Title Closed Door Coaching - Part B (Nov2025).docx ✅

CLOSED DOOR COACHING – PART 2 NOVEMBER 2025 NURSING PRACTICE 1 Situation: Nurse Alice is alarmed with the rising numbers of re-emerging cases of pulmonary tuberculosis (PTB) in the Philippines. 1. Case finding for PTB in the community requires that the nurse should identify persons having sputum characterized as ____. A. Rusty, frothy B. Yellowish C. Blood stained D. Greenish 2. In the care of patients with communicable disease, Nurse Alice should know the feces, urine, blood and other body fluids are considered as ____. A. Portal of entry B. Vehicles of transmission C. Reservoir of agent D. Portal of exit 3. As the rainy season begins, nurses are keeping a close watch on the rise of dengue cases. Their health teaching should emphasize strategies for preventing dengue by ____. A. Destroying breeding places of the vector B. Using repellent lotion C. Burning of dried leaves D. Wearing of protective clothing 4. When a typhoid fever outbreak occurs in the community, Nurse Alice should educate residents that the disease is transmitted through ____. A. A vector B. Food and water C. Blood and Body fluids D. Air 5. When multiple cases of rabies present in the community, which preventive measure should Nurse Alice emphasize when teaching families? A. Impound all dogs B. Impose “No pets allowed” rule C. Have the dogs vaccinated D. Report to the authorities households with dog/s Situation: Kaye, a newly hired Community Health Nurse, begins her work with the awareness that she will need to take on many roles and responsibilities, most of which aims to promote health within the community. 6. To effectively carry out her caregiving role for various clients in the community, what essential knowledge should Nurse Kaye possess? A. Statistics B. Nursing process C. Research D. Nursing theories 7. In her role as planner and programmer in the community, Nurse Kaye must recognize that the main goal of Community Health Nursing is focused on the importance of ______. A. Curative aspect of care B. Restoration of full function C. Rehabilitative part of care D. Optimum health and wellness 8. The BEST Community Health Nursing principle that will guide Nurse Kaye in the effective performance of her various roles and function is focused on the community that _____. A. Has different health needs and problems B. Is considered as a primary client. C. Has various structures and resources D. Is composed of individuals and families 9. As health monitory which of the following should be considered by the nurse as health threats in the community? 1. Ineffective breastfeeding 2. Fire hazards 3. Inadequate immunization 4. Polluted water supply
A. 3,4 B. 2,3,4 C. 1,2,3,4 D. 1,2 10. Which is the INITIAL task of Nurse Kaye as a community organizer? 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, group for health services. Situation: Nurse Patrick is assigned to the Health Education initiative of the health center. 11. Nurse Patrick wants to highlight healthy lifestyle practices in his health educations sessions. Which initial step of the teaching- learning process should he begin with? A. Assessing health needs B. Evaluation of learning takes place C. Preparing learning materials D. Developing health education plan 12. When preparing a health education program on healthy lifestyle, Nurse Patrick aims to collaborate with parents in the community. Given their diverse cultural and ethical backgrounds, what key factor should be included in his plan? A. Economic B. Social C. Cultural D. Education 13. According to Knowles’ Theory of Adult Learning, which principle should the nurse apply to effectively fulfill his roles as an educator? A. Educational attainment B. School where the participants graduated C. Age and gender of learners D. Environment and learner’s participation 14. Nurse Patrick intends to engage community residents in brainstorming session about their local problems. What is the rationale for using this type of teaching method? 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 15. Successful teaching and learning activities in any health care setting is primarily fostered through ___. A. Identifying motivating factors B. Using clear and concise language C. Establishing trust and rapport D. Setting realistic goals and objective Situation: Nurse Draco as a public health nurse together with other members of the health team ensure there is quality in health and nursing care in their work place. 16. Which of the following is an important tool of assessing quality in the delivery health services? A. Research B. Standards C. Nursing process D. Legislation 17. Choose the key words that BEST describes quality improvement in public health. A. Status quo B. Improvement process C. Very conventional D. Perfect health facility 18. Choose the description that quality exists at the health center. A. Patient satisfaction B. Selected delivery of services C. Controlled by local officials D. Rapid turnover 19. Nurse Draco would like to enhance the process standard at the health center. Which should be his priority nursing initiative? A. Revise manual for operation B. Hire more new graduates
C. Upgrade the health equipment D. Reduce operational expenses 20. Identify to whom Nurse Draco would seek help to improve health resources like medicines in order to provide quality nursing care at the health center. A. Head of the church B. Secretary of Health C. Mayor D. Governor Situation: The pandemic has led to numerous mental health challenges affecting people nationwide, making it essential for nurses to recognize these issues and take steps to help address them. 21. When educating families about supporting mental health at home during the pandemic, the focus should be on all of the following EXCEPT _____. A. Seeking community support B. Observing open communication C. Engaging in social media the whole day D. Reaching out to friends 22. In the midst of the pandemic, which of the following roles of Nurse Claire should she strengthen to prevent more causes of mental problems in the community? A. Case Finder B. Case Manager C. Researcher D. Surveyor 23. There are individuals who are suffering from mental health challenges due to the pandemic. The most appropriate nursing intervention is ____. A. Refer for admission at the mental health unit B. Help in setting up debriefing stations C. Recommend hiring of a community psychiatrist D. Set up a mental health program 24. Which of the following information about severity of mental illness would be important to the mental health program in the community setting? A. Mentally-ill patients are always dangerous B. Mental illness is hereditary. C. Mental illness is not curable D. Mental illness is a global concern. 25. Following a webinar on the Mental Health Act, Nurse Claire recognize that the community needs to change which of the following perception? A. Mental illness is not hereditary B. Community resilience is important C. Mental illness is incurable. D. Psychosocial service should be available. Situation: As community health nurse it is expected that Nurse Ichan is competent in performing core competency standards on Record Management. 26. Nurse Ichan is aware that the domain of record management entails which of the following except: A. Write in the Kardex what has to be endorsed B. Keep human resources updates at all times C. Report to MD orally the wrong use of drug D. Ensure entries in patient record is signed 27. Enhancing nursing services and ensuring patient satisfaction is a key responsibility of the nurse manager. Which strategy can be implemented to accomplish this objective? A. Hold regular meeting with staff B. Make chart audit C. Plan suggestion box D. Conduct regular rounds of patients 28. A physician in the health facility has forgotten to change antibiotics of the patient and make phone call order to Nurse Ichan. What should be the appropriate action of the nurse in this situation? A. Ensure that the order will be signed by the physician as soon as he is in to the facility. B. Have any physician in the facility sign the order C. Carry all phone orders and bring chart to the doctor for signing. D. Call back MD to give feedback.
29. A Community Health Nurse records the following in the treatment notes: BP 150/86, Ace inhibitor with Diazide given, BP decrease at 130/82, and urine output 1200 cc for the entire shift. What type of charting does this represent? A. PIE B. AIRA C. SOAP D. DAR 30. Which of the following is primary purpose of accurate, updated, and reliable document? A. Use from the shift report of nurse and doctor. B. Protect nurse from doctors’ reprimand C. Serve as evidence of legal matters. D. Audit frequency of medical utilization. Situation: Nurse Sam recognizes the importance of the application of Epidemiology in community health setting. 31. His priority in managing community health needs is through knowing in-depth the prevalence of disease because it indicates the ____. A. Risks to health program B. Presence of health problems C. Priority needs of the people D. Magnitude of health problem 32. Nurse Sam and his team has been utilizing the EPIDEMIOLOGIC TRIAD model of identifying causative factors of disease. Which of the following is not relevant to the model? A. External Agent B. Susceptible host C. Treatment regimen D. Environment 33. There is an outbreak of measles in some areas of the community where Nurse Sam is assigned. Which of the following steps of an outbreak investigation should Nurse Sam and his team begin? A. Identify and count cases. B. Verify diagnosis C. Define and identify cases D. Prepare for field work. 34. Nurse Sam is able to know the patterns of occurrence and distribution of disease in the community. Per record, he found out there had been cases of rabies at irregular intervals scattered in particular place. This occurrence refers to ____. A. Endemic B. Epidemic C. Pandemic D. Sporadic 35. As an epidemiology nurse, Nurse Sam’s primary function and responsibility is to ____. 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 Situation: Nurse Ed assumes various roles and functions of community health nurse. He considers collaboration and teamwork as essential in public health. 36. Which of the following is the rationale why team work is essential in health care? A. Helping one another B. Makes work lighter C. Patient safety D. Promotes camaraderie 37. What are the main components of collaboration? A. Shared vision B. Achievement of goals C. Working together D. Partnership 38. Nurse Ed, as member of the health team, describes himself as good team player. Which of the following of the BEST characteristics of good team player? 1. Sense of humor 2. Good listener 3. Inspires others 4. Proactive thinking