Nursing Elites

1. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

2. RA 1054 is also known as the Occupational Health Act. Besides the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?

• A. Type of occupation: agriculture, commercial, industrial
• B. Location of the workplace in relation to health facilities
• C. Classification of the business enterprise based on net profit
• D. Sex and age composition of employees

Correct answer: B

Rationale: According to R.A. 1054, the key factor to consider, apart from the number of employees, is the location of the workplace concerning health facilities. Specifically, an occupational nurse must be employed when there are 30 to 100 employees, and the workplace is more than 1 km away from the nearest health center. This ensures timely access to health services for employees in case of emergencies or health needs.

3. 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.

4. An indicator of success in community organizing is when people are able to:

• A. Participate in community activities to address a community problem
• B. Implement activities to address the community problem
• C. Plan activities to address the community problem
• D. Identify the community problem as a common concern

Correct answer: A

Rationale: Success in community organizing is indicated when individuals actively participate in community activities aimed at addressing a shared community issue. While planning and implementation are essential components, active participation by community members is crucial for achieving sustainable solutions and fostering community engagement and empowerment.

5. In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?

• A. Occupational health nurse at the Provincial Health Office
• B. Physician employed by the factory
• C. Public Health nurse of the RHU of their municipality
• D. Rural Sanitary inspector of the RHU in their municipality

Correct answer: C

Rationale: In the scenario where a garment factory lacks an occupational nurse, the responsibility of addressing the occupational health needs of the factory workers falls under the jurisdiction of the Public Health nurse of the Rural Health Unit (RHU) in their municipality. Public Health nurses are trained to provide essential health services to the community, including monitoring and promoting health in workplaces. They can assess workplace hazards, provide health education, and facilitate access to medical care when necessary, making them the most suitable option among the given choices to cater to the occupational health needs of the factory workers.

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