NURSING PRACTICE 1
6. Which of the following is NOT recognized as part
of the nurse’s role as member of the health team?
Situation- Boy James is a 15-year-old adolescent
A. Care manager and supervisor
who lives with his mother father, and several
B. Provider of care and education
siblings. He is hospitalized in a provincial hospital
C. Patient advocate and supporter
after a suicide attempt.
D. Performing physician’s functions with
1. When performing a family assessment, select what
supervision
the nurse must first determine.
A. How the family expresses and manages emotions
7. The health team has brainstormed for ideas on
B. The communication patterns between the patient
creating a more collaborative environment in a health
and parents
care facility. Which idea or action would be the BEST
C. Names and relationships among family members
to develop further?
D. The meaning that the patient’s suicide attempt has
A. Develop a plan for the different team members to
for family members
follow and show impact of their work.
B. Emphasize that no one profession has all the
2. Which of the following is the BEST QUESTION for
necessary competence to provide all care.
the nurse to ask to assess a family’s ability to cope?
C. Hold education sessions regarding collaboration for
A. “Do you think your family copes effectively?”
each unit.
B. “What do you think of the current family problem?”
D. Institute collaborative strategies that are
C. “What strengths does your family have?”
traditionally practiced.
D. “Can you describe how you successfully handled
one family problem?”
8. Which patient scenario describes the BEST example
of professional collaboration?
3. The mother of Boy James asks the nurse, “Why do
A. The nurse, physician, and physical therapist have all
you want to do a family assessment? My teenager is
visited separately with the patient.
the patient, not the rest of us.” What is the BEST
B. The nurse mentions to the physical therapist that the
response of the nurse?
patient may benefit from muscle strengthening
A. “Family dysfunction might have caused the mental
evaluation
illness.”
C. The nurse and physician discuss the patient’s
B. “Every family member‘s perception of events is
muscle weakness and initiate a referral for physical
different and adds to the total picture.”
therapy.
C. “Family members provide more accurate
D. The nurse, physical therapist, and physician have all
information than the patient.”
developed separate care plans for the patient.
D. “Family assessment is a protocol for care of all
patients with mental illness.”
9. Which activities are appropriate for the nurse to
collaborate with a patient?
4. Which information is the nurse MOST likely to find
1. Prescribing a new medication dose
when assessing the family of a patient with mental
2. Health Promotion activities
illness?
3. End-of-life comfort decisions
A. Power in the family is maintained in the parental
4. Interpreting laboratory results
dyad and rarely delegated.
5. Lifestyle changes to improve health
B. Several family members have serious problems
A. 2, 3, 5
with their psychological health.
B. 2, 4, 5
C. Stress that living with a mentally ill member has
C. 1, 4, 5
challenged the family’s function.
D. 1, 3, 4
D. The family exhibits many characteristics of
dysfunctional families.
10. The Rural Health Nurse and the Rural Health
Physician are explaining the home care that will be
5. Parents of Boy James say, “We have never known
needed by a patient with Tuberculosis. The patient’s
anymore who was mentally ill. We have no one to talk
spouse states angrily that it will not be possible to
to because none of our friends understand the
provide the care recommended. What is the BEST
problems we are facing.” Which of the following is the
response by the nurse?
nurse’s MOST helpful intervention?
A. “I would like to listen to your concerns about the
A. Facilitate achievement of normal developmental
prescribed care.”
tasks of the family.
B. “It is important that you do. What the physician has
B. Build the parent’s self-concept as coping patterns.
prescribed.”
C. Teach the parents techniques of therapeutic
C. “I can come back after you talk with your spouse
communication.
about the care.”
D. Refers the parents to a support group.
,D. “Let me review what is needed again, then I’ll talk FLASH FLOOD: CAUSED BY HEAVY OR EXCESSIVE
to you later.” RAINFALL IN A SHORT PERIOD OF TIME (<6 HOURS)
A. Occurs suddenly and for a short duration
Situation – Nurse Ramm is assigned in a disaster- B. Is caused by the blocking of drains
prone province in the Visayas. He is aware that C. Is caused by heavy rains
with increase frequency of disaster happening, he D. Occurs in urba n areas
has to respond quickly and efficiently to assist the
population affected by calamities. Situation- In public health service, good record
system is important in the delivery of quality care
EMERGENCY: SEROIUS, UNEXPECTED AND OFTEN to clients. As a public health nurse, you have the
DANGEROUS SITUATION REQUIRING IMMEDIATE responsibility of assisting in the preparation,
ACTION maintenance of good records and reports.
DISASTER: SUDDEN EVENT, SUCH AS ACCIDENT OR
NATURAL CATASTROPHE THAT CAUSES GREAT DAMAGE 16. You want to distinguish between records and
OR LOSS OF LIFE reports. As applied to public health, the following are
11. Which of the following BEST defines a disaster? the type of RECORDS, EXCEPT _______.
A. Any event that results in multiple deaths.
B. Devastation that covers a broad geographic area. RECORD: FOR DATA ENTRY; INCLUDES FACTS
C. Devastation that cannot be relieved without (PATIENTS LIFE HISTORY INCLUDING PAST AND
PRESENT ILLNESSES, TREATMENTS)
assistance.
D. The event results in multiple injuries, deaths and REPORT: GENERATED FROM THE DATA WRITTEN
property damage IN A RECORD (ANALYSIS OF A PROBLEM)
A. Events such as births, illness, deaths
12. Nurse Ramm is guided by the ICN framework of B. Analysis of a problem situation
disaster nursing competencies. This framework C. Clinic consultation
consists of four areas in the continuum of disaster D. Written data on home visit
management that corresponds to the four stages of
disaster. What consists of the FIRST stage? 17. Reports are prepared usually for administrative
A. Response purposes. Which of the examples below is NOT a
B. Preparedness report?
C. Prevention A. Summary of services delivered
D. Recovery B. Accomplishments and failures of services
C. Description of a program and planned services
13. Nurse Ramm has invited several agencies in the D. Client information and profile
community to a meeting to discuss the disaster plan for
the community. Which of the following BEST 18. There are commonly used records and reports in
describes the purpose of this meeting? To _______. public health nursing practice. The individual clinical
A. Enhance communication among agencies in the record contains which of the following information?
community 1. Socio-demographic characteristics
B. Increase stability in the community 2. Patient’s chief complaint
C. Manage response to disasters in the community 3. Physical Examination findings
D. Improve overall community functioning 4. Prescription of drugs
5. Frequency of clinic check up
14. Nurse Ramm adapts professional nursing skills in 6. Attendance to community settings
recognizing and meeting the physical and emotional A. A. 1, 3, 5, 6
needs resulting from a disaster. For people who are B. 1, 2, 3, 4
willing to talk ensuing a disaster, which of the C. 1, 2, 4, 5
following is the MOST appropriate approach? D. 3, 4, 5, 6
A. “I am with you. It is good you are trying to
release your distress by crying. It will make you feel 19. The family Service and Progress Record (FSPR)
better.” serves as a tool to operationalize the concept of the
B. “What you need to do now is to wait for family as the unit of care. The FSPR consists of four
instructions and services to be provided.” parts, the FIRST being _________.
C. “Don’t feel bad. Others are in the same situation as FOUR PARTS OF FSPR, ORGANIZED ACCORDING
yours.” TO THE NURSING PROCESS:
D. “You need not cry. You need to move on and build 1. ASSESSMENT OF FAMILY, HOME, AND
your life again.” ENVIRONMENTAL CONDITIONS
2. HEALTH CONDITION AND PROBLEM SHEET
15. As he passed by a road going to an evacuation 3. NURSING CARE PLAN
4. SERVICE AND PROGRESS RECORD
center, Nurse Ramm encountered a flash flood. A flash
flood _______. A. Health and nursing problems
B. Nursing care plan
,C. Assessment of the family and the environment
D. Service and Progress Notes 24.During the actual supervisory visit, which of the
following is NOT expected of Ms. Luna? She _____.
20. Which of the following relates to the family’s A. discusses the objective of the visit
NURSING PROBLEM? B. expresses appreciation and support given for the
A. Inability to assume health tasks with respect to visit
health problems C. conveys a formal, strict approach to the
B. Crisis situation or developmental deficit midwives
C. Health threats, risks or hazards D. explains the process and outcomes of the visit
D. Strained relationships or disunity
25. After setting the objectives and selecting the
Situation – Ms. Luna, a public Health Nurse activities, Ms. Luna would need to identify the
Supervisor, is a preparing a supervisory plan for INDICATORS FOR EVALUATION. Which one is NOT
midwives under her charge. A supervisory plan is a included?
written document on how to organize and A. Needs met
systematizes supervisory activities. B. Performance increased
21. The need for supervision may arise from the C. Promotion achieved
following: D. Quality of service improved
GENERALLY SUPERVISORY NEEDS ARISE FROM:
INADEQUATE SKILLS, KNOWLEDGE AND Situation – As a public health nurse, Ms. Isabelle
ATTIITUDE intends to focus on a specific population to
CONFLICT BET. ORGANIZATIONAL AND advocate, educate, and collaborate with members
INDIVIDUAL GOALS
from a community to improve health of the people.
WORK AND PERSONAL SITUATION
LACK OF MOTIVATION 26. Nurse Isabelle collects data and monitors the health
1. Lack of motivation status of the population. Which of the following core
2. Conflict between personal and organizational goals. public functions is being implemented?
3. Lack of knowledge and skills A. Assurance
4. Desire for promotion or job permanency B. Policy development
5. Achieve health goals for the agency C. Assessment
A. 2, 3, 5 D. Prevention
B. 1, 3, 4
C. 1, 2, 3 27. Nurse Isabelle included in her data collection the
D. 2, 4, 5 number and proportion of persons aged 25 or older
with less than a high school education. Which of the
22. Ms. Luna would require information regarding the following BEST describes this data?
supervisory needs of the midwives which can be taken A. Health status data STATE OF HEALTH
from which of the following? B. Health care resource information ALL MATERIALS,
PERSONNEL, FACILITIES, FUNNDS
1. Review of records and reports
2. Interview of the midwives C. Health risk factors ANYTHING THAT INC THE
CHANCE OF GETTING A DSE
3. Review of literature
D. Sociodemographic data SOCIAL AND
4. Observation of the midwives at work
DEMOGRAPHIC FACTORS
5. Results of survey among the staff
A. 2, 3, 5
28. Working in the community with an
B. 1, 3, 4
aggregate/population (THOSE WITH DEVT NEEDS &
C. 1, 2, 4
VULNERABLE), who does Ms. Isabelle MOST likely to
D. 2, 4, 5
interact with?
A. Students in a local high school
23. Ms. Luna prioritizes supervisory needs and
B. Patients at the local hospital
problems based on the following criteria, EXCEPT
C. Residents who play basketball
________.
D. Christians in the community
SUPERVISORY NEEDS AND PROBLEMS MAY BE
PRIORITIZED BASED ON THE FOLLOWING:
- DEGREE OF IMPORTANCE OF URGENCY OF THE 29. Ms. Isabelle has a clear understanding of
PROBLEM population-focused practice. Which of the following
- ACTIVITIES/STRATEGIES NEEDED TO MEET characteristics would she MOST likely display?
IDENTIFIED NEED POPULATION-FOCUSED PRACTICE: FOCUSES ON
-TIME FRAME TO CARRY OUT ACTION DSE PREVENTION, ON HEALTH PROMOTION AND
A. convenience to both parties to address needs PROTECTION AND ON PRIMARY, SECONDARY AND
TERTIARY HEALTH CARE SERVICES
B. degree of importance of the identified need CHARACTERISTICS OF THE PUBLIC HEALTH STAFF IN
C. availability of resources needed THE POPULATION-FOCUSED PRACTICE:
D. activities needed to meet the identified need
, IMPROVES THEIR EFFECTIVENESS AND EFFICIENCY
OF PRACTICE 34. During a routine visit, the nurse noted that Perlita,
HAVE PROFESSIONAL SATISFACTION BY SEEING
HOW INDIVIDUAL CARE CONTRIBUTES TO HEALTH 20-year old wife and mother, has several bruises at
AT A POPULATION LEVEL various stages of healing. She tells the nurse that she
APPROACHES THE PRACTICE OF OTHERS WHO ARE fell down. Failure to report your findings is an
POPULATION-FOCUSED SPECIALISTS example of ____________.
A. Improving the effectiveness of care provided A. malpractice
B. Sponsoring a fund-raising project B. reasonable prudence AN INDIV WHO USES GOOD JUDGEMENT
C. Volunteering for a community action OR COMMON SENSE IN HADLING PRACTICAL MATTERS
D. Providing health interventions for individuals C. maleficence
D. negligence ELEMENTS: DUTY, BREECH OF DUTY,
CAUSATION, and INJURY
30. Ms. Isabelle is working to improve population-
focused care in the community. Which of the following 35. Which of the following examples would indicate
BEST describes a key opportunity for nurses like her observance of client confidentiality?
to accomplish this goal? A. Reading a friend’s chart in another health care
A. Assuming traditional nursing roles facility.
B. Conducting community assessments B. Describing a difficulty with a client in a health
C. Specializing in community health practice team conference.
D. Influencing public health policy C. Using a client’s name in a social conversation.
D. Talking about the client’s symptoms in front of
Situation – Ethical issues on a day-to-day basis family members.
often involve patient communication and advocacy.
It may also questions about end-of-life care. Nurses Situation – Non Communicable Diseases (NCDs) remain
are often the one working closet with patients and to be the major health challenges in the Philippines and
families while administering care. globally. The specific population group that are mostly
31. What is the appropriate approach for the afflicted by these chronic conditions, such as diabetes
community/public health nurse in balancing individual and cardiovascular diseases, are those aged 60 and
privacy and community’s needs for safety and above.
security? 36. When caring for a patient with type 2 diabetes who
A. Fulfill agency policies first. has been discharged, which topic will be MOST
B. Implement professional standards of nursing important to include in your health teaching?
practice. A. Impact of the patient’s family history on likelihood
C. Remember the group needs outrank individual of developing diabetes.
needs. B. Symptoms indicating that the patient should
D. Seek a balance between individual’s need and contact the health care provider.
the community’s needs. C. Effect of endogenous insulin on transportation of
glucose into cells
32. In regard to informed consent, which of the D. Function of the liver in formation of glycogen and
following statements is TRUE? gluconeogenesis
A. Client may not be told about costs and alternatives
to treatment. 37. To obtain the MOST complete information when
B. Consent must be voluntary. doing an assessment for a 75-year-old patient, you will
C. Only parents themselves should give consent for _________.
minor children. A. ask the patient to write down medical problems and
D. Legally incompetent adults can give consent. medications
B. use a geriatric assessment instrument to evaluate
33. The client has a living will in which he states he the patient.
does not want to be kept alive by artificial means even C. interview both the patient and the primary patient
at home. The client’s family wants to disregard the caregiver
client’s wishes and have him maintained on artificial D. review the patient’s chart for the history of medical
life support. The most appropriate initial course of problems
action for the nurse would be to:
A. Allow the family to ventilate their feelings and 38. Which information about a 77-year-old patient who
concerns, while maintaining the role of client is being assessed by the public health nurse us of
advocate. UTMOST concern? The patient __________.
B. Tell the family that they have no legal rights. A. says, “I don’t go on my daily walks since I had
C. Report the situation to the hospital’s Ethics pneumonia two months ago.”
Committee. B. tells the nurse, “I prefer to manage my life without
D. Advise the family that they have the right to ignore much help from others.”
the living will as the patient cannot speak. C. uses three different medications for chronic heart
and joint problems.
6. Which of the following is NOT recognized as part
of the nurse’s role as member of the health team?
Situation- Boy James is a 15-year-old adolescent
A. Care manager and supervisor
who lives with his mother father, and several
B. Provider of care and education
siblings. He is hospitalized in a provincial hospital
C. Patient advocate and supporter
after a suicide attempt.
D. Performing physician’s functions with
1. When performing a family assessment, select what
supervision
the nurse must first determine.
A. How the family expresses and manages emotions
7. The health team has brainstormed for ideas on
B. The communication patterns between the patient
creating a more collaborative environment in a health
and parents
care facility. Which idea or action would be the BEST
C. Names and relationships among family members
to develop further?
D. The meaning that the patient’s suicide attempt has
A. Develop a plan for the different team members to
for family members
follow and show impact of their work.
B. Emphasize that no one profession has all the
2. Which of the following is the BEST QUESTION for
necessary competence to provide all care.
the nurse to ask to assess a family’s ability to cope?
C. Hold education sessions regarding collaboration for
A. “Do you think your family copes effectively?”
each unit.
B. “What do you think of the current family problem?”
D. Institute collaborative strategies that are
C. “What strengths does your family have?”
traditionally practiced.
D. “Can you describe how you successfully handled
one family problem?”
8. Which patient scenario describes the BEST example
of professional collaboration?
3. The mother of Boy James asks the nurse, “Why do
A. The nurse, physician, and physical therapist have all
you want to do a family assessment? My teenager is
visited separately with the patient.
the patient, not the rest of us.” What is the BEST
B. The nurse mentions to the physical therapist that the
response of the nurse?
patient may benefit from muscle strengthening
A. “Family dysfunction might have caused the mental
evaluation
illness.”
C. The nurse and physician discuss the patient’s
B. “Every family member‘s perception of events is
muscle weakness and initiate a referral for physical
different and adds to the total picture.”
therapy.
C. “Family members provide more accurate
D. The nurse, physical therapist, and physician have all
information than the patient.”
developed separate care plans for the patient.
D. “Family assessment is a protocol for care of all
patients with mental illness.”
9. Which activities are appropriate for the nurse to
collaborate with a patient?
4. Which information is the nurse MOST likely to find
1. Prescribing a new medication dose
when assessing the family of a patient with mental
2. Health Promotion activities
illness?
3. End-of-life comfort decisions
A. Power in the family is maintained in the parental
4. Interpreting laboratory results
dyad and rarely delegated.
5. Lifestyle changes to improve health
B. Several family members have serious problems
A. 2, 3, 5
with their psychological health.
B. 2, 4, 5
C. Stress that living with a mentally ill member has
C. 1, 4, 5
challenged the family’s function.
D. 1, 3, 4
D. The family exhibits many characteristics of
dysfunctional families.
10. The Rural Health Nurse and the Rural Health
Physician are explaining the home care that will be
5. Parents of Boy James say, “We have never known
needed by a patient with Tuberculosis. The patient’s
anymore who was mentally ill. We have no one to talk
spouse states angrily that it will not be possible to
to because none of our friends understand the
provide the care recommended. What is the BEST
problems we are facing.” Which of the following is the
response by the nurse?
nurse’s MOST helpful intervention?
A. “I would like to listen to your concerns about the
A. Facilitate achievement of normal developmental
prescribed care.”
tasks of the family.
B. “It is important that you do. What the physician has
B. Build the parent’s self-concept as coping patterns.
prescribed.”
C. Teach the parents techniques of therapeutic
C. “I can come back after you talk with your spouse
communication.
about the care.”
D. Refers the parents to a support group.
,D. “Let me review what is needed again, then I’ll talk FLASH FLOOD: CAUSED BY HEAVY OR EXCESSIVE
to you later.” RAINFALL IN A SHORT PERIOD OF TIME (<6 HOURS)
A. Occurs suddenly and for a short duration
Situation – Nurse Ramm is assigned in a disaster- B. Is caused by the blocking of drains
prone province in the Visayas. He is aware that C. Is caused by heavy rains
with increase frequency of disaster happening, he D. Occurs in urba n areas
has to respond quickly and efficiently to assist the
population affected by calamities. Situation- In public health service, good record
system is important in the delivery of quality care
EMERGENCY: SEROIUS, UNEXPECTED AND OFTEN to clients. As a public health nurse, you have the
DANGEROUS SITUATION REQUIRING IMMEDIATE responsibility of assisting in the preparation,
ACTION maintenance of good records and reports.
DISASTER: SUDDEN EVENT, SUCH AS ACCIDENT OR
NATURAL CATASTROPHE THAT CAUSES GREAT DAMAGE 16. You want to distinguish between records and
OR LOSS OF LIFE reports. As applied to public health, the following are
11. Which of the following BEST defines a disaster? the type of RECORDS, EXCEPT _______.
A. Any event that results in multiple deaths.
B. Devastation that covers a broad geographic area. RECORD: FOR DATA ENTRY; INCLUDES FACTS
C. Devastation that cannot be relieved without (PATIENTS LIFE HISTORY INCLUDING PAST AND
PRESENT ILLNESSES, TREATMENTS)
assistance.
D. The event results in multiple injuries, deaths and REPORT: GENERATED FROM THE DATA WRITTEN
property damage IN A RECORD (ANALYSIS OF A PROBLEM)
A. Events such as births, illness, deaths
12. Nurse Ramm is guided by the ICN framework of B. Analysis of a problem situation
disaster nursing competencies. This framework C. Clinic consultation
consists of four areas in the continuum of disaster D. Written data on home visit
management that corresponds to the four stages of
disaster. What consists of the FIRST stage? 17. Reports are prepared usually for administrative
A. Response purposes. Which of the examples below is NOT a
B. Preparedness report?
C. Prevention A. Summary of services delivered
D. Recovery B. Accomplishments and failures of services
C. Description of a program and planned services
13. Nurse Ramm has invited several agencies in the D. Client information and profile
community to a meeting to discuss the disaster plan for
the community. Which of the following BEST 18. There are commonly used records and reports in
describes the purpose of this meeting? To _______. public health nursing practice. The individual clinical
A. Enhance communication among agencies in the record contains which of the following information?
community 1. Socio-demographic characteristics
B. Increase stability in the community 2. Patient’s chief complaint
C. Manage response to disasters in the community 3. Physical Examination findings
D. Improve overall community functioning 4. Prescription of drugs
5. Frequency of clinic check up
14. Nurse Ramm adapts professional nursing skills in 6. Attendance to community settings
recognizing and meeting the physical and emotional A. A. 1, 3, 5, 6
needs resulting from a disaster. For people who are B. 1, 2, 3, 4
willing to talk ensuing a disaster, which of the C. 1, 2, 4, 5
following is the MOST appropriate approach? D. 3, 4, 5, 6
A. “I am with you. It is good you are trying to
release your distress by crying. It will make you feel 19. The family Service and Progress Record (FSPR)
better.” serves as a tool to operationalize the concept of the
B. “What you need to do now is to wait for family as the unit of care. The FSPR consists of four
instructions and services to be provided.” parts, the FIRST being _________.
C. “Don’t feel bad. Others are in the same situation as FOUR PARTS OF FSPR, ORGANIZED ACCORDING
yours.” TO THE NURSING PROCESS:
D. “You need not cry. You need to move on and build 1. ASSESSMENT OF FAMILY, HOME, AND
your life again.” ENVIRONMENTAL CONDITIONS
2. HEALTH CONDITION AND PROBLEM SHEET
15. As he passed by a road going to an evacuation 3. NURSING CARE PLAN
4. SERVICE AND PROGRESS RECORD
center, Nurse Ramm encountered a flash flood. A flash
flood _______. A. Health and nursing problems
B. Nursing care plan
,C. Assessment of the family and the environment
D. Service and Progress Notes 24.During the actual supervisory visit, which of the
following is NOT expected of Ms. Luna? She _____.
20. Which of the following relates to the family’s A. discusses the objective of the visit
NURSING PROBLEM? B. expresses appreciation and support given for the
A. Inability to assume health tasks with respect to visit
health problems C. conveys a formal, strict approach to the
B. Crisis situation or developmental deficit midwives
C. Health threats, risks or hazards D. explains the process and outcomes of the visit
D. Strained relationships or disunity
25. After setting the objectives and selecting the
Situation – Ms. Luna, a public Health Nurse activities, Ms. Luna would need to identify the
Supervisor, is a preparing a supervisory plan for INDICATORS FOR EVALUATION. Which one is NOT
midwives under her charge. A supervisory plan is a included?
written document on how to organize and A. Needs met
systematizes supervisory activities. B. Performance increased
21. The need for supervision may arise from the C. Promotion achieved
following: D. Quality of service improved
GENERALLY SUPERVISORY NEEDS ARISE FROM:
INADEQUATE SKILLS, KNOWLEDGE AND Situation – As a public health nurse, Ms. Isabelle
ATTIITUDE intends to focus on a specific population to
CONFLICT BET. ORGANIZATIONAL AND advocate, educate, and collaborate with members
INDIVIDUAL GOALS
from a community to improve health of the people.
WORK AND PERSONAL SITUATION
LACK OF MOTIVATION 26. Nurse Isabelle collects data and monitors the health
1. Lack of motivation status of the population. Which of the following core
2. Conflict between personal and organizational goals. public functions is being implemented?
3. Lack of knowledge and skills A. Assurance
4. Desire for promotion or job permanency B. Policy development
5. Achieve health goals for the agency C. Assessment
A. 2, 3, 5 D. Prevention
B. 1, 3, 4
C. 1, 2, 3 27. Nurse Isabelle included in her data collection the
D. 2, 4, 5 number and proportion of persons aged 25 or older
with less than a high school education. Which of the
22. Ms. Luna would require information regarding the following BEST describes this data?
supervisory needs of the midwives which can be taken A. Health status data STATE OF HEALTH
from which of the following? B. Health care resource information ALL MATERIALS,
PERSONNEL, FACILITIES, FUNNDS
1. Review of records and reports
2. Interview of the midwives C. Health risk factors ANYTHING THAT INC THE
CHANCE OF GETTING A DSE
3. Review of literature
D. Sociodemographic data SOCIAL AND
4. Observation of the midwives at work
DEMOGRAPHIC FACTORS
5. Results of survey among the staff
A. 2, 3, 5
28. Working in the community with an
B. 1, 3, 4
aggregate/population (THOSE WITH DEVT NEEDS &
C. 1, 2, 4
VULNERABLE), who does Ms. Isabelle MOST likely to
D. 2, 4, 5
interact with?
A. Students in a local high school
23. Ms. Luna prioritizes supervisory needs and
B. Patients at the local hospital
problems based on the following criteria, EXCEPT
C. Residents who play basketball
________.
D. Christians in the community
SUPERVISORY NEEDS AND PROBLEMS MAY BE
PRIORITIZED BASED ON THE FOLLOWING:
- DEGREE OF IMPORTANCE OF URGENCY OF THE 29. Ms. Isabelle has a clear understanding of
PROBLEM population-focused practice. Which of the following
- ACTIVITIES/STRATEGIES NEEDED TO MEET characteristics would she MOST likely display?
IDENTIFIED NEED POPULATION-FOCUSED PRACTICE: FOCUSES ON
-TIME FRAME TO CARRY OUT ACTION DSE PREVENTION, ON HEALTH PROMOTION AND
A. convenience to both parties to address needs PROTECTION AND ON PRIMARY, SECONDARY AND
TERTIARY HEALTH CARE SERVICES
B. degree of importance of the identified need CHARACTERISTICS OF THE PUBLIC HEALTH STAFF IN
C. availability of resources needed THE POPULATION-FOCUSED PRACTICE:
D. activities needed to meet the identified need
, IMPROVES THEIR EFFECTIVENESS AND EFFICIENCY
OF PRACTICE 34. During a routine visit, the nurse noted that Perlita,
HAVE PROFESSIONAL SATISFACTION BY SEEING
HOW INDIVIDUAL CARE CONTRIBUTES TO HEALTH 20-year old wife and mother, has several bruises at
AT A POPULATION LEVEL various stages of healing. She tells the nurse that she
APPROACHES THE PRACTICE OF OTHERS WHO ARE fell down. Failure to report your findings is an
POPULATION-FOCUSED SPECIALISTS example of ____________.
A. Improving the effectiveness of care provided A. malpractice
B. Sponsoring a fund-raising project B. reasonable prudence AN INDIV WHO USES GOOD JUDGEMENT
C. Volunteering for a community action OR COMMON SENSE IN HADLING PRACTICAL MATTERS
D. Providing health interventions for individuals C. maleficence
D. negligence ELEMENTS: DUTY, BREECH OF DUTY,
CAUSATION, and INJURY
30. Ms. Isabelle is working to improve population-
focused care in the community. Which of the following 35. Which of the following examples would indicate
BEST describes a key opportunity for nurses like her observance of client confidentiality?
to accomplish this goal? A. Reading a friend’s chart in another health care
A. Assuming traditional nursing roles facility.
B. Conducting community assessments B. Describing a difficulty with a client in a health
C. Specializing in community health practice team conference.
D. Influencing public health policy C. Using a client’s name in a social conversation.
D. Talking about the client’s symptoms in front of
Situation – Ethical issues on a day-to-day basis family members.
often involve patient communication and advocacy.
It may also questions about end-of-life care. Nurses Situation – Non Communicable Diseases (NCDs) remain
are often the one working closet with patients and to be the major health challenges in the Philippines and
families while administering care. globally. The specific population group that are mostly
31. What is the appropriate approach for the afflicted by these chronic conditions, such as diabetes
community/public health nurse in balancing individual and cardiovascular diseases, are those aged 60 and
privacy and community’s needs for safety and above.
security? 36. When caring for a patient with type 2 diabetes who
A. Fulfill agency policies first. has been discharged, which topic will be MOST
B. Implement professional standards of nursing important to include in your health teaching?
practice. A. Impact of the patient’s family history on likelihood
C. Remember the group needs outrank individual of developing diabetes.
needs. B. Symptoms indicating that the patient should
D. Seek a balance between individual’s need and contact the health care provider.
the community’s needs. C. Effect of endogenous insulin on transportation of
glucose into cells
32. In regard to informed consent, which of the D. Function of the liver in formation of glycogen and
following statements is TRUE? gluconeogenesis
A. Client may not be told about costs and alternatives
to treatment. 37. To obtain the MOST complete information when
B. Consent must be voluntary. doing an assessment for a 75-year-old patient, you will
C. Only parents themselves should give consent for _________.
minor children. A. ask the patient to write down medical problems and
D. Legally incompetent adults can give consent. medications
B. use a geriatric assessment instrument to evaluate
33. The client has a living will in which he states he the patient.
does not want to be kept alive by artificial means even C. interview both the patient and the primary patient
at home. The client’s family wants to disregard the caregiver
client’s wishes and have him maintained on artificial D. review the patient’s chart for the history of medical
life support. The most appropriate initial course of problems
action for the nurse would be to:
A. Allow the family to ventilate their feelings and 38. Which information about a 77-year-old patient who
concerns, while maintaining the role of client is being assessed by the public health nurse us of
advocate. UTMOST concern? The patient __________.
B. Tell the family that they have no legal rights. A. says, “I don’t go on my daily walks since I had
C. Report the situation to the hospital’s Ethics pneumonia two months ago.”
Committee. B. tells the nurse, “I prefer to manage my life without
D. Advise the family that they have the right to ignore much help from others.”
the living will as the patient cannot speak. C. uses three different medications for chronic heart
and joint problems.
