WorksheetsIHC 4TH EXAM-EDNA GRACE FERRER
Total questions: 50
Worksheet time: 50mins
Name
Class
Date
1.
During a home visit in a remote barangay, a midwife observes that a pregnant woman prefers herbal remedies and spiritual rituals before accepting biomedical interventions. The midwife wants to ensure respectful and effective care. Which of the following best reflects the primary goal of transcultural care?
a)
To promote Western medical practices globally
b)
To eliminate cultural differences in healthcare
c)
To provide culturally competent care
d)
To standardize nursing procedures
2.
During a faculty development workshop on culturally responsive care, a midwife educator introduces the concept of transcultural nursing and its relevance to community-based practice. A participant asks who developed this framework. Which of the following individuals is recognized as the founder of transcultural nursing?
a)
Florence Nightingale
b)
Madeleine Leininger
c)
Virginia Henderson
d)
Jean Watson
3.
During a module on culturally responsive midwifery, a student asks which theoretical model is designed to guide nurses in delivering transcultural care that aligns with clients’ cultural values and health beliefs. Which of the following models specifically depicts transcultural care
a)
Sunrise Model
b)
Culture Enabler Model
c)
Culture Congruent Model
d)
Environmental Model
4.
During a community health training, a midwife is reviewing the components of cultural competence to improve client-centered care in diverse barangays. She lists several elements and asks the group to identify which one does not belong. Which of the following is NOT involved in the concept of cultural competence?
a)
Cultural awareness
b)
Cultural sensitivity
c)
Cultural imposition
d)
Cultural knowledge
5.
During a community health orientation, a midwife observes that a colleague insists on applying only biomedical practices and dismisses local birthing rituals as “unscientific.” The midwife recognizes this behavior as a barrier to culturally responsive care. Which of the following best describes ethnocentrism?
a)
Respecting all cultures equally
b)
Believing one’s culture is superior
c)
Learning about other cultures
d)
Practicing cultural humility
6.
During a prenatal visit, a midwife notices that a pregnant woman prefers to follow traditional dietary practices and seeks advice from her elder before making health decisions. The midwife wants to ensure culturally competent care. Which of the following statements reflects culturally competent care
a)
“We treat all patients the same.”
b)
“We discourage traditional healing.”
c)
“We prioritize hospital policies over beliefs.”
d)
“We adapt care to meet cultural needs.”
7.
A midwife is caring for a patient from a cultural background where direct eye contact is considered disrespectful. During the consultation, the midwife intentionally avoids eye contact to respect the patient’s cultural norms. This action is considered an example of which of the following?
a)
Cultural competence
b)
Cultural insensitivity
c)
Ethnocentrism
d)
Cultural imposition
8.
During a community health mapping activity, a midwife observes that families in the barangay rely on herbal remedies, spiritual rituals, and ancestral advice when managing illness. She reflects on what shapes these health beliefs and practices. Which of the following factors most influences health beliefs and practices?
a)
Age
b)
Tradition
c)
Gender
d)
Education
9.
A midwife is assigned to a multicultural barangay where families observe diverse birthing rituals, dietary taboos, and decision-making customs. She wants to ensure her care is respectful and culturally competent. Which of the following midwife’s actions supports culturally competent care?
a)
Enforcing hospital routine
b)
Assuming all patients want the same care
c)
Endorsing the next shift the patient's unusual behavior
d)
Allow limited cultural discussions
10.
A midwife is assigned to a facility that serves clients from diverse ethnic backgrounds, including indigenous communities, migrant families, and urban poor populations. She wants to apply transcultural care principles in her daily practice. Transcultural care is most applicable in which of the following facilities?
a)
Homogeneous societies
b)
Rural clinics only
c)
Barangay Health Stations only
d)
Health Facilities
11.
During a barangay health education session, a midwife discusses the components of a healthy lifestyle to reduce the risk of noncommunicable diseases. She asks participants to identify which behavior does not support overall health. Which of the following is NOT a component of a healthy lifestyle?
a)
Inadequate sleeping pattern
b)
Regular physical activity
c)
Following dietary regimen
d)
Identifying distressing activities
12.
During a prenatal class, the midwife discusses behaviors that influence pregnancy outcomes. She asks participants to identify which maternal behavior is least likely to increase the risk of complications. Which of the following behavior of pregnant mothers is least likely to increase risk for complications?
a)
Eating fruits and vegetables only
b)
Drinking water at least 8 glasses daily
c)
Walking1 when woke up early in the morning
d)
Occasional / moderate alcohol consumption
13.
During a barangay wellness session, a midwife teaches participants about modifiable and non-modifiable health risk factors. She asks them to identify which factor can be changed through lifestyle or behavior. Which of the following is a modifiable health risk factor?
a)
Age
b)
Genetics
c)
Gender
d)
Physical inactivity
14.
During a barangay wellness seminar, a midwife discusses physical activity as part of a healthy lifestyle. She asks participants to recall the global recommendation for weekly moderate exercise to reduce the risk of noncommunicable diseases. How many minutes of moderate exercise are recommended per week for adults?
a)
60
b)
150
c)
300
d)
500
15.
During a prenatal nutrition class, a midwife emphasizes the importance of hydration for maternal and fetal health. She asks participants to identify a key benefit of drinking enough water. Which of the following is a benefit of drinking enough water?
a)
Increased blood sugar
b)
Dehydration
c)
Decrease Indigestion
d)
Weight gain
16.
During a prenatal consultation, the midwife conducts a thorough history-taking. The patient shares that she works long hours, has limited family support, and often feels overwhelmed. The midwife identifies a potential stress-related risk factor. Which of the following is a risk factor related to stress?
a)
Irregular sleeping pattern
b)
Occasional blood pressure taking
c)
Intake of immune system booster
d)
Eating only adequate food
17.
During a community health session, a midwife educates participants on preventing lifestyle-related conditions such as diabetes. She asks which habit is most effective in maintaining healthy blood sugar levels. Which of the following lifestyle habits is most effective in preventing excessive blood sugar?
a)
Smoking cessation
b)
Regular exercise and healthy diet
c)
Taking multivitamins
d)
Avoiding dairy1
18.
During a postpartum nutrition counseling session, a midwife discusses the health risks linked to excessive weight gain. She asks the mother to identify one of the associated complications. Which of the following is a health risk factor associated with excessive weight gain?
a)
Improved metabolism
b)
Lower cholesterol
c)
Increased risk of stroke
d)
Enhanced immunity
19.
During a prenatal visit, the midwife asks the patient about her sleep habits. The patient shares several experiences. The midwife wants to identify which statement reflects poor sleep quality. Which of the following statements of the patient relates to poor sleep quality?
a)
“I avoid caffeine intake before hours of sleep”
b)
“I say to it that I am on my bed every 9pm”
c)
“I can’t avoid to use gadgets during night time to answer calls from work”
d)
“I let a dim light only in the bedroom during hours of sleep”
20.
During a community health lecture, a midwife explains the concept of risk factors, conditions or behaviors that increase the likelihood of disease or complications. She asks participants to identify which option does not represent a risk factor. Which of the following is NOT a risk factor?
a)
Smoking
b)
High-fat diet
c)
Excessive alcohol
d)
Annual Screenings
21.
During a postpartum wellness check, a midwife assesses the mother’s emotional and psychological well-being. She asks which statement reflects a healthy mental state. Which of the following is a sign of a healthy mental state?
a)
Constant fatigue
b)
Persistent sadness
c)
Able to verbalize feelings
d)
Social withdrawal
22.
During a health education planning workshop, the midwife explains the stages of effective communication when engaging with clients and communities. Which of the following is the first step in the communication process?
a)
Encoding
b)
Decoding
c)
Feedback
d)
Sender's idea
23.
During a health education training, the midwife explains the key elements of the communication process. She asks which element involves converting internal thoughts into a form that can be shared with others. Which of the following elements of communication involves converting thoughts into messages?
a)
Decoding
b)
Encoding
c)
Feedback
d)
Channel
24.
During a community health forum, the midwife discusses factors that hinder or facilitate effective communication between health workers and clients. She asks participants to identify which option does not represent a barrier to effective communication. Which of the following is NOT a barrier to effective communication?
a)
Noise
b)
Feedback
c)
Language differences
d)
Emotional interference
25.
During a health education workshop, the midwife explains the roles of each participant in the communication process. She asks which role is performed by the receiver. Which of the following roles does the receiver play in the communication process?
a)
Initiates the message
b)
Encodes the message
c)
Decodes the message
d)
Transmits the message
26.
During a prenatal counseling session, the midwife emphasizes that communication includes both verbal and non-verbal forms. She asks the client to identify which behavior best illustrates non-verbal communication. Which of the following is the BEST example of a non-verbal communication?
a)
Email
b)
Phone call
c)
Facial expression
d)
Text message
27.
During a health communication workshop, the midwife explains how different factors affect the delivery and understanding of health messages. She asks participants to identify which factor most influences how clearly a message is received. Which of the following factors most influences the clarity of a message?
a)
Sender's mood
b)
Receiver's location
c)
Choice of words
d)
Time of day
28.
During a health education skills training, the midwife explains the importance of feedback in the communication process. She asks participants to identify the purpose feedback serves. Feedback is one of the elements of the communication process that serves as which of the following purposes?
a)
Confirmation of understanding
b)
To start the conversation
c)
Transmitting the message
d)
Decoding process of the message
29.
During a health education seminar, the midwife emphasizes the importance of clear and meaningful interaction between health workers and clients. She asks participants to identify which characteristic is essential for effective communication. Which of the following characteristics is essential for effective communication?
a)
Ambiguity
b)
Clarity
c)
Complexity
d)
Length
30.
During a health communication workshop, the midwife discusses different types of barriers that affect message delivery and understanding. She asks participants to identify which option represents a psychological barrier to communication. Which of the following is a psychological barrier to communication?
a)
Noise
b)
Language
c)
Distance
d)
Stress
31.
During a team-building seminar for community health workers, the facilitator discusses strategies to improve collaboration and understanding among peers. She asks which factor can enhance interpersonal communication. Which of the following factors can enhance interpersonal communication?
a)
Interruptions
b)
Active listening
c)
Assumptions
d)
Multitasking
32.
During a professional development session for midwifery educators, the facilitator discusses how messages are exchanged between individuals. She asks participants to identify the most accurate description of how communication occurs. Which of the following best describes the communication process?
a)
One-way transmission
b)
Exchange of information
c)
Random interaction
d)
Unstructured dialogue
33.
During a health communication training, the midwife explains the sequence of elements involved in the communication process. She asks participants to identify which element initiates the exchange of information. Which of the following elements of communication initiates the communication process?
a)
Receiver
b)
Feedback
c)
Sender
d)
Message
34.
During a health communication training, the midwife explains the elements involved in transmitting messages between sender and receiver. She asks participants to identify what the channel in communication refers to. Which of the following descriptions does the channel in communication refer to?
a)
The person sending the message
b)
The feedback loop
c)
Platform used to transmit message
d)
Message converted to symbols
35.
During a health communication lecture, the midwife explains the different types of communication used in clinical and community settings. She asks participants to identify the category that includes spoken or written words. Spoken or written words are considered which of the following types of communication?
a)
Verbal
b)
Non-verbal
c)
Visual
d)
Online
36.
During a clinical supervision session, a midwife observes a student interacting with a postpartum client. The student listens attentively, maintains eye contact, and responds with empathy. The supervisor highlights this as an example of therapeutic communication. Which of the following is a key principle of therapeutic communication?
a)
Giving unsolicited advice
b)
Active listening
c)
Frequent talking
d)
Using medical jargon
37.
While reinforcing the doctor’s explanation of a poor prognosis to the patient’s watcher, the midwife leans forward and maintains a facial expression of sincerity and empathy. This non-verbal behavior supports emotional connection and understanding. Which of the following characteristics of therapeutic communication is demonstrated by the midwife’s action?
a)
Ensured genuineness and congruence
b)
Active listening
c)
Respect and compassion
d)
Clarity of message
38.
During a clinical debriefing, the midwife reviews the objectives of therapeutic communication in patient care. She asks the students to identify which option does not align with its intended goals. Which of the following is NOT a goal of therapeutic communication?
a)
Establishing rapport
b)
Promoting patient autonomy
c)
Reducing anxiety
d)
Conveying poor prognosis
39.
During a clinical skills workshop, a midwife observes a student interacting with a client who expresses concern about postpartum recovery. The student listens carefully and then restates the client’s concern using her own words to confirm understanding. Which of the following communication techniques involves restating the patient’s message in your own words?
a)
Clarifying
b)
Summarizing
c)
Paraphrasing
d)
Reflecting
40.
During a clinical case conference, a midwife shares how her empathetic response helped a grieving family feel heard and supported during a difficult diagnosis. She emphasizes that empathy is not just emotional; it serves a deeper purpose in therapeutic communication. Which of the following is the BEST reason why empathy is important in therapeutic communication?
a)
It fosters emotional connection and trust
b)
It allows the nurse to feel the same emotions
c)
It helps the nurse take control of the conversation
d)
It avoids emotional involvement
41.
During a clinical communication workshop, a midwife is practicing how to ask questions that guide patient responses. She demonstrates different types of questioning techniques and asks the group to identify which statement is a closed-ended question. Which of the following statements of the midwife is an example of a closed-ended question?
a)
“How are you feeling today?”
b)
“Can you describe your pain?”
c)
“Do you have a headache?”
d)
“Tell me about your morning.”
42.
During a bedside interaction, the midwife sits quietly beside a grieving mother, offering presence without speaking. Later, in a clinical debriefing, she explains how silence can be a powerful tool in therapeutic communication.Which of the following is the purpose of using silence in therapeutic communication?
a)
To make the patient uncomfortable
b)
To allow reflection and processing
c)
To avoid difficult topics
d)
To end the conversation
43.
During a postpartum home visit, the midwife notices that the mother seems hesitant to share her feelings about breastfeeding challenges. To foster open dialogue, the midwife uses a communication technique that gently prompts the mother to elaborate. Which of the following techniques will encourage the patient to continue speaking?
a)
Summarizing
b)
Minimal encouragement
c)
Confrontation
d)
Interpretation
44.
During a clinical orientation for new midwifery interns, the supervising midwife emphasizes the importance of protecting patient records and personal health information. She asks which principle ensures that such information is kept private. Which of the following principles ensures that patient information is kept private?
a)
Advocacy
b)
Empathy
c)
Respect
d)
Confidentiality
45.
During a postpartum counseling session, a mother expresses guilt about feeling overwhelmed with newborn care. The midwife listens attentively and responds in a way that acknowledges the mother’s emotions as real and understandable. Which of the following actions of the midwife shows “validation” in therapeutic communication?
a)
Confirming the patient’s emotions are understandable
b)
Ignoring the patient’s feelings
c)
Correcting the patient’s beliefs
d)
Avoiding emotional topics
46.
During a clinical evaluation, a midwife is observed interacting with a laboring mother who expresses fear and uncertainty. The midwife maintains eye contact, uses a calm tone, and responds with phrases like “It’s okay to feel that way” and “I’m here with you.” Which of the following strategies of the midwife is in congruence with the techniques of therapeutic communication?
a)
Using open-ended questions
b)
Giving personal opinions
c)
Changing the subject to avoid hesitation
d)
Offering one’s point of view to correct patient’s point of view
47.
During a clinical ethics seminar, a midwife discusses how trust is built between healthcare providers and patients. She emphasizes the importance of honesty and transparency, especially when delivering sensitive information. Which of the following therapeutic communication principles involves being honest and transparent with the patient?
a)
Empathy
b)
Respect
c)
Silence
d)
Genuineness
48.
During a faculty development workshop, a midwife educator discusses how communication styles affect teamwork, leadership, and patient care. She asks participants to identify the style that best promotes respect, clarity, and collaboration in professional environments. Which communication style is most appropriate in professional settings?
a)
Passive
b)
Aggressive
c)
Assertive
d)
Manipulative
49.
During a fertility counseling session, a couple married for five years expresses emotional distress about their difficulty conceiving. One partner says, “I feel so hopeless.” The midwife responds with empathy and therapeutic intent. Which of the following is the most appropriate therapeutic response of the midwife?
a)
“You shouldn’t feel that way.”
b)
“Let’s talk about something more positive.”
c)
“Tell me more about what’s making you feel hopeless.”
d)
“Everyone feels that way sometimes.”
50.
During a prenatal check-up, a midwife observes that the pregnant patient is unusually quiet and withdrawn. Concerned about the patient’s emotional well-being, the midwife considers how to respond using therapeutic communication. Which of the following is an appropriate response of the midwife?
a)
Keep silent while observing the patient, unless the patient speaks
b)
Ask, “You seem quiet today, would you like someone to talk to?”
c)
Tell, “cheer up everything would be alright”
d)
Give patient ample time to rest
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