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Nursing in the Community Review
Nursing in the Community Review
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1
The mother's mental health status impacts most on what aspect of infant development?
Can lead to development of autistic spectrum disorder
Attachment and cognition
Metabolism and physical development
Psychosocial development
2
Impetigo is commonly caused by what organism?
Papilloma virus
Giardia protozoan parasite
Staphylococcus bacteria
Tinea fungi
3
A new mum asks you whether it is ok to co-sleep. Your best response is:
No, babies need to be in their own room
No, baby must sleep in it's own bed or pepe pod but can be in your room
Yes, it is fine and culturally appropriate for baby to sleep with you
Yes, if it is culturally appropriate
4
A patient asks you what happens in type 2 diabetes? A good response is:
Pancreas cells produce excess insulin in response to excess serum glucose.
The body doesn't make or use insulin well.
The body doesn't produce insulin at all.
The body produces a lot of insulin.
5
The definition of asthma is:
Inability to clear airways of mucous production
chronic inflammatory disorder of the airways
decreased mucous production in the airways
irreversible inflammation of the upper airway
6
Maternal mental health covers the period
Pregnancy and the following 12months
After birth to when the child is 2yrs
The peri-, natal, and post-natal period only
Mothers and fathers during pregnancy
7
Immediately post HPV vaccine, the patient collapses. She is pale and clammy. This is most likely:
Anaphylaxis
Hysteria
Syncope
Hypotonic Hyporesponsive epidose
8
A strong Primary Health Care system is central to:
Improving health of individuals, families and communities
Reducing health inequities for the disadvantaged
Improving health inequalities between groups
A shift from prevention to treatment
9
Principles of Primary Health Care are:
Holistic assessment and evaluation of care
Health promotion and population health
Individual client care
Tertiary care
10
What is the most important information to provide a young transgender youth regarding safe sex?
Using a condom
Using effective contraception to prohibit pregnancy
Being emotionally ready and what consent means
What different contraceptives are available
11
The most effective interventions for childhood obesity include:
Regularly evaluating, assessing and monitoring the child's weight
Educating the family about the risks of obesity
Ensuring the child's calories in are less than calories expended
Focus on family-based strategies to address both diet and physical activity
12
Therapeutic communication techniques include..
giving advice
giving false reassurances
asking probing personal questions
using silence
13
What has the greatest detrimental effect on the mental health of 5-12yr olds?
Screen time
Parental divorce
Bullying
Changing schools
14
Pregnant women in the CMDHB have a higher prevalence of risk factors including:
Poor health literacy, poverty and unemployment
Poor quality housing, low school achievement, and large families
Obesity, diabetes, high blood pressure and poorly controlled asthma
Alcohol and drug use, family violence, and gambling
15
A couple ask you when to have sex for the best chance to conceive. You can answer this question because you know:
A woman cannot get pregnant when they have their period
Women can concieve at any time during their cycle
A woman can only concieve after ovulation on day 14
Most women ovulate between day 10 and day 16
16
The Gardasil vaccination is scheduled?
After the person becomes sexually active
in Yr8
at 4yrs
at 11yrs
17
What supplements would you recommend for pregnant women in Aotearoa?
Folic acid and iodine
Folate and iron
Iodine and vitamin A
Multivitamin and magnesium
18
Health disparities are detrimental to:
The individual
The family
All members of society
The community
19
The B4 school check is an example of:
Primary prevention
Secondary prevention
Primary health care
Tertiary Prevention
20
Communication about sexual health is a complex matter influenced by many factors. It is most important for nurses to:
Refer patients to online health education resources
Tell patients what they need to do keep safe sexually
Offer patients pamphlets in their language
Provide honest, evidence-based and clear answers to patients’ questions
21
Acute child respiratory assessment involves??
Weight and height to determine medication dose
BP & TPR
Peripheral perfusion and RR
Pulse oximetry, WOB, respiratory effort, auscultation
22
Children of what age are most at risk of injury from family harm?
13-19yrs
9-12yrs
Infants and toddlers
3-8yrs
23
Which of the following statements best describes the tertiary prevention role of the Tamariki Ora Provider?
Referring the child to a Speech and Language Therapist if required
Providing families with information about expected milestones
Completing a B4 School Check
Completing a HEEADSSS assessment
24
What is an example of the Ottawa Charter's principle of Strengthening Community Action?
Local "Speed Kills Kids" campaigns
Speed Camera's
The Slowdown Roadshow in schools
40km school zones
25
Primary care is:
first contact/episode of health care a person receives
prevention of health issues through education
a philosophy and framework for health professionals
hospital based health care
26
The recommended age for infants to start solids is:
12 months
6 months
4 months
6 weeks
27
Which is
not
a barrier to equitable health care?
ethnic background
age
tertiary degree
unemployment
28
The IUD is what sort of contraceptive method?
Long acting reversible contraception
Short acting reversible contraception
Short acting hormonal contraception
Long acting irreversible contraception
29
A nurse's role in primary prevention of cardiovascular disease includes:
Educating patients about heart healthy diet and exercise guidelines
Brief intervention for smoking cessation
Screening for CVD Risk
Monitoring medication adherance
30
A hepatitis B infection
May be prevented by obtaining a vaccination
Will always cause symptoms such as fever/headache
Is only transmitted by direct contact such as shaking hands
Is a minor ailment that resolves itself over a few days
31
A vaccine hesitant mum asks you what are the usual side effects of the MMR. You answer:
Anaphylaxis, especially if the baby has an egg allergy
Reassure her that hardly anyone gets side effects
There is a risk of developing autism
Fever, mild flu symptoms, and a red sore arm at the site of vaccination
32
An 8month child presents with mild fever, red cheeks and blisters on her abdomen. She is vaccinated. This could be?
Whooping cough
Varicella
Impetigo
Measles
33
What is Elder Abuse?
Placing elders into retirement homes
Mistreatment of an elderly person
Forgetting their birthday
Neglecting to visit them
34
Anaphylaxis typically involves which organ systems?
Respiratory, cardiovascular, hepatic and renal
Neurological, respiratory, cardiovascular and urinary
Integumentary, cardiovascular, gastrointestinal and respiratory
Cardiovascular, integumentary, renal and hepatic
35
Primary health care is based on which model of care?
Psychological
Community
Social
Nursing
36
TB treatment is mandatory. What does DOTs stands for?
Distantly Observed Treatment
Disseminated Oncology Treatment
Didactic Observational Therapy
Directly Observed Therapy
37
Primary Health Care is:
hospital-based health care
a population health framework for health professionals
first point of contact with the health system
first episode of care a person receives with each health professional
38
The type of immunity confered by being infected and recovering from the Corona virus is:
Passive immunity
Artificial active immunity
Autoimmunity
Natural active immunity
39
Priority management of uncontrolled Type 2 Diabetes is:
Advice on healthy eating
Review of medication
Providing a Green Prescription
Advising the patient to lose weight
40
The Primary Health Care strategy
originated
from:
the World Health Organization in 1969
Alma-Ata (USSR) in 1978
Ottawa 1986
the Geneva convention in 1974
41
Which of the following are NOT notifiable diseases?
Campylobacter, Gonorrhoea and Pertussis
Meningococcal, Tuberculosis and Hepatitis A
RSV, Varicella and Rotavirus
Measles, Mumps and Rubella
42
How is Tuberculosis transmitted?
Skin Contact
Infectious food/water
Sexual Transmission
Airborne
43
Type 2 Diabetes is considered
Insulin Resistant
Insulin Dependent
Glucose tolerant
Insulin Deficient
44
Family Harm is a generic term meaning:
Violence that occurs in the home
Physical, sexual, psychological abuse, and deprivation and/or neglect
The same as domestic violence or IPV (Intimate Partner Violence)
Physically injuring another member of the (extended) family
45
When using the psycho-social HEeADDSSS assessment it is most important to:
Inform the parents of any risky drug, alcohol or sexual behaviours
Recognise and assess the expected developmental milstones
Ensure you get accurate data as adolescents are known to tell lies
Understand and use the risk and resilience model
46
Health promotion is defined as...
Enabling people to take control of their health and well-being
Informing patients of the best way to look after their health
Focuses just on treatment and cure
The government take control of peoples health and well-being.
47
At what age can young people obtain information from a health professional about sexual health?
14yrs if accompanied by a guardian
Any age
16yrs
12 yrs
48
Acute and painful otitis media should be treated with:
Antibiotic ear drops
Referral for sugical insertion of grommets
Regular pamol and cuddles
Oral antibiotics for 7-10 days