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NURSING PRACTICE I – COMMUNITY HEALTH NURSING
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NURSING PRACTICE I – COMMUNITY HEALTH NURSINGl
NURSING PRACTICE I – COMMUNITY HEALTH NURSING
November 17, 2023
Situation 1- According to the World Health Organization (WHO), there are major causes
of non- communicable disease that pose challenges to the live and health of millions of
people and threaten economic and social development of countries.
1. Which of the following are the four chronic disease referred to by WHO?
1. Cardiovascular Disease
2. Cancer
3. Dementia
4. Arthritis
5. Diabetes Mellitus
6. Chronic Obstructive Lung Disease
a. 1,2,3 and 4
b. 1,2,5 and 6
c. 2,3,4 and 5
d. 2,4,5 and 6
2. The WHO reveals that the NUMBER ONE cause of death from chronic diseases
worldwide, using the 2015 estimate, is .
a. Tuberculosis
b. Diabetes Mellitus
c. Ischemic Heart Disease
d. Pneumonia
3. In the Philippines, which is the TOP Killer according to the Department of Health
(2009 data)?
a. Asthma
b. Cancer
c. Tuberculosis
d. Cardiovascular Diseases
4. When studying chronic diseases, the multifactorial etiology of illness is considered.
What does this imply?
a. Single organism that causes the disease, such as cholera, must be studied in more
detail.
b. Focus should be on the factors or combinations and levels of factors contributing to
disease.
c. The rise in infectious and communicable disease must be the main focus.
d. Genetics and molecular structure of disease is paramount.
5. Determinants of health to address the development of cancer in a community include:
1. Proximity of the community to chemical plants that emit poisonous gases.
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2. High percentage of tobacco use among the residents.
3. Prevailing diet high in processed food and fat.
4. Availability of the health facilities.
5. Men age of women population.
a. 3,4 and 5
b. 1,2 and 3
c. 1,3 and 4
d. 2,4 and 5
Situation 2: As a nurse, knowledge of the legal aspects in nursing is essential to
safeguard self and clients from legal complications. Clients are becoming increasingly
aware of their health rights, thus you should recognize your professional boundaries and
consequences of nonconformity.
6. Your co-worker got a thank you card from a patient‟s family with an accompanying
photo of her with the family. She asked you if it would be alright to post the post on
facebook. Which would be your BEST response?
a. “I think that would be okay, but you should ask permission from our head.”
b. “Yes, as long as you ask the family if that would be okay.”
c. “No, that could lead to a malpractice suit by the patient or family.”
d. “No, posting pictures of patients and families on social media is not acceptable.”
7. Identify which action is acceptable as an exception to a nurse‟s obligation regarding
confidentiality.
a. Leaving printouts of lab reports on the desk in the physicians‟ lounge
b. Discussing a patient‟s care with someone who is not involved in patient care
c. Discussing a patient‟s condition in a public place as long as his name is not mentioned
d. Reporting certain disease to public health authority
8. The central question in any charge of malpractice is whether the prevailing standard
of care was met. Which of the following statements are TRUE about standards of nursing
care?
1. Basic prudent nursing care is a standard.
2. Any health care provider can determine standards of care.
3. Standards of care are never changing.
4. Standards are based on the ethical principle of non- maleficence.
5. National standards of nursing practice are standards for all nurses.
a. 1,3,4
b. 2,3,5
c. 1,4,5
d. 2,4,5
9. Select the nursing responsibility which can NEVER be delegated.
a. Rotation schedule
b. Evaluation
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c. Accountability
d. Complex Procedure
10. For safe nursing practice, you should observe some of the do‟s and do not‟s in
performing your professional duty. Which ones are NOT acceptable standard of actions
by the nurse?
1. Keeping current year license to practice
2. Being a witness to a patient‟s will
3. Following policies and procedures
4. Protecting patients from injuring themselves
5. Accepting money or gift from patients
6. Giving practical advice contrary to the doctor‟s orders *
a. 1,4, 6
b. 1,3,4
c. 2,4,5
d. 5,6
Situation 3: Nurse Betty knows that ethics is important in community health nursing
practice and that ethical decisions are conducted in a universal and standard framework.
11. One step in ethical decision- making is to place an ethical issue or dilemma within a
meaningful context. The rationale for this step is:
a. The nature of ethical issues and dilemmas determines the specific ethical approach
used.
b. People cannot make sound ethical decision if they cannot identify ethical issues and
dilemmas
c. Multiple factors affect the interpretation and justification of the ethical issues and
dilemmas
d. Health professionals cannot avoid choice and action in applying ethics in their work
setting.
12. The historical character in nursing whose work in environmental health, providing
care to destitute people, and disease prevention establishing the nurse as a leader and
community-oriented was .
a. Lilian Wald
b. Virginia Henderson
c. Margaret Sanger
d. Florence Nightingale
13. Ethical decision making is the component of ethics that focuses on .
a. The result of the decision
b. The process of how decision are made
c. The factors impinging on making the decision
d. Who makes the decision
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14. The ethical principle that empowers the client (groups or communities) to make
knowledgeable decision is _.
a. Act in accordance to client‟s wishes
b. Act in client‟s best interest
c. Offer franks and independent advice
d. Keep the client properly informed
15. When nurse betty cannot meet a need of the client, it is most appropriate for her to:
a. Refer the client to an agency that may be able to give assistance
b. Suggest that the client discuss the need with the physician.
c. Encourage the client to pay someone to meet that need.
d. Inform the client that insurance will not pay for the care.
Situation 4: Nurse Rosas makes home visits to assigned barangays and meets families
of different types.
16. One such family is a married couple who has two biologic children living with them
as well as a child from the wife‟s first marriage. What type of family is evident?
a. Homogenous
b. Extended
c. Blended
d. Nuclear
17. Nurse Rosas encounters a married couple who is raising three children. Recently, the
wife‟s mother moved in. This family should be assessed as .
a. Nuclear
b. Extended
c. Alternative
d. Blended
18. When Nurse Rosas assesses a family, which family task would she consider having
HIGHEST PRIORITY for health family functioning?
a. Reproduction of new family members
b. Physiologic maintenance and safety
c. Allocation of family resources
d. Maintenance of order and authority
19. Which documentation of family assessment indicates a healthy and functional
family?
a. Member provide loving and mutual support
b. Under stress, members turn inward so as not to be burden others.
c. Members believe they can depend in each other.
d. Husband holds dominant power over his wife
20. Which of the following scenario BEST demonstrates a continuing healthy family?
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