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TOP RANK REVIEW ACADEMY, INC. Page 1 | 6 RECALLS EXAMINATION 1 NURSING PRACTICE I CARE OF HEALTHY / AT RISK MOTHER CHILD NOV 2024 Philippine Nurse Licensure Examination Review Situation: Public Health Nursing in the Philippines evolved alongside the institutional development of the Department of Health, the government agency mandated to protect and promote people's health and the biggest employer of health workers including public health nurses. 1. In response to above trends, the global community, represented by the Nations General Assembly, decided to adopt a common vision of poverty reduction and sustainable development in September 2000. This vision is exemplified by the Millennium Development Goals (MDGs) which are based on the fundamental values of freedom, equality, solidarity, tolerance, health, respect for nature, and shared responsibility. Which among these is not a Millennium Development Goal? A. Improve maternal health B. Combat HIV/AIDS, malaria and other diseases C. Ensure environmental sustainability D. Promote gender equity and empower women 2. Factors or things that make people healthy or not, known as determinants of health are listed by the World Health Organization to include all except one: A. Genetics B. Gender C. Location D. Culture 3. According to C. E. Winslow, “Public health is the science and art of (1) preventing disease, (2) prolonging life, and (3) promoting health and efficiency through organized community effort.” Which is considered as the key phrase definition of public health? A. development of the social machinery to ensure everyone a standard of living adequate for the maintenance of health B. through organized community effort C. organization of medical and nursing services for the early diagnosis and preventive treatment of disease D. education of the individual in personal hygiene, 4. Public health nursing is strongly built on theories of health promotion and disease prevention. This model found that information alone is rarely enough to motivate people to act for their health. Individuals must know what to do and how to do it before they can take action. A. Health Belief Model B. Health Promotion Model C. Social Learning theory D. General Systems Theory 5. It is based on the assumption that behavior change takes place over time, and progresses through stages. Each stage is stable and is open to change; meaning one may stop in one stage, progress to the next stage or return to a previous stage. A. General Systems Theory B. Transtheoretical Model C. PRECEDE-PROCEED Model D. Milo’s Framework for Prevention 6. What is considered the legal basis of PHC in the Philippines? A. LOI 949 B. LOI 497 C. LOI 789 D. LOI 747 7. This is signed by which President of the Philippines? A. Pres. Ferdinand Marcos B. Pres. Gloria Aquino C. Pres. Ramon Magsaysay D. Pres. Ferdinand Marcos Jr. 8. The PHC has 8 essential health services in which it aims to improve. All of these are included, except: A. Maternal and Child health B. Nutrition C. Exclusive Program for Immunization D. Education for health 9. Considerations are made regarding the health services being provided to the people. These have to be to be available acceptable, affordable and accessible to the people to reach the success of Primary Health Care. Which criteria questions whether the health service is offered in health care facilities or is provided on a regular and organized manner? A. Acceptability B. Affordability C. Accessibility D. Availability 10. The PHC uses multisectoral approaches to communicate, collaborate, and convene to achieve universal health care. When the doctor has to refer the victim of VAW to DSWD, what referrals or linkages will they use? A. Intrasectoral linkages B. Intersectoral linkages C. Interfacility linkages D. Intrafacility linkages 11. A 7-year old kid is being accompanied by his mother to the clinic. The child has been experiencing abdominal pain, and is presenting with a round belly. His mother said that he did drink any “pampurga” when he was young. What medicinal plant should he give? A. Lagundi B. Yerba Buena C. Tsaang Gubat D. Niyog-niyogan 12. How would King Kong tell the mother to prepare and administer the medicinal plant? A. Decoction B. Leaves are eaten C. Poultice D. Seeds are used 13. People at Brgy. Kagalingan often complains having pain in their joints after eating so much internal organs and beans. What can he advise to the people to take? A. Sambong B. Bayabas C. Ulasimang bato D. Akapulco 14. This medicinal plant is used to help lower hypertension and blood cholesterol. A. Ampalaya B. Bawang C. Akapulko D. Sambong 15. Type II diabetes is also rampant in the barangay. He conducts group health teachings to include which plant into their diet? A. Ampalaya B. Bawang C. Akapulco D. Sambong
TOP RANK REVIEW ACADEMY, INC. Page 2 | 6 Situation: The Centers for Disease Control and Prevention (CDC) established an office in the Philippines in 2022 to strengthen and expand existing partnerships with the Philippines Department of Health (DOH). 16. This vital statistics indicate the natural decrease in population. A. Crude birth rate B. Crude death rate C. Prevalence Rate D. Incidence rate 17. Nurse Caloy wants to determine the health status of a population and infer their longevity of life and lifestyle by using statistics. What vital statistics shall he use? A. Prevalence Rate B. Swaroop’s Index C. Maternal Pregnancy Rate D. Case Fatality Ratio 18. This statistics indicate the health status of the community. A. Fetal death rate B. Neonatal mortality rate C. Infant mortality rate D. Mortality rate 19. This is also known as the index of pregnancy wastage. A. Fetal death rate B. Neonatal mortality rate C. Infant mortality rate D. Mortality rate 20. Retrieving this number, this will help direct the efforts to improve maternal post partum care in the community. This also shows that an improvement in environmental factors must be promoted to improve the numbers. A. Fetal death rate B. Neonatal mortality rate C. Infant mortality rate D. Mortality rate Situation: In Community Health Nursing, the community is not simply a context of the existence of the nurse’s clients nor is it just a setting for our nursing interventions. Spradley (1990) emphasizes that the community is the primary client for two main reasons. First, the community has a direct influence on the health of the individual, families, and sub-populations. Second, it is the level that most health service provision occurs. 21. According to Freeman and Heinrich, community health diagnosis is based on three interdependent, interacting and constantly changing conditions. Which of these is not included? A. The health status of the community, including the population’s level of vulnerability B. Diversity within the community, focusing on making comprehensive and inclusive community health care C. Community health capability or the ability of the community to deal with its health problems D. Community action potential, or the patterns in which the community is likely to work on its health problems 22. Collecting data is important in community assessment. There are different methods as to how one can obtain data. Which method is used to elicit and explore opinions of people, determine their attitudes and practices regarding limited set of concepts? Participants selected should have characteristics that will be common to them, and characteristics that will also differentiate them from one another. A. Group interviews B. Key Informant Interviews C. Focus Group Discussions D. Windshield Survey 23. You wanted to be as comprehensive as possible in identifying different problems in the community. You have identified that the RHU is having difficulty in providing services to their population coverage. Further assessment shows that there are a lot of plantilla positions left unfilled. What kind of problem is this? A. Health status problem B. Health resources problem C. Health-related problem D. Health concern problem 24. You have also observed that the local government does not make health as their priority thus leaving their BHCs and RHUs lacking of resources and manpower. There is also a lack health program implementation as no support is received. This is classified as: A. Health status problem B. Health resources problem C. Health-related problem D. Health concern problem 25. Reviewing the records, you found out that there is an increasing number of non-communicable diseases in the barangay. You classify this problem as? A. Health status problem B. Health resources problem C. Health-related problem D. Health concern problem Situation: Nurse Jessa attempts to identify the possible factors associated with the increasing cases of malnutrition in Brgy. Hintuturo. 26. She attempts to derive the risk of an individual developing a disease due to a particular exposure by comparing the occurrence of a disease in a population exposed to the suspected factor. She wants to use an estimate which is the direct measure of strength of association between a suspected cause and effect. Her existing data includes the incidence rates of those who had who were exposed and incidence rate among those who are not exposed. Which risk estimate shall she use? A. Odds Ratio B. Attributable Risk C. Incidental Risk Ratio D. Relative Risk 27. Using the PRECEDE- PROCEED model, she is also aiming to identify the contributing factors of a problem that may become the focus of subsequent intervention. These are characteristics of the client that motivates behavior related to health, and it can be described in terms of client’s knowledge, attitudes, values and perceptions. A. Predisposing factors B. Internal factors C. Enabling factors D. Reinforcing factors 28. These are considered the factors which can be rewards or punishments following or anticipated as a consequence of a health behavior. A. Predisposing factors B. Internal factors C. Enabling factors D. Reinforcing factors 29. As the program comes to an end, she plans to look into the three aspects of the program. She wants to measure the immediate effects of the program and determine whether the objectives of the program were met. What evaluation measure will she use? A. Process evaluation B. Impact evaluation C. Structure evaluation D. Outcome evaluation 30. In evaluating programs, we use indicators to identify which factors should be achieved and resolved by the community. Using the data information gathered from the indicators can be used as basis for recommendations on the future and direction of health programs to be evaluated. Which indicator shows to what extent something that has been made available is actually being used for that purpose? A. Relevance B. Coverage C. Efficiency D. Utilization Situation: Nurse Dan is handling patients with respiratory problems. Tommy has been diagnosed with ineffective airway clearance due to excessive secretions and is at risk of infection from these retained secretions. As part of Nurse Dan’s care plan, the goal is to loosen and remove these excessive secretions from Tommy’s airway. 31. After listening to Tommy’s lung sounds, Nurse Dan identifies congestion in the upper lobes. To drain the anterior and posterior apical segments of the lungs during percussion, the correct position would be: A. Client lying on his back, then flat on his abdomen in the Trendelenburg position B. Client seated upright in bed or on a chair, then leaning forward while sitting, then flat on his back and abdomen C. Client lying flat on his back, then flat on his abdomen D. Client lying on his right side, then left side in the Trendelenburg position 32. When documenting the results of Tommy’s treatment, Nurse Dan should include the following details EXCEPT: