Title CLOSED DOOR - PART 2 (NP1-NP5) ✅

SITUATION1 Public Health Nurse Zafra is preparing for a meeting to discuss with his co-workers major chronic diseases which are responsible for deaths in their city. He plans to focus on promotive and preventive health care. 1 He wants to be sure that: health workers have common understanding of chronic disease. The BEST definition of a chronic disease is: A. Problems that are experienced by individual. in their lifetime that may cause financial hardships. B. Problems in body functions and structure which is a lifetime debilitation . C. multidimensional phenomenon resulting from the interaction between people and their environment. D. A condition that requires ongoing medical care, limits one can do, Which is likely last three months or more, 2 Nurse Zafra would like to propose a month—long series of health information related to healthy living. Some of the relevant topics should include: 1 Diet 4 End—of—life care 2 Exercise 5 Vaccination for selected condition 3. Pharmacotherapy A. 1, 2, and 3 B. 2, 3, and 5 C. 1, 2, and 4 D. 1, 2, and 5 3 Nurse Zafra emphasizes the responsibility of the nurse to increase the knowledge of the community regarding the importance of physical activity. The minimum amount of daily physical activity required for health benefits is: A. 15 minutes, to be achieved every morning or afternoon, twice a week. B. At least 30 minutes, cumulative, of moderate intensity on most days of the week. C. 60 minutes of intensive activity, once a week. D. 30 minutes of aerobic activities sporadically during the week. 4 Nurse Zafra explains the ABO strategies to promote healthy nutrition. These strategies are the following, EXCEPT: A. Build healthy nutrition—related practices B. Aim for ideal body weight. C. Chocse food wisely. D. Access weight—reducing herbs. 5 Stress management is also included in the proposed program. Meditation is one of the several stress management techniques which can have beneficial effects. Which of the following effects is NOT included? A. Helps muscles relax. B. Eliminates stressful thoughts C Lowers blood pressure D Increases respiratory rate SITUATION 2 The public health nurse must have an understanding of demography which should support health care plan. 6 Demography is concerned with the study of population. Which of the following are included in a demographic prof 11 e? A. Size, composition, health status, and environment. B. Change in population, distribution, and health status.
C. Size, distribution, composition, and change in population. D. Size, distribution, and composition. 7 Based on the 2017 Demographic Report (July 2016 estimate) , the Philippine population has reached: A. 140 million C 102 million B 120 million D 85 million 8 . There are three Demcgraphic variables in population growth. Which one is NOT included? A. Fertility C Morbidity B. Migration D Mortality 9 Population structure is a diagram of population typically presented a pyramid—like style format based on_______________ A sex and educat.ional attainment B age and fertLIity C. age and civil status D. age and sex 10 An aging population refers to a phenomenon in which the median age of the population in a country rises significantly compared to the total population. This is caused by any or combination of the following: 1 a declining birth rate 4 increased child survival 2 rising life expectancy 5 better health decreased fertility 3 Decreasing fertility A 1, 2, 3, and 4 C 1, 2, and 3 B 1 ,2, 4, and 5 D 1, 2, 3, 4, and 5 SITUATION 3 Nurse Lunar io makes several home visits to patients who were discharged from a district hospital. 11 As Nurse Lunar prepares for the day's visits f which of the following patients should be seen FIRST? A O client with A. Parkinson' s disease with imbalance gait B. a history of congestive heart failure with dyspnea C. a thoracostomy six months ago D. a stroke with nasogastric tube (NGT) 12 Mang Bonifacio re#ses to take his daily medication for hypertension.Which of the following actions should Nurse Lunario take at this time? A. Tell Mang Bonifacio that he will suffer from stroke. B. Explore the reason for the client' s refusal to take the medication . C. Administer the medication by injection. D. Obtain help from re I atives in administering the medication. 13 Nurse Luna: io sees 65 year—old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is_____________. A. unable to carry out cognitive and motor activity at the same time B. observed shaving only one side of his face C. unable to complete a range at vision without turning his neck side to side D. unable to distinguish between two tactile stimuli 14 Nurse Lunario is teaching a client with Parkinson' s disease on ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to. A rest in supine position with Lis head elevated B sleep only in dorsal recumbent position C periodically lie in prone position without a neck pillow
D sleep on either side, but keep his back straight 15 A client with congestive heart failure has been receiving digoxin (Lanoxin), which finding indicates that the medication is having a desired effect? A Increased weight, C Increased urinary output B Inproved appetite D increased Pedal edema SITUATION 4 The goal of ethical reasoning in the context of nursing is to reach a mutual peaceful agreement that is in the best interest of the client. Reaching an agreement may require compromise. 16 When an ethical issue arises, which of the following is the most important nursing responsibility? A. Ensure that a team is responsible for deciding ethical questions. B. Remain neutral and detached when making ethical questions. C. Be able to defend the morality of one's own actions D. Follow the client and a family wishes exactly. 17 Which of the following is a clear violation of the underlying principles associated with professional nursing ethics? A health care facility policy permits the use of internal fetal monitoring which in the literature evidence points to either support or refute this practice. B The nurses on the unit agree to sponsor a fundraising event to support a labor strike proposed by fellow nurses at another health care facility, C A client reports that he didn't quite tell the doctor the truth when asked if he was following his therapeutic diet at home D When asked about the purpose of a medication, a nurse colleague responds, "Oh I never look them up. I just give them what is prescribed. " 18 Which of the following statements would be most helpful when a nurse is assisting clients in clarifying their values? A. “The most important thing is to follow the plan of care. Did you follow the doctor’s order?" B. "Some people might have a different decision. What led you to make your decision? " C. "If you had asked me, would have given you, my opinion. Now, how do you feel about your choice? " D'. "That was not a good decision. Why did you think it would work?” 19 A Dying patient asks for over dosage of pills from the nurse to end his life for his unbearable pain caused by cancer. If the nurse grants the patient’s request, she is liable for___________ A. euthanasia C. advance directive B negligence D. assisted suicide. 20. The midwife is verbally accusing the nurse that the latter caused the medication errors without citing an evidence. The midwife can be sued for A. assault C. defamation B. slander D. libel SITUATION 5 Public Health Nurse Melchora is tasked for the day to administer vaccination to pediatric clients in the barangays she covers. She, along with the team of midwives, should be knowledgeable on how to provide with the most effective, necessary, and safest vaccination. 21. The foundation of medication administration is the application of the "Rights of Medication Administration. Which of the following is NOT included in these rights? A Right route C Right dosage B. Right patient D. Right price