NP1

9. Which activities are appropriate for the nurse to collaborate with a patient? 1. Prescribing a new medication dose 2. Health promotion activities 3. End-of-life comfort decisions 4. Interpreting laboratory results 5. Lifestyle changes to improve health A. 2,3,5 B. 2,4,5 C. 1,4,5 D. 1,3,4

A. 2,3,5

37. To obtain the MOST complete information when doing an assessment for a 75 year old patient, you will _______. A. Ask the patient to write down medical problems and medications B. Use a geriatric assessment instrument to evaluate the patient C. Interview both the patient and the primary patient caregiver D. Review the patient's chart for the history of medical problems.

B. Use a geriatric assessment instrument to evaluate the patient

17. REPORTS are prepared usually for administrative purposes. Which of the examples below is NOT a report? A. Summary of services delivered B. Accomplishments and failures of services C. Description of a program and planned for D. Client information and profile

C. Description of a program and planned for

45. Collaboration and Cooperation is crucial to the achievement of PHC goals. The referral system among the RHU, non-government organization, and local social welfare and development office is classified as what type of relationship? A. Intra-sectoral Collaboration B. Coalition building C. Intersectoral Collaboration D. Network Linkage

C. Intersectoral Collaboration

8. Which patient scenario describes the BEST example of professional collaboration? A. The nurse, physician and physical therapist have all visited separately with the patient. B. The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation. C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy. D. The nurse, physical therapist, and physician have all developed separate care plans for the patient.

C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.

42. Which Asian Country is considered among the FIRST to adopt the principles of PHC? A. Malaysia B. Indonesia C. Thailand D. Philippines

D. Philippines

35. Which of the following examples would indicate observance of client confidentiality? A. Reading a friend's chart in another health care facility B. Describing a difficulty with a client in a health team conference C. Using a client's name in a social conversation D. Talking about the client's symptoms in front of family members.

B. Describing a difficulty with a client in a health team conference

44. Nurse Magbanua recognizes that health services offered, are to be in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as _____. A. Availability B. Acceptability C. Affordability D. Accessibility

B. Acceptability

Situation 8: Non-Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above. 36. When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching? A. Impact of the patient's family history on likelihood of developing diabetes B. Symptoms indicating that the patient should contact the health care provider. C. Effect of endogenous insulin on transportation of glucose into cells. D. Function of the liver in formation of glycogen and gluconeogenesis

B. Symptoms indicating that the patient should contact the health care provider.

Situation 9: After passing the Nurse Licensure Examination, Nurse Magbanua takes her first job in a Rural health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care. 41. The key global agency that initiated the Alma Ata Conference on Primary Health Care is the: A. World Bank B. World Health Organization C. CARE international D. United Nations Children's fund (UNICEF)

B. World Health Organization

22. Ms. Lontok would require information regarding the supervisory needs of the midwives which can be taken from which of the following? 1. Review of records and reports 2. Interview of the midwives 3. Review of literature 4. Observation of the midwives at work 5. Results of survey among the staff A. 2,3,5 B. 1,3,4 C. 1,2,4 D. 2,4,5

C. 1,2,4

Situation 1: Boy George is a 15-year-old adolescent who lives with his mother and father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt 1. When performing a family assessment, select what the nurse must FIRST determine: A. How the family expresses and manages emotions. B. The communication patterns between the patient and parents. C. Names and relationships among family members. D. The meaning that the patient's suicide attempt has for family members.

C. Names and relationships among family members. (interview guide will start w/ demographic, followed by socio-economics, next is home and environment, health and health status)

12. Nurse Roger is guided by the ICN framework of disaster nursing competencies. This framework consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster. What consists of the FIRST stage? A. Response B. Preparedness C. Prevention D. Recovery

C. Prevention

25. After setting the objectives and selecting the activities, Ms. Lontok would need to identify the indicators for evaluation. Which one is NOT included? A. Needs met B. Performance increased C. Promotion achieved D. Quality of service improved

C. Promotion achieved

29. Ms. Isay has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display? A. Improving the effectiveness of care provided B. Sponsoring a fund-raising project C. Volunteering for a community action D. Providing health interventions for individuals

C. Volunteering for a community action

2. Which of the following is the BEST QUESTION for the nurse to ask to assess a family's ability to cope? A. "Do you think your family copes effectively?" B. "What do you think of the current family problem?" C. "What strengths does your family have?" D. "Can you describe how you successfully handled one family problem?"

D. "Can you describe how you successfully handled one family problem?"

Situation 5: Ms. Lontok, a Public Health Nurse Supervisor, is preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document on how to organize and systematizes supervisory activities. 21. The need for supervision may arise from the following: 1. Lack of staff motivation 2. Conflict between personal and organizational goals 3. Lack of knowledge and skills 4. Desire for promotion or job permanency 5. Achieve health goals for the agency A. 2,3,4 B. 1,4,5 C. 3,4,5 D. 1,2,3

D. 1,2,3

Situation 2: Collaboration is being able to work cooperatively and efficiently with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities.6. Which of the following is NOT recognized as part of the nurse's role as member of the health team? A. Care manager and supervisor B. Provider of care and educator C. Patient advocate and supporter D. Performing physician's functions with supervision

D. Performing physician's functions with supervision (dependent role)

5. Parents of Boy George say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Which of the following is the nurse's MOST helpful intervention?* A. Facilitate achievement of normal developmental tasks of the family. B. Build the parents' self-concept as coping patterns. C. Teach the parents techniques of therapeutic communication D. Refer the parents to a support group

D. Refer the parents to a support group

Situation 7: Ethical issues on a day to day basis often involve patient communication and advocacy. It may also include questions about end-of-life care. Nurses are often the ones working closest with patients and families while administering care.31. What is the appropriate approach for the community /public health nurse in balancing individual privacy and autonomy and the community's needs for safety and security? A. Fulfill agency policies first B. Implement professional standards of nursing practice C. Remember that group -needs outrank individual needs D. Seek a balance between individuals' needs and the community's needs

D. Seek a balance between individuals' needs and the community's needs

27. Nurse Isay included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data? A. Health status data B. Health care resource information C. Health risk factors D. Sociodemographic data

D. Sociodemographic data

20. Which of the following relates to the family's Nursing PROBLEM? A. Inability to assume health tasks with respect to health problems B. Crisis situation or developmental deficit C. Health Threats, risks or hazards D. Strained relationships or disunity

D. Strained relationships or disunity

Situation 3: Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.11. Which of the following BEST defines a disaster? A. Any event that results in multiple deaths. B. Devastation that covers a broad geographical area. C. Devastation that cannot be relieved without assistance D. The event results in multiple injuries, deaths, and property damage.

D. The event results in multiple injuries, deaths, and property damage.

4. Which information is the nurse MOST likely to find when assessing the family of a patient with mental illness? A. Power in the family is maintained in the parental dyad and rarely delegated. B. Several family members have serious problems with their psychological health. C. Stress that living with a mentally ill member has challenged the family's function. D. The family exhibits many characteristics of dysfunctional families.

D. The family exhibits many characteristics of dysfunctional families.

14. Nurse Roger adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk ensuing a disaster, which of the following is the MOST appropriate approach? A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel better." B. "What you need to do now is to wait for instructions and services to be provided." C. "Don't feel bad. Others are in the same situation as yours." D. "You need not cry. You need to move on and build your life again."

A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel better." (debriefing, under recovery, to prevent further problems)

10. The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by the patient with Tuberculosis. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse? A. "I would like to listen to your concerns about the prescribed dose." B. "It is important that you do what the physician has prescribed." C. "I can come back after you talk with your spouse about the care."\ D. "Let me review what is needed again, then I'll talk to you later."

A. "I would like to listen to your concerns about the prescribed dose."

23. Ms. Lontok prioritizes supervisory needs and problems based on the following criteria, EXCEPT _____. A. Convenience to both parties to address needs. B. Degree of importance of the identified need C. Availability of resources needed D. Activities needed to meet the identified need

A. Convenience to both parties to address needs.

13. Nurse Roger has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following BEST describes the purpose of this meeting? To ____. A. Enhance communication among agencies in the community B. Increase stability in the community C. Manage response to disasters in the community D. Improve overall community functioning

A. Enhance communication among agencies in the community

38. Which information about a 77 year old patient who is being assessed by the public health nurse is of UTMOST concern? The patient _________. A. Says, "I don't go on my daily walks since I had pneumonia two months ago. B. Tells the nurse, "I prefer to manage my life without much help from others." C. Uses three different medications for chronic heart and joint problems. D. Organizes medications in a marked pillbox "so I don't forget them."

A. Says, "I don't go on my daily walks since I had pneumonia two months ago.

28. Working in the community with an aggregate/population, who does Ms. Isay MOST likely to interact with? A. Students in a local high school B. Patients at the local hospital C. Residents who play basketball D. Christians in the community

A. Students in a local high school

3. The mother of Boy George asks the nurse, "Why do you want to do a family assessment? My teenager is the patient, not the rest of us." What is the BEST response of the nurse? A. "Family dysfunction might have caused the mental illness." B. "Every family member's perception of events is different and adds to the total picture." C. "Family members provide more accurate information than the patient." D. "Family assessment is a protocol for care of all patients with mental illness."

B. "Every family member's perception of events is different and adds to the total picture."

18. There are commonly used records and reports in public health nursing practice. The individual clinical record contains which of the following information? 1. Socio-demographic characteristics 2. Patient's chief complaint 3. Physical examination of drugs 4. Frequency of clinic check up 5. Attendance to community settings A. 1,3,5,6 B. 1,2,3,4 C. 1,2,4,5 D. 3,4,5,6

B. 1,2,3,4

40. Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management? A. 71 year old with appendicitis who has had an emergency appendectomy B. 60 year old with bilateral knee osteoarthritis who weighs 350 lbs (159 kg) C. 54 year old with cholecystitis who has had a laparoscopic cholecystectomy D. 62 year old with acute sinusitis who will require antibiotic therapy for 5 days

B. 60 year old with bilateral knee osteoarthritis who weighs 350 lbs (159 kg)

Situation 4: In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports. 16. You want to distinguish between records and reports. As applied to public health, the following are types of RECORDS, EXCEPT ________. A. Events such as births, illness, deaths B. Analysis of a problem situation C. Clinic consultation D. Written data on home visit

B. Analysis of a problem situation

43. Nurse Magbanua is aware that she has to use "tools and methods that are suitable and acceptable to the families and communities" that she serves. This PHC principle is referred to as _____. A. Cultural application B. Appropriate technology C. Essential methodology D. Community participation

B. Appropriate technology

39. When caring for an older adult who lives in a rural area, you will A. Ensure transportation to appointments with the health care provider. B. Assess the patient for chronic diseases that are unique to rural areas. C. Obtain adequate medications for the patient to last for 4 to 6 months D. Suggest that the patient move to an urban area for better health care.

B. Assess the patient for chronic diseases that are unique to rural areas.

7. The health team has brainstormed for ideas on creating a more collaborative environment in a health care facility. Which idea or action would be the BEST to develop further? A. Develop a plan for the different team members to follow and show impact of their work. B. Emphasize that no one profession has all the necessary competence to provide all care. C. Hold education sessions regarding collaboration for each unit. D. Institute collaborative strategies that are traditionally practiced

B. Emphasize that no one profession has all the necessary competence to provide all care.

32. In regard to informed consent, which of the following statements is TRUE? A. Client may not be told about costs and alternatives to treatment. B. Consent must be voluntary C. Only parents themselves should give consent for minor children D. Legally incompetent adults can give consent

B. Consent must be voluntary

Situation 6: As a public health nurse, Ms. Isay intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve health of the people. 26. Nurse Isay collects data and monitors the health status of the population. Which of the following core public health functions is being implemented? A. Assurance B. Policy Development C. Assessment D. Prevention

C. Assessment

19. The Family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. THE FSPR consists of four parts, the FIRST being ______. A. Health and Nursing Problems B. Nursing care plan C. Assessment of the family and the Environment D. Service and progress Notes

C. Assessment of the family and the Environment

24. During the actual supervisory visit, Which of the following is NOT expected of Ms. Lontok? She ____. A. Discusses the objectives of the visit B. Expresses appreciation and support given for the visit C. Conveys a formal, strict approach to the midwives. D. Explains the process and outcomes of the visit

C. Conveys a formal, strict approach to the midwives.

15. As he passed by a road going to an evacuation center, Nurse Roger encountered a flash flood. A flash flood ___________. A. Occurs suddenly and for a short duration. B. Is caused by the blocking of drains C. Is caused by heavy rains D. Occurs in urban areas.

C. Is caused by heavy rains

30. Ms. Isay is working to improve population-focused care in the community. Which of the following BEST describes a key opportunity for nurses like her to accomplish this goal? A. Assuming traditional nursing roles B. Conducting community assessment C. Specializing in community health practice D. Influencing public health policy

D. Influencing public health policy

34. During a routine visit, the nurse noted that Perlita, 20 year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of _________. A. Malpractice B. Reasonable prudence C. Maleficence D. Negligence

D. Negligence

33. The client has a 'living will' (legal)in which he states he does not want to be kept alive by artificial means even at home. The client 's family wants to disregard the client's wishes and have him maintained on artificial life support (unethical). The most appropriate initial course of action for the nurse would be to: A. Allow the family to ventilate their feelings and concerns B. Tell the family that they have no legal rights C. Report the situation to the hospital's Ethics Committee D. Advise the family that they have the right to ignore the living will as the patient cannot speak

A. Allow the family to ventilate their feelings and concerns