You are on page 1of 13


DIRECTION: Choose the letter of the BEST answer by shading the corresponding letter of your choice on the answer sheet provided. STRICTLY NO ERASURE! 1. A child who is 13 months has fast breathing if he has: A. 30 breaths per minute or more B. 60 breaths per minute C. 40 breaths per minute or more D. 50 breaths per minute 2. Which of the following is true about discharge planning? A. basic discharge plans involve referral to community resources B. discharge plans involve referral to community resources C. simple referral involves use of a discharge planner D. complex referral includes interdisciplinary collaboration 3. A nurse may keep opened vials of OPV for use in the next session if: A. you have taken out the vaccine at the health center for some other reasons B. the expiry date has not passed C. the vaccines have been stored at a temperature between 0 deg C and 8 deg C D. the vaccines have change its color 4. The primary preventive measures against HIV-AIDS is: A. withdrawal C. foams and gels use B. virus killing drugs D. condom use 5. Ms. Amodia, RN works for a home health agency and cares for an older adult mental patient. On reporting to work, she observes numerous bruise and red marks on her patients face. Her patient seems upset. Ms. Amodia suspects that either abuse has occurred. Ms. Amodia should: A. contact the mobile police to investigate the abuse B. make an appointment with an elder adult counselor C. wake her son and ask him who would hurt his mother D. call her supervisor right away to report the findings 6. If there develops severe pre-eclampsia, what would be the drug you would anticipate to be prescribed and that you would have to administer? A. a loop diuretic C. ranitidine (zantac) B. magnesium sulfate D. a non-steroidal inflammatory agent 7. As a community health nurse you always bear in mind that the purpose of empowering victims of violence is to: A. tell them how to solve their problems B. convince victims to leave their abusers C. help clients become aware that they have control over their lives D. develop safety escape plans for them

8. Maria is developing constipation from being on bed rest. What measure would you suggest she take to help prevent this? A. drink 8 full glasses of fluid such as water daily B. drink more milk, increased calcium intake prevents constipation C. eat more frequent small meals instead of three large ones daily D. walk for at least half an hour daily to stimulate peristalsis 9. A bilateral amputee is assisted by his wife and children to the commode for bowel evacuation. This example best demonstrates the familys assistance to meet which need? A. Elimination C. nutrition and metabolism B. activity D. health perception and health maintenance 10. Which of the following is the most important reason for doing a literature review for constructing a research study? A. helpful information on demographic instrument development could be uncovered B. existing knowledge about the identified problem can be found C. a determination of the studys feasibility could be extrapolated D. the research design can be copied from another study 11. Martina develops endometritis. What would be the best activity for her? A. lying in bed with a cold cloth on her forehead B. reading while resting in a trendelenburg position C. sitting with her feet elevated while playing cards D. walking around her room listening to music 12. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other? A. lacerations can provoke allergic responses due to gonadotropic hormone release B. a woman is less able to keep the laceration clean because of her fatigue C. healing is limited during pregnancy so these will not heal until after birth D. increased bleeding can occur from uterine pressure on leg veins 13. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She is not able to drink and there is no blood in the stool. How will you classify Felys illness? A. persistent diarrhea C. severe dehydration B. some dehydration D. no dehydration 14. The infectious agent that causes pulmonary tuberculosis is: A. mycobacterium tubercle C. Wuchereria bancrofti B. Hansens bacillus D. mycobacterium diphtheria 15. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states: Why couldnt I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it was my fault to be abused. Based on this, which would be your most appropriate nursing diagnosis? A. social isolation C. chronic low self-esteem B. anxiety D. ineffective family coping

16. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her before this procedure? A. void immediately before the procedure to reduce your bladder size B. no more amniotic fluid forms afterward, that is why only a small amount is removed C. the intravenous fluid infused to dilate your uterus does not hurt the fetus D. the x-ray used to reveal your fetus position has no long-term effects 17. When planning teaching strategy for a pregnant woman, the nurse should do which of the following? A. give information about how the woman can manage the specific problems she identifies as relevant in her life B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria C. provide all information to the woman in a group session with other pregnant women so she can have someone to discuss it with D. during the first prenatal visit, teach a woman the care measures necessary for health promotion throughout the pregnancy 18. Which of the following symptoms is LESS commonly noted in EARLY pregnancy? A. frequency of urination C. varicosities B. chills and fever D. Braxton Hicks Contractions 19. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the following? A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories D. limit intake of amino acids to prevent development of diabetic ketoacidosis 20. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies should be readily available for the infant immediately after birth? A. vitamin K to avoid bleeding B. mild soap without perfume so as not to irritate the skin C. bulb syringe to suction fluid and mucous from the mouth D. heating lamp to avoid chilling from water evaporation 21. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, Knowledge deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular disease? A. bedrest is maintained at home after the 36th week of gestation B. fetal heart rate will remain between 120 and 160 beats a minute C. jugular vein distention is evident when lying at 45 degrees D. maternal blood pressure maintained above 150 systolic 22. Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the following reasons? A. additional weight from pregnancy may disturb balance when walking B. fetal activity stimulates the nerves of the legs and causes weakness

C. high levels of hormones often impair judgment resulting in reckless behavior D. increased adrenalin released during pregnancy causes women to move faster than usual 23. When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs: A. no specific treatments such as antibiotics C. appropriate antibiotics B. urgent referral D. no urgent measures 24. Which of the four signs of good attachment is true in this statement? A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is visible above than below B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible above than below C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola visible below than above D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible above than below 25. Which type of research inquiry investigates the issues of human complexity ( e. g. understanding the human expertise?) A. positivism C. logical position B. quantitative research D. natural inquiry 26. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse in charge of Carol, how will you classify her illness? A. a child at a general danger sign C. severe pneumonia B. very severe febrile disease D. severe malnutrition 27. Why are small for gestational age newborns at risk for difficulty maintaining body temperature? A. their skin is more susceptible to conduction of cold B. they are preterm so are born relatively small in size C. they do not have as many fat stored as other infants D. they are more active than usual so they throw off comes 28. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for during this procedure? A. headache and vomiting C. a high choking voice B. a swollen tender tongue D. abdominal bleeding and pain 29. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever? A. use plan C if there is bleeding from the nose or gums B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test C. give aspirin D. prevent low blood sugar 30. In assessing the patients condition using the Integrated Management of Childhood Illness approach strategy, the first thing that a nurse should do is to:

A. ask what are the childs problem symptoms B. check the patients level of consciousness signs

C. check for the four main D. check for the general danger

31. A child with diarrhea is observed for the following EXCEPT: A. how long the child has diarrhea C. presence of blood in the stool B. skin Petechiae D. signs of dehydration 32. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home management at this case? A. give drugs every 4 hours C. give the child more fluids B. continue feeding the child D. inform when to return to the health center 33. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred to: A. beneficence C. respect for person B. nonmaleficence D. autonomy 34. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of: A. justice and beneficence C. beneficence and nonmaleficence B. fidelity and nonmaleficence D. fidelity and justice 35. Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say/do? A. Miss, may I get the bread myself because you have not washed your hands B. All of these C. Miss, it is better to use a pick up forceps/ bread tong D. Miss, your hands are dirty. Wash your hands first before getting the bread 36. If a child with diarrhea has 2 or more signs in the IMCI pink row chart, the classification will be: A. moderate dehydration C. no dehydration B. some dehydration D. severe dehydration 37. If the capillary refill takes more than 3 seconds it may mean: A. the child is in shock C. circulatory failure B. the child is dehydrated D. the child is alright 38. Leprosy is a chronic disease of the skin and peripheral nerves. Which of the following signs are present in the early stage? A. loss of eyebrows C. contractures B. clawing of fingers D. thickening or painful nerves 39. In asking the mother about her childs problem the following communication skills should be used EXCEPT: A. use words that the mother understand C. listen attentively B. give time for the mother to answer the question D. ask checking questions 40. Patients eligible under the short term chemotherapy (STC) are the following EXCEPT:

A. all newly discovered and reconfirmed sputum positive cases B. those with cavitary lung findings after two successive negative sputum examination C. patients without having been given consent for anti-TB treatment D. patients willing to undergo treatment 41.When planning comfort measures to help the woman in active labor to tolerate her pain, the nurse must consider which of the following? A. early labor contractions are usually regular, coordinated, and very painful B. if women are properly prepared, they will require no pain medication to manage their pain C. pain medication given during the latent phase of labor is not likely to impair contractions D. the acceleration phase of labor can be a time of true discomfort and high anxiety 42. Francis is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant of the mothers abdomen. The nurse would recognize which of the following? A. Francis will probably deliver very quickly and without problems] B. This indicates Francis will probably have a breech delivery C. The fetus is in the most common anterior fetal positions D. this position is referred to as being left anteriopelvic 43. While interviewing a woman in labor, the nurse would address which of the following? A. whether the pregnancy was planned C. maternal concerns regarding fetal health B. the use of medications during pregnancy D. all of the above 44. If a woman will be placing her baby for adoption, which of the following nursing measures should be implemented during the labor stages? A. avoid discussing the baby during the historical assessment to minimize the womans anxiety B. support the woman as needed by accepting the decisions she makes regarding holding the baby C. protect the woman from visitors and family members who might try to change her mind D. take the baby away as soon as possible after birth to prevent bonding from occurring 45. During the third stage of labor, the nurse may have which of the following responsibilities? A. administration of intramuscular Oxytocin to facilitate uterine contractility B. monitoring for blood loss greater than 100 cc, which would indicate gross hemorrhage C. noting if the placenta makes a Schultz presentation, which is a sign of gross complication D. pushing down on the relaxed uterus to aid in the removal of the placenta 46. Immediately following episiotomy repair, the nurse would do which of the following? A. cleanse the womans anal area, then perineum and vulva, to remove any fecal incontinence or vaginal secretions B. monitor the woman for shaking and complaints of chill sensations, which may indicate an adverse reaction to medications C. palpate the uterus fundus for size, consistency and position and take vital signs to obtain baseline data D. remove all coverings except a clean, light hospital gown to prevent the development of postpartal fever

47. Mr. Tony has been hospitalized for months following special spinal cord surgery. The boys club in his hometown was renamed the Tony boys club, and a parade is planned to honor Mr. Tony. Such community action should positively influence Mr. Tonys: A. self-perception and self concept C. health perception and health maintenance B. cognition and perception D. coping and stress tolerance 48. Which of the following conditions is not true about contraindication to immunization? A. do not give BCG if the child has known hepatitis B. do not give BCG if the child has known AIDS C. do not give DPT to a child who has recurrent convulsion or active neurologic disease D. do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1 49. Which of the following might prevent the conduct of a research study? A. in order to gather data for the research, excessive risk to subject is required B. costs for conducting the study are low compared to the potential benefits from the researcher C. the identified problem is covered in the literature D. the research problem is based on untested nursing theories 50. Marsha is concerned she may loose an excessive amount of blood with cesarean surgery. What is the usual amount of blood loss with cesarean birth? A. 250 350 ml C. 100 220 ml C. 500 1000 ml D. 300 500 ml 51. If the child is 4 months, which of the following questions SHOULD NOT be included in checking the general danger signs? A. ask if the child is eating well during illness C. ask if the child has had no convulsion B. ask if the child is able to breastfeed D. ask if the child vomits everything 52. Arnie, like all newborns, can loose body heat by conduction. Under which conditions is this most apt to occur? A. if the nursery is cooled by air conditioning C. if Arnie is placed in a cold bassinet B. if the infant is wet from amniotic fluid D. if there is a breeze from an open window 53. You have just entered Mr. Tiangcos room and observed him lying on the floor next to the bed. The side rails on the bed are down. When you asked Mr. Tiangco what happened, he replies. I was asleep and the next thing I knew I was on the floor. Which of the following examples of documentation is MOST APPROPRIATE for this situation? A. Lying on floor next to bed. No complaints verbalized. Side rails down. Appears to have fallen out of bed while asleep. B. Mr. Tiangco was found lying on the floor next to his bed. When asked what happened, he stated I was asleep and the next thing I knew I was on the floor. C. Lying on the floor, side rails down. Rolled out of bed while asleep. D. Mr. Tiangco fell out of bed while asleep; both side rails were left down. 54. The application of public health, medical and engineering practices to health services and effectiveness of workers may be termed as: A. community health C. school health

B. occupational health 55. A literature review should be: A. brief and limited B. broad and theoretical

D. mental health

C. systematic and exhaustive D. general and context

56. The Santiago Family lives in a makeshift house in Julugan, Tanza, Cavite. Composed of 8 members, the eldest son Rhio is 7 years old. Rhean is 6, Queenie and Quency are twins 5, Peter is 4 and the youngest is 6 months old named Oscar. Aling Rosa works in a laundry earning Php 1,500.00 a month and husband Mang Sony works as fish vendor earning Php 150.00 per day. Peter and the twins are enrolled in the day care. Rhio and Rhean stopped studying to help their parents for their younger brothers and sisters. With the current condition besetting the Santiago family, which of the following interventions can lend assistance to them? A. refer the children to a hospice care facility B. assist Aling Rosa to be referred to the DSWD for livelihood assistance C. give Aling Rosas family a Php 2,000.00 worth of capital for them to put a fishball stand D. advise Aling Rosa to use contraceptive pills 57. Every year we discover new methods or gadgets to improve mans life. The research typed used of this nature is: A. applied C. experimental B. developmental D. quantitative 58. When should the mother give complementary foods to a 5 months old infant? A. if the child gives adequate weight for his age B. if the child shows interest in semi solid foods C. supplementary foods should be given before breastfeeding D. if the child is breastfed less than 8 times in 24 hours 59. Hepatitis A is differentiated from hepatitis B by their mode of transmission. Hepatitis B is transmitted through: A. insect bites C. transfusion and injection B. urine D. fecal waste 60. The nurse wants to immunize a 1 year old child for measles. The child has been classified as having pneumonia and no anemia and not very low weight. The childs mother does not want her child to be immunized and instead they will just return as soon as the child is better. How will the nurse explain the importance of immunizing the child with measles now? A. the childs condition is not a hindrance to immunization according to W.H.O. B. the child has lower resistance and more prone to disease C. the child will recover faster if the child will be immunized D. it is the childs schedule to have the immunization 61. To implement the case finding aspect of TB control, sputum examination should be done to the following groups: A. children 0-9 years old with cough for 2 weeks or more B. all persons of all ages above 1 year with symptoms indicative of tuberculosis C. children below 10 years old with fever for 3-5 days D. all persons ages 10 years and over with progressive loss of weight 62. Mr. Barmonte was brought home with an advance directive, but the nurse is not sure that she can follow his wishes. The nurse should:

A. follow the directive even though the nurse is uncomfortable with the directives B. call Mr. Barmontes lawyer C. discuss with the interdisciplinary team in charge of Mr. Barmonte and the organizations ethics committee D. ignore the advance directive 63. A term concerning body resistance which refers to protein present in the serum of the blood: A. antibodies C. antigen B. antitoxin D. allergen 64. A health care service in which risk factors are identified, occupational safety measures reduce, and a public education program begun is: A. health promotion C. treatment facility B. illness prevention D. rehabilitation 65. A community health nurse (CHN) visits the Gomez family weekly. Although family income seems adequate, Mrs. Gomez is unable to budget it over a 4-week period. The nurse asks what may be done to help Mrs. Gomez shrugs her shoulders and says, Tomorrow may never come. Mrs. Gomezs reaction is described as: A. reflecting her culture, values, and time orientation B. one of not caring about her familys needs C. her belief that income may not be adequate as perceived by the CHN D. indicating that her budget needs is a private matter

66. A positive or negative feeling toward a person, object, or idea is known as a/an: A. merit C. moral B. value D. attitude 67. When the nurse assists the clients in understanding personal values, this is an example of value: A. validation C. clarification B. discovery D. choice 68. While doing a nutritional assessment of a low-income family, the community health nurse determines the familys diet is inadequate in protein content. The nurse could suggest which of the following foods to increase protein content with little increase in food expenditure? A. oranges and potatoes C. rice and macaroni B. potatoes and rice D. peas and beans 69. A new mother who is breast-feeding her baby asks the nurse when she should start her feeding baby vegetables. The nurse would suggest the MOST APPROPRIATE age to begin vegetables is: A. 3 to 4 months C. 6 to 8 months B. 4 to 5 months D. 9 to 12 months 70. Assessment areas for the nurse is working with the family on health promotion strategies would include: A. the television shows that they watch C. the perceived health status and illness patterns of the family

B. the family and all the relatives statuses friends

D. the mental status of family and

71. The nurse manager wishes to implement a new way of determining the vacation schedule for the staff. The senior staff opposes the change while the newer staff seems more accepting of the change. An effective strategy for resolving this difference in acceptance would be to: A. explain that the change will occur as designed, regardless of the staffs preference B. tell the staff that if they really do not want the change, it will not be implemented C. provide extensive and detailed rationale for the proposed change D. encourage each side to share their views with each other 72. The following are the duties of the Public Health Nurse EXCEPT: A. leave to the BHW the responsibilities of educating the community B. provision of nursing care to the sick and well individuals C. provision of technical and administrative support to rural health midwives D. conduct of pre and post consultation conference for clinic patients 73. An 8 month old has fast breathing if he has: A. 40 breaths per minute B. 55 breaths per minute

C. 38 breaths per minute D. 45 breaths per minute

74. The following are the concerns of the Public Health Nurse on the third trimester of pregnancy EXCEPT: A. advice for the mother to take oral contraceptive B. where to give birth C. proper timing in the separation of mother to other siblings D. type of feeding 75. When a child with persistent diarrhea returns for follow-up visit after 5 days, the nurse should ask the mother if the diarrhea has stopped when: A. the child has less than 3 loose bowels per day B. the child has 4 semi formed stool C. the child has 5 formed stools D. the child has 3 loose stools/day

76. In barangay Y, one of the identified problems is unavailability of toilet facility for the residents. The appropriate intervention is: A. secure donations in the form of toilet bowls B. ask help from local government C. none of the above D. conduct a community assembly and discuss the consequences of this problems 77. A home visit is a professional interaction between the community health nurse and his patient or the family. Where could the nurse get available information about the patient or the family to be visited? A. document file C. doctors office B. records and reports D. family health record

78. In planning a home visit, the nurse considers the individual needs. Which of the following is a priority? A. needs of all family members C. follow-up of medication and treatment B. needs recognized by the family D. clinic schedules after home visit 79. Which of the following is the FIRST action of the nurse during a home visit? A. greet the client or the household members B. state the purpose or objective of the visit C. give necessary health teaching D. inquire about welfare and health condition of the client 80. Which factor must be considered by the nurse as vital to determine frequency of the home visit? A. available resources C. acceptance of the family B. policy of the agency D. past nursing services 81. Eating habits of the family has changed due to the existing fast food establishment in the area. What health risk should you warn the family? A. food-borne infection C. increase weight B. indigestion D. hand washing 82. To show a mother how to help her to have good attachment of the infant during breast feeding. Which of the following statement SHOULD NOT be included? A. place the infant in your most convenient position B. touch the infants lips with her nipples C. wait until the infants mouth is widely open D. move the infant quickly onto her breast, aiming the infants lips well below the nipple 83. When members of the community identify needs, work on its solutions with confidence in the spirit of cooperation. The process is: A. nurses professional effort C. community organizing B. government assistance D. leadership through traditional leaders 84. In assessing the level of family cohesion, you have determined that the family is very close and has very high loyalty, and members are highly dependent on one another. You would document this as which level of cohesion: A. separated C. connected B. enmeshed D. disengaged 85. Mrs. Ayuyao, 77 year old, has been admitted with pneumonia. Her husband asks the nurse about the living will. As a license nurse, you remember that living wills: A. are legally binding in all states B. allow the court to decide when the care can be given C. allow the individual to express his or her wishes regarding care D. allow health workers to withhold fluids and medications 86. Maybelle is scheduled to have an ultrasound examination. What instructions would you give her before her examination? A. The intravenous fluid infused to dilate your uterus does not hurt the fetus B. you will need to drink at least 3 glasses of fluid before the procedure C. void immediately before the procedure to reduce your bladder size D. you can have medicine for pain for any contractions cause by the test

87. What is the most common type of health problem seen in the health care system? A. poor prenatal care C. immobility B. lack of information available to patients D. increased rate of chronic disease 88. Which of the following is the best type of disease prevention? A. immunization C. community social events B. yearly physical exam D. behavior that promotes health 89. Nurses who deliver community-based care must have which of the following qualities? A. adaptability C. ability to be self-directed B. tolerance of various lifestyle D. all of the above 90. A nurse has scheduled a hypertension clinic. This service would be an example of which of the following types of health care? A. tertiary prevention C. primary prevention B. secondary prevention D. protection 91. When providing care in a home, how might the nurse best implement infection control? A. cleanse the hands before and after giving direct patient care B. remove the patients wound dressings from the home C. dispose off patients syringes in the patients garbage D. disinfect all work areas in the patients home 92. Which of the following is a leading health problem of school-age children? A. earaches C. obesity B. attention disorders D. malnutrition 93. If the child does not have ear problem, what should the nurse do? A. check for tender swelling behind the ear C. check for ear drainage B. check for ear pain D. got to diet question, check for malnutrition 94. Nona had her pelvic measurement taken. What size should the ischial tuberosity diameter be, to be considered adequate? A. have the width of the symphysis pubis C. 11 cm B. 8 cm D. twice the width of the conjugate diameter 95. In classifying the childs illness using the IMCI color-coded triage, each illness is classified according to whether it requires the following EXCEPT: A. urgent pre-referral treatment and referral C. immunization B. simple advice on home management D. specific medical treatment 96. Which of the following is an example of hostile environment in terms of sexual harassment? A. the boss assures you of a big promotion if you go out on a couple of dates with him B. your supervisor makes masturbatory gestures every time you walk pass him C. the personnel manager hints that the job will be yours if you cooperate sexually with him D. your boss suggests that your raise is dependent upon having sex with him 97. Which among these activities is the concern of the Primary Level? A. administration of BCG vaccine for a 10 days old baby B. insertion of a nasogastric tubes to patients

C. administer diuretics such as furosemide per doctors order D. regulate intravenous fluid drop rates 98. Which of the following vaccine in the Expanded Program of Immunization have a 4 weeks interval? A. OPV C. BCG B. AMV D. Tetanus Toxoid 99. The nurse who is planning a health promotion program with clients in the community will have the LEAST focus on: A. assisting the clients to make informed decisions B. organizing methods to achieve optimal mental health C. reducing genetic risk factors for illness D. providing information and skills to maintain lifestyle changes 100. A holistic belief system by the nurse would be most evident if the nurse: A. incorporates client perceptions of health when planning care B. encourages behavior modification program C. supports goal-directed learning to improve health D. accepts death as an outcome of life