CA 1 (COPAR KENNETH) Flashcards by SharmaineLea Valdez

There are other fields or subspecialties of nursing where public health nurses are working aside from the Rural Health Unit. These are: SATA

A. Private duty nursing
B. Clinic nursing
C. School health nursing
D. Occupational health nursing

C. School health nursing
D. Occupational health nursing

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A. Modifiability of the problem
B. Preventive potential
C. Magnitude of the problem
D. Nature of the problem

A. Modifiability of the problem

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Nurse Anna is preparing to administer vaccines at the RHU during vaccination day. Which of the following vaccines should she not administer via IM?

A. Tetanus toxoid
B. Hepatitis B
C. DPT
D. Measles

D. Measles

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She coined the word public health nursing which is to provide general services to the people regardless of the location.

A. Margaret Shetland
B. Joyce Travelbee
C. Lilian Wald
D. Dorothy Johnson

C. Lilian Wald

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The presence of a large number of people who are already suffering from NCO necessitates the inclusion of secondary and tertiary prevention and curative components into the program. Secondary prevention activities include:

A. exercise and healthy diet
B. prompt treatment
C. curative activities
D. rehabilitative services

B. prompt treatment

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In tetanus toxoid immunization for pregnant and childbearing women, when is a mother considered fully immunized:

A. when she received 2 doses of TT to protect the child from neonatal tetanus
B. when she received 3 booster doses of TT, which consists a total of five doses
C. TT administration given every pregnancy
D. none of the above

B. when she received 3 booster doses of TT, which consists a total of five doses

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Nurse Maris is correct in identifying which of the following is a health resource problem?

A. Increase in number of deaths from Pneumonia
B. Feud between the Midwife and Head of the Sanitation Committee
C. Absence of Midwife in the community to render health service
D. High Maternal Mortality Rate

C. Absence of Midwife in the community to render health service

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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?

A. Magnitude of the Problem
B. Social Concern
C. Nature of the Problem
D. Modifiability of the Problem

A. Magnitude of the Problem

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During Entry Phase, the nurse must create the core group. Which of the following responses is the most acceptable member of the core group?

A. “I have other things to do. But our creek is so dirty, I will help to clean that area”
B. I am Alice, I can provide all the necessary financial resources for the group”
C. “I am the chairman of the village and I can lead my group if you’ll let me”
D. “I won the Ms Teen of Barangay Kala-kala recently, but I am 14”

A. “I have other things to do. But our creek is so dirty, I will help to clean that area”

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A 9-month-old infant was brought to the RHU with fever and cough. The first assessment to be done is:

A. General danger signs
B. Main symptoms: fever, cough, diarrhea, ear problems
C. Respiratory rate
D. Age

A. General danger signs

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Three approaches are done in community organizing, (1) comprehensive approach (2) Integrated Approach and (3) Community based approach. In organization phase of CO the nurse is correct if she choose which of the following activities:

I. Community profiling and immersion through integration
II. Area selection and integration
Ill. Social preparation and setting up of community organization
IV. Conduct community diagnosis and leadership formation activities

A. I and II
B. III and IV
C. IV only
D. III only

D. III only

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Common uses and applications of public health surveillance include which of the following examples?

A. Detecting individual persons with malaria so that they can receive prompt and appropriate treatment.
B. Helping public health officials decide how to allocate their disease control resources.
C. Identifying changes over time in the proportion of children with elevated blood lead levels in a community.
D. Documenting changes in varicella (chickenpox) incidence, after a law mandating varicella vaccination in the Expanded Program of Immunization took effect.

ALL

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Based on the Integrated Management of Childhood Illness 2014 Guidelines, if a sick child comes to the RHU with signs and symptoms some dehydration, they will manifest the following, except:

A. sunken eyes
B. skin turgor poor or slow skin pinch
C. sleepiness
D. drinking eagerly

C. sleepiness

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Conducting a community assessment leads to a community diagnosis, its product consists of a profile of the community ‘s state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the

A. Observation
B. community census
C. interview
D. records review

C. interview

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Prior to community integration, under this step the nurse must do all of the following except to:

A. Community selection
B. Issue checking
C. Deepening social investigation
D. Site Description

C. Deepening social investigation

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In Participative Action Research [PAR], which step will empower the community?

A. The nurse performs most of the task
B. Health team directs all the activities of the place
C. Participation and engagement of the community
D. Barangay head appoints people in charge

C. Participation and engagement of the community

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In getting to know the community you are serving, which of the following are necessary?

listening to what people are saying
listening to what people are not saying
paying a call on community officials
clearly explaining your mission in the community

A.1, 2
B. 1, 2, 3
C. 1, 3, 4
D. 1, 2 ,3, 4

D. 1, 2 ,3, 4

A postpartum nurse is providing instructions to a client of a newborn infant with hyperbilirubinemia who is being breastfed. The nurse provides which APPROPRIATE instruction to the client?

A. Feed the newborn Infant less frequently.
B. Continue to breast-feed every 2 to 4 hours
C. Switch to bottle-feeding the baby for 2 weeks.
D. Stop the breast-feedings and switch to bottle-feeding permanently.

B. Continue to breast-feed every 2 to 4 hours

Community diagnosis is also known as the Community Study or Research stage in the COPAR process. This is the general study of the entire population and the community during the COPAR process, it also includes the following: socio-economic data, family characteristics and dynamics, and health status of the family. This is known as:

A. Community study
B. Problem- oriented community diagnosis
C. Community diagnosis
D. Comprehensive community diagnosis

D. Comprehensive community diagnosis

Data analysis involves quantification, description and classification of data which would reveal community health problems. An analysis of the social, economic environmental and political factors that influence health is categorized as:

A. Health resources problems
B. Health status problems
C. Health-related problems
D. Comprehensive problems

C. Health-related problems

Six major steps are to be conducted in the COPAR process. Which of the following is not included in the C0PAR process?

A. Pre-Entry
B. Entry
C. Capacity Building
D. Epidemiology

D. Epidemiology

A continuous assessment is part of the monitoring aspect in the management program, and before any program reaches its final step, evaluation is done for future direction. The following are activities done under this stage of CO, apart from:

A. Summarize and disseminate results
B. Chart future directories and modifications
C. Update community analysis
D. Disseminate results

D. Disseminate results

There are 3 major risk factors for NCDs: unhealthy diet, sedentary lifestyle and smoking. The basis of non-communicable disease prevention is the identification of these risk factors and their prevention and control. Risk factor assessment includes obesity. Nurse Lassie Pecson is doing community diagnosis and found out that around 42% of her adult clients have a BMI of 24. This finding can be interpreted as:

A. 50% of her clients are within normal range.
B. 50% of her clients are overweight or at risk.
C. 50% of her clients are under the category Obese I
D. 50% of her clients are under the category Obese II

B. 50% of her clients are overweight or at risk.

Acute measles precipitates vitamin A deficiency by depleting vitamin A stores and increasing its utilization. Vitamin A supplementation given to children with measles has been associated with better outcomes. Which of the following is a sign of vitamin A deficiency:

A. Severe muscle aches
B. Corneal clouding
C. Fatigue
D. Halo vision

B. Corneal clouding

With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem? A. Modifiability of the problem B. Preventive potential C. Magnitude of the problem D. Nature of the problem

A. Modifiability of the problem

To determine and analyze the health problems on the community, the community health nurse should: A. Conduct community diagnosis B. Organize the community C. Empower community residents D. All of the above

A. Conduct community diagnosis

In conducting a community diagnosis in the chosen barangay, which should be done first: A. Do a courtesy call to the barangay captain B. Prepare data collection instruments C. Determine the purpose of the community diagnosis D. Form the group that will conduct the survey

C. Determine the purpose of the community diagnosis

In caring for families in the community, first level assessment includes determining existing and potential conditions or problems in the family. One of the families in the community has a member with intellectual disability. This is classified as: A. Health threat B. Health deficit C. Foreseeable crisis D. Wellness potential

B. Health deficit

Death of a family member requires unusual demand for families to adjust to varying roles and resources. This can be classified as: A. Health threat B. Health deficit C. Foreseeable crisis D. Wellness potential

C. Foreseeable crisis

Community analysis is the process of assessing and defining needs, opportunities and resources involved in initiating community health action program. This is the first stage of the Health Promotion Model in CO. Neil, a nurse assigned in a Rural Health Unit needs further teaching if he choose and consider which of the following as part of the five components under Community analysis: A. That the studies conducted among population groups are done and basis of problem analysis B. He considers the socio-demographic data of clients such as age, sex, place of origin, religion and educational status C. If he identify, recruit and select organizational members for the core group D. When he assesses dietary habits, lifestyle, long-term unemployment

C. If he identify, recruit and select organizational members for the core group

The nurse is aware that in program maintenance and consolidation, that the organization experienced some degree of success and has weathered through implementation problems. Amaya, a nurse knows that she is in this stage of community organizing stage if she note which of the following: A. If designs plans were put into actions B. If there is an active involvement in planning and management programs C. If the organization and the program as well are gaining acceptance in the community D. If formative evaluation was done that provide a timely modification of activities

C. If the organization and the program as well are gaining acceptance in the community

The Department of Health (DOH) holds the overall technical authority on health as it is a national health policy-maker and regulatory institution. Nurse Procopio is correct to identify that the current mission of the DOH is: A. A global leader for attaining better health outcomes, competitive and responsive health care system, and equitable health financing. B. To lead the country in the development of a productive, resilient, equitable and people-centered health system for Universal Health Care C. Health in the Hands of the People D. To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health.

B. To lead the country in the development of a productive, resilient, equitable and people-centered health system for Universal Health Care

The first step in community organizing is the Preparatory Phase which prepares the nurse in selecting the target community for community development. The nurse is aware that all are activities done in the Preparatory phase of CO apart from: A. Choose a community that meets the criteria B. Review other data that are needed to formulate plans and programs C. Assess and study the community in terms of its history, lifestyle, culture and even economics D. Identify who among the people are potential leaders and form a core group

D. Identify who among the people are potential leaders and form a core group

She assured that Community Health Nursing must base its philosophy on worth and dignity of man. A. C.E. Winslow B. Lillian Wald C. Lydia Hall D. Margaret Shetland

D. Margaret Shetland

In C0PAR, which. is the MOST important role of the public health nurse? A. Caregiver B. Financer C. Adviser D. Expert

C. Adviser

Community organizing is believed to lead to social change among people in the community and has been used as a social development method. Arrange in sequence the phases of CO i. Phase - out or working -out ii. Education and Training iii. Preparatory iv. Inter-sectoral collaboration v. Organizational A. III, II, V, IV, I B. III, IV, V, I, II C. III, V, II, IV, I D. III, V, IV, 11, I

C. III, V, II, IV, I

The Expanded Programme on Immunization (EPI) is one of the pioneering programs of the Department of Health (DOH). Just two years after the World Health Organization established the program in 197 4, the Philippines followed, establishing free vaccination against six common diseases. This law mandates 10 vaccine/ immunization mong infants A. EO51 B. PD 996 C. RA 10152 D. RA9160

C. RA 10152

Common uses and applications of public health surveillance include which of the following examples? A. Detecting individual persons with malaria so that they can receive prompt and appropriate treatment. B. Helping public health officials decide how to allocate their disease control resources. C. Identifying changes over time in the proportion of children with elevated blood lead levels in a community. D. Documenting changes in varicella (chickenpox) incidence, after a law mandating varicella vaccination in the Expanded Program of Immunization took effect.

ALL

At the pre-entry phase, which of the following is the FIRST step in the COPAR process __ _ A. Survey the community B. Train technical working group C. Hold a community assembly D. Create a core group

A. Survey the community

Which of the following are some elements of primary health care except? A. Use of appropriate technology B. Safe water supply C. Free medicines D. Maternal and childcare

C. Free medicines