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. CHN is a community-based practice. What best explains this statement?

• A. The service is provided in the natural environment of people
• B. The nurse conducts community diagnosis to determine nursing needs and problems
• C. The services are based on the available resources within the community
• D. Priority setting is based on the magnitude of the health problems identified

Correct answer: B

Rationale: In community-based practice, healthcare providers deliver care to individuals in their natural environments, such as homes, schools, and workplaces. Conducting community diagnosis allows nurses to assess the specific needs and problems within the community, enabling them to tailor their services effectively and address the identified health concerns.

3. 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.

4. Which demographic tool may be used to describe the sex composition of the population?

• A. Sex ratio
• B. Sex proportion
• C. Population pyramid
• D. Any of these may be used

Correct answer: D

Rationale: To describe the sex composition of the population, both the sex ratio and sex proportion can be utilized. The sex ratio provides a numerical comparison of the number of males to females in a population, while the sex proportion expresses the relative number or percentage of males and females in a given population. On the other hand, a population pyramid is a graphical representation that shows the age and sex distribution of a population. Therefore, any of these tools may be used to analyze and present the sex composition of a population.

5. 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.

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