NP1-DRILL 1 Block G

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SELECT THE CORRECT ANSWER.
Situation: Jackrose 15 month old, female, weighs 8.5
kilograms, is not eating well and is unable to breastfeed. She
is not vomiting, has no convulsion and not abnormally sleepy
or difficult to awaken. Her temperature is 38.5 degree
Celcius. Use the Integrated Management of Childhood
Illness or IMCI strategy.
If you are the nurse in charge to Jackrose, how will you classify her illness?
1 point

a. febrile with a general danger sign.

b. very severe febrile disease
c. severe pneumonia
d. very severe disease
Clear selection
Which of the following signs is considered to be a general danger sign in Jackrose
case?
1 point

a. no vomiting
b. has no convulsion
c. temperature of 38.5
d. unable to breastfeed
Clear selection
Which of the following signs is NOT included in the general danger sign?
1 point

vomits everything
unable to drink or breast fed
has had convulsion
not eating well
Clear selection
Which of the following steps is NOT included in the IMCI?
1 point

a. identify treatment
b. counsel and follow up
c. referral
d. assess and classify
Clear selection
Which of the following signs should not be included in deciding that "the child vomits
everything"?
1 point

a. child experience occasional vomiting

b. when offered fluids, may not be able to drink
c. may be too weak to drink and eat at all
d. child is not able to keep anything down at all (what goes
down comes back)
Clear selection

Situation: Applying IMCI as an approach to the

management of childhood illnesses improves nursing care of
the child under general conditions.
A 3-year old child (14 kg) has anemia with some palmar pallor and needs Iron and
Mebendazole. The card shows he was not given Mebendazole previously. As the nurse
you should give the child Iron Folate and Mebendazole in what dosage?
1 point

a. 7.5 ml or tsp daily for 14 days and Mebendazole 500 mgs

single dose
b. 10 cc or 2 tsp daily for 30 days and Mebendazole 500 mg
single dose
c. 10 cc or 2 tsp daily 30-days-and Mebendazole 250 mg single
dose
d. 5 ml or 1 tsp daily for 14 days and Mebendazole 500 mgs
single dose
Clear selection
Vitamin A is given to a child with measles because it: Vit a, for eyes
1 point Fat soluble vit store in liver for
3-6months
a. resist the viral infection in the eyes, cell layers in the lungs
gastrointestinal tract, mouth and throat
b. reinforces the body's immune response
c. is needed for supplementation
d. helps the immune system prevent other infections.
Clear selection
In giving Chloroquine you should:
1 point Chloroquine for malaria

a. heavily guard the patient Oral meds effect 30mins

b. explain to the mother that she should watch her child carefully Iv meds go agad
for 30 minutes after giving medicine
c. explain to the mother that it should be given for 2 days only
d. instruct the mother to give the first dose at home
Clear selection
The child's symptoms are under the classification of severe dengue hemorrhagic fever
of the IMCI strategy. Which of the following treatments should be done IMMEDIATELY
1 point

a. observe the patient at the health center and refer urgently if

the condition worsens
b. give fluids or ORS and refer urgently to the hospital.
c. immunize the child before referral
d. give the first dose of appropriate antibiotics and refer urgently
to the hospital
Clear selection
A child needs urgent referral for mastoiditis. The following is a list of treatments for all
ear problems in IMCI classification. Which among these pre-referral treatments should
NOT be included? Mastoiditis - beke
1 point

a. give the child the appropriate antibiotics for 5 days

b. do not give any medications
c. give the child the first dose of antibiotics
d. give first dose of paracetamol for pain
Clear selection
Situation:
Management of resources and environment includes every potential and existing
resources which the nurse can
utilize to promote and maintain health, prevent Illness, and assist in the task of cu
re
and rehabilitation. The IMCI chart prescribed by the World Health Organization is
one such resource. The following questions apply.
The Integrated Management of Childhood Illness (IMCI) chart provides the necessary
procedure when identifying the appropriate interventions to be done. However, the
community health nurse should be aware that the following factor should be considered
in utilizing the case management chart:
1 point

a. age of the child

b. chief complaint
c. danger signs
d. problem of the child
Clear selection
In the IMCI classification tables, color yellow indicates that a:
1 point

a. child needs an appropriate antibiotic or other treatment

b. child does not need specific medical treatment
c. referral or admission is needed
d. chief complaint that needs an urgent attention
Clear selection
Situation: Korina, 5-month old, weighs 5.2 kg, temperature 38 degree Celcius, is
brought to health center. Her mother says she is not eating well, feels hot to
touch, able to drink, no vomiting, no convulsions and not lethargic, no cough.
They live in a malaria risk area. Her fever started 2 days ago. She has no signs of
measles, no stiff neck or runny nose.
How will you classify Korina's illness?
1 point

a. plain fever
b. malaria
c. sever febrile disease
d. fever: no malaria
Clear selection
The following treatments are appropriate for Korina EXCEPT:
1 point

a. follow up in 2 days Blood smeer for malaria check

b. give oral anti malaria drugs
c. advise when to return immediately
d. give 1 dose of paracetamol for temp. 37.5 C
Clear selection
A child should be checked for capillary refill if:
1 point

a. if the child has petechiae

b. the child's extremities feel warm Normal capillary refill, less
than 2 secs
c. there is fever for more than 7 days
d. if the extremities feel cold
Clear selection
If the capillary refill takes more than 3 seconds it may mean that the child is in:
1 point

a. severe febrile disease

b. circulatory failure
c. shock
d. dehydrated state
Clear selection
A child living in a non-malaria risk area who has stiff neck may be classified as having:
1 point

a. malaria
b. R/O Malaria
c. severe febrile disease
d. fever: no malaria
Clear selection
After assessing Janjan, your nursing diagnosis is dehydration secondary to diarrhea.
ORS was administered. Which health instruction regarding ORS therapy will you give
the mother once the diarrhea has stopped?
1 point

a. Increase the administration of ORS

b. Return to the clinic
c. Stop the administration of ORS
d. Decrease the administration of ORS
Clear selection
Which of the following is NOT TRUE about home care for all sick infants?
1 point

a. Blood in the stool is a danger sign that needs to be reported

b. Bring the infant to the clinic if he/she shows sign of difficulty
of breathing
c. Breastfeed frequently, day and night during sickness and
health
d. Make sure the young infant stays cool at all times
Clear selection
Vitamins help fight various deficiencies which affect the eye. As a health care provider,
you are aware that ONE of the following is a sign of Vitamin A deficiency:
1 point

a. Corneal clouding
b. "halo signs"
c. Fatigue
d. Opaque lens
Clear selection
Mirasol brought her child to the clinic for palmar pallor suggestive of anemia. The doctor Checking of
prescribed Iron medications and it was only the 3rd day of taking such medication. Your anemia
next action would be to: Conjunctiva Teaspoon 5ml
1 point
Palm Tablespoon 15ml
a. Give iron medication 3x a day Nailbed
b. Give Iron and return tomorrow
c. Instruct the mother to continue giving iron for 14 days
d. Refer the child immediately
Clear selection
Situation: The Integrated Management of Childhood Illness or IMCI technology is
a World Health Organization, strategy which aims to curb the growing infant/child
enabler & mortality and morbidity concerns in many countries capacity
build especially the 3rd world economies like the Philippines. Safety and quality
would be any nurse's focus. The following questions apply.
James is an 18-month old child who has cough for 7 days with no general danger signs
with temperature 37.5 0C and respiratory rate of 41 breaths/minute. How will you
classify James breathing?
1 point

a. Slow breathing
b. Fast breathing Fast breathing - tachypnea
c. Normal breathing
d. Very fast breathing
James illness can be classified as:
1 point

a. Pneumonia
b. Very service disease
c. Severe pneumonia
d. No pneumonia
Other:

After 3 days, the nurse notes that James has chest indrawing and stridor. His mother
returned him to the health center immediately. The nurse should:
1 point Chest indrawing Stridor
a. Change the medicine to the second line antibiotics Taas damit Maririnig yung sound
See ribs pag humihinga during inspiration
b. Advice mother to observe the child and continue giving the Abdomen
antibiotics Wheezes maririnig during
Bata ay abdominal breather expiration
c. Give first dose of antibiotics and refer urgently
d. Observe the child in the center
The nurse should consider the following in assessing the child for chest indrawing
EXCEPT:
1 point

a. Chest indrawing should be present at all time

b. The lower chest wall does not go in when the breaths in
c. The lower chest goes in when the child breaths in
d. The child should be calm
Situation: In the Philippines, the incidence of communicable diseases seems to
be cyclical. Notably some of these incidences are observable during the summer
season. You are assigned in a health center in the city with 4,200 households and
more or less 26,000 populations. The following illness situations and questions
affecting children apply.
A child was brought to you with generalized rashes. In doing assessment you classified
the child as having measles. Aside from having generalized rashes the child also has
the following illness sign, EXCEPT:
1 point

a. Pustules Postules rash fluid

b. Cough
c. Runny nose
d. Red Eyes
Situation: Diarrhea in young children may be life-threatening and requires
immediate attention.
John, 3 years old, has had diarrhea for 5 days and is irritable. He has sunken eyeballs
but has no blood in his stools. He drinks eagerly when offered liquid. Skin pinch at the
abdomen shows slow return. Using Integrated Management of Childhood Illness (IMCI),
John's illness maybe classified as:
1 point

a. No dehydration
b. Some dehydration
c. Severe dehydration
d. Persistent Diarrhea
Which of the following treatments should be immediately considered in John's case?
1 point

a. Reassess the child after 4 hours and classify his dehydration

b. Give 900-1,400 ORS during the first four hours
c. Explain to the mother how to prepared ORS
d. Continue feeding
Feny, 1 year old has had diarrhea for 2 days. She has sunken eyes, skin pinch goes
back very slowly and she is drinking poorly and is irritable. There is no blood in the
stool. How will you classify Feny's illness?
1 point

a. Severe dehydration
b. No dehydration
c. Persistent diarrhea
d. Some dehydration
Situation: In the practice of Community Health Nursing it is essential to be aware
of programs being
implemented by the Department of Health and the legal bases for such programs
and health services. The following questions apply.
In the devolution program of the government, the following public health programs are
transferred to the local government to be more accessible to the people EXCEPT
1 point

a. Maternal and Child Health Program

b. Environmental Health and Communicable Disease Control
c. Primary Health Care International Law
d. Control of Non-communicable Disease
The Department of Health has the following functions under the Executive Order
102 EXCEPT:
1 point

a. Allocate personnel budget and provide structures for

cascading health care delivery to all
b. Lead in the formulation, monitoring and evaluation of
Rational health policies, plans and programs
c. Provide direct services for health concerns that require new
complex technologies
d. Create new strategies to improve effectiveness of health
programs and the attainment of quality health care
The devolution of health services to the Local Government Units (LGUs) is mandated
in:
1 point

a. RA 6170
b. RA 7610
c. RA 6710
d. RA 7160
Which of the following is a sensitive index of the health conditions in a community
influenced primarily by environment rather than endogenous factors?
1 point

a. Crude death rate.

b. Infant Mortality Rate
c. Maternal Mortality Rate
d. Fetal Death Rate
Community health nursing primarily aims to:
1 point

a. Improve the capability of individual, families and

communities to cope with their health needs
b. Increase the productivity of the people
c. Contribute to national development by meeting millennium
development goals
d. Augment the work provided by the health care professionals
in the promotion of health and prevention of illness
Situation: For safety and quality purposes, it is equally important to be mindful of
the roles and functions and the instituted systems and procedures in relation to
the practices of Community Heath Nursing (CHN). The following questions apply.

The basic unit of care in CHN is:

1 point

a. Community
b. Groups
c. Family
d. Individual client
The most important role of a community health nurse is in the area of:
1 point

a. Change agent
b. Health education
c. Advocacy
d. Care provider
Situation: In community health work, you arm yourself with Community Health
Nursing Concepts and Principles. This serves as basis for safe and quality care
for individual, families, population/vulnerable groups and communities. Consider
these situations.
As a community health nurse covering a cluster of Barangays, your population coverage
include the following:
1. families in their homes 3. workers in factories
2. school population 4. patients in hospital For clinical area
1 point

a. 1, 2, and 4
b. All except 3
c. 1, 2, 3, 4
d. All except 4
You direct all your efforts toward optimum health of the whole population in the
communities you serve. To ensure this you are EXPECTED to
1. Receive the entry salary equivalent to Salary Grade 10 or according to your position
classification
2. Provide health services to individuals in the communities you serve
3. Provide health services to families in the communities you serve
4. Provide health services to population especially vulnerable groups within the
communities you serve
1 point

a. 1 and 3 are correct

b. 2, 3, 4 are correct.
c. 2 and 4 are correct
d. 1 and 4 are correct
Part of your routine function is to conduct regular assessments of the community's
status. The reasons for this are the following, EXCEPT:
1 point

a. Conflicts in varying forms are almost always present in the

community which affects the health of people
b. This is a requirement for undertaking the DOH-led RN Nurse Deployment Program
H.E.A.L.S Program
c. Community situations and problems are reflections of social
conditions affecting individuals, families, vulnerable groups and
the entire community
d. Healthy community relationships are proven to be precursors
to health development in any community
When you assess the needs and plans health interventions for a group of people in
coordination with other health professionals, you are demonstrating which of the
following features of community health nursing?
1. Community health nursing involves interdisciplinary collaboration
2. Use of epidemiologic approach is part of nursing practice
3. Community health nursing helps ease health burdens of people at the community
level
4. Health statistics is a good Indicator for health care performance among community
health nurses
1 point

a. 1 and 3 are correct

b. All are correct
c. 2 and 3 are correct
d. only 1 and 2 are correct
Situation: You are assigned to a municipality with a total population of 25,000. Of
this, 1,350 persons died within the past year. Thirty-six of these deaths were due
to pneumonia while 540 of those who died are 50 and above

What is the Swaroop's index in the community?

1 point

a. 30%
b. 35% Swaroops index means nategi na 50 yrs above
c. 40%
d. 45%
A Swaroop's index of 20% implies that:
1 point

a. 20% die before the age of 50.

b. 80% die before the age of 50
c. 20% of deaths are persons who are in the age of 50 years
alone
d. 80% of deaths are persons who are in the age of 50 years
alone
FUNCTION OF COMMUNITY HEALTH NURSE
Situation: Public health in the country has suffered a lot from the exodus if a
large number of Filipino nurses and serving and migrating to other countries.
Access to timely and quality health services especially by the poorer and poorest
families has been difficult to achieve. The following questions apply.
To encourage more health workers to stay in government service, Republic Act 7305 or
Magna Carta of Public Health workers was passed into law last 1991. "Public health
workers" include all persons working in government health facilities such as the:
1. Physicians
2. Nurses
3. Midwives
4. Cooks and assistant cooks in the hospital
5. Cashier and clerical staff
6. Janitor staff
1 point

a. 1, 2, 3, 4, 5 and 6
b. 1, 2, 3 and 4
c. 1,2 and 3 only
d. 1,2,3,4, and 5
Under Republic Act 9173 of 2002 AMENDED by Congressional joint resolution of 2009
sets the entry level position for nurses at what salary grade?
1 point

a. Salary Grade 15 2021-up

b. Salary Grade 24
c. Salary Grade 20
d. Salary Grade 10
Health education is one of the most significant functions of a nurse especially in the
prevention and control of communicable diseases. All EXCEPT ONE of the following
statements are TRUE description of health education:
1 point

a. Health education is a collaborative effort of all health

Collaborative personnel
b. Health education is integrated in the planning, and
implementation of all health programs and services
c. Health education considers the health status of the people
d. Health education is a learning process whereby knowledge,
attitudes and practices of people are modified to help improve
the life and social conditions of individuals, families and groups
towards development
As a Public Health Nurse, if you monitor and evaluate the performance of midwives, you
are performing the role of:
1 point

a. Manager
b. Health provider
c. Preceptor
d. Supervisor
Situation: Nurse Jen, initiated the organizing of the "Caring Frontiers Nursing
Service Company" in Leyte. This was envisioned to deliver health care and
various nursing services through home health care services well within the scope
of nursing practice.
Nurse Dana is one of their Registry Officials and acts as a liaison between families and
communities served by the company to actively engage on policy and social change
that will support and promote family health in their province. Nurse Dana is performing
what role?
1 point
liaison-layas ng layas haha
a. Care Provider
b. Counselor
c. Client Advocate
d. Facilitator
Formulating and implementing a supervisory plan, monitoring and evaluating beginning
nurse practitioners' performance in the implementation of public health programs are
what functions of a public health nurse?
1 point

a. Trainer
b. Coordinator
c. Supervisor
d. Manager
As an advocate, Nurse Dana places her client's rights as priority. She is aware that
advocacy work involves which of the following?
1 point

a. Influencing public opinion

b. Obtaining a general information about the community
c. Coordination with the health team
d. Prioritizing health conditions and problems
HEALTH CARE DELIVERY SYSTEM
Situation: You are active participant of Project
EntrepreNurse whose higher goals is to build Philippine
Nursing's economic milieu, however comes with realities
embedded in the present Philippine Health Care Delivery
System (PHCDS).

Which of the following is TRUE of the Philippine Health Care System (PHCDS)?
1 point

a. Health insurance companies dictate the current referral system

in the country. Health care delivery system
b. Health care delivery system in the country was specifically Aaralin ko ito

designed for the poor congruent with the Primary Health Care
concept. 3 tier
c. The PHCDS is composed of a 3-tier referral system Primary- infirmary clinic rhu
d. The Department of Interior and Local Government is the Secondary - district hospital
Tertiary - doh hospital
country's foremost health coordinating agency because of the
implementation of devolution
The current frontline health care providers in the PHCDS are the:
1 point

a. Traditional healers/hilots
b. Doctors
c. Barangay health workers
d. Rural health nurses
Which of the following is NOT a characteristic of the PHCDS?
1 point

a. Linkages with all societal sectors should be initiated,

maintained and enhanced.
b. PHCDS envisions serving the entire Filipino populace
c. PHCDS is a public health service that will benefit all Filipinos
d. Local government are in full control of health programs
Which of the following is NOT presently a part of the PHCDS?
1 point

a. Private - Community Nursing Service Providers

b. Health Maintenance organization
c. Rehabilitation Center
d. Doctors
A characteristics of healthy communities that is a shared vision of EntrepreNurse is that
it?
1 point

a. Has socially controlled sub groups that do not influence

community decisions.
b. Has a smoothly functioning government that requires minimal
citizen participation
c. Makes systems and resources available to all members of the
community.
d. Allows group in the community to resolve conflict among
themselves in their own way
A characteristics of healthy communities that is a shared vision of EntrepreNurse is that
it?
1 point

a. Has socially controlled sub groups that do not influence

community decisions.
b. Has a smoothly functioning government that requires minimal
citizen participation
c. Makes systems and resources available to all members of the
community.
d. Allows group in the community to resolve conflict among
themselves in their own way
In-patient and diagnostic care including surgery belongs to what level of health care?
1 point

a. Secondary level
b. Tertiary level
c. Primary level
d. Specialized level
The function of the public health nurse in the current health care delivery system is?
1 point

a. Intermediate level health worker

b. Liaison person of the community
c. Low level health worker
d. manager of the RHU
The composition of the basic primary health care team under the Restructured Health
Care Delivery System include the following EXCEPT:
1 point

a. Public health nurse

b. Midwife
c. Doctor
d. Barangay health worker
What is the specific function of a community health nurse at the barangay level?
1. Supervision of the Rural Health Midwife and Barangay Health Workers assigned in
specific barangays
2. Provide technical assistance to health programs and services implemented at the
barangay level
3. Monitoring and evaluation of specific health programs and services implemented by
the Health Department from the National down to the Barangay level
4. Be the representative and promoter of the Health Programs of the sitting Mayor
1 point

a. 1, 2, and 3 are correct

b. Only 4 is correct
c. 1 and 3 are correct
d. 2 and 4 are correct
When reviewing the function of the rural health unit you can concur that the RHU should
function as a:
1 point

a. Health arm of the LGU

b. Central health resource for the municipality
c. Community resource
d. Clinic for the municipality
HOME VISIT/CLINIC VISIT/HOME CARE
When beginning a relationship with a family on home visit, the community health nurse:
1 point

a. is accepting and listens carefully to problem of all family

members
b. allows the discussion to be open and non-directional
c. focuses on the problem of one of the family member
d. encourages others to speak for the main client to get an
unbiased view
Ana has been caring for a child in the home. She has a tracheostomy tube and is
oxygen dependent. Ana prefers to do the care early in the morning due to a heavy
caseload. The family requests that care be done when the child is awake by 10am. The
BEST response by Ana would be:
1 point

a. "I will see if I can find another nurse who can meet your
preferred schedule."
b. "If I give the care at 10am, other children needing my care
may not be attended to."
c. “I'm sorry, I wish I could, but I cannot do so due to heavy
workload."
d. "Let's look at what time is in the child's best interest and then
we can work out a better schedule."
When you organized a follow-up visits. Which of the following should you do first?
1 point

a. Explain the purpose of the visit

b. Wash your hands and perform the necessary procedure
c. Do an environmental surveillance
d. Greet the patient/resident introduce self.
Which of the priority conditions will be determining factors on the frequency of home
health visits?
1 point

a. Acceptance of the family of their health concerns and their

coping strategies
b. The need for health teachings and level of family
understanding
c. The result of the studies conducted and level of family
understanding
d. Administration of medication and the schedules set
Situation: One of your responsibilities as a community health nurse is to conduct
home visits to evaluate the health condition of families and communities.
In every home visit, you are not only concerned with the client but you should also:
1 point

a. Pay particular attention to the economic status of the family

b. Observe the family and environment pag nagpapausok namumulak yung mangga
pag may bulaklak ibig sabihin may usok haha
c. Put emphasis on the children's education
d. Observe the family's spiritual practices.
In your community home visits, you have scheduled several cases. Who is your LAST
priority?
1 point

a. Family planning defaulters

Unang pupuntahan ang may baby
b. PTB case on D.O.T.S.
c. G4P3 3-day Post partum
d. G3P2 36 weeks AOG
During a home visit, socialization is important in order to:
1 point

a. Do procedures
b. Establish rapport and put the client at ease
c. Identify the needs of the client
d. Evaluate the visit
To give clear and correct information to the client, the nurse should consider the
following EXCEPT:
1 point

a. Give several Instructions at one time

b. Listen to what the patient is saying
c. Do not use medical terms
d. Repeat important information
Situation: While working in the community, nurses observe various situations
that require attention.
Nurse Sarah was doing case finding in a barangay, in the rural communities of Villa
Isidro. Her target is to identify undocumented Hansen’s Disease cases. Seeing her in
uniform, a woman remark, "You're not a nursing student, are you? I have my chores to
do today, please!" and ignores the nurse. Nurse Sarah IMMEDIATE course of action
would be to:
1 point

a. Visit the next house so as not to waste the day's activity and
return to re-visit this home after a day or two.
b. Communicate the incident to the Barangay Captain and get
him/her to join her in her next visit.
c. Ignore the woman's behavior, turn around and simply leave
her alone
d. The feelings and behavior manifested by the woman and get
to the root causes of such a behavior.
A student nurse visits Dona who immediately stated that she has too much work to do
and she has been visited and Interviewed by student nurses almost daily. After
explaining the purpose of her visit, the student's APPROPRIATE action would be to:
1 point

a. Set an appointment at Dona's convenient time.

b. Select another family as a client.
c. Tell her clinical instructor about the problem.
d. Ask the barangay chairman for assistance.
Situation: After 10 meaningful years of professional practice and using her saving
s, Nurse Trisha decides to set up her proprietary home healthcare agency. This
may be regarded as another journey towards personal and professional
development.
As owner of the agency, Nurse Trisha must be concerned about
1 point

a. Making her agency yield reasonable return of investments

(ROI) for viability and standard business growth
b. Finding out her agency can be exempt from paying taxes
c. Looking for funding support from other business
organizations
d. Knowing which government regulatory agencies she should
report to
Nurse Trisha hires registered nurses to work with her as home healthcare nurses whom
she assigns to individuals and families requiring nursing care in their homes. One such
case is a 60-year old client who needs irrigation of his colostomy following surgery for
cancer. This case may not be qualified of Phil Health reimbursement because the
client:
1 point

a. Qualifies as low-income client

b. Is under home-based care
c. Is under the age of 65
d. Is not considered handicapped
Nurse Trisha has a caseload of clients whom she needs to see on a regular basis.
Which of the following clients may immediately be admitted as a matter of PRIORITY to
a private home healthcare program?
1 point

a. A woman who has delivered a normal healthy infant in a

government-managed birthing center
b. A client in the terminal stages of cancer at the hospital and
will be discharged for home care
RIPES-TB DRUGS
c. A family with three (3) family members who tested positive Repampazine
for tuberculosis and just moved into a barangay Isomiazine
d. A teenage drug abuser who has refused medical treatment but Streptomizine
Estroptomizine
is being seen by a counselor at school
A client who had open heart surgery 2 weeks ago and about to be discharged was
referred to Nurse Trisha Home Health Care Agency for daily dressing changes, cardiac
rehabilitation and physical therapy. The assigned home healthcare nurse should
1 point

a. Complete the necessary assessment on a weekly basis

b. Develop an individualized plan of care
c. Directly supervise the physical therapy the client receives
d. Provide daily physical care for the client
Nurse Trisha plans to present the local city health board a "Stop Smoking" campaign to
the community's local public as her social responsibility program. Trisha understands
that if the proposal is accepted, the funding would come from
1 point

a. Philanthropic donations
b. Philhealth contributions
c. Local community funds generated from taxes
d. The home Healthcare agency owned by Nurse Trisha
Situation: Home care started in the early 1800s as the primary source of care for
many years to come. Public health nursing only began in 1893. Home health care
offered a more cost-effective way of meeting client needs but nurses in this
practice requires a lot of critical thinking skills and the ability to make decision
independently. The following conditions apply.
A meeting with clients for home care (HC) is essential in order to explain the role of the
nurse and the advantages of this alternative health provision. Among important
emphasis to be made is that HC
1 point

a. Encourages a dependent relationship between the nurse and

the client
b. Provides a holistic view of the client that helps nurse to
establish appropriate goals and to plan appropriate care
c. Allows the nurse to have primary control over the
environment where the client will recover
d. Saves the client money because the care is provided in a one-
to-one situation
A public health nurse and a home health care nurse are meeting to discuss their roles in
the community. The home health care nurse states that her role in home health care
focuses on:
1 point

a. Illness care in the home

b. Health promotion in the home b & c for CHN Nurse
c. Disease prevention in the home
d. Rehabilitative care in the home
When a client contacts an established private home care agency in the community for
provision on nursing care services, the nurse should explain that nurses in the agency:
1 point

a. Work with for an agency that is governed by its own board

b. Are paid a salary exempt from income taxes
c. Are concerned about earning money for the stockholders of
the home health care corporation
d. May receive funding from various public or public donors’
agencies
When planning the home care for a client who has returned home after suffering from
stroke, the home health nurse should plan to supervise which of the following?
1 point

a. The speech therapist who works with the client

b. The physical therapist who helps the client regain mobility
c. The discharge planner who works with the client and family
d. The home care aide who assists the client with personal cares
During an initial home visit to assess the client's needs, the nurse should inform the
client:
2 points

a. About the physician's orders that mandate care.

b. What must be paid by the client directly to the home health
care agency
c. About the client's rights at the start of care
d. That advanced medical directives do not apply in the home
setting
Sporadic is characterized by the following:
1 point

a. Epidemic terminates when supply of susceptible person is Look for definition Search
exhausted. Sporadic FDAR
b. Simultaneous exposure of the susceptible person Epidemic magnesium sulfate
Endemic Calcium gluconate
c. Cause originated from single event. Pandemic
d. Low number of susceptible persons/high number of immune
persons
The lowest level of reporting unit of Department of Health, where it is expected to report
health services provided to its defined catchment area:
1 point

a. Rural Health Unit

b. Main Health Center
c. Barangay Health Stations
d. Regional Hospital
An Act regarding for the mandatory Philhealth coverage for all?
1 point

a. RA. 11228
b. RA 7277
c. RA 7875
d. RA 11223 Universal Health Care Act
What is the difference of previous Philhealth law and UHC (Universal Health Care law?
1 point

a. UHC guaranteed Philhealth membership for ALL citizens,

*Case rate method while the previous Philhealth law covers
multiple membership schemes.
b. UHC aims to strenghten health purchasing policies and
practices in support of the implementation of the Philhealth Law.
c. Philhealth Law presents health system reforms necessary to
expand financial protection and access to health services to ALL
filipinos.
d. Under the Philhealth Law, all citizens are automatically
entitled to Philhealth benefits while UHC aims to achieve
membership through a variety of subsidized and contributory
schemes.
Which among the following are DIRECT CONTRIBUTORS of PHILHEALTH
1 point

a. Lifetime members other direct distributors of philhealth

b. 21 years old above without capacity to pay employee-employer relationship, self earning, professional
practitioners, migrant workers
c. Indigents
d. Member of 4Ps
These constitute the only mechanism through which data are routinely transmitted from
one facility to another:
1 point

a. Output reports
b. Reporting forms
c. Target client list
d. Treatment record
Climate Change Act of 2009 ensures that sustainable development and environmental
protection are promulgated. To ensure effective implementation of the framework
strategy and program of climate change which government agency is involved in
reviewing international agreements related to climate change?
1 point

a. DepEd
b. DILG
c. DPWH
d. DFA
Greenhouse gases refers to the constituents of the atmosphere that contribute to the
greenhouse effect. Which would include the following except:
1 point

a. Oxygen
b. Carbon dioxide
c. Water vapor pinaka abundant green house gas
d. Methane
According to the goals of RH, all are true except for:
1 point

a. Every birth should be healthy

b. Every pregnancy should be intended
c. Every sex should be free for coercion and infection
d. Every woman should be given a condom to protect herself
from pregnancy and other STD's
Which of the following principles are part of proper care of vaccines EXCEPT:
1 point

a. “FIFO" principles is practiced to assure that all vaccines are

FIFO First In First Out
utilized before its expiry date.
b. Vaccine temperature is monitored twice a day in all health
facilities.
c. Cold chain equipment should be handled with care to
maintain potency of the vaccines.
d. Cold chain equipment consists but not limited to ice packs,
safety collector boxes
This is also known as "Mandatory Infants and Children Health Immunization Act of
2011"
1 point

a. PD996
b. RA 10152
c. RA 7600
d. EO 51
An Act establishing a National Mental Health Policy for the purpose of Enhancing the
delivery of integrated mental health services?
1 point

a. RA 11036
b. RA 11223
c. RA 10152
d. RA 11469
Situation: After passing the nurse licensure examination, Mitchelle is accepted as
a community health nurse in the rural health unit of a municipality. The health
personnel are known to her. She is aware that disease prevention is one
important goal in Public Health Nursing.
Mitchelle decides to make an ocular survey of one of the barangays of the municipality
where she is assigned. Upon entrance to a barangay, Mitchelle should:
1 point

a. Conduct community assembly

b. Courtesy call to the Barangay Captain
c. Identify the presence of the community
d. Encourage community participation
In order to gain support from the community, Mitchelle underscores the importance of
community participation which are the following EXCEPT:
1 point

a. It gives the feeling of ownership of the community.

b. It encourages dependence on the health workers and
representatives of other government agencies.
c. It provides the community the opportunity to assume
responsibility and leadership
d. It creates awareness of interests.
Community development advocates the principles of self-help and the voluntary
participation of the people of community. Community development rests upon certain
assumptions, this does not include;
1 point

a. Everyone has something to contribute to the community

b. People have limited ability to learn.
c. Community development provides the opportunity by which
the worth of an individual is revealed
d. Worth and dignity of individual are the basic values in a
democratic society
Nurse Tekla is preparing for integration at her community. One of the purposes of
integration in COPAR is to:
1 point

a. Gather data that is necessary in the identification of

community health problems Phases of COPAR
Pre entry phase
b. Understand deeply the culture and lifestyle in the community Entry phase
c. Validate the community health needs identified earlier Organization building phase
d. Identify the community leaders that may be tapped for Sustenance and strengthening phase
organizing purposes
Nurse Isabel is choosing an activity that will facilitate integration into the community.
The appropriate activity for this is to:
1 point

a. Organize a mahjong session

b. Participate during harvesting
c. Encourage clinic visits to every people
d. Act like a visitor
A step in organizing the community that Mitchelle will do in order to have an overview of
the demographic characteristics of the community and community health related
services is:
1 point

a. Core Group formation

b. Community profiling
c. Integrate with the people
d. Area Selection
The CO should realize that the poor:
1 point

a. Do not know what is the best health care delivery system for
their community
b. Have the capability to change or bring about change
c. Will eventually learn but it will take time
d. Should be taken care of by the government and the richer
sections of society
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