What is the primary focus of community health nursing?

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.

Correct Answer: B

Rationale: The correct answer is B: Reduces the risk of severe measles. Vitamin A helps strengthen the immune system, reducing the severity of infections like measles. Providing supplements can prevent complications and reduce mortality rates. A, C, and D are incorrect as Vitamin A specifically targets measles prevention, not cognitive development, anemia prevention, or physical growth. Measles is a major concern in children, and Vitamin A supplementation significantly benefits their health by reducing measles-related complications.

Correct Answer: D

Rationale: The correct answer is D: Integrated case management of childhood illnesses. This is a key component of the IMCI (Integrated Management of Childhood Illness) strategy, which focuses on a holistic approach to managing common childhood illnesses at the primary healthcare level. IMCI includes assessing and classifying sick children, providing appropriate treatments, counseling caregivers, and ensuring follow-up care. This strategy aims to reduce childhood morbidity and mortality by improving the quality of care provided to children. Choices A, B, and C are incorrect as they do not directly align with the key component of the IMCI strategy. Promoting hospital-based care (A) may not be feasible or sustainable in resource-limited settings where primary healthcare is crucial. Providing routine immunizations (B) is important but is not the primary focus of the IMCI strategy. Enhancing maternal nutrition (C) is essential for maternal and child health but is not a key component of the IMCI strategy, which specifically targets childhood illnesses.

Correct Answer: B

Rationale: The correct answer is B: Children aged 1-4 years. This age group is most vulnerable to PEM due to their rapid growth and development, high energy requirements, and dependency on caregivers for nutrition. Infants below 6 months are typically protected by breast milk, adolescents have lower risk due to fewer growth demands, and elderly are more at risk for other types of malnutrition. Therefore, children aged 1-4 years are the most vulnerable to PEM.

Correct Answer: C

Rationale: The correct answer is C: Ensuring skilled attendance at birth. This is a key component of the Safe Motherhood Initiative as it focuses on providing trained healthcare professionals during childbirth to reduce maternal and neonatal mortality rates. This ensures that complications during labor can be promptly identified and managed, improving outcomes for both mother and baby. A: Promoting exclusive breastfeeding is important for infant health but is not specifically a component of the Safe Motherhood Initiative. B: Providing routine immunizations is crucial for child health but not directly related to maternal care during childbirth. D: Offering genetic counseling is valuable for families at risk of genetic disorders but is not a primary focus of the Safe Motherhood Initiative.

Correct Answer: C

Rationale: The correct answer is C: Infant mortality rate. This indicator reflects the number of infants who die before reaching one year of age per 1,000 live births. It is a crucial measure of the overall health of a population as it reflects the quality of healthcare, nutrition, and living conditions. High infant mortality rates indicate poor health outcomes and inadequate healthcare services. A: Literacy rate is not directly related to measuring the health status of a population. B: GDP measures the economic performance of a country and does not directly reflect the health status of its population. D: Employment rate is an indicator of the labor market situation, not specifically related to health status measurement.

Correct Answer: D

Rationale: The correct answer is D: To provide couples with the information and means to control fertility. This is because the primary aim of the Family Planning Program is to empower individuals with the knowledge and resources to make informed decisions about family size and spacing. This includes access to contraceptives, education about reproductive health, and support for family planning choices. A: To improve infant nutrition - This is not the primary aim of the Family Planning Program, although family planning can indirectly contribute to better infant nutrition by spacing births appropriately. B: To reduce maternal mortality - While family planning can help reduce maternal mortality by preventing unintended pregnancies and unsafe abortions, it is not the primary aim of the program. C: To prevent sexually transmitted infections - Although promoting safe sex practices is important in family planning, preventing STIs is not the primary aim of the program.

Correct Answer: B

Rationale: The correct answer is B because the purpose of the Expanded Program on Immunization (EPI) is to ensure all children receive routine immunizations to prevent various communicable diseases. EPI focuses on providing vaccines to children at specific ages to build immunity and protect them from serious illnesses. It does not provide emergency medical services (A), offer specialized treatments for rare diseases (C), or manage chronic health conditions (D). By prioritizing routine immunizations, EPI aims to reduce the burden of vaccine-preventable diseases and improve overall public health.

Correct Answer: C

Rationale: The correct answer is C: Poliomyelitis. The EPI targets diseases for eradication through vaccination programs. Polio is a priority due to its devastating effects and the effectiveness of the polio vaccine. Hepatitis B (A) is not currently targeted for eradication. Diphtheria (B) and Tuberculosis (D) are controlled through vaccination and treatment but are not targeted for global eradication efforts.