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. What is the primary focus of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. Hospital-based care
• B. Curative care only
• C. Prevention and treatment of childhood illnesses
• D. Surgical interventions

Correct answer: C

Rationale: The primary focus of the Integrated Management of Childhood Illness (IMCI) strategy is the prevention and treatment of major childhood illnesses. The IMCI strategy aims to reduce child mortality and morbidity by emphasizing a holistic approach that includes preventive measures along with curative interventions.

3. 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.

4. In family nursing, the typology of family nursing problems is used in the statement of nursing diagnosis for families. The youngest child of the Delos Reyes family has been diagnosed with mental retardation. This is classified as:

• A. Health threat
• B. Health deficit
• C. Foreseeable crisis
• D. Stress point

Correct answer: B

Rationale: In the context of family nursing, when a family member like the youngest child is diagnosed with mental retardation, it represents a health deficit. A health deficit occurs when a family member fails to develop as expected, as in the case of mental retardation. This classification helps nurses identify and address the specific health needs of the family.

5. In the Field Health Services and Information System (FHSIS) in the Philippines, the monthly field health service activity report is a form used in which component of the FHSIS?

• A. Tally report
• B. Output report
• C. Target/client list
• D. Individual health record

Correct answer: A

Rationale: The correct answer is 'A: Tally report.' A tally report is completed monthly or quarterly by the Rural Health Unit (RHU) personnel and then sent to the Provincial Health Office for further processing and analysis.

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