Chapter 1
Chapter 1
SITUATION one - Nurse Vera made a home visit to a newly married couple whom the wife is a primigravida and three months pregnant. The would-be mother asked questions about pregnancy and prenatal care.
One. In assessing the health condition of the pregnant patient, Nurse Vera should focus on the .
A. last menstrual period
B. number of days of menstruation
C. age of the patient during menarche
D. amount of menstrual flow
Two. The patient asked Nurse Vera when is the best time to visit the clinic for her first prenatal care. Which should be the APPROPRIATE answer of the nurse?
A. Second trimester
B. Before delivery
C. Third trimester
D. First trimester
Three. The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Vera to help the pregnant patient make a decision on the breastfeeding?
A. Give pamphlets and books to read.
B. Provide ample time for the patient to decide
C. Refer the patient to the nutritionist
D. Assist to identify breastfeeding goal and plan.
Four. The patient asks Nurse Vera, when could you hear the fetal heart of my baby? Which of the following should be the BEST answer of the Nurse Vera?
A. Ninth month
B. Fifth month
C. Third month
D. First month
Five. Nurse Vera informs the patient she should be screened for preeclampsia during this term of pregnancy
A. First
B. Second
C. Third
D. before delivery
SITUATION two - In the practice of her profession as a public health nurse, Nurse Mary is guided by ethical and moral principles.
Six. The nurse in the practice of her profession is guided by pregnancy
A. code of ethics
B. standards of care
C. third
D. before delivery
Seven. In the ethical principle of the beneficence, which is the BASIS of every nursing action in all work settings?
A. Treating all patient selectively.
B. Informing patients of hospital bills.
C. Respecting refusal of treatment.
D. Doing good at all time.
Eight. In handling all information about the families in the community, which of the following principles should the nurse consider ethical?
A. Confidentiality
B. Fair treatment
C. Justice
D. Beneficence
Nine. Nurse Mary randomly selected individuals in the community who will be part of a project. Which of the following ethical principle is observed by the nurse?
A. Autonomy
B. Beneficence
C. Confidentiality
D. Fair Treatment
Ten. Identify the primary indicator that Nurse Mary observes FIDELITY in the practice of her profession.
A. Faithfully promotes health and prevents disease.
B. Frequently assist in the providing health services.
C. Fairly evaluates health programs and initiatives. D. Collaborates and works with barangay officials. SITUATION three - Nurse Gina is assigned to supervise the home for the aged in the barangay.
D. Regular health check-ups SITUATION four - Nurse Jenny is in charge of record keeping in the health center.
Sixteen. Which of the following is NOT a step of the record keeping?
A. Structuring B. Storing C. Securing D. Easy Disposal
Seventeen. In the community setting which is the ESSENTIAL record about the patient?
A. Treatment Record
B. Tally Sheet
C. Chart
D. Kardex
Eighteen. Which of the following is the purpose of record keeping?
A. Quantify medication usage
B. Evidence of health care
C. Quantifying services provided
D. For the physician to read
Nineteen. Records are IMPORTANT in health care for
A. counting hospital bills B. evidence of health care
C. Quantifying services provided
D. For the physician to read
Twenty. What is the ultimate purpose of record keeping
A. Safeguard information
B. Archive
C. History
D. Store information
SITUATION five - Nurse Emma was informed that a family who had just moved in has family members who are infested with Scabies.
Twenty-one. Which infection control measure should Nurse Emma observe during her visit to the family.
A. Wear mask
B. Use gloves
C. Use face shield
D. Wear gown
Twenty-two. During the history taking, which of the following is the MOST common symptom of Scabies that the family would report to Nurse Emma?
A. Rashes
B. Swelling
C. Scaling
D. Itchiness
Twenty-three. In providing health teaching to the family, Nurse Emma would include in her teachings the etiology of scabies which is
A. Virus
B. Fungi
C. bacteria
D. parasite
Twenty-four. The mother of the family asked Nurse Emma how to apply the anti-scabies lotion. The nurse should teach the family to apply the anti-scabies lotion to .
A. all skin areas
B. affected skin
C. open lesions
D. Reddened areas
Twenty-five. In order PREVENT the spread of scabies infestation to other residents in the community, Nurse Emma should teach the family, which of the following?
A. Boil the utensils used by the patients
B. Avoid sharing items used by the infected person
C. Take a bath three or more times a day.
D. Wear mask and shield at all times even at home. SITUATION six - As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment.
Twenty-six. Which type of plan should the nurse employ to assess the strengths and weakness of the organization?
A. Nursing care
B. Operational
C. Strategic
D. Program
Twenty-seven. Which BEST describes the planning function of Nurse Ellen in her role as nurse manager?
A. Get and develop people to do the work.
B. Distributes and arranges work to ensure smooth operation of the unit.
C. Determines the actual performance compared with the desired output.
D. Determine how to achieve the mandate of work
Twenty-eight. To assist them enhance their performance at work, the nurse manager should review regularly pertaining to the staff's
A. Number of submitted incident report
B. Academic performance incident report C. job description
D. Family dynamics
Twenty-nine. Doing year end performance evaluation of the staff is an example of
A. planning
B. controlling
C. organizing
D. staffing
Thirty. Which is the MOST important criterion in budgeting?
A. flexibility
B. standardized
C. Consistency
D. Cost effectiveness
SITUATION seven - Nurse Mely considers teamwork and collaboration as important components of community health nursing.
Thirty-one. Which of the following is the PRIMARY goal of collaboration
A. Less number of people is needed B. Camaraderie C. Accomplish goals D. Work is faster
Thirty-two. Which are KEY ELEMENTS of collaboration
One. Shared vision
Two. Partnership
Three. Working Together
Four. Unity
A. One, Two, Three B. Three, Four C. One, Two D. One, Two, Three, Four
Thirty-three. Which of the following is the MOST important purpose of teamwork
One. Work is faster
Two. Promotes trust
Three. Sense of Security
Four. Unity
A. One, Two B. One, Two, Three, Four C. Three, Four D. One, Two, Three
Thirty-four. Which of the following BEST describe strong team?
A. Cohesive
B. Shared goal
C. Driven
D. Sense of mission
Thirty-five. Collaboration and teamwork are essential in public health to improve
A. staff performance
B. Proper use of resources
C. Equity in services
D. Quality of health care
SITUATION eight - An eighteen years old, female college student was accompanied by her mother for consultation at the municipal health center. According to her mother the patient had been having difficulty concentrating with her lesson, had tendency to isolate inside her room and frequently in an angry mood. The physician ordered for psychiatric consult.
Thirty-six. In order to determine the patient's ability to concentrate and focus, which would be the PRIORITY nursing action?
A. Ask for the academic performance
B. Conduct paper and pencil test
C. Assess the metal status of the patient
D. Refer the patient to the psychiatrist
Thirty-seven. While the nurse was taking her blood pressure, the patient suddenly stated, "They are talking about me!" She was referring to other patients who were waiting for their consultation. Which of the following should be the APPROPRIATE nursing action?
A. Present the reality situation
B. Distract patient's attention
C. Disagree with the patient
D. Validate the statement
Thirty-eight. In taking patient's history from the mother, the nurse should ask the mother information related to the daughter's .
A. Schooling
B. Menarche
C. Pregnancy
D. Immunization
Thirty-nine. Nurse May is alarmed by the incidence of the number of young adults in the community with mental problems. Which of the following should be her PRIORITY nursing initiative?
A. Refer all to tertiary hospital
B. Request for psychiatric drugs.
C. Set up debriefing center
D. Set up mental health program
Forty. In giving health teaching to the mother how to manage the patient at home, which of the following she should emphasize?
SITUATION Nine - When prioritizing problems in the community, the problems are categorized as health status, health resource or health related.
Forty-one. Nurse Maris is correct in identifying which of the following is a health resource problem?
A. Increase in number of deaths from Pneumonia
B. Feud between the midwife and head of the Sanitation Committee
C. Absence of midwife in the community to render health services
D. High Maternal Mortality Rate.
Forty-two. There are five criteria in prioritizing community health problems. If Nurse Maris is estimating the proportion of the population affected by the problem, she is using what criterion in prioritization?
A. Social Concern
B. Nature of the problem
C. Magnitude of the problem
D. Modifiability of the problem
Forty-three. Nurse Maris oftentimes encounter barriers select a barrier to goal setting between the nurse and the family.
A. Educational attainment
B. Nature of employment
C. Failure of family to perceive existence of problem
D. Socio economic status
Forty-four. Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks?
A. Allow family to decide to use health resources
B. Help the family to recognize the problem
C. Leave the family what action they take on their problem
D. Refer family to barangay officials for guidance
Forty-five. Choose the step of nursing process that identifies the family health seeking behavior.
A. Assessment
B. Implementation
C. Planning
D. Evaluation
SITUATION Ten - Nurse Jane is the team leader of group of nurses who plans to utilize community organizing Participative Action Research.
Forty-six. Which of the following BEST describes the PRIMARY goal of CO-PAR?
A. Enhances the skills of the nurse in research.
B. Makes the community empowered and self-reliant
C. Increases of the community programs
D. Helps clean-up and beautiful the community
Forty-seven. At the pre- Entry phase, which of the following is the FIRST step in the CO-PAR process?
A. Survey the community
B. Train technical working group
C. Hold a community assembly
D. Create a core group
Forty-eight. In participative Action Research which step will empower the community?
A. The nurse performs most of the task
B. Health team directs all the activities of the place
C. Participation and engagement of the community
D. Barangay head appoints people in charge
Forty-nine. The nurse, as the community organizer, immerses self by joining local folks in their usual everyday activities in order to
A. gain trust and rapport of people
B. make self popular among people
C. identify the spot leaders
D. become familiar with the place
Fifty. In CO-PAR, which is the MOST important role of the public health nurses?
A. Caregiver
B. Expert
C. Financer
SITUATION Eleven - Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care.
Fifty-one. Which of the following are some elements of the primary health care except?
A. Use of appropriate technology
B. Safe water supply
C. Free medicine
D. Maternal and child care
Fifty-two. Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility?
A. District Hospital
B. Public health center
C. Rural health unit
D. Barangay Health Station
Fifty-three. Which of the following herbal medicine is recommended for cough?
A. Sambong
B. Guava
C. Bawang
D. Lagundi
Fifty-four. Guava leaves are recommended by the department of health to:
A. Dissolve kidney stones
B. Lower blood pressure
C. Remedy for cough
D. Wash wound
Fifty-five. This global program aims to end poverty and protect the planet?
A. Center of the disease control
B. Sustainable development goal
C. Millennium development goal
D. World health organization
SITUATION Twelve - In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailments.
Fifty-six. Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors especially obesity.
A. Wellness and fitness program
B. Obesity is natural body response
C. Tell them to go to the gym
D. They have to undergo strict dietary regimen
Fifty-seven. Which should be emphasized by the nurse in her health teachings?
A. Jogging a mile a day
B. No need to diet
C. Vigorous exercise
D. Weight reduction
Fifty-eight. Nurse Noli should advise the patients the following except:
A. Cut down on salt intake
B. More fruits and vegetables
C. Eat regular meals
D. Eat more saturated fats
Fifty-nine. To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their blood.
A. Cholesterol
B. Nitrogen
C. Type
D. Oxygenation
Fifty-nine. Nurse Noli should include in his health teaching the following except:
A. Less saturated fat
B. Weight within normal limits
C. Exercise regularly
D. More fats in the diet
SITUATION Thirteen - Nurse Mae is a new supervisor of the health center. Her program thrust include excellent and quality provision of services and performance of the staff.
Sixty-one. To ensure that the staff adheres to their job responsibilities which should be the APPROPRIATE tool should Nurse Mae utilize in evaluating staff performance?
A. Memorandum
B. Performance evaluation
C. Incident report
D. Anecdotal report
Sixty-two. As a nurse manager, which nursing action should she do to let the staff imbibe the culture of quality at the health center?
A. Become a role model
B. Reprimand every now and then
C. Frequent meetings
D. allow them to read books
Sixty-three. Which measures will be used in the unit to ensure patients' satisfaction of the delivery of health services?
A. Encourage to use social media
B. Provides means to evaluate services
C. Verbal feedback
D. Ask the local officials
Sixty-four. Which is the simple meaning of standards of nursing care?
A. What protects the nurse
B. How the nurse will behave
C. How much work is done
D. What to do
Sixty-five. Which is the BEST strategy that nurse should employ to give feedback on patient evaluation of health services?
A. Put the evaluation at supervisor's office
B. Send letter to all
C. Conduct staff meeting
D. Through bulletin board
SITUATION Fourteen - With the onset of rainy seasons, Nurse Nena and their team are on alert for increase in case of dengue fever.
Sixty-six. Identify the causative agent of dengue fever.
A. Fomite
B. Vector
C. Bacteria
D. Virus
Sixty-seven. Which of the following strategies would prove effective in preventing more incidence of dengue infection?
A. Healthy nutritious food
B. Burning of leaves and garbage
C. Destruction of breeding place of vectors
D. Adequate rest and sleep
Sixty-eight. Bleeding is the most serious complication of dengue infection. When is the patient to be watched for symptoms of bleeding?
A. Fourth to fourth days
B. At the onset of symptoms
C. Second to third day
D. First day
Sixty-nine. Which of the information about the nature of dengue fever should the nurse relay to the community?
A. It is always life threatening
B. It could be deadly but preventable
C. It responds well to antibiotics
D. The incubation period is variable
Seventy. Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever?
A. Rumpell-Lead
B. Mantoux
C. Elisa
D. Widal
SITUATION Fifteen- Nurse Rica finds effective communication as the key to successful community health nursing.
Seventy-one. When writing a memorandum, which of the following is the most important guideline?
A. Purpose is included
B. Content is clear
C. Friendly tone
D. One topic at a time
Seventy-two. Which of the following is an indicator of effective communication?
A. Receiver
B. Feedback
C. Sender
D. Nonverbal communication
Seventy-three. Nurse Rica would like to start about her treatment to make sure she is understood by the patient. Which communication technique should she use?
A. Clarifying
B. Restating
C. Challenging
D. Opening
Seventy-four. The patient told her something about her treatment to make sure she is understood by the patient. Which communication technique should be used by the nurse?
A. Clarifying
B. Focusing
C. Validating
D. Restating
Seventy-five. Nonverbal communication is as strong in conveying information because the nurse can?
A. Observe gestures
B. Body language could be observed
C. Sender less effort
D. Actions speak louder than words
SITUATION Sixteen- Nurse Lyn plans to enhance her personal and professional development.
Seventy-six. Choose an indicator that models personal and professional behavior and values.
A. Utilizes communication and social media responsibly
B. Attends conferences
C. Enrolls in school
D. Joins civic organization
Seventy-seven. Nurses should have knowledge about professional organization. Which of the following is the accredited professional organization of the nurses?
A. Maternal and child nursing
B. Philippine Nurses Association, Incorporated
C. National League of Government Nurses of the Philippines
D. Association of Nursing Service Administrators of the Philippines
Seventy-eight. A profession is characterized by the following except:
A. Body of knowledge
B. Code of ethics
C. Member of professional organization
D. Engages in research
Seventy-nine. Which of the following is an example of self-directed learning activity?
A. Research at work
B. Attends webinars
C. Attendance to graduate school
D. Engaged in research
Eighty. Aside from attending seminars, which of the following information continuing education programs should the nurse engage herself except:
A. Attending professional conventions
B. Webinars
C. Symptoms
D. Doing research as academic conventions.
SITUATION Seventeen- Nurse Betty is assigned as team leader of the group of community health nurses who are tasked to conduct a community diagnosis in one of the far-flung barangays of the municipality.
Eighty-one. While preparing to depart to their assigned barangay, Nurse Betty informs her group that the primary purpose of conducting community diagnosis is to .
A. Do assessment of the community profile
B. Count the number of morbidity in the place
C. Assess the number of indigenous people
D. Form a core group of selected residents
Eighty-two. Nurse Betty and her group followed the steps of community diagnosis. Which come after the formulation of objectives?
A. Determine data to be collected
B. Define the study population
C. Analyzed the collected data
D. Collect the needed data
Eighty-three. In the step of community diagnosis where data are collected. Which of the following tools is utilized less?
A. Interview guide
B. Observation checklist
C. Survey questionnaire
D. Case study
Eighty-four. To prepare the collected data about the health status of the community for analysis, which is the appropriate step that the group of Nurse Betty should do?
A. Analyze data
B. Interpret data
C. Present data
D. Make conclusion
Eighty-five. Once of the group of Nurse Betty is able to identify community health problems. Which would be appropriate for them to do in order to be able to plan for necessary intervention?
A. Present the data
B. Formulate objective
C. Evaluate the data
D. Set priorities
SITUATION Eighteen- At present the public knows their right in health care. The community health nurse should be confident and safe in the practice of her profession.
Eighty-six. Nurse has complaint from a parent for administering wrong dose of vaccine to the child. This act is a form of .
A. Battery
B. Assault
C. Negligence
D. Malpractice
Eighty-seven. When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of .
A. Responsibility
B. Accountability
C. Commitment
D. Delegation
Eighty-eight. Who among the following is the best to sign an informed consent during a surgical procedure of a child at the health center?
A. A twenty-six year old brother who is a drug addict
B. A father who is forty years old and illiterate
C. A sister, twenty-one years old but undergoing dialysis
D. A mother, thirty-five years old with on and off seizure
Eighty-nine. A nurse administer extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be used for .
A. Negligence
B. Malpractice
C. Tort
D. Battery
Ninety. A patient was for transfer to a tertiary hospital because of severe asthma, but the nurse does not prepare the patient right away and the patient dies. Which of the following the nurse is liable?
A. Malpractice
B. Assault
C. Murder
D. Battery
SITUATION Nineteen- Health education is one of the essential services at the community setting. Nurse Nene is in charge of health education activities of the rural health unit.
Ninety-one. Which of the following is true about the health education in public health?
A. It is only done by professionals like nurses.
B. It is every health worker's responsibility
C. It is remains constant
D. It is seldom used in public health setting
Ninety-two. The best result of health education process is
A. It influences and changes behavior
B. It provides new inputs
C. Update others
D. Information transfer
Ninety-three. Which of the following explains health education is a creative process?
One. It could employ a variety of strategies
Two. It can be done anywhere
Three. It could perform by any member of the health team
Four. It is a valuable health service
A. One, Two, Three
B. One, Two. C. Three, Four
D. One, Two, Three, Four
Ninety-four. To families and individual in the community, which is the
Most important goal of health education?
A. To study their life history
B. To identify their weaknesses
C. To totally change their lifestyle
D. To motivate them to develop skills and literacy in health.
Ninety-five. As a whole health education in public health aims to .
A. Transfers information
B. Make life changes
C. Better health opportunities
D. Change personality
SITUATION Twenty- Nurse Mary is assigned to manage the Non Communicable Disease residents who are having Hypertension.
Ninety-six. Which assessment findings is indicative of the diagnosis of hypertension?
A. Family members with high blood pressure
B. Elevation of blood cholesterol level
C. Stressful work environment
D. Consistent elevation of blood pressure
Ninety-seven. Identify the most appropriate diagnostic examination that confirms the incidence of hypertension among residents.
A. Chest X-ray
B. Electrocardiogram
C. Ultrasound
D. Blood pressure monitoring
Ninety-eight. Which medication will be prescribed to control and maintain the blood pressure of patients at normal level?
A. Lidocaine
B. Epinephrine
C. Amlodipine
D. Furosemide
Ninety-nine. Nurse Mary had observed that most patients with hypertension stop taking their medications and heard them saying "I feel good already." Which is the appropriate nursing diagnosis?
A. Impaired gas exchange B. Anxiety C. Knowledge deficit D. Ineffective coping
One hundred. During the conduct of his health teaching to the patients, which should the nurse emphasize to maintain blood pressure at normal level?
One. Smoke in moderation
Two. Exercise regularly
Three. Consume less salt
Four. Less stress
One. The team leader decided to ask Nurse Trining the meaning of informed consent. After being able to define what the term means, she was further asked the reasons for its use. Nurse Trining's answer should be, which of the following?
A. One, Two, and Three B. Two only C. One, Two, Three, and Four D. Three only
Two. As to the observance of respecting privacy, Nurse Trining explained about.
A. breach of contract B. anonymity C. ethical dilemma D. confidentiality
Three. In nursing, Nurse Trining explained that the main goal of conducting a research is to.
A. justify the role of nurses as health care providers
B. establish a credible body of evidence to support and improve the delivery of care.
C. identify research priorities that will justify the oversupply of nurses.
D. develop a body of knowledge to address non-nursing problems
Four. In conducting a study on sleep, Nurse Trining was asked which of the types of research will be used should it involve collecting numerical data which is the most often under considerable control. Her answer should be
A. Ethnographic
B. Phenomenological
C. Qualitative
D. Quantitative
Five. Should a twenty-four-hour period clinical observation and activities be considered in conducting the research on sleep, the type of study that training will be conducting is.
A. Quantitative
B. Descriptive
C. Ethnological
D. Exploratory
SITUATION TWO- Presley enters the labor and delivery unit in probable preterm labor at thirty-six weeks' gestation. The patient was informed that the fetus is in breech presentation. She has a catheterized urine specimen ordered.
Six. Patient Presley asks the nurse why such a diagnostic procedure is required. What is the most appropriate answer can the nurse give?
A. Urinary tract infections are strongly associated with the occurrence of preterm labor.
B. Reduced sensation to urinate usually occur during preterm labor.
C. Preterm labor treatment usually causes women bladder infection because of restricted fluid intake.
D. Catheterized urine is usually ordered for any woman admitted to the labor and delivery unit.
Seven. Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse Hope about the purpose of this medication?
A. Promote fetal lung maturity.
B. Prevent the premature closure of the ductus arteriosus.
C. Delay delivery for at least forty-eight hours,
D. Stop the premature uterine contractions.
Eight. Patient Presley who is ordered for diagnostic pelvic ultrasounds ask what preparation she'll take. Appropriate preparations for this procedure include.
A. explanation of the procedure
B. NPO six hours before
C. Informed consent
D. voiding
Nine. Pelvic ultrasound can detect, which of the following?
A. Congenital defects in the structure, fetal gender, H-mole
B. Fetal sex, number, and lung maturity
C. Fetal DM, multiple pregnancies, fetal age of gestation
D. Fetal congenital defects, placenta previa, fetal lung maturity
Ten. The labor progress and the physician performed amniotomy. Nurse Hope should first assess for.
A. bladder distention
B. maternal blood pressure
C. cervical dilatation
D. fetal heart rate pattern
SITUATION THREE- Sienna, a patient with severe preeclampsia is admitted to the hospital. She is the student from one of the local universities and insist on continuing studies while in the hospital, despite being instructed to rest. The patient studies approximately ten hours a day and has numerous visits from fellow students, family and friends.
Eleven. Which intervention should the nurse use to promote rest?
A. Develop a routine with the patient to balance her studies and her rest needs.
B. Include a significant other in helping the patient understand the need for rest.
C. Instruct the patient that the baby's health is more important than her studies at this time.
D. Ask why she is not complying with the prescription of bed rest.
Twelve. Patient Sienna who seems to be irritated with the nurse said "I don't want to talk with you because you're only a nurse. I will wait for my doctor." Which of the following should the nurse say in response to the patient?
A. Your doctor prescribed this for us to do nursing care.
B. I understand. I should call your doctor.
C. I'm angry with the way you dismiss me.
D. So then you would prefer to speak with your doctor?
Thirteen. Nurse Mauve is now ethical dilemma. This occurs when.
A. a decision had to be made quickly under stressful situation
B. choices are unclear
C. there is a conflict between the nurse's decision and that of his or her superior
D. there is a conflict of two or more ethical principles
Fourteen. Despite the reaction of the patient. Which of the ethical principles that the nurse is responsible of providing all patients with caring attention and information?
A. Beneficence
B. Nonmaleficence
C. Veracity
D. Advocacy
Fifteen. Nurse Mauve should plan to initiate which action to provide a safe environment?
A. Take the patient's vital signs every four hours.
B. Encourage visits from family and friends for psychosocial support
C. Maintain fluid and sodium restrictions.
D. Take off the room lights and draw the window shades.
SITUATION FOUR- Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia.
Sixteen. Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic process and often provide more information than can be gained by broad testing strategies. History taking includes the following, except.
A. History of present illness
B. Religious affiliation C. Social and Family history
D. Past medical history
Seventeen. The objective of taking the history of present illness is to illicit the chronologic description of the chief complaint. Which of the following questions would try to answer what Nurse Nanie wishes to illicit?
A. One, Two, and Three B. Two, Three and Four C. One, Two, Three, and Four D. One, Two, and Three
Eighteen. Past medical history section of Krini contains the following, but not.
A. Prenatal history B. Childhood illness C. Current history D. Birth history
Nineteen. Which of the following statements is true?
Nineteen. Which of the following statements is true?
A. History must taking must be long regardless if the child appears to be well.
B. No proper history can be obtained without observation of the child and the mother.
C. Nurse Nanie should refrain from asking about the illness of other members of the family.
D. An example of what can be elicited from a social history is how the disease started.
Twenty. In order not to frighten small children, it is best to examine things that are uncomfortable or frightening to them last so as not to lose their cooperation. This means the last thing to do in a child is, which of the following, except.
A. Inspections of the throat with a throat stick
B. Inspection of the ears with an otoscope
C. Auscultation of the heart
D. Undressing the child
SITUATION Five - Ximena a Christian twenty-nine-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym.
Twenty-one. Patient Ximena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do?
A. Give a drug as prescribed
B. Inform the supervisor
C. Give the average dose of the medication
D. Discuss the prescription with the physician
Twenty-two. The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse?
A. Discuss with a family member the need for the patient to take the medication.
B. Document the patient's refusal to take the medication
C. Notify the physician of the patient's refusal to take the medication
D. Explain again to the patient the consequences of refusing to take the medication
Twenty-three. As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that allergy will visit her. How did nurse Parker function when she initiated the visit?
A. Dependently
B. collegially
C. Interdependently
D. Independently
Twenty-four. Patient Ximena sought referral to an abortion clinic from the nurse. Reasons out that her pregnancy is a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse?
A. It will cause discrimination from friends and relatives.
B. Inform her that abortion is morally and legally wrong by virtue of the law
C. It will cause infection
D. It is against any religion
Twenty-five. The incoming nurse on duty reported, the nurse is administering a medication, the patient says, "This pill looks different from the one I had taken before. What is the APPROPRIATE action of the nurse?
A. Explain the purpose of the medication
B. Encourage the patients to take the medication
C. Check the original medication prescription
D. Ask what the other pill looked like