COMMUNITY HEALTH NURSING QUE+ANS

COMMUNITY HEALTH NURSING QUE+ANS Which is the primary goal of community health nursing? To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness To enhance the capacity of individuals, families and communities to cope with their health needs To increase the productivity of the people by providing them with services that will increase their level of health To contribute to national development through promotion of family welfare, focusing particularly on mothers and children. CHN is a community-based practice. Which best explains this statement? A.The service is provided in the natural environment of people. The nurse has to conduct community diagnosis to determine nursing needs and problems. The services are based on the available resources within the community. Priority setting is based on the magnitude of the health problems identified. Population-focused nursing practice requires which of the following processes? Community organizing Nursing process C.Community diagnosis process 1054 is also known as the Occupational Health Act. Aside from number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled? Type of occupation: agricultural, commercial, industrial Location of the workplace in relation to health facilities C.Classification of the business enterprise based on net profit D.Sex and age composition of employees health nurse when it has at least how many employees? A.21 When the occupational health nurse employs ergonomic principles, she is performing which of her roles? A.Health care provider provide the occupational health needs of the factory workers? Occupational health nurse at the Provincial Health Office B.Physician employed by the factory “Public health services are given free of charge.” Is this statement true or false? A.The statement is true; it is the responsibility of government to provide basic services. The statement is false; people pay indirectly for public health services. The statement may be true or false, depending on the specific service required. The statement may be true or false, depending on policies of the government concerned. According to C.E.Winslow, which of the following is the goal of Public Health? A.For people to attain their birthrights of health and longevity For promotion of health and prevention of disease For people to have access to basic health services For people to be organized in their health efforts We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos. What other statistic may be used to determine attainment of longevity? Which of the following is the most prominent feature of public health nursing? A.It involves providing home care to sick people who are not confined in the hospital. Services are provided free of charge to people within the catchment area. The public health nurse functions as part of a team providing a public health nursing services. Public health nursing focuses on preventive, not curative, services. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following? A.Health and longevity as birthrights The mandate of the state to protect the birthrights of its citizens Public health nursing as a specialized field of nursing The worth and dignity of man Which of the following is the mission of the Department of Health? A.Health for all Filipinos Ensure the accessibility and quality of health care Improve the general health status of the population Health in the hands of the Filipino people by the year 2020 Region IV Hospital is classified as what level of facility? A.Primary Which is true of primary facilities? A.They are usually government-run. Which is an example of the school nurse’s health care provider functions? A.Requesting for BCG from the RHU for school entrant immunization B.Conducting random classroom inspection during a measles epidemic C.Taking remedial action on an accident hazard in the school playground D.Observing places in the school where pupils spend their free time When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating A.Effectiveness You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you apply? A.Department of Health R.A. 7160 mandates devolution of basic services from the national government to local government units. Which of the following is the major goal of devolution? To strengthen local government units To allow greater autonomy to local government units To empower the people and promote their self-reliance To make basic services more accessible to the people Who is the Chairman of the Municipal Health Board? A.Mayor Which level of health facility is the usual point of entry of a client into the health care delivery system? A.Primary The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse? One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the Public Health Nurse Rural Health Midwife C.Municipal Health Officer You are the public health nurse in a municipality with a total population of about 20,000. There are 3 rural health midwives among the RHU personnel. How many more midwife items will the RHU need? If the RHU needs additional midwife items, you will submit the request for additional midwife items for approval to the As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates reporting of cases of notifiable diseases? According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement? The community health nurse continuously develops himself personally and professionally. Health education and community organizing are necessary in providing community health services. C.Community health nursing is intended primarily for health promotion and prevention and treatment of disease. D.The goal of community health nursing is to provide nursing services to people in their own places of residence. Which disease was declared through Presidential Proclamation No. 4 as a target for eradication in the Philippines? The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare? Which step in community organizing involves training of potential leaders in the community? A.Integration In which step are plans formulated for solving community problems? A.Mobilization The public health nurse takes an active role in community participation. What is the primary goal of community organizing? To educate the people regarding community health problems To mobilize the people to resolve community health problems To maximize the community’s resources in dealing with health problems To maximize the community’s resources in dealing with health problems An indicator of success in community organizing is when people are able to A.Participate in community activities for the solution of a community problem B.Implement activities for the solution of the community problem Tertiary prevention is needed in which stage of the natural history of disease? A.Pre-pathogenesis Isolation of a child with measles belongs to what level of prevention? A.Primary On the other hand, Operation Timbang is A.Primary Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics? A.Clinic consultation Group conference Home visit Written communication The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This is classified as a Health threat Health deficit C.Foreseeable crisis D.Stress point The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a A.Health threat Which of the following is an advantage of a home visit? It allows the nurse to provide nursing care to a greater number of people. It provides an opportunity to do first hand appraisal of the home situation. It allows sharing of experiences among people with similar health problems. It develops the family’s initiative in providing for health needs of its members. Which is CONTRARY to the principles in planning a home visit? The PHN bag is an important tool in providing nursing care during a home visit. The most important principle of bag technique states that it Should save time and effort. Should minimize if not totally prevent the spread of infection. Should not overshadow concern for the patient and his family. May be done in a variety of ways depending on the home situation, etc. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do? A.Wash his/her hands before and after providing nursing care to the family members. In the care of family members, as much as possible, use only articles taken from the bag. Put on an apron to protect her uniform and fold it with the right side out before putting it back into the bag. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on the outside. The public health nurse conducts a study on the factors contributing to the high mortality rate due to heart disease in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation? A.Descriptive Which of the following is a function of epidemiology? Which of the following is an epidemiologic function of the nurse during an epidemic? A.Conducting assessment of suspected cases to detect the communicable disease B.Monitoring the condition of the cases affected by the communicable disease C.Participating in the investigation to determine the source of the epidemic The primary purpose of conducting an epidemiologic investigation is to A.Delineate the etiology of the epidemic Which is a characteristic of person-to-person propagated epidemics? A.There are more cases of disease than expected. The disease must necessarily be transmitted through a vector. The spread of disease can be attributed to a common vehicle. There is a gradual build up of cases before epidemic becomes easily noticeable. In theinvestigation of an epidemic, you compare thepresent frequency of thedisease with theusual frequency at this time of year in this community. This is done during which stage of investigation? The number of cases of Dengue fever usually increases towards end of rainy season. This pattern of occurrence of Dengue fever is best described as Epidemic occurrence Cyclical variation Sporadic occurrence Secular variation In theyear 1980, theWorld Health Organization declared thePhilippines, together with some other countries in Western Pacific Region, “free” of which disease? In thecensus of thePhilippines in 1995, there were about 35,299,000 males and about 34,968,000 females. What is sex ratio? Primary health care is a total approach to community development. Which of thefollowing is an indicator of success in use of primary health care approach? Health services are provided free of charge to individuals and families. Local officials are empowered as major decision makers in matters of health. Health workers are able to provide care based on identified health needs of people. Health programs are sustained according to level of development of community. Sputum examination is themajor screening tool for pulmonary tuberculosis. Clients would sometimes get false negative results in this exam. This means that thetest is not perfect in terms of which characteristic of a diagnostic examination? B.Efficacy C.Specificity D.Sensitivity Use of appropriate technology requires knowledge of indigenous technology. Which medicinal herb is given for fever, headache and cough? Institute of Traditional and Alternative Health Care? In traditional Chinese medicine, theyielding, negative and feminine force is termed A.Yin C.Qi What is thelegal basis for Primary Health Care approach in thePhilippines? A.Alma Ata Declaration on PHC Which of thefollowing demonstrates intersectoral linkages? A.Two-way referral system The municipality assigned to you has a population of about 20,000. Estimate thenumber of 1-4 year old children who will be given Retinol capsule 200,000 I.U. every 6 months. Estimate thenumber of pregnant women who will be given tetanus toxoid during an immunization outreach activity in a barangay with a population of about 1,500. To describe sex composition of population, which demographic tool may be used? A.Sex ratio Which of thefollowing is a natality rate? A.Crude birth rate Neonatal mortality rate Infant mortality rate General fertility rate You are computing crude death rate of your municipality, with a total population of about 18,000, for last year. There were 94 deaths. Among those who died, 20 died because of diseases of theheart and 32 were aged 50 years or older. What is crude death rate? Knowing that malnutrition is a frequent community health problem, you decided to conduct nutritional assessment. What population is particularly susceptible to protein energy malnutrition (PEM)? A.Pregnant women and elderly Which statistic can give most accurate reflection of health status of a community? of whom died less than 4 weeks after they were born. There were 4 recorded stillbirths. What is theneonatal mortality rate? A.27.8/1,000 Which statistic best reflects thenutritional status of a population? A.1-4 year old age-specific mortality rate What numerator is used in computing general fertility rate? A.Estimated midyear population Number of registered live births Number of pregnancies in year Number of females of reproductive age You will gather data for nutritional assessment of a purok. You will gather information only from families with members who belong to thetarget population for PEM. What method of data gathering is best for this purpose? A.Census In theconduct of a census, themethod of population assignment based on theactual physical location of thepeople is termed De jure De locus De facto De novo The Field Health Services and Information System (FHSIS) is therecording and reporting system in public health care in Philippines. Monthly Field Health Service Activity Report is a form used in which of components of FHSIS? Tally report Output report C.Target/client list D.Individual health record To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful? Tally report Output report C.Target/client list D.Individual health record Civil registries are important sources of data. Which law requires registration of births within 30 days from theoccurrence of birth? Which of thefollowing professionals can sign thebirth certificate? A.Public health nurse Which criterion in priority setting of health problems is used only in community health care? A.Modifiability of problem The Sentrong Sigla Movement has been launched to improve health service delivery. Which of following is/are true of this movement? This is a project spearheaded by local government units. It is a basis for increasing funding from local government units. It encourages health centers to focus on disease prevention and control. Its main strategy is certification of health centers able to comply with standards. Which of thefollowing women should be considered as special targets for family planning? A.Those who have two children or more Those with medical conditions such as anemia Those younger than 20 years and older than 35 years Those who just had a delivery within past 15 months Freedom of choice is one of thepolicies of theFamily Planning Program of thePhilippines. Which of thefollowing illustrates this principle? to thecenter for consultation. Which of thefollowing substances is contraindicated? Tetanus toxoid Retinol 200,000 IU Ferrous sulfate 200 mg D.Potassium iodate 200 mg. capsule During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of following findings disqualifies her for a home delivery? Her OB score is G5P3. She has some palmar pallor. Her blood pressure is 130/80. Her baby is in cephalic presentation. Inadequate intake by thepregnant woman of which vitamin may cause neural tube defects? A.Niacin You are in a client’s home to attend to a delivery. Which of following will you do first? A.Set up sterile area. Put on a clean gown or apron. Cleanse client’s vulva with soap and water. Note interval, duration and intensity of labor contractions. In preparing a primigravida for breastfeeding, which of thefollowing will you do? A.Tell her that lactation begins within a day after delivery. 30 minutes after delivery. What is purpose of offering breast this early? To initiate occurrence of milk letdown To stimulate milk production by mammary acini To make sure that baby is able to get colostrum To allow woman to practice breastfeeding in presence of health worker In a mothers’ class, you discuss proper breastfeeding technique. Which is of these is a sign that baby has “latched on” to breast properly? The baby takes shallow, rapid sucks. The mother does not feel nipple pain. The baby’s mouth is only partly open. Only mother’s nipple is inside baby’s mouth. You explain to a breastfeeding mother that breast milk is sufficient for all of baby’s nutrient needs only up to What is given to a woman within a month after thedelivery of a baby? A.Malunggay capsule Ferrous sulfate 100 mg. OD Retinol 200,000 I.U., 1 capsule Potassium iodate 200 mg, 1 capsule Which biological used in Expanded Program on Immunization (EPI) is stored in thefreezer? A.DPT Unused BCG should be discarded how many hours after reconstitution? A.2 In immunizing school entrants with BCG, you are not obliged to secure parental consent. This is because of which legal document? Which immunization produces a permanent scar? A.DPT health center for his first immunization. Which can be given to him? A.DPT1 You will not give DPT 2 if mother says that infant had A.Seizures a day after DPT 1. Fever for 3 days after DPT 1. Abscess formation after DPT 1. Local tenderness for 3 days after DPT 1. center for immunization. During assessment, theinfant’s temperature registered at 38.1°C. Which is best course of action that you will take? Go on with infant’s immunizations. her baby will have protection against tetanus for how long? year center because of cough. Her respiratory rate is 42/minute. Using Integrated Management of Child Illness (IMCI) guidelines of assessment, her breathing is considered Which of following signs will indicate that a young child is suffering from severe pneumonia? A.Dyspnea Using IMCI guidelines, you classify a child as having severe pneumonia. What is thebest management for thechild? Prescribe an antibiotic. Refer him urgently to hospital. Instruct mother to increase fluid intake. Instruct mother to continue breastfeeding. health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using IMCI guidelines, you will classify this infant in which category? No signs of dehydration Some dehydration Severe dehydration The data is insufficient. Based on assessment, you classified a 3-month old infant with thechief complaint of diarrhea in thecategory of SOME DEHYDRATION. Based on IMCI management guidelines, which of following will you do? of her 3-year old child. She asked you what to do if her child vomits. You will tell her to Bring child to nearest hospital for further assessment. Bring child to health center for intravenous fluid therapy. Bring child to health center for assessment by physician. Let child rest for 10 minutes then continue giving Oresol more slowly. protein energy malnutrition, kwashiorkor. Which of thefollowing signs will be most apparent in this child? Assessment of a 2-year old child revealed “baggy pants”. Using theIMCI guidelines, how will you manage this child? Refer child urgently to a hospital for confinement. Coordinate with thesocial worker to enroll thechild in a feeding program. C.Make a teaching plan for mother, focusing on menu planning for her child. During thephysical examination of a young child, what is theearliest sign of xerophthalmia that you may observe? To prevent xerophthalmia, young children are given Retinol capsule every 6 months. What is dose given to preschoolers? The major sign of iron deficiency anemia is pallor. What part is best examined for pallor? A.Palms Food fortification is one of thestrategies to prevent micronutrient deficiency conditions. R.A. 8976 mandates fortification of certain food items. Which of following is among these food items? What is thebest course of action when there is a measles epidemic in a nearby municipality? A.Give measles vaccine to babies aged 6 to 8 months. because of cough and colds. Following theIMCI assessment guide, which of following is a danger sign that indicates need for urgent referral to a hospital? A.Inability to drink Management of a child with measles includes theadministration of which of thefollowing? A.Gentian violet on mouth lesions because of fever, which started 4 days prior to consultation. To determine malaria risk, what will you do? Do a tourniquet test. Ask where family resides. Get a specimen for blood smear. Ask if fever is present everyday. The following are strategies implemented by theDepartment of Health to prevent mosquito-borne diseases. Which of these is most effective in control of Dengue fever? Secondary prevention for malaria includes A.Planting of neem or eucalyptus trees Scotch tape swab is done to check for which intestinal parasite? A.Ascaris Which of following signs indicates need for sputum examination for AFB? A.Hematemesis Fever for 1 week Cough for 3 weeks Chest pain for 1 week Which clients are considered targets for DOTS Category I? A.Sputum negative cavitary cases Clients returning after a default Relapses and failures of previous PTB treatment regimens Clients diagnosed for first time through a positive sputum exam To improve compliance to treatment, what innovation is being implemented in DOTS? A.Having health worker follow up client at home Having health worker or a responsible family member monitor drug intake Having patient come to health center every month to get his medications Having a target list to check on whether patient has collected his monthly supply of drugs Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of thefollowing is an early sign of leprosy? Macular lesions B.Inability to close eyelids C.Thickened painful nerves D.Sinking of nosebridge Which of following clients should be classified as a case of multibacillary leprosy? In thePhilippines, which condition is themost frequent cause of death associated with schistosomiasis? A.Liver cancer What is most effective way of controlling schistosomiasis in an endemic area? A.Use of molluscicides Building of foot bridges Proper use of sanitary toilets Use of protective footwear, such as rubber boots When residents obtain water from an artesian well in theneighborhood, thelevel of this approved type of water facility is Use of sterile syringes and needles Safe food preparation and food handling by vendors Proper disposal of human excreta and personal hygiene D.Immediate reporting of water pipe leaks and illegal water connections Which biological used in Expanded Program on Immunization (EPI) should NOT be stored in thefreezer? A.DPT You will conduct outreach immunization in a barangay with a population of about 1500. Estimate number of infants in barangay. In Integrated Management of Childhood Illness, severe conditions generally require urgent referral to a hospital. Which of following severe conditions DOES NOT always require urgent referral to a hospital? is slow capillary refill when thecolor of nailbed that you pressed does not return within how many seconds? to thehealth center because of fever of 4-day duration. thechild had a positive tourniquet test result. In theabsence of other signs, which is themost appropriate measure that thePHN may carry out to prevent Dengue shock syndrome? Insert an NGT and give fluids per NGT. Instruct mother to give child Oresol. Start patient on intravenous fluids STAT. Refer client to physician for appropriate management. The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the A.Nasal mucosa Buccal mucosa Skin on abdomen Skin on antecubital surface Among following diseases, which is airborne? A.Viral conjunctivitis Among children aged 2 months to 3 years, themost prevalent form of meningitis is caused by which microorganism? Human beings are the major reservoir of malaria. Which of the following strategies in malaria control is based on this fact? Stream seeding Stream clearing Destruction of breeding places D.Zooprophylaxis The use of larvivorous fish in malaria control is the basis for which strategy of malaria control? A.Stream seeding Mosquito-borne diseases are prevented mostly with the use of mosquito control measures. Which of the following is NOT appropriate for malaria control? Use of chemically treated mosquito nets Seeding of breeding places with larva-eating fish C.Destruction of breeding places of the mosquito vector center with the chief complaint of severe diarrhea and the passage of “rice water” stools. The client is most probably suffering from which condition? In the Philippines, which specie of schistosoma is endemic in certain regions? A 32-year old client came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on his history, which disease condition will you suspect? MWSS provides water to Manila and other cities in Metro Manila. This is an example of which level of water facility? for AIDS using ELISA. His result was positive. What is the best course of action that you may take? Get a thorough history of the client, focusing on the practice of high risk behaviors. Ask the client to be accompanied by a significant person before revealing the result. Refer the client to the physician since he is the best person to reveal the result to the client. Refer the client for a supplementary test, such as Western blot, since the ELISA result may be false. Which is the BEST control measure for AIDS? A.Being faithful to a single sexual partner The most frequent causes of death among clients with AIDS are opportunistic diseases. Which of the following opportunistic infections is characterized by tonsillopharyngitis? To determine possible sources of sexually transmitted infections, which is the BEST method that may be undertaken by the public health nurse? Antiretroviral agents, such as AZT, are used in the management of AIDS. Which of the following is NOT an action expected of these drugs. They prolong the life of the client with AIDS. They reduce the risk of opportunistic infections They shorten the period of communicability of the disease. They are able to bring about a cure of the disease condition. rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay? You were invited to be the resource person in a training class for food handlers. Which of the following would you emphasize regarding prevention of staphylococcal food poisoning? All cooking and eating utensils must be thoroughly washed. Food must be cooked properly to destroy staphylococcal microorganisms. Food handlers and food servers must have a negative stool examination result. Proper handwashing during food preparation is the best way of preventing the condition. In a mothers’ class, you discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct? Complications to infectious parotitis (mumps) may be serious in which type of clients? A.Pregnant women Elderly clients Young adult males