Title RECALLS 13 (NP1) - STUDENT COPY ✅

RECALLS EXAMINATION 13 NURSING PRACTICE I COMMUNITY HEALTH NURSING NOVEMBER 2024 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation 1 – The Field Health Services and Information System (FHSIS) is the recording and reporting system in public health care in the Philippines. 1. The following are objectives of the FHSIS, EXCEPT: A. Ensure data reported are useful and accurate and disseminated in a timely, easy and use fashion. B. Complete the picture of acute and chronic disease C. Provide standardized facility-level data base which can be used for more in-depth studies. D. Minimize recording and recording burden allowing more time for patient care and promotive activities. 2. As a nurse, you should know the process on how these information are processed and consolidated. The fundamental block of the FHSIS System is the _____________. A. Reporting forms B. Target/Client list C. Family treatment record D. Output record 3. The monthly field health service activity report is a form used in which of the components of the FHSIS? A. Output report B. Target/Client list C. Tally report D. Individual health record 4. In using the tally sheet, the recommended frequency in tallying activities and services is ___________. A. weekly B. daily C. monthly D. quarterly 5. To monitor clients registered in long-term regimen such as the Multi Drug Therapy, which component of the reporting system will be most useful? A. Tally report B. Individual health record C. Output report D. Target/Client list Situation 2 – Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals. 6. Which of the following is a PRIMARY task that should be performed to have an effective control system? A. Make an interpretation about strengths and weaknesses B. Identify structure, process, outcome standards & criteria C. Measure actual performances D. Identify the values of the department. 7. Which of the following is NOT included in the controlling process? A. Discipline of personnel B. Performance appraisal C. Quality assurance D. Staff scheduling 8. Controlling is effective when? A. Physicians are contented B. Clients are satisfied C. There is an increase in admission D. Goals, objectives, and plans are accomplished 9. Which of the following distinguishing characteristics of standards is NOT included? A. They are subjective measurements B. They are established by authority C. Accepted by people affected by them. D. They are predetermined 10. Among the following standards, which is considered a structure standard? A. All patients have their visual signs taken and recorded B. Clients verbalized satisfaction of the nursing care received. C. Staff mix and number are determined by the PHN supervisor. D. Health teachings are provided to prenatal mothers. Situation 3 – The core value of caring is essential during the implementation and evaluation phases in family nursing practice. There is caring when the nurse is engage in the lived experience’ of the nurse-client relationship in real context. 11. The nurse can enhance learning towards expert caring by experiencing the process of working with the family that provides possibilities of enriching oneself and others. One such method is through competency-based teaching and learning. Which of the following learning principles is the LEAST consideration? Learning is: A. A process of absorbing new knowledge and skills B. Facilitated when experience has meaning C. An individual matter that is built on family’s capabilities D. Both an intellectual and emotional process. 12. The nurse must recognize that there may be problems of the family’s unwillingness to take actions on its health problems or concerns. Which of the following factors may bring this about? 1) Information may be incomplete or inaccurate 2) Family is not ready to face the reality of the situation 3) There may be adherence to patterned behavior 4) Family is not cooperative with the nurse 5) There is a lack of confidence in the proposed action A. 2, 3, 4, & 5 B. 1, 2, and 3 only C. 1, 2, 3, & 5 D. 2, 4, and 5 only 13. Termination of the family-nurse relationship requires a smooth process. The following are strategies that can help with the termination, EXCEPT: A. Decrease time between the nurse’s visits B. Provide a written summary to the family C. Develop a plan of transition D. Make necessary referrals to other resources 1 | 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. 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 2 | Page
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 49. The term that refers to the number of deaths due to a disease that occur among persons who are afflicted with that disease is the ________. A. crude death rate B. proportional mortality rate C. morality ratio D. case-fatality rate 3 | Page
50. Which of the following refers to the systematic and continuous gathering of information about the occurrence of disease and other health phenomena? A. Public health surveillance B. Social survey C. Community mapping D. Data analysis Situation 11 – As a new nurse assigned in a municipality, you want to be a good player in health care team that you belong to. You plan to initiate a community health project that will require interdisciplinary collaboration. 51. The attributes of collaborative teamwork are the following EXCEPT: A. professional turfing B. unity of purpose C. joint responsibility D. shared decision-making 52. In any community project, the activities of health team members are needed for success. Defining the relationship and responsibilities and tasks of each member are important. Which stage of collaboration does this statement refer to? A. Commitment B. Consensus C. Trust building D. Collegiality 53. Health teams have an obligation to work together to improve patient care. Which of the following messages does NOT support this statement? A. Use unique and complementary abilities of team members to optimize patient care B. Forge independent relationship from other professions to advance learning C. Recognize one’s limitations in knowledge and skills. D. Communicate with team members to clarify each member’s tasks. 54. A member of health team proposes another community project. What is the MOST appropriate thing to do when you disagree with the proposal? A. Question the proposal indirectly by telling your opinions to others B. Blame the proponent and tell him he is unprofessional C. Be frank while remaining flexible and open-minded. D. Be absent in the next scheduled meeting of the health team. 55. In a conflict situation, health team members have mutually reached an acceptable resolution to the issue that partially satisfies parties concerned. This approach is referred to as ____________. A. competing B. avoiding C. compromising D. accommodating Situation 12 – Nurse Hidilyn has just passed the Nursing Licensure Examination (NLE). She directly needs to refresh herself regarding the law that governs the practice of nursing the Philippines. 56. By virtue of Section 16 of the Philippine Nursing Law, the first step Nurse Hidilyn needs to do after passing the NLE is to: A. Apply for the Certificate of Registration/Professional License. B. Get an official copy of her board rating from the PRC office C. Apply for a Professional Identification Card. D. Take oath of profession before the Philippine Regulatory Board of Nursing 57. Which government body has the power to revoke or suspend Nurse Hidilyn’s certificate of registration/professional license, should she commit unprofessional and unethical conduct in the future? A. Philippine Nurses Association B. Professional Regulation Commission C. Commission on Higher Education D. Professional Regulatory Board of Nursing 58. What Republic Act provides for a more responsive nursing profession? A. RA 9173 B. RA 7164 C. RA 9371 D. RA 7614 59. Nurse Hidilyn intends to work as a Public Health Nurse. Which part of the Nursing Law should Nurse Hidilyn refer to for her safe practice as a novice nurse? A. Nursing Research B. Nursing Personnel System C. Scope of Nursing Practice D. Nursing Education 60. When Nurse Hidilyn eventually gets employed in the Rural Health Unit, foremost, she is required to utilize which of the following in rendering care to her clients in the community? A. Nursing Process B. Therapeutic use of self C. Health teachings D. Traditional and innovative approaches Situation 13 – Public Health Nurse Jojo asks the new nurses about their membership to the accredited professional nursing organization and their plans for personal and professional growth. 61. Which of the following statement is true about membership to the Philippine Nurses Association (PNA)? It is: A. Voluntary and is encourage by the PRC code of ethics B. Compulsory for new nurses wanting to practice nursing in the Philippines C. Mandatory as stipulated in the Philippine Nursing Act if 2002 D. Required for those employed in government health facilities 62. Why would a nurse choose to be an active member of several professional associations? PRIMARILY to: A. Participate in the discussion and political action activities concerning the profession B. Able to spend time with friends and colleagues C. Part of the organization’s annual convention/conference. D. Be able to have professional development opportunities 63. Which of the following is the MOST important step to developing cultural competence for the nurse? A. understand and recognize her own cultural background B. understand the culture of her client C. identify the goals of cultural-congruent goals D. gain proficiency in another language and dialect 64. Quality of client care is ensured not only by continuing education. Professional responsibility along this line requires, FOREMOST: A. knowing the standards of practice B. understand the socioeconomic background of patients C. getting a master’s degree in nursing D. a nurse-centered care 65. Quality of client care is ensured not only by continuing education. Professional responsibility along this line requires, FOREMOST: A. Obtaining an advance academic degree in nursing B. Attending as many as nursing conference's C. Conforming to institution’s policies and guidelines D. Monitoring one’s own practice according to standard set by the profession Situation 14 – Nurse Franz is a part of health team of a Rural Health Unit that implements the Philippine Package of Essential NCD Intervention (PHILPEN). He is particularly assigned to conduct “hypertension screening” among 15 years old and above during home visits. 66. The MOST accurate and reliable technique for indirect BP measurement is the _______. A. auscultatory using a mercury manometer. B. palpation using mercury manometer C. auscultatory using an aneroid BP apparatus D. palpation using an aneroid BP apparatus 67. Nurse Franz remembers that blood pressure taken in the upper arm versus the forearm varies. Thus, there is a need to document which site is used. Which of the following values is the correct variation in mmHg? A. 10-15 B. 5-10 C. 14-20 4 | Page