PNLE: Community Health Nursing Part 2 (Practice Mode)- Rnpedia

1. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?

A. B. C. D.

Clinic consultation

Group conference

Home visit

Written communication

Dynamics of family relationships can best be observed in the family’s natural environment, which is the home.

Explanation

Dynamics of family relationships can best be observed in the family’s natural environment, which is the home.

2. Use of appropriate technology requires knowledge of indigenous technology. Which medicinal herb is given for fever, headache and cough?

Sambong

Tsaang gubat

Akapulko

Lagundi

Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea. Akapulko is used for its antifungal property.

Explanation

Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea. Akapulko is used for its antifungal property.

3. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?

Wash his/her hands before and after providing nursing care to the family members.

In the care of family members, as much as possible, use only articles taken from the bag.

Choice B goes against the idea of utilizing the family’s resources, which is encouraged in CHN. Choices C and D goes against the principle of asepsis of confining the contaminated surface of objects.

Explanation

Choice B goes against the idea of utilizing the family’s resources, which is encouraged in CHN. Choices C and D goes against the principle of asepsis of confining the contaminated surface of objects.

4. Tertiary prevention is needed in which stage of the natural history of disease?

Pre-pathogenesis

Pathogenesis

Prodromal

Terminal

Tertiary prevention involves rehabilitation, prevention of permanent disability and disability limitation appropriate for convalescents, the disabled, complicated cases and the terminally ill (those in the terminal stage of a disease)

Explanation

Tertiary prevention involves rehabilitation, prevention of permanent disability and disability limitation appropriate for convalescents, the disabled, complicated cases and the terminally ill (those in the terminal stage of a disease)

5. An indicator of success in community organizing is when people are able to

Participate in community activities for the solution of a community problem

Implement activities for the solution of the community problem

Plan activities for the solution of the community problem

Identify the health problem as a common concern

An indicator of success in community organizing is when people are able to participate in community activities for the solution of a community problem. This demonstrates active engagement, collaboration, and collective effort towards addressing and resolving issues that affect the community, reflecting a well-organized and empowered group.

Explanation

An indicator of success in community organizing is when people are able to participate in community activities for the solution of a community problem. This demonstrates active engagement, collaboration, and collective effort towards addressing and resolving issues that affect the community, reflecting a well-organized and empowered group.

6. The PHN bag is an important tool in providing nursing care during a home visit. The most important principle of bag technique states that it

Should save time and effort.

Should minimize if not totally prevent the spread of infection.

Should not overshadow concern for the patient and his family.

May be done in a variety of ways depending on the home situation, etc.

Bag technique is performed before and after handling a client in the home to prevent transmission of infection to and from the client.

Explanation

Bag technique is performed before and after handling a client in the home to prevent transmission of infection to and from the client.

7. The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a

Health threat

Health deficit

Foreseeable crisis

Stress point

Entry of the 6-year old into school is an anticipated period of unusual demand on the family.

Explanation

Entry of the 6-year old into school is an anticipated period of unusual demand on the family.

8. In which step are plans formulated for solving community problems?

Mobilization

Community organization

Follow-up/extension

Core group formation

Community organization is the step when community assemblies take place. During the community assembly, the people may opt to formalize the community organization and make plans for community action to resolve a community health problem.

Explanation

Community organization is the step when community assemblies take place. During the community assembly, the people may opt to formalize the community organization and make plans for community action to resolve a community health problem.

9. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This is classified as a

Health threat

Health deficit

Foreseeable crisis

Stress point

Failure of a family member to develop according to what is expected, as in mental retardation, is a health deficit.

Explanation

Failure of a family member to develop according to what is expected, as in mental retardation, is a health deficit.

10. Which of the following is an advantage of a home visit?

It allows the nurse to provide nursing care to a greater number of people.

It provides an opportunity to do first hand appraisal of the home situation.

It allows sharing of experiences among people with similar health problems.

It develops the family’s initiative in providing for health needs of its members.

Choice A is not correct since a home visit requires that the nurse spend so much time with the family. Choice C is an advantage of a group conference, while choice D is true of a clinic consultation.

Explanation

Choice A is not correct since a home visit requires that the nurse spend so much time with the family. Choice C is an advantage of a group conference, while choice D is true of a clinic consultation.

11. The public health nurse conducts a study on the factors contributing to the high mortality rate due to heart disease in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation?

Descriptive

Analytical

Therapeutic

Evaluation

Analytical epidemiology is the study of factors or determinants affecting the patterns of occurrence and distribution of disease in a community.

Explanation

Analytical epidemiology is the study of factors or determinants affecting the patterns of occurrence and distribution of disease in a community.

12. Which is CONTRARY to the principles in planning a home visit?

A home visit should have a purpose or objective.

The plan should revolve around family health needs.

A home visit should be conducted in the manner prescribed by the RHU.

Planning of continuing care should involve a responsible family member.

The home visit plan should be flexible and practical, depending on factors, such as the family’s needs and the resources available to the nurse and the family.

Explanation

The home visit plan should be flexible and practical, depending on factors, such as the family’s needs and the resources available to the nurse and the family.

13. What law created the Philippine Institute of Traditional and Alternative Health Care?

R.A. 8423

R.A. 4823

R.A. 2483

R.A. 3482

R.A. 8423 is the correct answer because it is the law that created the Philippine Institute of Traditional and Alternative Health Care. This law established the institute to promote and develop traditional and alternative health care practices in the country. It aims to integrate traditional and alternative medicine into the national health care system and ensure the safety and efficacy of these practices.

Explanation

R.A. 8423 is the correct answer because it is the law that created the Philippine Institute of Traditional and Alternative Health Care. This law established the institute to promote and develop traditional and alternative health care practices in the country. It aims to integrate traditional and alternative medicine into the national health care system and ensure the safety and efficacy of these practices.

14. In traditional Chinese medicine, the yielding, negative and feminine force is termed

Yin

Yang

Qi

Chai

Yang is the male dominating, positive and masculine force.

Explanation

Yang is the male dominating, positive and masculine force.

15. Which of the following demonstrates intersectoral linkages?

Two-way referral system

Team approach

Endorsement done by a midwife to another midwife

Cooperation between the PHN and public school teacher

Intersectoral linkages refer to working relationships between the health sector and other sectors involved in community development.

Explanation

Intersectoral linkages refer to working relationships between the health sector and other sectors involved in community development.

16. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would sometimes get false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

Effectiveness

Efficacy

Specificity

Sensitivity

Sensitivity is the capacity of a diagnostic examination to detect cases of the disease. If a test is 100% sensitive, all the cases tested will have a positive result, i.e., there will be no false negative results.

Explanation

Sensitivity is the capacity of a diagnostic examination to detect cases of the disease. If a test is 100% sensitive, all the cases tested will have a positive result, i.e., there will be no false negative results.

17. On the other hand, Operation Timbang is _____ prevention.

Primary

Secondary

Intermediate

Tertiary

Operation Timbang is done to identify members of the susceptible population who are malnourished. Its purpose is early diagnosis and, subsequently, prompt treatment.

Explanation

Operation Timbang is done to identify members of the susceptible population who are malnourished. Its purpose is early diagnosis and, subsequently, prompt treatment.

18. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as

Sporadic occurrence

Secular variation

Epidemic occurrence

Cyclical variation

A cyclical variation is a periodic fluctuation in the number of cases of a disease in the community.

Explanation

A cyclical variation is a periodic fluctuation in the number of cases of a disease in the community.

19. Isolation of a child with measles belongs to what level of prevention?

Primary

Secondary

Intermediate

Tertiary

The purpose of isolating a client with a communicable disease is to protect those who are not sick (specific disease prevention).

Explanation

The purpose of isolating a client with a communicable disease is to protect those who are not sick (specific disease prevention).

20. Which is a characteristic of person-to-person propagated epidemics?

There are more cases of the disease than expected.

The disease must necessarily be transmitted through a vector.

The spread of the disease can be attributed to a common vehicle.

There is a gradual build up of cases before the epidemic becomes easily noticeable.

A gradual or insidious onset of the epidemic is usually observable in person-to-person propagated epidemics.

Explanation

A gradual or insidious onset of the epidemic is usually observable in person-to-person propagated epidemics.

21. In the census of the Philippines in 1995, there were about 35,299,000 males and about 34,968,000 females. What is the sex ratio?

99.06:100

100.94:100

50.23%

49.76%

Sex ratio is the number of males for every 100 females in the population.

Explanation

Sex ratio is the number of males for every 100 females in the population.

22. In the year 1980, the World Health Organization declared the Philippines, together with some other countries in the Western Pacific Region, "free" of which disease?

A. B. C. D.

Pneumonic plague

Poliomyelitis

Small pox

Anthrax

The last documented case of Small pox was in 1977 at Somalia.

Explanation

The last documented case of Small pox was in 1977 at Somalia.

23. What is the legal basis for Primary Health Care approach in the Philippines?

Alma Ata Declaration on PHC

Letter of Instruction No. 949

Presidential Decree No. 147

Presidential Decree 996

Letter of Instruction 949 was issued by then President Ferdinand Marcos, directing the formerly called Ministry of Health, now the Department of Health, to utilize Primary Health Care approach in planning and implementing health programs.

Explanation

Letter of Instruction 949 was issued by then President Ferdinand Marcos, directing the formerly called Ministry of Health, now the Department of Health, to utilize Primary Health Care approach in planning and implementing health programs.

24. Which of the following is an epidemiologic function of the nurse during an epidemic?

Conducting assessment of suspected cases to detect the communicable disease

Monitoring the condition of the cases affected by the communicable disease

Participating in the investigation to determine the source of the epidemic

Teaching the community on preventive measures against the disease

Epidemiology is the study of patterns of occurrence and distribution of disease in the community, as well as the factors that affect disease patterns. The purpose of an epidemiologic investigation is to identify the source of an epidemic, i.e., what brought about the epidemic.

Explanation

Epidemiology is the study of patterns of occurrence and distribution of disease in the community, as well as the factors that affect disease patterns. The purpose of an epidemiologic investigation is to identify the source of an epidemic, i.e., what brought about the epidemic.

25. The primary purpose of conducting an epidemiologic investigation is to

Delineate the etiology of the epidemic

Encourage cooperation and support of the community

Identify groups who are at risk of contracting the disease

Identify geographical location of cases of the disease in the community

Delineating the etiology of an epidemic is identifying its source.

Explanation

Delineating the etiology of an epidemic is identifying its source.

26. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

Establishing the epidemic

Testing the hypothesis

Formulation of the hypothesis

Appraisal of facts

Establishing the epidemic is determining whether there is an epidemic or not. This is done by comparing the present number of cases with the usual number of cases of the disease at the same time of the year, as well as establishing the relatedness of the cases of the disease.

Explanation

Establishing the epidemic is determining whether there is an epidemic or not. This is done by comparing the present number of cases with the usual number of cases of the disease at the same time of the year, as well as establishing the relatedness of the cases of the disease.

27. Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of the primary health care approach?

Health workers are able to provide care based on identified health needs of the people.

Health programs are sustained according to the level of development of the community.

Health services are provided free of charge to individuals and families.

Local officials are empowered as the major decision makers in matters of health.

Primary health care is essential health care that can be sustained in all stages of development of the community.

Explanation

Primary health care is essential health care that can be sustained in all stages of development of the community.

28. Which of the following is a function of epidemiology?

Identifying the disease condition based on manifestations presented by a client

Determining factors that contributed to the occurrence of pneumonia in a 3 year old

Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with pneumonia

Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

Epidemiology is used in the assessment of a community or evaluation of interventions in community health practice.

Explanation

Epidemiology is used in the assessment of a community or evaluation of interventions in community health practice.

29. The municipality assigned to you has a population of about 20,000. Estimate the number of 1-4 year old children who will be given Retinol capsule 200,000 I.U. every 6 months.

1,500

1,800

2,000

2,300

Based on the Philippine population composition, to estimate the number of 1-4 year old children, multiply total population by 11.5%.

Explanation

Based on the Philippine population composition, to estimate the number of 1-4 year old children, multiply total population by 11.5%.

30. The public health nurse takes an active role in community participation. What is the primary goal of community organizing?

To educate the people regarding community health problems

To mobilize the people to resolve community health problems

To maximize the community’s resources in dealing with health problems

Community organizing is a developmental service, with the goal of developing the people’s self-reliance in dealing with community health problems. A, B and C are objectives of contributory objectives to this goal.

Explanation

Community organizing is a developmental service, with the goal of developing the people’s self-reliance in dealing with community health problems. A, B and C are objectives of contributory objectives to this goal.