Content text RECALLS 2 - NP1 - SC
3 | Page the population. Which of the following core public functions is being implemented? A. Assurance B. Policy development C. Assessment D. Prevention 32. Nurse Sisa included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data? A. Health status data B. Health care resource information C. Health risk factors D. Sociodemographic data 33. Working in the community with an aggregate/population, who does Nurse Sisa MOST likely to interact with? A. Students in a local high school B. Patients at the local hospital C. Residents who play basketball D. Christians in the community 34. Nurse Sisa has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display? A. Improving the effectiveness of care provided B. Sponsoring a fund-raising project C. Volunteering for a community action D. Providing health interventions for individuals 35. Nurse Sisa is working to improve population-focused care in the community. Which of the following BEST described a key opportunity for nurses like her to accomplish this goal? A. Assuming traditional nursing roles B. Conducting community assessments C. Specializing in community health practice D. Influencing public health policy Situation: Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also questions about end-of-life care. Nurses are often the one working closet with patients and families while administering care. 36. What is the appropriate approach for the community/public health nurse in balancing individual privacy and community’s needs for safety and security? A. Fulfill agency policies first. B. Implement professional standards of nursing practice. C. Remember the group needs outrank individual needs. D. Seek a balance between individual’s need and the community’s needs. 37. In regard to informed consent, which of the following statements is TRUE? A. Client may not be told about costs and alternatives to treatment. B. Consent must be voluntary. C. Only parents themselves should give consent for minor children. D. Legally incompetent adults can give consent. 38. The client has a living will in which he states he does not want to be kept alive by artificial means even at home. The client’s family wants to disregard the client’s wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to: A. Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate. B. Tell the family that they have no legal rights. C. Report the situation to the hospital’s Ethics Committee. D. Advise the family that they have the right to ignore the living will as the patient cannot speak. 39. During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of ____________. A. malpractice B. reasonable prudence C. maleficence D. negligence 40. Which of the following examples would indicate observance of client confidentiality? A. Reading a friend’s chart in another health care facility. B. Describing a difficulty with a client in a health team conference. C. Using a client’s name in a social conversation. D. Talking about the client’s symptoms in front of family members. Situation: Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above. 41. When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching? A. Impact of the patient’s family history on likelihood of developing diabetes. B. Symptoms indicating that the patient should contact the health care provider. C. Effect of endogenous insulin on transportation of glucose into cells D. Function of the liver in formation of glycogen and gluconeogenesis 42. To obtain the MOST complete information when doing an assessment for a 75-year-old patient, you will _________. A. ask the patient to write down medical problems and medications B. use a geriatric assessment instrument to evaluate the patient. C. interview both the patient and the primary patient caregiver D. review the patient’s chart for the history of medical problems 43. Which information about a 77-year-old patient who is being assessed by the public health nurse us of UTMOST concern? The patient __________. A. says, “I don’t go on my daily walks since I had pneumonia two months ago.” B. tells the nurse, “I prefer to manage my life without much help from others.” C. uses three different medications for chronic heart and joint problems. D. organizes medications in a marked pillbox “so I don’t forget them.” 44. When caring for an older adult who lives in a rural area, you will ____________. A. ensure transportation to appointments with the health care provider. B. Assess the patient for chronic diseases that are unique to rural areas. C. obtain adequate medications for the patient to last for 4 to 6 months. D. suggest that the patient move to an urban area for better health care 45. Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management? A. 71 year-old with appendicitis who has had an emergency appendectomy. B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg) C. 54 year-old with cholecystitis who has had a laparoscopic cholecystectomy D. 62 year-old with acute sinusitis who will require antibiotic therapy for 5 days Situation : Assessment at the community-level of care is a multidisciplinary undertaking that involves the member of the health team. The public health nurse uses data that have already been collected and are available and or gathers primary data for community diagnosis. 46. Assessment is the first step in the nursing process. In the setting, which of the following objectives of assessment by the public health nurse is NOT included? A. Identify specific risk factors related to health and health problems. B. Define the nature of the health status and health-
4 | Page related problems C. Identify clients who should be given priority for care. D. Determine who should be referred to different health care facilities. 47. Conducting a community assessment leads to a community diagnosis, its products consists of a profile of the community’s state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the ________. A. Observation B. Community census C. Interview D. Records review 48. The data on health and disease can be gathered from different sources. Which of the following sources provide a MOST accurate set of data? A. Population health profile from school and factory clinics. B. Births and death from city/municipality registrar. C. Morbidity data from filed personnel. D. Mortality cases from medical death certificates. 49. Data analysis involves qualification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as: A. Health resources problems B. Health status problems C. Health-related problems D. Comprehensive problems Situation: Collaboration is being able to work cooperatively and efficient with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities. 50. With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem? A. Modifiability of the problem B. Preventive potential C. Magnitude of the problem D. Nature of the problem Situation : Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care. 51. Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing: A. Increasing salary scale for nurses. B. Improved public image of nurses in social media C. Increasing number of nurses with doctoral degree D. Demonstrate competency and high- quality care 52. Which of the following is the MOST important element in nursing’s attempt to gain full autonomy of practices? A. Maintaining the education system for nurses as it is now B. Economic well-being and welfare of nurses C. Restricting the latitude of decisions made by nurses D. Gaining and maintaining control of nursing practice by nurses. 53. What is the BEST method for nurses to prepare for future professional practice? A. Train other health care workers to whom delegation of tasks can be given. B. Understand and explore the issues involved in professional practice C. Establish a coalition with professional health organizations D. Take additional courses in the use of computers and telemetry 54. What allows a nurse to exert legitimate power over a client when providing nursing care? A. The ability to perform procedures to alleviate patient’s discomfort B. The ability to provide the client and family incentives and for self care C. The power given to the nurse by reason of licensure examination and registration D. The establishment of a professional and personal relationship with the client 55. A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive? A. Career counseling B. Continuing education C. Pre-employment education D. In-service education 56. The acronym PDCA stands for _______. A. Plan-Do-Check-Act B. Program-Design-Check-Act C. Plan-Draft-Certify-Act D. Prepare-Do-Check-Achieve 57. Public Health Nurse Rosita will use the PDCA when : 1. Working towards continuous improvement 2. Implementing any change 3. Developing a new design of a process or service 4. Completing a designed project 5. Planning data collection and analysis to prioritize problems A. 1, 2, 4 B. 2, 3, 4 C. 1, 3, 4, 5 D. 1, 2, 3, 5 58. Using the PDCA cycle as a model for defining most of the work processes the following are some areas of its applications, EXCEPT ____________. A. Needs analysis B. Overall strategic planning C. Staff goal setting and evaluation D. Delegation of work to lower levels 59. Public Health Nurse Rosita knows that the purpose of continuous quality improvement (CQI) is to _____________. A. Provide opportunity for staff members to participate in self-governance B. Restructure health care delivery to improve cost savings C. Deliver appropriate nursing care at tertiary level of service D. Monitor processes involved in the provision of safe, effective client care 60. Public Health Nurse Rosita is implementing quality performance standards in a public health department. Which of the following BEST describes the importance of this action? Quality performance standards ___________. A. Can be used as hiring guidelines for nurses B. Are used to guide improvement in the public health system C. Guide administrators to monitor public health at the national level D. Rigidly control public health Situation: The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy. 61. Occupational health services can make a significant contribution to government initiative. These include the following, reducing: 1. Health insurance 2. Health inequalities 3 Social exclusion 4 Sickness absence 5 Overall burden of ill health A. 2, 3, 4, and 5 B. 1, 3, and 4 C. 2, 4, and 5 D. 1, 2, 3, and 4 62. The nurse is a key figure involved in delivering quality occupational health services. She/He works independently or as part of a larger interprofessional health team. She performs, along with others a job safety analysis. In doing such, the following methods may be employed, EXCEPT: A. Review of records, interviews, surveys