Diagnostic Exam NP1 Flashcards
During the initial planning of the program, Nurse Zico knows that he can collaborate with which of the following persons?
i. Chief of police
ii. Municipal health officer
iii. Guidance counselor of the public high school
iv. SK Chairman
v. Parish priest
vi. NGO representative
A. All but i
B. All but i & vi
C. All but v
D. All but v & vi
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Before making the program plan, Nurse Zico knows that he must understand the factors leading to this behavior of the youth. He understands that the person/s with the most influence on the development of alcoholism among the youth is/are the:
a. Parents
b. Friends
c. teachers
d. Environment
B
Nurse Zico makes a plan for the program. He constructs the program aim as:
a. Total abstinence from alcohol
b. Moderate withdrawal from alcohol
c. One at a time step towards total alcohol withdrawal
d. Total withdrawal from alcohol
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Nurse Zico knows that his advocacy will best work and will be effective if the following principle is used as a guide:
a. Self-help
b. Individual therapy
c. Group-help
d. Group therapy
D
After making a program plan, Nurse Zico decides that a seminar on the legal implications of substance abuse must be implemented. He knows that the person with the ability to handle and implement the activity is the:
a. Municipal mayor
b. Guidance counselor
c. Municipal health officer
d. Chief of police
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Situation: The community health nurse plays an important role in the community as the primary agent of information and dissemination on certain infectious diseases. The following questions apply.
- The community health nurse’s primary concern in the immediate control of hemorrhage among patients with dengue is:
a. Advising low fiber and non-fat diet
b. Providing warmth through light weight covers
c. Observing closely the patient for vital signs leading to shock
d. Keeping the patient at rest.
C
Community health nurses should be alert in observing a Dengue suspect. The following is NOT an indicator for hospitalization of H-fever suspects?
a. Marked anorexia, abdominal pain and vomiting
b. Increasing hematocrit count
c. Cough of 30 days
d. Persistent headache
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An important role of the community health nurse in the prevention and control of Dengue Hemorrhagic- fever includes:
a. Advising the elimination of vectors by keeping water containers covered
b. Conducting strong health education drives/campaign directed toward proper garbage disposal
c. Explaining to the individuals, families, groups and community the nature of the disease and its causation.
d. Practicing residual spraying with insecticides
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Which of the following is the most important treatment of patients with Dengue H-fever?
a. Give aspirin for fever
b. Replacement of body fluids
c. Avoid unnecessary movement
d. Ice cap over abdomen in case of melena
B
Which of these signs may NOT be REGARDED as a truly positive sign indicative of Dengue H-fever?
a. Prolonged Bleeding Time
b. Appearance of at least 20 petechiae within 1 cm square
c. Steadily increasing hematocrit count
d. Fall in the platelet count
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Situation - Barangay Pablos is a barrio located on the far-east side of the municipality of San Juan. Narda, the community health nurse, developed an advocacy leaning towards mental health promotion.
To grasp the community’s overall mental health status - the incidence and prevalence of mental illnesses – Narda employed epidemiological studies. In this situation, incidence refers to the number of:
a. New cases of mental illness over a specified period of time in the population at risk
b. New cases of mental illness in the total population
c. People at risk to develop mental illnesses
d. All existing cases of mental illness over a specified period of time in the population
A
Primary prevention entails mental health promotion. This activity can be considered consistent with the principle of:
a. Autonomy
b. Interdisciplinary care
c. Multidisciplinary care
d. Self-help
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Nurse Narda understands that primary prevention is a very important concept especially in terms of his advocacy. He applies this concept through:
a. Program development and intervention for adolescents
b. Reducing the rate at which new cases of mental illness develop
c. Early treatment of new cases of mental illnesses
d. Case-finding for the population at risk for mental disorder
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Nurse Narda understands that using the public health model, his patient is the:
a. Individual
b. Family
c. Community
d. Country
C
Situation – PHN Anya works in Barangay Mani in the Municipality of Waku-waku. One day, a neighbor summons her to attend to a 7-year old boy with high grade fever.
Upon reaching the house, a local herbolaria, Nanay Milagros was already attending to the boy. She said that the boy played near the river and the bad spirits entered his body. The LEAST appropriate remark the nurse makes is _________.
a. “Go on. Do what you have to do, then I will take over.”
b. “Nanay Milagros, your intervention is entirely wrong.”
c. “It’s good you’re here. You can drive away the spirits that entered the boy’s body.”
d. “You have to be sure that all the evil spirits have been driven out of the boy’s body.”
B
After a few minutes, Nanay Milagros took a big bowl of soup and gave it to the boy. The boy vomited but Nanay Milagros continued to feed him. The BEST remark of the Nurse is __________.
a. “I also drink soup when I get sick. How about you, Nanay Milagros, do you do the same?”
b. “The soup could have been better if you put lemon grass on it.”
c. “You have to stop feeding him because he might aspirate the soup.”
d. “That’s correct. Increasing fluid intake will help lower down temperature.”
C
Finally, Nanay Milagros took out from her pocket a dried rose flower and placed it on the boy’s forearm. She was about to cut the patient’s forearm. What would Nurse Anya do first?
a. Let it go
b. Tap Nanay Milagros’ shoulder
c. Ask the herboloria the rationale for the intervention
d. Explain the possible
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Situation – Nurse Navarrete takes care of the Ramos extended family who resides in the house owned by Nilda’s mother, Marta. Nilda tends a variety store is married to Ramon, a government employee. They have four children: Lester, 20 years old; Gina, 18 years old; Alex, 15 years old; and Celine, 12 years old. Lester is a working student of his second year in computer technology course. Gina is a high school graduate; Alex is in third year high school and Celine is in Grade six. There is one year old baby girl who is a daughter of Gina. Gina, however, could not pinpoint the one who sired her child in as much as she had multiple sex partners. This angered Ramon.
Though he recognizes the remorse of his daughter, Ramon still feels confused regarding the situation. He said he tried his best to support his family and had always been considerate and kind. He and his wife would always give them reminders and advice calmly and never in a nagging manner. But still they failed as parents. The possible nursing diagnosis of Nurse Oscar of his family is
a. Interrupted family process
b. Impaired parenting
c. Parental role conflict
d. Ineffective role performance
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Nurse Navarrete ’s conversation with Gina revealed that the young woman still suffers from a syndrome of failure: failure to complete one’s normal growth and development, failure to complete education, failure to establish a vocation and become independent and failure to have a life. The nurse Oscar’s intervention to this problem is .
a. Linear approach with regards to the individual in the context of the family, community and culture that will combat shame and guilt
b. Lay down the foundation of a future by trusting human association and developing mutual trust initially with the nurse, then the family, and eventually the whole community
c. Focus on the factors that will help protect Gina towards proximal stimuli for healthy growth and development to develop her resiliency in confronting current and future problem
d. Transform interactions among family members, strengthen specific roles and functions to strengthen family system in order to eventually cope
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Collecting data and monitoring the health status of the population defines which of the core public health functions?*
a. Assessment
b. Prevention
c. Assurance (availability of services)
d. Policy development
A
