Nursing Elites

1. What is the primary goal of community health nursing?

• A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases
• B. To enhance the capacity of individuals, families, and communities to cope with their health needs
• C. To increase the productivity of people by providing them with services that will increase their level of health
• D. To contribute to national development through the promotion of family welfare, focusing particularly on mothers and children

Correct answer: B

Rationale: The primary goal of community health nursing is to enhance the capacity of individuals, families, and communities to cope with their health needs. This involves empowering them with the knowledge and resources to address their health concerns effectively, promoting overall well-being and preventing illnesses. While other choices touch on aspects of community health nursing, such as supporting the medical profession, increasing productivity, and contributing to national development, the core focus remains on empowering individuals and communities for better health outcomes.

2. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

3. In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?

• A. Occupational health nurse at the Provincial Health Office
• B. Physician employed by the factory
• C. Public Health nurse of the RHU of their municipality
• D. Rural Sanitary inspector of the RHU in their municipality

Correct answer: C

Rationale: In the scenario where a garment factory lacks an occupational nurse, the responsibility of addressing the occupational health needs of the factory workers falls under the jurisdiction of the Public Health nurse of the Rural Health Unit (RHU) in their municipality. Public Health nurses are trained to provide essential health services to the community, including monitoring and promoting health in workplaces. They can assess workplace hazards, provide health education, and facilitate access to medical care when necessary, making them the most suitable option among the given choices to cater to the occupational health needs of the factory workers.

4. Which of the following best describes the role of a community health nurse?

• A. Providing acute care in hospitals
• B. Conducting surgeries
• C. Promoting health and preventing disease in the community
• D. Diagnosing and treating medical conditions

Correct answer: C

Rationale: The primary role of a community health nurse is to focus on promoting health and preventing disease within the community. They work to improve the overall health and well-being of individuals and populations by providing education, preventive care, and support to enhance community health outcomes. Community health nurses collaborate with community members, organizations, and public health agencies to address health disparities, implement health promotion strategies, and advocate for equitable access to healthcare services.

5. Isolation of a child with measles belongs to which level of prevention?

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

Correct answer: A

Rationale: Isolating a child with measles is considered a primary prevention measure. Primary prevention aims to prevent the disease from occurring by intervening before exposure to the causative agent. Isolating the child helps to contain the spread of the disease and protect those who are not already sick. This strategy falls under the realm of specific disease prevention, which is a key aspect of primary prevention.

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