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D. People assume responsibility for their own health 38. (2) The emphasis of the community health nursing is on: A. Treatment of health problems B. Preventing health problems and promoting optimum health C. Identification and assessment of health problem D. Illness and of the wellness-illness continuum 39. (4) When the PHN assesses needs and plan health interventions for a group of people in coordination with other health professionals, she is demonstrating which of the following features of CHN. A. CHN involves interdisciplinary collaboration B. Use of epidemiologic approach is an essential part of the nurse practice C. CHN is oriented to populations D. CHN promotes clients participation in determining their own health 40. (5) Which of the following statement about CHN is wrong? A. CHN synthesizes public health with nursing B. CHN emphasizes health C. Promoting client’s autonomy is a responsibility of the Public Nursing D. CHN promotes clients participation to health care not by the nature of its practice but its setting only 41. (7) During an initial contact with the family, which show you give priority? A. Take family members names and ages B. Observe home environmental situation C. Determine economic level of the family D. Ask what illness the children had 42. (8) In preparing the plan for supervisory which of the following should be done first by the PHN? A. Formulate objectives for the supervision B. Prepare monthly schedule of activities C. List supervisory activities D. Schedule supervisory visits to the RHM’s 43. (9) To encourage community participation, which of the following should a nurse do? A. Invite people from civic organization B. refer to the doctor for prescription C. Encourage sponsorship to programs D. Listen when people relate their problems 44. (10) Which of the following is not an essential element of Primary Health Care? A. Multi sectoral approach B. Community involvement C. Appropriate Technology D. Qualification of health providers 45. (6) As part of Primary Health Care, Immunization is part of the element of EPI, how many vaccine/s should be given at one month intervals? A. DPT, BCG, and tetanus toxoid B. DPT and OPV C. BCG, DPT and Hepa B D. Measles, DPT and Hepa B Situation 9 (3) : Marco, a 54-year old street vendor, went to the RHU with complains of fatigue, cough, anorexia, low-grade fever and weight loss. Physical assessment and tests were done. The diagnosis was PTB. 46.(30) Marco has a positive reaction to Mantoux Test. The nurse correctly interprets this that the client has: A. Developed resistance to tubercle bacilli. B. Developed immunity against PTB C. Had contact with Mycobacterium Tuberculosis D. Resistance against PTB 47. (33) The nurse determines that if the Mantoux Test result is positive, it should be followed up by another test to most accurately diagnose PTB. The nurse plans to consult with the physician to follow-up the skin test with a: A. Chest X-ray B. CT scan of the chest C. BCG vaccination D. Sputum culture 48. (31) After the treatment regimen was started, Marco reported to the nurse that he is experiencing orange discoloration of the urine. What statement of the nurse would be most therapeutic? A. “OMG, are you sure? I need to report this to the doctor.” B. “As a competent nurse, I need to perform further assessment first. Do you also experience prupitus, podagra, optic neuritis, paresthesia or opisthotonus? Tell me more.” C. “Isoniazid is causing this so you need to stop it at once.” D. “This is expected if you are taking Rifampicin.” 49. (34) Marco is asking about the period of communicability of his condition once the anti-TB drugs are started to be given. The nurse should explain that the patient is still communicable: A. When the client is still experiencing fever. B. During the entire course of the treatment. C. As long as the sputum is positive with TB bacilli. D. For about 6 months after starting treatment. 50. (32) In TB control program, the primary preventive method is focused on children. This is: A. Sputum culture B. Tuberculin skin test. C. BCG vaccination. D. Maternal healthcare. Situation 10 (9) : The following situations pertains to different concept in CHN 51. (69) Population-focused nursing practice requires which of the following processes A. Community organizing B. Nursing process C. Community diagnosis D. Epidemiologic process 52. (76) The increasing number of people who must learn to live with chronic illness in the community implies that need for CHN to plan and implementation a program on: A. Communicable disease control B. Health Education C. Child survival D. Environmental sanitation 53. (70) Which of the following is designed to help client reduce risk to illness and maintain maximum level of functioning? A. Research B. Crises intervention C. Rehabilitation D. Health Promotion 54. (72) Which of the following is NOT an essential element/part of Primary Health Care? A. Multi-sectoral approach B. Community involvement C. Appropriate technology D. Qualification of the health care providers 55. (74) The mission of PHC must be embodied in the hearts of the health care providers. Which mission strengths health care systems? A. Supporting conditions for healthy habits B. Increasing opportunities to be healthy C. Letting people manage their own health D. Financing health care program 56. (71) The newly graduate nurse assigned in the rural health unit as a nurse practitioner is described as one of the following: A. Specialist B. Mother-child nurse C. Generalist D. Home-Care Nurse 57. (75) Lavinia recently passed the board exam and now has her license to practice. She wants to become a Public Health Nurse. Where will she apply? A. Department of Health B. Provincial Health Office C. Regional Health Office TOP RANK REVIEW ACADEMY, INC. Page 3 | 6

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