CHN POST TEST 2

90問 • 1年前

問題一覧

An example of secondary prevention of infectious disease is:

Quarantine.

A useful source of data in epidemiology for nurses is the census. In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed

De facto

The mandate to assure and protect the health of the public is an inherently moral one. It carries with it an obligation to care for the well-being of others and it implies the possession of an element of power in order to carry out the mandate. A community-oriented nurse understands that the most important use of the principles for effective advocacy among members of the community is to:

Act in the community's best interest, in keeping with community direction, while maintaining diligence, ongoing communication, and confidentiality.

In one of the barangays under the rural health unit, a low-vision client with very early dementia takes pride in her independence. The client, who lives alone in an apartment, tells her nurse she has always enjoyed using fragranced candles. The most appropriate intervention for the nurse is to apply the principle of:

Nonmaleficence, in which the nurse counsels the client regarding the dangers of the use of candles and matches by someone with low vision.

A community health nurse encounters an ethical dilemma. One step in the ethical decision-making framework is to place an ethical issue within a meaningful context. The rationale for this step is that:

Multiple factors affect the formulation and justification of ethical issues and dilemmas.

Caring and the ethic of care are core values of community health nursing. This ethical view was developed in response to the technical advances in the health care sciences and the desire of nurses to:

Differentiate nursing practice from medical practice.

The community-oriented nurse best exemplifies the application of feminist ethics when the nurse:

Designs health care programs for the underserved that incorporate social justice, treat men and women with respect and equity, and include community interventions that elevate the status of the underserved in the community.

The nurse needs to fulfill her role as an epidemiologist. The probability an event will occur within a specified period of time is called:

Risk

The nurse needs to fulfill her role as an epidemiologist. Which statement is true about mortality rates? Mortality rates:

Are informative only for fatal diseases

A screening for diabetes revealed 20 previously diagnosed diabetics and 10 probable new cases, which were later confirmed, for a total of 30 cases. This is called:

Prevalence

An example of an attack rate is the:

Proportion of people becoming ill after eating at a fast- food restaurant

Which would be considered a serious epidemic of influenza?

Unable to determine

A public health nurse is organizing a multidisciplinary team to address the issue of water,pollution in the community. The most likely members that would be invited to address this issue would be:

Geologists, meteorologists, and chemists

Why is it important for nurses to understand the premises of environmental health?

Nurses should be able to assess risks and advocate for policies that support healthy environments.

Environmental health is important to nurses because chemical, biological, and radiological materials are:

Often found in the air, water, and products we use

How have nurses historically learned to identify a possible relationship between environmental chemical exposures and their potential harm?

Observing signs and symptoms in clients

The basic science applied to understanding the health effects associated with chemical exposures is:

Toxicology

The clear majority of the world’s hungry people live in developing countries, where 12.9 per cent of the population is undernourished. Asia is the continent with the hungriest people – two thirds of the total. The percentage in southern Asia has fallen in recent years but in western Asia it has increased slightly. The nurse should know that the achievement of which sustainable development goal (SDG) is inclined to solve this dilemma?

SDG 2

In the Philippines, poverty and inequality remain a challenge. The following are some facts on poverty based on the 2015 statistical report. Which statement is NOT included in this report?

28% of the county’s 97 million people live below the poverty line.

You were part of a team assigned to survey on the poverty situation in a certain barangay. In identifying factors that contribute poverty, homelessness, and poor health of a deprived segment of a population, which of the following should you PRIMARILY assess?

Provision of social support and basic services

You have noticed that the population in the barangay has increased including the rise of pregnant women who are undernourished. You coordinate with the local social welfare department to provide food that are nutritionally adequate. This is considered:

secondary prevention.

This vital statistic measures the risk of dying during the 1st year of life:

IMR

This is total number of fetal death registered in a given calendar year over the total number of live births registered on same year:

FDR

Compute for IMR

10.88

Compute for MMR

7.7

Compute for NDR

4.9

Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice. Which of the following is the primary focus of community health nursing practice?

Promotion of health

In community health nursing, which of the following is our unit of service as nurses?

The Family

A very important part of the Community Health Nursing Assessment Process includes:

the application of professional judgment in estimating importance of facts to family and community

In community health nursing it is important to take into account the family health data coupled with an equally important need to perform ocular inspection of the area as activities which are powerful elements of:

assessment

The initial step in PLANNING process in order to engage in any nursing project or activities at the community level involves

goal-setting

5/100,000

A public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. What is the age-specific meningitis death rate for children age 15 years and younger for this region to date this year?

0.08/1000

Only four cases of meningitis were reported in the public health region during the previous year. No other public health region in the state has an incidence of meningitis that is higher than expected for that region. Based on the information given, the relative frequency of meningitis in the region at this time can best be described as:

epidemic.

A public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. A local health department in the same public health region reports cases of certain diseases to the Department of Health for inclusion in the National Notifiable Diseases Surveillance System (NNDSS). From the perspective of community-level disease monitoring, which of the following 3-year trends in incidence rates for meningitis would be of local and national interest?

1998 = 12/100,000; 1999 = 8/100,000; 2000 = 31/100,000

The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?

Bar

The key global agency that initiated the Alma Ata conference on Primary Health Care is the:

World Health Organization (WHO)

Which Asian country is considered among the FIRST to adopt the principle of PHC?

Philippines

Nurse Magbanua is aware that she has to use “tools and methods that are suitable and acceptable to the families and communities” that she serves. This PHC principle is referred to as:

Appropriate technology

Nurse Magbanua recognizes that health services offered are to be in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as:

Acceptability

Collaboration and cooperation is crucial to the achievement of PHC goals. The referral system among the RHU, non-government organization, and local social welfare and development office is classified as what type of relationship?

Inter-sectoral collaboration

To address challenges to the health industry, the Aquino Health Agenda (AHA) is being launched to improve, streamline and scale up reform interventions espoused in the HSRA and implemented under F1. What is the over –all goal of the Universal Health Care pursuit?

The implementation of Universal Health Care shall be directed towards ensuring the achievement of the health system goals of better health outcomes, sustained health financing and responsive health system by ensuring that all Filipinos, especially the disadvantaged group in the spirit of solidarity, have equitable access to affordable health care.

This is a data bank and an information management system managed by the Department of Social Welfare and Development (DSWD) that identifies who and where the poor are.

National Household Targeting System

As the public health nurse, you should know if all of the strategies being implemented in the UHC are effective. Which of the following is an indication that UHC was effective?

More people are living a healthy lifestyle

DOH offices shall be clustered according to the three major strategic thrusts of UHC especially in ensuring access to health by the poor. Which cluster takes care of attaining the Millennium Development Goals?

Policy, standards and regulation cluster

Improved access to quality hospitals and other health care facilities shall be achieved by all of the following EXCEPT:

Provision of financial mechanisms drawing from public sector

The management of solid wastes in the Philippines currently is undergoing several important changes. Hospitals provide four types of trash bags. In addition, hospitals were required to match the color of the plastic bag to the color of the storage receptacle to facilitate efficient collection. In a green trash bag, what type of garbage should be thrown?

Non-infectious wet waste or biodegradable/compostable waste

Under Section 2 of Presidential Decree No. 825 (providing penalty for improper disposal of garbage and other forms of uncleanliness and for other purposes). Any person, who shall litter or throw garbage or other waste matters in public places shall suffer a fine of not less than Php 100 nor more than Php 2,000 or an imprisonment of:

Not less than 5 days nor more than 1 year

A uniform policy and practical programs to alleviate the living conditions of the population is needed. What is the rule in food safety?

“When in doubt, throw it out.”

Environmental Health mainly focuses on preventing diseases. In cognizant of this fact, what should be the priority nursing action of the public health nurse?

Health education

Which of the following is NOT a description of primary health care?

It is a framework for the implementation of the health sector reform agenda.

Who was the president who signed Letter of Instruction No. 949 which officially adopted primary health care in the Philippines?

Ferdinand Marcos sr

Which is NOT an element/component of PHC?

Adequate Shelter and Housing

This is the framework for meeting the goal of PHC:

Organizational strategy

Health problems beyond the capability of PHC units are referred a Rural Health Unit (RHU). All of the following are members of the RHU team EXCEPT:

Traditional Birth Attendant

A 4-year-old child, who had recently traveled to a malaria-risk area, developed fever with stiff neck. The child can be classified by the public health nurse as:

Very Severe Febrile Disease/Malaria

If a 5-year-old child with a fever of 38.8°C is blood smear positive with no runny nose, the nurse should do the following as forms of specific treatment, except:

Give first dose of quinine

A 3-year-old child that is classified as having Measles with Eye or Mouth Complications should be given which of the following for pus draining from the eye?

Tetracycline eye ointment

A 4-year-old child, who lived in a dengue risk area, develops fever and experienced bleeding episodes from the nose and was tested positive in tourniquet test. The nurse should classify the child under which card color?

Pink

A 5-year-old child who has visible severe wasting and severe palmar pallor should be classified as:

Severe malnutrition/anemia

Joanna recently passed her Licensure,Examination for Nurses in the Philippines. She has,likewise been hired as a Public Health Nurse in one of the Rural Health Units in their City. Nurse Joanna is surveying the population in her community. If she is the only public health nurse hired, there should be only how many people in her community?

20,000

Based on Section 12 of the Magna Carta for Public Health Workers, the public health worker shall have the following rights in every disciplinary proceeding:

all of the above

Nurse Joanna is in close coordination with the other allied health agencies including private hospitals in the municipality. What do you call an organized system where agencies are helping each other in rendering/providing services not available at their respective hospital?

Networking

All public health nurses can be subjected to transfer of geographical reassignment. In the case of Nurse Joanna, which of the following can she lawfully do if she wants to be reassigned in another area?

File her request for reassignment in the same municipality with her husband.

As a public health nurse, Joanna needs to be informed of the benefits that she can avail from her occupation. According to the Magna Carta for Public Health Workers, which is NOT a benefit for a public health nurse?

Longevity pay if she has already worked for 10 consecutive years in the RHU

Nurse Mary Jean utilizes the nursing process while in the community setting. Nurse Mary Jean is conducting assessment in the community. Which of the following is an activity included in assessment?

Developing mutual trust and confidence

This exists when there is a health problem that can be alleviated with medical or social technology.

Health need

Nurse Mary Jean recently checked the immunization records of the members of the community and found out that more than 50% of the population do not have an updated schedule. This is an example of:

Health threat

At this stage of the nursing process, Nurse Mary Jean shifts her role of being a direct care giver to a health educator.

Implementation

Evaluation is interwoven in every nursing activity and every step of the public health nurses. There are three classic frameworks from which nursing care is delivered. Which framework refers to the inquiry of changes or modification of signs, symptoms, and attitudes of compliance among members of the community?

Outcomes elements

A child is brought by the mother to the,health center. The mother reports that her child has been,experiencing diarrhea for 3 days. Upon assessment, the child cries a lot and has sunken eyes, but drinks very eagerly. The child's illness can be classified as:

Some dehydration

A child is brought by the mother to the health center. The mother reports that her child has been experiencing diarrhea for 3 days. Upon assessment, the child cries a lot and has sunken eyes, but drinks very eagerly. In treating the child, the nurse should initially:

Determine the amount of ORS to give for first 4 hours

If the child vomits while the mother is feeding ORS, the nurse should instruct the mother to:

Wait 10 minutes, and then resume feeding the child slowly

In giving extra fluid to the child, which of the following should NOT be given to the child?

Evaporated milk

The nurse instructs the mother to return to the health center for the following reasons EXCEPT:

Follow-up check-up in 2 days

There are other public health programs that the public health nurse must be aware of as they are an important support in the achievement of quality health services in the community. The Department of Health embarked on a Quality Assurance Program (QAP) with the goal of making DOH and LGUs active partners in providing quality health services. QAP was renamed Sentrong Sigla or Centers of Vitality Movement (SSM), also known as SS Phase I. The goal of SSM was:

Quality health care, services and facilities

The following are Core Public Health Programs, except:

Promotion of Healthy Lifestyle

As part of primary health care and because of the increasing cost of drugs, the use of locally available medicinal plants has been advocated by the Department of Health. Which of the following herbal plant is used primarily for diabetes mellitus?

Bitter gourd

Being a country particularly vulnerable to various manmade and natural disasters, the public health nurse should be able to act accordingly when disaster strikes based on the preparedness and response plan. Which of the following is a correct principle of emergency preparedness?

Every hospital should have a regularly updated disaster plan.

Botika ng Barangay (BnB) refers to a drug outlet created to sell, distribute, offer for sale and/or make available low-priced generic home remedies over-the- counter (OTC) drugs. Its main goal is to:

To promote equity in health by ensuring the availability and accessibility of affordable, safe and effective quality essential drugs to all, with priority for marginalized, underserved, critical and hard to reach areas

The Field Health Service Information System (FHSIS) is a major component of the network information sources developed by the Department of Health (DOH)to enable it to better manage in nationwide health service delivery activities. 191. Which is a CORRECT description of the FHSIS?

It is a network of information.

The FHSIS has four basic components. Of this four, which component constitutes the only mechanism through which data are routinely transmitted from one facility to another as performed by the midwife or nurse?

Reporting Forms

The following are purposes of the target/client list EXCEPT:

To provide a community-level data base which can be accessed for further studies

According to the official list forms, what is the code/form for notification of death?

FHSIS/E-1

A Barangay Health Station (BHS) is considered the lowest level of reporting unit where it is expected to report health services provided to its defined catchment area. A BHS can be considered a reporting unit if the following conditions are satisfied EXCEPT:

The BHS includes the satellite BHS.

Community Organizing Participatory Action Research (COPAR) is a social development approach that aims to transform the apathetic, individualistic and voiceless poor into dynamic, participatory and politically responsive community. Community health nurses should be experts in utilizing it. The following are the emphasis of COPAR EXCEPT:

Development and implementation of a specific project more important than the development of the capacity of the community to establish the project

In COPAR, members of the core group are formed via the use of a sociogram. The facilitator nurse should be well aware of persons in the community who are least likely to become leaders are known as:

Isolates

COPAR is a process and it follows a sequence of steps. Which step is also known as the social preparation phase?

Entry phase

Initial site selection is conducted during the pre-entry phase. Criteria for initial site selection includes all of the following EXCEPT:

Economically stable.

Which of the following activities would indicate that the nurse is already at the Sustenance and Strengthening phase?

Community members are already actively participating in community-wide undertakings

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS