NP 1
1. Nurse Ana collaborates with the health team in conducting the community diagnosis as assessment tool to identify the health status of the community. Ana must bear in mind that the following are correct but one)
A. Community diagnosis is a quantitative and descriptive study that entails inferential statistics
2. In identifying the priority problem of the community, Nurse Ana and the members of the health team identifies this as a basic indicator:
A. Social magnitude
3. The planning phase of the community health nursing process involves the application of nursing theories. Nurse Ana highly regards the definition of Imogene King of the community in identifying goals and objectives. This refers to
A. Quality interactions between individuals, groups, and the entire community that contribute to community functioning and development
4. The implementation phase of the community health nursing process will at its best if Nurse Ana make sure that
A. People participated actively and fully in assessment and planning phases of the process
5. During the evaluation phase, Nurse Ana looks into the minimum level of successful performance. Most helpful will be the previously identified
C. Objectives
Situation 2: Given the Castro family: Alex (42 yrs) head, Institutonal worker in the City Hospital; Rosalie (40 yrs), a domestic helper in Hong Kong for almost 10 years; Marites (16 yrs) eldest daughter, senior high school student and living with Rosalie's parents in Buiacan. The other children are Alex Jr. (14 yrs), second year high school and Jason (12 yrs), grade 6. The Castro family resides in a two-storey old house inherited by Alex from his departed parents. Nurse Dessa encountered the Castro thru Alex who is part of a diabetic group being followed up by the health center. Rosalie had a vacation for a month. She was so excited to be with her family and had hoped to be together while she was home.
6. Marites could only stay in the evenings of Fridays and had to go home to Bulacan after lunch of Sundays. On one occasion, Rosalie discovered that her daughter has a boyfriend. She was so mad she uttered unkind words to Marites who answered back causing more hurt to her mother. Marites said she grew up on her own with no mother to guide her even on her confusion when she had her menarche. Then suddenly Rosalie is there playing the strict mother role. The most appropriate nursing diagnosis for this situation is:
C. Interrupted family processes
7. The situation with Marites made Rosalie decide to look closer on the condition of her other children. She found out that Alex Jr. is already smoking and has been drinking alcohol. She was fuming mad not because of the money being spent on cigarettes and alcohol but on the unhealthy behavior of her son at a very young age. Alex's unhealthy behavior will provide essential cues to this problem:
A. Risk-prone health behavior
8. The worst came when Rosalie found out the elicit relationship of her husband with a neighbor and their two year old Son. The betrayal and hate crept into her heart as she recalls the isolation, hard work and loneliness she had while working abroad just to provide for the material needs of her family. She can forgive but never forget. She wants a legal separation from her husband. The appropriate nursing diagnosis is
A. Dysfunctional family processes
9. In the structural-functional model, the Castro family's problems based on their nature will be classified by Nurse Dessa as:
D. Stress point or foreseeable crisis situation
10. Rosalie and her children had a reconciliatory session. Love for mother and children prevailed. They commit to have a more open communication lines. The children promised to be responsible children in recognition of the efforts and sacrifices of their mother. Arrangements were made s Rosalie assumes single parenting to their children. These are interventions to this particular nursing diagnosis:
C. Readiness for enhanced family processes
Situation 3 - Given the Santos family composed of Eduardo (head) 45yrs. Old, Divina (wife) 39 yrs old and their children: Edna (17 yrs. old), Eva (15 yrs), Eduardo Jr. (13 yrs). Eduardo is a machinist working in Riyadh. The eldest child has two children Dino (2 yrs) and Eve (11 months). Edna is a single mother and her two children were sired by different boyfriend. Nurse Carmen takes care of the Santos family.
11. Nurse Carmen classifies the family as
B. Matriarchal and extended
12. Because of her condition, Edna has stopped schooling and had a very limited number of friends. Edna claims that a teen mother will not be able to have an education, practice a profession, establish a well-respected family, and enjoy a dignified and respectful life. The best thing for Nurse Carmen to do is
A. Address the syndrome of failure through individual and family coping and strengthening support mechanisms
13. In one home visit, Nurse Carmen was able to converse with Eva who confessed that she is madly in love with her boyfriend but is very much afraid that she may have the same fate with her elder sister. Nurse Carmen best advice is to
A. Post pone coital debut and explore other forms of expressing love
14. Nurse Carmen noticed that Eduardo Jr. is effeminate and suspects that he is gay. To validate her suspicion to assist Eduardo Jr. for potential nursing problems, Nurse Carmen must consider the following but one:
A. All effeminate men are homosexuals
15. In the developmental model of family health, Nurse Carmen bears in mind that the major concern for this developmental stage of the Santos family is
C. Releasing children as adults
Situation 4-In his community diagnosis, Public Health Nurse Santi computed for the Vital Statistics of Barrio Z.
16. Nurse Santi computed the crude birth rate and got 105. The correct statement to interpret the result is
D. 105 births in every 1000 population
17. To establish the relative importance of tuberculosis as a killer, Nurse Santi utilizes which of the following data:
A. Proportionate Mortality Rate of TB: 33%
18. Given the selected data of Z: total births: 20
Total population of women: 5,000
Total population of women 15-44 years old: 1,000
Total married women: 2,000
Total Population: 12,000
The True Fertility Rate computed by Nurse Santi is
C. 10
19. The computed neonatal mortality rate is 10 and the infant mortality rate is 44. To extrapolate the mortality rate of those 28 days and above based on the selected data, Nurse Santi will assume
A. 34
20. Nurse Santi computed for the Swaroop' Index of Z based on the following data:
total deaths of 50 years and above: 100
Total deaths of below 50years: 400
Total population: 12,000
What equation did he use?
100/500 x 100
Situation 5 - The Nurse Supervisor Chona is making her thesis for her Master's Degree. Her thesis is on the level of obstetrical risk and maternal role competence of women with three pregnancies.
21. Basically, the interest of the Nurse Chona as an investigator is
C. The relation of obstetrical risk and maternal role competence
22. The nurse will conduct a retrospective study. Her null hypothesis will be stated as
D. The degree of obstetrical risk is not related maternal role competence
23. In her thesis, Nurse Chona conducted an intricate set of investigation. Other than the key-informant interviews,she conducted a survey among the children of the respondents and another one among their husbands. She intends to validate her findings through a quantitative study. This is called:
B. Triangulation
24. To establish the perception of obstetrical risk and the levels of defining obstetrical risk. Nurse Chona will conduct this particular quantitative study before the perceived definition of level of maternal role competence:
D. Phenomenological study
25. If the panel members deem her study to be complicated for a thesis, Chona will have no option but to track postpartum mothers to assess their obstetrical risk and identify later the level of maternal role competence when their babies reach school age. This study refers to:
C. A longitudinal study that will follow through the respondents at each particular time period
Situation 6: Barangay Prinsa is an organized agricultural community and intends to establish a community-based health program (CBHP). Community Health Nurse Beto attended the preliminary meetings with the officers of the people's organization.
26. The setting up of a health program in an organized community is different from having it in a community that is unorganized. Nurse Beto must bear in mind these variations. Which of the following statements is wrong?
A. The health program becomes a support program in an unorganized community while it is an entry point to organizing in an organized community
27. Upon entry to an organized community, Nurse Beto attends a general assembly to introduce the community-based health program. As Community healt Workers (CHWs) are pre-elected already based on the criteria given to the PO, Nurse Beto will inform the people of the first major activity of the training phase. This is the:
A. Training needs analysis (TNA) that is done through a community diagnosis
28. In the training on Community Diagnosis, the head of the P0 recommended the participation of representatives from the women, youth and socio-economic sectors of the organization. Nurse Beto will
A. Accept as community diagnosis can be further specified in these sectors to better identify more particular health problems that the sector is confronted with
29. After the community diagnosis, the training curriculum was developed. Upon presentation to the officers of the fraining content, the head requested the incorporation of minor surgery in the training. Nurse Beto's best response is:
A. Concentrate first on the basic training to muster basic health competencies before advanced topics
30. Setting up a health program in an organized community is most welcome. The biggest advantage is that
A. The health staff is able to focus on the health component thus facilitating a more in-depth transfer of health technology with an assurance of utilization and continuity
Situation 7: Proper Documentation
31. Which of the following best describes the function and purpose of the unusual occurrence (incidence) report?
B. A hospital record used to record the details of the incident report for possible legal reference
32. If the nurse is involved in a situation in which he must counter sign the charting of the paraprofessional, which or the following will most aid in the decreasing legal liability?
B. Have personal knowledge of the information contained in the document
33. The nurse transcribing the physician's order finds it is difficult to read. Which of the following people should the nurse consult for clarification of the order?
C. The physician who wrote the order
34. The nurse caring for this patient fails to put up one of the side rails and appropriately restrain the patient. The patient falls out of bed. Radiographs reveal a fractured hips and wrist. The patient's family files a lawsuit. The lawsuit will most likely accuse the emergency nurse of.
A Negligence
35. Which of the following would not constitute negligent conduct?
D. Disagreeing a physician
Situation 8: Hilaria Compound is an urban poor pocket in a city south of Manila. This community is a melting pot of people coming from different regions of the country. The dominant ones are Bicolanos, Ilocanos, Warays and Pangasinenses. Public Health Nurse Cita taks care of the health needs of the community.
36. Hilaria compound exists since the 70s. From the original 27 houses it swelled to 523 based on the current data. Though the community suffered from fires, demolition threats and natural calamities, it persists to be the home of 3,661 individuals that may be of different ethnic groupings but blending into one distinct culture. Sociologists and community health nurses refer to this attribute of any community as bond among individual members. In simple terms, bond is aptly described as:
C. Similar interests or characteristics of the people
37. In the care of the community, Nurse Cita applies concepts and principles from different disciplines. The social sciences gave her different world views about the community that guide her in assessment, planning, implementation and evaluation. The most common ones are.
1- The community comprises a given society and is composed of integral parts called families (that are comprised
of individuals)
2 - Conflicts are always present in the community
3 - The community is always in a state of continuous movement and change
4 - A community that reached its peak of development will eventually dig its own grave of deterioration
5- Contradictions may be regarded positive or negative at the perspective of the community
6 - Development is inevitable
7 - A community servant can be a conflict resolver, source of conflict, a messiah or a catalyst of change.
8 - History guides people towards change from status quo to something better and higher
B. 1, 2, 3, 6 and 8
38. In consideration of the travails and hardships of urban poor life, Nurse Cita believes that Betty Neuman's concept of community health is most appropriate. This simply refers to
B. Competence of the community to function and maintain balance and harmony in the presence of stressors
39. A typical urban poor community will always have different problems and issues. Varied projects and programs are introduced by different sectors. In which of these initiatives will Nurse Cita actively participates?
1. Zero waste management
2. Movement for acquisition of land titles
3. Women's support group
4. Solar energy and technology
C. 1, 2, and 3
40. As public health nurse, Cita must always bear in mind that the primary goal in her community health nursing practice is
B. Promote health and prevent diseases in every community
Situation 9: Elmer is the newly assigned nurse in barangay Ticol in sorsogon. He applies the community organizing (Co) process.
41. The goal of Community Organizing is:
A. Community Development
42. The nurse initiates evaluation, criticisms and self-criticisms, and draw lessons from the activities of the health program. This is done in what phase:
D. Strengthening/consolidation
43. One of your most reliable barangay health worker is resigning. She said she has to work as laundry woman in the next barrio. Her family is having financial difficulties. The best thing to do is:
C. Make her a part time BHW
44. The nurse coordinates with the basic sectoral service organization in order to
A. Ensure start of sectoral organizing work for health program continuity
45. Which of the following strategies could result to self-reliance of the people in the community?
B. Organization of the people towards their own health and development
Situation 10: The Community Health Nurse and the most common sexually transmitted diseases.
46. Tina Maan manifests a genital ulcer that is cauliflower-like genital ulcer. The nurse may classify this as
D. Genital warts
47. Gonorrhea has a characteristic quality of discharge. This is
B. Greenish yellow
48. This sexually-transmitted disease manifests in painless single papule after 9-90 days:
A. Syphilis
49. PD 856 requires the following EXCEPT
D. Examination of gonorrhea every two months
50. Government facility that is responsible for the treatment of sexually-transmitted infections is
D. Social hygiene clinic
Situation 11: The health team conducts scientific investigation of a given health problem to provide clear-cut bases for services. As part of collaborative functions, the public health nurses actively participates in this studies.
51. The health team embarks on a program for adolescents. The most appropriate study for this purpose is
B. Comprehensive community diagnosis
52. The most practical method that the nurse will utilize to generate the biggest bulk of community data is
A. Sample survey
53. The data on leading causes of morbidity can be culled from reports of notifiable diseases made by field personnel, The following EXCEPT one are most common problems that affect accuracy of these data:
A. De facto registration
54. To ensure accuracy, adequacy, timeliness, validity and reliability of data in a community sample survey, the most appropriate sampling method to be used is
C. Stratified
55. What type of research is community diagnosis?
1- descriptive
2 - experimental
3- quantitative
4- qualitative
B. 1 & 4
Situation 12: Medical lawsuits
56. If a nurse will fully assaults a client, the nurse is held liable according to what law?
B. Criminal
57. To win a malpractice lawsuit against the nurse staff, what would Mr. Brown need to establish?
B. Decubitus ulcer resulted from lack of care
58. A nurse is being charge of malpractice. The element of malpractice is proven by determining that the nurse did not meet the standard of care is:
A. Duty
59. Coercing a patient into taking medication by threatening punishment could legally be considered:
B. Assault
60. To reduce the risk of a lawsuit based on false imprisonment, mental health professionals must be aware of the patient's right to:
A. Be treated to the least restrictive environment possible
Situation 13: Nurse Kim takes charge of immunization.
61. Nurse Kim is aware that in order to preserve the potency of vaccines she should strictly observe what safety and quality rule?
C. Maintain the "cold chain"
62. Frozen vaccines should undergo
C. Potency testing
63. Which of the following vaccines should be placed in the middle compartment of the refrigerator when these vaccines are stored?
B. BGG, DPT
64. Nurse Marty will give immunization in a mountainous area. In the strict observance of the cold chain, vaccines will be safely placed in the freezer EXCEPT
A. BCG
65. Which of the following dose of Tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and likewise provide 10 years protection from tetanus for the mother?
D. Tetanus toxoid 4
66. As typical urban poor community, one may expect the following EXCEPT:
D. Ethnocentrism becomes essential for survival
67. If a CH Nurse will develop a community health plan for Santos compound, the best consideration is
D. Objective analysis of objective conditions
68. Congestion is a feature of the community. The best intervention is
B. Zero waste management based on available resources
69. The following are examples of intra-community conflicts in Santos compound
1 - rumors and rumor mongering
2 - gang wars
3 - usury
4 - gambling
D. All of these
70. Which among these will be regarded as a priority problem by the urban poor dwellers?
C. Substance abuse
71. Morbidity data is based on classifications of notifiable diseases based on Republic Act 3573. The community health nurse must ensure that the following protocols but one
A. All types of pneumonia must be reported and classified as a major leading cause of disease
72. In interpretation of the Crude Birth Rate, the nurse must always bear in mind that the following are true BUT one:
D. May tend to increase in each passage of time
73. To present the 10 leading causes of morbidity, the Community Health Nurses considers the report of the field personnel. To localize and identify the top 10 morbidity causes of her community, the nurse computes for this indicator instead of presenting actual number of cases (count):
A. Prevalence rate
74. To compare health statistics of different countries to have a glimpse of the Philippine health situation in relation to global health, the nurse can look into the following indicators
1 - Crude birth rate
2 - General fertility rate
4 - Crude death rate
5 - Infant mortality rate
6 - Maternal mortality rate
7 - Swaroop's index
8 - Prevalence rate
D. 2, 4, 5 and 6
75. The specific causes of death and their rank is essential for preventive purposes. To really identify the cause of death, the most reliable source of data is the medical death certificate. With the following entries;
Immediate cause: Pneumonia
Intervening antecedent cause: Measles
Underling antecedent cause: Undernutrition
The nurse will conclude that the cause of death is
A. Undernutrition
76. Gina Venters is a 21-year-old college student who has just learned that she contracted genital herpes from her previous sexual partners. After completing the initial history and assessment for Ms Venters, the nurse will have data concerning areas pertinent to the disease. Which of the following would be unnecessary to include at this point?
D. Prior history of varicella
77. Which of the following nursing diagnoses would mostlikely apply to Ms Venters as she copes with the disease?
D. Disturbance in self-concept; personal identity
78. Which of the following techniques would not aid in preventing the spread of genital herpes to others?
C. Have sexual intercourse only to darkened environment
79. Why is it particularly difficult to assess females for gonorhea?
A. They rarely have earl distressing symptoms of the disease
Situation: Basic care for clients undergoing crisis
Maria Cordoba 25 year old woman in computer sales was raped on her way home from work one evening. The rape occurs in the parking lot where she is employed. A passerby finds her lying on the ground, in the emergency room area, she was admitted and tells the nurse that she was raped
80. Which of the following actions is the most important for tlie emergency room nurse to take?
C. Provide emotional support
81. The nurse in the emergency room can provide the best emotional support to Miss Cordoba by doing which of the following?
C. Telling her that at some point she may feel angry, afraid or sad and that these feelings are normal
82. A co-worker tells the nurse "Miss Cordoba" is so calm, I bet she wasn't even raped", the co-worker's response is probably reflected in which of the following statements?
D. She correctly knows that rape victims are hysterical after a rape not calm
83. After the physical exam is finished, Ms Cordobas quietly and calmly asks the nurse if she can see the psychiatrist for some crisis intervention. This type of therapy is mostly appropriate for which of the following reasons?
D. It may prevent serious psychiatric symptoms
84. The psychiatrist assesses Ms Cordoba. Which of the following will not necessarily be important for Ms. Cordoba at this stage?
D. An awareness of how she might prevent a rape in the future
85. According to the community mental health model, Ms Cordoba's rape incident would be considered as a crisis if the following condition occurs?
D. The stress generated was much greater than her support systems could handle
Situation 18: Hypertension is among the leading causes of morbidity in the community
86. The public health nurse participates in identifying hypertensive in the community. The DOH program is called
B. Bantay Presyon
87. This simple screening procedure is inexpensive also. This is an example of:
D. Mass screening
88. This is an activity under:
C. Secondary level disease prevention
89. Which among the following medicinal plants can be advised to hypertensives?
B. Sambong
90. A popular kitchen and cooking ingredient that is believed effective for treatment of hypertension is:
C. Bawang
Situation 19: In the community assembly called by the Barangay Captain, the new public health nurse as introduced. She noticed that most of the people attending the meeting are adult women with their children and few elderly men and women.
91. The said community assembly is part of the entry stage in community organizing where the PHN can
A. Understand why only a few people attend meetings called for by the LGU
92. To be able to establish rapport with the people, the nurse should:
C. Facilitate sharing of opinion among the people
93. The following problems raised by the people during the meeting can be considered health threats EXCEPT
1 Common cough and colds among children
2 Smoking among adolescents
3 Lack of budget to put up level II water system
4 Low level of health awareness of the people
5 Rampant pesticide-spraying in the farms
A. 3 and 4
94. Which of the following statements reflects the gender-responsive character of the PHN
C. Let us have a follow-up Mothers' Class on primary health care"
95. During the meeting, the Barangay Captain announced that he allocated funds for health coming from the Internal Revenue Allotment (IRA) of the Barangay. This is a reflection of the Barangay Captain's
C. Accountability to the people ("Pananagutan ko po")
Situation 20: Bernadette is the Rural Health Nurse of Sitio Sta. Lucia who is respected by the community. She has attended the Primary Health Care Seminar lately
96. Which of the following is the concept of Primary Health Care:
B. Partnership and empowerment of the people
97. Which of the following is the goal of Primary Health Care:
A. Universal access to health services
98. Which one of the following is the mission of Primary Health Care?
B. Mobilization of people to identify their needs
99. Which of the following Primary Health strategies refers to cooperation with local officials:
A. Devolved authority due to Code of 1991(RA 7160)
100. Which of the following strategies could result to self-reliance of the people in the community?
C. Organization of the people for their own development