NP1 Nov 2022 With Key Answer

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NOVEMBER 01, 2022 FINAL COACHING

NURSING PRACTICE I COMMUNITY HEALTH NURSINGSET A

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.

Situation - Nurses can be instrumental in communications with patients and


families, and our communities for the health impacts of climate change.

1. Which sustainable development goal, calls for urgent action to combat


climate change and its impacts.
A. 3 (good health and well being) C. 13
B. 11(sustainable cities) D. 15
NO GOOD EE CADIRe CCC LL PP
2. Which of these greenhouse gases is MOST abundant in the atmosphere?
A. Carbon dioxide(CO2) principal gas C. Nitrogen (N2O)
B. water vapor (H2O)primary feedback D. methane (CH4)agri

3. Which human activity has the GEEATEST effect on climate?


A. Burning fossil fuels(CO2) C. Deforestation
B. Agriculture(CH4 METHANE) D. Industrial factories

4. Which gas has the GREATEST effect on climate?


A. Nitrous Oxide C. Carbon Dioxide
B. Ozone D. Methane

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.

6. Micronutrient supplementation is included in what program of the DOH?


A. Sentrong Sigla (CQI - CONTINOUS QUALITY IMPROVEMENT OF DOH)
B. Araw ng Sangkap Pinoy (FOOD FORTIFICATION)
C. Expanded program on immunization (TARGET LESS THSN 8 YRS OLD)
D. Reproductive health bill(PARENTHOOD & FAMILY PLANNING)

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7. You assess for a child's nutritional status using the mid-upper arm
circumference (MUAC). Measurement reads 12 cm which falls under the orange
color of a 4-colored tape. This indicates that the child __________.
A. should immediately be referred for supplementation. orange
B. should be immediately referred for treatment. red
C. is at risk for acute malnutrition. yellow
D. well-nourished. green

Orange moderate acute malnutrition

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.
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A. 140 C. 150
B. 135 D. 170

9. Edward's degree of malnutrition is _______ percent of ideal body weight


(IBW).
A. 108.15 C. 100
B. 96.43 D. 92.46

10. The indication for Edward's degree of malnutrition is _________.


A. 3rd degree C. 2nd degree
B. Obese D. 1st degree

Situation- Health Centers regularly conduct "Operation Timbang" to assess the


nutritional status of children 0-5 years old.

11. The nutritional status of children is determined by "weight by age".


Weight is an example of what level of measurement?
A. Ordinal (in order/qualita) C. Interval (temp or distance)no zero
B. Ratio (zero exist) D. Nominal (name, gender sex/labeled)

12. While age is of what level of measurement?


A. Ratio C. Ordinal
B. Interval D. Nominal

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13. The sex of the children included in his study will be classified as
male and female. This measurement is:
A. Interval C. Ratio
B. Ordinal D. Nominal

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

The above set of choices is an example of what level of measurement?


A. Ratio C. Nominal
B. Interval D. Ordinal

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

SITUATION Nurse Betty is assigned as team leader of the

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Group of community Health Nurses who are tasked to conduct a Community Diagnosis
in one of the far-flung barangays of the municipality.

16. While preparing to depart to their assigned barangay, Nurse Betty


informs her group that the PRIMARY purpose of conducting community
diagnosis(analyze or interpret) is to
A. do assessment of the community profile
B. count the number of morbidity in the place
C. assess the number of indigenous people
D. form a core group of a selected residents

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

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19. To prepare the collected data about the health status of the community
for analysis. Which is the APPROPRIATE step that the group of Nurse Betty
should do?
A. Analyze data C. Present data
B. Interpret data D. Make conclusion

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

SITUATION- Health education is the process whereby knowledge, attitudes, and


practices are changed to improve individual, family and community health.

ANAQUE REVIEW CENTER 6


21. The goals of health education include the following:
1. Client participation on health decision making.
2. Increased potential to comply with health recommendations
3. Reliance on health care system
4. Adoption of healthier lifestyle
5. Provide clients with as many options on health care as possible

A. 1, 2 and 4 C. 2, 3 and 5
B. 2, 4 and 5 D. 1, 3 and 4

ANAQUE REVIEW CENTER 7


22. The nurse is designing a health education program for the community.
Show the CORRECT sequence of the process that the nurse would have to
undertake.
1. Write the specific outcomes
2. Assess the community
3. Prioritize learning needs
4. Select teaching strategies

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

24. The nurse is working in a clinic that is designed to provide health


education and immunization. As such, the clinic aims to
provide_______________
A. diagnosis and treatment C. Secondary prevention
B. Primary prevention D. Tertiary prevention

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Primary: HIV PNEMONICS
SECONDARY: DETECT PNEMONICS
TERTIARY: REHAB PNEMONICS

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

ANAQUE REVIEW CENTER 9


Situation - Nurse Nona is a newly hired Community Health Nurse. At the start of
her duty, she takes into consideration that she should assume numerous roles and
functions that are primarily focused on promoting a healthy community.

NOVEMBER 02, 2022 FINAL COACHING


26. In order for Nurse Nona to become effective in her caregiving role to
the different types of clientele in the community, she should be equipped
with the BASIC knowledge about ________.
A. Statistics C. nursing process
B. Research D. nursing theories

NURSING PROCESS: ADPIE IDA JEAN ORLANDO (formulate nursing process)

Assessment collect, validation, collation, documentation


Diagnosis analyze, interpret data, problem identification
Planning goal setting, prioritize need ( CANNOT BE DOCUMENTED)
Intervention/Implementation discharge plan, intervention (dependent, independent, interdependent)
Evaluation outcome evaluation, reassessment, revision

INTERVENTION CLASSES:
Independent

education, initiation of visit to a clergy,


Dependent
ation
administration, NGT, lab exam, catheterization
Interdependent
teamwork of the health care team (collaborative intervention) Ex. Referral to social worker, referral to
clergy
Physician last say (ex. Death)

ANAQUE REVIEW CENTER 10


27. As planner and programmer in the community setting, Nurse Nona should
understand that the primary objective of Community Health Nursing is focused
on the importance of ________.
A. Curative aspect of care C. rehabilitative part of care
B. restoration of full function D. optimum health and wellness

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

CHN self reliance

4 CLIENTELLES:
Individual entry point
Family unit of service
Population focus of nursing care
Community primary client

29. As health monitor which of the following should be considered by the


nurse as health threats in the community?
1. Ineffective breastfeeding
2. Fire hazards
3. Inadequate immunization
4. Polluted water supply
A. 3,4 C. 1,2,3,4
B. 2, 3, 4 D. 1,2

TYPOLOGY OF FAMILY PROBLEM:


Health deficit
disease, disorders, disabilities (ex. Hpt, gonorrhea, polio etc)
Health threat
immunization, accident, living in mountainous area, smoking, dirty places, multiple
sex partner)
Foreseeable crisis

death of love ones, new member to the family, pregnancy, resettlement, school instance,
adolescence)

30. Which is the INITIAL task of Nurse Nona as a community organizer?


A. Formulates Individuals, family groups and community care plan.(COPAR)
B. Motivates and enhances community participation.
C. Prepares and submits required reports on time.(statistic)
D. Coordinates with individuals, families, groups for health
services(coordinator)

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.

31. Teaching the families on promoting mental health at home in this


pandemic time should focus on the following EXCEPT
A. seeking community support
B. observing open communication
C. engaging in social media the whole day
D. reaching out to friends

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

34. Which of the following information about severity of mental illness


would be important to the mental health program in the community setting
A. Mentally ill patients are always dangerous.(-)
B. Mental illness is hereditary.
C. Mental illness is not curable(-)
D. Mental illness is a global concern

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 (+)

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Situation- A public health nurse is giving orientation to three beginning nurses
who are hired by the local government unit under the Nurse Deployment Program.

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

38. Accountability also includes a commitment to continuing education to


stay current and knowledgeable. According to the guidelines Implementing

ANAQUE REVIEW CENTER 13


Continuing Professional Education for Nurses (CPE), from which of the
following can a nurse earn credit units?
1. Participation in seminars
2. Engagement in a research project
3. As peer reviewer
4. Innovations

A. 2 and 3 only C. 1 and 2 only


B. 1, 2, 3 and 4 D. 1, 3 and 4

39. The primary purpose for requiring continuing education is to


_________.
A. Quality for work abroad
B. Improve nursing competency after registration
C. Comply with the Board of Nursing Requirements
D. Ensure legal practice

40. To better address emerging public health issues, a public nurse


enrolls in a course in:
A. Ethics C. Communication
B. Research D. Leadership

ANAQUE REVIEW CENTER 14


Situation - Nurse Betty knows that ethics is important in community health
nursing practice and that ethical decisions are conducted in a universal and
standard framework.

41. One step in ethical decision-making is to place ethical issue or


dilemma within a meaningful context. The rationale for this step is:
A. The nature of ethical issues and dilemmas determines the specific ethical
approach used.
B. People cannot make sound ethical decisions if they cannot identify
ethical issues and dilemmas.
C. Multiple factors affect the interpretation and justification of ethical
issues and dilemmas.
D. Health professionals cannot avoid choice and action in applying ethics in
their work setting.

42. The historical character in nursing whose work in environmental health


providing care to destitute people, and disease prevention establish the
nurse as a leader and community-oriented was ______________.
A. Lilian Wald(henry st.) C. Margaret Sanger
B. Virginia Henderson D. Florence Nightingale

ANAQUE REVIEW CENTER 15


43. Ethical decision making is the component of ethics that focuses on
___________.
A. The result of the decision.
B. The process of how decisions are made.
C. The factors impinging on making decision.
D. Who makes the decision.

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.

Situation - Interdisciplinary teamwork is an important model for delivering


health care to patients. Integrating services among many health providers leads
to better outcomes delivered to underserved populations and communities with
limited access to health care.

46. Professional group productivity and member satisfaction are best


achieved by which of the following leadership styles?
A. Democratic C. Laissez-faire
B. Authoritarian D. Autocratic

Best leadership style in community

ANAQUE REVIEW CENTER 16


47. As a member of a professional work-related group you know that:
A. Functional goals are assigned by management.
B. The leader is responsible for overall functioning.
C. The members summarize progress and allocate assignments.
D. The cooperation of all members are required.

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.

49. Groups with a laissez-faire leader are likely to be __________.


A. More structured in format(democratic C. More productive
B. Less productive. D. More satisfying to members.

ANAQUE REVIEW CENTER 17


50. You have volunteered to be part of a work group whose purpose is to
look at ways to prevent medication errors. You know that:
A. Teamwork enhances the probability of goal achievement.
B. Group process is not important in a task.
C. The leader assumes responsibility for the overall group functioning.
D. the goals should be set by management.

Situation- Nurse Danica is assigned to the Health Education initiative of the


health center.

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

53. Based on the Theory of Adult Learning by Knowles, which of the


following principles will guide the nurse to be an effective educator?
A. Educational attainment
B. School where the participants graduated
C. Age and gender of learners
D. Environment and learners' participation

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

57. What are the MAIN components of collaboration?


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A. Shared vision C. Working together
B. Achievement of goals D. Partnership

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

59. Which of the following is an ESSENTIAL element of effective


collaboration?
A. Communication C. Networking
B. belongs to one team D. Delegation

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

NOVEMBER 03, 2022 FINAL COACHING


Situation - Nurse Nancy is in charge of the Geriatric care program of the
barangay.

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

INTEGRITY VS. DESPAIR (65 TO DEATH)- START OF OLD AGE PERIOD


50 YRS OLD AGE OF WISDOM

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

64. Care giving to older person can be burdensome to other members of


family who are the caregivers. During home visit to the family, the nurse
should look for symptoms of ______.
A. Agitation C. withdrawal
B. Burnout D. Suicidal tendency

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.

1. Capital budget capital items, new supplies, equipments and facilities


2. Operational budget salaries, benefits, medical surgical supplies, bills and rents
3. Cash budget cash on hand
4. Personal budget - Estimate of cost of direct labor

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

Strength advantages of organization


Weakness areas for Q.I
Opportunities external factors that will build strength
Threat potential harm or problem

68. For cost effectiveness measure which of the following is the BEST
nursing action

B. Identity resources needed to accomplish task


C. Assign the utility worker to keep track
D. Allow everyone to take responsibility

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.

70. Which of the following is a measure of safe work environment?


1. Complies with standard
2. Observe protocols
3. Adheres to policies
4. Observe quality
A. 2,3,4 C. 3,4
B. 1,2 D. 1,2,3,4

Situation In public health, quality improvement (QI) techniques are used to


improve performance and service delivery

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

Plan plan (recognize opportunity, mapping current and proposed


process and collecting data and analyze result)
Do perform (test change, carry out small scale of study)
Check monitor (review test, analyze result and identify learning
Act
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CENTER (taking the action,20use plan for new improvement)

-
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

Control chart /shewhart chart


studies changes in a process over time
data plotted in time order
Pareto chart
bar graph, analyze data about frequency of problems in a process
Scatter diagram
X and Y graph, root cause analysis, relationship of 2 variables

74. The steps in conducting quality improvement consist of the following:


1. Identify and select strategies
2. Evaluate QI outcomes
3. Implement solution in small scale
4. State the problem
5. Expand scope of QI throughout the organization

Which is the correct sequence in the QI process?


A. 4, 1, 3, 5, 2 C. 4, 2, 1, 3, 5
B. 2, 1, 5, 3, 4 D. 1, 4, 5, 3, 2

75. Client satisfaction survey is an important and commonly used indicator


for measuring the quality in health care. In the context of public health,
which is NOT a purpose of satisfaction surveys? To _____________.
A. Serve as essential sources of information for identifying gaps
B. Directly address the health problems presented
C. Present the likelihood of continuing client-provider agency
relationships
D. Provide data about health-seeking behaviors

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.

76. Which of the following is an important tool of assessing quality in


the delivery of health services?
A. Research C. Nursing process
B. Standards D. Legislation

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?
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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.

81. Which of the following is an evidence of a poor family coping Index


related to healthcare attitudes?
A. A parents who washes the wound of the child with running water
B. The family who observes the habit of cleaning surroundings.
C. A young mother who introduced solid food to her three-month-old baby.
D. A mother who brings her child to be vaccinated for measles,

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

84. In utilizing family coping index nurses should be knowledgeable that


the focus of this tool is identifying the family's ________.
A. strategies to deal with stressful situations
B. Manner of interaction
C. Ways of managing health needs and challenges
D. Patterns of health habits

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.

86. Public health surveillance includes the following activities, EXCEPT


___________.
A. Data analysis C. Disease control
B. Data collection D. Data interpretation

87. Public health surveillance can be BEST described PRIMARY as which of


the following?
A. A system for collecting health-related information
B. A method to monitor occurrences of public health problem
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C. A program to control disease outbreaks
D. A system for monitoring persons who have been exposed to
communicable disease

88. Which of the following is NOT a criterion for prioritizing health


problem for surveillance?
A. Incidence of the problem
B. Number of previous studies of the problem
C. Social and economic impact of the problem
D. Public concern about the problem

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

90. Common uses and applications of public health surveillance include


which of the following examples?
1. Detecting individual persons with malaria so that they can receive
prompts and appropriate treatment.
2. Helping public health officials decide how to allocate their disease
control resources.
3. Identifying changes over time in the proportion of children with
elevated blood lead levels in a community.
4. Documenting changes in varicella (chickenpox) incidence, after a law
mandating varicella vaccination in the Expanded Program of
Immunization took effect.

A. 1, 2, 3, and 4 C. 1, 2, and 3
B. 1 and 2 D. 2 and 4

Situation A 7 Magnitudeearthquake struck last July 27, 2022 inNorthern Luzon.


Mary grace was a trained nurse in emergency and disaster preparedness.

91. As a primary health care giver, which of the following activities


should Nurse Mary Grace NOT involve in?
A. Recovery of primary health care activities.
B. Water safety and quality
C. Food safety and food security
D. Search, rescue and evacuation.

92. One function of Mary Grace in emergency and disaster is to provide


immediate care EXCEPT?
A. Victim identification and reporting
B. To coordinate with military
C. Trauma care
D. First aid, triage, and transport of victims.

93. A resident in Abra by the name Aldrim Richard sustained injury.


First aid was initiated by Nurse Mary Grace. This is given _________.
A. During the arrival of an ambulance or doctor.
B. Before the arrival of an ambulatory doctor or other qualified
personnel.
C. Before the arrival of an ambulance or doctor.
D. During the arrival of an ambulance, doctor or other qualified
personnel.

94. Which of the following is NOT true regarding nurses responsibilities


in disaster preparedness?
A. Nurses will be leaders in the incident command structure set up at the
disaster site.
B. Nurses have a personal and family plan as a part of their disaster
preparedness plan.

ANAQUE REVIEW CENTER 23


C. Nurses who are prepared for disasters will be better able to help
themselves, their families, and their communities in a disaster
situation.
D. Nurses have a responsibility to the public to be knowledgeable about
disaster preparedness response.

95. Mary Grace considers the following factors in patients triage EXCEPT
_______.
A. Pulse and respiration C. Mental status
B. Temperature D. Ability to work

Situation- Occurrence of the conflicts is a natural part of the workplace.


Conflict management is the ability to be able to identify and handle conflicts
sensibly, fairly and efficiently.

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

97. Which actions are MOST important in preventing conflict to occur?


1. Allocate resources fairly.
2. Keep problems confidential.
3. Address staff fears.
4. Clearly state expectations.
5. Keep lines between roles flexible.

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.

ANAQUE REVIEW CENTER 24

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