Nursing Practice I - COMMUNITY HEALTH NURSING
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SITUATION  1- Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would be mother asked questions about pregnancy and prenatal care.
1. In assessing the health condition of the pregnant patient, Nurse Vera should focus on the_____. *
1 point
2. The patient asked Nurse Vera when is the best time to visit the clinic for her first prenatal care. Which should be the APPROPRIATE answer of the nurse? *
1 point
3. The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Vera to help the pregnant patient make a decision on the breastfeeding? *
1 point
4. The patient asks Nurse Vera, when could you hear the fetal heart of my baby? Which of the following should be the BEST answer of the Nurse Vera? *
1 point
5. Nurse Vera informs the patient she should be screened for pre- eclampsia during this term of pregnancy____ *
1 point
SITUATION 2 – In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.
6. The nurse in the practice of her profession is guided by pregnancy____. *
1 point
7. In the ethical principle of the beneficence, which is the BASIS of every nursing action in all work settings? *
1 point
8. In handling all information about the families in the community, which of the following principles should the nurse consider ethical? *
1 point
9. Nurse Mary randomly selected individuals in the community who will be part of a project. Which of the following ethical principle is observed by the nurse? *
1 point
10. Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her profession. *
1 point
SITUATION 3 – Nurse Gina is assigned to supervise the home for the aged in the barangay.
11. In planning the care of the elderly, which should be the important consideration that Nurse Gina has to consider._____ *
1 point
12. Nurse Gina also has to consider in terms of financial status most of the elderly care. *
1 point
13. In planning their care Nurse Gina should consider_____. *
1 point
14. In her recommendation, Nurse Gina stated, elderly should be given independence. This means___ *
1 point
15. The elderly should be afforded health protection by *
1 point
SITUATION 4- Nurse Jenny is in charge of record keeping in the health center.
16. Which of the following is NOT a step f the record keeping? *
1 point
17. In the community setting which is the ESSENTIAL record about the patient? *
1 point
18. Which of the following is the purpose of record keeping? *
1 point
19. Records are IMPORTANT in health care for *
1 point
20. What is the ultimate purpose of record keeping *
1 point
SITUATION 5- Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.
21. Which infection control measure should Nurse Emma observe during her visit to the family. *
1 point
22. During the history taking, which of the following is the MOST common symptom of Scabies that the family would report to Nurse Emma? *
1 point
23. In providing health teaching to the family, Nurse Emma would include in her teachings the etiology of scabies which is ____. *
1 point
24. The mother of the family asked Nurse Emma how to apply the anti-scabies lotion. The nurse should teach the family to apply the anti-scabies lotion to____. *
1 point
25. In order PREVENT the spread of scabies infestation to other residents in the community, Nurse Emma should teach the family, which of the following? *
1 point
SITUATION 6- As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.
26. Which type of plan should the nurse employ to assess the strengths and weakness of the organization? *
1 point
27. Which BEST describes the planning function of Nurse Ellen in her role as nurse manager? *
1 point
28. To assist them enhance their performance at work, the nurse manager should review regularly pertaining to the staff’s *
1 point
29. Doing year end performance evaluation of the staff is an example of *
1 point
30. Which is the MOST important criterion in budgeting? *
1 point
SITUATION 7- Nurse Mely considers teamwork and collaboration as important components of community HEALTH NURSING
31. Which of the following is the PRIMARY goal of collaboration *
1 point
32. Which are KEY ELEMENTS of collaboration *
1 point
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33. Which of the following is the MOST important purpose of teamwork *
1 point
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34. Which of the following BEST describe strong team? *
1 point
35. Collaboration and teamwork are essential in public health to improve *
1 point
SITUATION  8 -  An 18 years old, female college student was accompanied by her mother for consultation at the municipal health center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.
36. In order to determine the patient’s ability to concentrate and focus, which would be the PRIORITY nursing action? *
1 point
37. While the nurse was taking her blood pressure, the patient suddenly stated.” They are talking about me!” She was referring to other patients who were waiting for their consultation. Which of the following should be the APPROPRIATE nursing action? *
1 point
38. In taking patient’s history from the mother, the nurse should ask the mother information related to the daughters’_____. *
1 point
39. Nurse May is alarm by the incidence of number of young adults in the community with mental problems. Which of the following should be her PRIORITY nursing initiative? *
1 point
40. In giving health teaching to the mother how to manage the patient at home, which of the following she should emphasize? *
1 point
SITUATION 9- When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.
41. Nurse Maris is correct in identifying which of the following is a health resource problem? *
1 point
42. There are five criteria in prioritizing community health problems. If Nurse Maris is estimating the proportion of the population affected by the problem, she is using what criterion in prioritization? *
1 point
43. Nurse Maris oftentimes encounter barriers select a barrier to goal setting between the nurse and the family. *
1 point
44. Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks? *
1 point
45. Choose the step of nursing process that identifies the family health seeking behavior. *
1 point
SITUATION 10 – Nurse Jane is the team leader of group of nurses who plans to utilize community organizing Participative Action Research {CO-PAR}
46. Which of the following BEST describes the PRIMARY goal of CO-PAR? *
1 point
47. At the pre- Entry phase, which of the following is the FIRST step in the CO-PAR process? *
1 point
48. In participative Action Research [PAR] which step will empower the community? *
1 point
49. The nurse, as the community organizer, immerses self by joining local folks in their usual everyday activities in order to_____ *
1 point
50. In CO-PAR, which is the MOST important role of the public health nurses? *
1 point
SITUATION 11- Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.
51. Which of the following are some elements of the primary health care except? *
1 point
52. Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility? *
1 point
53. Which of the following herbal medicine is recommended for cough? *
1 point
54. Guava leaves are recommended by the department of health to: *
1 point
55. This global program aims to end poverty and protect the planet? *
1 point
SITUATION 12- IN the community where Nurse Noli is assigned there are many obese individual who are suffering from different heart ailment.
56. Which initiative should Nurse Noli introduce in order decrease incidence of risk factors especially obesity. *
1 point
57. Which should be emphasize by the nurse in her health teachings? *
1 point
58. Nurse Noli should advise the patients the following except: *
1 point
59. To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their blood. *
1 point
60. Nurse Noli should include in his health teaching the following EXCEPT: *
1 point
SITUATION 13- NURSE Mae is a new supervisor of the health center. Her program thrust include excellent and quality provision of services and performance of the staff.
61. To ensure that the staff adheres to their job responsibilities which should be the APPROPRIATE tool should Nurse Mae utilize in evaluating staff performance? *
1 point
62. As a nurse manager, which nursing action should do to let the staff imbibe the culture of quality at the health center? *
1 point
63. Which measures will be used in the unit to ensure patients satisfaction of the delivery of health services? *
1 point
64. Which is the simple meaning of standards of nursing care? *
1 point
65. Which is the BEST strategy that nurse should employ to give feedback on patient evaluation of health services? *
1 point
SITUATION 14- With the onset of rainy seasons, Nurse Nena and their team are on alert for increase in case of dengue fever.
66. Identify the causative agent of dengue fever. *
1 point
67. Which of the following strategies would prove effective in preventing more incidence of dengue infection? *
1 point
68. Bleeding is the most serious complication of dengue infection. When is the patient be watched for symptoms of bleeding? *
1 point
69. Which of the information about the nature of dengue fever the nurse should relay to the community? *
1 point
70. Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever? *
1 point
SITUATION 15- Nurse Rica find effective communication as the key to successful community health nursing.
71. When writing a memorandum, which of the following is the MOST important guideline? *
1 point
72. Which of the following is an INDICATOR of effective communication? *
1 point
73. Nurse Rica, would like to start about her treatment to make she understood the patient which communication technique she should use? *
1 point
74. The patient told her something about her treatment to make she understood the patient which communication technique should be used by the nurse? *
1 point
75. Non-Verbal communication is as strong in conveying information because the nurse can? *
1 point
SITUATION 16- Nurse Lyn plans to enhance her personal and professional development.
76. Choose an indicator that model personal professional behavior and values. *
1 point
77. Nurses should have knowledge about professional organization. Which o the following is the accredited professional organization of the nurses? *
1 point
78. A profession is characterized by the following except: *
1 point
79. Which of the following is an example of self directed learning activity-? *
1 point
80. Aside from attending seminars which of the following information continuing education programs should the nurse engage herself EXCEPT: *
1 point
SITUATION 17- Nurse Betty is assigned as team leader of the group of community health Nurses who are tasked to conduct a Community Diagnosis in one of the far-flung barangays of the municipality.
81. While preparing to depart to their assigned barangay, Nurse Betty informs her group that the PRIMARY purpose of conducting community diagnosis is to____. *
1 point
82. Nurse Betty and her group followed the steps of community diagnosis. Which come after the formulation of objectives? *
1 point
83. In the step of community diagnosis where data are collected. Which of the following tools is utilized less? *
1 point
84. To prepare the collected data about the health status of the community for analysis, which is the APROPRIATE step that the group of Nurse Betty should do? *
1 point
85. Once of the group of Nurse Betty is able to identify community health problems. Which would be APPROPRIATE for them to do in order to be able to plan for necessary intervention? *
1 point
SITUATION 18- At present the public knows their right in health care. The Community health nurse should be confident and safe in the practice of her profession.
86. Nurse has complaint from a parent for administering wrong dose of vaccine to the child. This act is a form of___. *
1 point
87. When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of____. *
1 point
88. Who among the following is the BEST to sign an informed consent during a surgical procedure of a child at the health center? *
1 point
89. A nurse administer extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be used for____. *
1 point
90. A patient was for transfer to a tertiary hospital because of severe asthma, but the nurse does not prepare the patient right away and the patient dies. Which of the following the nurse is liable? *
1 point
SITUATION 19- Health education is one of the essential services at the community setting. Nurse Nene is in charge of health education activities of the rural health unit.
91. Which of the following is TRUE about the health education in public health? *
1 point
92. The BEST result of health education process is *
1 point
93. Which of the following explains health education is creative process? *
1 point
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94. To families and individual in the community, Which is the MOST important goal of health education? *
1 point
95. As a whole health education in public health aims to____. *
1 point
SITUATION 20- Nurse Mary is assigned to manage the Non Communicable Disease residents who are having Hypertensions.
96. Which assessment findings is INDICATIVE of the diagnosis of hypertension? *
1 point
97. Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residence. *
1 point
98. Which medication will be prescribed to control and maintain the blood pressure of patients at normal level? *
1 point
99. Nurse Mary had observed that most patient with hypertension stop taking their medications and heard them saying “I feel good already” Which is the APPROPRIATE nursing diagnosis? *
1 point
100. During the conduct of his health teaching to the patients, Which should the nurse emphasize to maintain blood pressure at normal level? *
1 point
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