Title PB3 - NP 1 - STUDENT COPY.docx ✅

1 | Page PREBOARDS EXAMINATION 3 NURSING PRACTICE I COMMUNITY HEALTH NURSING 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: Nurse Arasha had been working as a public health nurse. In working with families of different types, she values the importance of family care plans and other concepts related to community health nursing. 1. She utilizes the principles while caring for the Jeon Family. Jinu and Rumi have three biological children living with them as well as a child named Zoey from Jinu’s first marriage. What type of family is evident? A. Nuclear Family B. Heterogenous Family C. Blended Family D. Extended Family 2. After assessing the family, which of the following conditions should Nurse Arasha address first, based on the nature of the condition and need for immediate intervention? A. The father's chronic cough due to smoking B. The child’s recurrent diarrhea C. The mother’s anxiety due to job loss D. The family’s inadequate living space 3. Nurse Arasha assesses the 2-year-old child who has been experiencing recurrent diarrhea. Upon examination, the child appears restless and irritable, drinks eagerly when offered fluids, and has a skin pinch that returns slowly. Based on the signs and symptoms observed, how should the nurse categorize the child's condition using the Integrated Management of Childhood Illness (IMCI) classification, and what is the appropriate management plan? A. Pink; Plan B B. Pink; Plan C C. Yellow; Plan B D. Yellow; Plan C 4. In evaluating the modifiability of the child’s condition using the Family Coping Index, the nurse considers all of the following factors except: A. Current knowledge, technology, and interventions available to manage diarrhea B. Resources of the nurse C. Family resources including physical, financial, and emotional support D. Frequency of diarrhea episodes in other children in the community 5. Upon further assessment, the nurse discovers that the child has ascariasis. When informed, the mother, Rumi, responds, “It’s just normal for children to experience that.” Based on the Family Coping Index, how should the salience of the family regarding the child’s condition be evaluated? A. Serious but not needing urgent attention B. Moderate importance C. Low importance D. Insufficient data Situation: Nurse Henie, a rural health nurse, is assigned to assess households in a geographically isolated and disadvantaged area (GIDA). She utilizes the Family Coping Index (FCI) to evaluate the families' behaviors and capacities in dealing with health-related issues. The tool guides her in identifying which families require additional education or interventions to enhance their health outcomes. 6. Which of the following is the most appropriate indicator of a low Family Coping Index score in the area of health care attitudes? A. A father supervises his children during handwashing before meals. B. A mother brings her child for a scheduled vitamin A supplementation. C. A caregiver applies toothpaste and alcohol to a child's minor burn. D. A family stores clean drinking water in covered containers. 7. Which of the following behaviors suggests that a family is coping well in terms of therapeutic competence? A. They consistently adhere to prescribed medication regimens. B. They report minor symptoms but do not act on them. C. They ignore health center reminders for follow-up checkups. D. They consult traditional healers as their first option. 8. Which of the following tools used by nurses in the community setting for assessing health needs and problems of families is similar to the family coping index? A. Nursing theories B. Vital Statistics C. Case Study D. Nursing Diagnosis 9. The primary focus of the Family Coping Index is to identify a family: A. Access to social support networks B. Financial budgeting patterns C. Mechanisms for maintaining wellness and managing health concerns D. Educational attainment levels of each member 10. Nurse Myrna visits a household where two children are underweight and suspected to have protein-energy malnutrition. Which of the following family behaviors reflects a poor coping response? A. The mother includes eggs, vegetables, and legumes in weekly meal planning. B. Meals are frequently skipped due to the parents’ shifting work schedules. C. The father regularly attends nutrition classes at the barangay health center. D. The family keeps a vegetable garden to supplement their food needs. Situation. A group of nurses is assigned to develop a community-based mental health program in a municipality. They work closely with the LGU, local health workers, and school administrators. Their goal is to create a culturally appropriate program that can be sustained at the community level. 11. Which of the following must be ensured in accordance with the Mental Health Act’s provision on community-level services? A. The program must be designed solely by DOH- certified psychiatrists * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page B. The community mental health program must be based on DOH standards and coordinated with concerned agencies and stakeholders C. The municipality must wait for a national policy before implementing any program D. Services should be delivered only in the hospitals due to resource constraints 12. Which of the following characteristics should NOT be included as part of legally mandated mental health service quality? A. Services must be age-appropriate and delivered in the least restrictive setting B. Services must be based on scientific evidence and provided by mental health professionals C. Services must strictly follow Western mental health models D. Services must be responsive to gender, clinical, and ethnic needs 13. A guidance counselor reports increasing stress and anxiety among senior high school students. The school nurse coordinates with school administrators to implement mental health programs. Under the Mental Health Act, which of the following is the most appropriate action to be taken by the school? A. Establish policies and programs for mental health and provide referral pathways B. Refer students with mental health problems directly to psychiatric hospitals C. Wait for DepEd to issue orders before acting on any mental health concerns D. Focus programs only on students, excluding teachers and school staff 14. During a barangay health assembly, Nurse Michelle discusses suicide prevention and mental health concerns, especially among adolescents. She is asked about available support services. Which of the following actions aligns with the suicide prevention mandate of the Mental Health Act? A. Recommending isolation to avoid triggers B. Avoiding discussion of suicide to prevent contagion C. Promoting 24/7 hotlines and community-based intervention mechanisms D. Waiting for school reports before intervening 15. Nurse Brian works in a provincial hospital. A client with schizophrenia is brought in due to an acute psychotic episode. The hospital currently lacks inpatient psychiatric wards but offers outpatient services. To comply with the Mental Health Act, what should the hospital prioritize? A. Refer all psychiatric cases to the nearest mental hospital only B. Provide short-term inpatient care and establish linkages with community programs C. Deny admission due to lack of facilities D. Confine the patient for long-term hospitalization without consent 16. Nurse Brian met the grandmother of his client with schizophrenia. She expresses financial stress and social isolation because of her caregiving responsibilities, while the patient remains dependent and jobless. This scenario best represents which type of mental health burden? A. Defined burden B. Hidden burden C. Future burden D. Undefined burden 17. A young woman with bipolar disorder reports that her neighbors avoid her and she feels unwanted in community activities. This scenario reflects what type of burden? A. Defined burden B. Future burden C. Hidden burden D. Undefined burden 18. As part of the nurse's role in mental health promotion, Nurse Fionna gives a short talk at a local school about mental hygiene and helping children cope with anxiety during school transitions. This nursing action falls under which responsibility? A. In prevention and control B. In rehabilitation C. In mental health promotion D. In epidemiological research 19. A barangay health worker refers a resident who lost his home and family members during a typhoon. The resident shows signs of depression and helplessness. Under which mental health subprogram should this case be classified? A. Wellness of Daily Living B. Extreme Life Experiences C. Substance Abuse and Other Addictions D. Mental Disorder 20. Which of the following actions by the nurse best demonstrates mental illness prevention? A. Referring a patient showing early signs of paranoia to a psychiatrist B. Leading local mental health research on suicide risk C. Organizing an art therapy session for stroke survivors D. Advising a patient’s family about hospital confinement options Situation: Nurse Arlyn, a rural health nurse, is conducting a routine house-to-house visit in Barangay Masagana as part of their STI surveillance program. She meets Mark, a 22-year-old tricycle driver, who reports noticing a painless sore on his penis about two weeks ago. He says it “healed on its own,” but lately he has developed rashes on his palms and swollen lymph nodes. He also complains of feeling tired and having occasional headaches. 21. Based on the symptoms reported, what stage of syphilis is most likely in Mark’s case? A. Primary stage B. Secondary stage C. Latent stage D. Tertiary stage 22. Which diagnostic test would most likely confirm Mark’s syphilis infection at this stage? A. KOH test B. Urinalysis C. VDRL or RPR test D. Chest X-ray 23. Nurse Arlyn explains that syphilis is curable. Which of the following given below is the recommended treatment for early syphilis? A. Acyclovir 400 mg TID for 7 days B. Benzathine penicillin G 2.4 million units IM in a single dose C. Erythromycin 500 mg QID for 14 days D. Metronidazole 2g single dose 24. During the visit, Mark mentions that his live-in partner is 4 months pregnant. What is the most appropriate nursing action to prevent congenital syphilis? A. Advise partner to use iron supplements B. Defer testing until symptoms appear C. Refer her immediately for syphilis screening and treatment if positive D. Wait until 7th month of pregnancy to begin screening 25. In conducting health education in the barangay, which of the following statements by the nurse would best help prevent the spread of syphilis? A. “Avoid public toilets because syphilis can spread through them.” B. “Use of condoms and regular STI testing reduce your risk of syphilis.” C. “Syphilis only spreads when symptoms are visible.” D. “Once you’ve had syphilis, you are immune for life.” Situation: Nurse Cameron, a community health nurse, was assigned to Sitio Plainsboro, a geographically isolated and disadvantaged area (GIDA) with no prior organized health programs. As part of the community organizing process, Nurse Kim plans to educate and mobilize the residents toward addressing their most pressing issues in their community. 26. Which of the following best describes the goal of community organizing in the context of community health nursing?