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WorksheetsNURSING PRACTICE 1 📌 FINAL PROOF READ MAY NLE 2022
Total questions: 100
Worksheet time: 17hrs 40mins
NURSING PRACTICE I - COMMUNITY HEALTH NURSING
Situation 1 - Nurse Nona is a newly hired community health nurse . At the start of her duty she takes into consideration that she should assume numerous roles and functions that are primarily focused on promoting a healthy community.
1. In order for nurse Nona to become effective in her caregiver role to the different types of clientele in the community, she should be equipped with the BASIC knowledge about _____
A. Statistics
B. Research
C. Nursing process
D. Nursing theories
2. As planner and programmer in the community setting, Nurse Nona should understand that
the PRIMARY objective of community health nursing is focused on the importance of ____
A. Curative aspect of care
B. Restoration of full function
C. Rehabilitative part of care
D. Optimum health and wellness.
3. The BEST community health nursing principle that will guide Nurse Nona in the effective performance of her various roles and function is focused on the community that_______
A. Has different health needs and problems
B. Is considered as a primary client.
C. Has various structures and resources
D. Is composed of individuals and families
4. As health monitor, which of the following should be considered by the nurse as health threats
in the community.
1. Ineffective breastfeeding
2. Fire hazards
3. Inadequate immunization
4. Polluted water supply
A. 3, 4
B. 2, 3, 4
C. 1,2,3,4
D. 1,2
5. Which is the INITIAL task of nurse Nona as a community organizer ?
A. Formulates individuals, family groups and community care plans.
B. Motivates and enhances community participation.
C, Prepares and submits required reports on time.
D. Coordinates with individuals, families, groups for health services
Situation 2- Nurse Bella takes charge of handling the mental health promotion program in the midst of the ongoing health crisis due to the COVID-19 PANDEMIC.
6. Teaching the families on promoting mental health at home in this pandemic time should
focus on the following EXCEPT ______
A. Seeking community support
B. Observing open communication
C. Engaging in social media the whole day
D. Reaching out to friends
7. During this pandemic time , which of the following roles of nurse bella should she significantly intensify to prevent more cases of mental problems in the community?
A. Case finder
B. Case manager
C. Researcher
D. Surveyor
8. There are individuals who are suffering from mental health challenges due to the pandemic.
The BEST nursing action is_____
A. Refer for admission at the mental health unit
B. Help in setting up debriefing stations
C. Recommend hiking of a community psychiatrist
D. Set up a mental health program
9. Which of the following information about severity of mental illness would be important to the
mental health program in the community setting?
A. Mentaly - ill patient are always dangerous.
B. Mental illness is hereditary
C. Mental illness is not curable
D. Mental illness is a global concern
10. After a webinar on the mental health act nurse bella realized that the community has to
change which of the following perceptions?
A. Mental illness is not hereditary
B. Community resilience is important
C. Mental illness is incurable
D. Psychosocial services should be available .
11. Her priority in managing community health needs is through knowing in depth the
PREVALENCE of diseases because it indicates the ______
A. Risks to health problem
B. Presence of health problems
C. Priority needs of the people
D. Magnitude of health problems
12. Nurse Rona and her team has been utilizing the ,” EPIDEMIOLOGIC TRIAD “ model of identifying Causative factors of diseases which of the following are not relevant to this model?
A. External agent
B. Susceptible host
C. Treatment regimen
D. Environment
13. There is an outbreak of measles in some areas of the community where nurse rona is
assigned. Which of the following steps of an outbreak investigation should nurse rona and
Her team begins?
A. Identify and count cases
B. Verify diagnosis
C. Define and identify cases
D. Prepare for field work
14. Nurse Rona is able to know patterns of occurrence and distribution of diseases in the
community . Per record she found out there had been cases of rabies at irregular intervals
scattered in particular places. This occurrence refers to _____
A. Endemic
B. Epidemic
C. Pandemic
D. Sporadic
15. As an epidemiology nurse , Nurse rona’s PRIMARY function and responsibility is to .
A. Assist the epidemiologist in making reports
B. Implement public health surveillance
C. Render nursing care to sick residents
D. Follow up cases and contacts
Situation 4 - Nurse Danica is assigned to the health education initiative of the health center.
16. Nurse Danica would like to put more emphasis on healthy lifestyle in her health education
classes. Which step of the teaching - learning process should she FIRST start?
A. Assessing health needs
B. Evaluation of learning takes place
C. Preparing learning takes place
D. Developing health education plan
17. In planning for the health education program about healthy lifestyle nurse danica targets to
work with parents in the community. Nothing different ethnics backgrounds among them,
Which important consideration should be part of the plan ?
A. Economic
B. Social
C. Culture
D. Educational
18. Base on the theory of adult learning by knowles, which of the following principles will guide
the nurse to be an effective educator ?
A. Educational attainment
B. School where the participants graduated
C. Age and gender of learners
D. Environment and learner’s participation
19. Nurse Danica plans to have the residents of the community conduct brainstorming about
their community problems . Which of the following is the rationale of this teaching format ?
A. Encourages problem solving and critical thinking skills
B. Links audience participation to the presenter’s speaking style and content
C. Allows the participants to generate ideas and discuss them in group setting
D. Offers shared experiences in a familiar setting
20. Successful teaching and learning activities in any health care setting is PRIMARY fosters
Through.
A. Identifying motivating factors
B. Using clear and concise language
C. Establishing trust and rapport
D. Setting realistic goal and objectives
Situation 5- Nurse keena is alarmed with the rising number of re-emerging cases of pulmonary tuberculosis (PTB) in the philippines.
21. Case finding for PTB in the community requires that the nurse should identifying persons having __ sputum characterized as_____ .
A. Rusty, fronty
B. Yellowish
C. Blood stained
D. Greenish
22. In the care of patients with communicable diseases, nurse Keena should know that feces ,
urine, blood and other body fluids are considered as _____
A. Portal of entry
B. Vehicles of transmission
C. Reservoir of agent
D. Portal of axit
23. With the onset of the rainy season, the nurse are closely monitoring the increase of dengue
cases. The should focus their health teachings on ways to prevent dengue by______
A. Destroying breeding places of the vector
B. Using repellent lotion
C. Burning of dried leaver
D. Wearing of protective clothing
24. Outbreak of cases of typhoid fever occurs in the community . nurse kena should inform the
Residents that the transmission of the disease is through_______
A. A vector
B. Food and water
C. Blood and body fluids
D. Air
25. There are several cases of rabies in the community . Which of the following preventive
measure should nurse keena teach the families?
A. Impound all dogs
B. Impose “ No pets allowed “ rule
C. Have the dogs vaccinated
D. Report to the authorities households with dogs
Situation 6- As community health nurse it is expected that she is competent in performing core competency standards on record management.
26. Nurse Anna is aware that the domain of record management entails which of the following
Except.
A. Write in the kardex what has to be endorsed
B. Keep human resources update at all times
C. Report to MD orally wrong use of drug
D. Ensure entities in patient record is signed
27. Improvement of nursing service as well as patient satisfaction is also a concern of the nurse
manager. Which of the following strategies can be adopted to achieve this goal
A. Hold regular meeting with staff
B. Make chart audit
C. Plan suggestion box
D. Conduct regular rounds of patient
28. A physician in the health facility has forgotten to change antibiotics of the patient and make
phone call order to nurse ANA. What should be the APPROPRIATE action of the nurse in
this situation?
A. Ensure that the order will be signed by the physician as soon as he is nach to the facility
B. Have any physician in the facility sign the order
C. Carry all phone orders and bring chart to the doctor for signing
D. Call back MD to give feedback
29. If the CHN written in the treatment record: BP 160/96, Ace inhibitor with thiazide
Administered, BP decreased e at 140/88 and urine output 1200 cc for the whole shift. What type of charting is this?
A. PIE
B. AIRA
C. SOAP
D. DAR
30. Which of the following is the PRIMARY purpose of accurate, updated and reliable documents?
A. Use from the shift report of nurse and doctor
B. Protect nurse from doctors’ reprimand
C. Serve as evidence of legal matters
D. Audit frequency of medication utilization
Situation 7 - Nurse Roy assumes various roles and functions as a community health nurse . He considered collaboration and teamwork as essential in public health.
31. Which of the following is the rationale why team is ESSENTIAL in health care
A. Helping one another
B. Makes work lighter
C.
Patient safety
D. Promotes camaraderie
32. What are the MAIN components of collaboration?
A. Shared vision
B. Achievement of goal
C. Working together
D. Partnership
33. Nurse Roy, as a member of the health team, describes himself as a “ good team player. Which of the following is the BEST characteristic of a good team player?
1. Sense of humor
2. Good lister
3. Inspires other
4. Proactive thinking
A. 1,2,3,4
B. 1,2
C. 1,2,3
D. 3,4
34. Which of the following is an ESSENTIAL element of effective collaboration ?
A. Communication
B. Belongs to one team
C. Networking
D. Delegation
35. Nurse Roy in his dealing with his co-workers instile collaborative partnership in doing their
task. Which is the aim of this type of partnership ?
A. Make work faster and easier
B. Shared goals
C. Change and influence group behavior
D. Staffs satisfaction
Situation 8- Nurse Nancy is in charge of the geriatric care program of the barangay .
36. To plan out for the activities intended for the elderly population the nurse should begin to _____
A. Do survey of the numbers of the elderly population
B. Get informed consent
C. Ask permission from barangay officials
D. Tap the help of experts
37. In assessing the health condition of the older persons, which is the BEST measure in
determining their functional status?
A. Financial capability of the family
B. Age of the patient
C. Activities of daily living
D. Educational attainment
38. Which information should the nurse provide to the elderly and their families regarding drug
regimen prescribed to patients?
A. Liquid medication is more convenient and safer
B. Allow them to refuse to take medicines
C. Give independence to take medicines
D. They are more vulnerable to adverse drug reactions
39. Caregiving to older persons can be burdensome to others. Members of family who are the
Caregivers . during home visit to the family , the nurse should look for symptoms of ____
A. Agitation
B. Burnout
C. Withdrawal
D. Suicidal tendency
40 . For an effective program for the elderly population , which should be the appropriate
Approach?
A. Assign to the family
B. Supervised by physicians
C. Multidisciplinary
D. Under the care of barangay health workers
Situation 9- Nurse Zoe as a public health nurse together with other members of the health team ensure there is quality in health and nursing care. In their workplace
41.Which of the following is an important tool of assessing quality in the delivery of health
Services?
A. Research
B. Standards
C. Nursing process
D. Legislation
42. Choose the key word that BEST describes quality improvement in public health.
A. Status duo
B. Improvement process
C. Very conventional
D. Perfect health facility
43. Choose the description that quality exists at the health center
A. Patient satisfaction
B. Selected delivery of services
C. Controlled by local officials
D. Rapid turnover
44. Nurse Elisa would like to enhance the process standard at the health center. Which should
be her PRIORITY nursing initiative?
A. Revise manual for operation
B. Hire more new graduate
C. Upgrade the health equipment
D. Reduce operational expenses
45. Identify to whom nurse Elisa would seek help to improve health resources like medicines in
in order to provide quality nursing care at the health center.
A. Head of the church
B. Secretary of health
C. Mayor
D. Governor
Situation 10- Nurse Elisa has been promoted as nurse manager in the health unit. Her functions include management of resources and environment and budgeting.
46. As nurse manager , which should she consider IMPORTANT when preparing the budget
needed for the operation of the unit.
A. All things and equipment need to be new year
B. Budget is implemented with or without money at hand
C. Cost effectiveness and efficiency are important
D. Budget is not essential for quality assurance
47. In the process of planning , which of the following, Nurse Elisa should use the plan would
review the strengths and weaknesses of the organization.
A. Operational
B. Nursing care
C. Strategic
D. Program
48. For cost effectiveness measure, which of the following is the BEST nursing action
A. All things should be kept at the supervisors office
B. Identify resources needed to accomplish task
C. Assign the utility worker to keep track
D. Allow everyone to take responsibility
49. Nurse Elisa advocates for a safe staffing pattern at the health center. Which BEST practice
she should instill from the staff.
A. Delegates task
B. Give all freedom to be honest in their attendance
C. Staffing pattern not important in community setting
D. Requires staff to report on time.
50. Which of the following is a measure of a safe work environment?
1. Complies with standards
2. Observe protocols
3. Adheres to policies
4. Observe quality
A. 2,3,4
B. 1,2
C. 3,4
D. 1,2,3,4
Situation 11- When prioritizing problems in the community , the problems are categorized as health status, health resource or health related.
51. Is Nurse Maris correct in identifying which of them is a health resource problem?
A. Feud-between the midwife and head of the barangay sanitation committee
B. High maternal mortality rate
C. Absence of midwife in the community to render health service
D. Increase in number of death from pneumonia
52. 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. Magnitude of the problem
B. Social concern
C. Nature of the problem
D. Modifiability of the problem
53. Select a barrier to goal setting between the nurse and the family.
A. Educational attainment
B. Socio economic status
C. Nature of employment
D. Failure of family to perceive existence of problem
54. Which is the MOST appropriate intervention should the nurse do to help family perform the
health tasks?
A. Refer family to barangay officials for guidance
B. Help family recognized the problem
C. Allow family to decide to use health resources
D. Leave the family what action take on their problem
55. Choose the steps of the nursing process that identifies the family health seeking behavior.
A. Implementation
B. Evaluation
C. Assessment
D. Planning
Situation 12- Nurse Oscar is in charge of the OSTEOPOROSIS CONTROL PROGRAM OF
THE HEALTH CENTER
56. Nurse Oscar informs the other member of the team about osteoporosis. Which of the following is TRUE of the disease in the philippines
A. There are only few cases in the country
B. The disease is not alarming
C. Filipino are aware of the incidence of osteoporosis
D. Filipino have low awareness about the disease
57. Which id the MOST important risk factor to osteoporosis
A. Menopause
B. Being male
C. With history of previous future
D. Short in height
58. Which of the following is preventive measure to osteoporosis development
A. Iron rich food
B. Calcium rich food and supplement
C. Daily jogging
D. Vigorous exercise
59. Which of the following is TRUE about osteoporosis
A. It is a silent disease
B. It is more common in men
C. It is not that alarming
D. It is only discovered after a fracture
60. The diagnostic examination for osteoporosis is geared towards measuring
A. Bone density
B. Blood volume
C. Weight
D. Height
Situation 13- Nurse Telly is planning to conduct qualitative research about the life experiences of teenage mothers in the community.
61. Which “APPROPRIATE” research design nurse Telly should use in her planned study ?
A. Grounded theory
B. Dhenemenology
C. Case study
D. Ethnography
62. After she had decided to conduct the study , Which of the following nursing action she
What should I do next?
A. Create conceptual framework
B. Make a research proposal
C. Decide for the data analysis
D. Plan for data collection
63. Which is the APPROPRIATE means to present qualitative data?
A. Themes
B. BAR graph
C. Pie graph
D. Linear graph
64. Which of the following nursing actions nurse telly must do in doing data saturation of
qualitative data.
A. Do resurvery
B. Use case study
C. Do interview more than once
D. Seek advice of expert
65. One of the study questions in the proposed study is about needs of teenage mothers. In
choosing framework to make topic more stable, which theory nurse telly should adopt in her
study ?
A. Roy
B. Maslows
C. Orem
D. Kings
Situation 14- Nurse Rina had been working as public health nurse . In working with families she values the importance of family care plan, and other concept about community health nursing.
66. Nurse Rica is in charge of the animal bite program of the health center. Which of the
the following is the causative agent of rabies.
A. Parasite
B. Virus
C. Bacteria
D. Fungi
67. Which is the BEST strategy to control incidence of rabies in the community ?
A. Impound dogs
B. Kill strays dogs
C. Responsible pet owner
D. Find the owners
68. Which BEST advice the nurse should give in case of dog bite
A. Wash wound with garlic
B. Do not feed the dog
C. Bleed the bitten area
D. Wash thoroughly with running water
69. What advice should be given to the owner of the dog incase of dog bite.
A. Give away the animal
B. Impound the dog
C. Kill the dog
D. Feed well and observe
70. Which IMPORTANT information the nurse should inform the public about rabies.
A. It could be prevented
B. It is an ordinary disease
C. Rabies is not dealy
D. It kills
Situation 15- Nurse Erica is fully aware that being a public health nurse her work is guided by ethico- moral principles.
71. Which is the MAIN goal of ethical practice of the nursing profession including the community
Setting?
A. To protect the nurse and co workers
B. To prevent reprimand from physicians
C. For the patients family satisfaction
D. Centered on the welfare of clients and protect their rights.
72. As public health nurse erica makes sure all the supplies and medicines needed for the care
of community are available. This is an example of the principle of ______
A. Justice
B. Respect
C. Fair treatment
D. Beneficence
73. Select nurses action in keeping with principles of confidentiality
A. Hides identity of patient
B. Shares information from patient chart in public
C. Keeps all matters about the patient as a secret
D. Discusses the case of the patient with others
74. Nurse Erica is always guided by the principle of beneficence in all that she does to all her
patients. Which of the following nursing actions is aligned with the principle of beneficence.
A. Equal and fair allocation of resources to all
B. Getting informed consent
C. Keep records of patients from public viewing
D. Promoting patient safety at all times.
75. Nurse Erica tapped all the newly hired nurses to be members of her new project. She is
observing the ethical principle of _____
A. Justice
B. Autonomy
C. Nonmaleficence
D. Respect
Situation 16- Nurse Henie uses the family coping index in assessing family health needs to problems particularly of families who are vulnerable to illness.
76. Which of the following is an evidence of the poor family coping index related to healthcare
attitudes?
A. A parent who washes a wound of the child with running water.
B. The family who observes the habit of cleaning surroundings
C. A young mother who introduced solid food to her three-months old baby
D. A mother who brings her child to be vaccinated for measles.
77. Which of the following is the BEST evidence of a family whose family coping index on
Therapeutic competence is rated as coping well?
A. Shows positive interpersonal relationship
B. Participates in the weekly clean and green program of the community
C. Maintain clean and organized household ambience
D. Visits the clinic frequently well or sick.
78. Which of the following tools used by nurse in the community setting for assessing health
needs and problems of families that is similar to family coping index
A. Nursing theories
B. Vital statistics
C. Case study
D. Nursing diagnosis
79. In utilizing family coping index nurses should be knowledgeable that the focus of this tool is
identifying the family.
A. Strategies to deal with stressful situations
B. Manner of interaction
C. Ways of managing health needs and challenges
D. Patterns of health habits
80. Nurse Myrna is taking care of a family whose three young children are sick with malnutrition
Particularly protein deficiency. Which of the following behaviors is indicative of the family’s
positive coping index.
A. Observing erratic mealtime due to the work schedule of parents.
B. Bringing children to health center for consult only when needed
C. Serving foods that children like but high in carbohydrates
D. Cooking food in a variety that include meat , dairy products and beans.
Situation 17 - Ms. Sandra is a newly assigned school nurse in the elementary school of the barangay . She planned to do a physical examination of every school child.
81. In assessing the health condition of school children, which of the following would be the
findings common to his age group?
A. Cancer and other blood disorder
B. Anemia and other blood disorders
C. Lice and parasites
D. Fractures and injuries
82. In the performance of her roles and functions as a school nurse, which guiding principle
should she be considered very IMPORTANT?
A. Health is an integral part of the education process
B. The nurse is in full authority over the children
C. The local health authority supervises the school health.
D. School nursing is more focused on socialization
83. Choose how many times at least the nurse conducts physical assessment to school
children.
A. Thrice a year
B. Every semester
C. Every quarter
D. Once a year
84. Who should nurse sandra consider as a priority for home visitation?
A. Pedro 9 years old whose parents are both working
B. Melissa is 10 years old with stunted growth for her age.
C. Cindy 7 years old who has been absent due to skin lesions
D. Mike 8 years old who often sleeps during class hour
85. Which of the indicators BEST describes an effective outcome of school nursing programs
and initiatives.
A. Zero absenteeism and tardiness of pupils
B. Teachers are observers of school of health initiatives.
C. Limited information in school of health program
D. Constant visits and phone calls of parents.
Situation 18- Nurse cris is about to start her community organizing activities .
Together with her core group, their goal is to be successful in community organization through effective communication
86. Nurse Vris would like to communicate to the people the health problems they had identified. In reaching out every household in the community , which is the Best strategy the nurse should employ:
A. Call for general assembly
B. Use social media
C. Send memorandum
D. Write a letter to residents
87. Which communication technique should nurse Cris employ in order to successfully capture
the details of the meeting?
A. Summarizing
B. Restarting
C. Reassuring
D. Validating
88. Nurse Cris received information from some community resident who suspect that a neighbor
Is abusing his young child. Which should be the PRIORITY nursing action?
A. Repost to police authorities.
B. Notify the social worker
C. Ignore the information
D. Validate the information
89. In organizing the community in the midst of a major health crisis, which STRATEGY should
the nurse Cris employ to effective communication the importance of health and safety
Protocol?
A. Send letter compelling everyone to follow
B. Use social media to spread the information
C. Request an elder residents to inform every one
D. Place posters and flyers in dialect in strategic place
90. In order for nurse Cris to facilitate the recognition of the community of the existence of their
health problems , which nursing action would yield BETTER result
A. Ask the barangay head to make the report
B. Set the ground rule that presence of problem is valid
C. Set the ground rule that presence of problem is valid
D. Acts as an expert to communicate to residents
Situation 19. Nurse Bea engage in both formal and informal learning activities to enhance her knowledge about nursing theories and other concepts in nursing.
91. Nurse bea recall the theory of nursing as caring by________
A. Orem
B. Watson
C. Kings
D. Benner
92. Which of the following is the nursing theme of Sr. calista roys’ theory
A. Self care deficit
B. Adaptation
C. Nursing as caring
D. Transcultural
93. This theory categorizes professionals as novice to Expert is by _____
A. Benner
B. Abdellah
C. Pender
D. Kings
94. Nurse bea reviewed the elements of nursing as a profession. Which of the following is an
IMPORTANT element that characterizes nursing as a profession?
A. Has members
B. Possess body of knowledge
C, Service oriented
D. A calling
95. Nurse Bea wants to pursue higher education in nursing for her career advancement. Aside
from enrolling in graduate school, which of the following could enhance her career?
A. Participates in professional organization
B. Attends seminars
C. Conduct research
D. Attends symposium
Situation 20. Nurse levy reviews all pertinent laws that affect public health nursing.
96. Ra 9173 is otherwise known as the Philippine nursing act of 2002 . which is the primary aim
of these laws?
A. To enhance the competence of professional nurses
B. To regulate practice of professional nursing in the country
C. To facilitate mobiling of nurses to other country
D. To promote well-being of health workers
97. The nurse closely monitors the work she delegated to the barangay health workers. She is
legally guided by this principle
A. Respondeat superior
B. The good samaritan
C. Res ipsa loquitur
D. Jurisprudence
98. This law promotes the well being and living conditions of health workers especially those
from the government managed facilities_____
A. Continuing professional development
B. Magna carta for health workers
C. Philippine qualifications framework
D. Local government code
99. It mandates the compulsory immunization of children below 8 years
A. FD 996
B. RA 11223
C. RA 9173
D. RA 10912
100. This law allows every Filipino to avail of affordable medicines.
A. Local government code
B. Primary health care
C. Universal health care
D. Generic drug act
