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4 | Page 36. A public health nurse observes that most households in a barangay dispose of garbage in open fields near water sources, where children often play. No cases of disease have been reported. Which outcome statement BEST reflects the effective application of WHO environmental health recommendations? A. Households report less garbage disposal in open fields and more use of proper waste pits B. Number of diarrhea cases in the barangay decreases next year C. Local health center documents environmental risk in its quarterly report D. Children play outside only during school hours 37. The nurse is assessing a rural community where families depend on a nearby river for bathing, cooking, and drinking. Several children have recently developed diarrhea, and there is an increasing report of adults with stomach discomfort. Which intervention should the nurse prioritize? A. Provide bottled water to each household B. Teach community members how to build and use a simple chlorination system C. Conduct stool tests and ensure affected individuals receive prompt medical treatment D. Advise families to boil water only when diarrhea occurs 38. During a home visit in Barangay Mabaleng, Nurse Jo observes that the Santos family frequently disposes of garbage in open fields, does not consistently wash hands, and stores drinking water in uncovered containers. No family members currently report illness. Considering the family’s environmental and behavioral risks, which nursing diagnosis should Nurse Jo prioritize? A. Ineffective coping B. Risk for infection C. Impaired skin integrity D. Ineffective health management 39. In family nursing, evaluation is a key step to determine the value of nursing care provided to a family. It helps nurses assess whether the planned interventions achieved the desired outcomes. In family nursing, the aspect of evaluation that answers the question, “Did we attain our objectives?” is: A. Appropriateness B. Adequacy C. Effectiveness D. Efficiency 40. In determining which family health problem should be prioritized, which of the following criteria considers the seriousness of the problem and the family’s readiness to address it? A. Modifiability B. Salience C. Preventive Potential D. Nature of the Problem Situation: HIV remains a significant public health concern in the Philippines. As a responsible community health nurse, Nurse Jenny is knowledgeable about HIV prevention, treatment, care, and support. 41. Which law strengthened the country’s policy on HIV/AIDS prevention, treatment, care, and support? A. RA 11166 B. RA 11148 C. RA 10028 D. RA 10354 42. Under the law in the item above, what is the minimum age at which an adolescent may access HIV counseling without parental or guardian consent? A. 14 B. 15 C. 16 D. 17 43. A 17-year-old adolescent named Roman asks Nurse Jenny how he can prevent HIV infection. Which response BEST reflects appropriate health education and guidance? A. Ignore Roman’s questions because he is too young to discuss HIV B. Tell Roman he must first ask his parents before learning about HIV prevention C. Provide accurate, age-appropriate information on HIV prevention and discuss safe practices D. Advise him that HIV prevention is not necessary at his age 44. Which statement BEST reflects accurate HIV transmission knowledge that she should emphasize to Roman? A. HIV can be transmitted through sharing eating utensils with an infected person B. HIV is primarily transmitted through unprotected sexual contact, sharing contaminated needles, and mother-to-child during birth or breastfeeding C. Casual contact like hugging, handshakes, or sharing clothing can spread HIV D. HIV can be transmitted through mosquito bites 45. Which action BEST demonstrates the implementation phase of the nursing process in HIV prevention and care? A. Assessing adolescents’ knowledge, risk behaviors, and support systems regarding HIV B. Planning individualized health teaching sessions, referral pathways, and community activities C. Conducting interactive education sessions on safe practices, demonstrating condom use, and counseling on prevention strategies D. Evaluating knowledge retention, behavior change, and adherence to preventive measures Situation: Nurse Jimmy, a public health nurse, is assigned to a barangay where malnutrition in children and micronutrient deficiencies are prevalent. To address this, Nurse Jimmy plans interventions aligned with national nutrition laws and programs, including advocacy, education, and monitoring activities. 46. The nutritional status of the Philippines is monitored and targeted by the Nutrition Program, which is legally embedded in Presidential Decree No. 491. In which month is Nutrition Month celebrated?’ A. April B. May C. June D. July 47. To help reduce the risk of malnutrition among children, deworming is conducted for children aged 1 to 12 years. How often should this intervention be done? A. Every 2 months B. Every 3 months C. Every 6 months D. Once a year 48. To prevent malnutrition in infants, complementary foods should be introduced starting at 6 months, as infants’ energy and nutrient needs begin to exceed what breastmilk alone can provide (WHO, 2009). Which of the following statements is NOT TRUE about complementary feeding? A. Complementary foods are introduced when energy and nutrient needs exceed what can be provided through exclusive and frequent breastfeeding B. They should provide enough energy, protein, and micronutrients to meet a growing child’s nutritional needs C. Foods are given consistent with the child’s signals of appetite and satiety, except during illness when rest is prioritized D. Feeding should include appropriate meal frequency and active encouragement to consume enough food 49. A nurse visits a 2-year-old child who presents with edema in the legs, distended abdomen, sparse brittle hair, skin changes, and lethargy. The caregiver reports the child mostly eats starchy foods with little protein. Based on these findings, what condition should the nurse suspect and what is the most appropriate action? A. Marasmus; provide high-calorie, high-protein diet immediately at home B. Kwashiorkor; refer the child to a health facility for medical and nutritional management C. Vitamin deficiency; give multivitamins and monitor at home D. Dehydration; provide oral rehydration solution and encourage breastfeeding

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