NURSING PRACTICE I – COMMUNITY HEALTH NURSING, Exams of Nursing

Download NURSING PRACTICE I – COMMUNITY HEALTH NURSING and more Exams Nursing in PDF only on Docsity! NURSING PRACTICE I – COMMUNITY HEALTH NURSING Situation 1- According to the World Health Organization (WHO), there are major causes of non- communicable disease that pose challenges to the live and health of millions of people and threaten economic and social development of countries. 1. Which of the following are the four chronic disease referred to by WHO? 1. Cardiovascular Disease 2. Cancer 3. Dementia 4. Arthritis 5. Diabetes Mellitus 6. Chronic Obstructive Lung Disease a. 1,2,3 and 4 b. 1,2,5 and 6 c. 2,3,4 and 5 d. 2,4,5 and 6 2. The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide, using the 2015 estimate, is . a. Tuberculosis b. Diabetes Mellitus c. Ischemic Heart Disease d. Pneumonia 3. In the Philippines, which is the TOP Killer according to the Department of Health (2009 data)? a. Asthma b. Cancer c. Tuberculosis d. Cardiovascular Diseases 4. When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply? a. Single organism that causes the disease, such as cholera, must be studied in more detail. b. Focus should be on the factors or combinations and levels of factors contributing to disease. c. The rise in infectious and communicable disease must be the main focus. d. Genetics and molecular structure of disease is paramount. 5. Determinants of health to address the development of cancer in a community include: 1. Proximity of the community to chemical plants that emit poisonous gases. 2. High percentage of tobacco use among the residents. 3. Prevailing diet high in processed food and fat. d. Keep the client properly informed 15. 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 discuss the need with the physician. c. Encourage the client to pay someone to meet that need. d. Inform the client that insurance will not pay for the care. Situation 4: Nurse Rosas makes home visits to assigned barangays and meets families of different types. 16. One such family is a married couple who has two biologic children living with them as well as a child from the wife’s first marriage. What type of family is evident? a. Homogenous b. Extende d c. Blended d. Nuclear 17. Nurse Rosas encounters a married couple who is raising three children. Recently, the wife’s mother moved in. This family should be assessed as. a. Nuclear b. Extended c. Alternative d. Blended 18. When Nurse Rosas assesses a family, which family task would she consider having HIGHEST PRIORITY for health family functioning? a. Reproduction of new family members b. Physiologic maintenance and safety c. Allocation of family resources d. Maintenance of order and authority 19. Which documentation of family assessment indicates a healthy and functional family? a. Member provide loving and mutual support b. Under stress, members turn inward so as not to be burden others. c. Members believe they can depend in each other. d. Husband holds dominant power over his wife 20. Which of the following scenario BEST demonstrates a continuing healthy family? a. A couple renews their marital relationship after their children become adults b. A couple requires their adolescent children to attend church services three times a week c. One parent takes care of children. The other parent earns income and maintains the home d. A family has strict boundaries that require members to address problems within the family. Situation 5: 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. 21. Professional group productivity and member satisfaction are best achieved by which of the following leadership styles? a. Democratic b. Authoritarian c. Laissez-faire d. Autocratic 22. 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 is required. 23. 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 24. Group with a laissez faire leader are likely to be . a. More structured in format b. Less productive c. More productive d. More satisfying to members 25. You have volunteered to be part of a work group whose purpose is to look at ways to prevent medication error. 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 goal should be set by management Situation 6: Some disasters occur relatively frequent in certain parts of the world. The Philippines is one country that has experienced both natural disasters and human made disasters. 26. The public health nurse is aware of the importance of the need to perform roles in preparing for a disaster. The BEST example of one of these roles would be to: a. Assist in the prevention of injury b. Identify disaster risks c. Coordinate emergency care c. Artificial immunity d. Active immunity 32. She learned that the MOST important function of inflammation and immunity is a. Preventing any entry of foreign material b. Providing protection against invading organisms c. Regulating the process of self- tolerance d. Destroying bacteria before damage occurs 33. Nurse Shalom administers hepatitis B immunoglobin serum to Helen, which will provide her with passive immunity. One advantage of passive immunity is that it a. Encourages the body to produce antibodies b. Has effects that last a long time c. Is highly effective in the treatment of disease d. Offers immediate protection 34. Nurse Shalom explains to a mother whose ten year child just received a tetanus- toxoid injection that the toxoid vaccine confers which of the following immunity? a. Long lasting active immunity b. Lifelong natural immunity c. Intermediate artificial immunity d. Short-acting passive immunity 35. Nurse Shalom knows that one of the following is NOT a vaccine preventable disease, hence no immunity can be given to a child. a. Measle b. Polio c. Hepatitis B d. Asthma Situation 9: As a new public health nurses at a Rural Health Unit, Ms. Ofelia reviews basic concepts related to her position and job. 41. Ms. Ofelia know that the PRIMARY goal of community health nursing is to . a. Enhance the capacity of individuals, families and communities manage their health needs b. Contribute to people’s well-being through sustainable development goals projects c. Increase the productivity of the people by providing them with health services d. Support and supplement the efforts of the medical profession in illness preventions 42. Community health nursing (CHN) is a field of nursing practice. Which best explains this statement? a. The scope of practice depends on the health needs and problems identified. b. The services are delivered outside of purely curative institutions. c. The service are provided along with community health volunteers. d. The practice is conducted in the geographical location of people. 43. Ms. Ofelia is aware that she will be dealing with population as a client. Which of the following provides the BEST definition of a population? a. Cluster of individuals who are at-risk of certain health conditions. 4. State the problem 5. Expand scope of QI throughout the organization a. 1, 2, 3, 5, 2 b. 2, 1, 5, 3, 4 c. 4, 2, 1, 3, 5 d. 1, 4, 5, 3, 2 50. Client satisfaction survey is an important and commonly used indicator for measuring the quality in health 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 11 – Promoting mental health is equally important in promoting physical health. Unfortunately, metal health has been largely neglected. 51. Public Health Nurse Victoria is concerned about the impact of metal health on the community. She is preparing for a presentation about mental health in the Philippines. Which of the following information should be included? a. Mental illness is an increasing problem among the upper class. b. The incidence of depression is expected to decrease within the next 10 months. increase c. Almost one per 100 household has a member with mental disability. d. Post traumatic stress disorder is the most common of anxiety disorders. 52. The PRIMARY reason that mental illness often results in worsening of physical health problems is because of the . a. Loss of cognitive function b. Feelings of inadequacy c. Inability or lack of motivation for effective self-care d. Side effects of mental health modification 53. Nurse Victoria shared the statistics that intentional self-harm was found to be the 9th leading cause of death among 20-24 years old Filipino adults. Increasing number of mental health problems may be related to . (Select all that apply) 1. Poverty 2. Age of the parents 3. Family unemployment 4. Changes in family structure 5. Lost of community social support A. 1, 2, and 5 B. 1, 3, 4, and 5 C. 1, 2, 3 and 4 D. 1, 2 and 3 54. Nurse Victoria noted that there were number of poor older women, living alone, who are suffering from depression. Her FIRST goal is to . a. Improved quality of life b. Provide recreation and entertainment c. Reduce suicide risk d. Improve level of function 55. In promoting mental health, Nurse Victoria is cognizant of her nursing responsibilities. These include the following, EXCEPT: a. Teach parents the importance of community of providing emotional support to their children. b. Increase general knowledge of the community on knowledge on mental hygiene. c. Help the community address factors that promote mental well-being. d. Refer at once cases of bizarre behaviors to a psychiatrist. Situation 12 – Public Health Nurse Naomi applies model and concepts in epidemiology relevant to her nursing practice. 56. Nurse Naomi encourages that parents to have their kinds receive measles vaccination stating that those who are susceptible may have serious consequences. She also tells them of the benefits of the immunization. Most parents decide to have the immunization. Which of the following models is used to guide parent’s decision? a. Pender’s Health Promotion Model b. Precede-Proceed Model c. Reasoned Action Model d. Health Belief Model 57. In this situation, Nurse Naomi notes that the agent in the epidemiolocal triad that brings about measles is the . a. Genetic susceptibility b. School c. climat e d. virus 58. Nurse Naomi has to be alert about the time interval between the invasion by an infection agent and the appearance of the first sign or symptom of the disease. This is referred to as . a. Generation time b. Incubation period c. Communicability period d. Virulence 59. Should an outbreak of a gastrointestinal illness resulting from a food-borne pathogen happens, Nurse Naomi would likely to think that this is a/an: a. attack rate b. secular trend c. point epidemic C. 1 and 2 only D. 1, 3, 4 64. The PRIMARY purpose of requiring continuing education is to? a. Qualify for work abroad b. Improve nursing competency after registration c. Comply with the Board of Nursing requirements d. Ensure legal practice 65. To better address emerging public health issues, a public health nurse enrolls in a course in: a. Ethics b. Research c. communication d. Leadership Situation 14 – As a public Health nurse, you are aware that many members of the community are poor and underserved, affected their health status. 66. In the Philippines, poverty remain a challenge the following are some facts on poverty based on the latest (2015) statistical report. Which statement is NOT included? a. 28 percent of the country’s 97 million people live below the poverty line b. Fifteen million Filipinos will rise above poverty in 2020. c. Farmers, fishermen and children consistently posted the highest poverty incidence. d. More than 12 million Filipinos are living in extreme poverty. 67. In identifying factors that contribution to poverty, homelessness, and poor health of a deprived segment of a population, which of the following should you assess? a. Mental illness and community support b. Provision of social support and basic services c. Mobility and age of family members d. Neighborhood environment and sanitation 68. You have noticed that the population in a poor community has increased including the rise of pregnant women who are undernourished. You coordinate with the local social welfare department to provide food that are nutritionally adequate. This is considered: a. Health promotion b. Tertiary prevention c. Primary prevention d. Secondary prevention 69. In another segment of the community, you realize that there are young adult members who have poor nutritional habits. You know that these are risk factors for diabetes and cardiovascular disease. These risk factors can affect their . a. Future potential to change their dietary habits b. Ability to obtain health services. c. Ability to network social support systems d. Health status and employment potential 70. You have learned that people with mental and psychosocial disabilities are a vulnerable group. Who are restricted in their ability to access essential health and social care. In your advocacy, you will include the following messages, EXCEPT: a. Persons with mental and psychosocial disabilities should be confined in an institution b. Employment and job opportunities must be created for people with mental and psychosocial disabilities. c. Mental health should be included in services during and after emergencies and disasters. d. Mental health services should be integrated systematically into all health services including primary level care. Situation 15 – The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring appearance brought by the disease. 71. You call that Filariasis is caused by parasitic nematode known as . a. Wucheria bancrofti b. Necator americanus c. S. haematobium d. Plasmodium falciparum 72. The disease is transmitted to a person through bites of an infected female mosquito, known as . a. Aedes aegypti b. Culex c. Anopheles d. Aedes poecillus 73. You receive a 36-year-old man who was brought by his wife to be tested for Filariasis. The most likely diagnostic test that he will undergo is . a. Immunochromatographic test (ICT) b. Rumpel Leads Test c. Urinalysis d. Stool examination 74. A client in the ACUTE stage of Filariasis will include which of the following clinical findings? a. Hydrocele, lymphedema, elephantiasis b. Lymphadenitis, lymphedema and orchitis c. Orchitis, hydrocele, elephantiasis d. Lymphangitis, lymphadenitis, epididymitis 75. Effective methods that the government would likely to pursue to eliminate Filariasis in the country are all of the following, EXCEPT: a. Six months b. One year c. Five years d. Three years Situation 17 – Avelina has recently passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health. 81. The NDP is open to all nurses who fulfill the following qualifications, EXCEPT: a. Willing to undergo recruitment and selection process. b. Possesses an official and validation PRC – Professional Identification Card c. Must be at least 21 years old at the time of application. d. Physically and mentally fit as shown in the medical certificate. 82. The NDP has been designed by the Department of Health PRIMARY to . a. Improve local health systems in support of Universal Health Care b. Augment staff of rural Health units c. Provide experience to new nurses in terms of work realities d. Prevent nurses from seeking jobs abroad 83. Under this program, Avelina will be hired on a Contract of Services status. She will receive a monthly Salary (PhP) of: a. 13,000 b. 18,000 c. 15,000 d. 22,000 84. Nurse Avelina knows that as NDP nurse, she may be assigned in any of the following areas: 1. Rural Health Units 2. Barangay Health Stations 3. Disaster-prone areas 4. Level 1 LGU Hospitals 5. DOH Hospitals 6. Birthing homes a. 2, 4, and 6 b. 1, 3, and 4 c. 2, 3, 5 and 6 d. 1, 2, and 5 85. The NDP is a partnership between the DOH and other government agencies and organizations. Which of the following institutions is NOT included? a. Department of Social Welfare and Development b. Professional Regulatory Board of Nursing c. Local Government Units d. Philippine Nurses Association Situation 18 – Risk factors include genetic and physiological factors, age, physical environment and lifestyle. 92. “The dress code in this facility does not include wearing blue jeans while on duty.” This statement is an example of using which step in giving constructive criticism? * a. Listing consequences b. Expressing empathy c. Describing the behavior d. Stating expectations 93. Which of the following is an example of a barrier to successful negotiation? a. Understanding other’s perspective b. Becoming emotional c. Viewing negotiation as collaborative d. Avoiding phrases that are coercive 94. In one of your meeting you reminded the health center staff that there are quite a number of members in the community who have not reached primary school. Which of the following is the BEST communication intervention for a client who is illiterate? a. Use symbols and images b. Use touch with speech c. Personalize speech by using first name d. Speak loudly and clearly 95. You also emphasized that, “communication must be culturally competent to be effective”. Which of the following BEST reflects this statement? a. Listen actively to what is said. b. Reflect on the meaning of the message. c. Use simple, direct words. d. Provide an appropriate environment. Situation 20 – Ms. Nenita will be involved in an interdisciplinary research to be conducted by the city Health Office to address health problems of the population covered. To prepare for this tasks, she reviews her knowledge on the research process and research design. 96. Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors will be appropriate? a. Case-control b. Ecological c. Cohort d. Cross-sectional 97. The type of epidemiologic study that is used to describe a group of persons enrolled in a study who share some characteristic of interest and who are followed over a period of time to observe some health outcome is a(n): a. Cross-sectional study b. Experimental study c. Cohort study d. case control study 98. The research team will use summary indicators of health as method to depict health status. What is this approach called? a. Analytic b. Holistic c. Descriptive d. Evaluative 99. Ms. Nenita is specifically assigned to talk individually with community leaders like the primary grade teacher and the barangay official in charge of the health committee. Which data collection method will the nurse use? a. Key informant interview b. Community mapping c. Participant observer d. Social survey 100. Ms. Nenita suggested to use an analytic approach in their research. Which of the following statements BEST describes the analytic approach? a. Focuses on the community’s health problems and issues b. Utilizes health indicators to define population health c. Views factors that influence health and by which interventions to improve health are directed d. Addresses the social determinants of health to solve community’s problem