NURSING PRACTICE I: Community Health Nursing

Which of the following are the four chronic diseases referred to by WHO?
1.  Cardiovascular Disease

2.  Cancer

3.  Dementia

4.  Arthritis

5.  Diabetes Mellitus

6.  Chronic Obstructive Lung Disease

• 1,2,3 and 4

• 1,2,5 and 6

• 2,3,4 and 5

• 2,4,5 and 6

Answer explanation

Rationale: The WHO identifies the four main noncommunicable diseases (NCDs) as cardiovascular disease, cancer, diabetes, and chronic respiratory diseases. Dementia and arthritis are not included in the “big four.”

The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide, using the 2015 estimate, is ____.

• Tuberculosis

• Diabetes Mellitus

• Ischemic Heart Disease

• Pneumonia

In the Philippines, which is the TOP Killer according to the Department of Health (2009 data)?

• Asthma

• Cancer

• Tuberculosis

• Cardiovascular Diseases

When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply?

• Single organism that causes the disease, such as cholera, must be studied in more detail.

• Focus should be on the factors or combinations and levels of factors contributing to disease.

• The rise in infectious and communicable disease must be the main focus.

• Genetics and molecular structure of disease is paramount.

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.

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.

• 3,4 and 5

• 1,2 and 3

• 2,3 and 4

• 1,2 and 4

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?

• I think that would be okay, but you should ask permission from our head.

• Yes, as long as you ask the family if that would be okay.

• No, that could lead to a malpractice suit by the patient or family.

• No, posting pictures of patients and families on social media is not acceptable.

Identify which action is acceptable as an exception to a nurse’s obligation regarding confidentiality:

• Leaving printouts of lab reports on the desk in the physicians’ lounge

• Discussing a patient’s care with someone who is not involved in patient care

• Discussing a patient’s condition in a public place as long as his name is not mentioned

• Reporting certain disease to public health authority

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? click all that applies
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

• 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.

Select the nursing responsibility which can NEVER be delegated:

• Rotation schedule

• Evaluation

• Accountability

• Complex Procedure

For safe nursing practice, you should observe some of the do’s and do not 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

• 1, 4,6

• 1,3,4

• 2,4,5

• 5,6