Nursing Elites

1. What factor is most likely to enhance the effectiveness of health education?

• A. Using culturally relevant materials
• B. Using medical jargon
• C. Providing lengthy written materials
• D. Distributing generic brochures

Correct answer: A

Rationale: The most effective factor to enhance health education is using culturally relevant materials. This approach makes the information more accessible and relatable to the target audience, leading to better understanding and engagement.

2. Which best describes a primary goal of community health nursing?

• A. Promoting health and preventing disease
• B. Providing direct patient care
• C. Reducing health care costs
• D. Ensuring access to health care services

Correct answer: A

Rationale: The primary goal of community health nursing is to promote health and prevent disease within the community. Community health nursing focuses on improving the overall health of the population by implementing strategies that prevent illnesses and promote well-being. While providing direct patient care, reducing healthcare costs, and ensuring access to services are important aspects of nursing, the main emphasis of community health nursing is on proactive health promotion and disease prevention for the community at large.

3. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:

• A. Families in their homes, school population, workers in factories
• B. All except workers in factories
• C. Families in their homes, school population, workers in factories, patients in hospitals
• D. All except patients in hospitals

Correct answer: D

Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.

4. 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.

5. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

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