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Exam (elaborations)

NP1 COMPREHENSIVE PHASE: RECALLS 1 EXAM

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NP1 COMPREHENSIVE PHASE: RECALLS 1 EXAM

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NP1 COMPREHENSIVE PHASE: RECALLS 1 EXAM

Situation - After passing the Nurses Licensure Examination, Nurse Miranda takes her
first job in a Rural Health Unit in Municipality Balud. She reviews concepts and
principles in Primary Health Care (PHC). - Answer -

1. Nurse Miranda is aware that she has to use "tools and methods that are suitable and
acceptable to the families and communities" that she serves. This PHC principle is
referred to as __________.

A. Cultural application
B. Appropriate application
C. essential methodology
D. community participation - Answer -

2. Which Asian country is considered among the FIRST to adopt the principle of PHC?

A. Malaysia
B. Indonesia
C. Thailand
D. Philippines - Answer -D. Philippines

3. The key global agency that initiated the Alma Ata conference on Primary Health Care
is the __________.

A. World Bank
B. World Health Organization (WHO)
C. CARE International
D. United Nations Children's Fund (UNICEF) - Answer -B. World Health Organization
(WHO)

4. The health team has brainstormed for ideas on creating a more collaborative
environment in a healthcare 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. - Answer -

5. Collaboration and cooperation is crucial to the achievement of PHC goals. The
referral system among the RHU, non-government organization, and local social welfare
and development office is classified as what type of relationship?

,A. Intra-sectoral collaboration
B. Coalition building
C. Inter-sectoral collaboration
D. Network linkage - Answer -

6. Nurse Miranda recognizes that health services offered are in accordance with the
prevailing beliefs and practices of the intended clients of care. This PHC principle is
known as _________.

A. Availability
B. Acceptability
C. Affordability
D. Accessibility - Answer -

7. Which of the following is NOT recognized as part of the nurse's role as a member of
the health team?

A. Care manager and supervisor
B. Provider of care and education
C. Patient advocate and supporter
D. Performing physician's functions with supervision - Answer -

8. Which activities are appropriate for the nurse to collaborate with a patient?1
Prescribing a new medication dose2 Health Promotion activities3 End-of-life comfort
decisions4 Interpreting laboratory results5 Lifestyle changes to improve health

A. 2, 3, 5
B. 2, 4, 5
C. 1, 4, 5
D. 1,3, 4 - Answer -

9. The Rural Health Nurse and the Rural Health Physician are explaining the 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 concerns 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." - Answer -

10. 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 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. - Answer -

Situation - The ability to communicate is a very important skill for every nurse to have.
The nurse must do so in an effective, caring and professional manner, especially when
communicating with patients and their families. - Answer -

11. A smiling patient angrily states, "I will not cough and deep breathe." How will the
nurse interpret the finding? The patient's ___________.

A. signified meaning is wrong
B. affect is inappropriate
C. personal space was violated
D. vocabulary is poor - Answer -

18. The patient, injured at work, was seen by the factory occupational nurse. The nurse
treated the wound and instructed the patient to get a tetanus antitoxin injection at the
City Health Center. The patient failed to follow instructions, developed tetanus, and
subsequently filed a suit against the nurse. What is the most likely result of the ensuing
trial? The nurse is __________.

A. liable, because there was no follow-up to ensure that the patient receive the injection
B. not liable for damages, because the nurse has a right to expect that instructions will
be followed.
C. liable, because tetanus is easily treatable after diagnosis
D. not liable, because tetanus is a reportable disease and the health center should have
insisted on treatment. - Answer -

19. Which situation supports the charge of malpractice against a professional nurse?

A. A failure on the part of the nurse to establish a therapeutic relationship with the
patient.
B. A failure on the part of the nurse to ensure that patients only receive care for which
they could pay.
C. A failure on the part of the nurse to exercise reasonable and prudent care in treating
a patient.
D. A failure on the part of the nurse to allay a patient's fears about an upcoming
procedure. - Answer -C. A failure on the part of the nurse to exercise reasonable and
prudent care in treating a patient

20. The board of nursing has brought action against a nurse's license based upon
violation of a regulation. What is TRUE about this scenario?

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