Nội dung text WORKBOOK - CHN (KEY)
D. People assume responsibility for their own health 38. (2) The emphasis of the community health nursing is on: A. Treatment of health problems B. Preventing health problems and promoting optimum health C. Identification and assessment of health problem D. Illness and of the wellness-illness continuum 39. (4) When the PHN assesses needs and plan health interventions for a group of people in coordination with other health professionals, she is demonstrating which of the following features of CHN. A. CHN involves interdisciplinary collaboration B. Use of epidemiologic approach is an essential part of the nurse practice C. CHN is oriented to populations D. CHN promotes clients participation in determining their own health 40. (5) Which of the following statement about CHN is wrong? A. CHN synthesizes public health with nursing B. CHN emphasizes health C. Promoting client’s autonomy is a responsibility of the Public Nursing D. CHN promotes clients participation to health care not by the nature of its practice but its setting only 41. (7) During an initial contact with the family, which show you give priority? A. Take family members names and ages B. Observe home environmental situation C. Determine economic level of the family D. Ask what illness the children had 42. (8) In preparing the plan for supervisory which of the following should be done first by the PHN? A. Formulate objectives for the supervision B. Prepare monthly schedule of activities C. List supervisory activities D. Schedule supervisory visits to the RHM’s 43. (9) To encourage community participation, which of the following should a nurse do? A. Invite people from civic organization B. refer to the doctor for prescription C. Encourage sponsorship to programs D. Listen when people relate their problems 44. (10) Which of the following is not an essential element of Primary Health Care? A. Multi sectoral approach B. Community involvement C. Appropriate Technology D. Qualification of health providers 45. (6) As part of Primary Health Care, Immunization is part of the element of EPI, how many vaccine/s should be given at one month intervals? A. DPT, BCG, and tetanus toxoid B. DPT and OPV C. BCG, DPT and Hepa B D. Measles, DPT and Hepa B Situation 9 (3) : Marco, a 54-year old street vendor, went to the RHU with complains of fatigue, cough, anorexia, low-grade fever and weight loss. Physical assessment and tests were done. The diagnosis was PTB. 46.(30) Marco has a positive reaction to Mantoux Test. The nurse correctly interprets this that the client has: A. Developed resistance to tubercle bacilli. B. Developed immunity against PTB C. Had contact with Mycobacterium Tuberculosis D. Resistance against PTB 47. (33) The nurse determines that if the Mantoux Test result is positive, it should be followed up by another test to most accurately diagnose PTB. The nurse plans to consult with the physician to follow-up the skin test with a: A. Chest X-ray B. CT scan of the chest C. BCG vaccination D. Sputum culture 48. (31) After the treatment regimen was started, Marco reported to the nurse that he is experiencing orange discoloration of the urine. What statement of the nurse would be most therapeutic? A. “OMG, are you sure? I need to report this to the doctor.” B. “As a competent nurse, I need to perform further assessment first. Do you also experience prupitus, podagra, optic neuritis, paresthesia or opisthotonus? Tell me more.” C. “Isoniazid is causing this so you need to stop it at once.” D. “This is expected if you are taking Rifampicin.” 49. (34) Marco is asking about the period of communicability of his condition once the anti-TB drugs are started to be given. The nurse should explain that the patient is still communicable: A. When the client is still experiencing fever. B. During the entire course of the treatment. C. As long as the sputum is positive with TB bacilli. D. For about 6 months after starting treatment. 50. (32) In TB control program, the primary preventive method is focused on children. This is: A. Sputum culture B. Tuberculin skin test. C. BCG vaccination. D. Maternal healthcare. Situation 10 (9) : The following situations pertains to different concept in CHN 51. (69) Population-focused nursing practice requires which of the following processes A. Community organizing B. Nursing process C. Community diagnosis D. Epidemiologic process 52. (76) The increasing number of people who must learn to live with chronic illness in the community implies that need for CHN to plan and implementation a program on: A. Communicable disease control B. Health Education C. Child survival D. Environmental sanitation 53. (70) Which of the following is designed to help client reduce risk to illness and maintain maximum level of functioning? A. Research B. Crises intervention C. Rehabilitation D. Health Promotion 54. (72) Which of the following is NOT an essential element/part of Primary Health Care? A. Multi-sectoral approach B. Community involvement C. Appropriate technology D. Qualification of the health care providers 55. (74) The mission of PHC must be embodied in the hearts of the health care providers. Which mission strengths health care systems? A. Supporting conditions for healthy habits B. Increasing opportunities to be healthy C. Letting people manage their own health D. Financing health care program 56. (71) The newly graduate nurse assigned in the rural health unit as a nurse practitioner is described as one of the following: A. Specialist B. Mother-child nurse C. Generalist D. Home-Care Nurse 57. (75) Lavinia recently passed the board exam and now has her license to practice. She wants to become a Public Health Nurse. Where will she apply? A. Department of Health B. Provincial Health Office C. Regional Health Office TOP RANK REVIEW ACADEMY, INC. Page 3 | 6
D. Rural Health Unit 58. (73) All statements are true, except: A. CHN nurse are specialist in terms of their service B. There should be accurate reporting in CHN C. The nurse works as a member of the health team D. CHN must be available to all 59. (77) PHC aims to strengthen the health care system by increasing opportunities and supporting the conditions wherein people will manage their own health care. As a strategy, what is its main focus? A. Creating multi-sectoral linkages B. Responsibility for health on the individual, his family and community C. Support for frontline health workers D. Assurance for increasing investment for health services 60. (100) Health should be explained by the nurse as: A. absence of disease in an individual B. psychosomatic characteristics of a person C. complete physical, mental and social well-being D. each person’s maximum capacity to live happily and productively 61. (20) The level of community health is influenced by the following factors except: A. political factors B. physical and biological factors C. none of these D. social, cultural, economic factors 62. (50) The focal point of the primary health care is the following execpt A. Individual B. Family C. Community D. Healthcare institutions 63. (22) The objectives of community health nursing includes 1. Health promotion and disease prevention 2. Early diagnosis & preventive treatment 3. Disability prevention & rehabilitation A. 1 & 2 B. 1,2 &3 C. 1 & 3 D. 2 & 3 64. (78) In the community a person’s psychosocial somatic well-being as influenced by which of the following factors? A. Heredity B. Health care services C. Hereditary behavior, environment & health services D. Person’s behavior 65. (51) Community Health nursing is population focus. This means: A. Services are directed to the health of all population B. Services are focused only to the high-risk members of the community C. Unit of care is the individual, patient or family D. Services provided are ecologically oriented 66. (21) In community health nursing, the unit of concern includes I. Community members who are in need of care II. Community members who don’t seek care III. Segment of the community who don’t receive care A. I & II only B. I & III C. all of the above D. I & III only 67. (79) Carrying out the planned activities involving maximum community participation is referred to as: A. Community Organization B. Community assembly C. Mobilization D. Integration 68. (81) Minority groups in the Philippines are an underprivileged sector where health services are generally inadequate. You are community health nurse volunteer and you join a health team in Zambales. What is the most important factor considered providing nursing care to minority families? A. Family time orientation B. Meaningful communication C. Close family ties D. control of communicable disease 69. (23) To effectively give nursing care to your minority family, what is the first thing that you have to do? A. Assess the health belief & practices B. Work with folk healers C. Share health experiences D. Understand the culture of the group 70. (82) Case finding is classified under which of the following levels of prevention? I - Primary prevention II - Secondary prevention III - Tertiary prevention A. All of the above B. II only C. none except no.I D. III is the correct answer 71. (52) The type(s) of health services that should be provided to the community would depend on: A. Laboratory facilities B. Services at the health center C. Facilities at the health center D. Needs of the community 72. (24) Government facilities which are responsible for the delivery of basic health services to communities: A. Barangay health station B. Emergency hospitals C. District hospitals D. City hospitals 73. (80) Steps in health education except: A. Creating awareness B. Let them aware of their situation C. Decision-making action D. None of the above 74. (58)) Social mobilization strategies includes, except: A. Collaboration between Government and NGO’s B. Reorientation of health professional in PHC C. Multi-sectoral and interdisciplinary linkages D. Establishment of an effective health referral system 75. (83) A health service at this level is offered to individuals in fair health and to clients with diseases in the early symptomatic stages: A. Secondary B. Primary C. Tertiary D. all of the above 76. (53) Composed of institution contributing to health with the ultimate goal of improving the health status and quality of life of the people: A. Health sector B. Public health sector C. Private health sector D. Health care delivery system 77. (88) A health service at this level is offered to individuals with symptomatic stages of the diseases: A. Primary B. Secondary C. Tertiary D. All of the above 78. (87) Network Facilities and personnel which carry out the task rendering health care to the people: A. Health sectors B. Government sub-sector C. Health care facilities D. Health care delivery system 79. (92) Provision of quality, basic and essential health services can be attained through I. Training design & curriculum based on community needs & priorities II. Attitudes, knowledge & skills developed are promotive, preventive, curative & rehabilitative health care III. Regular monitoring & periodic evaluation of community health worker performance by the community health staff IV. Advocacy for political will & support from the national TOP RANK REVIEW ACADEMY, INC. Page 4 | 6