CHNN312

FINAL EXAM
REVIEW
TRENDS IN COMMUNITY HEALTH AND COMMUNITY HEALTH
PRACTICE:

HEALTH PROMOTION/HEALTHY LIFESTYLE CHALLENGES

--RAPID RISE OF NON-COMMUNICABLE DISEASE
2020: THESE DISEASES ARE EXPECTED TO ACCOUNT FOR
73% OF DEATHS IN THE WORLD> LOW- AND MIDDLE-INCOME
COUNTRIES SUFFER GREATEST IMPACT
TRENDS IN COMMUNITY HEALTH AND COMMUNITY HEALTH
PRACTICE:

-- ONE TREND IS THE USE OF TECHNOLOGY, SUCH AS MHEALTH,

TELEMEDICINE, AND ELECTRONIC HEALTH RECORDS, TO PROVIDE
ASSISTANCE TO NURSES IN THEIR PRACTICES OUTSIDE OF ACUTE
CARE SETTINGS.
-- A SHIFT TOWARDS PATIENT-CENTERED
MODELS OF CARE THAT ARE LINKED TO THE
NEIGHBORHOOD, PLACE, AND SYSTEM LEVELS,
WITH AN EMPHASIS ON LEADERSHIP
DEVELOPMENT AND COLLECTIVE LEADERSHIP.

--PATIENT-CENTERED CARE, INTEGRATED CARE

SYSTEMS, AND THE USE OF MODELS SUCH AS
BUURTZORG AND EMBRACE FROM THE
NETHERLANDS. (HTTPS://DOI.ORG/10.12968/BJCN.2019.24.11.538)
TRENDS IN COMMUNITY HEALTH AND
COMMUNITY HEALTH PRACTICE:

SHIFT TOWARDS IMPROVING THE

HEALTH OF THE POPULATION AS A
WHOLE, RATHER THAN JUST
INDIVIDUAL PATIENTS.
HTTPS://JOURNALS.LWW.COM/NAQJOURNAL/ABSTRACT/2019/10000/EVOLUTION_OF_CA
RE_AND_NURSING__MOVING_WITH_THE.8.ASPX)
THE MUNICIPALITY ASSIGNED NURSE TO
DALE HAS A POPULATION OF ABOUT 20,000.
ESTIMATE THE NUMBER OF 1-4 YEAR OLD
CHILDREN WHO WILL BE GIVEN RETINOL
CAPSULE 200,000 I.U. EVERY 6 MONTHS.
A.1,500
B.1,800
C.2,000
D.2,300
TEST TO DETECT HIV
IN INFANTS WITH
PARENTS WHO ARE
HIV+
37. YOU ARE ASSIGNED TO ARRANGE THE
STORAGE FOR A NEW DELIVERY OF
VACCINES IN THE HEALTH CENTER. ALL OF
THE FOLLOWING VACCINES MAY BE STORED
AT THE BODY OF THE REFRIGERATOR,
EXCEPT:
A. BCG
B. DPT
C. OPV
D. HEPATITIS B
WHICH OF THESE PATIENTS ASSIGNED TO YOU AS COMMUNITY
HEALTH NURSE IS MOST LIKELY TO NEED PLANNING FOR LONG-
TERM NURSING MANAGEMENT?

A. 71-YEAR-OLD WITH APPENDICITIS WHO HAS HAD AN EMERGENCY

APPENDECTOMY.
B. 60-YEAR-OLD WITH BILATERAL KNEE OSTEOARTHRITIS WHO
WEIGHS 350 LBS. (159KG)
C. 54-YEAR-OLD WITH CHOLECYSTITIS WHO HAS HAD A
LAPAROSCOPIC CHOLECYSTECTOMY
D. 62-YEAR-OLD WITH ACUTE SINUSITIS WHO WILL REQUIRE
ANTIBIOTIC THERAPY FOR 5 DAYS - ACUTE
EFFECTIVE METHODS THAT THE GOVERNMENT
WOULD LIKELY TO PURSUE TO ELIMINATE
FILARIASIS IN THE COUNTRY ARE ALL OF THE
FOLLOWING, EXCEPT:

A. VACCINATION OFF ALL SUSCEPTIBLE IN RISK AREAS AND HIGH-

RISK POPULATIONS.
B. PURSUE ANNUAL MASS DRUG ADMINISTRATION USING TWO
DRUGS IN ALL ENDEMIC AREAS FOR FIVE CONSECUTIVE YEARS.
C. INTENSIFY HEALTH INFORMATION AND ADVOCACY CAMPAIGNS
IN ITS PREVENTION, CONTROL AND ELIMINATION.
D. INTENSIFY ENVIRONMENTAL SANITATION SUCH AS PROPER
DRAINAGE AND CLEANLINESS OF SURROUNDINGS
RECONSTITUTED BCG SHOULD
BE DISCARDED HOW MANY
HOURS AFTER
RECONSTITUTION?
WHAT DIAGNOSTIC PROCEDURE WILL
CONFIRM THAT THE CLIENT IS HAVING DHF?

A. BLOOD SMEAR
B. URINE AND STOOL EXAMINATIONS
D. CEREBROSPINAL FLUID EXAMINATION
D. SPUTUM EXAMINATION
WHAT ARE THE SIGNS AND SYMPTOMS OF
DHF ASSESSED AS GRADE II?

A. HERMAN’S SIGNS, BONE, AND JOINT PAINS, FEVER WITH A

HEADACHE, AND ABDOMINAL PAIN
B. HYPOTENSION, ANOREXIA, NAUSEA AND VOMITING, FEVER,
AND RAPID WEAK PULSE
C. HERMAN’S SIGNS, FEVER WITH A HEADACHE, EPISTAXIS, AND
MELENA
D. NARROWING PULSE PRESSURE, RESTLESSNESS, AND COLD
CLAMMY PERSPIRATION
WHICH OF THE FOLLOWING SIGNS
INDICATES THE NEED FOR SPUTUM
EXAMINATION FOR AFB?

A. HEMATEMESIS
B. FEVER FOR 1 WEEK
C. COUGH FOR 3 WEEKS
D. CHEST PAIN FOR 1 WEEK
TO IMPROVE COMPLIANCE TO TREATMENT,
WHAT INNOVATION IS BEING IMPLEMENTED
IN DOTS?

A. HAVING THE HEALTH WORKER FOLLOW UP THE CLIENT AT HOME

B. HAVING THE HEALTH WORKER OR A RESPONSIBLE FAMILY MEMBER
MONITOR DRUG INTAKE
C. HAVING THE PATIENT COME TO THE HEALTH CENTER EVERY
MONTH TO GET HIS MEDICATIONS
D. HAVING A TARGET LIST TO CHECK ON WHETHER THE PATIENT HAS
COLLECTED HIS MONTHLY SUPPLY OF DRUGS
DIAGNOSIS OF LEPROSY IS HIGHLY
DEPENDENT ON RECOGNITION OF
SYMPTOMS. WHICH OF THE FOLLOWING IS
AN EARLY SIGN OF LEPROSY?

A. MACULAR LESIONS
B. INABILITY TO CLOSE EYELIDS
C. THICKENED PAINFUL NERVES
D. SINKING OF THE NOSE BRIDGE
WHAT IS THE MOST EFFECTIVE WAY OF
CONTROLLING SCHISTOSOMIASIS IN AN
ENDEMIC AREA?

A. USE OF MOLLUSCICIDES
B. BUILDING OF FOOT BRIDGES
C. PROPER USE OF SANITARY TOILETS
D. USE OF PROTECTIVE FOOTWEAR, SUCH AS
RUBBER BOOTS
FINAL EXAM
POINTERS