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Thursday, October 13, 2011

Community Health Nursing Questions D

Situation 15: Community Organization is a process wherein people in the community, health care providers and agencies in the community are brought together.

71. Which one of the following is NOT an objective of community organization?
a. Learn about common problems
b. Plan the kind of action needed to solve problems
c. Never to act on issues presented
d. Identify problems as their own

72. Which of the following is the primary principle involved in the community organization?
a. Planning group needs
b. Assembly of community leaders
c. Technique in asking questions
d. Defined functions in each group


73. Which basic method can determine the extent to which the basic needs are met for the health workers to bring about the adjustment between need and resources?
a. Education and Interpretation
b. Determination of needs
c. Program instruction
d. Fact Finding


74. As a nurse you have gained entry in the community. Which initial step is done?
a. List names of persons to contact
b. Gather information from persons and records
c. Arrange the first meeting
d. Prepare the agenda


75. Which of the following should a nurse do if the purpose in community organizing is to integrate with the people?
a. Be punctual in reporting at the RHU
b. Live with the people
c. Assign community officers
d. Reside in the home of the Municipal Health officer

Situation 16. Nursing process is a hierarchy of steps in managing patient care

76. Assessment is the first step of the nursing process. Which is the following is the lowest priority in addressing patients needs after a thorough assessment?
a. The client social and belonging needs
b. Needs of family members and friends who are involved in patient care
c. Safety related needs
d. Clients needs for referral to appropriate agency

77. A 70 year old patient is on absolute bed rest. The priority assessment by the nurse is that this client is at greatest risk for which of the following?
a. Decubitus ulcer affecting the heels
b. Interrupted sleeping pattern
c. Venous thrombosis
d. Decreased appetite

78. A 10 year old child is brought to the ER for burns affecting the chest and the upper extremities. Which of the following is the first nursing priority in taking care of the patients?
a. Inserting an IV c. Inserting a foley catheter
b. Comforting the child d. Maintaining patient airway

79. A 12 year old child was admitted in Baguio General Hospital for suspected meningococcemia. Which of the following measures should you take in order to assess for meningeal irritation?
a. Evaluate papillary reaction to light
b. Evaluate for the presence of photophobia
c. Evaluate the strength of clients extremities
d. Evaluate the level of consciousness

80. Which of the following is an appropriate nursing intervention following a lumbar puncture?
a. Helping the client to maintain a flexed position
b. A pressure dressing at the site
c. Maintaining bed rest
d. Monitoring the client for headache


Situation 17: The Filipino people has varied menus and ingredients. Nurses should know what to advise nursing mothers on what foods to eat that will benefit their motherhood status and the baby

81. Which of the following sets of foods should be encouraged to be specifically eaten by nursing mothers?
a. Proteins, fats, carbohydrates, minerals
b. Beans, ham, jollibee chain of foods, pizza and pasta
c. Cereals, cheese, carrots, enriched bread and steak
d. Leafy green and yellow vegetables, milk, fish and fruits


82. What can a working mother who is lactating do to fulfill her duty of working in the office and at the same time breast milk her baby?
a. Excuse herself from the office on scheduled feeding time
b. Bring the baby in the cradle to the office for feeding time
c. Rent an apartment near office to facilitate going home
d. Squeeze periodically milk from breast and put in the bottle, ref

83. Cuddling and caressing and carrying of the baby during infancy should be maximized because this contribute greatly to the baby’s
a. Parental bonding c. Intelligent capabilities
b. Emotional quotient d. Social graces

84. What is ensured in the mothers milk anytime she breast feeds her baby?
a. improving suckling reflex of the baby
b. Sufficient amount of milk
c. Rest time of mother from office work
d. Right temperature at all times

85. Breast milk is also good medicine to treat acne vulgaris among young people. What component of mothers milk resolves acne problem?
a. Moisturizer c. Proteins
b. Astringent d. Fats

Situation 18: Community Diagnosis

86. The most common method for community diagnosis that accounts for the bulk of data is
a. Census c. Records review
b. Interview d. Sample survey

87. The following are the steps in processing the data.
1. Data analysis 3. Data presentation
2. Data collection 4. Data collation
a. 2,4,1, and 3 c. 2,4,3 and 1
b. 2,3,4 and 1 d. 2,3,1 and 4

88. Major factors affecting population includes the following EXCEPT:
a. Births b. Death c. Migration d. Morbidity

89. A population pyramid with triangular shape and broad base indicates the following except:
a. High death rates c. Young population
b. Death d. Morbidity

90. The sampling method used for a reliable community diagnosis is:
a. Simple random c. Cluster
b. Multi stage d. Systematic Random

Situation 19. Vital Statistics

91. The crude birth rate of X community is 30.5. This means;
a. 30.5 birth in every 1000 population
b. 31 births in every 1000 population
c. 30 births in every 1000 population
d. 30 births in every 1000 population of women 15 to 44 years

92. Infant mortality rate refers to deaths in every 100 births belong to:
a. 0-28 days c.0-1 week
b. 0-1 month d. 0-12 months

93. There were 20 cases of measles in a community and 5 died. What is the CFR of measles?
a. .025 b. 2.5 c.25% d. 250

94. The relative importance of a cause of death is computed as
a. CFR c. PMR
b. Cause of Death Rate d. Incidence Rate

95. In estimating the rank of cause as a common illness, the nurse makes use of:
a. Incidence rate c. Swaroops Index
b. Prevalence Rate d. Attack rate

Situation 20: In the prevention of the disease the use of the epidemiological approach is an essential skill

96. Epidemiology pertains to the study of the
a. Causes of the health and disease in the family
b. Occurrence and distribution of health and disease in a population
c. Factors that influence the causation of the disease in man
d. Ten leading causes of morbidity and mortality


97. This is the objective in the use of the epidemiological approach in the practice of nursing:
a. to obtain baseline data for evaluating a preventive program
b. To help in the formulation of nursing diagnosis
c. To identify the agent-host-environment factors of a specific disease
d. To increase skill in the control of a specific disease


98. The natural history of any disease in man centers on the following concept:
a. The disease process is affected by various factors
b. Illness is caused mostly by environmental factors
c. Illness and culture are associated
d. Agent host environment factors interrelated to cause a disease

99. When is an epidemiology investigation indicated?
a. When the secretary of health orders it.
b. When the Municipal Health Officer request
c. When the disease is a reportable case
d. When there is an epidemic

100. Epidemiological reports emphasize
a. Control measures instituted
b. Isolation of cases
c. Education of the public
d. Immunization of all those susceptible

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