a community and for those communities with underdeveloped opinions?

• A. Interviewing community informants
• B. Community forum
• C. Focus groups
• D. Telephone surveys

Correct answer: A

Rationale: Interviewing community informants is the most effective method for gathering data from remote and vulnerable segments of a community and for communities with underdeveloped opinions. This approach allows for obtaining in-depth information from key individuals who have a deep understanding of the community dynamics and can provide valuable insights that might not be captured through other methods like community forums, focus groups, or telephone surveys.

4. What action would a community health nurse take to address health disparities?

• A. Providing health education to individuals
• B. Advocating for policies that promote health equity
• C. Conducting community health assessments
• D. Offering free health screenings

Correct answer: B

Rationale: Advocating for policies that promote health equity is a crucial action for community health nurses to address health disparities. While providing health education, conducting assessments, and offering free screenings are important interventions, advocating for policies that promote health equity can have a broader and more sustainable impact on reducing health disparities within communities.

5. Which is a major focus of community health nursing?

• A. Providing care to individuals and families
• B. Improving access to health care
• C. Implementing health policies
• D. Promoting community partnerships

Correct answer: A

Rationale: A major focus of community health nursing is providing care to individuals and families within the community setting. Community health nurses often work directly with individuals and families to promote health, prevent disease, and provide education and support tailored to their specific needs. This direct care approach is a fundamental aspect of community health nursing practice.

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