Tiêu đề PB3 - NP 1 - STUDENT COPY.docx ✅

3 | Page A. Delivering technical services through scheduled outreach programs B. Establishing immediate relief efforts for poor communities C. Developing the community’s capacity to assess, plan, implement, and evaluate health interventions D. Collecting data to refer problems to government agencies 27. Nurse Cameron conducted courtesy calls to local officials and began attending community gatherings such as fiestas and barangay assemblies. Which activity of the community organizing process is being illustrated? A. Social analysis B. Entry into the community C. Community integration D. Pre-entry 28. After a series of community dialogues, the residents of Sitio Plainsboro identified poor water sanitation as their most urgent concern. They decided to organize and construct a water filtration system using locally available materials. What stage of community organizing does this represent? A. Social analysis B. Evaluation C. Mobilization D. Pre-entry 29. Nurse Cameron facilitates a discussion on the community’s limited access to potable water. She then helps organize a petition to the municipal health office demanding the installation of a water filtration system. Which of the following core public health nursing values is most explicitly demonstrated in this scenario? A. Promotion of social capital through community networking B. Observance of technical accountability in resource distribution C. Upholding social justice by empowering communities to claim entitlements D. Cultural sensitivity in managing localized health beliefs and practices 30. While integrating with the community, Nurse Cameron observes that Mang Cardo, a farmer and long-time resident, is respected by his peers, attends all community meetings, and often volunteers in local clean-up drives. Which of the following best indicates that Mang Cardo may be considered a potential community leader? A. He is an elected barangay official. B. He owns several hectares of farmland. C. He has community trust and shows willingness to lead. D. He has a high level of formal education. 31. After identifying a few committed individuals, Nurse Cameron begins training sessions to reinforce their understanding of social issues and equip them with leadership and organizing skills. What is the primary purpose of forming a core group in community organizing? A. To delegate health programs to skilled individuals B. To allow the nurse to transfer responsibilities completely C. To promote political leadership in the barangay D. To develop a self-sustaining group that leads community organizing efforts 32. While facilitating a COPAR process in Sitio Plainsboro, Nurse Cameron gathers residents for a barangay meeting. After a brief consultation, she compiles the residents' concerns and later returns with a finalized plan for a sanitation project, which she then oversees with the help of barangay officials. Which of the following best describes this approach in the context of COPAR? A. It reflects appropriate participatory action as the nurse consulted the community B. It exemplifies a top-down model inconsistent with COPAR's participatory principle C. It demonstrates efficient nurse-led implementation of a community health plan D. It shows effective utilization of political structures to support health initiatives 33. Once the core group and the wider community formalize their organization, which of the following steps ensures legal recognition of their group and allows participation in local development councils? A. Attending barangay assemblies B. Registering the organization with the SEC or CDA C. Requesting support from the municipal health office D. Seeking assistance from non-government organizations Situation: Nurse Cooky, a seasoned public health nurse assigned in Barangay Malusog, observed a recurring pattern of communicable diseases during her routine surveillance and home visits. Noticing that many residents lacked basic knowledge on disease transmission and prevention, she initiated a series of community-based health education sessions tailored to the most pressing local health issues. 34. A pregnant client in her second trimester was recently exposed to a neighbor with confirmed measles. What is the best nursing action? A. Schedule her for MMR vaccination immediately B. Administer immune globulin within 6 days of exposure C. Tell her to wait for symptoms to appear before seeking care D. Recommend acetaminophen prophylactically 35. During a community health forum, which of the following statements by a participant indicates a need for further teaching about measles prevention? A. “Two doses of the MMR vaccine protect me and my child.” B. “Measles is only spread from person to person. Animals do not get nor spread measles.” C. “Measles can live for up to 4 hours in an airspace after an infected person leaves an area.” D. “A person with measles can spread it by coughing or sneezing.” 36. Which of the following statements by a mother indicates an accurate understanding of chickenpox transmission? A. "My child is no longer contagious once the fever subsides." B. "My child can spread chickenpox even before the rash appears." C. "Only people with active shingles can spread chickenpox." D. "My vaccinated child can’t infect others even if he develops a rash." 37. A parent expresses interest in exposing her unvaccinated child to chickenpox intentionally. What is the best response by the nurse? A. "This is an acceptable traditional practice, but you must notify your doctor." B. "It’s better to get it naturally to have lifelong immunity." C. "The virus is mild in most cases, but still dangerous for babies." D. "Intentional exposure is risky and not recommended due to possible severe complications." 38. Which of the following client statements requires no further teaching regarding the transmission of cholera? A. “Even if water looks clean, it might still carry the bacteria that cause cholera.” B. “It’s important to avoid sharing utensils with a person infected with cholera to prevent the spread.” C. “I make sure to use insect repellents because mosquitoes can carry cholera bacteria.” D. “As long as I don’t touch someone who has cholera, I should be safe from getting it.” Situation: Nurse Alejandro is a newly assigned Public Health Nurse (PHN) in a municipality in Bulacan. She is oriented to the various roles and management responsibilities of a PHN in the community. 39. Nurse Alejandro observes that the Rural Health Unit (RHU) has only one nurse and two midwives serving a population of 40,000. She plans to propose additional staffing. Based on existing public health staffing standards, how many nurses and
4 | Page midwives should Nurse Alejandro propose to ensure the municipality is adequately staffed? A. 1 nurse and 4 midwives B. 2 nurses and 6 midwives C. 1 nurse and 6 midwives D. 2 nurses and 5 midwives 40. The PHN noted that community members from distant barangays rarely visit the health center. What is the most appropriate nursing response A. Schedule monthly outreach services to far barangays. B. Wait for the community to request services. C. Advise residents to seek care in private clinics. D. Instruct the BHWs to refer cases directly to hospitals. 41. The newly hired PHN is participating in the strategic and operational planning of their local health office. What distinguishes a strategic plan from an operational plan? A. Strategic plan is for routine activities; operational plan is long-term. B. Strategic plan focuses on daily tasks; operational plan includes mission and vision. C. Strategic plan outlines vision and broad objectives; operational plan is short-term and specific. D. There is no difference between the two. 42. Nurse Alejandro is assigned to oversee the implementation of a quality assurance (QA) system in a local Rural Health Unit (RHU). Which of the following reflects a core principle of quality assurance (QA) in public health nursing? A. Monitoring the dietary preferences of patients to enhance satisfaction ratings B. Auditing patient records to determine if care provided adheres to DOH service protocols C. Making sure that all staff members attend required continuing education sessions D. Limiting the services offered to only those covered under national health programs 43. While observing an immunization session, Nurse Julianne checks whether the health worker follows the prescribed steps for vaccine administration and cold chain handling. This activity reflects evaluation based on: A. Structure standard B. Outcome standard C. Policy standard D. Process standard Situation: Health centers in Barangay 970 is conducting its annual Operation Timbang to identify the status of children's weight. 44. One of the determinants of health of a growing child is to know the status of their weight. By using the level of measurements, weight is an example of: A. Nominal B. Ordinal C. Interval D. Ratio 45. During the operation, age was also documented. What level of measurement is age? A. Nominal B. Ordinal C. Interval D. Ratio 46. The children were separated into 2 groups based on their sex. The level of measurement is: A. Nominal B. Ordinal C. Interval D. Ratio 47. A Community Health Nurse observed that the patients that came in the health center are toddlers, preschoolers, and school-aged children. This is an example of what level of measurement? A. Nominal B. Ordinal C. Interval D. Ratio 48. The educational background of the parents was also documented, categorized as Primary graduate, Secondary graduate, and Tertiary graduate. What is the level of measurement? A. Nominal B. Ordinal C. Interval D. Ratio Situation: After several days of rain in Barangay San Antonio, Community Health Nurse Rogers observed an increase suspected dengue cases due to stagnant water serving as mosquito breeding sites. 49. Which among the following is the primary vector of the dengue virus? A. Culex pipiens B. Anopheles gambiae C. Plasmodium falciparum D. Aedes aegypti 50. Which among the following is the primary reservoir of the dengue virus? A. Humans B. Stagnant water C. Fresh water river D. Rats 51. Dengue is caused by a virus that has different types, which makes infection and immunity more complex. How many serotypes does the dengue virus have? A. 2 B. 3 C. 4 D. 5 52. Nurse Rogers is leading the "Alas Kwatro Kontra Mosquito" campaign encouraging residents to clean their surroundings every 4 PM to eliminate mosquito breeding sites. When asked what type of prevention this activity falls under, it is an example of: A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quarterly prevention 53. Severe dengue is defined with any of the following clinical manifestations. I. Severe plasma leakage II. Hemorrhage III. Hepatitis IV. Respiratory distress A. Only I B. I and II C. I, II, and III D. All of the above Situation: Nurse Ramos, a public health nurse assigned to a rural health unit, is actively involved in the implementation of the National Tuberculosis Control Program (NTP). She screens individuals presenting with respiratory symptoms, collects sputum samples for diagnostic testing, and facilitates Directly Observed Treatment, Short-course (DOTS) for confirmed TB patients. 54. One morning, she prepares and sends out several sputum specimens. Upon arrival at the testing laboratory, one specimen is rejected. Which of the following scenarios is MOST LIKELY to be a valid reason for specimen rejection according to the NTRL guidelines? A. The specimen, which contains 3.5 mL of sputum sample, was stored and transported using paraffin- sealed conical tubes B. The specimen was accompanied by a fully filled LRF hard copy, and the transport used cold packs instead of regular ice. C. The specimen was placed in a sterile screw-capped sputum cup with the label indicating the patient’s last name and test requested.