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4 | Page A. Health education helps individuals understand their health and manage their environment to maintain it at the primary level of disease prevention. B. At the secondary prevention level, health education helps people understand the importance of screening methods and participate in them. C. Health education is most challenging at the tertiary level of disease prevention. D. Teaching sex education to high school students is an example of health education in health promotion. 51. During a home visit, Nurse Kiffy finds that postpartum client Marianne, who has had four pregnancies, has not bathed for three weeks. What approach should the nurse take to encourage her to bathe? A. Prepare an aromatic bath using a mixture of boiled plants with essential oils B. Explain the significance of personal hygiene C. Honor her choice to abstain from bathing D. Provide a sponge bath 52. A person is likely to engage in preventive health actions if they believe A. The disease or illness will result in significant expenses B. They are at risk of contracting the disease C. They might experience a recurrence of the disease D. There is no available cure for the disease 53. Shane reports experiencing severe abdominal pain. As a nurse, which of the following actions should you not take? A. Take a detailed nursing history B. Perform a physical examination, including inspection, auscultation, percussion, and palpation. C. Refer him to a hospital if needed D. All of the above actions are appropriate 54. Cielo wants to have an HIV antibody test. Which of the following actions should the nurse not take? A. Conduct the test at the center while maintaining anonymity and confidentiality B. Perform an initial risk assessment to evaluate possible exposure and infection C. Explain the window period of the infection D. Refer Cielo to the appropriate health facility 55. Nicale is five months pregnant. While assessing her nutritional-metabolic pattern in the nursing history, which of the following questions should not be asked? A. Her eating habits and food preferences B. Her fluid intake C. Her wound healing patterns D. Any issues with bowel elimination Situation: Community Health Nurse Neggy utilizes family health nursing principles while caring for the Tart family. Jack and Jill Tart have three children: Nancy, aged 6, Binay, aged 4, and Tarantula, aged 2. They reside in Juliana's house, who is Jack’s mother. 56. This family situation exemplifies a family type that is: A. Patriarchal and extended B. Nuclear and patriarchal C. Matriarchal and nuclear D. Matriarchal and extended 57. What is the most urgent issue facing the Tart family? A. Jack’s unemployment B. Family size exceeding available resources C. Overcrowding D. Nancy’s ascariasis 58. With the passing of Mommy Juliana due to a stroke, the loss of a family member represents a: A. Health threat B. Health deficit C. Stress point D. Both B and C 59. Jill commented on Nancy’s ascariasis by saying, "It's just natural for children..." indicating that this condition is common among kids. The importance of this problem is: A. Serious but not needing urgent attention B. Moderate importance C. Low importance D. Insufficient data 60. Tarantula, the youngest child, is suffering from marasmus. The effectiveness of the intervention is evaluated by measuring weight gain. If the objective shows a weight gain of 2 pounds, this is referred to as: A. Criterion B. Standard C. Anthropometric data D. Vital signs of malnutrition Situation: Nurse Ariel applies the nursing process in the care of the community.   61. When a Public Health Nurse collaborates with members of the health team, it signifies that: A. Community Health Nursing (CHN) requires collaboration across various disciplines. B. Applying an epidemiologic approach is a crucial aspect of nursing practice. C. CHN focuses on groups rather than individuals. D. CHN encourages clients to be actively involved in managing their health. 62. Which of these statements about Community Health Nursing (CHN) is incorrect? A. CHN integrates public health principles with nursing practices. B. CHN focuses on promoting health. C. Encouraging client independence is a duty of Public Health Nursing. D. The uniqueness of CHN’s contribution to healthcare is not defined by the nature of its practice. 63. When the nurse determines that nutrition education is the most urgent need for the family, which phase of the nursing process does this decision represent? A. Assessment B. Intervention C. Planning D. Evaluation 64. The nurse continuously reviews the care provided to a family, focusing on how well the care meets objectives and the family's response or progress. This process is known as: A. Implementation B. Nursing diagnosis C. Evaluation D. Assessment 65. A community health care plan should be developed based on the health needs identified by the: A. Barangay health workers B. Midwife assigned to the barangay C. Public health nurse D. Community Situation: Community Health Nurse Therese will carry out a Community Diagnosis to assess and determine the current health status of the community. 66. What type of research does a community diagnosis represent? 1 - Descriptive 2 - Experimental 3 - Quantitative 4 - Qualitative A. 1 & 3 B. 1 & 4 C. 2 & 3 D. 2 & 4 67. Which of the following represent direct health indicators? A. Topography, climate, location B. Fertility, mortality, and morbidity rates C. Median age, population density, sex ratio D. Political structures, primary sources of income

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