Long Exam 1 For CHN1 5 PDF

10/20/2020 LONG EXAM 1 FOR CHN1-5
LONG EXAM 1 FOR CHN1-5 Total points 40/50
Email address *
mico.ponce@swu.phinma.edu.ph
1. A nurse is preparing a plan of care for a client who is a Jehovah’s Witness. 1/1
The client has been told that the surgery is necessary. The nurse considers the
client’s religious preferences in developing the plan of care and documents
that: *
A. Giving any medication is not allowed.
B. Surgery is strictly prohibited.
C. Blood products can not be administered.
D. Alternative medicines can be advised.
2. The ambulatory care nurse is discussing preoperative procedures with a 1/1

Japanese American client who is scheduled for surgery the following week.
During the discussion, the client continually smiles and nods the head. How
should the nurse interpret this nonverbal behavior? *
A. Reflecting cultural value
B. An acceptance of treatment
C. Client agreement to the required procedures
D. Client understanding of the preoperative procedures
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3. What should the nurse do when planning nursing care a client with different 1/1
culture background? The nurse should? *
A. Allow the family to provide care during the hospital stay so no rituals or customs
are broken.
B. Identify how these cultural variables affect the health problem
C. Speak slowly and show pictures to make sure the client always understands
D. Explain how the client must adapt to hospital routines to be effectively cared for
while in the hospital
4. A nurse is preparing to deliver a food tray to a client whose religion is 1/1

Jewish. The nurse checks the food on the tray and notes that the client has
received a roast beef dinner with whole milk as a beverage. Which action will
the nurse take? *
A. Deliver the food tray to the client
B. Call the dietary department and ask for a new meal tray
C. Replace the whole milk with fat-free milk
D. Ask the dietary department to replace the roast beef with pork
5. A nursing student is discussing cultural diversity issues in a clinical 1/1

conference. The nursing instructor asks the student to describe
ethnocentrism. Which of the following if stated by the student would indicate
a lack of understanding of the issue of ethnocentrism? *
A. It is a tendency to view one's own ways as best.
B. It is acting in a manner that is superior to other cultures
C. It is believing that one's own ways are the only acceptable wa
D. It is imposing one's beliefs on individuals from another culture.
6. What are social determinants of health? * 1/1
a. Social and environmental conditions in which people live and work
b. Differences in the incidence, prevalence, and severity of health conditions among

subpopulations
c. State of being unequal where there is a difference in some aspect of a thing or

situation
d. Unfair, unjust, and avoidable causes of ill health
7. Which gender occurs the risk of developing dementia concerning the 1/1
health of the older? *
a. Male
b. Female
c. None of the above
d. All of the above
8. Cervical cancer is expected to decrease further in industrialized countries 1/1

due to screening and the administration of vaccine. The incidence is almost
four times greater in the developing world. aside from cervical cancer ,it can
cause some cancers of the vulva, vagina, anus, and oropharynx and genital
warts. What type of vaccine to be given? *
a. Oral polio vaccine
b. Measles, Mumps, Rubella
c. Human Papilloma Virus
d. Pneumococcal vaccine
9. Leading causes of global deaths in 1997 are the following except: * 1/1
a. Infectious and parasitic diseases;
b. Leprosy
c. Chronic obstructive pulmonary disease
d. Tuberculosis
10. As the economies of the countries grow, non-communicable diseases will 1/1
become more prevalent. This will be due largely to the adoption of "western"
lifestyles. What are the risk factors that contributes unhealthy condition if and
individual will not stop with this lifestyle? *
a. Smoking,
b. High-fat diet,
c. Obesity and Lack of exercise.
d. All of the above
11. In preparing to review different theories, nurse Bobby reviews basic 1/1
information to assist in understanding the material. Theories are defined as: *
a. Statements that describe concepts or connect concepts
b. Mental formulations of objects or events
c. Aspects of reality than can be consciously sensed
d. Concepts or propositions that project a systematic view of phenomena
12. Kristy, a community health nurse is working with a variety of clients and 1/1
decides to use a Systems theory approach to assist them to meet their health
care needs. In using the Systems theory, nurse Kristy focuses on the: *
a. Client’s interaction with the environment
b. Hierarchy of the client’s human needs
c. Client’s attitudes toward health behaviors
d. Response of the client to the process of growth and development
13. When assessing the external variables that influence a client’s health 1/1
beliefs and practices, nurse Mindy must consider his: *
a. Educational background
b. Religious practices
c. Income status
d. Reaction to the heart disease
Answer: C
14. In the Health Belief Model, nurse Chiara recognizes that the focus is placed1/1
on the: *
a. Functioning of the individual in all dimensions
b. Relation of perceptions and compliance with therapy
c. Relation of perceptions and compliance with therapy
d. Multidimensional nature of clients and their interaction with the environment
15. Which of the following is the most basic type of health promotion activity? 1/1
*
a. A billboard promoting abstinence to prevent sexually transmitted diseases and

unplanned pregnancies
b. A wellness assessment program
c.An environment control program about pesticide use
d.A nurse who models healthy lifestyle behaviors
16. Which interventions are most commonly used by public health nurses 1/1
caring for families? *
a. Administer screening tools to all members
b. Apply the nursing process to the care of individuals
c. Collaborate and coordinate with referral as needed
d. Participate in collecting data on clients for clinical research
e. Resolved conflict among family members
17. The public health nurse must participate in the essential services of public 1/1
health. These include: *
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety
18. The term community-based nursing care is applied when implementing 1/1
which nursing intervention? *
a. Assessing the health needs of a defined community
b. Providing care to families in a community
c. Promoting the health of an entire community
d. Investigating environmental health problems in a community
19. Which of the following demonstrates intersectoral linkages? * 1/1
a. Two-way referral system
b. Team approach
c. Endorsement done by a midwife to another midwife
d. Cooperation between the Public Health Nurse and public school teacher
20. Which of the following actions would most likely be performed by a public 1/1
health nurse? *
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine
needed health services
d. Working with community groups to create policies to improve the environment
21. Ethical principles for professional nursing practice in a clinical setting are 1/1
guided by the principles of conduct that are written as the: *
A. Philippine Regulation Commission
B. Philippine Nursing Act of 2002
C. Standards of care from experts in the practice field
D. Good Samaritan laws for civil guidelines
22. The distribution of nurses to areas of “most need” in the time of a nursing 1/1
shortage is an example of: *
A. Utilitarianism theory
B. Deontological theory
C. Justice
D. Beneficence
23. When signing a form as a witness, nurse signature shows that the client: * 1/1
A. Is fully informed and is aware of all consequences.
B. Was awake and fully alert and not medicated with narcotics.
C. Was free to sign without pressure
D. Has signed that form and the witness saw it being done
24. Which criterion is needed for someone to give consent to a procedure? * 1/1
A. An appointed guardianship
B. Unemancipated minor
C. Minimum of 21 years or older
D. An advocate for a child
25. Successful ethical discussion depends on people who have a clear sense 1/1
of personal values. When many people share the same values it may be
possible to identify a philosophy of utilitarianism, with proposes that: *
A. The value of people is determined solely by leaders in the Unitarian church.
B. The decision to perform a liver transplant depends on a measure of the moral life
that the client has led so far
C. The best way to determine the solution to an ethical dilemma is to refer the case to
the attending physician.
D. The value of something is determined by its usefulness to society.
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26.Health sectors reform has been formulated because of the following 1/1
excepts: *
a. Persistence of large variations in health status across population groups and

geographic areas
b. Arising burden from chronic and degenerative diseases
c. High burden from infectious disease
d. Burden from disease is heaviest among middle class families
27.The DOH adopted which of the following as the framework for the 1/1
implementation of the health sector reform? *
a. FOURmula One for Health
b. National Health Insurance Program (NHIP)
c. High Five Formula
d. Healthcare system upgrading plan
28. Which of the following alternative care can be recommended for 1/1
alleviating pain by applying pressure on the body surfaces? *
a. Acupuncture
b. Acupressure
c. Aromatherapy
d. Pranic Healing
29. Should you teach a member of household on the use of niyog-niyugan, 1/1
what possible disease condition could be remedied? *
a. parasitism
b. none of these
c. fever
d. Constipation
30. Nurse Sheena is visiting the client and family in the home after the client’s 0/1
discharge from the Changi Medical Center. Nurse Sheena seeks to assist the
client to return to the home environment. In implementing family-centered
care, the nurse: *
a. Assists family members to assume dependent roles
b. Provides his or her own beliefs on how to solve problems
c. Offers information about necessary self-care abilities
d. Works with clients to help them accept blame for their interactions
31. Nurse Robert is observing the interaction of family members during a 0/1
home visit. Nurse Robert recognizes that the optimal goal of effective
communication within the family is: *
a. Better financial conditions for the family
b. Socialization among individual members
c. Problem solving and psychological support
d. Role development of individual members
32. A nurse is conducting a family assessment. Which of the following data 1/1
collection methods is the nurse *
a. Key informant interview
b. Participant observation
c. Focus group
d. Health survey
33. A nurse is planning a family health program. Which of the following actions 1/1
should the nurse include as part of the evaluation plan? *
a. Determine availability of resources to initiate the plan
b. Gain approval for the program from the family leaders
c. Establish a timeline for implementation of intervention
d. Compare program impact to similar programs
34. Care designed to prevent further progression of a disease is termed * 0/1
a.Primary prevention.
b.Secondary prevention.
c.Tertiary prevention.
d.Health promotion.
35. The patient is to be discharged home from a tertiary care center later in 1/1
the week; therefore, the nurse *
a.Coordinates referral of patients to services provided by other disciplines.
b.Monitors the patient’s progress through discharge.
c.Cares for patients after discharge.
d.Anticipates and identifies patient needs.
36. The nurse is feeling overwhelmed by the constant changes that are part of 1/1
nursing and the health care system in general. Understanding that changes
are necessary, the nurse needs to be aware that *
a.The nurse has no control over the changes, but needs to accept them.
b.Quality improvement depends on active participation of nurses.
c.Belonging to nursing organizations will help bring the right changes.
d.Active participation in nursing organizations will have no effect on change.
37. The setting of health care services that includes blood pressure and 1/1
cancer screening is _____ care. *
a.Secondary acute
b.Preventive
c.Tertiary
d.Restorative
38. Health promotion programs focus on * 0/1
a.Reducing the cost of health care.
b.Controlling risk factors for disease.
c.Immunizations.
d.Occupational health programs.
39 . Access, Affordability, Availability & Acceptability are part of the 1/1

_____________ approach *
a. PHC
b. CHN
c. PHCDS
d. FNCP
40. According to Freeman and Heinrich, community health nursing is a 1/1

developmental service. Which of the following best illustrates this statement?
*
A. The community health nurse continuously develops himself personally and

professionally
B. Health education and community organizing are necessary in providing community

health services
C. Community health nursing in intended primarily for health promotion and

prevention and treatment of disease.
D. The goal of community health nursing is to provide nursing services to people in

their own place of .residence
41. Which level of health facility is the usual point of entry of a client into the 0/1
health care delivery system? *
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
42. RA 7160 mandates devolution of basic services from the national 1/1
government to local government units. Which of the following is the major
goal of devolution? *
A. To strengthen local government units
B. To allow greater autonomy to local government units.
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people
43. What is true of primary facilities? * 0/1
A. They are usually government-run
B. Their services are provided on an out-patient basis
C. They are training facilities for health professionals
D. A community hospital is an example of this level of health facilities
44. Which of the following is the mission of the Department of Health? * 1/1
A. Health for all Filipinos
B. Ensure the accessibility and quality of health
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020
45. Which of the following is the most prominent feature of public health 1/1
nursing? *
A. It involves providing home care to sick people who are not confined in the hospital
B. Services are provided free of charge to people within the catchment area
C. The public health nurse functions as part of a team providing a public health
nursing service
D. Public health nursing focuses on preventive, not curative services
46. The nurse is visiting the client and family in the home after the client’s 0/1
discharge from the medical center. The nurse seeks to assist the client to
return to the home environment. In implementing family-centered care, the
nurse: *
A. Assists family members to assume dependent roles
B. Works with clients to help them accept blame for their interactions
C. Offers information about necessary self-care abilities
D. Provides his or her own beliefs on how to solve problems
47. The nurse is observing the interaction of family members during a home 0/1
visit. The nurse recognizes that the optimal goal of effective communication
within the family is: *
A. Socialization among individual members
B. Problem solving and psychological support
C. Better financial conditions for the family
D. Role development of individual members
48. The nurse is visiting a client and family in the community for the first time. 0/1
In completing a client’s family assessment, the nurse should begin by: *
A. Gathering the health data from all the family members
B. Testing the family’s ability to cope
C. Evaluating communication patterns
D. Determining the family’s structure and attitudes
49. The nurse makes a home visit to a client living in a nuclear family system. In 0/1
assessing the roles and power structure of the family, the nurse should
specifically ask the client: *
A. “What type of health care insurance do you have?”
B. “How many people live in your home?”
C. “Who decides where to go on vacation?”
D. “What types of activities do you and your family like?”
50. The community health manager must consider some important factors in 1/1
defining modifiability of the health problems- or probability of success in
minimizing, alleviating or totally eradicating the problem through health
intervention. These are the followings” except *
A. Current job , technology and intervention to manage the problem
B. Resources of the family(Physical, financial, manpower)
C. Resources of the community (facilities and community organizations)
D. Resources of the community health manager( knowledge , skill and time)
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10/20/2020 LONG EXAM 1 FOR CHN1-5

LONG EXAM 1 FOR CHN1-5 Total points 40/50

A. Giving any medication is not allowed.

B. Surgery is strictly prohibited.

C. Blood products can not be administered.

D. Alternative medicines can be advised.

2. The ambulatory care nurse is discussing preoperative procedures with a 1/1

A. Reflecting cultural value

C. Client agreement to the required procedures

D. Client understanding of the preoperative procedures

B. Identify how these cultural variables affect the health problem

4. A nurse is preparing to deliver a food tray to a client whose religion is 1/1

A. Deliver the food tray to the client

C. Replace the whole milk with fat-free milk

5. A nursing student is discussing cultural diversity issues in a clinical 1/1

A. It is a tendency to view one's own ways as best.

B. It is acting in a manner that is superior to other cultures

C. It is believing that one's own ways are the only acceptable wa

D. It is imposing one's beliefs on individuals from another culture.

6. What are social determinants of health? * 1/1

a. Social and environmental conditions in which people live and work

b. Differences in the incidence, prevalence, and severity of health conditions among

c. State of being unequal where there is a difference in some aspect of a thing or

d. Unfair, unjust, and avoidable causes of ill health

c. None of the above

d. All of the above

8. Cervical cancer is expected to decrease further in industrialized countries 1/1

a. Oral polio vaccine

b. Measles, Mumps, Rubella

c. Human Papilloma Virus

a. Infectious and parasitic diseases;

c. Chronic obstructive pulmonary disease

c. Obesity and Lack of exercise.

d. All of the above

a. Statements that describe concepts or connect concepts

b. Mental formulations of objects or events

c. Aspects of reality than can be consciously sensed

d. Concepts or propositions that project a systematic view of phenomena

a. Client’s interaction with the environment

b. Hierarchy of the client’s human needs

c. Client’s attitudes toward health behaviors

d. Response of the client to the process of growth and development

d. Reaction to the heart disease

a. Functioning of the individual in all dimensions

b. Relation of perceptions and compliance with therapy

c. Relation of perceptions and compliance with therapy

d. Multidimensional nature of clients and their interaction with the environment

a. A billboard promoting abstinence to prevent sexually transmitted diseases and

b. A wellness assessment program

c.An environment control program about pesticide use

d.A nurse who models healthy lifestyle behaviors

a. Administer screening tools to all members

b. Apply the nursing process to the care of individuals

c. Collaborate and coordinate with referral as needed

d. Participate in collecting data on clients for clinical research

e. Resolved conflict among family members

a. Monitoring health status by completing a community assessment

b. Diagnosing and investigating health problems in the world

c. Informing, educating, and empowering people about health issues

d. Working in law enforcement to regulate health and ensure safety

a. Assessing the health needs of a defined community

b. Providing care to families in a community

c. Promoting the health of an entire community