CHN 1 MOCK TEST P2

Contact / Vector Precaution

A client in the community is diagnosed with Dengue Fever. The nurse provides instructions on vector control, such as using mosquito nets and eliminating standing water. What type of isolation or precautionary measure is being applied?

Family of orientation

Which term refers to the family from which an individual originally came?

They cannot concentrate on urine effectively.

Which statement best explains why newborns require relatively high fluid intake?

The client follows the nurse's medication instructions.

Which finding is best classified as a knowledge or learning-behavior outcome?

Record review

A nurse reviews the family's clinical records, immunization records, laboratory reports, and previous reports about home and environmental conditions.

Which data-gathering method is this?

Health Threat

A nurse identifies that a family has incomplete immunization records for two toddlers. Under which category does this fall?

Allocation of resources

A family is experiencing difficulty because members cannot agree on who should receive priority for the limited money available for food, medicines, and school expenses. Which family task is most directly involved?

It is a continuous, cooperative process requiring active individual and community participation.

Which statement accurately reflects a core principle of Health Education in Community Health Nursing?

Two doses at least 4 weeks apart

A child receives influenza vaccine for the first time at age 4 years. What schedule is recommended?

Evaluation

A community health nurse determines whether the intended results of family teaching were achieved. Which component of the nursing process is the nurse performing?

Second-level assessment

A community health nurse visits a family and identifies that one member has a health problem. The nurse then determines whether the family recognizes the problem, what they have done about it, and what barriers they encountered.

Which level of assessment is the nurse primarily performing?

Observation

Which term refers to the process of using sight, hearing, smell, and touch to gather information about the family's condition and behavioral responses?

A. Education for Health

B. Expanded Program on Immunization

C. Maternal and Child Health and Family Planning

D. Environmental Sanitation and Promotion of Safe Water Supply

E. Nutrition and Promotion of Adequate Food Supply

Which of the following are elements of Primary Health Care? Select ALL that APPLY.

Efficiency

Which aspect of evaluating a family health care plan measures the relationship between the resources used and the outcomes attained?

Data analysis

A nurse has collected information from a family. Before defining the family's health problems, the nurse groups related information, identifies recurring patterns, compares the findings with appropriate standards, and interprets the results.

What process is the nurse performing?

A. Sorting data into broad categories

B. Clustering related cues

C. Distinguishing relevant from irrelevant data

D. Identifying patterns

E. Comparing patterns with health norms or standards

Which are included in data analysis during family nursing assessment? SELECT ALL THAT APPLY.

Acupressure

A client wants to try an alternative health care modality that involves applying pressure to specific points of the body without puncturing the skin. Which modality is being described?

Health Deficit

Nurse Sarah conducts a home visit and finds a 4-year-old child who is severely underweight and showing clear signs of protein-energy malnutrition. How should Nurse Sarah categorize this health problem when prioritizing family health needs?

Locally Endemic Disease Control

A nurse is preparing a community intervention for a barangay where malaria is frequently reported. Instead of waiting for residents to become ill, the nurse develops activities aimed at preventing the occurrence and reducing the morbidity associated with the disease.

Which element of Primary Health Care is MOST directly addressed?

Two doses at 0 and 6 months

A 13-year-old receives the first HPV vaccine dose. Which series is recommended in the module?

Health deficits usually demand more immediate intervention than health threats.

community health nurse is evaluating a family experiencing a health deficit and a foreseeable crisis. According to the criteria for setting priorities, which statement best explains why a health deficit receives greater weight than a health threat?

Efficiency

A nurse compares two equally effective health teaching approaches and selects the one that requires less staff time and fewer materials. Which dimension of evaluation guided this decision?

Facilitative

The nurse helps a low-income family apply for municipal health insurance (PhilHealth) so they can access free maternal health services. This intervention is classified as:

Nuclear family

A community health nurse visits a household composed of a father, mother, and their children. They live separately from both sets of grandparents and other relatives. Which type of family does this describe?

Matricentric

A father works overseas, so the mother assumes responsibility for major household decisions and takes charge of the family in his absence. What type of family authority is demonstrated?

Poultice

Which term refers to applying plant material directly to the affected part of the body?

32 weeks

What is the latest age at which the final rotavirus vaccine dose should be administered?

Effectiveness

A nurse evaluates a home-based nutrition program by determining whether mothers can correctly prepare the prescribed meal plan. Which dimension of evaluation is being measured?

It is routinely given to all infants at birth.

A nurse teaches parents about vitamin K prophylaxis. Which statement is correct?

Consume an additional 500 kcal per day while breastfeeding.

A breastfeeding mother asks about energy needs after delivery. Based on the module, which advice is most appropriate?

A and B are not methods of teaching skills

The following are the methods of teaching skills. Which is not included?

Increase competency and skills

According to Maglaya (2003), there are four types of intervention for health promotion and disease prevention. Which of the following is not included?

Self-reliance

A community has limited resources and decides to organize its members, mobilize local resources, and develop leadership and management skills so that they can sustain their own health programs. Which PHC principle is demonstrated?

Second-level assessment

Which assessment is described as defining the nature or type of nursing problems encountered by the family in performing health tasks and identifying the barriers to assuming these tasks?

Appropriateness

This is the suitability of goals and interventions to identified family needs.

Health Threat

During a home visit, a nurse observes an uncovered water container filled with mosquito larvae near the kitchen. How should the nurse categorize this finding?

The family's perception and recognition of the health condition

During a home visit, the nurse observes that a family member has difficulty breathing. The family believes that the condition is simply due to tiredness. The nurse asks what they think is happening, why they think the family member is experiencing the condition, and whether they recognize it as a health problem.

What is the nurse primarily trying to determine?

Family safety (life-threatening situations)

When setting priorities for family nursing interventions, which consideration takes top priority according to Maurer and Smith (2009)?

Community participation

A community health nurse organizes a meeting where residents identify their own health problems, participate in planning solutions, and help evaluate the health programs implemented in their barangay. Which principle of Primary Health Care is demonstrated?

A. Family members communicate thoughts and feelings effectively.

B. Family roles can be performed flexibly.

C. Family members demonstrate mutual respect for individuality.

D. The family is able to provide support, security, and encouragement.

A community health nurse is assessing whether a family demonstrates characteristics of a well-being family. Which findings would support this conclusion? SELECT ALL THAT APPLY.

Health Deficit

Mr. Manalang, the head of the Family Manalang residing in Brgy. Matagbak, was diagnosed with Active Pulmonary Tuberculosis. What health represents the situation?

A. Involve residents in planning and implementing the program.

B. Coordinate with government and nongovernment agencies.

C. Use technology that is appropriate to the community's needs and resources.

D. Establish support mechanisms for continuing health activities.

A community wants to establish a sustainable health program consistent with the four cornerstones/pillars of Primary Health Care. Which activities should the nurse encourage?

Select all that apply.

Blended/Reconstituted family

During a home visit, the nurse learns that a mother, her new husband, and children from both of their previous marriages are living together. Which family structure is present?

90 to 120 kcal/kg/day

According to the module, a healthy term newborn generally requires which daily energy range?

Salience

A family acknowledges that their child has scabies but refuses treatment, stating 'it is just a temporary skin itch.' Which criterion is being evaluated when considering the family's perception?

Begin breastfeeding within the first hour of life.

A stable newborn is alert and shows interest in feeding shortly after birth. What is the most appropriate feeding plan?

Foreseeable Crisis

A mother is in her third trimester of pregnancy with her first child. How should the community health nurse categorize pregnancy in family health nursing?

Supplemental intervention

A nurse performs wound care directly for an bedridden elderly family member because the family is temporarily unable to do so. What type of nursing intervention is being demonstrated according to Freeman and Heinrich (1981)?

Within 24 hours of life

A newborn weighing 2.4 kg should receive the first monovalent hepatitis B vaccine dose at what time?

1.0

Nurse John calculates the score for 'Nature of the Problem' for a family member with severe malnutrition (Health Deficit). Given a standard score of 3 and a weight of 1, what is the computed actual score?

Increasing family strength

This refers to the factors or forces that contributes to the family unity and solidarity.

Clean to Dirty Technique

What principles we are following when cleaning the wound of a client in community settings?

Family with school-age children

During a community assessment, a nurse encounters a family whose oldest child is 10 years old. According to Duvall’s Family Development Model, which stage is this family most likely experiencing?

Adequacy

A nurse reviews a program to determine whether every necessary activity was performed to achieve the intended result. Which dimension is being assessed?

Skills – Return Demonstration Method

While preparing a health teaching plan for a mother on managing infant nutrition, the nurse sets an objective: "By the end of the session, the mother will accurately weigh the infant using a baby scale." Under which domain and method do this fall?

A well-functioning family

A nurse assesses a family and determines that the family can communicate thoughts and feelings effectively, provide mutual support, adapt roles when needed, and use a crisis experience as an opportunity for growth. What does this assessment indicate?

Efficiency

This is the degree of sufficiency of goals and interventions in attaining desired family change.

HBV and HBIG within 12 hours of life

An infant is born to a mother known to be HBsAg positive. Which intervention is indicated?

Socio-economic and cultural characteristics

A nurse gathers information about a family's income, occupation, educational attainment, ethnic background, religious affiliation, and relationship with the larger community.

Which category of family assessment data is the nurse collecting?

ID, 0.05 mL

Which route and dose are appropriate for BCG in an infant younger than 12 months?

Allocation of resources

A family has limited financial resources. Their youngest child develops a fever, while the family is also facing expenses for food, rent, and school. The parents discuss which needs should be addressed first and decide to purchase the child's prescribed medication while adjusting other expenses. Which family health task is BEST demonstrated?

Long duration of the health problem

When calculating the Preventive Potential of a given health problem, which condition reduces the score?

Salience

Which criteria specifically refers to the family’s own perception and evaluation of the problem regarding its seriousness and urgency?

Health Deficit

Mr. Jose, 54/M, of Family Barzaga was diagnosed with Hypertension and DM type II. As a nurse, how will you categorize this health problem?

An infant exclusively breastfed

Which infant is most likely to need vitamin D supplementation according to the module?

At 6 months

During a declared measles outbreak, at what earliest age may measles vaccine be given according to the module?

B. What the family has done to address the problem

C. Whether the interventions used by the family have been effective

D. Barriers encountered while implementing interventions

A family has identified a child's recurrent respiratory problem as a health concern. During the second-level assessment, which questions or areas should the nurse explore? SELECT ALL THAT APPLY.

15 minutes

A community health nurse is sterilizing equipment used for non-disposable surgical wound care in a home setting without an autoclave. According to standard home health care procedures, how long should the equipment be boiled after washing with soap and water?

A. Recognizing interruptions of health development

B. Making decisions about seeking health care

C. Providing care to all members of the family

D. Maintaining a home environment conducive to health

Which of the following are family health tasks identified by Maglaya (2004)? SELECT ALL THAT APPLY.

Nutrition and Promotion of Adequate Food Supply

A nurse teaches parents proper food preparation, balanced nutrition, and prevention of malnutrition. Which element of PHC is primarily addressed?

Did the intervention solve or correct the identified problem?

Which evaluation question best addresses appropriateness of an intervention?

A. Active Community Participation

B. Intra and Inter-sectoral Linkages

C. Use of Appropriate Technology

D. Support mechanisms made available

Which of the following are four cornerstones/pillars of Primary Health Care? SELECT ALL THAT APPLY.

Unavailability of appropriate drugs and vaccines at the health center

Which of the following is considered a Health System Issue affecting the quality of community health care, rather than a health worker skill deficiency or family practice?

A. Family structure, characteristics, and dynamics

B. Socio-economic and cultural characteristics

C. Home environment

D. Health status of each family member

E. Values and practices related to health promotion and disease prevention

During first-level family health assessment, which data should the nurse collect? SELECT ALL THAT APPLY.

Incomplete or inaccurate data may result in incorrectly defined health and nursing problems

A nurse obtains information from a family through interviews, observation, physical examination, and review of health records. However, several findings are inconsistent with one another.

Which is the best reason for the nurse to further validate the information before defining the family's nursing problems?

Foreseeable Crisis

Nurse Sarah conducts a family visit and notes that the primary breadwinner recently lost his job, causing severe emotional stress and financial uncertainty for the household. Under which category does this health problem fall?

Accessibility and availability of health services

A barangay health center schedules its services in a location where residents can easily reach them and uses available community resources. Which principle of PHC is being applied?

Factual observations, measurements, laboratory results, and immunization status

Which information belongs in a family health record?

PPD testing is not necessary before BCG.

A healthy 4-month-old who did not receive BCG at birth has no TB symptoms or known exposure. What should the nurse anticipate before BCG vaccination?

Self-reliance

A barangay health program is initially successful because the local health team provides most of the services. However, when external assistance is withdrawn, the program stops because community members have not developed the skills to manage it.

Which PHC principle was MOST inadequately addressed?

Tuberculosis

Which disease was among the six conditions initially included in the EPI?