Recalls 10 NP1-NP5

Correct answer

B. It diagnoses the health of the individual and his condition for individualized care and management.

NP1

SCENARIO

Barangay Poblacion held a medical caravan. Elderly people lined up at 6 in the morning to get their vital signs taken and to receive the appropriate prescriptions for drugs. As they are waiting, volunteers delivered bread and lugaw (porridge). Hours later, several instances of persons who consumed the food vomited and experienced diarrhea. Individuals were transported to the medical facility, and the medical staff suspected food poisoning was the cause.

1. Epidemiology is the study of occurrences and distribution of diseases as well as the distribution and determinants of health states or events in specified populations. What is the purpose of epidemiology?

1 point

A. It completes the clinical picture of chronic diseases term-46and describe their natural history

B. It diagnoses the health of the individual and his condition for individualized care and management.

C. It studies the work of health services

47. Maricar's 13-week-old son will be having his third dose of Pentavalent next week (April 12, 2023). Her concern is they will stay in their province from April 11 to 15, 2023. She asked the nurse about the schedule she should come back for the vaccine. The nurse does not need to be corrected when she states:

1 point

A. Pwede April 10 magpabakuna para bago po kayo umuwi ng probinsya, kumpleto na po pentavalent doses ni baby

B. Baka pwede sumunod nalang po kayo kasi kailangan po talaga eksaktong 4 weeks ang interval ng dose. Kailangan po April 12 talaga ang sunod nyang bakuna.

C. Dahil Made-delay po ang susunod na dose, doblehin nalang po natin yung bakuna sa pagbalik nyo po galing probinsya.

D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna.

D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna.

Pentavalent: 6, 10, 14 weeks

2. Nurse Maddy has to note the disease occurrence that happened in Barangay Poblacion. It is classified as:

1 point

A. Epidemic

B. Pandemic

C. Endemic

D. Sporadic

A. Epidemic

- outbreak (interchangeable): limited geographic area unlike epidemic which is larger scope

- sudden inc of cases

3. When the nurse explained the patterns of occurrence and distribution of a disease. The resident is curious to ask an example of a disease that is considered to be endemic. The nurse is wrong when she include:

1 point

A. Lyssa

B. Filariasis

C. Malaria

D. Schistosomiasis

A. Lyssa

- Rhabdoviridae (rabies) -> sporadic

B - Southern Luzon, Mindanao, Mindoro, Palawan, Samar, Leyte, Sorsogon, Bohol

C - Palawan, Mindanao Islands

D - Leyte & Samar

4. The residents of the barangay were informed that the cause of the cases of vomiting and diarrhea is due to the Lugaw (porridge) and bread. Lugaw and bread is classified as:

1 point

A. Causative agent

B. Risk factor

C. Intrinsic factor

D. Extrinsic factor

D. Extrinsic factor

- factors in the environment external to the food

- E.g.: Temp, Humidity, O2

Intrinsic: Inherent/innate characteristic of the food

- alterations in pH, nutrient content, redox potential, chemical composition, mechanical barriers to microbial invasion

Food Poisoning:

Symptomatic Management

Rush to the Hospital

5. Nurse Maddy gathered the number of people who are affected by the food poisoning. She wants to present the trend in the number of affected to the time it is recorded. She will use what type of graph?

1 point

A. Line graph

B. Pictograph

C. Histogram

D. Pie Chart

A. Line graph

- showing the trends

- arithmetic-scale line graph

Trend

1. Number of Affected/Victim

2. Time it is recorded

SCENARIO

Nurse Micah joined the health center in analyzing the gathered data for the community diagnosis. The following are the data:

Total Population: 6,420

Total Birth: 328

Total Death: 79

Maternal death: 6

Total Infant Death: 13

Total Males: 3,417

Total Males 50 years old and above: 751

Total Females: 3,007

Total Female 15 - 44 years old: 1,023

6. Nurse Micah computed the crude birth rate of the province. The data showed:

1 point

A. 102

B. 51

C. 320

D. 109

B. 51

Crude Birth Rate:

(Total number of Births / Total Population ) x 1000

CBR = (328 / 6,420) x 1000

7. The demographic measurement is computed. She identified the sex ratio based from the data is:

1 point

A. 88 females for every 100 males

B. 117 females for every 100 males

C. 29 females for every 100 males

D. 29 males for every 100 females

A. 88 females for every 100 males

Sex Ratio = (Total # of Females / Total # of Males ) x 100

(3,007 /3,417) x 100

SR = 88

8. Nurse Micah wants to know the true fertility rate of the province. She is correct when she get:

1 point

A. 321

B. 109

C. 159

D. 328

C. Correct answer

A. 321

Fertility Rate = (Total # of Live Births / Total # of females in population age 15-44 y.o.) x 1000

FR = (328/1023) x 1000

FR = 321

9. The municipal health officer instructed nurse Micah to study the morbidity rate of the province. To study morbidity, she will look for what data?

1 point

A. Incidence Rate

B. Attack Rate

C. Case Fatality Rate

D. Prevalence Rate

D. Prevalence Rate

- Morbidity Rate: Disease

MR = (# of cases of illness/dse / Total population ) x 100

Morbidity: another term for illness; a person can have several co-morbidities simultaneously

iNcidence: New cases

PREValeNce: Previous & New cases

10. As Nurse Micah was browsing the existing data in the barrio. She noted the urban-rural index is 26:74. She interprets this as:

1 point

A. More people decided to live in a corporate world

B. 26% of the population plans to support their family and work abroad

C. 74% of the population are living in the mountain areas of the barrio.

D. There are less people occupying the urban areas of the barrio.

Correct answer

D. There are less people occupying the urban areas of the barrio.

Urban-Rural index

26:27

SCENARIO

As part of primary health care and increasing cost of drugs, the use of locally available medicinal plants has been advocated by the DOH.

11. The community is conducting a seminar about the natural sources of vitamins and minerals that can be found in the backyard and field. The nurse was alarmed as the pregnant woman stated to be consuming this herbal medicine which is known to have abortifacient properties. This is:

1 point

A. Akapulko

B. Sambong

C. Yerba Buena

D. Tsaang gubat

Correct answer

A. Akapulko

- abortifacient properties

- Leguminosae

- a strong decoction of akapulko leaves is an abortifacient

External Use:

- Skin Diseases, Mouth wash for (stomatitis)

Internal Use:

- Expectorant (Bronchitis & Dyspnea)

- Alleviation of asthma symptoms

- Diuretic & purgative

1. Who is the Pt? (young/old, pregnant/menopausal)

2. Economic Capabilities of Pt to acquire specific tx to suggest

3. Condition of the Pt

12. The nurse is giving health education pertaining to the use of herbal medicine. He needs further teaching when he states:

1 point

A. Uses only the advocated parts of the plant

B. Use only clay pot in preparation of herbal plants and remove cover while boiling at low heat

C. Use only one kind of herbal plant for each type of symptoms or illness

D. If signs and symptoms are not relieved after 2 or 3 doses of herbal medication, consult a doctor

Correct answer

B. Use only clay pot in preparation of herbal plants and remove cover while boiling at low heat

- ONLY

- be careful with extreme terms: ALL, ONLY, -> can change the statement

- may use ceramic containers, stainless steel

- don't use: Metallic containers other than stainless steel (iron, titanium pot, copper pot)

- evaporation: can alter the decoction potency

13. The parent of a child with diarrhea asked the nurse what herbal medicine is applicable for his son. The Nurse recommends:

1 point

A. Boil the mature stems and drink its decoction

B. Boil chopped leaves in 1 glass of water, strain and drink

C. Wash leaves and eat.

D. Any part of tsaang gubat is used for diarrhea

B. Boil chopped leaves in 1 glass of water, strain and drink

Tsaang Gubat (Forest Tea or Wild Tea)

- boil chopped leaves into 2 glasses of water for 15 mins. Divide decoction into 4 parts. Drink 1 part every 3 hours

14. The nurse is doing a home visit when a resident asks the nurse to describe which among the plants in the backyard is the ulasimang bato. The nurse correctly describes when he states:

1 point

A. It is a weed with heart-shaped leaves

B. It is a plant with rough hairy leaves

C. It is a tree with tiny white flowers

D. It is a shrub with blue and bell-shaped flowers

A. It is a weed with heart-shaped leaves

- Pansit-pansitan

- Piperaceae (Peperomia)

- to lower uric acid (Gout, Rheumatoid Arthritis Pains)

15. There was an outbreak of scabies in the barrio where Nurse Jenna is working. There was no more akapulko seen in the barrio as it is consumed by many. What alternative herbal medicine can be used by the barrio?

1 point

A. Tsaang gubat

B. Niyug-niyugan

C. Yerba Buena

D. Lagundi

Correct answer

D. Lagundi

- 5 leaved chaste tree

- decoction -> wash/clean (affected area)

Scenario: Nurse Donna is a clinical Instructor

D. 2, 4

Bemonc

1. Admin of Parenteral Antibiotics

2. Admin uterotonic drugs

3. Admin prenteral anticonvulsants for pre-eclamsia & eclampsia (MgSO4)

4. Manual Removal of Retained Placenta

5. Removal of Retained products of conception (manual vacuum aspiration)

6. Assisted Vaginal Delivery (Vacuum extraction)

7. Neonatal Resuscitation (with bag & mask)

17. DOH, UNICEF and other organizations developed and reviewed Essential Newborn Care to handle newborn care in the critical immediate period. Among the time-bound interventions done to the newborn, what prevents the newborn from hypoglycemia and sepsis and it helps the body increase colonization with protective bacterial flora?

1 point

A. Immediate and thorough drying of the newborn

B. Keeping the mother and baby in uninterrupted skin-to-skin contact

C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops

D. Breastfeeding initiation within the first hour of life

B. Keeping the mother and baby in uninterrupted skin-to-skin contact

- prevents hypothermia, hypoglycemia, & sepsis

- increase colonization of protective bacterial flora & improved breastfeeding initiation & exclusivity

- initiate colonization of newborn with maternal flora (as opposed to hospital flora) and facilitates olfactory learning, successful intake of colostrum & sustained breastfeeding

18. Among the four time-bound interventions done to the newborn, what is done to prevent intraventricular hemorrhage in one of two preterm babies?

1 point

A. Immediate and thorough drying of the newborn

B. Keeping the mother and baby in uninterrupted skin-to-skin contact

C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops

D. Breastfeeding initiation within the first hour of life

C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops

- pulsation indicates presence of blood flow to the newborn -> to ensure all nutrients or benefits are transferred to the newborn

- can lower the chances of anemia in newborn

19. There was an increasing rate of maternal mortality in Barrio Toto. The nurse interviewed the residents and learned that the reason was because most of them are experiencing financial constraints. The nurse knows that this problem is under what delay model?

1 point

A. Delay in seeking care

B. Delay in reaching facilities

C. Delay in receiving appropriate care

D. It is not related to delay model because money is not an issue

A. Delay in seeking care

- financial constraint

- The Three Delays Model: Identifies 3 groups of factors which may stop women and girls accessing the maternal healthcare they need

1. Delay in Decision to seek care d/t:

- low status of women

- poor understanding of complications & risk factors in pregnancy & when to seek medical help

- previous poor experience of health care

- acceptance of maternal death

- financial implications

2. Delay in reaching care d/t:

- distance between pt & health facilities

- availability & costs of transportation

- unknown area

- poor roads & infrastructure

- geography (mountainous, terrain, rivers)

3. Delay in receiving Adequate health care d/t:

- poor facilities and lack of medical supplies

- inadequately trained & poorly motivated medical staff

- inadequate referral systems

20. Nurses noted that another reason for maternal mortality is due to some residents not knowing where the new health center is located. It is under what delay model?

1 point

A. Delay in seeking care

B. Delay in reaching facilities

C. Delay in receiving appropriate care

D. It is not related to delay model because money is not an issue

B. Delay in reaching facilities

- geographical knowledge

SCENARIO

Nurse Atom wants to uncover nursing knowledge and build the foundation of clinical practice to prevent disease, manage symptoms of illness and enhance end-of-life care. Thus, he decided to do nursing research.

21. Nurse Atom encounters the word hypothesis. He is not correct in telling that hypothesis is:

1 point

A. A state where it can be accepted or rejected

B. A prediction about what a research will find

C. An educated guess that is untested with observation

D. A tentative explanation supported by evidence

C. An educated guess that is untested with observation

- hypothesis: assumption based on some evidences

- Sources:

1. Phenomenon

2. Observations (from past studies, present experiences, from competitors)

3. Scientific Theories

3. General Patterns that influence the thinking process of the people

22. Nurse Atom was inspired from a research study from India and he repeated it with a different setting in his barangay. Surprisingly, it yields a consistent result. It means the research is:

1 point

A. Valid

B. Objective

C. Reliable

D. Sensitive

C. Reliable

- repeated, different setting, consistent result

- research concept describing how reproducible or replicable a study is

- Reliability: doesn't mean accurate study but consistency or preciseness

- Validity: evaluation of how accurate the study is.

23. The research is believed to use an instrument to detect fine differences among the subjects being studied. The criteria is known to be?

1 point

A. Valid

B. Objective

C. Reliable

D. Sensitive

D. Sensitive

- fine differences

- fine lines of differences among the study subjects can be determined from measurements (thermometer, weighing scale, etc.)

24. Which of the following terms refer to the meaning that a researcher must test the correctness of data before accepting it?

1 point

A. Empirical

B. Logical

C. Critical

D. Analytical

Correct answer

C. Critical

- characteristic of a research taht is

1. Empirical: based on direct experiences of the subject

2. Logical: follows valid procedure

3. Cyclical: starts & ends with problem

4. Analytical: researchers analyze the data collected and makes conclusions based on facts observed

5. critical: precise & careful judgement

6. Methodical

7. Replicability:

25. Which of the following terms refer to the ability to identify and have a careful breakdown of components especially in terms of variables?

1 point

A. Empirical

B. Logical

C. Critical

D. Analytical

D. Analytical

SCENARIO

In a homevisit, the nurse interviews Amy, wife of Arnel that they are living with her parents, Arcedo and Alma and 2 siblings, Aries and Arturo. The couple has 3 children, namely Arvin, Arriane and Anton

26. When the nurse visited the home, he came to the conclusion that there are two families living in a single house. What supports his thinking?

1 point

A. The family does not have an ability to maintain a healthy home environment

B. Amy and Alma prepare their own family's meals separately.

C. Arcedo is not supportive of Arnel, being the husband of her daughter.

D. Alma does not join in the conversation of her daughter and his husband.

B. Amy and Alma prepare their own family's meals separately.

- extended family: 2 or more nuclear families economically & socially r/t each other

- multigenerational, including married brothers, sisters, & families

D - rs mother-daughter having separate family

27. Arnel asked the nurse the frequency of home visits. The nurse based her answer knowing that the nurse should:

1 point

A. Visit the family once a week

B. Visit the family once a month

C. Visit the family everyday

D. Visit according to the needs of the family.

D. Visit according to the needs of the family.

- determine by the need of the pt/family for nursing care

Factors to consider

1. Need (Physical, Psychological, Educational)

2. Acceptance

3. Policy (Agency)

4. Evaluation of past services

5. Ability of the family to recognize their needs

28. In planning to do a home visit, there are principles involved which serve as a guide for the nurse. The following are principles except:

1 point

A. A home visit must have a purpose

B. Planning should make use of all available information about the patient and family

C. Involve the family in planning and delivery of care

D. The plan should be fixed to avoid unnecessary problem

D. The plan should be fixed to avoid unnecessary problem

- FIXED -> FLEXIBLE

- care is individualized

- each member have different needs -> different approach/intervention -> RN adapts/adjust depends on the changes

1. A home visit must have a purpose

2. Planning should make use of all available information about the patient and family (to honor autonomy)

3. Involve the family in planning and delivery of care

29. The nurse accompanied the student nurse on his first day doing a home visit. When he arrived in the house of the family, he is correct when he initially:

1 point

A. State the purpose of the visit

B. Greet the patient and introduce self

C. Observe the patient and determine the health needs

D. Put the bag in a convenient place and wash hands

B. Greet the patient and introduce self

- to establish rapport

Components of Home Visit:

1. Initiation Phase

2. Pre-Visit Activities

3. Activities during home visit

4.

30. Guidelines are necessary to give general recommendations on how a nurse should perform the task or how to proceed in a situation. The following are not considered to be factors, except:

1 point

A. The physical needs should be considered more than the psychological and educational needs of the family.

B. Evaluate how the family avail the nursing services

C. Perform nursing care despite the patient's disapproval because the patient needs it.

D. The nurse should recognize the needs of the family since the nurse has the professional knowledge and experience.

B. Evaluate how the family avail the nursing services

A - same / equal approach in terms of physical & psychological approach

C - honor & respect their decisions

D - a combination of pt & RN recognizing the needs (view of pt differs from RN views)

SCENARIO

Nurse Diane is assigned to the health center in her Barangay . She was told to study the common laws affecting primary health care in the Philippines.

31. A couple applying for a marriage license are required to receive instructions on family planning and responsible parenthood. This is governed by what law?

1 point

A. RA 3573

B. RA 7277

C. PD 825

D. PD 965

Correct answer

D. PD 965

- Decree requiring applicant for marriage license to receive instructions on family planning & responsible parenthood

Sec 3: Certificate of Compliance

- Family Planning Office

A - Law on reporting CD

B - Magna Carta for PWDs

C - Providing Penalty for Improper Disposal of Garbage & other forms of uncleanliness & for other purposes

32. There are national policies on Infant and Young Child feedings. The most related administrative order is:

1 point

A. AO No. 2005-0014

B. AO No. 2006-0012

C. AO No. 2006-0015

D. Nothing is related

Correct answer

A. AO No. 2005-0014

- DOH AO

- National Policies on Infant & Young Child Feeding (IYCF) in the PH aiming to promote optimal feeding practices for infants & young children

- support

33. In the National policies on Infant and Young Child feeding with the administrative order on the previous number. The following are the specific objectives except:

1 point

A. All newborns are initiated to breastfeeding within six hours after birth

B. All infants are exclusively breastfed for 6 months

C. All infants are given timely, adequate and safe complementary foods

D. Breastfeeding is continued up to two years and beyond

A. All newborns are initiated to breastfeeding within six hours after birth

III - Program Goals & Objectives

General Objectives:

- All newborns are initiated to breastfeeding within 1 hr after birth

- All infants are exclusively breastfeed for 6 months

- All infants are given timely, adequate and safe complementary foods

- Breastfeeding is continued up to 2 years & beyond

34. Which among the following defines the implementing guidelines on hepatitis B immunizations for infants which is meant to improve effectiveness of management in the provision of three doses of routine Hepatitis B vaccine among infants including a birth dose?

1 point

A. AO No. 2005-0014

B. AO No. 2006-0012

C. AO No. 2006-0015

D. Nothing is related

C. AO No. 2006-0015

- defines the implementing guidelines on Hep B immunization for infants

35. This Administrative order revised implementing rules and regulations of EO 51 known as the "Milk Code", relevant international agreements, penalizing violations thereof and for other purposes:

1 point

A. AO No. 2005-0014

B. AO No. 2006-0012

C. AO No. 2006-0015

D. Nothing is related

Correct answer

B. AO No. 2006-0012

A - IYCF

B - BF

C - Immunization (Hep B)

SCENARIO

Center for disease control and prevention partners with the government of the Philippines and local organizations to prevent and control communicable and non- communicable diseases, strengthen public health emergency preparedness and response, and expand global health security capacity. The following are communicable diseases.

36. The nurse visited in a barrio located in Region 5 (Bicol). There is a resident presents with symptoms of diarrhea, bloody stools and enlargement of abdomen. Upon further assessment, the patient is diagnosed to have bilhariasis. What is the causative agent of bilhariasis?

1 point

A. Schistosoma spp.

B. Wuchereria bancrofti

C. Brugia malayi

D. Oncomelania quadrasi

A. Schistosoma spp.

bilhariasis or schistosomiasis or snail fever

- S. Japonicum (PH (Region V, VII, XI) & China)

- S. Mansoni (S. Ameriaca, Middle East , & Caribbeann

- S. Haematobrium - Africa & Middle East

Source: Stool & Urine of infected person/animals

MOT: Skin contact, contaminated fresh water,

37. There are different species of Schistosoma which can only be found in a particular place during its lifetime. Which among the Schistosoma species is endemic in the Philippines?

1 point

A. Schistosoma mansoni

B. Schistosoma haematobium

C. Schistosoma japonicum

D. Schistosoma mekongi

C. Schistosoma japonicum

38. The barrio knew that one of their neighbor was diagnosed with schistosomiasis. Mass hysteria cause an outbreak of unrealistic thoughts and feelings about the mode of transmission of schistosomiasis. As a nurse, she should educate the residents on how Schistosomiasis is transmitted. She is correct when she states it is transmitted through:

1 point

A. Drinking contaminated water

B. Skin comes in contact with cercaria

C. Skin comes in contact with miracidium

D. Sexual contact

Correct answer

B. Skin comes in contact with cercaria

- cause transmission of the causative agent until dev -> cause symptoms

- tiny free swimming larva (cercaria)

39. The nurse implemented some preventive measures to control the spread of the disease, the patient and its immediate environment. Which of the following is not included?

1 point

A. Treat snail-breeding sites with molluscicides

B. Improve irrigation and agriculture practices

C. Isolate the infected person for 7 days

D. Sanitary disposal of feces and urine

C. Isolate the infected person for 7 days

- no need to isolate since it is not contagious yet the preventive measures must be observed by reporting to the public to initiate environmental precautions

40. The doctor prescribed medications to the infected residents. As a knowledgeable nurse who masters pharmacology. The nurse knows which among the following are known to treat schistosomiasis?

I. Praziquantel

II. Oxamniquine

III. Metrifonate

IV. Diethylcarbamazine citrate

1 point

A. i

B. i, ii

C. i, ii, iii

D. i, ii, iii, iv

Correct answer

C. i, ii, iii

I. Praziquantel

- most effective with all major Schistosoma species

- timing of treatment: Adult worm & requires presence of mature antibody response to parasite

- broad spectrum

II. Oxamniquine

- not broad spectrum

III. Metrifonate

- effective on Schistosoma Hematobium infections in 3 doses of 7.5-10 mg/kg 14 days apart

41. Filariasis is a disease often progresses to become chronic, debilitating and disfiguring, since its symptoms are often unnoticed and unfamiliar to health workers. The nurse is knowledgeable when she says that the disease is transmitted to a person through bites of what species?

1 point

A. Wuchereria bancrofti

B. Brugia malayi

C. Aedes poecilius

D. Anopheles spp.

Correct answer

C. Aedes poecilius

Filariasis:

S/Sx: elephantiasis

Aedes & Mansonia (Asia)

Anopheles (Africa)

Culex (America)

B - causative agent

42. The life-span of the adult parasites is about 10 years while the microfilariae live for about a year at most. Since its incubation period lasts from 8 to 16 months, the nurse knows that the patient is already at acute stage when the following manifestations are present except:

1 point

A. Lymphadenitis

B. Lymphedema

C. Funiculitis

D. Lymphangitis

Correct answer

B. Lymphedema

- chronic phase

Acute: 4-7 days

- fever

- Lymphadenitis

- lymphangitis

- epididymitis

- funiculitis (inflam of spermatic cord)

Late stages (years)

- Abscesses

- Hyperkeratosis

- Polyarthritis

- Hydrocele

- lymphedema

- elephantiasis

43. In order to detect the presence of filarial worms in the body. The patient should undergo laboratory examinations and the blood is extracted during what time of the day?

1 point

A. At daytime (after 6AM)

B. At noon (10AM-2PM)

C. Anytime of the day

D. At night (After 8PM)

D. At night (After 8PM)

- blood samples are obtained when microfilaremia peaks at night (esp PH) biological characteristics

- Viable adult worms can be visualized in dilated lymphatics by ultrasonography; their movement has been called the filarial dance

- Antibody Detection: enzyme immunoassay tests for antifilarial IgG1 & IgG4

- Antigen Detection: rapid format immunochromatographic test for W. brancrofti antigen

44. The patient is confirmed with a diagnosis of filariasis. He asked about the possible treatment for microfilaria of the disease. The nurse anticipates what drugs?

I. Diethylcarbamazine citrate (DEC)

II. Hetrazan

III. Ivermectin

1 point

A. i

B. i, ii

C. i, iii

D. i, ii, iii

Correct answer

D. i, ii, iii

I. Diethylcarbamazine citrate (DEC) - DOC

II. Hetrazan (Brandname of DEC)

III. Ivermectin

DEC: Kills microfilariae & variable proportion of adult worms

Dosage: 2mg/kg tid for 12 days (PO)

Ivermectin: when DEC is not effective; combined with albendazole 400 mg orally

- can be used in areas where onchocerciasis is co-endemic, but ivermectin alone doesn't kill adult worms responsible for lymphatic filiariasis

45. The nurse educated the residents on how to prevent and control the vector. He included which among the following on the topic?

I. Sleep under mosquito net

II. Give entire community medicine that kills the microscopic worms annually.

III. Use mosquito repellent on exposed skin

IV. Wear long sleeves, long pants and socks

1 point

A. i, ii

B. i, iii, iv

C. i, ii, iv

D. i, ii, iii, iv

Correct answer

D. i, ii, iii, iv

I. Sleep under mosquito net

II. Give entire community medicine that kills the microscopic worms annually.

III. Use mosquito repellent on exposed skin

SCENARIO

Nurse Ruel is a newly-hired community health nurse in Barangay Mabuhay, the activity in the health center is vaccination.

46. Jane forgot to bring her daughter back for the second dose of OPV, she asked the nurse what to do. The nurse's response is correct when she states:

1 point

A. "How irresponsible of you naman, mother"

B. "Kakailanganin po natin ulitin ang bakuna, bale magiging first dose po ulit ni baby ito"

C. "Wala naman pong problema, ibibigay ko po ngayon ang second dose nya"

D. "I-refer ko po kayo kay doc kung paano po ang gagawin, case-to-case basis po kasi eh"

C. "Wala naman pong problema, ibibigay ko po ngayon ang second dose nya"

- delayed/interrupted schedules -> do not repeat the previous dose but continue previous doses

- More-More (More interval of doses - More time to create antibody to fight disease/condition)

- Less-Less (lesser time or interval of doses the lesser the antibody to fight disease/condition)

48. The nurse is preparing to give the BCG vaccine to the infant. According to the Public Health Nursing in the Philippines book, He should clean the skin of the injection site using a cotton ball moistened with?

1 point

A. Sterillium

B. Water

C. Alcohol

D. Betadine

B. Water

- sterile

- Alcohol: Antiseptic agent - might affect the live attenuated bacteria

- Alcohol -> dirty area or no resources of water (sterile)

- air dry the site prior to BCG vaccine

49. Vaccines are substances that are very sensitive at various temperatures. The recommended storage temperatures of EPI vaccines must be observed to avoid spoilage, and maintain its potency. Nurse Ruel is knowledgeable when he checks the storage temperature every:

1 point

A. Whenever it is necessary

B. Twice daily

C. Three times daily

D. Twice a week

B. Twice daily

EPI COLD CHAIN & LOGISTICS

Cold Chain Manager: PH Nurse

- Temperature monitoring of vaccines is done in all levels of health facilities to monitor vaccine

First Expiry First Out (FeFo)

50. Nurse Ruel checked the storage temperature and opened the storage to check for the vaccines. He noticed that the OPV is at the freezer. What should Nurse Ruel do?

1 point

A. Just leave the OPV because it is should be in the freezer

B. OPV is a live attenuated vaccine and it should be in the refrigerator

C. Identify the person who put the OPV in the freezer and inform him privately about his mistake

D. Throw the OPV because it is considered spoiled

A. Just leave the OPV because it is should be in the freezer

Situation

Correct administration of right medications with right dose to the right client is the nurse's responsibility in the management of client's health needs. Nurse Michelle is preparing various medications for her clients in the ward.

51. Nurse Michelle goes to the room of Mrs. Richards who is lying in bed. After checking client's identity, the nurse gives her the medications. Mrs. Richards tells the nurse that she "has a hard time swallowing tablets and is afraid she might choke". Which nursing action is MOST APPROPRIATE?

1 point

A. Ask the client to assume sitting position

B. Put the tablet in banana for easy swallowing

C. Pound the tablet and mix in client's soup or juice

D. Tell the client the pills are small and should be taken on time.

A. Ask the client to assume sitting position

Scored Tablets: tablets with line in the middle or cross that can be dissolve/crushed in foods or drinks

- if (-) lines/cross do not crush -> ask the MD to change the route for the pt

B & C - not sure if scored tables

D - false reassurrance

52. In the next room is Mrs. Richards, 56 years old, with an order for instillation of otic drops. Nurse Michelle checks client's identity than asks Mrs. Richards to lie on her side, opposite the ear to be medicated. When administering the otic drops nurse Michelle straightens the ear canal by pulling the pinna in which CORRECT direction:

1 point

A. Upward and forward

B. Upward and backward

C. Downward and backward

D. From side to side

B. Upward and backward

- > 2 years old: Up and Back

AdUlt: Up & Backward

chilDren: Down & Backward

53. Mrs. Richards has to receive SUBCUTANEOUS of epinephrine. For thin client like Mrs. Richards, nurse Michelle should ensure that the medication is correctly administered. After checking client's identity, she prepares the skin then lifts skin fold at the injection site and injects medication at which angle?

1 point

A. 45 degrees

B. 90 degrees

C. 50 degrees

D. 20 degrees

A. 45 degrees

- standard angle for SQ injections

SQ (obese): 90 degrees

54. An iron preparation is to be injected intramuscularly to Mrs. Richards. Nurse Michelle safely administer the drug using the Z-track technique. The following statements about Z-track technique are true EXCEPT:

1 point

A. The skin is pulled sideways is injected at a 45 degree angle

B. The zigzag path seals the needle track trapping the medication in the muscle

C. This method allows medication to be injected slowly to disperse evenly in muscle tissue

D. This technique is best when medication is irritating to tissue

Correct answer

A. The skin is pulled sideways is injected at a 45 degree angle

- must be 90 degree angle

Z-track: Staining, Irritating, Thick, may cause major discomfort

- slightly pulls & holds pressure on the skin when giving an injection, which leaves a zigzag path behind when they remove the needle & release the skin

55. Nurse Michelle will do a skin test for Matti. She uses a tuberculin syringe with gauge 25 needle and performs the intradermal procedure CORRECTLY when she:

1 point

A. Pinches and moves skin test for sideways and inject medication slowly

B. Massages the injection site immediately after withdrawing the needle

C. Aspirates after inserting needle to check for bleeding

D. Holds skin taut insert needle bevel up at 10 to 15 degree angle

D. Holds skin taut insert needle bevel up at 10 to 15 degree angle

- Lippincott: 5-15 degree

Situation

The community health nurse is often faced with common decision-making situations such as these:

56. On the day Nicole was advised to bring Richard to the health center for IMMUNIZATION, Richard has fever at 38.5"C, watery nasal discharge, red and 2 bouts of loose watery stools within the 2 hour interval. Richard is drinking and is irritable. You will use IMCI (Integrated Management of Childhood illness) wherever/whenever applicable, so you would:

1 point

A. Reduce the amount of vaccine

B. Re-schedule the immunization

C. continue immunization

D. refer the patient

Correct answer

D. refer the patient

IMCI = Look for General Danger Signs first

57. Upon reaching the age of nine (9) months, Richard will come back for measles vaccine. How is this administered?

1 point

A. Subcutaneously

B. Intradermally

C. Intramuscularly

D. Orally

A. Subcutaneously

58. Richard's mother says that her child has difficult breathing. You would recognize" chest in- drawing" on Richard if his lower chest wall goes:

1 point

A. Out when Richard breaths out

B. Out when Richard breaths in

C. in when Richard breaths in

D. in when Richard breaths out

C. in when Richard breaths in

Chest indrawing: In=In; Out=Out

Inhale = In (Chest wall)

Exhale = Out (Chest wall)

59. Another child, Sam, eight (8) months old was brought to you. She weighs 6.5 kgs. Her temperature Is 38*5C, has cough for 5 days, does not have any general danger signs. Which of the following signs should be present leading to a pneumonia classification applying IMCI?

1 point

A. Cough

B. Stridor

C. 55 breaths/minute

D. not able to breastfeed PB

C. 55 breaths/minute

- fast breathing

Normal RR

Newborn: 30-60

1-6 mos: 30-50

6-12 mos: 24-46

1-4 years: 20-30

4-6 years: 20-25

6-12 years:

>12 years: 12-16

60. You also assessed Matt, another child, eighteen (18) months who has fast breathing. This is Matt shows:

1 point

A. 40 breaths per minute or more

B. 50 breaths per minute

C. 60 breaths per minute

D. 20 breaths per minute or more

A. 40 breaths per minute or more

Situation

Nurses assist client in achieving optimum level of health in a manner consistent to responsibility and standards of practice.

61. The nurse assisted an elderly client with his dinner and promised to come back in an hour to assist him in his evening rituals. The nurse kept her promise and proceeded to go on with the evening care. This action of the nurse is an example of:

1 point

A. Compliance

B. Integrity

C. Honesty

D. Truth telling

Correct answer

A. Compliance

Integrity: upholding own principles regardless of public or people are watching

62. The nurse is in the process of administering the medication of a client. While handling the medicine the tablet fell on the hospital floor. The MOST appropriate action of the nurse is to:

1 point

A. Discard the tablet and replace with new one

B. Administer the tablet to keep from completing a required medication form

C. Pick up the tablet and wipe it off and place back to the medicine glass.

D. Pick up the tablet if nobody was there to see the action

A. Discard the tablet and replace with new one

- compromise the safety of the patient

- discarded tablet is considered WASTAGE

63. The nurse refers a newly admitted client to the physician upon the request of the relative to know more about this condition. The physician is obligated to tell the truth to their patient unless they have substantial reason to believe that disclosing the truth cause undue harm, this circumstance is known as:

1 point

A. Privileged communication

B. Therapeutic privilege

C. Moral responsibility

D. Ethical responsibility

B. Therapeutic privilege

- otherwise known as Benevolent Deception

Causes undue harm

1. Terminal Illness

2. Bad Prognosis (not lead to positive outcome)

64. A 24-year-old was rushed in the health center complaining of a wound from working in a construction. He stated that he feels uncomfortable with needles because it is painful. As the nurse is preparing the medication to be administered, the nurse chooses the sharpest needle to be used bearing in mind what bioethical principle?

1 point

A. Beneficence

B. Non-maleficence

C. Justice

D. Autonomy

Correct answer

B. Non-maleficence

- do no harm

- to prevent/protect

- sharpest needle -> effective entry into the skin -> less sensation of pain/discomfort

Beneficence: to do good / to do

1. Result of the Action:

- to prevent harm or promote safety - NM

- promote healthy lifestyle or prolong the life of pt - Bene

65. The nurse knows is aware that autonomy refers to the right to make one's own decisions. The individual freedom to make rational and unconstrained decisions shall be respected is under what section of the code of ethics for registered nurses?

1 point

A. Section 4

B. Section 5

C. Section 6

D. Section 7

Correct answer

A. Section 4

Article II. Section 4: Ethical Principles

Situation

The nurse - client relationship is the cornerstone of all nursing practice. The relationship is built on interpersonal or person - to - person communication.

66. The nurse is to administer the 8:00 am medication to a client who is confused or hard of hearing. Which of the following is the CORRECT question when identifying the client?

1 point

A. Are you Mr. Richards?

B. What is your name?

C. Are you in bed number 12?

D. Is your room number 10?

B. What is your name?

- let the client state his own name

- manner on how we ask the question

- always stick to the standard (do not lead the question to the identity of the pt)

67. After the nurse has known the identity of her client. She keeps in mind that the proper distance when administering medication is:

1 point

A. Personal distance

B. Intimate distance

C. Public distance

D. Social Distance

A. Personal distance

B - Close physical (18")

A - 18" to 4 ft

D - 4 ft - 12 ft

C - 12 ft & beyond

68. When the nurse is communicating with the patient. The nurse knows that which among the statement about communication is considered to be accurate?

1 point

A. Verbal communication solely is essential for human relationships

B. Communication is inevitable

C. The most expressive part of the body is the hands

D. The behavior is a clear representation of feelings

Correct answer

B. Communication is inevitable

- Nonverbal & Verbal communication exists

69. Which among the following is the nurse performing an interviewing technique of attentive listening?

1 point

A. Exploring and determining the concerns of the patient with why questions

B. Reacting quickly to what the patient says.

C. Using silence or pauses to extend for several seconds to encourage the patient to talk

D. Paying attention to the total message

Correct answer

D. Paying attention to the total message

- not just focus on what the pt says but as well on the content or gist of the conversation

70. The nurse supervisor observes the staff nurse became overly involved with her client of three days to the extent of disclosing personal information. This behavior of the staff nurse can be interpreted as failing to honor nurse-client professional:

1 point

A. Relatedness

B. Relationship

C. Responsibility

D. Boundaries

Correct answer

D. Boundaries

- Professional Boundaries: during interaction with the pt

Situation

As a Registered Nurse, Samantha is aware that it is important to know the provision of the Nursing Law as these relate to professional nursing practices since nursing roles and practice settings change and expand over time.

71. Nurse Samantha is faced with legal responsibilities at work and has the responsibility to perform nursing activities based on standards of nursing practice. Standards of practice is best understood as:

1 point

A. Minimum level of performance acceptable to ensure high quality care

B. Nursing care based on scientific knowledge to ensure comprehensive nursing care

C. Quality care ensured to meet the needs of the client

D. It is the traditional care performed by the nurses

A. Minimum level of performance acceptable to ensure high quality care

- bare minimum to ensure quality of care

- following the protocols/procedures

72. Nurse Samantha's action reflect her ethics of care when she manifests the following behavior while providing nursing care to Mr. Richards EXCEPT:

1 point

A. Practices selective listening when conversing with the client

B. Shows sensitivity to what the client wish to convey and maintains confidentiality

C. Uses a person - to - person encounter with her clients

D. Uses therapeutic touch when appropriate

Correct answer

A. Practices selective listening when conversing with the client

- must be attentive or active listening not SELECTIVE

73. Nurse Samantha is assigned to Mr. Richards, a client for surgery. She is asking the client to sign a consent form for surgery. Informed consent is given by the client when he:

1 point

A. Concurs with the treatment after receiving complete information from the surgeon

B. Signs a consent form on admission to allow the hospital to take care of his health problems

C. Permits the health team to operate as requested by the nurse

D. Receives appropriate information about several options of treatment modalities

A. Concurs with the treatment after receiving complete information from the surgeon

- pt agrees (concur)

- explaining, answering questions or concerns

74. In the ward, Mr. Richards was prescribed by an antibiotic which is larger than the standard recommended by the manufacturer. Which should the nurse do?

1 point

A. Give the average dose of the medication listed in the manufacturer

B. Give the drug as prescribed

C. Discuss the prescription the doctor who prescribed the drug

D. Inform the supervisor and let him inform the doctor.

C. Discuss the prescription the doctor who prescribed the drug

- clarify or validate medications to administer are safe

75. Mr. Richards is scheduled for abdominal surgery in the morning. As nurse Samantha is about to give the pre - operative medication, she noticed that the client is wearing a wrist watch. No relative was around to receive the valuable. Which of the following should be the BEST action of nurse Samantha?

1 point

A. Remove and label the watch to be secured in the hospital safety deposit

B. Allow the client to keep the wrist watch then remove when inside the OR

C. Ask the client to sign a waiver when keeping the wrist watch

D. Instruct the client to remove the wrist watch and keep it inside the bedside drawer

Correct answer

C. Ask the client to sign a waiver when keeping the wrist watch

- Patient Advocate

- Transparency

- Waiver: Transparent to the liabilities to the pt belongingness

1. Object (Name/Model)

2. Quantity

3. Condition

4. Name of the owner

Manual Patient Belonging Check-in/out Error

Situation

Receiving and transmittal of referrals is very much a part of the Health Care Delivery System which needs to be operationalized and be made functional. The following model's apply.

76. A client recently discharge from the hospital was referred for Municipal Health follow-up intervention. Prior to discharge, the referral notice stated that the client understands the use if antibiotic therapy for his would infection. As the public health nurse assigned to conduct follow-up visits, by which statement would the client's understanding of antibiotic therapy be measured?

1 point

A. "If my drainage is clear, I do not need the antibiotic"

B. "I need to take the medications until the prescription is finished"

C. "If my temperature elevates, I should increase my dose of antibiotics"

D. "I should take the antibiotic until my temperature is normal"

B. "I need to take the medications until the prescription is finished"

- prescribed number of days or duration -> must be completed or adhered

77. All referrals, once received and handled by any nurse, must undergo assessment to establish receiving, base- line data or information. Which assessment finding in a 5 year old client WITH A FEVER would be considered additional signs that requires further health intervention even in the home?

1 point

A. White coated oral mucous membranes

B. Flushed skin

C. Complaint of chills

D. Drowsiness

A. White coated oral mucous membranes

- could be a benign/malignant condition

- Oral Lichen Planus: chronic inflammatory condition that affects mucous membranes inside the mouth

B - expected

C - expected

D - expected

78. From another referral, the nurse is trying to validate the extent of client's understating of "penicillin - resistant infection". Upon discharge, client was given teachings on the subject since this client has penicillin-resistant infection. In this situation which instruction is MOST important for the nurse to include in the teaching plan.

1 point

A. "you have been discharged on an antibiotic other than penicillin"

B. "you will not need to take antibiotic for this infection"

C. "You are at high risk for other infections

D. "you have an allergy to penicillin"

A. "you have been discharged on an antibiotic other than penicillin"

79. You understand that antibiotic therapy started in the hospital can increase the risk for infection because:

1 point

A. Antibiotic therapy also kills of normal flora, which provide protection form infection

B. The resulting dead bacteria provide a rich culture medium for viruses

C. Associated diarrhea causes intestinal ulcerations to form, creating a new portal of entry

D. IV antibiotic contain high concentration of glucose, an ideal medium for bacterial growth

Correct answer

A. Antibiotic therapy also kills of normal flora, which provide protection form infection

- some antibiotics are so strong to the extent the normal flora are altered

80. Which statement by the client indicated that the client needs ADDITIONAL teaching about home broad-spectrum antibiotic therapy?

1 point

A. "I hope I don't get HIV or AIDS from this treatment"

B. "I can call our family nurse - friend for assistance in my therapy"

C. "Receiving treatment at home is less expensive than in the hospital"

D. "I'm glad that this therapy can be given in my home"

A. "I hope I don't get HIV or AIDS from this treatment"

Situation

Community Health Nurses are always mindful that there are various phases in Community Organizing (CO) and that CO is a patent strategy for us nurses to apply as well in primary health care (PHC). The following questions apply.

81. One assessment tool familiarly available for use in order to determine priority needs of the community is that which we call:

1 point

A. Community evaluation

B. Preliminary social investigation

C. Deepening social investigation

D. Community assessment

D. Community assessment

82. The basic reason why community organizers need to go through a "Phasing out" from the community is to enable people to:

1 point

A. Test their unity and strength

B. Prove that they can provide basic health services to the community by themselves

C. Expand their reach to adjacent communities

D. Allow the community and its leaders to be self-reliant

D. Allow the community and its leaders to be self-reliant

83. The following statements pertaining to Primary Health Care (PHC) are correct EXCEPT:

1 point

A. PHC serves as the foundation for introducing alternatives in health and health care

B. PHC allows transfer of health technologies to the hands of the people in the community

C. PHC only encourages utilization of sophisticated and high-level technologies available for the people

D. PHC involves essential care the ultimate goal of which is obtain self-reliance in health and development

C. PHC only encourages utilization of sophisticated and high-level technologies available for the people

84. Appropriate Technology or Appro-Tech refers to methods and technologies which are:

1. Available and accessible

2. Scientifically sound

3. Socially acceptable

4. Replicable and inexpensive

1 point

A. 1 and 2 only

B. 1,2,3 and 4

C. 1,2 and 3

D. 2 and 3 only

B. 1,2,3 and 4

1. Available and accessible

2. Scientifically sound

- scientific basis

3. Socially acceptable

- community can easily use (accept)

4. Replicable and inexpensive

Appropriate Technology

- ORS: DHN

- Growth Chart: Monitor dev

- Vaccine vial monitor

- First Aid

85. The first declaration on primary health care (PHC) was signed in Alma-ata, USSR. The reason of the international conference was:

1 point

A. There was a wide gap in the health of underdeveloped and developed countries and within countries

B. There is a need to support health of women, improving food security, safety and nutrition.

C. Sustainable development and equity in creating supportive environments for health

D. Promoting social responsibility for health, increasing community capacity and empowering the individual, expanding and consolidating partnerships for health.

A. There was a wide gap in the health of underdeveloped and developed countries and within countries

- to close the gap

- to unite the approach in addressing health

- PHC

Situation

Romel, 25-year-old client is having difficulty handling his secretions. He is unable to effectively clear the airway by coughing and expectorating. Upon auscultation, gurgling noises were heard with respiration. A nasopharyngeal suctioning was ordered by the physician.

86. The nurse prepares the client for the procedure. She advises that suctioning may cause coughing but emphasizes the importance of clearing the airway. The nurse adjusts the suction control for the appropriate amount of pressure for effective result to:

1 point

A. 40-50mmHg

B. 50-60 mmHg

C. 80-100 mmHg

D. 60-70mmHg

Correct answer

C. 80-100 mmHg

Lippincott: 100-150 mm Hg

1. Avoid trauma to the tissues/area

2. Effectivity

87. The nurse inspect the nares with a penlight to determine patency. She applies suction by gently rotating the catheter making sure all surfaces are reached. The nurse should make sure that the application of suction should not be longer than:

1 point

A. 10-15 seconds

B. 2-5 seconds

C. 30-35 seconds

D. 20-25 seconds

A. 10-15 seconds

- minimize tissue trauma

- suction during withdrawal

88. The nurse is inserting the catheter tip into the nares. The procedure is CORRECTLY done when the nurse:

1 point

A. Instruct the client to swallow while inserting the catheter

B. Instruct the client to sip ice chips to facilitate insertion of the catheter tip

C. Advances the catheter gently with a slight downward slant to the point marked

D. Advances the catheter slowly and gently up to the point marked.

D. Advances the catheter slowly and gently up to the point marked.

- Marking guide: serve as guide regarding the depth of the catheters

- around 5-6 inches (nasopharyngeal)

- 3-4 inches (oropharyngeal)

89. The length of catheter to be inserted by the nurse to the client should be approximately:

1 point

A. 9-10cm

B. 4-8cm

C. 10-12cm

D. 14-16cm

Correct answer

D. 14-16cm

or 12.7 to 15 cm

90. After the suctioning procedure the nurse should:

1 point

A. Put the client into a comfortable position

B. Document the procedure

C. Inform the physician

D. Report to the supervisor

A. Put the client into a comfortable position

- patient first -> documentation

Situation

Among cases often encountered in the community as common health concerns are ear problems of children where in such instances applying IMCI should be automatic for any nurse. The following situations and questions apply.

91. Nicole, a 4 year old child and resident of barangay Manggahan whom you met during your home visit. You found her with ear problem. Nicole should be assessed for the following EXCEPT

1 point

A. Is there any fever?

B. Ear discharge

C. if discharge is, present and for how long?

D. ear pain

A. Is there any fever?

- ear problem

1. Pain

2. Discharge

3. Discharge Duration

92. But assuming Nicole do not have any ear problem, what should you do?

1 point

A. Check for ear discharge

B. Check for tender swelling behind the ear

C. Assess the next potential problem: check for malnutrition

D. Check for ear pain

C. Assess the next potential problem: check for malnutrition

93. In the case of Nicole, her ear discharge was noted for the past 14 days therefore she can already be classified as:

1 point

A. Acute ear infection

B. Chronic mastoiditis

C. mastoiditis

D. chronic ear infection

D. chronic ear infection

94. If Nicole had ear discharges for less than 14 days, Nicole's condition should be classified as:

1 point

A. Acute mastoiditis

B. Acute ear infection

C. mastoiditis

D. chronic ear infection

B. Acute ear infection

95. If Nicole's condition increases in severity because of ear problems, what would be the next best thing you should do as nurse?

1 point

A. Refer urgently

B. Give an antibiotic for 5 days

C. Instruct mother when to return immediately

D. Dry the ear by wicking

A. Refer urgently

SITUATION

In 1999, the DOH has been transformed from being the sole provider of health services to being provider of specific health services and technical assistance provider for health, as a result of the devolution of basic services to local government units.

96. Executive Order No. 102 which is redirecting the functions and operations of the department of health or DOH was signed by?

1 point

A. President Ferdinand E. Marcos

B. President Corazon C. Aquino

C. President Fidel V. Ramos

D. President Joseph E. Estrada

Correct answer

D. President Joseph E. Estrada

May 24, 1999

97. The Department of health, in its new role as the national authority on health providing technical and other resource assistance to concerned groups as mandated by EO 102. Which among the following specific roles in the health sector is not included?

1 point

A. Leadership in Health

B. Research and Consulting Services

C. Enabler and Capacity Builder

D. Administrator of Specific Services

B. Research and Consulting Services

- consulting services are not included

98. The Department of health serves as an advocate in the adoption of health policies, plans and programs to address national and sectoral concerns. Which of the following general functions is this under?

1 point

A. Leadership in Health

B. Research and Consulting Services

C. Enabler and Capacity Builder

D. Administrator of Specific Services

A. Leadership in Health

99. The DOH administers health emergency response services, including referral and networking system for trauma, injuries and catastrophic events in cases of epidemic and other widespread public danger, upon the direction of the president and in consultation with concerned LGU. This function of the DOH is under what specific roles?

1 point

A. Leadership in Health

B. Research and Consulting Services

C. Enabler and Capacity Builder

D. Administrator of Specific Services

D. Administrator of Specific Services

100. Mary, a newly-hired nurse was assigned to the community health center. She met Ate Fe, a traditional healer in the barrio. Mary knows that Ate Fe is considered to be a what type of primary health care worker?

1 point

A. Barangay Health Workers

B. Grass roots

C. A & B

D. Traditional healers are not considered to be part of a primary health care worker.

Correct answer

C. A & B

A. Barangay Health Workers

B. Grass roots: not professionally trained yet have other training to work in the community