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46. A 68-year-old male with a history of type 2 diabetes and chronic kidney disease presents for a routine check-up. His blood pressure reading today is 135/85 mmHg. According to the WHO guidelines, what is the recommended blood pressure goal for this patient? A. Less than 140/90 mmHg B. Less than 130/80 mmHg C. Less than 120/80 mmHg D. Less than 150/90 mmHg 47. A patient has a blood pressure reading of 165/105 mmHg. This reading is indicative of which stage of hypertension? A. Prehypertension B. Stage 1 hypertension C. Stage 2 hypertension D. Normal blood pressure 48. One of the patients, Mang Tony, informed the nurse that he drank 2 cups of coffee before entering the clinic. How long should Nurse Sol wait before assessing Mang Tony’s blood pressure? A. 45 minutes B. 60 minutes C. 30 minutes D. 15 minutes 49. A client who was recently diagnosed with hypertension asks the nurse about the dangers of uncontrolled high blood pressure. Which of the following is the most accurate response by the nurse? A. "It only causes mild headaches." B. "It is not a serious condition and has no long-term effects." C. "It can weaken blood vessels leading to stroke, heart attack, infertility, and kidney failure." D. "It only causes nose bleeds." 50. It is important to have appropriate cuff size when taking the blood pressure. A bladder cuff that is too narrow may result in: A. High blood pressure B. Low blood pressure C. Injury to the patient D. Loss of Korotkoff sounds Situation: You are a community health nurse assigned to a rural health unit. The municipal health officer has tasked you with consolidating the monthly health reports submitted by barangay health workers (BHWs) using the Field Health Service Information System (FHSIS). 51. This is considered as the functional block of FHSIS. A. Target Client List B. Family Treatment Record C. Reporting Form D. Output Report 52. This is the second building block of FHSIS. A. Target Client List B. Family Treatment Record C. Reporting Form D. Output Report 53. Which of the following is not considered as a purpose of target/client lists, except? A. To minimize the recording and reporting burden at the service delivery level. B. To ensure that the data reported to the FHSIS are useful and accurate. C. To provide a clinic-level data base which can be accessed for further studies. D. To provide data which when combined with data from other sources, can be used for program monitoring and evaluation purposes. 54. Which of the following are reported upon occurrence of events? A. Maternal Death Report B. Natality Report C. Dental Health Service Report D. Mortality Report 55. A rural health unit is transitioning to the revised Field Health Service Information System (FHSIS). Which of the following best describes the change in the flow of reports under the revised FHSIS compared to the previous system? A. Reports are first sent to the DHO/CHO level for review before being passed to the PHO. B. All reports are directly transmitted to the PHO (or alternate data processing location) without intermediate levels of data handling. C. Reports are passed up to the next higher level facility in the DOH system for review and consolidation. D. Computerized feedback reports take significantly longer to reach the PHO and DOH levels. Situation: Nurse Rachel is a community health nurse preparing for a home visit to patient Phoebe, who was recently discharged from the hospital after treatment for pneumonia. Nurse Rachel is following the standard phases of a home visit to ensure a successful and effective interaction with Phoebe and her family. 56. Nurse Rachel is in the process of reviewing Phoebe's medical records and planning the objectives of her visit. This activity is part of which phase of the home visit? A. Termination phase B. Pre-visit phase C. In-home phase D. Post-visit phase 57. As soon as Nurse Rachel enters the home of Patient Phoebe, what is the first step that she should take? A. Observe the patient and determine the health needs. B. State the purpose of the visit. C. Greet the patient and introduce self. D. Remove her slippers. 58. Nurse Rachel is planning to provide health education to Phoebe and her daughter about medication administration and the importance of adhering to the treatment plan. By ensuring they understand all aspects of the treatment and are able to make informed decisions, Nurse Rachel is upholding the principle of: A. Beneficence B. Justice C. Nonmaleficence D. Veracity 59. During the visit, Phoebe's daughter tells Nurse Rachel she cannot afford to buy the prescribed medication. Nurse Rachel considers how to help Phoebe have access to the medications. By advocating for Phoebe and finding ways to help her access the medication, Nurse Rachel is promoting which ethical principle? A. Autonomy B. Nonmaleficence C. Justice D. Veracity 60. If Nurse Rachel believes that Phoebe is not receiving adequate care and is in a potentially harmful situation, and Nurse Rachel decides to take action to protect Phoebe, what responsibility is she demonstrating? A. Advocacy B. Fidelity C. Responsibility D. Accountability Situation: A community health nurse, Nurse Micah, is working in a rural area where there has been a recent increase in dengue cases. 61. What is the causative agent for dengue? A. Plasmodium falciparum B. Flaviviridae C. Wuchereria brancofti D. Brugia malayi 62. Yeri is brought to the health center by her mother, Nanay Irene. Nanay Irene verbalized that her child has been experiencing high fever, abdominal pain, and headache for four days. Which stage of DHF is Yeri experiencing? A. Convalescent stage B. Paroxysmal stage C. Toxic stage D. Febrile stage 4 | Page Prepared by: ENCARNACION, JESIKAH DE JESUS, JERICHO

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