PREBOARDS 2_NP 1 Flashcards
Situation:
Nurse Bini has been recently hired as a Community Health Nurse. Prior to her duty, she reviews the different roles and functions of
nurses advocating for a healthy community.
1. Nurse Bini needs to have a fundamental understanding of _______to be effective in her caregiving role to various types of clients in the community.
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A. statistics
B. research
C. nursing process
D. nursing theories
C. nursing process
- Nurse Bini should be aware that the PRIMARY goal of CHN is to emphasize the essence of ______ in her role as a planner/programmer in the community.
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A. optimum health and wellness.
B. restoration of full function
C. rehabilitative part of care
D. Curative aspect of care
A. optimum health and wellness.
- What is the BEST community health nursing principle that will facilitate Nurse Bini’s efficient execution of her roles and functions?
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A. different health needs and problems
B. various structures and resources
C. is considered as a primary client.
D. is composed of individuals and families
B. various structures and resources
- As part of the monitoring of community’s health, which of the following should be considered by Nurse Bini as health threats?
- Ineffective breastfeeding
- Fire hazards
- Inadequate immunization
- Polluted water supply
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A. 3,4
B. 2,3,4
C. 1,2
D. 1,2,3,4
D. 1,2,3,4
- Which is the INITIAL task of Nurse Bini as a community organizer?
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A. Formulates individuals, family groups and community care plan.
B. Motivates and enhances community participation.
C. Prepares and submits required reports on time.
D. Coordinates with individuals, families and group for health services.
B. Motivates and enhances community participation. - we want to mobilize the community
Situation:
Concerns
regarding mental health and wellbeing in the community remain elevated even
years after the COVID-19 pandemic. Nurses play a vital role in addressing this
health crisis as they also experience significant psychological strain working
on the clinical frontline.
6. Teaching the families on promoting mental health at home in this pandemic time should focus on the following EXCEPT ____.
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A. Seeking community support
B. Practicing open communication
C. Connecting with friends
D. Engaging in social media the whole day
D. Engaging in social media the whole day - forced isolation from increased internet usage
- Which of the following roles of Nurse Joji should he prioritize during the pandemic to prevent the increase of mental health issues in the community?
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A. Case Finder
B. Case Manager
C. Researcher
D. Surveyor
B. Case Manager
They are more proactive. It allows the nurse to assess, monitor, mutually plan, and coordinate healthcare services’
Case finder: pertains to identification of cases, DOES NOT PREVENT MENTAL ILLNESS
- As a result of the pandemic, some people are experiencing mental health issues. The BEST action of Nurse Joji would be to __________.
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A. Set up a mental health program
B. Help in setting up debriefing stations
C. Recommend hiring of a community psychiatrist
D. Refer for admission at the mental health unit
A. Set up a mental health program
R: OTHER CHOICES ARE JUST PASSIVE ROLES
- Which of the following statements is beneficial in managing the severity of mental health problems in the community?
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A. Mentally-ill patients are always dangerous.
B. Mental illness is hereditary.
C. Mental illness is a global concern.
D. Mental illness is incurable.
C. Mental illness is a global concern.
R: other choices are stigma that leads to treatment gap in low to middle income countries
- After the webinar on the Mental Health Act, Nurse Lisa realized that one of the following community’s perceptions must change.
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A. Mental illness is not hereditary
B. Community resilience is essential.
C. Mental illness is incurable.
D. Availability of psychosocial service should be promoted.
A. Mental illness is not hereditary - carrying specific genes can inherit mental illness from prev generations
Mental illness is treatable, we treat symptoms to help indiv effectively function in daily activities. It is incurable but treatable. - this is according to American Psychological Association
Situation:
Nurse Koko noted the
importance of Epidemiology in the community
11. To properly manage community health needs, Nurse Koko needs to have a deeper understanding of disease PREVALENCE since it pertains to the___________
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A. Risks to health program
B. Presence of health problems
C. Priority needs of the people
D. Magnitude of health problem
D. Magnitude of health problem - prevalence of the disease is similar with the magnitude of the problem which is the severity of the problem
- Nurse Koko and her team utilized the Epidemiologic Triad Model to search for causes of health and disease in the community. Which of the following is not included?
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A. Treatment regimen
B. Susceptible host
C. External Agent
D. Environment
A. Treatment regimen
- Nurse Ben was notified regarding the measles outbreak in some areas of the community which he handles. Which of the following steps for outbreak investigation should Nurse Ben and his team initially do?
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A. Prepare for field work.
B. Identify and count cases.
C. Define and identify cases
D. Verify diagnosis
A. Prepare for field work.
Steps for Outbreak investigation
I. Prepare for field work:
• Investigation
• Scientific knowledge
• Supplies/equipment
• Administration
• Consultation
II. Establish the existence of an outbreak
III. Verify Diagnosis
IV. Define and Identify Cases
V. Perform descriptive epidemiology
VI. Developing Hypotheses
VII. Evaluate hypotheses
VIII. Refine Hypotheses and execute additional studies
IX. Implement control and prevention measures
X. Communicate findings
XI. Follow-up Recommendations
(Reference: White Book Public Health Nursing in the Philippines, page 72)
- Nurse Ben is able to know the patterns of occurrence and distribution of disease in the community. Per record she found out there had been cases of rabies at irregular intervals scattered in particular place. This occurrence refers to ____.
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A. Endemic
B. Sporadic
C. Pandemic
D. Epidemic
B. Sporadic - cases occur occsionally
Pandemia - global epidemic or several countries affected
Epidemic - sudden increase of cases in short time
Endemic - cases are always present (ENDE ka niya iiwan)
- Nurse Ben’s primary function and responsibility as an epidemiology nurse is to__________
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A. Assist the epidemiologist in marketing reports.
B. Implement public health surveillances
C. Render nursing care to sick residents
D. Follow up cases and contacts
B. Implement public health surveillances
Functions of Epidemiology Nurse:
I. Implement public health surveillance
II. Monitor local health personnel conducting disease surveillance
III. Conduct and/or assist other health personnel in outbreak investigation IV. Assist in the conduct of rapid surveys and surveillance during disasters
V. Assist in the conduct of surveys, program evaluations, and other epidemiologic studies
VI. Assist in the conduct of training course in epidemiology
VII. Assist the epidemiologist in preparing the annual report and financial plan
VIII. Responsible for inventory and maintenance of epidemiology and surveillance unit (ESU) equipment (Reference: White Book Public Health Nursing in the Philippines, page 74)
Situation:
Nurse Yunjin was assigned to the health education
initiative of the health center.
16. Nurse Yunjin wants to highlight the healthy lifestyle on her health teaching. Among the given steps of teaching-learning process, which should she INITIALLY do?
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A. Preparing teaching materials
B. Evaluate client’s learning
C. Assessment of health needs
D. Creating a health education plan
C. Assessment of health needs
A: Intervention
B: Evaluation
D: Planning
Follow ADPIE
- Nurse Yunjin’s target population is the parents in the community for her health education program about healthy lifestyles. Which CRUCIAL ASPECT should she included in the plan, given their diverse ethical backgrounds?
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A. Economic
B. Social
C. Education
D. Cultural
D. Cultural
- Which of the following principles, based on Knowles’ Theory of Adult Learning, will guide the nurse to be a successful educator?
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A. Environment and learner’s participation
B. School where the participants graduated
C. Age and gender of learners
D. Educational attainment
A. Environment and learner’s participation
- Nurse Yunjin intends to have the community members brainstorm about the community’s problems. Why did Nurse Yunjin prefer to apply this teaching format?
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A. Encourages problem solving and critical thinking skills
B. Links audience participation to the presenter’s speaking style and content
C. Allows the participation to generate ideas and discuss them in group setting
D. Offers shared experiences in a familiar setting
C. Allows the participation to generate ideas and discuss them in group setting
- Teaching and learning activities in different healthcare settings can be more effective by_______
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A. Identifying motivating factors
B. Establishing trust and rapport
C. Using clear and concise language
D. Setting realistic goals and objective
B. Establishing trust and rapport - FOUNDATION
A will just stop at identifying motivating factors, if patient has no plans to stop at all then it will end there
Situation
Nurse Angie is worried about the increasing cases of
pulmonary tuberculosis (PTB) in the Philippines.
21. As part of TB case finding in the community, Nurse Angie should find individuals with ________ sputum.
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A. Rusty, frothy
B. Greenish
C. Yellowish
D. Blood stained
D. Blood stained
- Nurse Angie should know that feces, urine, blood, and other body fluids are categorized as______ in the context of communicable disease prevention.
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A. Portal of entry
B. Mode of Transmission
C. Infectious agent
D. Portal of exit
D. Portal of exit - way of infectious agent leaves the reservoir through open wounds, etc.
- With the start of dengue season, nurses continue to implement various dengue prevention strategies. Nurses should prioritize health teaching about ways to prevent dengue, such as _______.
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A. Burning of dried leaves
B. Applying repellent lotions
C. Destroying breeding places of the vector
D. Wearing of protective clothing
C. Destroying breeding places of the vector - start at the root cause and eliminate it totally
- A typhoid fever outbreak recently occurred in the community. As part of her responsibility, Nurse Angie should inform the residents that typhoid fever can be transmitted by___________.
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A. A vector
B. Air
C. Blood and Body fluids
D. Food and water
D. Food and water
- There are several reports of rabies cases in the community. Which of the following preventive actions should Nurse Angie teach the residents?
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A. Impound all dogs
B. Implement “No pets allowed” rule
C. Report to the households with dogs to the authorities in the community
D. Visit health center to have their dogs vaccinated
D. Visit health center to have their dogs vaccinated
Situation
As part of Nurse Bryan’s role as a community health
nurse, he is expected to be competent in implementing the core competency
standards on Record Management.
26. Nurse Bryan knows that he should not include which of the following in the domain of record management:
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A. Report to MD verbally regarding the wrong use of drug
B. Always keep human resources updates
C. Document the data important for endorsement using the Kardex
D. Ensure that entries in patient record are signed
A. Report to MD verbally regarding the wrong use of drug
- it should be documented and factual. We should document and report.
- The nurse manager is also concerned with the improvement of nursing services and patient satisfaction. Which of the following strategies could be used to accomplish this goal?
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A. Hold regular staff meeting
B. Make chart audit
C. Plan suggestion box
D. Conduct purposeful hourly rounding of patients
B. Make chart audit - patient focused, allows the evaluation of care concurrently or through the patient’s care. Accurate way of assessing quality care.
- A doctor in the health facility forgot to change the order for antibiotics indicated to the patient. The doctor made a phone call order to Nurse Geto. What should Nurse Geto do in this situation?
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A. Contact any doctor in the facility sign the order
B. Ensure that the order will be signed by the doctor as soon as he is into the facility.
C. Carry all phone orders and bring chart to the doctor for signing.
D. Call back MD to give feedback.
B. Ensure that the order will be signed by the doctor as soon as he is into the facility.
- If Nurse Anna wrote in the treatment record: 180/60, ACE inhibitor with Diazide administered, BP decreased to 140/80 and urine output of 12000 cc for the whole shift. Based on these data, what type of charting do you think Nurse Anna did?
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A. PIE
B. AIRA
C. SOAP
D. DAR
D. DAR - Data, Action, Response
- Focus Charting
- What is the main implication of having accurate, timely, and reliable documentation?
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A. Use from the shift report of nurse and doctor.
B. Serve as evidence of legal matters.
C. Protect nurse from doctors’ reprimand
D. Audit frequency of medical utilization.
B. Serve as evidence of legal matters. - legal protection for nurses
Situation
Nurse Annie has various roles and functions as
CHN. She notes that having collaboration and teamwork is important in public
health.
31. Which of the following is the rationale why teamwork is essential in health care?
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A. Helping one another
B. Lightens work burden
C. Patient safety
D. Fosters camaraderie
C. Patient safety - better communication and teamwork in clinical practice
A,B,D are benefits to teamwork
- Which among the following options is included in the primary elements of COLLABORATION?
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A. Partnership
B. Achievement of goals
C. Working together
D. Shared vision
D. Shared vision - needed to increase effectiveness and efficiency of working together or in utilizing participatory approach
- As a member of the healthcare team, Nurse Annie believes that she is a good team player. Which of the following BEST portrays a good team player?
- Tension reliever
- Active listener
- Inspires others
- Proactive thinking
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A. 3,4
B. 1,2,3
C. 1,2
D. 1,2,3,4
D. 1,2,3,4
- Nurse Annie wants to know which element should she prioritize to attain an effective collaboration?
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A. Delegation
B. Belongs to one team
C. Networking
D. Communication
D. Communication
- Nurse Gloc instills collaborative partnership in his interactions with his coworkers. What is the goal of this form of partnership?
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A. To easily finish work and on-time
B. Improves staff’s satisfaction
C. Shared goals
D. Change and influence group behavior
C. Shared goals - because members equally assume responsibilities to achieve the goals identified
Situation
Nurse Ron was tasked to facilitate the Geriatric
Care program of the barangay.
36. Nurse Ron should start to _______ as part of planning of activities for the elderly.
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A. Perform survey of the number of the elderly population
B. Attain informed consent
C. Ask permission from barangay officials
D. Require help of experts
C. Ask permission from barangay officials - before doing any activities, we must first ask permission from barangay officials
- With regards to health assessment of older persons, what is the best measure for their FUNCTIONAL status?
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A. Activities of daily living
B. Patient’s age
C. Financial capability of the family
D. Educational attainment
A. Activities of daily living
B - Physiological changes
C - Socio Economic
D - Socio Economic
- What should Nurse Ron tell the elderly patients and their families regarding the drug provided to the elderly and their families regarding prescribed drug regimen?
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A. It is more convenient and safer to take liquid medications
B. Older persons are more vulnerable to adverse drug reactions
C. Give independence to take medicines
D. Allow them to refuse to take medicines
B. Older persons are more vulnerable to adverse drug reactions - they are at risk for medication toxicity regardless of what type of meds they take. Polypharmacy, forget drinking meds.
- Caring for the elderly can be difficult for other family members who also act as caregivers. During home visit to the family, the nurse should assess for symptoms of_________.
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A. agitation
B. withdrawal
C. burnout
D. suicidal tendency
C. burnout
- Among the following approaches, what should a nurse choose to have an effective program for the older adults?
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A. Supervised by physicians
B. Assign to the family
C. Under the care of barangay health workers
D. Multidisciplinary
D. Multidisciplinary - important to have a hollistic care approach due to complex and chronic health problems. (Nursing, psychology, social work, medical, nutrition)