Nursing Elites

1. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:

• A. Epidemic occurrence
• B. Cyclical variation
• C. Sporadic occurrence
• D. Secular occurrence

Correct answer: B

Rationale: Cyclical variation best describes the periodic fluctuation in the number of Dengue fever cases in the community, typically increasing towards the end of the rainy season and then decreasing during drier periods. This pattern suggests a recurring cycle rather than a sudden outbreak (epidemic), random occurrence (sporadic), or gradual long-term change (secular occurrence).

2. What is the best reason for administering vitamin A to a postpartum client?

• A. To help strengthen her immune system
• B. To improve her vision
• C. To protect her from infection
• D. To promote wound healing

Correct answer: A

Rationale: Vitamin A is crucial for maintaining the integrity of epithelial tissues, which are the body's first line of defense against pathogens. By supporting the immune system, vitamin A helps protect the postpartum client from infections and promotes overall health.

3. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?

• A. PD 651
• B. Act 3573
• C. RA 3753
• D. RA 3375

Correct answer: A

Rationale: Presidential Decree (P.D.) 651 amended Republic Act (R.A.) 3753, specifically requiring the registration of births within 30 days from their occurrence. This amendment emphasizes the timely and accurate recording of vital statistics, which is crucial for legal and administrative purposes.

4. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

5. RA 7160 mandates the devolution of basic services from the national government to local government units. What is the primary goal of this devolution?

• A. To strengthen local government units
• B. To allow greater autonomy to local government units
• C. To empower the people and promote their self-reliance
• D. To make basic services more accessible to the people

Correct answer: C

Rationale: The major goal of devolution, as outlined in RA 7160, is to empower the people and promote their self-reliance. By devolving basic services to local government units, the aim is to enhance people's participation in decision-making processes and foster self-reliance within communities, ultimately promoting empowerment and self-sufficiency.

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