31/07/2023, 11:09 RECALLS 1 - NP1

SITUATION 1
Public Health Nurse Miya applies model and concepts in
epidemiology relevant to her nursing practice.

1. Nurse Miya encourages that parents to have their kinds receive measles * 0/1
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

Correct answer

d. Health Belief Model

2. In this situation, Nurse Miya notes that the agent in the epidemiolocal triad that * 1/1
brings about measles is the ______.

a. Genetic susceptibility

b. School

c. climate

d. virus

3. Nurse Miya has to be alert about the time interval between the invasion by an * 1/1
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

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4. Should an outbreak of a gastrointestinal illness resulting from a food-borne * 1/1

pathogen happens, Nurse Miya would likely to think that this is a/an:

a. attack rate

b. secular trend

c. point epidemic

d. event-related cluster

5. Which of the following denotes that resistance of an entire community to an * 1/1

infectious agent as a result of the immunity of a large proportion of individuals to
the agent?

a. Active immunity

b. Passive immunity

c. Natural immunity

d. Herd immunity

SITUATION 2
Counts and births, illnesses and deaths have to
be related to the population in whom these events occurred. This relationship
with a base population becomes important when one compares these events between
groups, communities, or countries with different sizes and structures.

6.  Fifteen (15) new cases of measles have been diagnosed last week in Barangay * 0/1
Carballo. In the same barangay, ten (10) children are currently being treated for
measles. What is the incidence of measles? 

A. Unknown

B. Ten

C. Fifteen

D. Twenty-five

Correct answer

A. Unknown

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7.  Mortality rate from two communities can be best compared after calculating the * 0/1
____.

A. Prevalence rates

B. age-adjusted rates

C. crude rates

D. gender-specific rates

Correct answer

C. crude rates

8.  Which of the following is a type of rate that has not been modified to take * 1/1
account of any of the factors such as the demographic makeup of the population
that may affect the observed rate?

A. crude rate

B. Cause-specific rate

C. adjusted rate

D. proportionate rate

9.  The term that refers to the number of deaths due to a disease that occur among * 1/1
persons who are afflicted with that disease is the ________.

A. crude death rate

B. proportional mortality rate

C. morality ratio

D. case-fatality rate

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10.  Which of the following refers to the systematic and continuous gathering of * 1/1
information about the occurrence of disease and other health phenomena?

A. Public health surveillance

B. Social survey

C. Community mapping

D. Data analysis

SITUATION 3
As a public Health nurse, you are aware that
many members of the community are poor and underserved, affected their health
status. 

11. In the Philippines, poverty remain a challenge the following are some facts on * 0/1
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.

Correct answer

a. 28 percent of the country’s 97 million people live below the poverty line

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12. In identifying factors that contribution to poverty, homelessness, and poor * 0/1
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

Correct answer

b. Provision of social support and basic services

13. You have noticed that the population in a poor community has increased * 1/1
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

14. In another segment of the community, you realize that there are young adult * 1/1
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

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15. You have learned that people with mental and psychosocial disabilities are a * 1/1
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 4
A public health nurse is giving orientation to
three beginning nurses who are hired by the local government unit under the
Nurse Deployment Programs.

16. In the first session, the nurse presented the organization chart of the Rural * 0/1
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. A. 2, 3, 4

b. B. 3 and 4

c. 1, 3, 4

d. 1 and 3

Correct answer

a. A. 2, 3, 4

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17. The PHN wants to emphasize to the new nurses it is important to observe * 1/1
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, 3

b. 1, 3, 5

c. 2, 4, 5

d. 2, 3, 4

18. Accountability also includes a commitment to continuing education to stay * 0/1

current knowledgeable. According to the Guidelines Implementing 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

b. 1, 2, 3, 4

C. 1 and 2 only

D. 1, 3, 4

Correct answer

b. 1, 2, 3, 4

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19. The PRIMARY purpose for requiring continuing education is to _____. * 1/1

a. Qualify for work abroad

b. Improve nursing competency after registration

c. Comply with the Board of Nursing requirements

d. Ensure legal practice

20. To better address emerging public health issues, a public health nurse enrolls in * 0/1
a course in:

a. Ethics

b. Research

c. communication

d. Leadership

Correct answer

b. Research

SITUATION 5
The Field Health Services and Information System
(FHSIS) is the recording and reporting system in public health care in the
Philippines.

21.  The following are objectives of the FHSIS, EXCEPT: * 1/1

a. Ensure data reported are useful and accurate and disseminated in a timely, easy and
use fashion.

b. Complete the picture of acute and chronic disease

c. Provide standardized facility-level data base which can be used for more in-depth
studies.

d. Minimize recording and recording burden allowing more time for patient care and
promotive activities.

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22.  As a nurse, you should know the process on how these information are * 0/1
processed and consolidated. The fundamental block of the FHSIS System is the
_____________.

a. Reporting forms

b. Target/Client list

c. Family treatment record

d. Output record

Correct answer

c. Family treatment record

23.  The monthly field health service activity report is a form used in which of the * 0/1
components of the FHSIS?

a. Output report

b. Target/Client list

c. Tally report

d. Individual health record

Correct answer

c. Tally report

24. In using the tally sheet, the recommended frequency in tallying activities and * 0/1
services is 

a. weekly

b. daily

c. monthly

d. quarterly

Correct answer

b. daily

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25.  To monitor clients registered in long-term regimen such as the Multi Drug * 0/1
Therapy, which component of the reporting system will be most useful?

a. Tally report

b. Individual health record

c. Output report

d. Target/Client list

Correct answer

d. Target/Client list

SITUATION 6
Public Health Nurse Nika is working on some
groups of women to promote their health and well-being and help address their
current health issues and problems.

26. Nurse Nika is teaching member of women’s club how to perform breast self- * 0/1
examination. She emphasizes the need to have check-up at the health center if they
found out that ___________.

a. both breasts have nodules in the upper outer quadrants

b. the breast on the right side is slightly larger than the left breast

c. there is an irregularly shaped, nontender lump palpable in the left breast

d. there is a bilateral breast tenderness with palpation

Correct answer

c. there is an irregularly shaped, nontender lump palpable in the left breast

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27.  Which statement of Nurse Nika correctly describes some health promotion * 1/1
needs of the perimenopausal years? 

a. Women should be encouraged to limit alcohol intake because it increases

calcium excretion

b. Dietary vitamin D supplementation is discouraged among this population.

c. Calcium supplementation does not affect risk of fractures and bone injury

d. Smoking decreases calcium excretion that causes osteoporosis.

28.  Nurse Nika observes that there are women who are experiencing abuse by * 0/1
their spouses. What is the goal that the intervention BEST relates to?

a. Maintaining a physically healthy body

b. Developing and maintaining a healthy sense of self

c. Developing and maintaining friendly relationships.

d. Maintaining balance and priorities in the family.

Correct answer

b. Developing and maintaining a healthy sense of self

29.  In an interview with a group of young women, Nurse Nika found out that a * 0/1
client self-induces vomiting after every meal. The nurse recognizes that this
symptom BEST describes _________.

a. Anorexia nervosa

b. A binge eating disorder

c. Bulimia

d. Post traumatic stress disorder

Correct answer

c. Bulimia

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30.  In the same group of young women, a client revealed to her that she is a * 0/1
lesbian. What statement by the client indicates that she needs more information?

a. “I need to have routine pap smears.”

b. “I have an increased risk of heart disease.”

c. “I have less risk factors of breast cancer than a heterosexual”

d. “I’m at a lower risk for sexually-transmitted disease.”

Correct answer

c. “I have less risk factors of breast cancer than a heterosexual”

SITUATION 7
Ms. Layla 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.

31. Which of the following study designs that uses information on current health * 1/1
status, personal characteristics, and potential risk factors will be appropriate?

a. Case-control

b. Ecological

c. Cohort

d. Cross-sectional

32. The type of epidemiologic study that is used to describe a group of persons * 1/1
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

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33. The research team will use summary indicators of health as method to depict * 1/1
health status. What is this approach called?

a. Analytic

b. Holistic

c. Descriptive

d. Evaluative

34. Ms. Layla is specifically assigned to talk individually with community leaders * 1/1
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

35. Ms. Layla suggested to use an analytic approach in their research. Which of * 1/1
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 problems

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36. The mother asks the nurse when she will be able to begin feeling the fetal * 0/1
movements. You respond by telling the mother that fetal movements will be noted
between which of the following weeks of gestation?      

a. 6 and 8

b. 8 and 10

c. 10 and 12

d. 16 and 20

Correct answer

d. 16 and 20

37. The mother asks about gestational diabetes, as she has familial history and was * 0/1
worried about her pregnancy. Which statement by the client indicates a further
need for education? 

a. “I need to be in a diabetic diet”

b. “I will perform glucose monitoring at home”

c. “I need to avoid exercise because of the negative effects of insulin production”

d. “I need to be aware of any infections and report signs of infection immediately”

Correct answer

a. “I need to be in a diabetic diet”

38. History revealed that there is a history of twins in the family and the client was * 0/1
asking about the possibility of having twins as well. The nurse replies: 

a. Monozygotic twins result from fertilization of two ova by different sperm.

b. Monozygotic twins occur by chance regardless of race or heredity.

c. Dizygotic twins are usually of the same sex.

d. Dizygotic twins occur more often in primigravidthan in multigravid clients.

Correct answer

b. Monozygotic twins occur by chance regardless of race or heredity.

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39. Nana, the client’s mother, was worried that her daughter will have an * 0/1
enormous amount of blood loss during delivery. As a nurse, the best response
would be: 

a. The maximum blood loss considered within normal limits is 500 mL.”

b. “The minimum blood loss considered within normal limits is 1,000 mL.”

c. “Blood loss during a delivery is rarely estimated unless there is a hemorrhage.”

d. “It would be very unusual if you lost more than 100 mL of blood during the
delivery.”

Correct answer

a. The maximum blood loss considered within normal limits is 500 mL.”

40. During the next visit, the client attended a childbirth preparation class and tells * 0/1
the nurse that her lower back has been aching. Which of the following exercises
are appropriate for the client? 

a. Pelvic rocking

b. Deep breathing

c. Tailor sitting

d. Squatting

Correct answer

a. Pelvic rocking

SITUATION 8
Controlling is a
management function in which performance is measured and corrective action is
taken to ensure the accomplishment of goals.

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41.  Which of the following is a PRIMARY task that should be performed to have * 1/1
an effective control system?

a. Make an interpretation about strengths and weaknesses

b. Identify structure, process, outcome standards & criteria

c. Measure actual performances

d. Identify the values of the department.

42.  Which of the following is NOT included in the controlling process? * 1/1

a. Discipline of personnel

b. Performance appraisal

c. Quality assurance

d. Staff scheduling

43.  Controlling is effective when? * 1/1

a. Physicians are contented

b. Clients are satisfied

c. There is an increase in admission

d. Goals, objectives, and plans are accomplished

44.  Which of the following distinguishing characteristics of standards is NOT * 0/1

included?

a. They are subjective measurements

b. They are established by authority

c. Accepted by people affected by them.

d. They are predetermined

Correct answer

a. They are subjective measurements

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45. Among the following standards, which is considered a structure standard? * 1/1

a. All patients have their visual signs taken and recorded

b. Clients verbalized satisfaction of the nursing care received.

c. Staff mix and number are determined by the PHN supervisor.

d. Health teachings are provided to prenatal mothers.

SITUATION 9
As a public health
nurse, you may encounter barriers or challenges in communication. Thus, it is
important that you maintain your professional demeanor.

46. During a support group meeting, Nurse Donato, in a teasing manner, has made * 0/1
several provocative about your appearance and behavior as a group leader. Select
your MOST appropriate response.

a. “Franky, see after this meeting.”

b. “Franky, what you are saying is inappropriate.”

c. “Franky, you are excused from the group.”

d. “What do you think Franky is trying to tell us?”

Correct answer

b. “Franky, what you are saying is inappropriate.”

47. “The dress code in this facility does not include wearing blue jeans while on * 1/1
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

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48. Which of the following is an example of a barrier to successful negotiation? * 1/1

a. Understanding other’s perspective

b. Becoming emotional

c. Viewing negotiation as collaborative

d. Avoiding phrases that are coercive

49. In one of your meeting you reminded the health center staff that there are quite * 0/1
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

Correct answer

a. Use symbols and images

50. You also emphasized that, “communication must be culturally competent to be * 0/1
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.

Correct answer

d. Provide an appropriate environment.

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SITUATION 10
The core value of caring is essential during
the implementation and evaluation phases in family nursing practice. There is
caring when the nurse is engage in the lived experience’ of the nurse-client
relationship in real context.

51. The nurse can enhance learning towards expert caring by experiencing the * 0/1
process of working with the family that provides possibilities of enriching oneself
and others. One such method is through competency-based teaching and learning.
Which of the following learning principles is the LEAST consideration? Learning
is:

a. A process of absorbing new knowledge and skills

b. Facilitated when experience has meaning

c. An individual matter that is built on family’s capabilities

d. Both an intellectual and emotional process.

Correct answer

a. A process of absorbing new knowledge and skills

52. The nurse must recognize that there may be problems of the family’s * 0/1
unwillingness to take actions on its health problems or concerns. Which of the
following factors may bring this about?

1.    Information may be incomplete or inaccurate

2.    Family is not ready to face the reality of the situation

3.    There may be adherence to patterned behavior

4.    Family is not cooperative with the nurse

5.    There is a lack of confidence in the proposed action

a. 2, 3, 4, & 5

b. 1, 2, and 3 only

c. 1, 2, 3, & 5

d. 2, 4, and 5 only

Correct answer

c. 1, 2, 3, & 5

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53. Termination of the family-nurse relationship requires a smooth process. The * 0/1
following are strategies that can help with the termination, EXCEPT:

a. Decrease time between the nurse’s visits

b. Provide a written summary to the family

c. Develop a plan of transition

d. Make necessary referrals to other resources

Correct answer

a. Decrease time between the nurse’s visits

54. Evaluation of the family nursing care plan allows the nurse to engage in critical * 1/1
thinking to determine if the plan is working. Summative evaluation is done

a. to determine if the intervention strategies are carried out

b. at periodic points during the implementation phase

c. at the end of the family-nurse relationship

d. during the course of the family-nurse relationship

55. Which two interventions are most commonly used by public health nurses like * 1/1
Nerissa who are caring for families and which can be subject for evaluation?

1.    Administering screening tools to all family members

2.    Collaborating and coordination referrals as needed.

3.    Providing health teaching, anticipatory guidance.

4.    Participating in collecting data on clients for clinical research.

5.    Resolving conflict among family members.

a. 2 & 3

b. 2, 4, & 5

c. 1, 3, & 5

d. 1 & 4

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SITUATION 11
 Risk factors include genetic and
physiological factors, age, physical environment and lifestyle.

56. The presence of any of these risk factors means that ______. * 0/1

a. Risk modification will have no effect on disease prevention

b. The chances of getting the disease are increased

c. A person with risk factors can get the disease

d. The disease is guaranteed not to get disease

Correct answer

b. The chances of getting the disease are increased

57. A nurse includes well-being in her definition of health. What will the focus be * 0/1
when the nurse provides care to a family confronting the imminent death of a
family member?

a. Reinforcing the need for the whole family to adapt to the impending death

b. Sharing the nurse’s knowledge on the client’s symptoms of grief

c. Discussing the perceived meaning of life with the family

d. Administering pain medication so that the client can be kept comfortable

Correct answer

a. Reinforcing the need for the whole family to adapt to the impending death

58. In the care of families, crisis intervention is an important part of _____. * 0/1

a. Secondary prevention

b. Tertiary prevention

c. Primary prevention

d. Health promotion

Correct answer

a. Secondary prevention

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59. The Nurse asks Luffy, who is being admitted in a district hospital, with * 0/1
uncontrolled diabetes mellitus, about his employment status. She knows that
_____.

a. A person’s compliance is affected by one’s affected economic status

b. Dante’s employment will cause complication to his diabetes

c. External variables have little effected on compliance

d. Diabetes mellitus will affect his client’s work condition

Correct answer

d. Diabetes mellitus will affect his client’s work condition

60. During a home visit, a member of the family who has been using marijuana for * 1/1
three years tells the nurse that he wants to be “detoxified.” It is important for the
nurse to ____.

a. Instruct the patient to change his lifestyle

b. Tell the patient that relapses are not tolerated

c. Identify the patient’s stage of change

d. Realize that the patient is ready for change

SITUATION 12
Nurse Armin is preparing
a smoking cessation class and believes that her class will convert many smokers
to nonsmokers once they get all the information.

61.  Which of the following health care models guides her thinking? * 1/1

a. Health Promotion Model

b. Basic Human Needs Model

c. Holistic Health Model

d. Health Belief Model

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62.  Many variables influence a client’s health beliefs and practices. Internal and * 0/1
external variables influence how a client thinks and acts. An example of an internal
variable would be __________.

a. family practices

b. socioeconomic factors

c. perception of functioning

d. cultural background

Correct answer

c. perception of functioning

63.  The health care model that utilizes Maslow’s hierarchy as its basis is the * 1/1
________.

a. Holistic Health

b. Health Belief

c. Health Promotion

d. Basic human needs

64.  Nurse Armin’s health education programs for smoking cessation is considered * 0/1
at what level of prevention?

a. Fourth

b. Tertiary

c. Secondary

d. Primary

Correct answer

d. Primary

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65.  Nurse Armin must realize that the MOST effective way to get people to stop * 1/1
smoking to prevent relapse is by ____________.

a. continuous reinforcement and informational support

b. provide free medical consultation and advice

c. tell family members to keep smoker member away from source of tobacco

d. give monetary incentive to cessation efforts

SITUATION 13
Esmeralda has recently passed the
National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment
Project (NDP) of the Department of Health.

66. The NDP is open to all nurses who fulfill the following qualifications, * 1/1
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.

67. The NDP has been designed by the Department of Health PRIMARY to * 0/1
______.

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

Correct answer

a. Improve local health systems in support of Universal Health Care

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68. Under this program, Esmeralda will be hired on a Contract of Services status. * 1/1
She will receive a monthly Salary (PhP) of:

a. 13,000

b. 18,000

c. 15,000

d. 22,000

69. Nurse Esmeralda knows that as NDP nurse, she may be assigned in any of the * 0/1
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

Correct answer

a. 2, 4, and 6

70. The NDP is a partnership between the DOH and other government agencies * 1/1
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

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SITUATION 14
In recent months, “bird
flu” or avian influenza caused a significant concern among the people
especially those in Central Luzon and Metro Manila. It is both an emerging and
re-emerging infection.

71.  Which of the following statement is TRUE about “bird flu”? * 0/1

a. All forms of bird flu can easily cause illness to humans

b. Domestic poultry flocks are much less vulnerable to infections

c. Infected chickens can also infect domestic animals like cats and dogs

d. Only birds are normally infected by the viruses, less commonly pigs.

Correct answer

d. Only birds are normally infected by the viruses, less commonly pigs.

72.  When humans are infected, the following signs and symptoms of bird flu may * 0/1
appear, EXCEPT:

a. Fever

b. Sore eyes/Sore throat

c. Chicken rashes

d. Body weakness

Correct answer

c. Chicken rashes

73.  Which of the following is NOT included in the control measures in infected * 1/1
birds?

a. Restrictions on the movement of the live poultry.

b. Rapid destruction of all infected or exposed birds

c. Transferring of the live poultry in another area or location.

d. Vigorous disinfection of poultry farms

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74.  There are measures that should be observed by the humans to prevent bird flu * 1/1
infection. Which of the following is NOT included?

a. Non-poultry workers should avoid contact with the chickens and ducks as much
as possible.

b. All poultry farm workers should be given the current season’s flu vaccine.

c. Avoid eating chicken or any poultry products until the epidemic has abated

d. Advise people on proper cooking of poultry meat and eggs.

75.  For patients with bird flu infection, health care workers should observe the * 1/1
following, EXCEPT:

a. Establish a separate isolation facility

b. Utilize Personal Protective Equipment (PPE)

c. Avoid going near the patient as much as possible

d. Apply the principles of handwashing.

SITUATION 15
 In any setting of nursing practice including
community health, records management such as documentation and record keeping,
is important.

76. Documentation is a critical component to the delivery of healthcare. It is a tool * 1/1

which serves many purposes. Which of the following is NOT included?

a. Create a permanent record for the patient’s future care

b. Provide material for discussion

c. Plan and evaluate a patient’s treatment

d. Ensures continuity of care

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77. When recording the home visit, it is important for the public health nurse to * 1/1
_____.

a. Document the visit only when there are significant changes

b. Follow the agency format for recording and documentation

c. Complete the charting every Friday of the week

d. Use phrases in outline form

78. The nurse should document intelligently and clearly. There are ways to help * 1/1
protect against an allegation of falsifying a medical record. These are the
following:

1.   Date, time, and sign every entry.

2.    Make entries soon after care is given.

3.    Written legibly.

4.    Be thorough, accurate, and objective
5.    Use only approved abbreviations.

a. 1, 2, 3, 4, and 5

b. 1, 3, and 5

c. 2, 3 and 4

d. 2, 4, and 5

79. Public health nurses must know that all records have a lifecycle and retention * 0/1
scheduling. Clinical records must be retained in the health care facility for: 

a. Anytime with client’s permission

b. Ten years from last date of service

c. Two years from date of client’s last visit

d. Five years from date of client admission

Correct answer

b. Ten years from last date of service

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80. Controlled Substances such as drugs dispensed and administered, order and * 0/1
inventory records must be kept in the health care facility for how many years?

a. Six months

b. One year

c. Five years

d. Three years

Correct answer

c. Five years

SITUATION 16
Program evaluation is a
systematic process determining whether program inputs, strategies and activities
were successful in achieving program goals and objectives.

81.  There are a number of considerations when designing a program evaluation. * 0/1
The first consideration that influences all other aspects of the process is the
_______.

a. the people who will conduct the evaluation

b. purpose of the evaluation

c. type of evaluation to be conducted

d. evaluative design to be utilized

Correct answer

b. purpose of the evaluation

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82.  The nurse will conduct an evaluation of an existing program for which * 0/1
evaluative mechanisms were not established during program planning. Which
describes this type of evaluation?

a. Prospective

b. Retrospective

c. Process

d. Outcome

Correct answer

b. Retrospective

83.  What is referred to as an evaluation conducted after project implementation? * 0/1

a. Program-based evaluation

b. Formative evaluation

c. Organizational evaluation

d. Summative evaluation

Correct answer

d. Summative evaluation

84.  An evaluation area concerned with analyzing whether the goals and objectives * 0/1
of the projects were met is ____________.

a. Program-based evaluation

b. Process evaluation

c. Organizational evaluation

d. Structural evaluation’

Correct answer

a. Program-based evaluation

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85.  What is considered as the BEST indicator to the final measure of the * 0/1
effectiveness of community empowerment efforts?

a. Community members are included in decision or policy making

b. Barangay health workers report for duty at health center

c. Schedule the program implementation is met

d. Budget is not overspent

Correct answer

a. Community members are included in decision or policy making

SITUATION 17
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.

86. You call that Filariasis is caused by parasitic nematode known as ________. * 0/1

a. Wucheria bancrofti

b. Necator americanus

c. S. haematobium

d. Plasmodium falciparum

Correct answer

a. Wucheria bancrofti

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87. The disease is transmitted to a person through bites of an infected female * 0/1
mosquito, known as _____.

a. Aedes aegypti

b. Culex

c. Anopheles

d. Aedes poecillus

Correct answer

d. Aedes poecillus

88. You receive a 36-year-old man who was brought by his wife to be tested for * 0/1
Filariasis. The most likely diagnostic test that he will undergo is ______.

a. Immunochromatographic test (ICT)

b. Rumpel Leads Test

c. Urinalysis

d. Stool examination

Correct answer

a. Immunochromatographic test (ICT)

89. A client in the ACUTE stage of Filariasis will include which of the following * 1/1
clinical findings?

a. Hydrocele, lymphedema, elephantiasis

b. Lymphadenitis, lymphedema and orchitis

c. Orchitis, hydrocele, elephantiasis

d. Lymphangitis, lymphadenitis, epididymitis

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90. Effective methods that the government would likely to pursue to eliminate * 0/1
Filariasis in the country are all of the following, EXCEPT:

a. Vaccination off all susceptible in risk areas and high-risk populations.

b. Pursue annual mass drug administration using two drugs in all endemic areas
for five consecutive years.

c. Intensify health information and advocacy campaigns in its prevention, control and
elimination.

d. Intensify environmental sanitation such as proper drainage and cleanliness of

surroundings.

Correct answer

a. Vaccination off all susceptible in risk areas and high-risk populations.

SITUATION 18
Prevention includes a
wide range of activities aimed at reducing risks or threats to health.

91.  Nurse Chopper is visiting a family with a child who recently became a * 0/1
paraplegic. He suggests some home modifications to accommodate the child’s
disability. What level of family-focused intervention the nurse has suggested?

a. Fourth prevention

b. Secondary prevention

c. Tertiary prevention

d. Primary Prevention

Correct answer

c. Tertiary prevention

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92.  Which of the following programs is an example of secondary prevention? * 0/1

a. An exercise program for persons who had stroke

b. A community-wide nutrition program at fast food establishments

c. Immunization of persons exposed to infectious disease with immunoglobin G within

2 weeks of exposure.

d. Health education on safe water supply

Correct answer

c. Immunization of persons exposed to infectious disease with immunoglobin G within 2 weeks of

exposure.

93.  As a result of an outbreak of influenza in Barangay Kuliglig, Nurse Chopper * 1/1

encourages the residents of the community to receive the influenza vaccine. 
Which level of prevention is being used?

a. Tertiary prevention

b. Multifactorial prevention

c. Primary prevention

d. Secondary prevention

94.  Nurse Chopper explains to the mother the general needs of a family for * 1/1
adequate nutrition, rest, and physical activity. Which level of prevention does this
describe?

a. Fourth prevention

b. Primary prevention

c. Tertiary prevention

d. Secondary prevention

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95.  Nurse Wilfredo also encounters a female patient who reported chest * 0/1
discomfort and shortness of breath. He placed the patient on oxygen,
electrocardiogram, and had his blood gases drawn. What level of preventive care
is this patient receiving?

a. Health promotion

b. Secondary prevention

c. Tertiary prevention

d. Primary prevention

Correct answer

b. Secondary prevention

SITUATION 19
Public Health Nurse
Mikasa wants to know why cases of diabetes in Municipality Napakatamis have
been increasing for the past five years. She intends to use community
organizing participatory research (COPAR).

96. As a researcher, Nurse Mikasa believes that the identification of problem such * 1/1
as diabetes is:

a. based on immediate problem situation defined by the community and the

researcher

b. aligned to the interest of the researcher

c. done by a professional like her

d. based on statistics and interpreted by outside researchers

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97.  In community meetings, Nurse Mikasa explains to community the purpose of * 1/1
the research project to address the health problem and establish rapport with the
people for cooperation in the research process. The nurse puts community
members as:

a. assistants to the researcher

b. merely providers of information

c. organizers of meetings

d. co-researchers

98.  The KEY feature that distinguishes participatory research from another social * 1/1
research is:

a. the dialogic approach between the researcher and the people

b. the use of quantitative methods of data gathering

c. the use of conventional interview

d. didactic transmission of knowledge

99.  In terms methodology option, COPAR is essentially _____________. * 1/1

a. Action research

b. quantitative research

c. Basic research

d. qualitative research

100. The ULTIMATE objective of doing COPAR are the following, EXCEPT: * 1/1

a. For people to develop their potentials and abilities and moral sensibilities.

b. Generate study results for the benefit of the researcher

c. Equip people with new consciousness of what must be done and how to do it.

d. Basis for planning community projects in response to perceived problem.

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