What is the primary focus of community health nursing?
- A. Individual patient care
- B. Hospital-based care
- C. Community-wide health promotion and disease prevention
- D. Specialized medical treatment
Correct Answer: C
Rationale: The correct answer is C: Community-wide health promotion and disease prevention. Community health nursing focuses on promoting health and preventing diseases within the community as a whole through education, advocacy, and collaboration. This includes addressing social determinants of health and implementing population-based interventions. Choice A is incorrect because community health nursing goes beyond individual patient care. Choice B is incorrect as it is more focused on acute care within hospital settings. Choice D is incorrect as it pertains to specialized medical treatment rather than the broader scope of community health nursing. In summary, the primary focus of community health nursing is on improving the health of the entire community through preventative measures and health promotion initiatives.
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Which of the following is a contraindication for the administration of live vaccines?
- A. Mild upper respiratory infection
- B. Previous allergic reaction to the vaccine
- C. Current antibiotic therapy
- D. Family history of allergies
Correct Answer: B
Rationale: The correct answer is B: Previous allergic reaction to the vaccine. This is a contraindication for live vaccines because individuals with a history of allergic reactions to a specific vaccine are at a higher risk of developing severe allergic reactions upon re-administration. It is crucial to avoid administering live vaccines to these individuals to prevent potential life-threatening complications.
Incorrect Choices:
A: Mild upper respiratory infection - This is not a contraindication for live vaccines as it is a mild and temporary condition that does not affect vaccine administration.
C: Current antibiotic therapy - This is not a contraindication for live vaccines as antibiotics do not interfere with live vaccine effectiveness.
D: Family history of allergies - While a family history of allergies may increase the risk of developing allergies, it is not a direct contraindication for live vaccines as long as the individual themselves does not have a history of allergic reactions to the specific vaccine.
What is the recommended duration of exclusive breastfeeding?
- A. 3 months
- B. 6 months
- C. 9 months
- D. 12 months
Correct Answer: B
Rationale: The recommended duration of exclusive breastfeeding is 6 months. This is because breast milk provides all the necessary nutrients for an infant's growth and development in the first 6 months of life. Introducing solid foods too early can increase the risk of infections and allergies. Choice A (3 months) is not ideal as it may not provide sufficient nutrients for the baby's growth. Choices C (9 months) and D (12 months) exceed the recommended duration and may not be necessary for exclusive breastfeeding, as other foods can be introduced after 6 months.
What is the primary purpose of administering Vitamin K to newborns?
- A. To prevent infection
- B. To promote growth
- C. To prevent bleeding disorders
- D. To enhance immune function
Correct Answer: C
Rationale: The primary purpose of administering Vitamin K to newborns is to prevent bleeding disorders. Vitamin K is essential for the production of blood clotting factors, which helps prevent excessive bleeding. Newborns are born with low levels of Vitamin K, putting them at risk for bleeding disorders like vitamin K deficiency bleeding. Administering Vitamin K at birth helps ensure proper blood clotting function. The other choices are incorrect because Vitamin K does not directly prevent infection, promote growth, or enhance immune function in newborns.
Which of the following conditions is a contraindication for breastfeeding?
- A. Maternal HIV infection
- B. Maternal diabetes
- C. Maternal anemia
- D. Maternal hypertension
Correct Answer: A
Rationale: The correct answer is A: Maternal HIV infection. Breastfeeding is contraindicated in mothers with HIV due to the risk of transmission to the infant through breast milk. HIV can be transmitted through breast milk even if the mother is on antiretroviral therapy. Maternal diabetes, anemia, and hypertension are not contraindications for breastfeeding as long as they are well managed. Breastfeeding is actually beneficial in managing diabetes and anemia. Hypertensive mothers can breastfeed unless there are complications that require specific medications that may be unsafe for the infant.
What is the primary aim of the Expanded Program on Immunization (EPI)?
- A. To eliminate non-communicable diseases
- B. To increase hospital bed capacity
- C. To provide immunizations to all children
- D. To train more healthcare workers
Correct Answer: C
Rationale: The correct answer is C: To provide immunizations to all children. The primary aim of the Expanded Program on Immunization (EPI) is to ensure that all children receive essential vaccinations to prevent vaccine-preventable diseases. This program focuses on increasing vaccination coverage and reaching all children, especially those in underserved populations. Providing immunizations to all children helps in reducing the spread of infectious diseases and contributes to overall public health.
Incorrect choices:
A: To eliminate non-communicable diseases - This is not the primary aim of EPI. EPI primarily focuses on preventing communicable diseases through vaccinations.
B: To increase hospital bed capacity - This is not the primary goal of EPI. Increasing hospital bed capacity is related to healthcare infrastructure, not vaccination programs.
D: To train more healthcare workers - While training healthcare workers is important for delivering immunizations, it is not the primary aim of EPI. The main goal is to provide vaccinations to all children.