St.

Paul University Philippines

Tuguegarao City, Cagayan 3500
School of Nursing and Allied Health Sciences

COLLEGE OF NURSING
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
Second Semester, AY. 2019 – 2020
NCM113- Community Health Nursing II

SCENARIO 1

1. Discuss briefly why Losartan (Bepsar) and Metropolol (Lopressor) were given to Fely.

Losartan (Bepsar) was given to Fely to lower her blood pressure. She was advised to take 50 mg of this medication once a day. An emergency drug called
Metropolol (Lopressor) was also given to her in case sudden spike of blood pressure happen. This drug should only be taken when needed because it can lower blood
pressure too much.

2. List at least two (2) health education topics you can discuss with Fely and her family.
 Causes and Symptoms of Hypertension
 Management and treatment for Hypertension
SCENARIO 2

1. What are your initial actions as Community Health Nurse that to this family?
I will help them remove the pointed wood lifted in their staircase and I will tell them to keep the laundry chemicals and toilet cleaner to a safe place
where children cannot reach them. This is to avoid child poisoning and prevention of other accidents.

2. Identify the age group of Ana and Bruno and their stages of development according to the Cognitive Theory.
 Ana (8 y/o) : Concrete operational stage (ages 7 to 11)
 Bruno (4 y/o) : Preoperational stage (ages 2 ro 7)
3. List two (2) health education topics that you are going to discuss with the Dimalanta Family.
 Importance of proper handling and storing household chemicals in health
 Ways to prevent hazards at home

SCENARIO 3

1. Compute the Expected Date of Delivery/Confinement (EDD/EDC)

LMP: October 7, 2019

10 07 2019
- 03 + 07 +1
_____________________
07 14 2020 = July 14, 2020
1. Discuss briefly why Iron, Folic acid and Vitamin A were given to Susan.
When a woman is pregnant, her body produces more blood to support the growth of her baby. Susan was given iron to help her body make enough
blood that she and her baby needs during pregnancy. This can also prevent her from having anemia. Folic acid was given to her because it can aid in baby’s
growth and development and helps to prevent serious birth defects. For Susan to prevent night blindness, Vitamin A was given to her. This is also to help
build her baby’s immune system and to have a health skin and eyes.
2. List at least three (3) health education that you should give to Mr. Chris and Mrs. Susan.
 Parental Obligations and Responsibilities
 Importance of Postnatal Care
 Taking Care of a Newborn
3. Identify what level of assessment should you use in this case.
 First and second level of assessment
 FAMILY HEALTH ASSESSMENT

SCENARIO 1

PROBLEM: Hypertension

First Level Assessment: Health Deficit

Second Level Assessment: Inability to provide adequate nursing care to the sick due to lack of knowledge about the disease/health condition

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOME
Objective: Inability to provide After nursing 1. Discuss with the 1. To correct Home Visit  Time and After nursing
 Blood adequate nursing interventions, the family the misconceptions effort of intervention, the
pressure: care to the sick family will be able to: definition of and to increase Health student nurses family will have
150/100 due to lack of a. Define hypertension their knowledge teaching and family adequate
mmHg knowledge about hypertension 2. Discuss with the about the  Knowledge knowledge about
the disease/health correctly and family the disease and skills of hypertension and
condition completely predisposing 2. To provide student nurses will be able to
b. State at least 3 factors related to knowledge and  Willingness to manage such
predisposing hypertension understanding cooperate and condition
factors related to 3. Discuss with the about the understanding
hypertension family the signs factors that of the family
correctly and symptoms of causes  Visual aids for
c. Identify at least 5 hypertension hypertension health
possible signs and 4. Perform health 3. To provide teaching
symptoms of teaching adequate
hypertension regarding knowledge
correctly treatment and about
d. Verbalize at least 5 management of hypertension
 treatment and hypertension as and to facilitate
management of well as its early detection
hypertension as preventive of the disease
well as its measures 4. To minimize and
preventive prevent the
measures occurrence of
hypertension
and to avoid
possible
complications

PROBLEM: Hypertension

First Level Assessment: Health Deficit

Second Level Assessment: Failure to utilize community resources for health care due to lack of knowledge of community resources for health care

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOME
Objective: Failure to utilize After nursing 1. Discuss to the 1. To increase Home Visits  Time and After nursing
Blood community interventions, the family the family’s Health Teaching effort of intervention, the
pressure: resources for family will be able to: availability of awareness student nurses family will utilize
150/100 health care due to a. Recognize the community about the and family community
lack of knowledge availability of resources for availability of  Knowledge resources for
of community community health care community and skills of health care as an
resources for resources for 2. Explain to the resources for student nurses aid in improving
health care health care family the health care  Willingness to health condition
b. Utilize community services available 2. To encourage cooperate and
resources for in health centers the family to understanding
health care 3. Perform health utilize services of the family
c. Attend checkups teaching with available in  Visual aids for
regularly to the regards to health centers health
nearest health importance of for maintaining teaching
center having regular and managing
checkup health
3. To monitor the
mother’s blood
pressure and
improve
present health
condition
SCENARIO 2

PROBLEM: Pointed/ sharp objects, poisons and medicines improperly kept

First Level Assessment: Health Threat

Second Level Assessment: Inability to recognize the presence of the condition or problem due to lack of knowledge

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOME
Subjective: Inability to After nursing 1. Explain to the 1. To increase Home Visits  Time and After nursing
Objective: recognize the interventions, the family the their effort of intervention,
 Zonrox presence of the family will be able to: possible danger awareness of Health student nurses the family will
bleach, condition or that may occur the Teaching and family understand
Oxalic acid problem due to lack
a. a. Recognize the risk of because of the consequence  Knowledge the need of
and of knowledge improper storage of improper storage s that might and skills of preventive
Muriatic poisons of poisons happen if student nurses measure in
acid were b. b. Take appropriate 2. Discuss with the improper  Willingness to protecting the
placed action to manage family possible storage of cooperate and family from
beside the proper storage of ways of providing poison is not understanding accidental
staircase poisons such as toilet proper storage of corrected of the family poisoning.
cleaners and laundry poisons 2. To prevent  Visual aids for
chemicals 3. Advise children to poisoning and health
c. c. Perform first aid not play with ensure safety teaching
measure in case of poisons 3. To avoid  First aid kit
accidents 4. Perform health accidental
teaching with poisoning
regards to first 4. To minimize
aid measures injury and
future
disability
when
accidents
occur
PROBLEM: Broken Staircase

First Level Assessment: Health Threat

Second Level Assessment: Inability to provide a home environment conducive to health maintenance and personal development due to lack of skill in carrying out measures to
improve home environment

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOME
Objective: Inability to provide After nursing 1. Advise and help 1. 1. To improve home Home Visits  Time and After nursing
 Wooden a home interventions, the the family to environment and effort of intervention, the
staircase environment family will be able to: remove the lifted ensure safety Health student nurses family will take
was broken conducive to sharp wood and 2. 2. To avoid accidents Teaching and family appropriate
and a health a. Take appropriate fix the broken and promote safety  Knowledge actions to fix
pointed maintenance and actions to fix stairs as soon as of the family and skills of broken staircase
part of the personal broken staircase possible 3. 3. To minimize injury student nurses to avoid
 wood was development due b. Enumerate various 2. Advise the family and future disability  Willingness to accidents
lifted to lack of skill in ways to prevent most especially when accident cooperate and
carrying out injury the children to be happens understanding
measures to c. Perform first aid cautious when of the family
improve home measure in case of using the stairs  Visual aids for
environment accident 3. Teach the family health
on appropriate teaching
first aid measures  First aid kit

SCENARIO 3

PROBLEM: Backache due to pregnancy

First Level Assessment: Health deficit

Second Level Assessment: Inability to make decisions with respect to taking appropriate health action due to inadequate knowledge as to alternative courses of action open to
them

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOME
Subjective: Inability to make After nursing 1. Assess pain 1. To have a Home Visits  Time and After nursing
“What are the decisions with interventions, the using a pain basis for effort of interventions,
possible home respect to taking family will be able to: rating scale, appropriate Demonstration student nurses the family will
management appropriate its character, intervention and family practice home
for backache health action due a. Demonstrate location, 2. To provide  Knowledge management for
due to to inadequate understanding severity, and adequate and skills of backache
pregnancy?”, knowledge as to about the main duration knowledge student nurses properly and the
as verbalized alternative cause of 2. Discuss with to the family  Willingness to mother will
by the mother. courses of action backache the family with regards cooperate and verbalize
open to them b. Assist the about the to the understanding reduction or
mother in causes and mother’s of the family relief of pain
performing types of back condition  Visual aids for
home pain due to 3. To increase health
management pregnancy knowledge teaching
for backache 3. Perform on ways to
c. Verbalize health lessen the
reduction/relief teaching and pain and to
of backache demonstration provide
using a pain with the comfort
rating scale family, 4. To ensure
especially the safety in
mother about performing
non- home
pharmacologic managemen
ways to lessen t in reducing
pain such as backache
maintaining
proper
posture,
stretching
regularly, and
using warm
compress
4. Encourage the
significant
other to
monitor and
assist the
mother
PROBLEM: Paternal Anxiety

First Level Assessment: Presence of stress points/foreseeable crisis situations

Second Level Assessment: Inability to provide adequate nursing care to the family due to lack of knowledge about child development and care

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOME
Subjective: Inability to After nursing 1. Allow parents 1. To help the Home Visit  Time and After nursing
“Am I ready to provide adequate intervention, the family especially the new parents Health Teaching effort of interventions,
be a father?”, nursing care to will be able to: father to talk perceive the student the family will
as verbalized the family due to a. Verbalize about anxious situation nurses and express
by the client. lack of realistic feelings and realistically family confidence in
knowledge about information examine and recognize  Knowledge taking new
child and anxiety- factors leading and skills of responsibilities
development and expectations of provoking to parental student as parents
care parenting role situations if anxiety nurses
b. Express they are 2. To provide  Willingness to
confidence in identifiable adequate cooperate and
taking new 2. Perform knowledge understanding
responsibilities health about of the family
as parents teaching with parenting and  Visual aids for
regards to for them to health
roles and prepare teaching
responsibilities themselves in
of parenting taking new
responsibilities
as parents