NP1 Nov 2022 With Key Answer
NP1 Nov 2022 With Key Answer
NP1 Nov 2022 With Key Answer
INSTRUCTION: Select the correct answer for each of the following questions. Mark
only one answer for each item by shading the box corresponding to the letter of
your choice on the answer sheet provided. STRICTLY NO ERASURE ALLOWED.
5. The law that prohibits the improper disposal of garbage and other forms of
uncleanliness.
A. PD 825 C. RA 8749 (CLEAN AIR ACT)
B. Code of Sanitation (PD856) D. RA 9003 (SOLID WASTE MNGMT ACT)
Situation Many Filipinos are suffering from malnutrition. Nurse Agot knows that
it is a result from poor diet or lack of food.
8. You compute for the ideal weight of Edward whose actual weight is 135 lbs
and height is 5'10. His ideal body weight is ________ lbs.
ANAQUE REVIEW CENTER 2
A. 140 C. 150
B. 135 D. 170
14. The educational level of the parents is also recorded with the
possible choices given as :
- Elementary level - High School level
Elementary graduate - High School graduate
15. The mothers of children are also asked particularly on the child's
health history. One of the questions, "Did your child experience episodes of
diarrhea within the last 6 months?" If yes, skip item no. 4 and item no. 5.
This question item is referred to as:
A. Funnel question C. Contingency question(proceed to #4)
B. Follow-up question D. Filter question
17. Nurse Betty and her group followed the steps of community diagnosis.
Which comes after the formulation of objectives?
A. Determine data to be collected
B. Define the study population
C. Analyze the collected data
D. Collect the needed data
18. In the step of community diagnosis where data are collected which of
the following tools is utilized less?
A. Interview guide C. Survey questionnaire
B. Observation checklist D. Case study
20. Once the group of Nurse Betty is able to identify community health
problems. Which would be APPROPRIATE for them to do in order to be able to
plan for necessary intervention?
A. Present the data C. Evaluate the data
B. Formulate objectives D. Set priorities
A. 1, 2 and 4 C. 2, 3 and 5
B. 2, 4 and 5 D. 1, 3 and 4
A. 1, 4, 2, 3 C. 2, 3, 1, 4
B. 3, 1, 4, 2 D. 1, 2, 4, 3
23. The BEST example of how the nurse can create a climate in which
clients do not feel threatened is by teaching on a topic about:
A. Stress, where the nurse plays pop music throughout the first session
B. Good nutrition, while the nurse provides a meal
C. Exercise, where the nurse begins to share her difficulties she sometimes
finds in trying to exercise
D. Diabetes, where the nurse asks diabetics to talk to the class during the
first session
25. Clients who are taught a variety of skills such as measuring blood
glucose, taking blood pressure, changing dressings, and bathing infants
belong to which domain of learning?
A. Psychomotor domain C. Cognitive domain
B. Social domain D. Affective domain
INTERVENTION CLASSES:
Independent
28. The Best Community Health Nursing principle that will guide Nurse Nona
in the effective performance of her various roles and function is focused on
the community that _______.
A. has different health needs and problems
B. is considered as a primary client.
C. has various strictures and resources
D. is composed of individuals and families
4 CLIENTELLES:
Individual entry point
Family unit of service
Population focus of nursing care
Community primary client
death of love ones, new member to the family, pregnancy, resettlement, school instance,
adolescence)
Situation- Nurse Bella takes charge of handling the Mental Health Promotion
program in the midst of the ongoing health crisis due to the COVID 19 pandemic.
32. During this pandemic time, which of the following roles of Nurse
Bella should she significantly intensify to prevent more cases of mental
problems in the community ?
A. Case finder C. Researcher
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B. Case Manager D. Surveyor
33. There are individuals who are suffering from mental health challenges
due to the pandemic. The BEST nursing action is _______.
A. refer for admission at the mental health unit
B. help in setting up debriefing stations
C. recommend hiring of a community psychiatrist
D. set up a mental health program
35. After a webinar on the Mental Health Act, Nurse Bella realized that
the community has to change which of-the following perceptions? (-)
A. Mental illness is not hereditary (+)
B. community resilience is important (+)
C. Mental illness is incurable (-)
D. psychosocial services should be available (+)
36. In the first session, the nurse presented the organizational chart of
the Rural Health Unit. Which of the following aspects of organizational
structure is illustrated in the chart?
1. Type of work being done
2. Extent of coordination to be done
3. Levels of management
4. Line and staff relationship
A. 2, 3 and 4 C. 1, 3 and 4
B. 3 and 4 D. 1 and 3
37. The PHN wants to emphasize to the new nurses that it is important to
observe professional accountability which is taking responsibility for one's
actions. She explains that accountability can be done by:
1. Asking assistance from the doctor
2. Performing nursing tasks in a safe manner
3. Reporting and documenting assessment and interventions
4. Evaluating client's response to nursing care given
5. Evaluating the care when there is complaint by the client
A. 1, 2 and 3 C. 2, 4 and 5
B. 1, 3 and 5 D. 2, 3 and 4
44. The ethical principle that empowers the client groups or communicate
to make knowledgeable decision is ___________.
A. Act in accordance to client's wishes.
B. Act in client's best interest.
C. Offer frank and independent advice.
D. Keep the client properly informed.
45. When Nurse Betty cannot meet a need of the client, it is most
appropriate for her to:
A. Refer the client to an agency that may be able to give assistance.
B. Suggest that the client to pay someone to meet that need.
C. Encourage the client to pay someone to meet that need.
D. Inform the client that insurance will not pay for the care.
48. The nurse is making a referral for the client. what should be the
first consideration for the nurse to do?
A. Acceptability of the referral to the client.
B. Cost of the referral service.
C. Barriers to making a referral.
D. Client's eligibility for the service.
51. Nurse Danica would like to put more emphasis on healthy lifestyle in
her health education classes. Which step of the teaching-learning process
should she FIRST start ?
A. Assessing health needs
B. Evaluation of learning takes place
C. Preparing learning materials
D. Developing health education plan
52. In planning for the health education program about healthy lifestyle
Nurse Danica targets to work with parents in the community. Noting different
ethnics backgrounds among them, which important consideration should be part
of the plan?
A. Economic C. Cultural
B. Social D. Educational
54. Nurse Danica plans to have the residents of the community conduct
brainstorming about their community problems. Which of the following is the
rationale of this teaching format?
A. Encourages problem solving and critical thinking skills.
B. Links audience participation to the presenters speaking style and content
C. Allows the participants to generate ideas and discuss them in group setting
D. Offers shared-experiences in a familiar setting
55. Successful teaching and learning activities in any health care setting
PRIMARILY fostered through ________.
A. Identifying motivating factors
B. Using clear and concise language
C. Establishing trust and rapport
D. Setting realistic goals and objectives
Situation- Nurse Roy assumes various roles and functions of community health
nurse. He considers collaboration and teamwork as essential in public health.
56. Which of the following is the rationale why team work is ESSENTIAL in
health care?
A. Helping one another C. Patient safety
B. Makes work lighter D. promotes camaraderie
58. Nurse Roy as member of the health team describes himself as good team
player: Which of the following is the BEST characteristic of good team
player?
1. Sense of humor
2. Good listener
3. Inspires others
4. Proactive thinking
A. I, 2, 3, 4 C. 1, 2, 3
B. 1, 2 D. 3, 4
60. Nurse Roy in his dealings with his co-workers instills collaborative
partnership in doing their task which is the aim of this type of
partnership?
A. Make work faster and easier
B. Shared goals
C. Change and influence group behavior
D. Staffs' satisfaction
61. To plan out for the activities intended for the elderly population the
nurse should begin to ______.
A. do survey of the number of the elderly population
B. Get informed consent (only for research)
C. Ask permission from barangay officials (courtesy call)
D. Tap the help of experts
62. In assessing the health condition of the older persons, which is the
BEST, measure in determining their functional status?
A. Financial capability of the family
B. Age of the patient
C. Activities of daily living (walking, dressing, using stairs for geriatrics)
D. Educational attainment
63. Which information should the nurse provide to the elderly and their
Families regarding drug regimen prescribed to patients?
A. Liquid medication to more convenient and water
B. Allow them to refuse to take medicines
C. Give independence to take medicines
D. They are more vulnerable to adverse drug reactions
65. For an effective program for the elderly population, which should be
the appropriate approach ?
A. Assign to the family
B. Supervised by physicians
C. Multidisciplinary (collaborative healthcare practice)
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D. Under the care of barangay health workers
Situation - Nurse Elisa has been promoted as Nurse Manger in the health unit. Her
functions include management of resources and environment and budgeting.
66. As nurse manager, which should she consider IMPORTANT when preparing
the budget needed for the operation of the unit.
A. All things and equipment need to be new yearly
B. Budget is implemented with or without money at hand
C. cost effectiveness and efficiency are important.
D. Budget is not essential for quality assurance.
67. In the process of planning. Which of the following, Nurse Elisa should
use the plan that would review the strengths and weakness of the
organization.
A. Operational C. strategic
B. Nursing Care D. Program
68. For cost effectiveness measure which of the following is the BEST
nursing action
69. Nurse Elisa advocates for safe staffing pattern at the health center.
Which BEST practice she should instill to the staff?
A. Delegates task
B. Give all freedom to be honest in their attendance
C. Staffing pattern not important in the community setting
D. Requires staff to report on time.
71. PDCA is the basic structure for most quality improvement (QI) process.
In public health, PDCA is focused on activities that are responsive to
community needs and improving population health. PDCA stands for:
A. Perform-Document-Correct-Act
B. Perform-Do-Check-Analyze
C. Plan-Document-Check-Analyze
D. Plan-Do-Check-Act
-
72. There are several approaches and tools in (QI). Which of these is the
Fishbone diagram, developed by K. Ishikawa. Which BEST describes the
Fishbone diagram? It is _________.
A. A cause and effect diagram (ishikawa chart)
B. A holistic approach in problem identification
C. Used in interview sessions
D. Useful in focusing on problem symptoms.
73. As a QI tool, the Gantt chart us useful for planning and scheduling
projects. Which of the following statements is INCORRECT about the Gantt
chart? It ________.
A. Provides a graphical illustrations of resources
B. Plans the order in which you'll complete task
C. Tracks specific tasks in a project
D. Helps assess how long a project should take
Situation - Nurse Zoe as a public health nurse together with other members of the
health team ensure there is quality in health and nursing care in their work
place.
77. Choose the key words that BEST describes quality improvement in public
health.
A. Status quo C. Very conventional
B. Improvement process D. Perfect health facility.
78. Choose the description that quality exists at the health center
A. Patient satisfaction C. Controlled by local officials
B. Selected delivery of services D. Rapid turn over
79. Nurse Elisa would like to enhance the process standard at the health
center. Which should be her PRIORITY nursing initiative?
ANAQUE REVIEW CENTER 21
A. Revise manual for operation C. Upgrade the health equipment
B. Hire more new graduates D. Reduce operational expenses
Structure - facility and manpower, equipments, HR and organization, policies and process
Process care seeking behavior, diagnosis and treatment, safety, services
Output satisfaction, status, knowledge and behavior, quality of life
80. Identity to whom Nurse Elise would seek help to improve health
resources like medicines in order to provide quality nursing care at the
health center
A. head of the church C. Mayor
B. Secretary of Health D. Governor
Situation - Nurse Henie uses the Family coping index in assessing family health
needs and problems of particularly of families who are vulnerable to illness.
82. Which of the following is the BEST evidence of a family whose family
coping index on therapeutic competence is rated as coping well?
A. Shows positive interpersonal relationship
B. Participates in the weekly clean and green program of the community
C. Maintain clean and organized household ambiance
D. Visits the clinic frequently well or sick.
83. Which of the following tools used by nurses in the community setting
for assessing health needs and problems of families that is similar to
family coping index
A. Nursing theories C. Case study
B. Vitals statistics D. Nursing diagnosis
85. Nurse Myrna is taking care of a family chose there young children are
sick with malnutrition particularly protein deficiency, which of the
following behaviors is indicative of the family's positive coping index
(kwashiorkor)
A. Observing erratic mealtime due to work schedule of parents
B. Bringing children to health enter for consult only when needed.
C. Serving foods that children like but with high in carbohydrates
D. Cooking foods in variety that include meat, dairy products and beans.
Situation Public Health Nurse Lucio is a member of the health team there is
tasked by the Rural Health Unit to identify, define and measure major health
problems of interest.
89. Current public health surveillance targets the following. Which one is
NOT included?
A. Chronic diseases C. Communicable diseases
B. Population migration D. Occupational hazards
A. 1, 2, 3, and 4 C. 1, 2, and 3
B. 1 and 2 D. 2 and 4
95. Mary Grace considers the following factors in patients triage EXCEPT
_______.
A. Pulse and respiration C. Mental status
B. Temperature D. Ability to work
96. Public Health Nurse Cony has become very disagreeable among her team
members. The other nurses know that she has requested to be transferred to
another Rural Health Unit. The nurses decided to ignore the situation. This
illustrates which method of conflict resolution?
A. Collaboration C. Accommodation
B. Avoidance D. Passive-aggressiveness
A. 2, 3, 5 C. 2, 4, 5
B. 1, 3, 4 D. 1, 2, 3
98. A health care worker approaches the public health supervisor with a
complaint about the RHU Nurse and said, "She doesn't do same amount of work
as the other health professionals in health unit". After investigating about
the complaint, the Nurse Supervisor believes the health care worker does not
understand the role of the RHU nurse. What kind of conflict has this
situation caused the health worker?
A. Interprofessional conflict C. Intraprofessional conflict
B. Individual conflict D. Organizational conflict
99. Which of the following actions by the public health nurse indicates
the use of effective conflict management skill?
A. Defends judgements of others C. Asserts own position
B. Negotiates with other D. Avoids competition
100. The public health midwife was very upset regarding a reprimand issued
by her supervisor. The former confronts her supervisor in the hallway. How
should the supervisor respond?
A. Tell the midwife to calm down and act professionally.
B. Respond to the midwife in the hallway.
C. Ignore the situation and forget about it.
D. Invite the midwife to come to the supervisor's office.