Nursing Elites

1. 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.

2. Tertiary prevention is needed in which stage of the natural history of disease?

• A. Pre-pathogenesis
• B. Pathogenesis
• C. Predromal
• D. Terminal

Correct answer: D

Rationale: Tertiary prevention focuses on actions taken to prevent complications and further deterioration among individuals already diagnosed with a disease. It is implemented during the terminal stage of a disease when efforts are made to prevent disability, restore function, and improve quality of life. This stage is crucial for managing the disease's progression and enhancing the patient's well-being.

3. Which of the following vaccines is recommended to be given at birth?

• A. BCG
• B. Hepatitis B
• C. OPV
• D. Measles

Correct answer: A

Rationale: The BCG vaccine is recommended to be given at birth to protect against tuberculosis. It is often administered soon after birth to provide early protection against the disease, especially in areas where tuberculosis is prevalent.

4. 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.

5. 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.

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