Nursing Elites

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. The World Health Organization defines health as:

• A. The health of individuals and communities is, to a large extent, affected by a combination of many factors.
• B. A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• C. Refers to the well-being of individuals, families, and communities being influenced by several factors in the ecosystem.
• D. The science and art of preventing disease, prolonging life, promoting health, and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, and organizing these benefits to enable every citizen to realize their birthright of health and longevity.

Correct answer: B

Rationale: The World Health Organization defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. This definition emphasizes that health encompasses more than just the absence of illness; it includes physical, mental, and social well-being.

3. Which of the following is NOT an example of public health services?

• A. Control of communicable diseases
• B. Environmental sanitation
• C. Hospital management
• D. Health education

Correct answer: C

Rationale: Public health services focus on promoting and protecting the health of communities. Control of communicable diseases, environmental sanitation, and health education directly impact the overall well-being of populations. However, hospital management is typically associated with the administration and operations of healthcare facilities rather than public health initiatives.

4. A patient in Mindanao was diagnosed with Dengue Hemorrhagic Fever. The therapeutic regimen for the patient includes the following EXCEPT:

• A. Rapid replacement of plasma loss
• B. Aspirin for high fever
• C. Rapid fluid and electrolyte replacement
• D. Oxygen therapy

Correct answer: B

Rationale: In cases of Dengue Hemorrhagic Fever, aspirin is contraindicated due to the risk of bleeding. The therapeutic regimen focuses on rapid replacement of plasma loss, rapid fluid and electrolyte replacement, and oxygen therapy to manage the condition effectively.

5. All of the following are objectives of FHSIS except:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

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