NURSING PRACTICE I
Situation – Boy George is a 15-year-old adolescent who lives with his mother and father,
and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.
1. When performing a family assessment, select what the nurse must FIRST determine.
A. How the family expresses and manage emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patients suicide attempt has for
2. 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
3. The mother of Boy George 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”
4. 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
5. Parents of Boy George say, “We have never known anyone who was mentally ill. We
have no one to talk to because none of our friends understand the problem we are
facing. “Which of the following is the nurse’s MOST helpful intervention?
A. Facility achievement of normal developmental tasks of the family
B. Build the parents self-concept as coping patterns
C. Teach the parents techniques of therapeutic communication
D. Refer the parents to a support group
Situation – Collaboration is being able to work cooperatively and efficient with co-
workers and any other people the nurse may have to interact with. This includes other
health professionals, clients, and their families and communities.
6. 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 educator
C. Patient advocate and supporter
D. Performing physician’s functions with supervision
7. The health team has brainstormed for ideas in 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
8. 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 a
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
9. Which activities are appropriate for the nurse to collaborate with a patient?
1. Prescribing new medication
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
10. The Rural Health Nurse and the Rural Health Physician are explaining 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 concern 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”
Situation – Nurse Roger is assigned in a disaster-prone province in the Visayas. He is
aware that with the increase frequency of disaster happening, he has to respond quickly
and efficiently to assist the population affected by calamities.
11. Which of the following BEST defines a disaster?
A. Any event that results in multiple deaths
B. Devastation that covers a broad geographical area
C. Devastation that cannot be relieved without assistance
D. The event results in multiple injuries, deaths and property damage
12. Nurse Roger is guided by the ICN framework of disaster nursing competencies. This
framework consist 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
13. Nurse Roger 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
14. Nurse Roger 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 is 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.”
15. As he passed by the road going to an evacuation center, Nurse Roger 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
Situation – In public health service, good record system is important delivery of quality
care to clients. As a public health nurse, you have the responsibility of assisting in the
preparation, maintenance of good records and reports.
16. You want to distinguish between records and reports. As applied to 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
17. REPORTS are prepared usually for administrative purposes. Which of these
examples below is NOT a report?
A. Summary of service delivered
B. Accomplishments and failures of service
C. Description of a program and planned services
D. Client information and profile
18. There are commonly used records 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
19. 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
20. 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 deficit
C. Health threats, risk or hazards
D. Strained relationships or disunity
Situation – Ms. Lontok, a Public Health Nurse Supervisor, is preparing a supervisory
plan for midwives under her charge. A supervisory plan is a written document on how
to organize and systematizes supervisory activities.
21. The need for supervision may arise from the following:
1. Lack of staff 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, 4
B. 1, 4, 5
C. 3, 4, 5
D. 1, 2, 3
22. Ms. Lontok 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
23. Ms. Lontok 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
24. During the actual supervisory visit, which of the following is NOT expected of Ms.
Lontok? 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. Explain the process and outcome of the visit
25. After setting the objectives and selecting the activities, Ms. Lontok 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
Situation – As a public Health Nurse, Ms. Isay intends to focus on a specific population
to advocate, educate, collaborate with members from a community to improve health of
the people.
26. Nurse Isay collects data and monitors the health status of the population. Which of
the following care Public Health functions is being implemented?
Situation – Boy George is a 15-year-old adolescent who lives with his mother and father,
and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.
1. When performing a family assessment, select what the nurse must FIRST determine.
A. How the family expresses and manage emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patients suicide attempt has for
2. 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
3. The mother of Boy George 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”
4. 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
5. Parents of Boy George say, “We have never known anyone who was mentally ill. We
have no one to talk to because none of our friends understand the problem we are
facing. “Which of the following is the nurse’s MOST helpful intervention?
A. Facility achievement of normal developmental tasks of the family
B. Build the parents self-concept as coping patterns
C. Teach the parents techniques of therapeutic communication
D. Refer the parents to a support group
Situation – Collaboration is being able to work cooperatively and efficient with co-
workers and any other people the nurse may have to interact with. This includes other
health professionals, clients, and their families and communities.
6. 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 educator
C. Patient advocate and supporter
D. Performing physician’s functions with supervision
7. The health team has brainstormed for ideas in 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
8. 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 a
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
9. Which activities are appropriate for the nurse to collaborate with a patient?
1. Prescribing new medication
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
10. The Rural Health Nurse and the Rural Health Physician are explaining 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 concern 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”
Situation – Nurse Roger is assigned in a disaster-prone province in the Visayas. He is
aware that with the increase frequency of disaster happening, he has to respond quickly
and efficiently to assist the population affected by calamities.
11. Which of the following BEST defines a disaster?
A. Any event that results in multiple deaths
B. Devastation that covers a broad geographical area
C. Devastation that cannot be relieved without assistance
D. The event results in multiple injuries, deaths and property damage
12. Nurse Roger is guided by the ICN framework of disaster nursing competencies. This
framework consist 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
13. Nurse Roger 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
14. Nurse Roger 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 is 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.”
15. As he passed by the road going to an evacuation center, Nurse Roger 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
Situation – In public health service, good record system is important delivery of quality
care to clients. As a public health nurse, you have the responsibility of assisting in the
preparation, maintenance of good records and reports.
16. You want to distinguish between records and reports. As applied to 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
17. REPORTS are prepared usually for administrative purposes. Which of these
examples below is NOT a report?
A. Summary of service delivered
B. Accomplishments and failures of service
C. Description of a program and planned services
D. Client information and profile
18. There are commonly used records 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
19. 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
20. 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 deficit
C. Health threats, risk or hazards
D. Strained relationships or disunity
Situation – Ms. Lontok, a Public Health Nurse Supervisor, is preparing a supervisory
plan for midwives under her charge. A supervisory plan is a written document on how
to organize and systematizes supervisory activities.
21. The need for supervision may arise from the following:
1. Lack of staff 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, 4
B. 1, 4, 5
C. 3, 4, 5
D. 1, 2, 3
22. Ms. Lontok 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
23. Ms. Lontok 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
24. During the actual supervisory visit, which of the following is NOT expected of Ms.
Lontok? 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. Explain the process and outcome of the visit
25. After setting the objectives and selecting the activities, Ms. Lontok 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
Situation – As a public Health Nurse, Ms. Isay intends to focus on a specific population
to advocate, educate, collaborate with members from a community to improve health of
the people.
26. Nurse Isay collects data and monitors the health status of the population. Which of
the following care Public Health functions is being implemented?
