NP1 Notes
NP1 Notes
NP1 Notes
7. You assELess for a child's nutritional status using the mid-upper arm
INSTRUCTION: Select the correct answer for each of the following circumference (MUAC). Measurement reads 12 cm which falls under
questions. Mark only one answer for each item by shading the box the orange color of a 4-colored tape. This indicates that the child
corresponding to the letter of your choice on the answer sheet provided. __________.
STRICTLY NO ERASURE ALLOWED. A. should immediately be referred for supplementation.
B. should be immediately referred for treatment.
Situation - Nurses can be instrumental in communications with patients C. is at risk for acute malnutrition.
and families, and our communities for the health impacts of climate D. well-nourished.
change.
8. You compute for the ideal weight of Edward whose actual weight is
135 lbs. and height is 5'10. His ideal body weight is ________ lbs.
A. 140 C. 150
B. 135 D. 170
HAMWI IDEAL BODY WEIGHT
MEN: 106lbs for the first 5’ (60”) + 6lbs for every inch over 60
Women: 100lbs. for the 1st 5’ (60”) + 5lbs. for every inch over 60 inches
2. Which of these greenhouse gases is MOST abundant in the 10. The indication for Edward's degree of malnutrition is _________.
atmosphere? A. 3rd degree C. 2nd degree
A. Carbon dioxide C. nitrogen B. Obese D. 1st degree
B. water vapor D. methane
Situation- Health Centers regularly conduct "Operation Timbang" to assess
Greenhouse effect: Like blanket covering the earth retaining heat. the nutritional status of children 0-5 years old.
Albedo effect: absorption of heat
3. Which human activity has the GREATEST effect on climate?
11. The nutritional status of children is determined by "weight by age".
A. Burning fossil fuels C. Deforestation
Weight is an example of what level of measurement?
B. Agriculture D. Industrial factories
A. Ordinal: ranks, scale C. Interval: no zero, with negative value
C.
B. Ratio: zero exist D. Nominal: with labels, named variable
4. Which gas has the GREATEST effect on climate?
A. Nitrous Oxide C. Carbon Dioxide
12. While age is of what level of measurement?
B. Ozone D. Methane
Carbon dioxide: From burning fossil fuels. 2nd is methane gas
A. Ratio C. Ordinal
INCREASE IN TEMPERATURE IMPACT IN HEALTH B. Interval D. Nominal
1. Food & Waterborne: Diarrhea typhoid fever, cholera, amoeba
2. Water washed/ water related: Skin diseases, eye disorder, schitosomiasis 13. The sex of the children included in his study will be classified as male
3. Victor Borne: Dengue, Filariasis, malaria, leptospirosis and female. This measurement is:
4. Air: Respiratory disease: Skin asthma, cardiovascular disease- HPN, TB, COPD A. Interval C. Ratio
B. Ordinal D. Nominal
5. The law that prohibits the improper disposal of garbage and other
forms of uncleanliness.
A. PD 825 – no Littering, no open dumping, burning
B. Code of Sanitation – PD 856
C. RA 8749 – Clean air Act
D. RA 9003 – Solid waste management
Situation – Many Filipinos are suffering from malnutrition. Nurse Agot knows
that it is a result from poor diet or lack of food.
16. While preparing to depart to their assigned barangay, Nurse Betty 21. The goals of health education include the following:
informs her group that the PRIMARY purpose of conducting 1. Client participation on health decision making.
community diagnosis is to → analyze and interpret 2. Increased potential to comply with health recommendations
A. do assessment of the community profile 3. Reliance on health care system
B. count the number of morbidities in the place 4. Adoption of healthier lifestyle
C. assess the number of indigenous people 5. Provide clients with as many options on health care as possible
D. form a core group of a selected residents
COMMUNITY DIAGNOSIS A. 1, 2 and 4 C. 2, 3 and 5
- Comprehensive assessment of health status of community B. 2, 4 and 5 D. 1, 3 and 4
- first stage of planning health programs for betterment and improvement
- includes community’s demographic profile, environment, health status, available
health and social services 22. The nurse is designing a health education program for the
community. Show the CORRECT sequence of the process that the
17. Nurse Betty and her group followed the steps of community nurse would have to undertake.
diagnosis. Which comes after the formulation of objectives? 3. Write the specific outcomes
A. Determine data to be collected 1. Assess the community
B. Define the study population 2. Prioritize learning needs
C. Analyze the collected data 4. Select teaching strategies
D. Collect the needed data
A. 1, 4, 2, 3 C. 2, 3, 1, 4
STEPS IN NURSING DIAGNOSIS B. 3, 1, 4, 2 D. 1, 2, 4, 3
1. DETERMINE OBJECTIVES
2. DETERMINE STUDY POPULATION Health education: health promotion – provide info and skills to help make informed
3. DETERMINE THE DATA TO BE COLLECTED decisions. Uses education & motivation to change behaviors by influencing Values,
4. COLLECT THE DATA Beliefs and attitude
5. DEVELOP INSTRUMENTS Smoking cessation 5 A’s: Ask, Advise, Assess, Assist, Arrange.
- Survey questionnaires Health education in public health → It is every health worker responsibility
- Interview guides - Primary job as a CHN = EDUCATION → Creative process
- Focus discussion guide 1. Could employ a variety of strategies
-Observation checklist 2. Can be done anywhere
3. Could be perform by any member of the health team
6. ACTUAL DATA GATHERING
4. Valuable health service
7. DATA COLLECTION
HEALTH EDUCATION – MOST IMPORTANT ROLE OF CHN
- Record’s review
- Essential task of every health worker – best result of health education → Influences
- Surveys – most common and most practical
and changes behavior → changes through knowledge, attitudes, and beliefs
- Interview: 2nd most common method of data collection
- Before the start of any health education, assess first the learning needs → Assess the
- Participant observation: most expensive method and needs more time
patient’s health literacy
8. DATA PRESENTATION
- Return demonstration id the best way of teaching
- Line graph: trend and changes – most effective for displaying time series data –
- AS A WHOLE HEALTH EDUCATION IN PUBLIC HEALTH AIMS THE BETTER HEALTH
quantitative data
OPPORTUNITIES
- Bar graph: comparison of counts and rates
- Histogram: frequency distribution of continuous variable
- Scattered diagram – correlation data of two variable 23. The BEST example of how the nurse can create a climate in which
- Pie chart – breakdown of group, display frequency distribution of a single clients do not feel threatened is by teaching on a topic about:
variable A. Stress, where the nurse plays pop music throughout the first
9. DATA ANALYSIS session
10. PROBLEM IDENTIFICATION: Magnitude, Trend, Comparison B. Good nutrition, while the nurse provides a meal
- Health Status, Health-related, Health Resource
C. Exercise, where the nurse begins to share her difficulties, she
11. Priority setting
sometimes finds in trying to exercise
D. Diabetes, where the nurse asks diabetics to talk to the class
18. In the step of comm q SZSunity diagnosis where data
during the first session
are collected which of the following tools is utilized less?
A. Interview guide C. Survey questionnaire
24. The nurse is working in a clinic that is designed to provide health
B. Observation checklist D. Case study
education and immunization. As such, the clinic aims to
provide_______________
19. To prepare the collected data about t he health status of the
A. diagnosis and treatment
community for analysis. Which is the APPROPRIATE step that the
B. Primary prevention
group of Nurse Betty should do?
C. Secondary prevention
A. Analyze data C. Present data
D. Tertiary prevention
B. Interpret data D. Make conclusion
PRIMARY LEVEL: Family planning and genetic counselling
- Healthy life =style habits – healthy diet, rest and exercise, not smoking
20. Once the group of Nurse Betty can identify community health - Hygiene: Handwashing
problems. Which would be APPROPRIATE for them to do in order to - Immunizations
be able to plan for necessary intervention? - Isolation of the diagnosed case
A. Present the data C. Evaluate the data - Intake or use of prophylactic drugs
- Vector – pagtaob ng planggana
B. Formulate objectives D. Set priorities
SECONDARY: Diagnostic Test
- Oplan Timbang, Blood test, XRAY, Mammography
- Elisa/ Western Blot, contact tracing, surveillance and quarantine
-Trauma care and crisis intervention, Case finding tools leprosy & sputum smear for TB
- Treatment and cure of disease
TERTIARY LEVEL: REHABILITATION
- Education for self-management of DM
-Home removal of abused women and children (RA 9262 – VAWC)
- Assistive device use & Blood glucose, blood sugar monitoring
27. As planner and programmer in the community setting, Nurse Nona A. 2, 3 and 4 C. 1, 3 and 4
should understand that the primary objective of Community Health B. 3 and 4 D. 1 and 3
Nursing is focused on the importance of ________.
A. Curative aspect of care 37. The PHN wants to emphasize to the new nurses that it is important to
B. restoration of full function observe professional accountability which is taking responsibility for
C. rehabilitative part of care one's actions. She explains that accountability can be done by:
D. optimum health and wellness 1. Asking assistance from the doctor
2. Performing nursing tasks in a safe manner
28. The Best Community Health Nursing principle that will guide Nurse 3. Reporting and documenting assessment and interventions
Nona in the effective performance of her various roles and function 4. Evaluating client's response to nursing care given
is focused on the community that _______. 5. Evaluating the care when there is complaint by the client
A. has different health needs and problems A. 1, 2 and 3 C. 2, 4 and 5
B. is considered as a primary client. B. 1, 3 and 5 D. 2, 3 and 4
C. has various strictures and resources
D. is composed of individuals and families 38. Accountability also includes a commitment to continuing education
to stay current and knowledgeable. According to the guidelines
29. As health monitor which of the following should be considered by Implementing Continuing Professional Education for Nurses (CPE),
the nurse as health threats in the community? from which of the following can a nurse earn credit units?
1. Ineffective breastfeeding 1. Participation in seminars
2. Fire hazards 2. Engagement in a research project
3. Inadequate immunization 3. As peer reviewer
4. Polluted water supply 4. Innovations
A. 3,4 C. 1,2,3,4
B. 2, 3, 4 D. 1,2 A. 2 and 3 only C. 1 and 2 only
B. 1, 2, 3 and 4 D. 1, 3 and 4
30. Which is the INITIAL task of Nurse Nona as a community organizer?
A. Formulates Individuals, family groups and community care plan. 39. The primary purpose for requiring continuing education is to
B. Motivates and enhances community participation. _________.
C. Prepares and submits required reports on time. A. Quality for work abroad
D. Coordinates with individuals, families, groups for health services B. Improve nursing competency after registration
C. Comply with the Board of Nursing Requirements
D. Ensure legal practice
Situation- Nurse Bella takes charge of handling the Mental Health
Promotion program in the midst of the ongoing health crisis due to the 40. To better address emerging public health issues, a public nurse
COVID 19 pandemic. enrolls in a course in:
A. Ethics C. Communication
31. Teaching the families on promoting mental health at home in this B. Research D. Leadership
pandemic time should focus on the following EXCEPT
A. seeking community support Situation - Nurse Betty knows that ethics is important in community health
B. observing open communication nursing practice and that ethical decisions are conducted in a universal
C. engaging in social media the whole day and standard framework.
D. reaching out to friends
41. One step in ethical decision-making is to place ethical issue or
32. During this pandemic time, which of the following roles of Nurse dilemma within a meaningful context. The rationale for this step is:
Bella should she significantly intensify to prevent more cases of A. The nature of ethical issues and dilemmas determines the specific
mental problems in the community ? ethical approach used.
A. Case finder C. Researcher B. People cannot make sound ethical decisions if they cannot identify
B. Case Manager D. Surveyor ethical issues and dilemmas.
C. Multiple factors affect the interpretation and justification of ethical
33. There are individuals who are suffering from mental health issues and dilemmas.
challenges due to the pandemic. The BEST nursing action is _______. D. Health professionals cannot avoid choice and action in applying
A. refer for admission at the mental health unit ethics in their work setting.
B. help in setting up debriefing stations
C. recommend hiring of a community psychiatrist 42. The historical character in nursing whose work in environmental heal
D. set up a mental health program providing care to destitute people, and disease prevention establish
the nurse as a leader and community-oriented was ______________.
34. Which of the following information about severity of mental illness A. Lilian Wald C. Margaret Sanger
would be important to the mental health program in the community B. Virginia Henderson D. Florence Nightingale
setting
A. Mentally ill patients are always dangerous. 43. Ethical decision making is the component of ethics that focuses on
B. Mental illness is hereditary. ___________.
C. Mental illness is not curable A. The result of the decision.
D. Mental illness is a global concern B. The process of how decisions are made.
C. The factors impinging on making decision.
35. After a webinar on the Mental Health Act, Nurse Bella realized that D. Who makes the decision.
the community has to change which of-the following perceptions?
Situation - Interdisciplinary teamwork is an important model for delivering 56. Which of the following is the rationale why team work is ESSENTIAL in
health care to patients. Integrating services among many health providers health care?
leads to better outcomes delivered to underserved populations and A. Helping one another
communities with limited access to health care. B. Makes work lighter
C. Patient safety
46. Professional group productivity and member satisfaction are best D. promotes camaraderie
achieved by which of the following leadership styles?
A. Democratic C. Laissez-faire 57. What are the MAIN components of collaboration?
B. Authoritarian D. Autocratic A. Shared vision C. Working together
B. Achievement of goals D. Partnership
47. As a member of a professional work-related group you know that:
A. Functional goals are assigned by management. 58. Nurse Roy as member of the health team describes himself as good
B. The leader is responsible for overall functioning. team player: Which of the following is the BEST characteristic of good
C. The members summarize progress and allocate assignments. team player?
D. The cooperation o all members are required. 1. Sense of humor
2. Good listener
48. The nurse is making a referral for the client. what should be the first 3. Inspires others
consideration for the nurse to do? 4. Proactive thinking
A. Acceptability of the referral to the client.
B. Cost of the referral service. A. I, 2, 3, 4 C. 1, 2, 3
C. Barriers to making a referral. B. 1, 2 D. 3, 4
D. Client's eligibility for the service.
59. Which of the following is an ESSENTIAL element of effective
49. Groups with a laissez-faire leader are likely to be __________. collaboration?
A. More structured in format. A. Communication C. Networking
B. Less productive. B. belongs to one team D. Delegation
C. More productive
D. More satisfying to members. 60. Nurse Roy in his dealings with his co-workers instills collaborative
partnership in doing their task which is the aim of this type of
50. You have volunteered to be part of a work group whose purpose is partnership?
to look at ways to prevent medication errors. You know that: A. Make work faster and easier
A. Teamwork enhances the probability of goal achievement. B. Shared goals
B. Group process is not important in a task. C. Change and influence group behavior
C. The leader assumes responsibility for the overall group D. Staffs' satisfaction
functioning.
D. the goals should be set by management. Situation - Nurse Nancy is in charge of the Geriatric care program of the
barangay.
Situation- Nurse Danica is assigned to the Health Education initiative of the
health center. 61. To plan out for the activities intended for the elderly population the
nurse should begin to ______.
51. Nurse Danica would like to put more emphasis on healthy lifestyle in A. do survey of the number of the elderly population
her health education classes. Which step of the teaching-learning B. Get informed consent
process should she FIRST start ? C. Ask permission from barangay officials
A. Assessing health needs D. Tap the help of experts
B. Evaluation of learning takes place
C. Preparing learning materials 62. In assessing the health condition of the older persons, which is the
D. Developing health education plan BEST, measure in determining their functional status?
A. Financial capability of the family
52. In planning for the health education program about healthy lifestyle B. Age of the patient
Nurse Danica targets to work with parents in the community. Noting C. Activities of daily living
different ethnics backgrounds among them, which important D. Educational attainment
consideration should be part of the plan?
A. Economic C. Cultural 63. Which information should the nurse provide to the elderly and their
B. Social D. Educational Families regarding drug regimen prescribed to patients?
A. Liquid medication to more convenient and water
53. Based on the Theory of Adult Learning by Knowles, which of the B. Allow than to refuse to take medicines
following principles will guide the nurse to be an effective educato? C. Give independence to take medicines
A. Educational attainment D. They are more vulnerable to adverse drug reactions
B. School where the participants graduated
C. Age and gender of learners 64. Care giving to older person can be burdensome to other members
D. Environment and learners' participation of family who are the caregivers. During home visit to the family, the
nurse should look for symptoms of ______.
54. Nurse Danica plans to have the residents of the community conduct A. Agitation C. withdrawal
brainstorming about their community problems. Which of the B. Burnout D. Suicidal tendency
following is the rationale of this teaching format?
A. Encourages problem solving and critical thinking skills. 65. For an effective program for the elderly population, which should be
B. Links audience participation to the presenters speaking style the appropriate approach?
and content A. Assign to the family
71. PDCA is the basic structure for most quality improvement (QI) 81. Which of the following is an evidence of a poor family coping Index
process. In public health, PDCA is focused on activities that are related to healthcare attitudes?
responsive to community needs and improving population health. A. A parents who washes the wound of the child with running
PDCA stands for: water
A. Perform-Document-Correct-Act B. The family who observes the habit of cleaning surroundings.
B. Perform-Do-Check-Analyze C. A young mother who introduced solid food to her three-month-
C. Plan-Document-Check-Analyze old baby.
D. Plan-Do-Check-Act D. A mother who brings her child to be vaccinated for measles,
72. There are several approaches and tools in (QI). Which of these is the 82. Which of the following is the BEST evidence of a family whose family
Fishbone diagram, developed by K. Ishikawa. Which BEST describes coping index on therapeutic competence is rated as coping well?
the Fishbone diagram? It is _________. A. Shows positive interpersonal relationship
A. A cause and effect diagram B. Participates in the weekly clean and green program of the
B. A holistic approach in problem identification community
C. Used in interview sessions C. Maintain clean and organized household ambiance
D. Useful in focusing on problem symptoms. D. Visits the clinic frequently well or sick.
73. As a QI tool, the Gantt chart us useful for planning and scheduling 83. Which of the following tools used by nurses in the community setting
projects. Which of the following statements is INCORRECT about the for assessing health needs and problems of families that is similar to
Gantt chart? It ________. family coping index
A. Provides a graphical illustrations of resources A. Nursing theories C. Case study
. Plans the order in which you'll complete task B. Vitals statistics D. Nursing diagnosis
C. Tracks specific tasks in a project
D. Helps assess how long a project should take 84. In utilizing family coping index nurses should be knowledgeable that
the focus of this tool is identifying the family's ________.
74. The steps in conducting quality improvement consist of the following: A. strategies to deal with stressful situations
1. Identify and select strategies B. Manner of interaction
2. Evaluate QI outcomes C. Ways of managing health needs and challenges
3. Implement solution in small scale D. Patterns of health habits
4. State the problem
5. Expand scope of QI throughout the organization 85. Nurse Myrna is taking care of a family chose there young children
are sick with malnutrition particularly protein deficiency, which of the
Which is the correct sequence in the QI process? following behaviors is indicative of the family's positive coping index
A. 4, 1, 3, 5, 2 C. 4, 2, 1, 3, 5 A. Observing erratic mealtime due to work schedule of parents
B. 2, 1, 5, 3, 4 D. 1, 4, 5, 3, 2 B. Bringing children to health enter for consult only when needed.
C. Serving foods that children like but with high in carbohydrates
87. Public health surveillance can be BEST described PRIMARY as which Situation- Occurrence of the conflicts is a natural part of the workplace.
of the following? Conflict management is the ability to be able to identify and handle
A. A system for collecting health-related information conflicts sensibly, fairly and efficiently.
B. A method to monitor occurrences of public health problem
C. A program to control disease outbreaks 96. Public Health Nurse Cony has become very disagreeable among her
D. A system for monitoring persons who have been exposed to team members. The other nurses know that she has requested to be
communicable disease transferred to another Rural Health Unit. The nurses decided to ignore
the situation. This illustrates which method of conflict resolution?
88. Which of the following is NOT a criterion for prioritizing health A. Collaboration
problem for surveillance? B. Avoidance
A. Incidence of the problem C. Accommodation
B. Number of previous studies of the problem D. Passive-aggressiveness
C. Social and economic impact of the problem
D. Public concern about the problem 97. Which actions are MOST important in preventing conflict to occur?
1. Allocate resources fairly.
89. Current public health surveillance targets the following. Which one is 2. Keep problems confidential.
NOT included? 3. Address staff fears.
A. Chronic diseases 4. Clearly state expectations.
B. Population migration 5. Keep lines between roles flexible.
C. Communicable diseases
D. Occupational hazards A. 2, 3, 5 C. 2, 4, 5
B. 1, 3, 4 D. 1, 2, 3
90. Common uses and applications of public health surveillance include 98. A health care worker approaches the public health supervisor with
which of the following examples? a complaint about the RHU Nurse and said, "She doesn't do same
1. Detecting individual persons with malaria so that they can amount of work as the other health professionals in health unit". After
receive prompts and appropriate treatment. investigating about the complaint, the Nurse Supervisor believes the
2. Helping public health officials decide how to allocate their health care worker does not understand the role of the RHU nurse.
disease control resources. What kind of conflict has this situation caused the health worker?
3. Identifying changes over time in the proportion of children with A. Interprofessional conflict
elevated blood lead levels in a community. B. Individual conflict
4. Documenting changes in varicella (chickenpox) incidence, C. Intraprofessional conflict
after a law mandating varicella vaccination in the Expanded D. Organizational conflict
Program of Immunization took effect.
99. Which of the following actions by the public health nurse indicates
A. 1, 2, 3, and 4 C. 1, 2, and 3 the use of effective conflict management skill?
B. 1 and 2 D. 2 and 4 A. Defends judgements of others
B. Negotiates with other
Situation –A 7.0 Magnitude earthquake struck last July 27, 2022 in Northern C. Asserts own position
Luzon. Mary grace was a trained nurse in emergency and disaster D. Avoids competition
preparedness.
100. The public health midwife was very upset regarding a reprimand
91. As a primary health care giver, which of the following activities issued by her supervisor. The former confronts her supervisor in the
should Nurse Mary Grace NOT involve in? hallway. How should the supervisor respond?
A. Recovery of primary health care activities. A. Tell the midwife to calm down and act professionally.
B. Water safety and quality B. Respond to the midwife in the hallway.
C. Food safety and food security C. Ignore the situation and forget about it.
D. Search, rescue and evacuation. D. Invite the midwife to come to the supervisor's office.
93. A resident in Abra by the name Aldrim Richard sustained injury. First
aid was initiated by Nurse Mary Grace. This is given _________.
A. During the arrival of an ambulance or doctor.
B. Before the arrival of an ambulatory doctor or other qualified
personnel.
C. Before the arrival of an ambulance or doctor.
D. During the arrival of an ambulance, doctor or other qualified
personnel.