NCM 108 FINALS

Adaptation Model

Which of the following nursing theories provide support and health education about having new member in the family (newborn)?

Safety

Determine among the following QSEN competencies that is said to minimize the risk of harm to patients and providers.

Health Restoration

Which of the four phases of healthcare is most appropriate for caring for a patient with diabetes mellitus?

Health Promotion

Which of the four phases of healthcare emphasizes the importance of having rubella immunization before pregnancy?

Eclampsia

What is the leading cause of maternal mortality in the Philippines?

Intussusception

Which health condition is characterized by ‘currant jelly’ stools (stools containing blood and mucus)?

Intussusception

Which condition involves the invagination or telescoping of one part of the intestine into another?

Bile-Stained Fecal Vomitus

What is the characteristic of vomit in a patient with intussusception?

Prone Position

Which position should be avoided to prevent SIDS?

Intra-hemorrhagic pulmonary edema

What is a common autopsy finding in a SIDS victim?

Aspirin

The patient presents with nausea, vomiting, diaphoresis, tinnitus, seizures, oliguria, and dehydration. What type of poisoning is this?

15 mL

Dolphy was given ipecac syrup. How many mL should be administered?

Sexual Maltreatment

Bed-wetting, excessive bathing, and congenital laceration are signs of which type of maltreatment?

Play Therapy

What therapeutic method uses toys to reveal a child’s emotional problems?

Height and Weight

Rambo is suspected of having failure to thrive. What important assessment should be done?

Palpating the child’s abdomen

What should be avoided in a patient with Wilms’ tumor?

Lump in the abdomen

When assessing a patient with Wilms’ tumor, what should the nurse expect?

REMISSION - Disappearance of the signs and symptoms of cancer or other disease. A remission can be temporary or permanent

RELAPSE - The return of signs and symptoms of a disease after a patient has enjoyed a remission.

Differentiate between remission and relapse.

Maintenance Phase

Which stage of leukemia therapy is done to maintain the original remission?

To prevent leukemia cells from invading or growing in the CNS.

What is the purpose of the sanctuary phase of chemotherapy?

Glycosylated Hemoglobin of 9%

Which lab test result indicates that Tony has diabetes mellitus?

“I will inject the insulin subcutaneously.”

Tony was advised to take insulin. Which statement indicates understanding?

160 mg/dL

At what blood glucose level does glycosuria typically occur?

Kussmaul’s Breathing

What type of respiration is seen in diabetic ketoacidosis?

FUNCTIONAL - Occur as a compensatory mechanism in children who have unequal leg lengths and sometimes in children with ocular refractory errors cause them constantly to tilt their head sideways.

STRUCTURAL - Idiopathic scoliosis, permanent curvatures of the spine accompanied by damage to the vertebrae.

Differentiate between functional and structural scoliosis.

Girls, adolescents, young adults

Which groups are more at risk of scoliosis?

Bone tumors are always benign and cannot develop into cancer.

Which of the following is not true about bone tumors?

RTC

In osteosarcoma, how should analgesics or pain medications be ordered: OD, PRN, RTC, or STAT?

Recovery

What is the last link in the chain of survival?

Third Link (High-Quality CPR)

Which link in the chain of survival includes chest compression and resuscitation?

1.5 inches

What is the recommended depth of chest compression for an infant?

Ventricular Arrhythmias

Lidocaine is prescribed. What could be the client’s possible condition?

CARDIAC ARREST - Sudden cardiac arrest occurs when the heart develops an abnormal rhythm and can’t pump blood.

Sudden cardiac arrest results from an abnormal heart rhythm; this abnormal rhythm causes the heart to quiver so it can no longer pump blood to the brain, lungs, and other organs.

Sudden cardiac arrest is often a “rhythm problem.”

HEART ATTACK - A heart attack occurs when blood flow to part of the heart muscle is blocked.

A heart attack occurs when a clot forms in a blood vessel carrying oxygenated blood to the heart muscle. If the blocked vessel is not reopened quickly, the muscle normally nourished by that vessel begins to die. A heart attack is a “clot problem.”

Differentiate cardiac arrest from heart attack.

Providing adequate chest compression rate and depth, minimizing interruptions in CPR, allowing full chest recoil between compressions, and avoiding excessive ventilation.

What are the key components of high-quality CPR?

When the patient is unresponsive, not breathing normally, and shows no signs of life.

In which situations should CPR be performed?

30:2

What is the compression-to-ventilation ratio for a single rescuer?

Monitor the child’s condition.

If a child is breathing and has a pulse, what should you do?

Provide rescue breathing only

If a child is not breathing but has a pulse, what should you do?

Start CPR with compressions and ventilation.

If a child worsens and has no breathing and no pulse, what should you do?

Use the heel of one hand.

What should you use for chest compressions on a child client?

Internal Evidence

Nurse Lara is an expert in pediatric nursing. Her expertise can be classified as what type of evidence?

Home Care

What does green classification in IMCI indicate?

Check the baby’s buttocks for bruising.

In cases of shoulder dystocia, what is the priority assessment after birth?

“I don’t like talking to the baby; she can’t talk back yet.”

Which statement from a client with postpartum depression should be a concern?

Emphasizing the importance of hand hygiene practices.

What action best supports the effectiveness of hand hygiene in reducing infections?

Listening to music while riding the bus and subway.

Which action related to noise exposure would concern the nurse most?

“I play basketball, and I like how I look in my uniform.”

Which statement suggests a higher risk for developing an eating disorder?

Being unable to drink or breastfeed, vomiting everything, having convulsions, or being lethargic or unconscious.

What are the general danger signs in IMCI?

Being able to breastfeed.

Which condition does not require returning to a healthcare facility?

In vitro fertilization (IVF), embryo transfer, intrauterine insemination (IUI)

Determine which of the following are examples of Assisted Reproductive Technology (ART).

Genetic composition cannot be identified before birth.

Which statement is false regarding genetic testing?

Women Exploitation

What is a concern about financial compensation for egg cell donors?

Discarding, donation for research or to other couples, and indefinite storage.

What are possible fates of surplus embryos in embryo donation?

Surrogacy

What is the process where a woman agrees to carry a pregnancy using her own eggs but the sperm of another couple, and then relinquishes the child to that couple upon delivery?

No possibility of multiple pregnancies.

Which is NOT a deleterious effect of ART?

Ovarian hyperstimulation syndrome and surgical risks are a central concern; allowing women to be oocyte donors requires adequate informed consent

What ethical issue is involved in gamete donation?

Increased risk of obstetric complications, premature births, and disabled infants.

Why should multiple pregnancies from ART be avoided or banned?

EQUITY - It requires equally fair treatment of individuals taking account of ethically significant differences among them.

EQUALITY - It requires the identical treatment of all despite their differences.

Differentiate equity from equality.

Economic Abuse

Marites’ husband refuses to provide financial support to their children. What type of abuse is this?

Psychosocial and Emotional Abuse

Mrs. Santiez experiences marital infidelity. This is classified as what type of violence?

Police Torture

Which of the following is NOT political violence?

Republic Act 7877

What is the RA number for the Anti-Sexual Harassment Act of 1995?

6 Months

Mang Kanor was convicted under the Anti-Sexual Harassment Act of 1995. What is the maximum duration of the imprisonment?

Violence linked to policies on abortion, reproduction, and matrilineal practices.

What is institutional violence?

Power imbalance and harassment.

Sexual favors in the workplace may happen due to what?

Stimulate ovaries to produce egg cells.

What is the first step in IVF?

Childless Marriage

A couple decides to stop treatment because pregnancy is not worth the financial and emotional burden. What term describes this?

Cryopreservation

Gino is not ready to have a child but wants to preserve his sperm because he fears getting old. What is this called?

Assessment

In the SBAR communication approach, what does the ‘A’ stand for?

Primary Level

Basic needs and immunization fall under which level of healthcare?

Interprofessional Communication Domain

Which domain is known for the wide use of communication tools such as TeamSTEPPS and the SBAR format?

Team and Teamwork Domain

Which domain emphasizes developing shared problem-solving and shared decision-making that reflects the interdependence among team members while providing care more efficiently?

Only these are the characteristics of a nurse teacher: Confidence, Competence, Communication, and Caring with Empathy.

Which of the following is NOT a characteristic of a nurse teacher?

Nurse Consultant

Which nursing role involves guiding parents about feeding practices and accident prevention?

Nurse Advocate

Which nursing role involves acting as a representative for the child, family, and other healthcare providers?

Coordinator and Collaborator

When referring a patient to social services, what nursing role is this?

Recreationist

Diversional activities for patients relate to which nursing role?

Primary Care Giver

Pediatric nurses provide preventive, promotive, curative, and rehabilitative care What role is this?

Discrimination

Being treated differently due to skin color makes someone a victim of what?

Assimilation

Adapting to the community culture is called what?

Cultural Competence

The Santos family respects cultural differences. This shows what?

Actions not acceptable to a culture.

What best describes taboos?

Squid is believed to tangle the baby’s umbilical cord inside the mother.

What is the reason for avoiding squid in the prenatal diet in Filipino childrearing beliefs?

It is believed to make the newborn’s face smooth.

Why should calamansi be added to the mother’s prenatal diet?

It is given to encourage lactation.

Why is lugaw (rice porridge) given during the postpartum period?

Family Mealtime

Some of us may be used to hearing, “Huwag paghintayin ang pagkain .” What Filipino practice is being observed?

Tuwalya (towel) or diyaryo (newspaper) sa likod (on the back)

Putting a towel on a child’s back can be identified as what practice?

Utang na Loob

In the Philippines, we take gratitude seriously. Acts of

generosity and kindness do not go forgotten. What Filipino practice is being observed?

IMCI Computerized Adaptation and Training Tool

What does ICATT stand for?

Novartis Foundation for Sustainable Development

Who is the partner of the World Health Organization (WHO) in developing ICATT?

• Adapting guidelines at the country or sub-country level is often difficult and time-consuming.

• Ensuring periodic updates of national and sub-national IMCI guidelines to address local health needs is challenging.

• Increasing the coverage of IMCI-trained health workers worldwide remains a major concern.

• The standard training course lasts 11 days.

• The costs involved are considerable

What are major challenges in IMCI?

Library

When viewing pictures and videos, which ICATT component should you check?

Training Player

Which ICATT component displays training sessions for self- learners in a classroom setting?

Open Interface

What ICATT interface allows one to change/adapt guidelines and create chart booklet?

Read Unit

Which among the ICATT training sets allow one to see technical information?

See Unit

Which ICATT training set contains illustration materials such as pictures, videos, and flash movies?

Working speed of a group and within a group may be very different especially if the group is not homogenous (different types of health workers, different computer skills).

What is a challenge under classroom-based training with individual computers?

Participants have to find the time for learning themselves.

All of the following are strengths of ICATT learning except?