NOVEMBER 2025 PALMR QUESTIONS
Situation – Nurse Bella takes charge of handling the Mental Health Promotion program in the midst
of the ongoing health crisis due to the COVID 19 PANDEMIC.
1. Teaching the families on promoting mental health at home in this pandemic time should
focus on the following EXCEPT:
a. Seeking community support
b. Observing open communication
c. Engaging social media the whole day
d. Reaching out to friends
Republic Act 110361
Basis: Declaration of Policies.
United Nations Declaration of Human Rights, the Convention on the rights of Persons with
Disabilities
Republic Act 7277: Magna Carta for Disabled.
Recovery-Based Approach refers to an approach to intervention and treatment centered on the
strengths of a service user and involving the active participation, as equal partners in care, of
persons with lived experiences in mental health. This requires integrating a service user's
understanding of his or her condition into any plan for treatment and recovery.
Attack it in the perspective of collaboration!!!
NOTE OF THE SALIENT POINTS
Section 8. All persons, including service users, person with disabilities, and minors, shall
be presumed to possess legal capacity for the purpose of this Act or any other applicable
law, irrespective of the nature or effects of their mental health conditions or disability.
Children shall have the right to express their views on all matters affecting themselves
and have such views given due consideration in accordance with their age and maturity.
Section 9. Advance Directive. - A service user may set out his her preference in relation
to treatment through a signed, dated, and notarized advance directive executed for the
purpose. An advance directive may be revoked by a new advance directive or by a
notarized revocation.
Section 10. Legal Representative. - A service user may designate a person of lega; age to act as
his or her legal representative through a notarized document executed for that purpose.
(2) Act as substitute decision maker when the service user has been assessed by a mental health
professional to have temporary impairment of decision-making capacity
POWER TO DECLINE AN APPOINTMENT. WHO TO INFORM: Service User and the
attending Mental Health Professional Health Worker
FAILURE TO APPOINT: SPOUSE: unless permanently separated from service user or abandoned
(NOT YET COME TO AN END)
Non_Minor Children, Parents (Minor Service User)
Chief Administrator, Medical Director of Mental Health Care Facility
Court Appointed
1
https://doh.gov.ph/national-mental-health-program
,INTERNAL REVIEW BOARD T treatment Restraint Confinement Service
D-OH
C-HR
PCFMH-Philippine Council for Mental Health-accredited organization REPRESENTING SERVICE
USERS AND THEIR FAMILY MEMBERS.
IRR-Designated OTHER members
Section 13. Exceptions to Informed Consent. - During psychiatric or neurologic emergencies,
or when there is impairment or temporary loss of decision-making capacity in whether physical or
chemical, may be administered or implemented pursuant to the following safeguards and
conditions:
(a) In compliance with the service user's advance directives, if available, unless doing so would
pose an immediate risk of serious harm to the patient or another person;
(b) Only to the extent that such treatment or restraint is necessary, and only while a psychiatric
or neurologic emergency, or impairment or temporary loss of capacity, exists or persists;
(c) Upon the order of the service user's attending mental health professional, which order must
be reviewed by the internal review board of the mental health facility where the patient
is being treated within fifteen (15) days from the date such order was issued, and
every fifteen (15) days thereafter while the treatment or restraint continues; and
(d) That such involuntary treatment or restraint shall be in strict accordance with guidelines
approved by the appropriate authorities, which must contain clear criteria regulating the
application and termination of such medical intervention , and fully documented and subject to
regular external independent monitoring , review, and audit by the internal review boards
established by this Act.
Relate it to the LOCAL GOVERNMENT CODE: Concept of Devolution.
2. During this pandemic time, which of the following roles of Nurse Bella should she significantly
intensify to prevent more cases of mental problems in the community?
a. Case finder - by the community health nurse - involves identifying individual cases
or occurrences of specified diseases or other health-related conditions requiring
services.
b. Case manager - A health professional who coordinates and directs the selection and
use of health care services to meet client needs, maximize resource utilization, and
minimize the expense of care
c. Researcher
d. Surveyor
Section 21. Suicide Prevention. - Mental health services shall also include mechanisms for suicide
intervention, prevention, and response strategies, with particular attention to the concerns of the
youth. Twenty-four seven (24/7) hotlines, to provide assistance to individuals with mental health
conditions, especially individuals at risk of committing suicide, shall be set up, and existing hotlines
shall be strengthened.
Note of the National Center for Mental Health
Case Managers Case managers are health service professionals who work toward the
goal of bettering the life and needs of their clients. Case managers will work with clients,
the client’s family, community members, and other health professionals to address their
clients’ individual and specific needs. Case managers are responsible for making sure
their clients have the resources they need to meet their agreed-upon goals. As health
professionals, case managers must also advocate on behalf of their clients as these
individuals are often not in a position to advocate for themselves.
Note of the Levels of Case Management
,Level One: Intake eye toward creating an accurate picture of the client’s current situation.
Level Two: Needs Assessment: This is level, the case manager assesses all of the information
at their disposal and develops an understanding with the client about what their needs and goals
are what the road may look like to achieving those.
Level Three: Service Planning: A plan is put together by the case manager that takes into
account all of the information that was gathered in levels one and two. The plan is often subject to
input from the client’s support system and their other health providers.
Level Four: Monitoring and Evaluating: to evaluate the efficacy of the plan and to make sure
that the client’s specific needs are being met by the case manager and the organization.
Case Management
Case managers must be able to track a group of clients—the caseload. Software
programs allow the case manager to enter client data and integrate this with
predesigned care-tracking templates. In addition, the case manager must keep abreast
of the latest regulations affecting eligibility for health care bene- fits, the reporting
requirements of the payer agencies, and de- tailed facts about the variety of service
providers the client may need to access. All of these data can be placed in integrated
com- puter software programs. Finally, the case manager must docu- ment quality; that
is, demonstrate client outcomes related to dollars spent.
Situation – As community health nurse it is expected that she is competent in performing core
competency standards on Record Management.
3. Nurse Ana is aware that the domain of record management entails which of the following
except:
A. Write in the Kardex what was to be endorsed
B. Keep human resources updated at all times
C. Report to MD orally wrong use of drug
D. Ensure entries in patient record is signed
What is not documented, though done is deemed not done.
4. Improvement of Nursing service as well as patient satisfaction is also a concern of the
nurse manager. Which of the following strategies can be adopted to achieve this goal
A. Hold regular meeting with staff (process-centered)
B. Make chart audit (process and outcome-centered)
C. Plan suggestion box (process-centered)
D. Conduct regular rounds of patients (patient-centered)
Audit is a systematic and official examination of a record, process, structure,
environment, or account, to evaluate performance. Auditing in health care organizations
provides managers with a means of applying the control processes to determine the
quality of services rendered.
5. A physician in the health facility has forgotten to change antibiotics of the patient and
make phone call order to Nurse ANA. What should be the APPROPRIATE action of the nurse in this
situation?
A. Ensure that the order will be signed by the physician as soon as he is in the facility.
B. Have any physician in the facility sign the order
C. Carry all phone orders and bring chart to the doctor for signing
D. Call back MD to give feedback
(Health Insurance Portability and Accountability Act. )
, 6. Which of the following is PRIMARY purpose of accurate, updated and reliable document?
A. Use from the shift report of nurse and doctor
B. Protect nurse from doctors’ reprimand
C. Serve as evidence of legal matters
D. Audit frequency of medication utilization
Chart is a legal document.
Medical Records are also considered as legal documents. (discuss disposal system)
7. Which of the following is the rationale why team work is ESSENTIAL in health care
A. Helping one another
B. Makes work lighter
C. Patient safety
D. Promotes camaraderie
Note that the object of the question pertains to the rationale and not the meaning of
teamwork itself.
8. What is the MAIN component of collaboration?
A. Shared vision (SHARED DECISION-MAKING POWERS)
B. Achievement of goals
C. Working together
D. Partnership
All parties set aside their original goals and work together to establish a supra-ordinate goal. In
doing so, the all parties accept mutual responsibility for reaching the supra-ordinate goal (NOT
GOALS).
Note of NEGOTIATION: GOAL: To make the other party feel satisfied with the outcome.
Note that there is no rule that both parties must give up equal rights; otherwise it may
be considered as compromise.
9. Nurse Roy as member of the health team describes himself as good team player, Which
of the following is the BEST characteristics of good team player?
1. Sense of humor
2. Good listener
3. Inspires others
4. Proactive thinking
A. 1,2,3,4
B. 1,2,3
C. 1,2
D. 3,4
Showing a genuine interest in others, being considerate of other people’s needs and wants, and
offering others support whenever possible are all part of a successful team building. These
interpersonal skills are part of emotional intelligence.
10. Which of the following is an ESSENTIAL element of effective collaboration?
A. Communication
B. Belong to one team
C. Networking
D. Delegation
Situation – Nurse Bella takes charge of handling the Mental Health Promotion program in the midst
of the ongoing health crisis due to the COVID 19 PANDEMIC.
1. Teaching the families on promoting mental health at home in this pandemic time should
focus on the following EXCEPT:
a. Seeking community support
b. Observing open communication
c. Engaging social media the whole day
d. Reaching out to friends
Republic Act 110361
Basis: Declaration of Policies.
United Nations Declaration of Human Rights, the Convention on the rights of Persons with
Disabilities
Republic Act 7277: Magna Carta for Disabled.
Recovery-Based Approach refers to an approach to intervention and treatment centered on the
strengths of a service user and involving the active participation, as equal partners in care, of
persons with lived experiences in mental health. This requires integrating a service user's
understanding of his or her condition into any plan for treatment and recovery.
Attack it in the perspective of collaboration!!!
NOTE OF THE SALIENT POINTS
Section 8. All persons, including service users, person with disabilities, and minors, shall
be presumed to possess legal capacity for the purpose of this Act or any other applicable
law, irrespective of the nature or effects of their mental health conditions or disability.
Children shall have the right to express their views on all matters affecting themselves
and have such views given due consideration in accordance with their age and maturity.
Section 9. Advance Directive. - A service user may set out his her preference in relation
to treatment through a signed, dated, and notarized advance directive executed for the
purpose. An advance directive may be revoked by a new advance directive or by a
notarized revocation.
Section 10. Legal Representative. - A service user may designate a person of lega; age to act as
his or her legal representative through a notarized document executed for that purpose.
(2) Act as substitute decision maker when the service user has been assessed by a mental health
professional to have temporary impairment of decision-making capacity
POWER TO DECLINE AN APPOINTMENT. WHO TO INFORM: Service User and the
attending Mental Health Professional Health Worker
FAILURE TO APPOINT: SPOUSE: unless permanently separated from service user or abandoned
(NOT YET COME TO AN END)
Non_Minor Children, Parents (Minor Service User)
Chief Administrator, Medical Director of Mental Health Care Facility
Court Appointed
1
https://doh.gov.ph/national-mental-health-program
,INTERNAL REVIEW BOARD T treatment Restraint Confinement Service
D-OH
C-HR
PCFMH-Philippine Council for Mental Health-accredited organization REPRESENTING SERVICE
USERS AND THEIR FAMILY MEMBERS.
IRR-Designated OTHER members
Section 13. Exceptions to Informed Consent. - During psychiatric or neurologic emergencies,
or when there is impairment or temporary loss of decision-making capacity in whether physical or
chemical, may be administered or implemented pursuant to the following safeguards and
conditions:
(a) In compliance with the service user's advance directives, if available, unless doing so would
pose an immediate risk of serious harm to the patient or another person;
(b) Only to the extent that such treatment or restraint is necessary, and only while a psychiatric
or neurologic emergency, or impairment or temporary loss of capacity, exists or persists;
(c) Upon the order of the service user's attending mental health professional, which order must
be reviewed by the internal review board of the mental health facility where the patient
is being treated within fifteen (15) days from the date such order was issued, and
every fifteen (15) days thereafter while the treatment or restraint continues; and
(d) That such involuntary treatment or restraint shall be in strict accordance with guidelines
approved by the appropriate authorities, which must contain clear criteria regulating the
application and termination of such medical intervention , and fully documented and subject to
regular external independent monitoring , review, and audit by the internal review boards
established by this Act.
Relate it to the LOCAL GOVERNMENT CODE: Concept of Devolution.
2. During this pandemic time, which of the following roles of Nurse Bella should she significantly
intensify to prevent more cases of mental problems in the community?
a. Case finder - by the community health nurse - involves identifying individual cases
or occurrences of specified diseases or other health-related conditions requiring
services.
b. Case manager - A health professional who coordinates and directs the selection and
use of health care services to meet client needs, maximize resource utilization, and
minimize the expense of care
c. Researcher
d. Surveyor
Section 21. Suicide Prevention. - Mental health services shall also include mechanisms for suicide
intervention, prevention, and response strategies, with particular attention to the concerns of the
youth. Twenty-four seven (24/7) hotlines, to provide assistance to individuals with mental health
conditions, especially individuals at risk of committing suicide, shall be set up, and existing hotlines
shall be strengthened.
Note of the National Center for Mental Health
Case Managers Case managers are health service professionals who work toward the
goal of bettering the life and needs of their clients. Case managers will work with clients,
the client’s family, community members, and other health professionals to address their
clients’ individual and specific needs. Case managers are responsible for making sure
their clients have the resources they need to meet their agreed-upon goals. As health
professionals, case managers must also advocate on behalf of their clients as these
individuals are often not in a position to advocate for themselves.
Note of the Levels of Case Management
,Level One: Intake eye toward creating an accurate picture of the client’s current situation.
Level Two: Needs Assessment: This is level, the case manager assesses all of the information
at their disposal and develops an understanding with the client about what their needs and goals
are what the road may look like to achieving those.
Level Three: Service Planning: A plan is put together by the case manager that takes into
account all of the information that was gathered in levels one and two. The plan is often subject to
input from the client’s support system and their other health providers.
Level Four: Monitoring and Evaluating: to evaluate the efficacy of the plan and to make sure
that the client’s specific needs are being met by the case manager and the organization.
Case Management
Case managers must be able to track a group of clients—the caseload. Software
programs allow the case manager to enter client data and integrate this with
predesigned care-tracking templates. In addition, the case manager must keep abreast
of the latest regulations affecting eligibility for health care bene- fits, the reporting
requirements of the payer agencies, and de- tailed facts about the variety of service
providers the client may need to access. All of these data can be placed in integrated
com- puter software programs. Finally, the case manager must docu- ment quality; that
is, demonstrate client outcomes related to dollars spent.
Situation – As community health nurse it is expected that she is competent in performing core
competency standards on Record Management.
3. Nurse Ana is aware that the domain of record management entails which of the following
except:
A. Write in the Kardex what was to be endorsed
B. Keep human resources updated at all times
C. Report to MD orally wrong use of drug
D. Ensure entries in patient record is signed
What is not documented, though done is deemed not done.
4. Improvement of Nursing service as well as patient satisfaction is also a concern of the
nurse manager. Which of the following strategies can be adopted to achieve this goal
A. Hold regular meeting with staff (process-centered)
B. Make chart audit (process and outcome-centered)
C. Plan suggestion box (process-centered)
D. Conduct regular rounds of patients (patient-centered)
Audit is a systematic and official examination of a record, process, structure,
environment, or account, to evaluate performance. Auditing in health care organizations
provides managers with a means of applying the control processes to determine the
quality of services rendered.
5. A physician in the health facility has forgotten to change antibiotics of the patient and
make phone call order to Nurse ANA. What should be the APPROPRIATE action of the nurse in this
situation?
A. Ensure that the order will be signed by the physician as soon as he is in the facility.
B. Have any physician in the facility sign the order
C. Carry all phone orders and bring chart to the doctor for signing
D. Call back MD to give feedback
(Health Insurance Portability and Accountability Act. )
, 6. Which of the following is PRIMARY purpose of accurate, updated and reliable document?
A. Use from the shift report of nurse and doctor
B. Protect nurse from doctors’ reprimand
C. Serve as evidence of legal matters
D. Audit frequency of medication utilization
Chart is a legal document.
Medical Records are also considered as legal documents. (discuss disposal system)
7. Which of the following is the rationale why team work is ESSENTIAL in health care
A. Helping one another
B. Makes work lighter
C. Patient safety
D. Promotes camaraderie
Note that the object of the question pertains to the rationale and not the meaning of
teamwork itself.
8. What is the MAIN component of collaboration?
A. Shared vision (SHARED DECISION-MAKING POWERS)
B. Achievement of goals
C. Working together
D. Partnership
All parties set aside their original goals and work together to establish a supra-ordinate goal. In
doing so, the all parties accept mutual responsibility for reaching the supra-ordinate goal (NOT
GOALS).
Note of NEGOTIATION: GOAL: To make the other party feel satisfied with the outcome.
Note that there is no rule that both parties must give up equal rights; otherwise it may
be considered as compromise.
9. Nurse Roy as member of the health team describes himself as good team player, Which
of the following is the BEST characteristics of good team player?
1. Sense of humor
2. Good listener
3. Inspires others
4. Proactive thinking
A. 1,2,3,4
B. 1,2,3
C. 1,2
D. 3,4
Showing a genuine interest in others, being considerate of other people’s needs and wants, and
offering others support whenever possible are all part of a successful team building. These
interpersonal skills are part of emotional intelligence.
10. Which of the following is an ESSENTIAL element of effective collaboration?
A. Communication
B. Belong to one team
C. Networking
D. Delegation
