RECALLS 4 - NP1

1. In conducting a family assessment, which source of data would be MOST helpful?

A. Input from other members of the health team.
B. Information from other cooperating health care agencies.
C. Review of family members' charts and medical record data.
D. Observation and interaction with the family members.

D. Observation and interaction with the family members.

2. In completing a family assessment, the public health nurse should BEGIN by ___________.

A. gathering the health data from all family members
B. Testing the family's ability to cope
C. evaluating communication patterns
D. Identification of the geographic location of resources for the family.

A. gathering the health data from all family members

3. Which of the following would be better understood by the nurse after using a FAMILY MAP?

A. Roles and relationship within the family
B. Recognition of the leader who speaks for the family.
C. Description of the social and economic status of the family.
D. Identification of the geographic location of resources for the family.

A. Roles and relationship within the family


FAMILY MAP - Assessment tool that identifies family needs and strengths

4. The nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an outstanding organizer. Which of the following goals is the nurse trying to achieve by making this statement?

A. Making then husband proud that he had married his wife.
B. Reinforcing for the family some of the strengths of one of their family members.
C. Encouraging the wife to volunteer to follow through on all the needed actions.
D. Making the wife feel very complimented and proud.

B. Reinforcing for the family some of the strengths of one of their family members.

5. In implementing family-centered care, the public health nurse _____________.

A. works with clients to help them accept limitations for their actions.
B. assists family members to assume dependent roles
C. offers information about necessary self-care abilities.
D. provides his or her own beliefs on how to solve problems

C. offers information about necessary self-care abilities.


Goal of Family Health Nursing -> To achieve self-reliance and effective self care

6. Public Health Nurse Silang is educating a group of residents in Community Marahas about RABIES. A participant asks, "How can you get the virus?" The Nurse explains that the virus can be transmitted by which source?

A. Saliva
B. Blood
C. Urine
D. Stool

A. Saliva

7. She emphasized that the bites, which are responsible for nearly 99 percent of human rabies infections, are those of the infected __________.

A. monkeys
B. dogs
C. bats
D. cats

B. dogs

8. Nurse Silang explains that there are situations which increase the risk of rabies. These are ________.

A. stray of dogs
B. All of these
C. unprovoked bites
D. animals display abnormal behavior

B. All of these

9. In another health education session, Nurse Silang explains about LEPROSY. Which of the following should be included?
1. leprosy is curable
2. not all leprosy patients are infectious
3. leprosy is hereditary
4. casual contact with a patient causes leprosy
5. regular and adequate treatment is essential

A. 1, 3, 5
B. 2, 4, 5
C . 1, 2, 5
D. 2, 3, 4

C . 1, 2, 5


Other Names: Hansen's Disease, Hansenosis, Leper's Disease
CA: Mycobacterium Leprae/Hansen's Bacillus
**1 week after treatment: no longer communicable
** Prolonged contact: 6-8hrs

MEDICATION: "ROMCD"
Rifampicin
Ofloxacin
Minocycline
Clofazimine
Dapsone

10. Nurse Silang stated that a definitive diagnosis of leprosy is obtained through _________.

A. blood examinations
B. tuberculin testing
C. skin smears/ biopsies
D. nasal smears

C. skin smears/ biopsies

SSS - Slit Skin Smear

11. Which of the following BEST defines a disaster?

A. Any event that results in multiple deaths.
B. Devastation that covers a broad geographic area.
C. Devastation that cannot be relieved without assistance.
D. The event results in multiple injuries, deaths and property damage

C. Devastation that cannot be relieved without assistance.

DISASTER is an event, natural or man-made, sudden or progressive that the affected community has to respond with exceptional measures, and may need assistance from other communities or areas. -Ph Disaster Risk Management Act of 2006

Disaster Law: RA 10121
Created the NDRRMC

12. Nurse Nikito is guided by the ICN framework of disaster nursing competencies. This framework consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster. What consists of the FIRST stage?

A. Response
B. Preparedness
C. Prevention
D. Recovery

C. Prevention (1)

A. Response (3)
B. Preparedness (2)
D. Recovery (4)

13. Nurse Nikito has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following BEST describes the purpose of this meeting? To _______.

A. Enhance communication among agencies in the community
B. Increase stability in the community
C. Manage response to disasters in the community
D. Improve overall community functioning

A. Enhance communication among agencies in the community


Preparedness: Planning

C. Manage response to disasters in the community (Disaster response)

14. Nurse Nikito adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk ensuing a disaster, which of the following in the MOST appropriate approach?

A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel better. "
B. "What you need to do now is to wait for instructions and services to be provided."
C. "Don't feel bad. Others are in the same situation as yours."
D. "You need not cry. You need to move on and build your life again."

A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel better. " (Offering one self- Active listening)

15. As he passed by a road going to an evacuation center, Nurse Nikito encountered a flash flood. A flash flood _______.

A. Occurs suddenly and for a short duration
B. Is caused by the blocking of drains
C. Is caused by heavy rains
D. Occurs in urban areas

A. Occurs suddenly and for a short duration

16. When performing a family assessment, select what the nurse must first determine.

A. How the family expresses and manages emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patient's suicide attempt has for family members

C. Names and relationships among family members

17. Which of the following is the BEST QUESTION for the nurse to ask to assess a family's ability to cope?

A. "Do you think your family copes effectively?"
B. "What do you think of the current family problem?"
C. "What strengths does your family have?"
D. "Can you describe how you successfully handled one family problem?"

D. "Can you describe how you successfully handled one family problem?"

18. The mother of Albert asks the nurse, "Why do you want to do a family assessment? My teenager is the patient, not the rest of us." What is the BEST response of the nurse?

A. "Family dysfunction might have caused the mental illness."
B. "Every family member 's perception of events is different and adds to the total picture."
C. "Family members provide more accurate information than the patient."
D. "Family assessment is a protocol for care of all patients with mental illness."

B. "Every family member 's perception of events is different and adds to the total picture."

19. Which information is the nurse MOST likely to find when assessing the family of a patient with mental illness?

A. Power in the family is maintained in the parental dyad and rarely delegated.
B. Several family members have serious problems with their psychological health.
C. Stress that living with a mentally ill member has challenged the family's function.
D. The family exhibits many characteristics of dysfunctional families.

C. Stress that living with a mentally ill member has challenged the family's function.

20. Parents of Albert say, "We have never known anymore who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Which of the following is the nurse's MOST helpful intervention?

A. Facilitate achievement of normal developmental tasks of the family.
B. Build the parent's self-concept as coping patterns.
C. Teach the parents techniques of therapeutic communication.
D. Refers the parents to a support group.

D. Refers the parents to a support group.

21. You want to distinguish between records and reports. As applied to public health, the following are the type of RECORDS, EXCEPT _______.

A. Events such as births, illness, deaths
B. Analysis of a problem situation
C. Clinic consultation
D. Written data on home visit

B. Analysis of a problem situation (Report: Narrative, tabular, graphic form)

22. REPORTS are prepared usually for administrative purposes. Which of the examples below is NOT a report?

A. Summary of services delivered
B. Accomplishments and failures of services
C. Description of a program and planned services
D. Client information and profile

D. Client information and profile

23. There are commonly used record and reports in public health nursing practice. The individual clinical record contains which of the following information?
1. Socio-demographic characteristics
2. Patient's chief complaint
3. Physical Examination findings
4. Prescription of drugs
5. Frequency of clinic check up
6. Attendance to community settings

A. 1, 3, 5, 6
B. 1, 2, 3, 4
C. 1, 2, 4, 5
D. 3, 4, 5, 6

B. 1, 2, 3, 4

5. Frequency of clinic check up (Discharge Instructions)

24. The family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. The FSPR consists of four parts, the FIRST being _________.

A. Health and nursing problems
B. Nursing care plan
C. Assessment of the family and the environment
D. Service and Progress Notes

C. Assessment of the family and the environment

25. Which of the following relates to the family's NURSING PROBLEM?

A. Inability to assume health tasks with respect to health problems
B. Crisis situation or developmental deficite
C. Health threats, risks or hazards
D. Strained relationships or disunity

C. Health threats, risks or hazards

26. The need for supervision may arise from the following:
1. Lack of motivation
2. Conflict between personal and organizational goals.
3. Lack of knowledge and skills
4. Desire for promotion or job permanency
5. Achieve health goals for the agency

A. 2, 3, 5
B. 1, 3, 4
C. 1, 2, 4
D. 2, 4, 5

1,2,3 (bonus)

27. Ms. Mahilom would require information regarding the supervisory needs of the midwives which can be taken from which of the following?
1. Review of records and reports
2. Interview of the midwives
3. Review of literature
4. Observation of the midwives at work
5. Results of survey among the staff

A. 2, 3, 5
B. 1, 3, 4
C. 1, 2, 4
D. 2, 4, 5

C. 1, 2, 4

28. Ms. Mahilom prioritizes supervisory needs and problems based on the following criteria, EXCEPT ________.

A. convenience to both parties to address needs
B. degree of importance of the identified need
C. availability of resources needed
D. activities needed to meet the identified need

A. convenience to both parties to address needs

29. During the actual supervisory visit, which of the following is NOT expected of Ms. Mahilom? She ________.

A. discusses the objective of the visit
B. expresses appreciation and support given for the visit
C. conveys a formal, strict approach to the midwives
D. explains the process and outcomes of the visit

C. conveys a formal, strict approach to the midwives (should be warm and friendly approach)

30. After setting the objectives and selecting the activities, Ms. Mahilom would need to identify the indicators for evaluation. Which one is NOT included?

A. Needs met
B. Performance increased
C. Promotion achieved
D. Quality of service improved

C. Promotion achieved

31. Nurse Sisa collects data and monitors the health status of the population. Which of the following core public functions is being implemented?

A. Assurance
B. Policy development
C. Assessment
D. Prevention

C. Assessment

32. . Nurse Sisa included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data?

A. Health status data
B. Health care resource information
C. Health risk factors
D. Sociodemographic data

D. Sociodemographic data

A. Health status data (birth rate, mortality, morbidity)
B. Health care resource information (Manpower, money, material)
C. Health risk factors (alcoholism)

33. Working in the community with an aggregate/population, who does Nurse Sisa MOST likely to interact with?

A. Students in a local high school
B. Patients at the local hospital
C. Residents who play basketball
D. Christians in the community

A. Students in a local high school


A population or aggregate is a collection of individuals who have one or more personal environmental characteristics in common. Members of a community who can be defined in terms of geography or a special interest can be seen as constituting population

34. Nurse Sisa has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display?

A. Improving the effectiveness of care provided
B. Sponsoring a fund-raising project
C. Volunteering for a community action
D. Providing health interventions for individuals

A. Improving the effectiveness of care provided


Public health staff nurses who have a clear understanding of population-focused care improve their effectiveness and efficiency of practice

35. Nurse Sisa is working to improve population-focused care in the community. Which of the following BEST described a key opportunity for nurses like her to accomplish this goal?

A. Assuming traditional nursing roles
B. Conducting community assessments
C. Specializing in community health practice
D. Influencing public health policy

D. Influencing public health policy

PHNs must move into positions in which they can influence policy formation. They must assume positions that are not traditionally considered nursing. Conducting community assessments is a part of public health nursing practice, not necessarily a key opportunity to improve practice.

36. What is the appropriate approach for the community/public health nurse in balancing individual privacy and community's needs for safety and security?

A. Fulfill agency policies first.
B. Implement professional standards of nursing practice.
C. Remember the group needs outrank individual needs.
D. Seek a balance between individual's need and the community's needs

D. Seek a balance between individual's need and the community's needs

37. In regard to informed consent, which of the following statements is TRUE?

A. Client may not be told about costs and alternatives to treatment.
B. Consent must be voluntary.
C. Only parents themselves should give consent for minor children.
D. Legally incompetent adults can give consent

B. Consent must be voluntary.

A. Client may not be told about costs and alternatives to treatment. (should be full disclosure)
C. Only parents themselves should give consent for minor children. (it can be siblings of legal age, guardian. next of kins)

38. The client has a living will in which he states he does not want to be kept alive by artificial means even at home. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to:

A. Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate.
B. Tell the family that they have no legal rights.
C. Report the situation to the hospital's Ethics Committee.
D. Advise the family that they have the right to ignore the living will as the patient cannot speak.

A. Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate.


Living will is a legal document notarized by an atty

39. During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of ____________.

A. malpractice
B. reasonable prudence
C. maleficence
D. negligence

A. malpractice

Case: Domestic Violence
>>>should be reported

40. Which of the following examples would indicate observance of client confidentiality?

A. Reading a friend's chart in another health care facility.
B. Describing a difficulty with a client in a health team conference.
C. Using a client's name in a social conversation.
D. Talking about the client's symptoms in front of family members.

B. Describing a difficulty with a client in a health team conference.

41. When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching?

A. Impact of the patient's family history on likelihood of developing diabetes.
B. Symptoms indicating that the patient should contact the health care provider.
C. Effect of endogenous insulin on transportation of glucose into cells
D. Function of the liver in formation of glycogen and gluconeogenesis

B. Symptoms indicating that the patient should contact the health care provider.


HYPOGYLCEMIA INTERVENTION:

Give 15g simple sugar (orange juice, candy)
Assess after 15 min

42. To obtain the MOST complete information when doing an assessment for a 75-year-old patient, you will _________.

A. ask the patient to write down medical problems and medications
B. use a geriatric assessment instrument to evaluate the patient.
C. interview both the patient and the primary patient caregiver
D. review the patient's chart for the history of medical problems

B. use a geriatric assessment instrument to evaluate the patient.

43. Which information about a 77-year-old patient who is being assessed by the public health nurse us of UTMOST concern? The patient __________.

A. says, "I don't go on my daily walks since I had pneumonia two months ago."
B. tells the nurse, "I prefer to manage my life without much help from others." C. uses three different medications for chronic heart and joint problems.
D. organizes medications in a marked pillbox "so I don't forget them."

A. says, "I don't go on my daily walks since I had pneumonia two months ago."


Polypharmacy: More than 5 meds at the same time
NI: Check for duplicates

Decreased coughing efficiency>>> Increased secretions>>> Constricted Arteries>>> Poor circulation
NI: Ambulate

44. When caring for an older adult who lives in a rural area, you will ____________.

A. ensure transportation to appointments with the health care provider.
B. Assess the patient for chronic diseases that are unique to rural areas.
C. obtain adequate medications for the patient to last for 4 to 6 months.
D. suggest that the patient move to an urban area for better health care

A. ensure transportation to appointments with the health care provider.

45. Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management?

A. 71 year-old with appendicitis who has had an emergency appendectomy.
B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg)
C. 54 year-old with cholecystitis who has had a laparoscopic cholecystectomy
D. 62 year-old with acute sinusitis who will require antibiotic therapy for 5 days

B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg)


Osteoarthritis - degenerative joint disease>>> long term disability
PRIORITY: Safety
1. Raise Toilet Seat
2. Install handrails
3. Clutter-free environment

46. Assessment is the first step in the nursing process. In the setting, which of the following objectives of assessment by the public health nurse is NOT included?

A. Identify specific risk factors related to health and health problems.
B. Define the nature of the health status and health-related problems
C. Identify clients who should be given priority for care.
D. Determine who should be referred to different health care facilities.

C. Identify clients who should be given priority for care. (done after data collection and analysis)

47. Conducting a community assessment leads to a community diagnosis, its products consists of a profile of the community's state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the ________.

A. Observation
B. Community census
C. Interview
D. Records review

B. Community census

48. The data on health and disease can be gathered from different sources. Which of the following sources provide a MOST accurate set of data?

A. Population health profile from school and factory clinics.
B. Births and death from city/municipality registrar.
C. Morbidity data from filed personnel.
D. Mortality cases from medical death certificates

B. Births and death from city/municipality registrar.

"Registration systems such as collected by the civil registrar's office deal with recording of vital events in the community"

49. Data analysis involves qualification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as:

A. Health resources problems
B. Health status problems
C. Health-related problems
D. Comprehensive problems

C. Health-related problems


A. Health resources problems (manpower, money, materials)
B. Health status problems (Birth rate, Mortality, Morbidity)
D. Comprehensive problems (General Information: Environmental, Socio-economic, cultural problems)

50. With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem?

A. Modifiability of the problem
B. Preventive potential
C. Magnitude of the problem
D. Nature of the problem

A. Modifiability of the problem

B. Preventive potential (nature and magnitude of future recurrence of a problem)
D. Nature of the problem (Types of prob: Wellness, health deficit, Health threats, Forseeable crisis)

51. Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing:

A. Increasing salary scale for nurses.
B. Improved public image of nurses in social media
C. Increasing number of nurses with doctoral degree
D. Demonstrate competency and high- quality care

D. Demonstrate competency and high- quality care

52. Which of the following is the MOST important element in nursing's attempt to gain full autonomy of practices?

A. Maintaining the education system for nurses as it is now
B. Economic well-being and welfare of nurses
C. Restricting the latitude of decisions made by nurses
D. Gaining and maintaining control of nursing practice by nurses

D. Gaining and maintaining control of nursing practice by nurses

53. What is the BEST method for nurses to prepare for future professional practice?

A. Train other health care workers to whom delegation of tasks can be given.
B. Understand and explore the issues involved in professional practice
C. Establish a coalition with professional health organizations
D. Take additional courses in the use of computers and telemetry

B. Understand and explore the issues involved in professional practice

54. What allows a nurse to exert legitimate power over a client when providing nursing care?

A. The ability to perform procedures to alleviate patient's discomfort
B. The ability to provide the client and family incentives and for self care
C. The power given to the nurse by reason of licensure examination and registration
D. The establishment of a professional and personal relationship with the client

D. The establishment of a professional and personal relationship with the client


Legitimate power -> is power obtained through a: written contract/ written document

When a patient consents for admission and treatment in a healthy facility, this means that he/she allows the health professionals, including the nurses to provide healthcare to the patient through the legitimate power of nurses over the patient.

55. A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive?

A. Career counseling
B. Continuing education
C. Pre-employment education
D. In-service education

D. In-service education

56. The acronym PDCA stands for _______.

A. Plan-Do-Check-Act
B. Program-Design-Check-Act
C. Plan-Draft-Certify-Act
D. Prepare-Do-Check-Achieve

A. Plan-Do-Check-Act

57. Public Health Nurse Rosita will use the PDCA when :
1. Working towards continuous improvement
2. Implementing any change
3. Developing a new design of a process or service
4. Completing a designed project
5. Planning data collection and analysis to prioritize problems

A. 1, 2, 4
B. 2, 3, 4
C. 1, 3, 4, 5
D. 1, 2, 3, 5

D. 1, 2, 3, 5

58. Using the PDCA cycle as a model for defining most of the work processes the following are some areas of its applications, EXCEPT ____________

A. Needs analysis
B. Overall strategic planning
C. Staff goal setting and evaluation
D. Delegation of work to lower levels

D. Delegation of work to lower levels

59. Public Health Nurse Rosita knows that the purpose of continuous quality improvement (CQI) is to _____________.

A. Provide opportunity for staff members to participate in self-governance
B. Restructure health care delivery to improve cost savings
C. Deliver appropriate nursing care at tertiary level of service
D. Monitor processes involved in the provision of safe, effective client care

D. Monitor processes involved in the provision of safe, effective client care

Note: QI is a continuous ongoing process
Importance: upgrade or improve the quality of care

60. Public Health Nurse Rosita is implementing quality performance standards in a public health department. Which of the following BEST describes the importance of this action? Quality performance standards ___________.

A. Can be used as hiring guidelines for nurses
B. Are used to guide improvement in the public health system
C. Guide administrators to monitor public health at the national level
D. Rigidly control public health

B. Are used to guide improvement in the public health system

61. Occupational health services can make a significant contribution to government initiative. These include the following, reducing:
1. Health insurance
2. Health inequalities
3. Social exclusion
4. Sickness absence
5. Overall burden of ill health

A. 2, 3, 4, and 5
B. 1, 3, and 4
C. 2, 4, and 5
D. 1, 2, 3, and 4

A. 2, 3, 4, and 5

62. The nurse is a key figure involved in delivering quality occupational health services. She/He works independently or as part of a larger interprofessional health team. She performs, along with others a job safety analysis. In doing such, the following methods may be employed, EXCEPT:

A. Review of records, interviews, surveys
B. Walk-through, process and output reviews
C. Observation, focused group discussion
D. Racial background check

D. Racial background check

63. The head of the health team creates a workplace safety report for a new clinic. He makes a strict recommendation to ensure that sharps are properly disposed in a puncture proof container to decrease the risk of needle prick injuries. This upholds safety under which of the following categories?

A. Physical
B. Chemical
C. Biological infections
D. Psychosocial

C. Biological infections

64. The occupational nurse has advocated the use of ramps and assistive equipment for physically challenged workers. This is good example of which of the following levels of prevention?

A. Health promotion
B. Secondary
C. Tertiary
D. Primary

C. Tertiary (Rehabilitation)


A. Health promotion
B. Secondary (early detection, Prompt treatment, Diagnostics)
D. Primary (Health promotion, Illness Prevention, health education)

65. Every employee has right to privacy and should be protected from unauthorized and inappropriate disclosure of personal information. Which situation does NOT provide exception to employee's right to privacy?

A. Authorization by the employee to release information
B. Life-threating emergencies
C. Compliance with government laws and regulations
D. Request from community leaders

D. Request from community leaders

66. Public health surveillance includes the following activities, EXCEPT _________.

A. Data analysis
B. Data collection
C. Disease control
D. Data interpretation

C. Disease control


PUBLIC HEALTH SURVEILLANCE -"monitoring": diseases of public concern

67. Public Health surveillance can be BEST described PRIMARILY as which of the following

A. A system for collecting health-related information
B. A method to monitor occurrences of public health problems
C. A program to control disease outbreaks
D. A system for monitoring persons who have been exposed to a communicable disease

B. A method to monitor occurrences of public health problems

68. Which of the following is NOT a criterion for prioritizing health problems for surveillance?

A. Incidence of the problem
B. Number of previous studies of the problem
C. Social and economic impact of the problem
D. Public concern about the problem

B. Number of previous studies of the problem

69. Current public health surveillance targets the following. Which one is NOT included?

A. Chronic disease
B. Population migration
C. Communicable disease
D. Occupation Hazard

B. Population migration

70. Common uses and application of public health surveillance include which of the following examples?
1. Detecting individual persons with malaria so that they can receive prompt and appropriate treatment.
2. Helping public health officials decide how to allocate their disease control resource.
3. Identifying changes over time in the proportion of children with elevated blood levels in a community.
4. Documenting changes in varicella (chicken pox) incidence, after a law mandating varicella vaccination in the Expanded Program of Immunization took effect.

A. 1, 2, 3 and 4
B. 1 and 2
C. 1, 2, and 3
D. 2 and 4

A. 1, 2, 3 and 4

71. The factors that contribute to the occurrence of food-transmitted diseases are the following, EXCEPT ___________.

A. consumption of improperly cooked food
B. eating habits of the population such as eating raw food
C. lack of fuel for cooking food
D. overconsumption of locally available food

D. overconsumption of locally available food (Concern: Obesity)

72. Paragonimus westermani or the oriental lung fluke causes in the human population by eating inadequately cooked crabs. Patients with paragonimiasis are usually misdiagnosed to have ___________.

A. malaria
B. Bacillary dysentery
C. typhoid fever
D. pulmonary tuberculosis

D. pulmonary tuberculosis

73. The eggs of Taenia solium or taenia saginata may be ingested by the pigs or cattle who serve as intermediate hosts. Which of the following measures will PREVENT access of animals from ingesting Taenia eggs?

A. quarantine or isolate the animals Foods
B. Feeding the pigs and cattle with clean foods.
C. Proper disposal of human faces
D. Protect the animals by giving them vitamins

C. Proper disposal of human faeces

74. Prevention of Infection from Entamoeba histolytica is BEST done through which of the following practices?

A. Eating only organic vegetables
B. Washing food very well
C. Cooking food properly
D. Boiling of water from questionable source

D. Boiling of water from questionable source

75. Giardiasis is a disease caused by a flagellated protozoan and its prevalence is associated with which of the following conditions? 1. Poor environmental sanitation 2. Poor hygiene 3. Improper cooking of food 4. Overcrowding 5. Malnutrition

A. 2, 4, 5
B. 1, 3, 4
C. 1, 2, 4
D. 2, 3, 5

ALL OF THE ABOVE

76. Public health Nurse Tess is analyzing a research article. What section in the article can she expect to find the research question and study purpose?

A. Discussion
B. Results
C. Methods
D. Introduction

D. Introduction (Chapter 1)

77. Public health Nurse Tess is looking for a description of the type of measurement used in the study. She will find this which section of the article?

A. Conclusion
B. Introduction
C. Results
D. Methods

D. Methods (Chapter 3)

78. A brief explanation of data collection and analysis procedure is found in which section of the article?

A. Abstract
B. Conclusion
C. Discussion
D. Introduction

A. Abstract

79. Public health Nurse Tess wants to go over the list of references used in the study which can be found ____________.

A. at the end of the article
B. in the results section
C. as part of the literature review
D. in the introduction

A. at the end of the article

80. Public health Nurse Tess believes that research is significant to the nursing profession, hence, the study results should be disseminated. This is because research allows _________.

A. a specialized body of knowledge to be generated for use in health care delivery.
B. the scope of nursing practice to be expanded into areas formerly reserved for other disciplines.
C. nursing responsibility to be more specifically defined
D. liability within the practice of nursing to be decreased

A. a specialized body of knowledge to be generated for use in health care delivery.

Research>>knowledge discovery>>development of new nursing practice>Dissemination>>improved quality of patient care

81. A nurse must follow laws that protect public health, safety, and welfare. Which law is the nurse following?

A. Code of Ethics
B. Standards of Practice
C. Continuing Professional Development
D. Nursing Practice Act

D. Nursing Practice Act (RA 9173)

82. Which situation supports the charge of malpractice against a professional nurse?

A. A failure on the part of the nurse to establish a therapeutic relationship with the patient.
B. A failure on the part of the nurse to ensure that patients only receive care for which they could pay.
C. A failure on then part of then nurse to exercise reasonable and prudent care in treating a patient.
D. A failure on the part of the nurse to allay a patient's fears about an upcoming procedure.

C. A failure on then part of then nurse to exercise reasonable and prudent care in treating a patient.

83. What does the court consider in determining the nurse's liability for standards of care?

A. Professional education, experience, and specific conduct.
B. Professional experience, but not education or conduct.
C. Professional conduct, but not experience or education
D. Professional education, but not experience or conduct

A. Professional education, experience, and specific conduct.

84. The board of nursing has brought action against a nurse's license based upon violation of a regulation. What is TRUE about this scenario?

A. Rules and Regulations are internal to the Board, not the nurse.
B. Rules and regulations are only suggested standards or care and do not have to be followed.
C. These rules and regulations have the force of law.
D. Violation of a rule and regulation is not the same as violation of the nursing Practice Act.

C. These rules and regulations have the force of law. (quasi-judicial power)

85. The patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the City Health Center. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? The nurse is __________.

A. liable, because there was no follow-up to ensure that the patient receive the injection
B. not liable for damages, because the nurse has a right to expect that instructions will be followed.
C. liable, because tetanus is easily treatable after diagnosis
D. not liable, because tetanus is a reportable disease and the health center should have insisted ten treatment.

B. not liable for damages, because the nurse has a right to expect that instructions will be followed.

86. A nurse wants to present information about influenza immunization to the older adults in the community. Which type of communication should the nurse use?

A. signified meaning is wrong
B. affect is appropriate
C. personal space was violated
D. vocabulary is poor

B. affect is appropriate

87. A nurse is standing beside then patient's bed. Nurse: "how are you doing?" Patient: "I don't feel good." Which of the following communication ELEMENTS is categorized as feedback?

A. "How are you doing?"
B. "I don't feel good."
C. Nurse is standing
D. Patient in bed

B. "I don't feel good."

88. A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret the finding? The patient's ___________.

A. signified meaning is wrong
B. affect is inappropriate
C. personal space was violated
D. vocabulary is poor

B. affect is inappropriate

89. BEFORE meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient?

A. Termination
B. Pre-interaction
C. Working
D. Orientation

B. Pre-interaction (Focus: Self-Awareness)


A. Termination (Focus: Evaluation)
B. Pre-interaction
C. Working (Focus: Verbalization, Communication)
D. Orientation (Focus: Building of trust and rapport)

90. During the INITIAL home visit, the nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient?

A. Working
B. Pre-interaction
C. Orientation
D. Termination

C. Orientation

91. The key global agency that initiated the Alma Ata conference on Primary Health Care is the __________.

A. World Bank
B. World Health Organization (WHO)
C. CARE International
D. United Nations Children's Fund (UNICEF)

B. World Health Organization (WHO)

(USSR KAZAKHSTAN, 1978)

92. Which Asian country is considered among the FIRST to adopt the principle of PHC?

A. Malaysia
B. Indonesia
C. Thailand
D. Philippines

D. Philippines

93. Nurse Tawi-Tawi is aware that she has to use "tools and methods that are suitable and acceptable to the families and communities" that she serve. This PHC principle is referred to as __________.

A. Cultural application
B. Appropriate application
C. essential methodology
D. community participation

B. Appropriate application

94. Nurse Tawi-Tawi recognizes that health services offered are to in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as _________.

A. Availability
B. Acceptability
C. Affordability
D. Accessibility

B. Acceptability

95. Collaboration and cooperation is crucial to the achievement of PHC goals. The referral system among the RHU, non-government organization, and local social welfare and development office is classified as what type of relationship?

A. Intra-sectoral collaboration
B. Coalition building
C. Inter-sectoral collaboration
D. Network linkage

C. Inter-sectoral collaboration

96. Which of the following is NOT recognized as part of the nurse's role as member of the health team?

A. Care manager and supervisor
B. Provider of care and education
C. Patient advocate and supporter
D. Performing physician's functions with supervision

D. Performing physician's functions with supervision

97. The health team has brainstormed for ideas on creating a more collaborative environment in a health care facility. Which idea or action would be the BEST to develop further?

A. Develop a plan for the different team members to follow and show impact of their work.
B. Emphasize that no one profession has all the necessary competence to provide all care.
C. Hold education sessions regarding collaboration for each unit.
D. Institute collaborative strategies that are traditionally practiced

A. Develop a plan for the different team members to follow and show impact of their work.

98. Which patient scenario describes the BEST example of professional collaboration?

A. The nurse, physician, and physical therapist have all visited separately with the patient.
B. The nurse mentions to the physical therapist that the patient may benefit from muscle strengthening evaluation
C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.
D. The nurse, physical therapist, and physician have all developed separate care plans for the patient

C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.

99. Which activities are appropriate for the nurse to collaborate with a patient?
1. Prescribing a new medication dose
2. Health Promotion activities
3. End-of-life comfort decisions
4. Interpreting laboratory results
5. Lifestyle changes to improve health

A. 2, 3, 5
B. 2, 4, 5
C. 1, 4, 5
D. 1,3, 4

A. 2, 3, 5

100. The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by a patient with Tuberculosis. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the BEST response by the nurse?

A. "I would like to listen to your concerns about the prescribed care."
B. "It is important that you do. What the physician has prescribed."
C. I can come back after you talk with your spouse about the care."
D. "Let me review what is needed again, then I'll talk to you later."

A. "I would like to listen to your concerns about the prescribed care."