Nursing Elites

1. 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.

2. In immunization, which of the following measures is considered the most effective in controlling the occurrence of diseases?

• A. Immunization coverage
• B. Cold chain
• C. Potency of vaccines
• D. Health education

Correct answer: A

Rationale: Immunization coverage is the proportion of the target population that has been immunized. To control the occurrence of diseases effectively, it is crucial that a high percentage of the population is immunized. This not only protects individuals but also helps in achieving herd immunity, reducing the spread of diseases within the community. Therefore, ensuring high immunization coverage is a key strategy in disease prevention and control.

3. Which principle is CONTRARY to planning a home visit?

• A. A home visit should have a clear purpose or objective
• B. The plan should be centered around the family's health needs
• C. A home visit should strictly follow RHU guidelines
• D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

4. Which of the following indicators is used to measure the health status of a population?

• A. Literacy rate
• B. Gross domestic product (GDP)
• C. Infant mortality rate
• D. Employment rate

Correct answer: C

Rationale: The infant mortality rate is a crucial indicator used to assess the health status of a population. It reflects the number of deaths among infants under one year of age per 1,000 live births. A high infant mortality rate is often indicative of inadequate healthcare services, poor sanitation, and other factors that impact the overall health of a population. Therefore, monitoring and improving the infant mortality rate is essential for evaluating and addressing the health needs of a community.

5. Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

• A. Health services are provided free of charge to individuals and families
• B. Local officials are empowered as the major decision-makers in health matters
• C. Health workers can provide care based on identified health needs of the people
• D. Health programs are sustained according to the level of development of the community

Correct answer: D

Rationale: Success in utilizing the primary health care approach is indicated by the sustainability of health programs based on the community's development level. This ensures that essential health services can be maintained at all stages of community development, reflecting the core principles of primary health care.

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