Professional Documents
Culture Documents
5) Organized recreation programs 16. PDCA is the basic structure for most quality
improvement (QI) process. In public health,
A. 3, 4 and 5 PDCA is focused on activities that are responsive
B. 1, 2 and 3 to community needs and improving population
C. 1, 4 and 5 health. PDCA stands for:
D. 2, 3 and 4 a. Perform-Document-Correct-Act
b. Perform-Do-Check-Analyze
c. Plan-Document-Check-Analyze
13. Nurse Mariposa is concerned about the rise d. Plan-Do-Check-Act
of mosquito-borne diseases in a rural
community. Effective PRIMARY prevention for 17. There are several approaches and tools in
community intervention measures would (QI). One of these is the Fishbone diagram,
include: developed by K. Ishikawa. Which BEST describes
the Fishbone diagram? It is ____.
1) Monitoring the incidence of disease a. A cause-and-effect diagram
caused by mosquitos b. A wholistic approach in problem identification
c. Used in interview sessions
2) Promoting ordinance that control insect d. Useful in focusing on problem symptoms
breeding sites
18. As a QI tool, the Gantt chart is useful for
3) Instituting education program about planning and scheduling projects. Which of the
insect control following statements is INCORRECT about the
GANTT chart? It ______.
4) Promoting accessibility of diagnostic and a. Provides a graphical illustration of resources
b. Plans the order in which you’ll complete tasks together to improve patient care. Which of the
c. Tracks specific tasks in a project. following messages does NOT support this
d. Helps assess how long a project should take statement?
A. Use unique and complementary abilities of
19. The steps in conducting quality improvement team members to optimize patient care
consist of the following: B. Forge independent relationship from other
professions to advance learning
1. Identify and select strategies C. Recognize one’s limitations in knowledge and
2. Evaluate QI outcomes skills.
3. Implement solution in small scale D. Communicate with team members to clarify
4. State the problem each member’s tasks.
5. Expand scope of QI throughout the
organization
Which is the correct sequence in the QI process?
24. A member of health team proposes another
a. 1, 2, 3, 5, 2
community project. What is the MOST
b. 2, 1, 5, 3, 4
appropriate thing to do when you disagree with
c. 4, 2, 1, 3, 5
the proposal?
d. 1, 4, 5, 3, 2
A. Question the proposal indirectly by telling
your opinions to others
B. Blame the proponent and tell him he is
20. Client satisfaction survey is an important and
unprofessional
commonly used indicator for measuring the
C. Be frank while remaining flexible and open-
quality in health in health care. In the context of
minded.
public health, which is NOT a purpose of
D. Be absent in the next scheduled meeting of
satisfaction surveys? To ______.
the health team.
a. Serve as essential sources of information for
identifying gaps
25. In a conflict situation, health team
b. Directly address the health problems
members have mutually reached an acceptable
presented
resolution to the issue that partially satisfies
c. Present the likelihood of continuing client-
parties concerned. This approach is referred to
provider-agency relationships
as ____________.
d. Provide data about health-seeking behaviors
A. competing
Situation:
B. avoiding
As a new nurse assigned in a municipality, you
C. compromising
want to
D. accommodating
be a good player in health care team that you
belong to. You plan to initiate a
community health project that will require Situation:
interdisciplinary collaboration. As a new public health nurses at a Rural Health
Unit, Ms. Vanie
21. The attributes of collaborative teamwork are reviews
the following EXCEPT: basic concepts related to her position and job.
A. professional turfing
B. unity of purpose 26. Ms. Vanie know that the PRIMARY goal of
C. joint responsibility community health nursing is to ________.
D. shared decision-making
a. Enhance the capacity of individuals, families
22. In any community project, the activities of and communities manage their health needs
health team members are needed for success. b. Contribute to people’s well-being through
Defining the relationship and responsibilities and sustainable development goals projects
tasks of each member are important. Which c. Increase the productivity of the people by
stage of collaboration does this statement refer providing them with health services
to? d. Support and supplement the efforts of the
A. Commitment medical profession in illness preventions
B. Consensus .
C. Trust building 27. Community health nursing (CHN) is a field of
D. Collegiality nursing practice. Which best explains this
statement?
23. Health teams have an obligation to work a. The scope of practice depends on the health
needs and problems identified. C. Relationship needs
b. The services are delivered outside of purely D. Chronological age
curative institutions.
c. The service are provided along with 33. When communicating with the cognitively
community health volunteers. elderly clients, it is important to understand the
d. The practice is conducted in the geographical use of touch. Which of the following is true in
location of people. relation to using of touch? Which of the
following is true in relation of using touch with
28. Ms. Vanie is aware that she will be dealing the elderly?
with population as a client. Which of the A. It is calming.
following provides the BEST definition of a B. The use of touch must be determined on an
population? individual basis.
a. Cluster of individuals who are at-risk of certain C. It increases their agitation and confusion
health conditions. D. The face should be touched to establish
b. Group of people sharing the same geographic rapport.
environment.
c. Collection of people who are beneficiaries of 34. Mr. and Mrs. Uy are an elderly couple that
health services. you are interviewing at home. Mr. Uy asks to
d. Collection of individuals who share common speak you alone. He tells you that Mrs. Uy has
characteristics. become forgetful lately and yesterday he
received an overdue water bill. He asks, “Should
29. An example of a social aggregate that Ms. I take over this responsibility?” What would you
Vanie should consider in program planning say to Mr. Uy?
would consist of ______. A. “Old people get forgetful at times”
a. Impoverished families B. “Could you tell Mrs. Bojie that you will help
b. Supporters of a celebrity with the bill paying?”
c. Adolescents in various barangays C. “Tell Mrs. Joson that you will assume the
responsibility now.”
d. People at a concert D. “You don’t know what to suggest. This is a
family matter.”
30. Which Nursing activity is unique to
community/public health nurses like Ms. Vanie?
a. Care for sick and dying
33. It is critical to assess hearing loss in the
b. Promote livelihood projects assist poor
elderly because:
families
c. Home visits to family clients referred by the
A. Only adults can only hear at 90 words per
health center physician
minute
d. Focus on vulnerable groups in the community
B. There is an initial inability to hear low
frequency consonants
Situation: C. Deafness causes hair loss
You are making a home visit to Mr. and Mrs. Uy D. Hearing loss has a direct impact on
who are both in their seventies. communication
Communicating with older persons requires
effective and therapeutic techniques. Situation:
Nurse Gloria makes home visits to assigned
barangays and meets families of different
31. You noted that Mrs. Uy frequently shifts the types.
conversation to reminisce. Which of the
following communication techniques would be
most effective with Mrs. Bojie? 36. One such family is a married couple who has
A. Asking exploring questions two biologic children living with them as well as
B. Changing the subject a child from the wife’s first marriage. What type
C. Giving information of family is evident?
D. Restarting a. Homogenous
b. Extended
32. The assessment of the older adult should c. Blended
focus on: d. Nuclear
A. Functional level
B. Social Functioning 37. Nurse Gloria encounters a married couple
who is raising three children. Recently, the wife’s organisms
mother moved in. This family should be assessed c. Regulating the process of self- tolerance
as ___. d. Destroying bacteria before damage occurs
a. Nuclear
b. Extended 43. Nurse Chan administers hepatitis B
c. Alternative immunoglobin serum to Helen, which will
d. Blended provide her with passive immunity. One
advantage of passive immunity is that it______
38. When Nurse Gloria assesses a family, which a. Encourages the body to produce antibodies
family task would she consider having HIGHEST b. Has effects that last a long time
PRIORITY for health family functioning? c. Is highly effective in the treatment of disease
a. Reproduction of new family members d. Offers immediate protection
b. Physiologic maintenance and safety
c. Allocation of family resources 44. Nurse Chan explains to a mother whose ten
d. Maintenance of order and authority year child just received a tetanus- toxoid
injection that the toxoid vaccine confers which
39. Which documentation of family assessment of the following immunity?
indicates a healthy and functional family? a. Long lasting active immunity
a. Member provide loving and mutual support b. Lifelong natural immunity
b. Under stress, members turn inward so as not c. Intermediate artificial immunity
to be burden others. d. Short-acting passive immunity
c. Members believe they can depend in each
other.
d. Husband holds dominant power over his wife 45. Nurse Chan knows that one of the following
is NOT a vaccine preventable disease, hence no
40. Which of the following scenario BEST immunity can be given to a child.
demonstrates a continuing healthy family? a. Measle
a. A couple renews their marital relationship b. Polio
after their children become adults c. Hepatitis B
b. A couple requires their adolescent children to d. Asthma
attend church services three times a week
c. One parent takes care of children. The other Situation:
parent earns income and maintains the home A strong typhoon hits a rural community in the
d. A family has strict boundaries that require Visayas
members to address problems within the family. where 300 families are left without food and
shelter.
Situation:
a. Mental illness is an increasing problem among
The World Health Organization (WHO) stated
the upper class.
that “climate change is the biggest threat to
b. The incidence of depression is expected to
public health this century.” Climate change is
decrease within the next 10 months.
happening, and scientists believe that global
c. Almost one per 100 household has a member
warming results from human activity.
with mental disability.
56. As a public health nurse and as a citizen, you problems due to harmful and unexpected
are concerned about the Earth’s warming up consequences.
fast from the production of greenhouse gases C. Increased exposure to ultraviolet rays results
which are involved in the greenhouse effect. The in increases in skin cancers.
most common greenhouses gases are the D. Changing patterns result in increases in
following, EXCEPT: vector, food and waterborne disease
Situation:
70. Determinants of health to address the
According to the World Health Organization
development of cancer in a community include:
(WHO), there are major causes of non
communicable disease that pose challenges to
1. Proximity of the community to chemical
the live and health of millions of people and
plants that emit poisonous gases.
threaten economic and social development of
2. High percentage of tobacco use among the
countries.
residents.
3. Prevailing diet high in processed food and fat.
66. Which of the following are the four
4. Availability of the health facilities.
chronic disease referred to by WHO?
5. Men age of women population.
1. Cardiovascular Disease
a. 3,4 and 5
b. 1,2 and 3
2. Cancer
c. 1,3 and 4
d. 2,4 and 5
3. Dementia
Situation:
Nurse Jograd has just passed the Nursing Situation:
Licensure Examination (NLE). He directly Nurse Chie is a part of health team of a Rural
needs to refresh himself regarding the law that Health Unit that implements the Philippine
governs the practice of nursing the Philippines. Package of Essential NCD Intervention
(PHILPEN). He is particularly assigned to conduct
76. By virtue of Section 16 of the Philippine “hypertension screening” among 15 years old
Nursing Law, the first step Nurse Jograd needs and above during home visits.
to do after passing the NLE is to:
81. The MOST accurate and reliable technique
A. Apply for the Certificate of for indirect BP measurement is the _______.
Registration/Professional License.
B. Get an official copy of her board rating from A. auscultatory using a mercury manometer.
the PRC office B. palpation using mercury manometer
C. Apply for a Professional Identification Card. C. auscultatory using an aneroid BP apparatus
D. Take oath of profession before the Philippine D. palpation using an aneroid BP apparatus
Regulatory Board of Nursing
82. Nurse Chie remembers that blood pressure colleagues
taken in the upper arm versus the forearm C. Part of the organization’s annual
varies. Thus, there is a need to document which convention/conference.
site is used. Which of the following values is the D. Be able to have professional development
correct variation in mmHg? opportunities
A. 10-15
B. 5-10 88. Which of the following is the MOST
C. 14-20 important step to developing cultural
D. 1-4 competence for the nurse?
83. Nurse Chie needs to expose the patient’s A. understand and recognize her own cultural
arm and position it with palm upward and the background
arm slightly flexed with the whole arm B. understand the culture of her client
supported at which level? C. identify the goals of cultural-congruent goals
D. gain proficiency in another language and
A. Above heart dialect
B. Below heart
C. Heart level 89. Quality of client care is ensured not only by
D. Any level continuing education. Professional responsibility
along this line requires, FOREMOST:
84. Nurse Chie took the blood pressure of a 45
year old family member and got the reading as A. knowing the standards of practice
146/92 mmHg. This reading is classified as: B. understand the socioeconomic background of
patients
A. Hypertension, stage 1 C. getting a master’s degree in nursing
B. Hypertension, stage 3 D. a nurse-centered care
C. Hypertension, stage 2
D. Prehypertension 90. Quality of client care is ensured not only by
continuing education. Professional responsibility
85. In defining and classifying hypertension, along this line requires, FOREMOST:
blood pressure readings must be based on
measurements done during ________. A. Obtaining an advance academic degree in
nursing
B. Attending as many as nursing conference's
A. at least two visits taken one week apart C. Conforming to institution’s policies and
B. three consecutive daily visits guidelines
C. two readings taken two weeks apart D. Monitoring one’s own practice according to
D. two consecutive monthly visits standard set by the profession
a. Leaving printouts of lab reports on the desk in 6. Giving practical advice contrary to the
the physicians’ lounge doctor’s orders
b. Discussing a patient’s care with someone who
is not involved in patient care a. 1,4, 6
c. Discussing a patient’s condition in a public b. 1,3,4
place as long as his name is not mentioned c. 2,4,5
d. Reporting certain disease to public health d. 5,6
authority
Situation: The Code of Ethics of Registered
93. The central question in any charge of Nurses in the Philippines was promulgated by
malpractice is whether the prevailing standard the
of care was met. Which of the following Professional Regulatory Board of Nursing
statements are TRUE about standards of nursing (PRBON) in consultation with national nursing
care? organizations.
3. Standards of care are never changing. A. treat and cure simple disease
B. preserve health at all cost
4. Standards are based on the ethical C. support client in health matters
principle of non- maleficence. D. achieve quality of life for clients
A. 2, 3, and 5 only
B. 2, 3, 4, and 5
C. 1, 2, 3 only
D. 1, 2, 3, and 4