Nursing Elites

1. Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

• A. Health services are provided free of charge to individuals and families
• B. Local officials are empowered as the major decision-makers in health matters
• C. Health workers can provide care based on identified health needs of the people
• D. Health programs are sustained according to the level of development of the community

Correct answer: D

Rationale: Success in utilizing the primary health care approach is indicated by the sustainability of health programs based on the community's development level. This ensures that essential health services can be maintained at all stages of community development, reflecting the core principles of primary health care.

2. Which of the following is a contraindication for the administration of live vaccines?

• A. Mild upper respiratory infection
• B. Previous allergic reaction to the vaccine
• C. Current antibiotic therapy
• D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

3. Tertiary prevention is needed in which stage of the natural history of disease?

• A. Pre-pathogenesis
• B. Pathogenesis
• C. Predromal
• D. Terminal

Correct answer: D

Rationale: Tertiary prevention focuses on actions taken to prevent complications and further deterioration among individuals already diagnosed with a disease. It is implemented during the terminal stage of a disease when efforts are made to prevent disability, restore function, and improve quality of life. This stage is crucial for managing the disease's progression and enhancing the patient's well-being.

4. Which demographic tool may be used to describe the sex composition of the population?

• A. Sex ratio
• B. Sex proportion
• C. Population pyramid
• D. Any of these may be used

Correct answer: D

Rationale: To describe the sex composition of the population, both the sex ratio and sex proportion can be utilized. The sex ratio provides a numerical comparison of the number of males to females in a population, while the sex proportion expresses the relative number or percentage of males and females in a given population. On the other hand, a population pyramid is a graphical representation that shows the age and sex distribution of a population. Therefore, any of these tools may be used to analyze and present the sex composition of a population.

5. Public health services are given free of charge. Is this statement true or false?

• A. The statement is true; it is the responsibility of government to provide these services
• B. The statement is false; people pay indirectly for public health services
• C. The statement may be true or false; depending on the Specific service required
• D. The statement may be true or false; depending on policies of the government concerned.

Correct answer: B

Rationale: Community health services, including public health services, are prepaid paid services, through taxation, for example.

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