Closed Door Coaching NP1

B. Use gloves

Situation: Nurse Winnie learned that a family who recently moved into the community has several members infested with scabies.

1. Which infection control precaution should Nurse Winnie observe while visiting the family?

A. Wear mask

B. Use gloves

C. Use face shield

D. Wear gown

D. Itchiness

Situation: Nurse Winnie learned that a family who recently moved into the community has several members infested with scabies.

2. During history taking, which of the following is the most common symptom of scabies that the family would report to Nurse Winnie?

A. Rashes

B. Swelling

C. Scaling

D. Itchiness

D. Parasite

3. In providing health teaching to the family, Nurse Winnie would include the etiology of scabies, which is

A. Virus

B. Fungi

C. Bacteria

D. Parasite

A. All skin areas

4. The mother asked Nurse Winnie how to apply the anti-scabies lotion. The nurse should instruct the family to apply the lotion to

A. All skin areas

B. Affected Skin

C. Open Lesions

D. Reddened areas

B. Avoid sharing items used by the infected person.

5. Which of the following health teachings should Nurse Winnie provide to the family to prevent the spread of scabies in the community?

A. Boil the utensils used by the patients.

B. Avoid sharing items used by the infected person.

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

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

A. Community service

Situation: Public health nurses take part in health screening activities that aid in the early detection of diseases or in identifying individuals at risk for specific conditions. Early detection, followed by appropriate treatment and management, leads to better health outcomes and reduces the risk of serious complications.

6. Nurse Sally organized a well-attended community health fair where several screening tests were conducted simultaneously. What should Nurse Sally consider as the primary purpose of the health fair?

A. Community service

B. Multiphasic screening

C. Community bonding

D.Case finding

B. "A sigmoidoscopy is expensive to perform and invasive. "

7. While setting up a community health screening for heart disease and cancer, a nursing student asked, ‘Colon cancer is common; why aren't we including sigmoidoscopy?' How should Nurse Sally respond?

A. "Can you find adequate privacy for a sigmoidoscopy?"

B. "A sigmoidoscopy is expensive to perform and invasive. "

C."Would you like to perform that test for the screening? "

D."What a great idea. Would you like to help arrange it?"

C. Persons who have the disease.

8. Sensitivity is the ability of a screening test to correctly identify which of the following?

A. Persons with symptoms of the disease.

B.Persons who do not have the disease

C. Persons who have the disease.

D. Persons who now have a diagnosis of the disease

A. validity

9. The ability of a screening test to distinguish correctly between persons with and without a disease is known as

A. validity

B. specificity

C. reliability

D. sensitivity

D. urinalysis for male and female clients

10. All of the following are common screening tests, EXCEPT:

A. Pap Smears for cervical cancer screening in women

B. cholesterol levels in heart disease screening

C. PSA levels for prostate CA in men

D. urinalysis for male and female clients

A. Last menstrual period

Situation: Nurse Nina conducted a home visit to a newly married couple, with the wife being a primigravida who is three months pregnant. The expectant mother asked questions regarding pregnancy and prenatal care.

11. In assessing the health condition of the pregnant patient, Nurse Nina should focus on the

A. Last menstrual period

B. Number of days of menstruation

C. Age of patient during menarche

D. Amount of menstrual flow

D. First month

12. The patient asks Nurse Nina, 'When will I be able to hear my baby's fetal heart?' Which of the following would be Nurse Nina's

BEST response?

A. Ninth month

B. Fifth month

C. Third month

D. First month

D. First trimester

13. The patient asks Nurse Nina when she should schedule her 1st prenatal check-up. Which response would be most appropriate?

A. Second trimester

B. Before delivery

C. Third trimester

D. First trimester

B. Second

14. Nurse Nina informs the patient she should be screened for pre-eclampsia during this term of pregnancy __.

A. First

B. Second

C. Third

D. Before delivery

D. Assist to identify breast feeding goal and plan

15. The patient appears indecisive about whether to breastfeed her baby. Which nursing action by Nurse Nina would best help the patient decide about breastfeeding?

A. Give pamphlets and book to read.

B. Provide ample time for the patient to decide

C. Refer the patient to the nutritionist

D. Assist to identify breast feeding goal and plan

C. Keep the environment free of clutter

Situation: Public Health Nurse Jenna has several elderly clients in her case load.

16. During a home visit, Nurse Jenna cares for a client with Paget's disease. What should be included in the preventive care for this client?

A. Advise the client to see the dentist regularly

B. Encourage the client to take influenza vaccine

C. Keep the environment free of clutter

D. Tell the client to take multivitamin daily

D. Failure to recognize familiar objects

17. Nurse Jenna is visiting a client with Stage III Alzheimer's disease. Which of the following is characteristic of this stage?

A. Wandering at night

B. Irritability

C. Dementia

D. Failure to recognize familiar objects

C. 80 - year old female with Alzheimer's dementia

18. Which client is most likely to experience elder abuse? A client who is

A. 65 - year old female with hip replacement

B. 76 - year old male with Parkinson's disease

C. 80 - year old female with Alzheimer's dementia

D. 70 - year old male with diabetes mellitus

D. decrease platelet aggregation

19. Mrs. Andrea is taking prescribed Aspirin, 325 mg daily, for her transient ischemic attacks. Nurse Jenna explains that aspirin was prescribed to

A. boost coagulation

B. prevent headaches

C. prevent cerebral anoxia

D. decrease platelet aggregation

D. Encourage range of motion of the joint within the limits of pain.

20. For an elderly client with exacerbation of rheumatoid arthritis, what instructions should Nurse Jenna provide to help prevent knee joint deformities?

A. Discourage passive range of motion because it will cause further swelling.

B. Tell the client she will need joint immobilization for three weeks.

C. Tell the client to remain on bed rest until swelling subsides.

D. Encourage range of motion of the joint within the limits of pain.

D. Residence of the elderly

Situation: Nurse Rumi is assigned to supervise the barangay's home for the aged.

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

A. The educational qualification

B. Family support

C. Activities of daily living

D. Residence of the elderly

D. Have pension

22. Nurse Rumi should take into account that, in terms of finances, most elderly are

A. Sufficient

B. Disoriented

C. Dependent to others financially

D. Have pension

B. Holistic Care

23. In planning their care Nurse Rumi should consider

A. Socialization is more important

B. Holistic Care

C. Physically Dependent

D. Spiritual healing

C. They are free what to do

24. In her recommendation, Nurse Rumi stated that the elderly should be given independence. This means

A. They must live in their own

B. They environment should be safe for them

C. They are free what to do

D. They have rights

D. Regular health check up

25. The elderly should be afforded health protection by

A. Avoid end hazards

B. Pollution environment

C. Placing them in the home for the aged

D. Regular health check up

B. Standard of care

Situation: Nurse Ara, in the performance of her duties as a public health nurse, is guided by ethical and moral standards.

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

A. Code of Ethics

B. Standard of care

C. Local Government Code

D. Nursing Process

A. Confidentiality

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

A. Confidentiality

B. Fair Treatment

C. Justice

D. Beneficence

D. Doing good at all times

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

A. Treating all patients selectively

B. Informing patients of hospital bills

C. Respecting refusal of treatment

D. Doing good at all times

D. Fair Treatment

29. Nurse Ara randomly selected individuals in the community for participation in a project. Which ethical principle is being observed?

A. Autonomy

B. Beneficence

C. Confidentiality

D. Fair Treatment

A. Faithfully promotes health and prevents disease.

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

A. Faithfully promotes health and prevents disease.

B. Frequently assists in providing health services.

C. Fairly evaluated health programs and initiatives

D. Collaborates and works with barangay officials

D. Icterus and Shock

31. During client assessment, which manifestation of malaria indicates the need for referral to a secondary or tertiary health care facility?

A. Fever and chills

B. Sweating and headache

C. Weakness and tachycardia

D. Icterus and Shock

C. Anopheles

32. Malaria is transmitted through the bite of an infected female mosquito known as the

A. Aedes aegypti

B. Aedes poecillus

C. Anopheles

D. Culex

B. Malarial parasites

Laboratory confirmation of malaria is done on a blood film. What does Nurse Lara expect to see in the film?

A. Antibodies

B. Malarial parasites

C. Antigen

D. White Blood Cells

C. Amoxicilin

34. Which of the following is NOT classified as an antimalarial drug?

A. Tetracycline

B. Sulfadoxine

C. Amoxicilin

D. Quinidine

D. 3, 4, 5, 6

35. As a preventive measure against malaria, which of the following should Nurse Lara teach individuals living in malaria-endemic areas?

1.Avoid going out between 12nn to 3 pm

2.Take chloroquine tablets once a day

3.Apply insect repellant or, house walls

4.Use long sleeved shirts when going out at night

5.Plant neem tree in their backyards

6. Clear hanging tree branches near rivers

A. 1, 3, 5, 6

B. 1, 3, 4, 5

C. 1, 2, 3, 4

D. 3, 4, 5, 6

D. Easy Disposal

Situation: Nurse Jenny is responsible for record keeping in the health center.

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

A. Structuring

B. Storing

C. Securing

D. Easy Disposal

D. Quality health care

37. Which of the following best describes the purpose of record keeping?

A. Quantify medication usage

B. Historical background

C. Archive

D. Quality health care

A. Treatment Record

38. Which of the following is the most essential patient record in a community setting?

A. Treatment Record

B. Tally Sheet

C. Chart

D. Kardex

A. Safeguard information

39. What is the primary purpose of record keeping?

A. Safeguard information

B. Archive

C. History

D. Store information

B. Evidence of health care

40. Records are important in health care for

A. Counting hospital bills

B. Evidence of health care

C. Quantifying services provided

D. For the physician to read

D. Completing the clinical picture of chronic disease and describe their natural history.

Situation: The Field Health Services Information System (FHSIS) provides summarized data on health service delivery and selected programs from the barangay up to the national level. As a nurse, it is important to understand how this information is processed and consolidated.

41. All of the following are objectives of FHSIS, EXCEPT:

A. Ensuring that data reported are useful and accurate and are disseminated in a timely and easy to use fashion.

B. Minimizing recording and reporting burden allowing more time for patient care and promotive activities.

C. Providing a standardized, facility level database which can be accessed for more in-depth studies.

D. Completing the clinical picture of chronic disease and describe their natural history.

D.family treatment record

42. The fundamental block or foundation of the FHSIS is the

A. reporting forms

B. target client list

C. output record

D.family treatment record

B. refers to other sources for completing monthly and quarterly reports

43. The nurse uses the FHSIS record system INCORRECTLY when she:

A. Records a child who has frequent diarrhea in TCL: Under Five

B. refers to other sources for completing monthly and quarterly reports

C. goes to the individual or FTR for entry confirmation in the Tally / Report Summary

D. records diarrhea in the Tally sheet/ Report form with a code FHSIS/MI

B. facilitate easier reporting for the nurses

44. The primary advantage of maintaining a target client list is to:

A. Let nurses save time and effort in monitoring treatment and services to beneficiaries

B. facilitate easier reporting for the nurses

C. help nurses monitor service rendered to clients in general.

D. facilitate monitoring and supervision of services

C. individual treatment record

45. In assessing a patient, the nurse uses this to record the patient's full name, age, address, symptoms, and diagnosis.

A. target client list

B. output record

C. individual treatment record

D. reporting forms

B. Araw ng Sangkap Pinoy

Situation: Many Filipinos are suffering from malnutrition. Nurse Aga knows that it is a result from poor diet or lack of food.

46. Micronutrient supplementation is included in what program of the DOH?

A. Sentrong Sigla

B. Araw ng Sangkap Pinoy

C. Expanded program on immunization

D. Reproductive Health Bill

A. should be immediately referred for supplementation

47. During nutritional assessment of a child using MUAC, a measurement of 120 cm falls in the orange zone of the 4-color tape. This shows that the child:

A. should be immediately referred for supplementation

B. should be immediately referred for treatment

C. is at risk for acute malnutrition.

D. well-nourished

A.160

48. You compute for the ideal weight of Edward whose actual weight is 135lbs and height is 5'10". His ideal body weight lbs .

A.160

B.135

C.150

D. 170

B. 96.43

49. Identify Edward's degree of malnutrition in terms of percent of ideal body weight (IBW).

A.108.15

B. 96.43

C. 100

D. 92.46

D. no malnutrition. Normal BMI

50. The indication for Edward's degree of malnutrition is

A. 2nd degree

B. 1st degree

C. 3rd degree

D. no malnutrition. Normal BMI