Nursing Elites

1. What is the purpose of a community needs assessment?

• A. To diagnose individual health conditions
• B. To identify and prioritize community health needs
• C. To evaluate the effectiveness of a treatment plan
• D. To provide emergency medical services

Correct answer: B

Rationale: A community needs assessment is conducted to identify and prioritize the health needs of a community. It helps in planning appropriate interventions and allocating resources to address the most pressing health concerns of the community. This process is essential for developing effective public health programs and initiatives tailored to the specific needs of the population.

2. 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.

3. Which age group is most vulnerable to protein-energy malnutrition (PEM)?

• A. Infants below 6 months
• B. Children aged 1-4 years
• C. Adolescents
• D. Elderly

Correct answer: B

Rationale: Children aged 1-4 years are most vulnerable to protein-energy malnutrition (PEM) due to their rapid growth and development, increased nutritional requirements, and sometimes inadequate diets. This age group is particularly susceptible to malnutrition if they do not receive adequate protein and energy-rich foods to support their growth and development.

4. What level of facility is Region IV Hospital classified as?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: D

Rationale: Region IV Hospital is classified as a tertiary facility. Tertiary facilities are typically advanced centers that provide specialized care, advanced medical procedures, and serve as teaching hospitals for medical professionals. These hospitals offer a wide range of medical services and are equipped with advanced technology and expertise to handle complex cases. Therefore, Region IV Hospital being a tertiary facility indicates that it offers high-level medical care and serves as a regional training center for healthcare professionals.

5. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

• A. The community health nurse continuously develops personally and professionally.
• B. Health education and community organizing are essential in providing community health services.
• C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
• D. The goal of community health nursing is to provide nursing services to people in their own place of residence.

Correct answer: B

Rationale: Freeman and Heinrich highlight that community health nursing involves developing the health capability of individuals through health education and community organizing activities. These components are crucial in addressing the health needs of the community and empowering individuals to lead healthier lives. Therefore, choice B, emphasizing the importance of health education and community organizing in providing community health services, best illustrates the developmental nature of community health nursing as described by Freeman and Heinrich.

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