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2 | Page 5) Organized recreation programs A. 3, 4 and 5 B. 1, 2 and 3 C. 1, 4 and 5 D. 2, 3 and 4 13. Nurse Pepita is concerned about the rise of mosquito- borne diseases in a rural community. Effective PRIMARY prevention for community intervention measures would include: 1) Monitoring the incidence of disease caused by mosquitos 2) Promoting ordinance that control insect breeding sites 3) Instituting education program about insect control 4) Promoting accessibility of diagnostic and treatment services A. 2 and 3 B. 1 and 4 C. 2 and 3 D. 3 and 4 14. The amount of garbage collected in a middle-class community is huge and excessive. The best approach the nurse can take to aid in helping decrease the amount of garbage generated is ____________. A. promoting recycling efforts in the community B. encouraging use of fewer polluting products C. discouraging overuse of materials that generate trash D. educating about overbuying household products 15. A family lives near a creek and the toilet is separated from their own house. Their excreta fall freely to the creek. What type of toilet is this? A. Overhung latrine B. Bored-hole latrine C. Antipolo latrine D. Open pit privy Situation – Public Health Nurse Jia is working on some groups of women to promote their health and well- being and help address their current health issues and problems. 16. Nurse Jia is teaching member of women’s club how to perform breast self-examination. She emphasizes the need to have check-up at the health center if they found out that ___________. A. both breasts have nodules in the upper outer quadrants B. the breast on the right side is slightly larger than the left breast C. there is an irregularly shaped, nontender lump palpable in the left breast D. there is a bilateral breast tenderness with palpation 17. Which statement of Nurse Jia correctly describes some health promotion needs of the perimenopausal years? A. Women should be encouraged to limit alcohol intake because it increases calcium excretion B. Dietary vitamin D supplementation is discouraged among this population. C. Calcium supplementation does not affect risk of fractures and bone injury D. Smoking decreases calcium excretion that causes osteoporosis. 18. Nurse Jia observes that there are women who are experiencing abuse by their spouses. What is the goal that the intervention BEST relates to? A. Maintaining a physically healthy body B. Developing and maintaining a healthy sense of self C. Developing and maintaining friendly relationships. D. Maintaining balance and priorities in the family. 19. In an interview with a group of young women, Nurse Jia found out that a client self-induces vomiting after every meal. The nurse recognizes that this symptom BEST describes _________. A. Anorexia nervosa B. A binge eating disorder C. Bulimia D. Post traumatic stress disorder 20. In the same group of young women, a client revealed to her that she is a lesbian. What statement by the client indicates that she needs more information? A. “I need to have routine pap smears.” B. “I have an increased risk of heart disease.” C. “I have less risk factors of breast cancer than a heterosexual” D. “I’m at a lower risk for sexually-transmitted disease.” Situation – Public Health Nurse Jojo asks the new nurses about their membership to the accredited professional nursing organization and their plans for personal and professional growth. 21. Which of the following statement is true about membership to the Philippine Nurses Association (PNA)? It is: A. Voluntary and is encourage by the PRC code of ethics B. Compulsory for new nurses wanting to practice nursing in the Philippines C. Mandatory as stipulated in the Philippine Nursing Act if 2002 D. Required for those employed in government health facilities 22. Why would a nurse choose to be an active member of several professional associations? PRIMARILY to: A. Participate in the discussion and political action activities concerning the profession B. Able to spend time with friends and colleagues C. Part of the organization’s annual convention/conference. D. Be able to have professional development opportunities 23. Which of the following is the MOST important step to developing cultural competence for the nurse? A. understand and recognize her own cultural background B. understand the culture of her client C. identify the goals of cultural-congruent goals D. gain proficiency in another language and dialect 24. Quality of client care is ensured not only by continuing education. Professional responsibility along this line requires, FOREMOST: A. knowing the standards of practice B. understand the socioeconomic background of patients C. getting a master’s degree in nursing D. a nurse-centered care 25. Quality of client care is ensured not only by continuing education. Professional responsibility along this line requires, FOREMOST: A. Obtaining an advance academic degree in nursing B. Attending as many as nursing conference's C. Conforming to institution’s policies and guidelines D. Monitoring one’s own practice according to standard set by the profession Situation – In recent months, “bird flu” or avian influenza caused a significant concern among the people especially those in Central Luzon and Metro Manila. It is both an emerging and re-emerging infection. 26. Which of the following statement is TRUE about “bird flu”? A. All forms of bird flu can easily cause illness to humans B. Domestic poultry flocks are much less vulnerable to infections C. C. Infected chickens can also infect domestic animals like cats and dogs D. Only birds are normally infected by the viruses, less commonly pigs. 27. When humans are infected, the following signs and symptoms of bird flu may appear, EXCEPT: A. Fever B. Sore eyes/Sore throat C. Chicken rashes D. Body weakness 28. Which of the following is NOT included in the control measures in infected birds? A. Restrictions on the movement of the live poultry. B. Rapid destruction of all infected or exposed birds C. Transferring of the live poultry in another area or location. D. Vigorous disinfection of poultry farms 29. There are measures that should be observed by the humans to prevent bird flu infection. Which of the following is NOT included?
3 | Page A. Non-poultry workers should avoid contact with the chickens and ducks as much as possible. B. All poultry farm workers should be given the current season’s flu vaccine. C. Avoid eating chicken or any poultry products until the epidemic has abated D. Advise people on proper cooking of poultry meat and eggs. 30. For patients with bird flu infection, health care workers should observe the following, EXCEPT: A. Establish a separate isolation facility B. Utilize Personal Protective Equipment (PPE) C. Avoid going near the patient as much as possible D. Apply the principles of handwashing. Situation – The Field Health Services and Information System (FHSIS) is the recording and reporting system in public health care in the Philippines. 31. The following are objectives of the FHSIS, EXCEPT: A. Ensure data reported are useful and accurate and disseminated in a timely, easy and use fashion. B. Complete the picture of acute and chronic disease C. Provide standardized facility-level data base which can be used for more in-depth studies. D. Minimize recording and recording burden allowing more time for patient care and promotive activities. 32. As a nurse, you should know the process on how these information are processed and consolidated. The fundamental block of the FHSIS System is the _____________. A. Reporting forms B. Target/Client list C. Family treatment record D. Output record 33. The monthly field health service activity report is a form used in which of the components of the FHSIS? A. Output report B. Target/Client list C. Tally report D. Individual health record 34. In using the tally sheet, the recommended frequency in tallying activities and services is ___________. A. weekly B. daily C. monthly D. quarterly 35. To monitor clients registered in long-term regimen such as the Multi Drug Therapy, which component of the reporting system will be most useful? A. Tally report B. Individual health record C. Output report D. Target/Client list Situation – Prevention includes a wide range of activities aimed at reducing risks or threats to health. 36. Nurse Wilfredo is visiting a family with a child who recently became a paraplegic. He suggests some home modifications to accommodate the child’s disability. What level of family- focused intervention the nurse has suggested? A. Fourth prevention B. Secondary prevention C. Tertiary prevention D. Primary Prevention 37. Which of the following programs is an example of secondary prevention? A. An exercise program for persons who had stroke B. A community-wide nutrition program at fast food establishments C. Immunization of persons exposed to infectious disease with immunoglobin G within 2 weeks of exposure. D. Health education on safe water supply 38. As a result of an outbreak of influenza in Barangay Kuliglig, Nurse Wilfredo encourages the residents of the community to receive the influenza vaccine. Which level of prevention is being used? A. Tertiary prevention B. Multifactorial prevention C. Primary prevention D. Secondary prevention 39. Nurse Wilfredo explains to the mother the general needs of a family for adequate nutrition, rest, and physical activity. Which level of prevention does this describe? A. Fourth prevention B. Primary prevention C. Tertiary prevention D. Secondary prevention 40. Nurse Wilfredo also encounters a female patient who reported chest discomfort and shortness of breath. He placed the patient on oxygen, electrocardiogram, and had his blood gases drawn. What level of preventive care is this patient receiving? A. Health promotion B. Secondary prevention C. Tertiary prevention D. Primary prevention Situation – Public Health Nurse Melissa wants to know why cases of diabetes in Municipality Napakatamis have been increasing for the past five years. She intends to use community organizing participatory research (COPAR). 41. As a researcher, Nurse Melissa believes that the identification of problem such as diabetes is: A. based on immediate problem situation defined by the community and the researcher B. aligned to the interest of the researcher C. done by a professional like her D. based on statistics and interpreted by outside researchers 42. In community meetings, Nurse Melissa explains to community the purpose of the research project to address the health problem and establish rapport with the people for cooperation in the research process. The nurse puts community members as: A. assistants to the researcher B. merely providers of information C. organizers of meetings D. co-researchers 43. The KEY feature that distinguishes participatory research from another social research is: A. the dialogic approach between the researcher and the people B. the use of quantitative methods of data gathering C. the use of conventional interview D. didactic transmission of knowledge 44. In terms methodology option, COPAR is essentially _____________. A. Action research B. quantitative research C. Basic research D. qualitative research 45. The ULTIMATE objective of doing COPAR are the following, EXCEPT: A. For people to develop their potentials and abilities and moral sensibilities. B. Generate study results for the benefit of the researcher C. Equip people with new consciousness of what must be done and how to do it. D. Basis for planning community projects in response to perceived problem. Situation – The World Health Organization (WHO) stated that “climate change is the biggest threat to public health this century.” Climate change is happening, and scientists believe that global warming results from human activity. 46. As a public health nurse and as a citizen, you are concerned about the Earth’s warming up fast from the production of greenhouse gases which are involved in the greenhouse effect. The most common greenhouses gases are the following, EXCEPT: A. Oxygen B. Methane C. Water Vapor D. Carbon dioxide 47. Along with the natural greenhouse gases, there are some man-made ones that keep on increasing in the atmosphere