Nursing Elites

1. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

• A. 4.1/1000
• B. 5.2/1000
• C. 6.3/1000
• D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

2. Which of the following demonstrates intersectoral linkages?

• A. Two-way referral system
• B. Team approach
• C. Endorsement by a midwife to another midwife
• D. Cooperation between public health nurse and public school teacher

Correct answer: D

Rationale: Intersectoral linkages involve collaborations between the health sector and other sectors for community development. In this scenario, cooperation between a public health nurse (PHN) and a public school teacher exemplifies intersectoral linkages, as it represents a partnership between the health and education sectors.

3. 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.

4. Which level of health facility is the usual point of entry for a client into the healthcare delivery system?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: The primary level of health facility is the usual point of entry for a client into the healthcare delivery system. This level typically involves initial consultations, preventive care, and basic treatment services. Clients often start their healthcare journey at the primary level before being referred to higher levels of care if needed.

5. Which of the following is an example of a live attenuated vaccine?

• A. Hepatitis B vaccine
• B. Inactivated polio vaccine
• C. Measles, Mumps, Rubella (MMR) vaccine
• D. Diphtheria, Tetanus, Pertussis (DPT) vaccine

Correct answer: C

Rationale: The Measles, Mumps, Rubella (MMR) vaccine is an example of a live attenuated vaccine because it contains weakened versions of the viruses that cause measles, mumps, and rubella. These weakened viruses can replicate in the body to stimulate an immune response without causing the diseases themselves.

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