what is the primary goal of the integrated management of childhood illness imci strategy

ATI LPN

ATI Proctored Community Health

1. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?

A. To reduce the incidence of childhood diseases
B. To improve the nutritional status of children
C. To reduce child mortality and morbidity
D. To promote exclusive breastfeeding

Correct answer: C

Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.

2. Which of the following is an epidemiologic function of the nurse during an epidemic?

A. Conducting assessments of suspected cases to detect communicable diseases
B. Monitoring the condition of cases affected by the communicable disease
C. Participating in the investigation to determine the source of the epidemic
D. Educating the community on preventive measures against the disease

Correct answer: C

Rationale: During an epidemic, nurses play a crucial role in participating in epidemiologic investigations to identify the source of the outbreak. By investigating the source of the epidemic, nurses can help in understanding what caused the outbreak and how it can be controlled and prevented in the future. This function is essential in managing and responding effectively to epidemics.

3. During which step are plans formulated for solving community problems?

A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation

Correct answer: B

Rationale: Community organization is the step where community assemblies occur. It is during these assemblies that the community formalizes its organization and develops plans for community action to address a community health issue. This step is crucial for coordinating efforts and resources towards solving community problems effectively.

4. 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.

5. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.