Nursing Elites

1. Which nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

2. What law mandates the reporting of cases of notifiable diseases by healthcare professionals?

• A. Act 3573
• B. RA 3753
• C. RA 1054
• D. RA 1082

Correct answer: A

Rationale: Act 3573, also known as the Law on Reporting of Communicable Diseases, enacted in 1929, mandates healthcare professionals to report cases of notifiable diseases listed in the law to the nearest health station. This law aims to facilitate early detection, prompt response, and control of communicable diseases to protect public health.

3. What is the legal basis of the Primary Health Care approach in the Philippines?

• A. Alma Ata Declaration on PHC
• B. Letter of Instruction No. 949
• C. Presidential Decree No. 147
• D. Presidential Decree No. 996

Correct answer: B

Rationale: The correct answer is B, the Letter of Instruction No. 949. This instruction was issued by then President Ferdinand Marcos, directing the Ministry of Health (now the Department of Health) to utilize the Primary Health Care approach in planning and implementing health programs. This legal basis established the foundation for implementing Primary Health Care in the Philippines, aligning with the global Alma Ata Declaration's principles.

4. To maintain the cleanliness of the bag and its contents, what should the nurse do?

• A. Wash their hands before and after providing care to family members
• B. Use only items from the bag when caring for family members
• C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
• D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward

Correct answer: A

Rationale: The most crucial step in maintaining cleanliness when caring for family members and handling the bag and its contents is to wash the nurse's hands before and after providing care. This practice helps prevent the spread of germs and maintains proper hygiene standards, reducing the risk of contamination. Washing hands is a fundamental infection control measure that all healthcare professionals should adhere to in their daily practice.

5. What is the primary focus of community health nursing?

• A. Individual patient care
• B. Hospital-based care
• C. Community-wide health promotion and disease prevention
• D. Specialized medical treatment

Correct answer: C

Rationale: Community health nursing primarily concentrates on promoting health and preventing diseases within the community. It involves working with the community as a whole to improve health outcomes and prevent illnesses through education, interventions, and collaborations. This approach differs from individual patient care, hospital-based services, or specialized medical treatments, as it aims to enhance the well-being of the entire community by addressing broader health issues and promoting preventive measures.

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