問題一覧
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1. Nurse Miya encourages that parents to have their kinds receive measles vaccination stating that those who are susceptible may have serious consequences. She also tells them of the benefits of the immunization. Most parents decide disease that occur among persons who are afflicted with that to have the immunization. Which of the following models is disease is the used to guide parent's decision?
Health Belief Model
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2. In this situation, Nurse Miya notes that the agent in the epidemiolocal triad that brings about measles is the
virus
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3. Nurse Miya has to be alert about the time interval between the invasion by an infection agent and the appearance of the first sign or symptom of the disease. This is referred to as
Incubation period
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4. Should an outbreak of a gastrointestinal illness resulting from a food-borne pathogen happens, Nurse Miya would likely to think that this is a/an:
event-related cluster
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5. Which of the following denotes that resistance of an entire community to an infectious agent as a result of the immunity of a large proportion of individuals to the agent?
Herd immunity
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6. Fifteen (15) new cases of measles have been diagnosed last week in Barangay Carballo. In the same barangay, ten (10) children are currently being treated for measles. What is the incidence of measles?
Unknown
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7. Mortality rate from two communities can be best compared after calculating the
crude rates
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8. Which of the following is a type of rate that has not been modified to take account of any of the factors such as the demagraphic makeup of the population that may affect the observed rate?
crude rate
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9. The term that refers to the number of deaths due to a disease that occur among persons who are afflicted with that disease is the
case-fatality rate
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10. Which of the following refers to the systematic and continuous gathering of information about the occurrence of disease and other health phenomena?
Public health surveillance
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11. In the Philippines, poverty remain a challenge the following are some facts on poverty based on the latest (2015) statistical report. Which statement is NOT included?
28 percent of the country's 97 million people live below the poverty line
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12. In identifying factors that contribution to poverty, homelessness, and poor health of a deprived segment of a population, which of the following should you assess?
Provision of social support and basic services
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13. You have noticed that the population in a poor community has increased including the rise of pregnant women who are undernourished. You coordinate with the local socal welfare department to provide food that are nutritionally adequate. This is considered:
Primary prevention
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14. In another segment of the community, you realize that there are young adult members who have poor nutritional habits. You know that these are risk factors for diabetes and cardiovascular disease. These risk factors can affect their
Health status and employment potential
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15. You have learned that people with mental and psychosocial disabilities are a vulnerable group. Who are restricted in thelr ability to access essential health and social care. In your advocacy, you will indlude the following messages, EXCEPT:
Persons with mental and psychosocial disabilities should be confined in an institution
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16. In the first session, the nurse presented the organization chart of the Rural Health Unit. Which of of the following aspects of organizational structure is illustrated in the chart?
2, 3, 4
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17. The PHN wants to emphasize to the new nurses it is mportant to observe professional accountability which is taking responsibility for one's actions. She explains that accountability can be done by:
2, 3, 4
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18. Accountability also includes a commitment to continuing education to stay current knowledgeable. According to the Suidelines Implementing Continuing Professional Education for Nurses (CPE), from which of the following can a nurse earn credit units?
all of options
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19. The PRIMARY purpose for requiring continuing education is to
Improve nursing competency after registration
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20. To better address emerging public health issues, a public health nurse enrolls in a course in:
Research
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21. The following are objectives of the FHSIS, EXCEPT:
Complete the picture of acute and chronic disease
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23. The monthly field health service activity report is a form used in which of the components of the FHSIS?
Tally report
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22. 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
Family treatment record
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24. In using the tally sheet, the recommended frequency in tallying activities and services is
daily
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25. To monitor dlients registered in long-term regimen such as the Multi Drug Therapy, which component of the reporting system will be most useful?
Target/Client list
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26. Nurse Nika is teaching member of women's club how to erform breast self-examination. She emphasizes the need to nave check-up at the health center if they found out that
there is an irregularly shaped, nontender lump palpable in the left breast
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27. Which statement of Nurse: Nika corectly describes some health promotion needs of the perimenopausal years?
Women should be encouraged to limit alcohol intake because it increases calcium excretion
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28. Nurse Nika observes that there are women who are experiencing abuse by their spouses. What is the goal that the intervention BEST relates to?
Developing and maintaining a healthy sense of self
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29. In an interview with a group of young women, Nurse Nika found out that a client self-induces vomiting after every meal The nurse recognizes that this symptom BEST describes
Bulimia
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30. In the same group of young women, a dient revealed to her that she is a lesbian. What statement by the client indicates that-she needs more information?
I have less risk factors of breast cancer than heterosexual"
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SITUATION 7 - Ms. Layla will be involved in an nterdisciplinary research to be conducted by the city Health Office to address health problems of the population covered To prepare for this tasks, she reviews her knowledge on the research process and research design. 11. Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors will be appropriate?
Cross-sectional
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32. The type of epidemiologic study that is used to describe a group of persons enrolled in a study who share some characteristic of interest and who are followed over a period of time to observe some health outcome is a(n):
Cohort study
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33. The research team will use summary indicators of health as method to depict health status. What is this approach called?
Analytic
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34. Ms. Layla is spedifically assigned to talk individually with community leaders like the primary grade teacher and the barangay official in charge of the health committee. Which data collection method will the nurse use?
Key informant interview
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35. Ms. Layla suggested to use an analytic approach in their research . Which of the following statements BEST describes the analytic approach?
Utilizes health indicators to define population health
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36. The mother asks the nurse when she will be able to begin feeling the fetal movements. You respond by telling the mother that fetal movements will be noted between which of the following weeks of gestation?
16 and 20
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37. The mother asks about gestational diabetes, as she has familial history and was worried about her pregnancy. Which statement by the client indicates a further need for education?
"I need to be in a diabetic diet"
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38. History revealed that there is a history of twins in the amily and the client was asking about the possibility of having twins as well. The nurse replies:
Monozygotic twins Occur by chance regardless of race or heredity.
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39. Nana, the client's mother, was worried that her daughter will have an enormous amount of blood loss during delivery. AS a nurse, the best response would be:
The maximum blood loss considered within normal limits is 500 mL.
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40. During the next visit, the dlient attended a childbirth preparation class and tells the nurse that her lower back has been aching. Which of the following exercises are appropriate for the client?
Pelvic rocking ( low back pain)
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Controlling is a management function in which performance Is measured and corrective action is taken to ensure the accomplishment of goals. 41. Which of the following is a PRIMARY task that should be performed to have an effective control system?
Identify structure, process, outcome standards & criteria
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42. Which of the following is NOT included In the controlling process?
Staff scheduling
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43. Controlling is effective when?
Goals, objectives, and plans are accomplished
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44. Which of the following distinguishing characteristics o standards is NOT induded?
they are subjective measurements
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45. Among the folowing standards, which is considered structure standard?
Staff mix and number are determined by the PHN supervisor.
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45. Among the folowing standards, which is considered structure standard?
c. Staff mix and number are determined by the PHN supervisor.
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46. During a support group meeting, Nurse Donato, in a teasing manner, has made several provocative about your appearance and behavior as a group leader. Select your MOST appropriate response.
"Franky, what you are saying is inappropriate."
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47. "The dress code in this fadility does not include wearing blue jeans while on duty." This statement is an example of using which step in giving constructive critidism?
d. Stating expectations
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48. Which of the following is an example of a barrier to successful negotiation?
Becoming emotional
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49. In one of your meeting you reminded the health center staff that there are quite a number of members in the community who have not reached primary school. Which of the following is the BEST communication intervention for a dlient who is illiterate?
Use symbols and images
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50. You also emphasized that, "communication must be ulturally competent to be effective". Which of the following BEST reflects this statement?
Provide an appropriate environment.
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51. The nurse can enhance leamning towards expert caring by experiencing the process of working with the family that provides possibilities of enriching oneself and others. One such method is through competency-based teaching and leaming. Which of the following learning principles is the LEAST consideration? Leamning is:
A process of absorbing new knowledge and skills
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52. The nurse must recognize that there may be problems of unwillingness to take actions on its health the family's problems or concerns. Which of the following factors may bring this about?
1, 2, 3, &5
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53. Termination of the family-nurse relationship requires a smooth process. The following are strategies that can help with the termination, EXCEPT:
Decrease time between the nurse's visits
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54. Evaluation of the family nursing care plan allows the nurse to engage in critical thinkingto determine if the plan is working. Summative evaluation is done
at the end of the family-nurse relationship
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55. W hich two interventions are most commonly used by public health nurses like Nerissa who are caring for familles and which can be subject for evaluation?
2, 3
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Risk factors include genetic and physiological factors, age, physical environment and lifestyle. 56. The presence of any of these risk factors means that
The chances of getting the disease are increased
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57. A nurse indudes well-being in her definition of health. What will the focus be when the nurse provides careto a family confronting the imminent death of a family member?
Reinforcing the need for the whole family to adapt to the impending death
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58. In the care of families, crisis intervention is an important part of
Secondary prevention
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59. The Nurse asks Luffy, who is being admitted in a district uncontrolled diabetes mellitus, about his with hospital, employment status. She knows that
Diabetes mellitus will affect his client's work condition
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60. During a home visit, a member of the family who has been using marijuana for three years tells the nurse that he wants to be " detoxified." It is important for the nurse to
Realize that the patient is ready for change
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Nurse Armin is preparing a smoking cessation class and believes that her class will convert many smokers to nonsmokers once they get all the information. 61. Which of the following health care models guides her thinking?
Health Belief Model
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62. Many variables influence a client's health beliefs and practices. Internal and external variables influence how a client thinks and acts. An example of an intemnal variable would be
perception of functioning
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63. The health care model that utilizes Maslow's hierarchy as its basis is the
Basicl human needs
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64. Nurse Armin's health education programs for smoking cessation is considered at what level of prevention?
Primary
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65. Nurse Armin must realize that the MOST effective way to get people to stop smoking o prevent relapse is by
continuous reinforcement and informational support
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Esmeralda has recenty passed the National Licensure Examination for Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of Health. 66. The NDP is open to all nurses who fulfill the following qualifications, EXCEPT:
Must be at least 21 years old at the time of application.
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67. The NDP has been designed by the Department of Health PRIMARY to
18,000
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69. Nurse Esmeralda knows that as NDP nurse, she may be assigned in any of the following areas:
2, 4, and 6
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70. The NDP is a partnership between the DOH and other govemment agencies and organizations. Which of the following Institutions Is NOT included?
Department of Social Welfare and Development
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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. 71. Which of the following statement is TRUE about "bird flu"?
All forms of bird flu can easily cause illness to humans
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72. When humans are infected, the following signs and symptoms of bird flu may appear, EXCEPT:
Chicken rashes
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73. Which of the following is NOT included in the control measures in infected birds?
Transferring of the live poultry in another area or location.
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74. There are measures that should be observed by the humans to prevent bird flu infection. Which of the following is NOT included?
Non-poultry workers should avoid contact with the chickens and ducks as much as possible.
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75. For patients with bird flu infection, health care workers should observe the following, EXCEPT:
Avoid going near the patient as much as possible
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76. Documentation is a critical component to the delivery of healthcare. It is a tool which serves many purposes. Which of the following is NOT included?
Provide material for discussion
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77. When recording the home visit, it is important for the public health nurse to
Follow the agency format for recording and documentation
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78. The nurse should document intelligently and clearly. There are ways to help protect against an allegation of falsifying a medical record. These are the following:
1, 2, 3, 4, and 5
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79. Public health nurses must alinical records must be know that all records have a lifecycle and retention scheduling. retained in the health care facility for:
ten years from last date of servce
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80. Controlled Substances such as drugs dispensed and administered, order and inventory records must be kept in the health care facility for how many years?
Five years
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81, There are a number of considerations when designing program evaluation. The first consideration that influences all other aspects of the process is the
purpose of the evaluation
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82. The nurse will conduct an evaluation of an existing evaluative mechanisms were not established during program. Which describes this type of evaluation?
Retrospective
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83. What is referred to as an evaluation conducted after project implementation?
Summative evaluation
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84. An evaluation area concerned with analyzing whether the goals and objectives of the project were met is
Program-based evaluation
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85. What is considered as the BEST indicator to the final measure of the effectiveness of community empowerment efforts?
Community members are induded in decision or policy making
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The Department of Health reported that Filariasis is endemic in 45 out of 78 provinces in the Philippines. ou are assigned in the province of Saranggani, one of the endemic areas. You know that Filariasis carries social stigma owing to the disfiguring appearance brought by the disease. 86. You call that Filariasis is caused by parasitic nematode known as
Wucheria bancroft
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87. The disease is transmitted to a person through bites of an infected female mosquito, known as
d. Aedes poecillus
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88. You receive a 36-year-old man who was brought by his wife to be tested for Filariasis. The most likely diagnostic test that he will undergo is
a. Immunochromatographic test (ICT)
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89. A client in the ACUTE stage of Filariasis will include which of the following dinical findings?
d. Lymphangitis, lymphadenitis, epididymitis
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90. Effective methods that the govemnment would likely to pursue to eliminate Filariasis in the country are all of the following, EXCEPT:
Vaccination off all susceptible in risk areas and high-risk populations.
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91. Nurse Chopper is visiting a family with a child who recently became a paraplegic. He suggests some home modifications to accommodate the child's disabllity. What level of family-focused intervention the nurse has suggested?
Tertiary prevention
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92. Which of the following programs is an example of secondary prevention?
Immunization of persons exposed to infectious disease with immunoglobin G within 2 weeks of exposure.
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93. As a result of an outbreak of influenza in Barangay Kuliglig Nurse Chopper encourages the residents of the community to receive the influenza vaccine. W hich level of prevention is being used?
Primary prevention
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94. Nurse Chopper explains to the mother the general needs Of a family for adequate nutrition, rest, and physical activity Which level of prevention does this describe?
Primary prevention
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95. Nurse Wilfredo also encounters a female patient wha 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?
Secondary prevention
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Public Health Nurse Mikasa 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). 96. As a researcher, Nurse Mikasa believes that the identification of problem such as diabetes is:
based on immediate problem situation defined by the community and the researcher
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97. In community meetings, Nurse Mikasa 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 urse puts community members as:
co-researchers
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98, The KEY feature that distinguishes participatory research from another sodal research is:
the dialogic approach between the researcher and the people
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99. In terms methodology option, COPAR is essentially
a. Action research