Nursing Elites

1. Which of the following is the most prominent feature of public health nursing?

• A. Providing home care to sick people who are not confined in the hospital
• B. Providing free services to people within the catchment area
• C. Functioning as part of a team to provide a public health nursing service
• D. Focusing on preventive, not curative services

Correct answer: D

Rationale: The most prominent feature of public health nursing is its focus on preventive services rather than curative ones. Public health nursing aims to prevent diseases and promote health within the community by implementing interventions that target the population as a whole. This focus distinguishes public health nursing from other types of nursing that primarily provide curative care to individuals. Preventive services play a significant role in improving the overall health outcomes of communities and reducing the burden of disease.

2. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

3. Which of the following is a key principle of Primary Health Care (PHC)?

• A. Centralized health planning
• B. Community participation
• C. Focus on specialized care
• D. High technology healthcare

Correct answer: B

Rationale: Community participation is a fundamental principle of Primary Health Care (PHC) as it involves the active involvement of individuals, families, communities, and organizations in the planning and delivery of healthcare services. This ensures that services are culturally appropriate, accessible, and acceptable to the community, leading to better health outcomes.

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. Which statistic can provide the most accurate reflection of the health status of a community?

• A. 1-4 year old age-specific mortality rate
• B. Infant mortality rate
• C. Swaroop’s index
• D. Crude death rate

Correct answer: C

Rationale: Swaroop’s index is a valuable statistic that reflects the health status of a community by indicating the proportion of deaths aged 50 years and above. A higher Swaroop’s index signifies a greater proportion of individuals who lived at least 50 years before passing away. This metric provides insight into the overall health and longevity of a population, making it a more accurate reflection of community health compared to other mortality rates.

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