Nursing Elites

1. Which of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

2. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

• A. 0 crude death rate for the year 2012
• B. 50% (Swaroop's) index for the year 2011
• C. 0 infant mortality rate for the year 2011
• D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.

3. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

• A. a measure of association between an exposure and an outcome
• B. an absolute risk increase
• C. a measure of statistical significance
• D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

4. During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY

• A. Maternal Wellbeing
• B. Fetal Wellbeing
• C. Fetal Heart Rate
• D. Maternal Vital Signs

Correct answer: D

Rationale: In the partograph, components such as Maternal Wellbeing, Fetal Wellbeing, and Fetal Heart Rate are recorded. Maternal Vital Signs are not typically part of the partograph. Therefore, 'Maternal Vital Signs' is the correct answer as it is not a part of the partograph.

5. What is a common barrier to accessing health care services?

• A. Lack of transportation
• B. High cost of services
• C. Long wait times
• D. Complexity of the health care system

Correct answer: A

Rationale: Lack of transportation is a significant barrier that can hinder individuals from accessing health care services. Without reliable transportation, individuals may struggle to reach healthcare facilities, leading to unmet health needs and potential health complications.

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