Recalls 4.docx PDF

**COMPREHENSIVE PHASE - R4 (NP1)** Total points75/100   Situation 1 8 of 10 points The family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.   1\. In conducting a family ass...

**COMPREHENSIVE PHASE - R4 (NP1)** Total points75/100   Situation 1 8 of 10 points The family Nursing Care Plan is designed to provide ways in solving health-related problems of the family as a whole. The nursing process is used to make this type of care plan.   1\. In conducting a family assessment, which source of data would be MOST helpful? A. Input from other members of the health team. B. Information from other cooperating health care agencies. C. Review of family members' charts and medical record data. D. Observation and interaction with the family members.   2\. In completing a family assessment, the public health nurse should BEGIN by \_\_\_\_\_\_\_\_\_\_\_. gathering the health data from all family members  Testing the family's ability to cope evaluating communication patterns Identification of the geographic location of resources for the family.   3\. Which of the following would be better understood by the nurse after using a FAMILY MAP? A. Roles and relationship within the family  A. Recognition of the leade who speaks for the family. B. Description of the social and economic status of the family. C. Identification of the geographic location of resources for the family.     4. The nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an outstanding organizer. Which of the following goals is the nurse trying to achieve by making this statement?   A. Making then husband proud that he had married his wife. B. Reinforcing for the family some of the strengths of one of their family members. C. Encouraging the wife to volunteer to follow through on all the needed actions. D. Making the wife feel very complimented and proud.   5\. In implementing family-centered care, the public health nurse \_\_\_\_\_\_\_\_\_\_\_\_\_.   A. works with clients to help them accept limitations for their actions. B. assists family members to assume dependent roles C. offers information about necessary self-care abilities. D. provides his or her own beliefs on how to solve problems      6. Public Health Nurse Silang is educating a group of residents in Community Marahas about RABIES. A participant asks, "How can you get the virus?" The Nurse explains that the virus can be transmitted by which source?    A. Saliva B. Blood C. Urine D. Stool 7\. She emphasized that the bites, which are responsible for nearly 99 percent of human rabies infections, are those of the infected \_\_\_\_\_\_\_\_\_\_.    A. monkeys B. dogs C. bats D. cats 8\. Nurse Silang explains that there are situations which increase the risk of rabies. These are \_\_\_\_\_\_\_\_.    A. stray of dogs B. All of these C. unprovoked bites D. animals display abnormal behavior   9\. In another health education session, Nurse Silang explains about LEPROSY. Which of the following should be included?  1\. leprosy is curable  2\. not all leprosy patients are infectious  3\. leprosy is hereditary 4\. casual contact with a patient causes leprosy  5. regular and adequate treatment is essential    A. 1, 3, 5 B. 2, 4, 5 C. 1, 2, 5  D. 2, 3, 4 10\. Nurse Silang stated that a definitive diagnosis of leprosy is obtained through \_\_\_\_\_\_\_\_\_.   A. blood examinations B. tuberculin testing C. skin smears/ biopsies D. nasal smears   Situation 2   3 of 5 points  Nurse Nikito is assigned in a disaster- prone province in the Visayas. He is aware that with increase frequency of disaster happening, he has to respond quickly and efficiently to assist the population affected by calamities.     11\. Which of the following BEST defines a disaster?   A. Any event Sthat results in multiple deaths. B. Devastation that covers a broad geographic area. C.Devastation that cannot be relieved without assistance. D. The event results in multiple injuries, deaths and property damage      12\. Nurse Nikito is guided by the ICN framework of disaster nursing competencies. This framework consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster. What consists of the FIRST stage?   A. Response B. Preparedness C. Prevention D. Recovery 13\. Nurse Nikito has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following BEST describes the purpose of this meeting? To \_\_\_\_\_\_\_.    A. Enhance communication among agencies in the community B. Increase stability in the community C.Manage response to disasters in the community D. Improve overall community functioning  14\. Nurse Nikito adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk ensuing a disaster, which of the following in the MOST appropriate approach?   A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel better. " offering oneself: active listening B. "What you need to do now is to wait for instructions and services to be provided." C. "Don't feel bad. Others are in the same situation as yours." D. "You need not cry. You need to move on and build your life again." 15\. As he passed by a road going to an evacuation center, Nurse Nikito encountered a flash flood. A flash flood \_\_\_\_\_\_\_.   A. Occurs suddenly and for a short duration B. Is caused by the blocking of drains C. Is caused by heavy rains D. Occurs in urban areas Situation 3 5 of 5 points Albert is a 15-year-old adolescent who lives with his mother father, and several siblings. He is hospitalized in a provincial hospital after a suicide attempt.   16\. When performing a family assessment, select what the nurse must first determine.   A. How the family expresses and manages emotions B. The communication patterns between the patient and parents C. Names and relationships among family members D. The meaning that the patient's suicide attempt has for family members 17\. Which of the following is the BEST QUESTION for the nurse to ask to assess a family's ability to cope?   A. "Do you think your family copes effectively?" B. "What do you think of the current family problem?" C. "What strengths does your family have?" D. "Can you describe how you successfully handled one family problem?" 18\. The mother of Albert asks the nurse, "Why do you want to do a family assessment? My teenager is the patient, not the rest of us." What is the BEST response of the nurse?   A. "Family dysfunction might have caused the mental illness." B. "Every family member 's perception of events is different and adds to the total picture." C. "Family members provide more accurate information than the patient." D. "Family assessment is a ~~protocol~~ for care of all patients with mental illness." 19\. Which information is the nurse MOST likely to find when assessing the family of a patient with mental illness?   A. Power in the family is maintained in the parental dyad and rarely delegated. B. Several family members have serious problems with their psychological health. C. Stress that living with a mentally ill member has challenged the family's function. D. The family exhibits many characteristics of dysfunctional families. 20\. Parents of Albert say, "We have never known anymore who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Which of the following is the nurse's MOST helpful intervention?   A. Facilitate achievement of normal developmental tasks of the family. B. Build the parent's self-concept as coping patterns. C. Teach the parents techniques of therapeutic communication. D. Refers the parents to a support group.   Situation 4 4 of 5 points In public health service, good record system is important in the delivery of quality care to clients. As a public health nurse, you have the responsibility of assisting in the preparation, maintenance of good records and reports.    21\. You want to distinguish between records and reports. As applied to public health, the following are the type of RECORDS, EXCEPT \_\_\_\_\_\_\_.    A. Events such as births, illness, deaths B. Analysis of a problem situation REPORT: NARRATIVE, GRAPHIC, OR TABULAR FORM C. Clinic consultation D. Written data on home visit 22\. REPORTS are prepared usually for administrative purposes. Which of the examples below is NOT a report?   A. Summary of services delivered B. Accomplishments and failures of services C. Description of a program and planned services D. Client information and profile   23\. There are commonly used record and reports in public health nursing practice. The individual clinical record contains which of the following information?  1\. Socio-demographic characteristics  2\. Patient's chief complaint  3\. Physical Examination findings  4. Prescription of drugs  5\. Frequency of clinic check up  6. Attendance to community settings   A. 1, 3, 5, 6 B. 1, 2, 3, 4  C. 1, 2, 4, 5 D. 3, 4, 5, 6   24\. The family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. The FSPR consists of four parts, the FIRST being \_\_\_\_\_\_\_\_\_.   A. Health and nursing problems B. Nursing care plan C. Assessment of the family and the environment D. Service and Progress Notes 25\. Which of the following relates to the family's NURSING PROBLEM?   A. Inability to assume health tasks with respect to health problems B. Crisis situation or developmental deficite C. Health threats, risks or hazards UMBRELLA TERM D. Strained relationships or disunity Situation 5 2 of 5 points Ms. Mahilom, a public Health Nurse Supervisor, is a preparing a supervisory plan for midwives under her charge. A supervisory plan is a written document on how to organize and systematizes supervisory activities.       26. The need for supervision may arise from the following:  1\. Lack of motivation 2\. Conflict between personal and organizational goals. 3\. Lack of knowledge and skills  4. ~~Desire for promotion or job permanency ~~ 5\. Achieve health goals ~~for the agency~~    A. 2, 3, 5  B. 1, 3, 4 C. 1, 2, 4 D. 2, 4, 5   27\. Ms. Mahilom would require information regarding the supervisory needs of the midwives which can be taken from which of the following?  1\. Review of records and reports  2\. Interview of the midwives  3\. Review of literature  4\. Observation of the midwives at work  5\. Results of survey among the staff   A. 2, 3, 5 B. 1, 3, 4 C. 1, 2, 4  D. 2, 4, 5 28\. Ms. Mahilom prioritizes supervisory needs and problems based on the following criteria, EXCEPT \_\_\_\_\_\_\_\_.   A. ~~convenience~~ to both parties to address needs B. degree of importance of the identified need C. availability of resources needed D. activities needed to meet the identified need 29\. During the actual supervisory visit, which of the following is NOT expected of Ms. Mahilom? She \_\_\_\_\_\_\_\_.   A. discusses the objective of the visit B. expresses appreciation and support given for the visit C. conveys a formal, strict approach to the midwives D. explains the process and outcomes of the visit    30\. After setting the objectives and selecting the activities, Ms. Mahilom would need to identify the indicators for evaluation. Which one is NOT included?   A. Needs met   B. Performance increased ~~C. Promotion achieved~~ D. Quality of service improved Situation 6 3 of 5 points As a public health nurse, Ms. Sisa intends to focus on a specific population to advocate, educate, collaborate with members from a community to improve health of the people   31\. Nurse Sisa collects data and monitors the health status of the population. Which of the following core public functions is being implemented?   A. Assurance B. Policy development C. Assessment D. Prevention   32\.. Nurse Sisa included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following BEST describes this data?   A. Health status data B. Health care resource information C. Health risk factors D. Sociodemographic data A close up of a text Description automatically generated 33\. Working in the community with an aggregate/population, who does Nurse Sisa MOST likely to interact with?   A. Students in a local high school B. Patients at the local hospital C. Residents who play basketball D. Christians in the community  34\. Nurse Sisa has a clear understanding of population-focused practice. Which of the following characteristics would she MOST likely display?   A. Improving the effectiveness of care provided B. Sponsoring a fund-raising project C. Volunteering for a community action D. Providing health interventions for individuals   35\. Nurse Sisa is working to improve population-focused care in the community. Which of the following BEST described a key opportunity for nurses like her to accomplish this goal?    A. Assuming traditional nursing roles B. Conducting community assessments C. Specializing in community health practice D. Influencing public health policy Situation 7 2 of 5 points  Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may also questions about end-of-life care. Nurses are often the one working closet with patients and families while administering care.      36\. What is the appropriate approach for the community/public health nurse in balancing individual privacy and community's needs for safety and security?   A. Fulfill agency policies first. B. Implement professional standards of nursing practice. C. Remember the group needs outrank individual needs. D. Seek a balance between individual's need and the community's needs.     37\. In regard to informed consent, which of the following statements is TRUE?   A. Client may not be told about costs and alternatives to treatment. B. Consent must be voluntary. C. Only parents themselves should give consent for minor children. D. Legally incompetent adults can give consent   38\. The client has a living will in which he states he does not want to be kept alive by artificial means even at home. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to:   A. Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate. B. Tell the family that they have no legal rights. C. ~~Report~~ the situation to the hospital's Ethics Committee. D. Advise the family that they have the right to ignore the living will as the patient cannot speak.    39\. During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of \_\_\_\_\_\_\_\_\_\_\_\_.    A. malpractice B. reasonable prudence C. maleficence D. negligence   40\. Which of the following examples would indicate observance of client confidentiality?   A. Reading a friend's chart in another health care facility. B. Describing a difficulty with a client in a health team conference. C. Using a client's name in a social conversation. D. Talking about the client's symptoms in front of family members. PHYSICIAN, SUCCEEDING NURSE   Situation 8 3 of 5 points Non Communicable Diseases (NCDs) remain to be the major health challenges in the Philippines and globally. The specific population group that are mostly afflicted by these chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.       41. When caring for a patient with type 2 diabetes who has been discharged, which topic will be MOST important to include in your health teaching?   A. Impact of the patient's family history on likelihood of developing diabetes. B. Symptoms indicating that the patient should contact the health care provider. C. Effect of endogenous insulin on transportation of glucose into cells D. Function of the liver in formation of glycogen and gluconeogenesis   42\. To obtain the MOST complete information when doing an assessment for a 75-year-old patient, you will \_\_\_\_\_\_\_\_\_.   A. ask the patient to write down medical problems and medications B. use a geriatric assessment instrument to evaluate the patient. C. interview both the patient and the primary patient caregiver D. review the patient's chart for the history of medical problems   43\. Which information about a 77-year-old patient who is being assessed by the public health nurse us of UTMOST concern? The patient \_\_\_\_\_\_\_\_\_\_.   A. says, "I don't go on my daily walks since I had pneumonia two months ago." B. tells the nurse, "I prefer to manage my life without much help from others." C. uses three different medications for chronic heart and joint problems. D. organizes medications in a marked pillbox "so I don't forget them."   44\. When caring for an older adult who lives in a rural area, you will \_\_\_\_\_\_\_\_\_\_\_\_.    A. ensure transportation to appointments with the health care provider. B. Assess the patient for chronic diseases that are unique to rural areas. C. obtain adequate medications for the patient to last for 4 to 6 months. D. suggest that the patient move to an urban area for better health care 45\. Which of these patients assigned to you is MOST LIKELY to need planning for long-term nursing management?   A. 71 year-old with appendicitis who has had an emergency appendectomy. B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg) C. 54 year-old with cholecystitis who has had a laparoscopic cholecystectomy D. 62 year-old with acute sinusitis who will require antibiotic therapy for 5 days  Situation 9 1 of 4 points  Assessment at the community-level of care is a multidisciplinary undertaking that involves the member of the health team. The public health nurse uses data that have already been collected and are available and or gathers primary data for community diagnosis      46. Assessment is the first step in the nursing process. In the setting, which of the following objectives of assessment by the public health nurse is NOT included?   A. Identify specific risk factors related to health and health problems. B. Define the nature of the health status and health-related problems   C. Identify clients who should be given priority for care. AFTER DATA COLLECTION AND ANALYSIS D. Determine who should be referred to different health care facilities.    47. Conducting a community assessment leads to a community diagnosis, its products consists of a profile of the community's state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST common method of data collection that is accurate and provides the biggest bulk of community data is the \_\_\_\_\_\_\_\_.   A. Observation B. Community census C. Interview D. Records review     48\. The data on health and disease can be gathered from different sources. Which of the following sources provide a MOST accurate set of data?   A. Population health profile from school and factory clinics. B. Births and death from city/municipality registrar. C. Morbidity data from filed personnel. D. Mortality cases from medical death certificates. 49\. Data analysis involves qualification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as:   \ A. Health resources problems B. Health status problems C. Health-related problems D. Comprehensive problems  Situation 10 1 of 1 points Collaboration is being able to work cooperatively and efficient with co-workers and any other people the nurse may have to interact with. This includes other health professionals, clients, and their families and communities     50\. With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem?   A. Modifiability of the problem B. Preventive potential C. Magnitude of the problem D. Nature of the problem A close-up of a white background Description automatically generated Situation 11 4 of 5 points Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care.      51\. Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing:   A. Increasing salary scale for nurses. B. Improved public image of nurses in social media C. Increasing number of nurses with doctoral degree D. Demonstrate competency and high- quality care    52. Which of the following is the MOST important element in nursing's attempt to gain full autonomy of practices?   A. Maintaining the education system for nurses as it is now B. Economic well-being and welfare of nurses C. Restricting the latitude of decisions made by nurses D. Gaining and maintaining control of nursing practice by nurses    53\. What is the BEST method for nurses to prepare for future professional practice?   A. Train other health care workers to whom delegation of tasks can be given. B. Understand and explore the issues involved in professional practice C. Establish a coalition with professional health organizations D. Take additional courses in the use of computers and telemetry   54\. What allows a nurse to exert legitimate power over a client when providing nursing care?  \ A. The ability to perform procedures to alleviate patient's discomfort B. The ability to provide the client and family ~~incentives and for self care~~ C. The power given to the nurse by reason of licensure examination and registration D. The establishment of a professional and personal relationship with the client   55\. A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive?   A. Career counseling B. Continuing education C. Pre-employment education D. In-service education   Section 12   3 of 5 points The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined improvement process, such as the PDCA which is focused on activities that are responsive to community needs and improving population health." Public Health Nurse Rosita learned this management process during her undergraduate studies in Nursing     56\. The acronym PDCA stands for \_\_\_\_\_\_\_.   A. Plan-Do-Check-Act A. Program-Design-Check-Act B. Plan-Draft-Certify-Act C. Prepare-Do-Check-Achieve   57\. Public Health Nurse Rosita will use the PDCA when :  1\. Working towards continuous improvement 2\. Implementing any change 3\. Developing a new design of a process or service 4\. ~~Completing~~ a designed project DEVELOPING A NEW DESIGNED PROJECT 5\. Planning data collection and analysis to prioritize problems   A. 1, 2, 4 B. 2, 3, 4 C. 1, 3, 4, 5  D. 1, 2, 3, 5   58\. Using the PDCA cycle as a model for defining most of the work processes the following are some areas of its applications, EXCEPT \_\_\_\_\_\_\_\_\_\_\_\_   A. Needs analysis B. Overall strategic planning C. Staff goal setting and evaluation D. Delegation of work to lower levels   59\. Public Health Nurse Rosita knows that the purpose of continuous quality improvement (CQI) is to \_\_\_\_\_\_\_\_\_\_\_\_\_.    A. Provide opportunity for staff members to participate in self-governance B. Restructure health care delivery to improve ~~cost savings~~ C. Deliver appropriate nursing care at tertiary level of service D. Monitor processes involved in the provision of safe, effective client care 60\. Public Health Nurse Rosita is implementing quality performance standards in a public health department. Which of the following BEST describes the importance of this action? Quality performance standards \_\_\_\_\_\_\_\_\_\_\_.    A. Can be used as hiring guidelines for nurses B. Are used to guide improvement in the public health system C. Guide administrators to monitor public health at the national level D. Rigidly control public health Situation 13 3 of 5 points  The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy.      61\. Occupational health services can make a significant contribution to government initiative. These include the following, reducing:  1\. Health ~~insurance~~  2\. Health inequalities  3\. Social exclusion  4\. Sickness absence  5\. Overall burden of ill health   A. 2, 3, 4, and 5  B. 1, 3, and 4 C. 2, 4, and 5 D. 1, 2, 3, and 4 62\. The nurse is a key figure involved in delivering quality occupational health services. She/He works independently or as part of a larger interprofessional health team. She performs, along with others a job safety analysis. In doing such, the following methods may be employed, EXCEPT:   A. Review of records, interviews, surveys B. Walk-through, process and output reviews C. Observation, focused group discussion D. Racial background check     63\. The head of the health team creates a workplace safety report for a new clinic. He makes a strict recommendation to ensure that sharps are properly disposed in a puncture-proof container to decrease the risk of needle-prick injuries. This upholds safety under which of the following categories?   A. Physical B. Chemical C. Biological infections D. Psychosocial 64\. The occupational nurse has advocated the use of ramps and assistive equipment for physically challenged workers. This is good example of which of the following levels of prevention?   A. Health promotion B. Secondary C. Tertiary D. Primary   65\. Every employee has right to privacy and should be protected from unauthorized and inappropriate disclosure of personal information. Which situation does NOT provide exception to employee's right to privacy?    A. Authorization by the employee to release information B. Life-threating emergencies C. Compliance with government laws and regulations D. Request from community leaders   Situation 14 4 of 5 points Public Health Nurse Alma is a member of the health Team that is tasked by the Rural Health Unit to identify, define and measure major health problems of interest.   66\. Public health surveillance includes the following activities, EXCEPT \_\_\_\_\_\_\_\_\_.    A. Data analysis B. Data collection C. Disease control D. Data interpretation    67\. Public Health surveillance can be BEST described PRIMARILY as which of the following    A. A system for collecting health-related information B. A method to monitor occurrences of public health problems C. A program to control disease outbreaks D. A system for monitoring persons who have been exposed to a communicable disease   68\. Which of the following is NOT a criterion for prioritizing health problems for surveillance?    A. Incidence of the problem B. Number of previous studies of the problem C. Social and economic impact of the problem D. Public concern about the problem   69\. Current public health surveillance targets the following. Which one is NOT included?   A. Chronic disease B. Population migration C. Communicable disease D. Occupation Hazard   70\. Common uses and application of public health surveillance include which of the following examples?  1\. Detecting individual persons with malaria so that they can receive prompt and appropriate treatment.  2. Helping public health officials decide how to allocate their disease control resource.  3\. Identifying changes over time in the proportion of children with elevated blood levels in a community.  4. Documenting changes in varicella (chicken pox) incidence, after a law mandating varicella vaccination in the Expanded Program of Immunization took effect.    A. 1, 2, 3 and 4  B. 1 and 2 C. 1, 2, and 3 D. 2 and 4 Situation 15 3 of 5 points   You are a newly-assigned Rural Health Nurse and you have the based on the latest health information of the municipality, food- and water- transmitted parasitic infections are prevalent.      71\. The factors that contribute to the occurrence of food-transmitted diseases are the following, EXCEPT \_\_\_\_\_\_\_\_\_\_\_.   A. consumption of improperly cooked food B. eating habits of the population such as eating raw food C. lack of fuel for cooking food D. overconsumption of locally available food OBESITY 72\. Paragonimus westermani or the oriental lung fluke causes in the human population by eating inadequately cooked crabs. Patients with paragonimiasis are usually misdiagnosed to have \_\_\_\_\_\_\_\_\_\_\_.\* A. malaria B. Bacillary dysentery C. typhoid fever D. pulmonary tuberculosis     73\. The eggs of Taenia solium or taenia saginata may be ingested by the pigs or cattle who serve as intermediate hosts. Which of the following measures will PREVENT access of animals from ingesting Taenia eggs?\* A. quarantine or isolate the animals Foods B. Feeding the pigs and cattle with clean foods. C. Proper disposal of human faces D. Protect the animals by giving them vitamins.   74\. Prevention of Infection from Entamoeba histolytica is BEST done through which of the following practices?   A. Eating only organic vegetables B. Washing food very well C. Cooking food properly D. Boiling of water from questionable source   75\. Giardiasis is a disease caused by a flagellated protozoan and its prevalence is associated with which of the following conditions?  1\. Poor environmental sanitation  2\. Poor hygiene  3. Improper cooking of food  4\. Overcrowding  5\. Malnutrition   A. 2, 4, 5 B. 1, 3, 4  C. 1, 2, 4 D. 2, 3, 5 Situation 16 5 of 5 points Public health Nurse Tess wants to increase her knowledge a familiarity with the elements of a research publication.      76\. Public health Nurse Tess is analyzing a research article. What section in the article can she expect to find the research question and study purpose?    A. Discussion B. Results C. Methods D. Introduction   77\. Public health Nurse Tess is looking for a description of the type of measurement used in the study. She will find this which section of the article?    A. Conclusion A. Introduction C. Results D. Methods   78\. A brief explanation of data collection and analysis procedure is found in which section of the article?   A. Abstract B. Conclusion C. Discussion D. Introduction   79\. Public health Nurse Tess wants to go over the list of references used in the study which can be found \_\_\_\_\_\_\_\_\_\_\_\_.   A. at the end of the article B. in the results section C. as part of the literature review D. in the introduction   80\. Public health Nurse Tess believes that research is significant to the nursing profession, hence, the study results should be disseminated. This is because research allows \_\_\_\_\_\_\_\_\_.    A. a specialized body of knowledge to be generated for use in health care delivery. B. the scope of nursing practice to be expanded into areas formerly reserved for other disciplines. C. nursing responsibility to be more specifically defined D. liability within the practice of nursing to be decreased  Situation 19   3 of 5 points Nurses perform duties that require physical assessments, critic thinking, and collaborative treatment plans, to name a few. Thus, nurses must understand the laws that affect their practice, as well as their legal responsibilities in their professional roles.      81\. A nurse must follow laws that protect public health, safety, and welfare. Which law is the nurse following?   A. Code of Ethics B. Standards of Practice C. Continuing Professional Development D. Nursing Practice Act   82\. Which situation supports the charge of malpractice against a professional nurse?   A. A failure on the part of the nurse to establish a therapeutic relationship with the patient. B. A failure on the part of the nurse to ensure that patients only receive care for which they could pay. C. A failure on then part of then nurse to exercise reasonable and prudent care in treating a patient. D. A failure on the part of the nurse to allay a patient's fears about an upcoming procedure.   83\. What does the court consider in determining the nurse's liability for standards of care?   A. Professional education, experience, and specific conduct. B. Professional experience, but not education or conduct. C. Professional conduct, but not experience or education D. Professional education, but not experience or conduct   84\. The board of nursing has brought action against a nurse's license based upon violation of a regulation. What is TRUE about this scenario?   A. Rules and Regulations are internal to the Board, not the nurse. B. Rules and regulations are only suggested standards or care and do not have to be followed. C. These rules and regulations have the force of law. QUASIJUDICIAL POWER D. Violation of a rule and regulation is not the same as violation of the nursing Practice Act.   85\. The patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the City Health Center. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? The nurse is \_\_\_\_\_\_\_\_\_\_.   A. liable, because there was no follow-up to ensure that the patient receive the injection B. not liable for damages, because the nurse has a right to expect that instructions will be followed. C. liable, because tetanus is easily treatable after diagnosis D. not liable, because tetanus is a reportable disease and the health center should have insisted ten treatment. Situation 20   5 of 5 points The ability to communicate is a very important skill for every nurse to have. The nurse must do so in an effective, caring and professional manner, especially when communicating with patients and their families.     86\. A nurse wants to present information about influenza immunization to the older adults in the community. Which type of communication should the nurse use?   A. signified meaning is wrong B. affect is appropriate C. personal space was violated D. vocabulary is poor   87\. A nurse is standing beside then patient's bed. Nurse: "how are you doing?" Patient: "I don't feel good." Which of the following communication ELEMENTS is categorized as feedback?   A. "How are you doing?" B. "I don't feel good." C. Nurse is standing D. Patient in bed    88\. A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret the finding? The patient's \_\_\_\_\_\_\_\_\_\_\_.   A. signified meaning is wrong B. affect is inappropriate C. personal space was violated D. vocabulary is poor   89\. BEFORE meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient?   A. Termination A. Pre-interaction C. Working D. Orientation   90\. During the INITIAL home visit, the nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient?   A. Working B. Preinteraction C. Orientation D. Termination Situation 21   9 of 10 points After passing the Nurses Licensure Examination, Nurse Tawi-Tawi takes her first job in a Rural Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).     91\. The key global agency that initiated the Alma Ata conference on Primary Health Care is the \_\_\_\_\_\_\_\_\_\_.   A. World Bank B. World Health Organization (WHO) 1978, USSR, KAZAKHSTAN C. CARE International D. United Nations Children's Fund (UNICEF)   92\. Which Asian country is considered among the FIRST to adopt the principle of PHC?   A. Malaysia B. Indonesia C. Thailand D. Philippines -MANILA, NOV 1977 93\. Nurse Tawi-Tawi is aware that she has to use "tools and methods that are suitable and acceptable to the families and communities" that she serve. This PHC principle is referred to as \_\_\_\_\_\_\_\_\_\_.    A. Cultural application B. Appropriate application C. essential methodology D. community participation 94\. Nurse Tawi-Tawi recognizes that health services offered are to in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as \_\_\_\_\_\_\_\_\_.   A. Availability B. Acceptability   C. Affordability D. Accessibility WITHIN 30 MINS, 3-5KM   95\. 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?    A. Intra-sectoral collaboration B. Coalition building C. Inter-sectoral collaboration D. Network linkage   96\. Which of the following is NOT recognized as part of the nurse's role as member of the health team?   A. Care manager and supervisor B. Provider of care and education C. Patient advocate and supporter D. Performing physician's functions with supervision 97\. The health team has brainstormed for ideas on creating a more collaborative environment in a health care facility. Which idea or action would be the BEST to develop further?    A. Develop a plan for the different team members to follow and show impact of their work. B. Emphasize that no one profession has all the necessary competence to provide all care. C. Hold education sessions regarding collaboration for each unit. D. Institute collaborative strategies that are traditionally practiced   98\. Which patient scenario describes the BEST example of professional collaboration?   A. The nurse, physician, and physical therapist have all visited separately with the patient. B. The nurse mentions to the physical therapist that the patient may benefit from muscle strengthening evaluation C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy. D. The nurse, physical therapist, and physician have all developed separate care plans for the patient.   99\. Which activities are appropriate for the nurse to collaborate with a patient?    1\. Prescribing a new medication dose 2\. Health Promotion activities  3\. End-of-life comfort decisions  4\. Interpreting laboratory results  5\. Lifestyle changes to improve health   A. 2, 3, 5  A. 2, 4, 5 C. 1, 4, 5 D. 1,3, 4   100\. The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by a patient with Tuberculosis. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the BEST response by the nurse?   A. "I would like to listen to your concerns about the prescribed care." B. "It is important that you do. What the physician has prescribed." C. I can come back after you talk with your spouse about the care." D. "Let me review what is needed again, then I'll talk to you later." This form was created inside of TopRank Review Academy. [[Report Abuse]](https://docs.google.com/forms/u/0/d/e/1FAIpQLSeFuulT1jEPY33SXQaxZPo3_QQKEmZ9XFf3y41M48JdAsphng/reportabuse?source=https://docs.google.com/forms/d/e/1FAIpQLSeFuulT1jEPY33SXQaxZPo3_QQKEmZ9XFf3y41M48JdAsphng/viewform?viewscore%3DAE0zAgA_jTd6gG46HaasAOdcBm-of0FicLWqyxmMzUCKvKciTkPfK1neJp9cYe1O9Ko8e-w) [ Forms](https://www.google.com/forms/about/?utm_source=product&utm_medium=forms_logo&utm_campaign=forms) **COMPREHENSIVE PHASE - R4 (NP2)** Total points: 71/100   Situation 1 4 of 5 points Patient Natalie, 15 years old, G0P1, AOG 39 weeks, has been admitted at 6:30 in the morning for lumbo-sacral pains and strong uterine contractions every 10 minutes. Nurse Gracie was there to admit her. She uses Focus, Data, Action and Response (FDAR) as the form of charting.   1\. In any type of charting  or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Fe? Nursing \_\_\_\_\_\_\_\_\_\_. A. Assessment B. Process C. Actions D. Diagnosis   2\. Which of the following are the purposes of documentation? To \_\_\_\_\_\_\_\_.     I. Ensure the development of organized comprehensive care plan  II\. Have a clear and accurate record of what was done to the patient.  III\. Have an evidence of the health care member's accountability in giving care  ~~IV. Detect patients who are clinically deteriorating  ~~ A. II, III, IV B. I, II, III, IV C. I, II, III D. I, III, IV   3\. Which of the following is the CORRECT definition of focus charting?   A. It is an electronically form of documentation of nursing care done to a patient by a registered nurse. B. It is a note, written or electronically generated, to provide documentation related to a specific focus. C. It is a nurse-centered way of documentation that describes the patient status and nursing care rendered. D. It is a nurse-centered approach to documentation. 4\. In the given situation, which is the FOCUS?   A. Patient Natalie as the admitting nurse B. Lumbo-sacral pains and strong uterine contractions C. 15 years old, G0P1, AOG of 36 weeks D Admission at 6:30 in the morning  5. What is the term used to describe the patient's data or assessment, the action done based on   A. Progress Note B. Flow sheets C. Standard of Care D. Focus Format   Situation 3 of 5 points This is the first postoperative day for patient Shiela who delivered by caesarean section (CS). Nurse Gemma a newly hired staff was assigned to her     6\. Patient Shiela asks the nurse why she has to get up and walk the day after surgery. Which of the following is the BEST response of the nurse? Walking hastens \_\_\_\_\_\_\_\_\_.    A. Hastens lactation B. Relieves pain C. Heals wounds D. Fast recovery from anesthesia   7\. Which laboratory finding should the nurse assess on the patient 24 hours after caesarian section delivery upon doctor's request?   A. Trace 1+ proteinuria B. Hematocrit 35% C. White blood cell count 20,000/[cu mm](https://www.google.com/url?q=http://cu.mm&sa=D&source=editors&ust=1723918743485934&usg=AOvVaw1y7NPMuAtgjxTzY-PR1IZW) after delivery, wbc is high and will go back to normal level after 6 days D. Hemoglobin 7.0 g/dL hemoglobin 7, pt will go to heaven 8\. Patient Shiela complains of "afterpains". What should be the nurse IMMEDIATE action?   A. Advise her to stop breast-feeding for a day B. Encourage her to drink more water C. Assess vital signs and pain level D. Administer an analgesic STAT 9\. Patient Shiela is to be discharge 3 days after CS delivery. Which of the following observations of the nurse would cause the delay of her discharge and would warrant notification to the physician?    A. Moderate amount of lochia rubra B. Fundus is firm at umbilicus INVOLUTION C. Pulse rate of 61 beats/minute taken in 24 hours D. Five voidings totaling 240 cc in 12 hours =20ML/HR  10.On the third postpartum day, Patient Shiela reports that she has voided five times that morning. What should the nurse INITIALLY do?    A. Insert a Foley catheter B. Collect the next voiding and measure the urine amount C. Catheterize the client to check for residual urine D. Call the physician Situation 4 of 5 points Patient Apple, 19 years old, is in her first trimester of pregnancy. Because it is her first pregnancy, she went for her prenatal check-up with her mother. She asked a lot of questions which she expects the nurse to answer her.      11\. The nurse asked for the personal data of the patient which, to some, Patient Apple did not like to answer. And so she asked: "Why do you need to know if I am married?" what should be a good response of the nurse? "I asked your marital status because \_\_\_\_\_\_\_\_\_.   A. If you do not have a husband, then that can pose a big problem for you." B. If you are married then your husband will also suffer from discomforts like you." C. You need your husband to accompany you every prenatal check-up." D. Your husband is your best support system during your pregnancy."   12\. The patient asked what is the term for signs such as breast changes, urinary frequency, fatigue, morning sickness and amenorrhea?   A. Probable signs B. Presumptive signs  C. Possible signs D. Positive signs 13\. The patient asked what causes newborn babies with total absence of extremities. The nurse answered that the cause for Amelia is intake of which of the following medications during pregnancy \_\_\_\_\_\_\_\_\_\_\_.  \* A. Anti-emetics THALIDOMIDE B. Antibiotics C. analgesics D. anti-bacterials 14\. The patient complained that every morning, she becomes nauseated and oftentimes, she would vomit excessively. "What could be the cause of this," she asked? The nurse's answer is: "It is due to increase level of \_\_\_\_\_\_\_\_."   A. Heart burn B. Estrogen C. heart rate D. Progesterone   15\. The nurse advised patient Patient Apple to report to her physician which of the following MOST important sign, if ever she will suffer from it?    A. Cough B. Vaginal bleeding C. Headache D. strong fetal movement Situation 2 of 5 points As a newly-hired staff nurse of the hospital, Jubilee learned that the hospitals have an in-service training for its staff. The in-service trainings conducted are based on hospital and staff's needs. One of the identified needs was on knowledge deficit of Mother and Baby Friendly Hospital Initiative (MBFHI).      16\. What is the FIRST step among the ten steps for successful breastfeeding?    A. Have a written breastfeeding policy that is routinely communicated to all staff. B. Inform all pregnant women about the benefits and management of breastfeeding. C. Foster the establishment of breastfeeding support groups. D. Train all health care staff in skills necessary to implement the policy.   17\. When practicing rooming-in, how long should the baby stay with the mother? \_\_\_\_\_\_ hours.   A. 8 B. 24 C. 12 D. 10   18\. What is the CORRECT time for which the mother should initiate breastfeeding? It should be \_\_\_\_\_\_\_ hours after birth.   A. ½ 30 MINUTES B. 1 C. 3-4 HOURS = CS D. 2   19\. Jubilee learned that newborn infants should ONLY be given, which of the following?   A. Fruit juice B. Breastmilk C. water D. cow's milk INFANT BOTULISM 20\. Which is the LAST part of the initiative, as recommended by WHO and UNICEF, for the MBFHI external team to do before its final designation as MBFHI Hospital?    A. Assess business facilities if they follow the 10 steps for successful breastfeeding. B. Develop a research on the benefits of breastfeeding within the institution. C. Disseminate the benefits of breastfeeding to communities. D. Follow up mothers if they are exclusively breastfeeding.  Situation 4 of 5 points Heather is 23 years old. She and her boyfriend, Patrick, are planning to get married in a couple of months. Thereafter, they plan to have three babies. For this reason they sought reproductive health counseling for their benefit and the proper growth and development of their future children. Nurse Susane was there to help them.      21\. Heather asks what she must do in order to be healthy in case she becomes pregnant. Which among the answers of Nurse Susane should NOT be followed by Heather?   A. Get support from husband and family. B. May have a massage from a lay midwife. C. To readily accept her pregnancy. D. Early prenatal check-up   22\. Patrick asks what possible contribution he could give for the normal development of the baby. Nurse Susane agreed that his BEST contribution would be the following EXCEPT \_\_\_\_\_\_\_\_\_\_.    A. Stroke Heather's abdomen and talk to baby B. Provide Heather nutritious food and drinks C. Join wife during prenatal check-up D. May smoke once in a while INTRAUTERINE FETAL GROWTH RESTRICTION \>\> SGA      23. For the normal developmental of the fetus, Nurse Susane taught the couple that Heather should prevent Folic Acid Deficiency anemia by good diet, correct way of cooking vegetables and taking Folic Acid supplements. Which of the following is NOT included among the outcomes of folic acid deficiency to the baby?    A. Cleft lip B. Cleft palate C. Neural tube defect D. Fractures of all types    24. Heather asks the nurse what possible diseases should she avoid that would guarantee health for the baby? These are:  1\. Rubella  2\. Rheumatic fever  3\. Anemia  4\. Chronic hypertension   A. 1, 2, 3 B. 1, 2, 3, 4 C. 1, 2, 4 D. 2, 3, 4    25\. Nurse Susane advised the couple that the BEST way to check the condition of the mother and the baby is to have \_\_\_\_\_\_\_\_\_.   A. Regular well-selected exercise B. Regular prenatal check-up C. Music therapy D. Good food Situation 2 of 5 points A hospitalized adolescent Scottie suddenly has a seizure while his family is visiting. Nurse Nisha notes whole body rigidity followed by general jerking movements. Scottie vomits immediately after seizure.   26\. Which of the following would be the PRIORITY nursing diagnosis for Scottie?   A. Fluid volume deficit related to vomiting. B. Altered family processes related to chronic illness. C. High risk for infection related to vomiting. D. Risk for aspiration related to loss of consciousness 27\. Which of the following would be the LEAST PRIORITY nursing care for a child with seizure disorder?   A. Observation and recording all seizures. B. Ensuring safety and protection from injury. C. Teaching the family about anticonvulsant drug therapy: indication, dosage, route and effects. DO NOT STOP ABRUPTLY; STATUS EPILEPTICUS D. Assessing for signs and symptoms of Increased Intracranial Pressure. SEIZURE WILL NOT INC ICP. INC ICP WILL CAUSE SEIURE   28\. Scottie will be taking phenytoin (Dilantin) regularly for seizure control. Which of the following will be the MOST important teaching to Scottie's family?   A. Administer acetaminophen to promote sleep. B. Serve a diet that is high in iron C. Maintain good oral hygiene and dental care D. Omit medication if the child is seizure free.    29\. After teaching the parents about their child's unique psychological needs related to a seizures disorder and possible stressors, which of the following concerns voiced by them would indicate the need for additional teaching? The child's \_\_\_\_\_\_\_\_\_\_\_.   A. Feeling different from peers B. Cognitive delays C. Poor self-image D. Dependency 30\. Which of the following is NOT a focus for teaching plan for an adolescent with a seizure disorder?   A. Obtaining a driver's license B. Increase risk for infections C. Peer pressure D. Drug and alcohol use Situation 4 of 5 points Any pregnancy may pose a risk. A pregnant woman must therefore submit herself for regular pre-natal consultation in any health facility near her place of abode. A nurse can play an important role in making these pregnant women aware of these risks in all stages of pregnancy.      31\. What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for?   A. Vitamin B12 A. Potassium C. Vitamin C D. Folic Acid 400 MCG/DAY    32\. A woman in labor is at risk for abruptio placenta. Which of the following assessments would MOST convince you and the pregnant woman to believe that this has happened?    A. Painless vaginal bleeding and downward trend of BP. B. And increased blood pressure and scanty urination. C. Pain at the lower quadrant and increased pulse rate. D. Sharp fundal pain and discomfort between contractions. 33\. A woman 2 ½ months pregnant calls you by telephone because she passed out some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which of the following is the BEST instruction you should give her?   A. "Continue normal activity but take your pulse and respiratory rate every 4 hours." B. "Come to the health facility if uterine contractions start." C. "Come to the health facility with any vaginal material passed out." D. "Maintain bedrest and count the number of perineal pads used every hour."   34\. A woman, 33 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to read daily?   A. Serum creatinine B. Red blood cell count C. Sodium and potassium levels D. White blood cell count   35\. An 18 --year --old delivers to an 8 --pound -- baby after 10 hours of labor. In the post-partal period, which of the following would be a PRIORITY concern to assess for by the nurse?   A. Endometritis B. Thrombophlebitis C. Bleeding D. Amniotic embolus \>24 HOURS: INFECTION \