Nursing Practice I - Community Health Nursing

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Questions and Answers

In what year was the Philippine Nurses Association (PNA) established?

1926

1922 (correct)

1950

1940

Which definition of nursing is incorrect according to Miss Perez?

Diagnosing, treating, prescribing medication and doing minor surgery (correct)

Assisting in basic health needs

Assisting individual, family, and community in attaining health

Establishing nursing diagnosis and implementing nursing care

Which characteristic does NOT apply to the PNA as a national nurses’ association?

Advocating improved work and life condition of nurses

Both a professional body and labor union

Providing nursing education and training programs (correct)

Affiliated with the International Council of Nurses

What should a nurse file to express their intention to quit after completing their contract?

Resignation letter Signup and view all the answers

How many Continuing Professional Education (CPE) units are required for license renewal in three years?

45 units Signup and view all the answers

What is the required advance notice period for a nurse planning to resign from their job?

30 days Signup and view all the answers

What certificate must a nurse present upon returning to work after a sick leave?

Medical certificate Signup and view all the answers

Which of the following vaccines should not be stored at the body of the refrigerator?

BCG Signup and view all the answers

What is false regarding tetanus toxoid immunization during pregnancy?

Clostridium tetani is present in sterile environments. Signup and view all the answers

What certificate shows that a nurse has met the requirements to practice as set by the Philippine Government?

Nursing License Signup and view all the answers

Which of the following statements about diphtheria is incorrect?

Children born to mothers with diphtheria are immune. Signup and view all the answers

Which vaccinations should a 13-week-old child have received prior to a check-up?

BCG, OPV1, DPT2, HepB2 Signup and view all the answers

What is a common misconception about the storage requirement of the DPT vaccine?

It is safe to freeze the DPT vaccine. Signup and view all the answers

Which of the following is false regarding the transmission of diphtheria?

It cannot be transmitted through food. Signup and view all the answers

What statement correctly describes the handling of vaccine supplies in a health center?

Expiring vaccines should be used first in administration. Signup and view all the answers

Which statement about the Expanded Program for Immunization is false?

It only focuses on children under five years old. Signup and view all the answers

What is the hallmark of Rubella infection?

Lymphadenopathy Signup and view all the answers

Which of the following statements accurately describes the lymphadenopathy associated with Rubella?

The post cervical and post auricular nodes are enlarged Signup and view all the answers

What feature should Clarisse document in a child diagnosed with Rubella?

Forscheimer spots on the soft palate Signup and view all the answers

What should the mother understand about the risk of Rubella from playmates?

Uncertified immunization poses a high risk for exposure Signup and view all the answers

Which management strategy is not appropriate for Ebola virus infection?

Home care with close-door policy Signup and view all the answers

How is the Zika virus primarily transmitted?

Through mosquito bites Signup and view all the answers

What is a common symptom associated with the Ebola virus infection?

High fever Signup and view all the answers

What is the case fatality rate of the Ebola virus infection as observed during recent outbreaks?

50% Signup and view all the answers

Which complication is commonly associated with adults who have had a history of the Zika virus?

Guillain-Barre Syndrome Signup and view all the answers

What is the correct P value if the alternative hypothesis has a 1 in a hundred chance of accepting the null hypothesis?

P=0.01 Signup and view all the answers

What should the nurse tell a 16-year-old female client who is not sexually active regarding the need for a Papanicolau test?

No, because she isn’t sexually active Signup and view all the answers

Which statement indicates a need for further teaching for a client with AIDS on HAART therapy?

I should take my HAART medications with meals Signup and view all the answers

During abdominal assessment, what is the correct sequence for the nurse to follow?

Inspection, auscultation, percussion, palpation Signup and view all the answers

Which statement reflects correct understanding of Dengue among student nurses?

20 or more petechial spots inside a 2.5 cm2 box may indicate presence of bleeding according to the principle of the Rumpel lead test Signup and view all the answers

What is the recommendation for women around the age of 45 for breast cancer detection according to guidelines?

Have a mammogram annually Signup and view all the answers

What accounts for the difference in case fatality rates between MERS-COV and SARS?

The presence of renal involvement in MERS-COV Signup and view all the answers

Which instruction should a nurse emphasize when discussing skin cancer prevention?

Stay out of the sun between 1 pm and 3 pm Signup and view all the answers

Which symptom is important for diagnosing Exanthema Subitum in a child?

My child has a high fever followed by a rash Signup and view all the answers

What is the primary symptom that differentiates Dengue from other fever-causing illnesses?

Severe joint and muscle pain Signup and view all the answers

What level of prevention does establishing a physical exercise area in the workplace represent?

Primary prevention Signup and view all the answers

When managing a patient with AIDS, which of the following should be monitored to prevent complications?

Liver function tests Signup and view all the answers

What should be the foremost consideration for selecting chemical agents for disinfection as an OR nurse?

Efficacy in microbial elimination Signup and view all the answers

Which of the following is NOT a potential sign of severe Dengue infection?

Warm and dry skin Signup and view all the answers

Study Notes

Expanded Program for Immunization

Public health nurses implement vaccination programs weekly to enhance children's immunity against preventable diseases.
Requesting vaccine supplies is essential for maintaining immunization rates in communities with significant populations.

Vaccine Storage

BCG, DPT, OPV, and Hepatitis B require specific storage conditions, with particular consideration for differing temperature needs.

Tetanus Toxoid Immunization in Pregnancy

Tetanus can be transmitted through contaminated umbilical cords.
Pregnant women typically receive two doses of tetanus toxoid during their first pregnancy for protection.

Diphtheria Health Teaching

Diphtheria presents with a distinct grayish membrane in the respiratory tract.
Transmission occurs via droplet method, and maternal infection does not confer immunity to the newborn.

Vaccination Schedule for Infants

A 13-week-old child would have received specific vaccines according to age-appropriate schedules (BCG, OPV, DPT, HepB).

Rubella Infection

Characterized by lymphadenopathy, particularly the enlargement of post auricular and post cervical nodes.
Typical exanthem known as Forscheimer refers to specific lesions located on the soft palate.

Ebola Virus

Discovered in 1978, re-emerged in 2014 with a high case fatality rate; symptoms include high fever and internal bleeding.
Management includes intensive fluid replacement, isolation, and contact tracing to prevent outbreaks.

Zika Virus

Transmitted via mosquitoes, notably Aedes aegypti; complications include microcephaly in infants and Guillain-Barre syndrome in adults.

AIDS Treatment and Management

HAART requires monitoring of liver function and patient adherence to medication without loosening precautions in social settings.

Dengue Fever

Diagnosis confirmed through clinical tests rather than a complete blood count, with specific criteria for petechial spots indicating bleeding.

SARS and MERS-COV Comparison

MERS-COV has a higher case fatality rate linked to severe respiratory complications and renal involvement compared to SARS.

Roseola Infantum

Also known as sixth disease, it causes high fever followed by rashes, primarily affecting infants between 6 to 24 months of age.

Nursing Profession Development in the Philippines

The Philippine Nurses Association (PNA) was established to advocate for nurses' rights and conditions since 1922.
Continuing Professional Education (CPE) units are required for nursing license renewal, with specific unit expectations over three years.

Resignation Protocols

Nurses must submit an advance notice before resigning, typically 30 days, to terminate their employment correctly.

Licensing and Certifications

A nursing license is required to practice legally in the Philippines, which certifies that the nurse meets government requirements.

Health Promotion Responsibilities

Nurses should assist clients in recognizing their health needs, provide guidance on screenings, and promote preventive measures for diseases.

Physical Examination Techniques

Abdominal assessments require the correct sequence: inspection, auscultation, percussion, palpation, to avoid altering bowel sounds.

Cancer Detection Guidelines

Women aged 45 should be recommended to have mammograms annually and perform self-examinations as part of breast cancer prevention strategies.

Workplace Health Promotion

Establishing exercise areas reflects primary prevention efforts to promote health and wellbeing among employees.

Disinfection in Peri-operative Nursing

Key considerations for selecting chemical disinfectants for operating rooms involve the effectiveness, safety, and compatibility with materials used in surgical environments.

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Description

Test your knowledge with this quiz on Community Health Nursing as part of the Nurse Licensure Examination. This quiz covers essential topics that every nursing professional should be familiar with, including the Expanded Program and key practices in community health. Mark your answers carefully, as no erasures are allowed!