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2 | Page 14. Evaluation of the family nursing care plan allows the nurse to engage in critical thinking to determine if the plan is working. Summative evaluation is done A. to determine if the intervention strategies are carried out B. at periodic points during the implementation phase C. at the end of the family-nurse relationship D. during the course of the family-nurse relationship 15. Which two interventions are most commonly used by public health nurses like Nerissa who are caring for families and which can be subject for evaluation? 1) Administering screening tools to all family members 2) Collaborating and coordination referrals as needed. 3) Providing health teaching, anticipatory guidance. 4) Participating in collecting data on clients for clinical research. 5) Resolving conflict among family members. A. 2 & 3 B. 2, 4, & 5 C. 1, 3, & 5 D. 1 & 4 Situation 4 – Public Health Nurse Jia is working on some groups of women to promote their health and well-being and help address their current health issues and problems. 16. Nurse Jia is teaching member of women’s club how to perform breast self-examination. She emphasizes the need to have check-up at the health center if they found out that ___________. A. both breasts have nodules in the upper outer quadrants B. the breast on the right side is slightly larger than the left breast C. there is an irregularly shaped, nontender lump palpable in the left breast D. there is a bilateral breast tenderness with palpation 17. Which statement of Nurse Jia correctly describes some health promotion needs of the perimenopausal years? A. Women should be encouraged to limit alcohol intake because it increases calcium excretion B. Dietary vitamin D supplementation is discouraged among this population. C. Calcium supplementation does not affect risk of fractures and bone injury D. Smoking decreases calcium excretion that causes osteoporosis. 18. Nurse Jia observes that there are women who are experiencing abuse by their spouses. What is the goal that the intervention BEST relates to? A. Maintaining a physically healthy body B. Developing and maintaining a healthy sense of self C. Developing and maintaining friendly relationships. D. Maintaining balance and priorities in the family. 19. In an interview with a group of young women, Nurse Jia found out that a client self-induces vomiting after every meal. The nurse recognizes that this symptom BEST describes _________. A. Anorexia nervosa B. A binge eating disorder C. Bulimia D. Post traumatic stress disorder 20. In the same group of young women, a client revealed to her that she is a lesbian. What statement by the client indicates that she needs more information? A. “I need to have routine pap smears.” B. “I have an increased risk of heart disease.” C. “I have less risk factors of breast cancer than a heterosexual” D. “I’m at a lower risk for sexually-transmitted disease.” Situation 5 – Nurse Juday is preparing a smoking cessation class and believes that her class will convert many smokers to nonsmokers once they get all the information. 21. Which of the following health care models guides her thinking? A. Health Promotion Model B. Basic Human Needs Model C. Holistic Health Model D. Health Belief Model 22. Many variables influence a client’s health beliefs and practices. Internal and external variables influence how a client thinks and acts. An example of an internal variable would be __________. A. family practices B. socioeconomic factors C. perception of functioning D. cultural background 23. The health care model that utilizes Maslow’s hierarchy as its basis is the ________. A. Holistic Health B. Health Belief C. Health Promotion D. Basic human needs 24. Nurse Juday’s health education programs for smoking cessation is considered at what level of prevention? A. Fourth B. Tertiary C. Secondary D. Primary 25. Nurse Juday must realize that the MOST effective way to get people to stop smoking to prevent relapse is by ____________. A. continuous reinforcement and informational support B. provide free medical consultation and advice C. tell family members to keep smoker member away from source of tobacco D. give monetary incentive to cessation efforts Situation 6 – In recent months, “bird flu” or avian influenza caused a significant concern among the people especially those in Central Luzon and Metro Manila. It is both an emerging and re-emerging infection. 26. Which of the following statement is TRUE about “bird flu”? A. All forms of bird flu can easily cause illness to humans B. Domestic poultry flocks are much less vulnerable to infections C. Infected chickens can also infect domestic animals like cats and dogs D. Only birds are normally infected by the viruses, less commonly pigs. 27. When humans are infected, the following signs and symptoms of bird flu may appear, EXCEPT: A. Fever B. Sore eyes/Sore throat C. Chicken rashes D. Body weakness 28. Which of the following is NOT included in the control measures in infected birds? A. Restrictions on the movement of the live poultry. B. Rapid destruction of all infected or exposed birds C. Transferring of the live poultry in another area or location. D. Vigorous disinfection of poultry farms 29. There are measures that should be observed by the humans to prevent bird flu infection. Which of the following is NOT included? A. Non-poultry workers should avoid contact with the chickens and ducks as much as possible. B. All poultry farm workers should be given the current season’s flu vaccine. C. Avoid eating chicken or any poultry products until the epidemic has abated D. Advise people on proper cooking of poultry meat and eggs. 30. For patients with bird flu infection, health care workers should observe the following, EXCEPT: A. Establish a separate isolation facility B. Utilize Personal Protective Equipment (PPE) C. Avoid going near the patient as much as possible D. Apply the principles of handwashing. Situation 7 – Program evaluation is a systematic process determining whether program inputs, strategies and activities were successful in achieving program goals and objectives.
3 | Page 31. There are a number of considerations when designing a program evaluation. The first consideration that influences all other aspects of the process is the _______. A. the people who will conduct the evaluation B. purpose of the evaluation C. type of evaluation to be conducted D. evaluative design to be utilized 32. The nurse will conduct an evaluation of an existing program for which evaluative mechanisms were not established during program planning. Which describes this type of evaluation? A. Prospective B. Retrospective C. Process D. Outcome 33. What is referred to as an evaluation conducted after project implementation? A. Program-based evaluation B. Formative evaluation C. Organizational evaluation D. Summative evaluation 34. An evaluation area concerned with analyzing whether the goals and objectives of the projects were met is ____________. A. Program-based evaluation B. Process evaluation C. Organizational evaluation D. Structural evaluation’ 35. What is considered as the BEST indicator to the final measure of the effectiveness of community empowerment efforts? A. Community members are included in decision or policy making B. Barangay health workers report for duty at health center C. Schedule the program implementation is met D. Budget is not overspent Situation 8 – Prevention includes a wide range of activities aimed at reducing risks or threats to health. 36. Nurse Wilfredo is visiting a family with a child who recently became a paraplegic. He suggests some home modifications to accommodate the child’s disability. What level of family- focused intervention the nurse has suggested? A. Fourth prevention B. Secondary prevention C. Tertiary prevention D. Primary Prevention 37. Which of the following programs is an example of secondary prevention? A. An exercise program for persons who had stroke B. A community-wide nutrition program at fast food establishments C. Immunization of persons exposed to infectious disease with immunoglobin G within 2 weeks of exposure. D. Health education on safe water supply 38. As a result of an outbreak of influenza in Barangay Kuliglig, Nurse Wilfredo encourages the residents of the community to receive the influenza vaccine. Which level of prevention is being used? A. Tertiary prevention B. Multifactorial prevention C. Primary prevention D. Secondary prevention 39. Nurse Wilfredo explains to the mother the general needs of a family for adequate nutrition, rest, and physical activity. Which level of prevention does this describe? A. Fourth prevention B. Primary prevention C. Tertiary prevention D. Secondary prevention 40. Nurse Wilfredo also encounters a female patient who reported chest discomfort and shortness of breath. He placed the patient on oxygen, electrocardiogram, and had his blood gases drawn. What level of preventive care is this patient receiving? A. Health promotion B. Secondary prevention C. Tertiary prevention D. Primary prevention Situation 9 – Public Health Nurse Melissa wants to know why cases of diabetes in Municipality Napakatamis have been increasing for the past five years. She intends to use community organizing participatory research (COPAR). 41. As a researcher, Nurse Melissa believes that the identification of problem such as diabetes is: A. based on immediate problem situation defined by the community and the researcher B. aligned to the interest of the researcher C. done by a professional like her D. based on statistics and interpreted by outside researchers 42. In community meetings, Nurse Melissa explains to community the purpose of the research project to address the health problem and establish rapport with the people for cooperation in the research process. The nurse puts community members as: A. assistants to the researcher B. merely providers of information C. organizers of meetings D. co-researchers 43. The KEY feature that distinguishes participatory research from another social research is: A. the dialogic approach between the researcher and the people B. the use of quantitative methods of data gathering C. the use of conventional interview D. didactic transmission of knowledge 44. In terms methodology option, COPAR is essentially _____________. A. Action research B. quantitative research C. Basic research D. qualitative research 45. The ULTIMATE objective of doing COPAR are the following, EXCEPT: A. For people to develop their potentials and abilities and moral sensibilities. B. Generate study results for the benefit of the researcher C. Equip people with new consciousness of what must be done and how to do it. D. Basis for planning community projects in response to perceived problem. Situation 10– Counts and births, illnesses and deaths have to be related to the population in whom these events occurred. This relationship with a base population becomes important when one compares these events between groups, communities, or countries with different sizes and structures. 46. Fifteen (15) new cases of measles have been diagnosed last week in Barangay Carballo. In the same barangay, ten (10) children are currently being treated for measles. What is the incidence of measles? A. Unknown B. Ten C. Fifteen D. Twenty-five 47. Mortality rate from two communities can be best compared after calculating the ____. A. Prevalence rates B. age-adjusted rates C. crude rates D. gender-specific rates 48. Which of the following is a type of rate that has not been modified to take account of any of the factors such as the demographic makeup of the population that may affect the observed rate? A. crude rate B. Cause-specific rate C. adjusted rate D. proportionate rate

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