RECALLS 11 - NP 1

Situation: Nurse Von is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.

Which of the following are some elements of primary health care except?

A. Use of appropriate technology

B. Safe water supply

C. Free medicines

D. Maternal and child care

C. Free medicines

Nurse Von is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility?

A. District Hospital

B. Puericulture Center

C. Rural health unit

D. Barangay Health Station

A. District Hospital

Which of the following herbal medicines is recommended for cough?

A. Sambong

B. Guava

C. Bawang

D. Lagundi

D. Lagundi

Guava leaves are recommended by the department of health to

A. Dissolve kidney stones

B. Lower blood pressure

C. Remedy for cough

D. Wash wound

D. Wash wound

This global program aims to end poverty and protect the planet?

A. Center for Disease Control

B. Sustainable development goal

C. Millennium development goals

D. World health organization

B. Sustainable development goal

Situation: In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment.

Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors especially Obesity.

A. A Wellness and fitness program

B. Obesity is natural body response

C. Tell them to go the gym

D. They have to undergo strict dietary regimen

A. A Wellness and fitness program

Which should be emphasize by the nurse in her health teachings?

A. Jogging a mile a day

B. No need to diet

C. Exercise

D. Weight reduction

D. Weight reduction

BMI: 30 or higher

Nurse Noli should advice the patients the following except:

A. cut down on salt intake

B. More fruits and vegetable

C. Eat regular meals

D. Eat more saturated fats

D. Eat more saturated fats

To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their blood

A. Cholesterol

B. Nitrogen

C. Type

D. Oxygenation

A. Cholesterol

Nurse Noli should include in his health teaching the following EXCEPT:

A. Less saturated fat

B. Weight within normal limits

C. Exercise regularly

D. More fats in the diet.

D. More fats in the diet.

Situation: Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision of services and performance of the staff.

To ensure that the staff adheres to their job responsibilities which should be the APPROPRIATE tool should Nurse Mae utilize in evaluating staff performance?

A. Memorandum

B. Performance evaluation.

C. Incident report

D. Anecdotal report

B. Performance evaluation.

formal and productive procedure to measure an employee's work and results based on their job responsibilities.

Memorandum

form of official interdepartmental communication to convey essential decisions or information.

Incident report

thorough documentation of the incident, including all relevant details that caused it and any outcomes that stemmed from it.

Anecdotal report

Record unusual events, such as accidents.

Record children's behaviour, skills and interests for planning purposes.

Record how an individual is progressing in a specific area of development.

data exchange between the health care team.

As a nurse manager, which nursing action should do to let the staff imbibe the culture of quality at the health center?

A. Become a role model

B. Reprimand every now and then

C. Frequent meetings

D. Allow them to read books.

A. Become a role model

Which measure will be used in the unit to ensure patient satisfaction of the delivery of health services?

A. Encourage to use social media

B. Provide means to evaluate services

C. Verbal feedback

D. Ask the local officials

B. Provide means to evaluate services

Which is the simple meaning of standards of nursing care ?

A. What protects the nurse

B. How the nurse will behave

C. How much work is done

D. What to do

A. What protects the nurse

STANDARDS OF NURSING CARE:

LEGAL GUIDELINES FOR NURSING PRACTICE

Which is the BEST strategy that Nurse should employ to give feedback on patients evaluation of health services?

A. Put the evaluation at supervisors office

B. Send letter to all

C. Conduct staff meeting

D. Through bulletin board.

C. Conduct staff meeting

Situation: With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.

Identify the causative agent of dengue favor?

A. Fomite

B. Vector

C. Bacteria

D. Virus

D. Virus

Which of the following strategies would prove effective in preventing more incidence of dengue infection?

A. Healthy nutritious food

B. Burning of leaves and garbage

C. Destruction of breeding place of vectors

D. Adequate rest and sleep

C. Destruction of breeding place of vectors

Bleeding is the most serious complication of Dengue infection. When is the patient be watched for symptoms of bleeding?

A. 4th to 7 days

B. At the onset of symptoms

C. 2nd to 3rd day

D. 1st day

B. At the onset of symptoms

Which information about the nature of dengue fever the nurse should relay to the community?

A. It is always life threatening.

B. It could be deadly but preventable.

C. It responds well to antibiotics.

D. The incubation period is variable.

B. It could be deadly but preventable.

Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever?

A. Rumpell-Leede

B. Mantoux

C. Elisa

D. Widal

A. Rumpell-Leede

Situation: Nurse Rica finds effective communication as the key to successful community health nursing.

When writing a memorandum, which of the following is the MOST important guideline

A. Purpose is included

B. Content clear

C. Friendly tone

D. One topic at one time

B. Content clear

Which of the following is an INDICATOR of effective communication?

A. Receiver

B. Feedback

C. Sender

D. Non verbal communication

B. Feedback

Nurse Rica would like to start a conversation, which communication technique she should use?

A. Clarifying

B. Restating

C. Challenging

D. Broad opening

D. Broad opening

The patient told her something about her treatment to make sure she understood the patient which communication technique should be used by the nurse?

A. Clarifying

B. Focusing

C. Validating

D. Restating

A. Clarifying

Non verbal communication is as strong conveying information because the nurse can ______.

A. Observe gestures

B. Body language could be observed

C. Sender less effort

D. Action speaks louder than words

A. Observe gestures

Situation: Nurse Lyn plans to enhance her personal and professional development

Choose an indicator that models personal and professional behavior values.

A. Utilizes communication and social media responsibly

B. Attends conferences

C. Enrolls in school

D. Joins civic organization

B. Attends conferences

Nurses should have knowledge about professional organization. Which of the following is the following is the accredited professional organization of nurses?

A. Maternal Child Nursing

B. Philippine Nurses Association, Inc.

C. National League of Government Nurses of the Philippines.

D. Association Nursing Service Administrators of the Philippine

B. Philippine Nurses Association, Inc.

A profession is characterized by the following except:

A. Body of knowledge

B. Code of ethics.

C. Member of professional organization

D. Engages in research

D. Engages in research

Which of the following is an example of self-directed learning activity

A. Research at work.

B. Attends webinars

C. Attendance to graduate school

D. Resource person

A. Research at work.

Aside from attending seminars which of the following informal continuing education programs should the nurse engaged herself EXCEPT:

A. Attending professional conventions

B. Webinars

C. Symposium

D. Doing research as academic requirement

D. Doing research as academic requirement

Situation: Nurse Bella is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a Community Diagnosis in one of the far- flung barangays of the municipality.

While preparing to depart to their assigned barangay Nurse Bella informs her group that the PRIMARY purpose of conducting community diagnosis is to ______.

A. do assessment of the community profile

B. count the number of morbidity in the place

C. assess the number of indigenous people.

D. form a core group of selected residents

A. do assessment of the community profile

Nurse Bella and her group followed the steps of community diagnosis. Which comes after, the formulation of objectives?*

A. Determine data to be collected.

B. Define the study population.

C. Analyze the collected data.

D. Collect the needed data.

A. Determine data to be collected.

1. site selection

2. determine objectives

3. determine data to be collected

4. identify methods and instruments for data collection

5. finalize sampling design and methods

In the step of community diagnosis where data are collected which of the following tools is utilized less?

A. Interview guide

B. Observation checklist

C. Survey questionnaire

D. Case Study

D. Case Study

To prepare the collected data about the health status of the community for analysis, which is the APPROPRIATE step that the group of Nurse Bella should do?

A. Analyze data

B. Interpret data

C. Present data

D. Make conclusion

C. Present data

IMPLEMENTATION

1. data collection

2. data organization and collation

3. data presentation

4. data analysis and identification

5. prioritization

6. development of health plan

7. validation

Once the group of Nurse Bella is able to identify community problems. Which would be APPROPRIATE for them to do in order to be able to plan for necessary intervention?

A. Present the data

B. Formulate objectives

C. Evaluate the data

D. Set priorities

D. Set priorities

Situation: At present the public knows their rights in health care, The Community Health Nurse should be confident and safe in the practice of her profession

Nurse has a complaint from a parent for administering wrong dose of vaccine to the child. This act is a form of

A. Battery

B. Assault

C. Negligence

D. Malpractice

D. Malpractice

When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of ____.

A. Responsibility

B. Accountability

C. Commitment

D. Delegation

B. Accountability

Who among the following is the BEST to sign an informed consent during surgical procedure of a child at the health center?

A. A 26 year old brother who is a drug addict.

B. A father who is 40 years old and illiterate.

C. A sister, 21 years old but undergoing dialysis.

D. A mother, 35 years old with on and off seizure.

B. A father who is 40 years old and illiterate.

A nurse administer an extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be sued for _________.

A. Negligence

B. Malpractice

C. Tort

D. Battery

B. Malpractice

A patient was for transfer to a tertiary hospital because of severe astma, but the nurse do not prepare the patient right away and the patient dies. Which of the following the nurse is liable?

A. Malpractice

B. Assault

C. Murder

D. Battery

A. Malpractice

Situation: Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit.

Which of the following is TRUE about health education in public health?

A. It only done by professionals like nurses.

B. It is every health worker responsibility

C. It remains constant

D. It is seldom use in public health setting

B. It is every health worker responsibility

The BEST result of health-education process is

A. It influences and changes behavior

B. It provides new inputs

C. Update others

D. Information transfer

A. It influences and changes behavior

43. Which of the of the following explains health education is creative process?

1. It could employ a variety of strategies

2. It is can be done anywhere.

3. It could perform by any member of the health team

4. It is a valuable health service

A. 1,2,3

B. 1,2

C. 3,4

D. 1,2,3,4

D. 1,2,3,4

To families and individual in the community, which is the MOST important goal of health education?

A. To study their life history

B. To identify their weaknesses

C. To totally change their lifestyle

D. To motivate them to develop skills and literacy in health.

D. To motivate them to develop skills and literacy in health.

As a whole, health education in public health aims to ___________.

A. Transfers information

B. Make life changes

C. Better health opportunities

D. Change personality

C. Better health opportunities

Situation: Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by the increase number of residents who are having Hypertension.

Which assessment findings is INDICATIVE of the diagnosis of hypertension?

A. Family members with high blood pressure.

B. Elevation of blood cholesterol level.

C. Stressful work environment

D. Consistent elevation of blood pressure

D. Consistent elevation of blood pressure

at least 2-3 office visits w/ 1-4 week interval

Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents.

A. Chest X-ray

B. Electrocardiogram

C. Ultrasound

D. BP monitoring

D. BP monitoring

Which medication will be prescribed to control and maintain the blood pressure of patients at normal level?

A. Lidocaine

B. Epinephrine

C. Amlodipine

D. Furosemide

C. Amlodipine

Nurse Mary had observed that most patients with hypertension stop taking their medications and heard them saying "I feel good already". Which the APPROPRIATE nursing diagnosis?

A. Impaired gas exchange

B. Anxiety

C. Knowledge deficit

D. Ineffective coping

C. Knowledge deficit

During the conduct of his health teachings to the patients which should the nurse emphasize to maintain blood pressure at normal level?

1. Smoke in moderation

2. Exercise regularly

3. Consume less salt

4. Maintain normal weight

5. Less stress

A. 2,3,4,5

B. 1,2,3,4

C. 1,2,4,5

D. 1,3,4,5

A. 2,3,4,5

Situation: Nurse Camille made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.

In assessing the health condition of the pregnant patient, Nurse Camille should focus on the ____.

A. Last menstrual period

B. Number of days of menstruation

C. Age of patient during menarche

D. Amount of menstrual flow

A. Last menstrual period

The patient asked Nurse Camille when is the best time to visit the clinic for her 1st prenatal care. Which should be the appropriate answer of the nurse?

A. Second trimester

B. Before delivery

C. Third trimester

D. First trimester

D. First trimester

The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Camille to help the pregnant patient make a decision on breastfeeding?

A. Give pamphlets and book to read.

B. Provide ample time for the patient to decide

C. Refer the patient to the nutritionist

D. Assist to identify breast feeding goal and plan

D. Assist to identify breast feeding goal and plan

The patient asks Nurse Camille, when could you hear the fetal heart of my baby? Which of the following should be the BEST answer of Nurse Camille?

A. Ninth month

B. Fifth month

C. Third month

D. First month

D. First month

6 weeks

Nurse Camille informs the patient she should be screened for pre-eclampsia during this term of pregnancy ___.

A. First

B. Second

C. Third

D. Before delivery

B. Second

after 20 weeks AOG

Situation: In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.

The nurse in the practice of her profession is guided by ______.

A. Code of ethics

B. Standard of care

C. Local Government Code

D. Nursing Process

B. Standard of care

In the ethical principle of beneficence, which is the Basis of every nursing action in all work settings?

A. Treating all patients selectively

B. Informing patient of hospital bills

C. Respecting refusal of treatment

D. Doing good at all times

D. Doing good at all times

In handling all information about the families in the community, which of the following principle should the nurse consider ethical?

A. Confidentiality

B. Fair treatment

C. Justice

D. Beneficence

A. Confidentiality

Nurse Mary randomly selected individuals in the community who will be part of a project. Which of the following ethical principle is observed by the nurse?

A. Autonomy

B. Beneficence

C. Confidentiality

D. Fair Treatment

D. Fair Treatment

Identify the primary indicator that Nurse May observes fidelity in the practice of her profession.

A. Faithfully promotes health and prevents disease.

B. Frequently assists in providing health services.

C. Fairly evaluated health programs and initiatives

D. Collaborates and works with barangay officials

A. Faithfully promotes health and prevents disease.

implies strict and continuing faithfulness to an obligation, trust, or duty

Situation: Nurse Gina is assigned to supervise the home for the aged in the barangay.

In planning the care of the elderly, which should be the important consideration that Nurse Gina has to consider, ____.

A. The educational qualification

B. Family support

C. Activities of daily living

D. Residence of the elderly

C. Activities of daily living

Nurse Gina also has to consider in terms of financial status most of the elderly are _____.

A. Sufficient

B. Disoriented

C. Dependent to others financially

D. Have pension

D. Have pension

In planning their care Nurse Gina should consider _____.

A. Socialization is more important

B. Hollistic Care

C. Physically Dependent

D. Spiritual healing

B. Hollistic Care

In her recommendation, Nurse Gina stated, elderly should be given independence. This means ____.

A. They must live in their own

B. They environment should be safe for them

C. They are free what to do

D. They have rights

C. They are free what to do

The elderly should be afforded health protection by

A. Avoid end hazards

B. Pollution environment

C. Placing them in the home for the aged

D. Regular health check up

D. Regular health check up

Situation: Nurse Jenny is in charge of recording keeping in the health center

Which of the following is NOT a step of record keeping?

A. Structuring

B. Storing

C. Securing

D. Easy Disposal

D. Easy Disposal

In the community setting which is the essential record about the patient?

A. Treatment Record

B. Tally Sheet

C. Chart

D. Kardex

A. Treatment Record

Which of the following is the purpose of record keeping

A. Quantify medication usage

B. Historical background

C. Archive

D. Quality health care

D. Quality health care

Records are important in health care for ____.

A. Counting hospital bills

B. Evidence of health care

C. Quantifying services provided

D. For the physician to read

B. Evidence of health care

What is the ultimate purpose of record keeping

A. Safeguard information

B. Archive

C. History

D. Store information

A. Safeguard information

Situation: Nurse Emily was informed that a family who has just moved in has family members who are infested with Scabies.

Which infection control measure should Nurse Emily observe during her visit to the family.

A. Wear mask

B. Use gloves

C. Use face shield

D. Wear gown

B. Use gloves

spread via contact

During the history taking, which of the following is the most common symptom of Scabies that the family would report to Nurse Emily?

A. Rashes

B. Swelling

C. Scaling

D. Itchiness

D. Itchiness

In providing health teaching to the family, Nurse Emily would include in her teachings the etiology of Scabies which is _____.

A. Virus

B. Fungi

C. Bacteria

D. Parasite

D. Parasite

The mother of the family asked Nurse Emily how to apply the anti-scabies lotion. The nurse should teach the family to apply the anti-scabies lotion to _____.

A. All skin areas

B. Affected skin

C. Open Lesions

D. Reddened areas

A. All skin areas

In order to prevent the spread of Scabies infestation to other residents in the community, Nurse Emily should teach the family, which of the following?

A. Boil the utensils used by the patients.

B. Avoid sharing items used by the infected person.

C. Take a bath three or more times a day.

D. Wear mask and shield at all times even at home.

B. Avoid sharing items used by the infected person.

Situation: As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.

Which type of plan should the nurse employ to assess the strengths and weaknesses of the organization?

A. Nursing care

B. Operational

C. Strategic

D. Program

C. Strategic

Which BEST describes the planning function of Nurse Ellen in her role as nurse manager?

A. Get and develop people to do the work.

B. Distributes and arranges work to ensure smooth operation of the unit.

C. Determines the actual performance compared with the desired output.

D. Determine how to achieve the mandate of work

D. Determine how to achieve the mandate of work

To assist them enhance their performance at work, the nurse manager should review regularly pertaining to the staff's ____.*

1 point

A. Number of submitted incident report

B. Academic performance in college

C. Job description

D. Family dynamics.

To assist them enhance their performance at work, the nurse manager should review regularly pertaining to the staff's ____.

A. Number of submitted incident report

B. Academic performance in college

C. Job description

D. Family dynamics.

C. Job description

Which is the MOST important criterion in budgeting?

A. Flexibility

B. Standardized

C. Consistency

D. Cost effectiveness

D. Cost effectiveness

Situation: Nurse Melyconsiders teamwork and collaboration as important components of Community Health Nursing.

Which of the following is the PRIMARY goal of collaboration

A. Less number of people is needed

B. Camaraderie

C. Accomplish goals

D. Work is faster

C. Accomplish goals

Which are KEY ELEMENTS of collaboration

1. Shared vision

2. Partnership

3. Working together

4. Unity

A.1,2,3

B. 3,4

C. 1,2

D. 1,2,3,4

D. 1,2,3,4

Which of the following is the MOST important purpose of teamwork

1. Work is faster

2. Promotes trust

3. Sense of security,

4. Unity

A. 1,2

B. 1,2,3,4

C. 3,4

D. 1,2,3

B. 1,2,3,4

Which of the following BEST describe a strong team?

A. Cohesive

B. Shared goal

C. Driven

D. Sense of mission.

B. Shared goal

Collaboration and teamwork as essential in public health to improve

A. Staff performance.

B. Proper use of resources

C. Equity in services

D. Quality health care

D. Quality health care

Situation: An 18 year old, female college student was accompanied by her mother for consultation at the Municipal Health Center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.

In order to determine the patient's ability to concentrate and focus, which would be the PRIORITY nursing action?

A. Ask for the academic performance

B. Conduct paper and pencil test

C. Assess the mental status of the patient.

D. Refer the patient to the psychiatrist

C. Assess the mental status of the patient.

While the nurse was taking her blood pressure, the patient suddenly stated "They are talking about me!". She was referring to other patients who were waiting for their consultation .Which of the following should be the APPROPRIATE nursing action?

A. Present the reality situation.

B. Distract patient's attention.

C. Disagree with the patient.

D. Validate the statement.

A. Present the reality situation.

In taking the patient's history from the mother, the nurse should ask the mother information related to the daughters' _______________.

A. Schooling

B. Menarche

C. Pregnancy

D. Immunization

A. Schooling

Nurse May is alarm by the incidence of number of young adults in the community with mental problems. Which of the following should be her PRIORITY nursing initiative?

A,. Refer all to tertiary hospital.

B. Request for psychiatric drugs.

C. Set up debriefing center.

D. Set up mental health program

D. Set up mental health program

In giving health teaching to the mother how to manage the patient at home, which of the following she should emphasize?

A. Give the patient more time for self

B. Impose strict discipline

C. Do traditional parenting style.

D. Need for emotional support.

D. Need for emotional support.

Situation: When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.

Nurse Mia is correct in identifying which of the following is a health resource problem?

A. Increase in number of deaths from Pneumonia

B. Feud between the Midwife and Head of the SanitationCommittee

C. Absence of Midwife in the community to render health services

D. High Maternal Mortality Rate.

C. Absence of Midwife in the community to render health services

There are five criteria in prioritizing community health problems. If Nurse Mia is estimating the proportion of the population affected by the problem, she is using what criterion in prioritization?*

1 point

A. Social Concern

B. Nature of the Problem.

C. Magnitude of the Problem

D. Modifiability of the Problem

Nurse Mia oftentimes encounter barriers Select a barrier to goal setting between the nurse and the family.

A. Educational attainment

B. Nature of employment

C. Failure of family to perceive existence of problem.

D. Socio economic status

C. Failure of family to perceive existence of problem.

Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks?

A. Allow family to decide to use health resources

B. Help the family recognize the problem

C. Leave the family what action take on their problem

D. Refer family to barangay officials for guidance

B. Help the family recognize the problem

Choose the step of nursing process that identifies the family health seeking behavior.

A. Assessment

B. Implementation

C. Planning

D. Evaluation.

A. Assessment

Situation: Nurse Jane is the team leader of group of nurses who plans to utilize Community Organizing Participative Action Research (COPAR).

Which of the following BEST describes the PRIMARY goal of COPAR?

A. Enhances the skills of the nurse in research.

B. Makes the community empowered and self-reliant

C. Increases funding of the community programs

D. Helps clean up and beautify the community

B. Makes the community empowered and self-reliant

At the pre-entry phase, which of the following is the FIRST step inthe COPAR-process

A. Survey the community

B. Train technical working group

C. Hold a community assembly

D. Create a core group

B. Train technical working group

In Participative Action Research [PAR], Which step will empower the community?

A. The nurse performs most of the task

B. Health team directs all the activities of the place

C. Participation and engagement of the community

D. Barangay head appoints people in charge

C. Participation and engagement of the community

The nurse, as the community organizer, immerses self by joining local folks in their usual everyday activities in order to ________.

A. Gain trust and rapport of people.

B. Make self-popular among people

C. Identify and spot leaders.

D. Become familiar with the place

A. Gain trust and rapport of people.

In COPAR, which is the MOST important role of the public health nurse?

A. Caregiver

B. Expert

C. Financer

D. Adviser

D. Adviser