The nurse is caring for a 12-year-old two days postoperative following open heart surgery. The child has refused to participate in physical therapy and ambulate. The nurse should initially A. have the parents reinforce the necessity for physical therapy.B. coordinate the client's physical therapy before meals.C. determine if the client is experiencing pain or discomfort.D. encourage the child to select the time that they want to ambulate.

A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?A. Monitor the client's vital signs once every hour.B. Elevate the head of the client's bed to a 45° angle.C. Restrict the client's fluid intake.D. Instruct the client not to bend the affected leg.

21. Ana has been caring for a child in the home. She has a tracheostomy tube and is oxygen dependent. Ana prefers to do the care early in the morning due to a heavy caseload. The family requests that care be done when thechild is awake by 10am. The BEST response by Ana would be: *1 pointA. “I will see if I can find another nurse who can meet your preferred schedule.”B. “If I give the care at 10am, otherchildren needing my care may not be attended to.”C. “I’m sorry, I wish I could, but I cannot do so due to heavy workload.”D. “Let’s look at what time is in the child’s best interest and then we can workout a better schedule.”22. Community health nurses practice in the community whether or not they have had preparation in public health nursing. All of the following are examples of a community health nurse except:*1 pointA. School nurseB. Nurse in a clinicC. Nurse who makes home visits to provide tertiary careD. Director of nursing at a rehabilitation center23. Mona should not include which data?*1 pointA. Health threatB. Decision’s made about the problemC. Actions taken and resultsD. Family’s perception of the problemSituation 4: – For safety and quality purposes, it is equally important to be mindful of the roles and functions and the instituted systems and procedures in relation to the practices of Community Heath Nursing (CHN). The following questions apply:24. The basic unit of care in CHN is: *1 pointA. CommunityB. GroupsC. FamilyD. Individual client25. The most important role of a community health nurse is in the area of: *1 pointA. Change agentB. Health educationC. AdvocacyD. Care provider26. A public health nurse provides a clinic for HIV-positive citizens in the community. This Isan example of:*1 pointA. Primary preventionB. Secondary preventionC. Tertiary preventionD. Policy making27. In the Health Belief Model, the nurserecognizes that the focus is placed on the:*1 pointA. Basic human needs for survivalB. Functioning of the individual in all dimensionsC. Relation of perceptions and compliance with therapyD. Multidimensional nature of clients and theirinteraction with the environment28. Nurse Miriam is an advocate of the reproductive health. She develops a program for her community based on the four priority elements of reproductive health program. Which is not included?*1 pointA. Prevention and treatment of InfertilityB. Family planningC. Maternal and Child Health and NutritionD. Prevention and management of Reproductive Tract InfectionsSituation 5– A Parish in Catbalogan took the initiative of shaping a 5-Year Community Health and Development Plan. A community diagnosis serves as a vital tool for the Parish to prepare this plan. Important collaboration begins by inviting volunteer nurses and affiliating nursing colleges to draw support for this project.29. You volunteered and were taken in as project lead. Working closely with other RN volunteers and affiliates you will assess not only relevant data on community characteristics but also environmental characteristics. Which of the following pertains to environmentalcharacteristics? 1. Language, religion, political orientation 2. Occupation, unemployment status, poverty level 3. Water and noise pollution 4. Vegetation and sanitation *1 pointA. 1 and 2B. 1 and 4C. 3 and 4D. 2 and 330. There is a process in the development Community Health Plan. Which steps actually identify specific health problems, health treats and health deficits prevailing and how the community is able to cope? *1 pointA. Plan FormulationB. EvaluationC. Plan implementationD. Assessment31. As community health nurse engaged in the process community empowerment, it is essential that you: *1 pointA. Gather data from the communityB. Make decisions for people in the communityC. Form partnerships with people in the communityD. Accepts responsibility for people’s action32. You understand that one characteristics of a community that is described as having community competencies is that which has the ability to: *1 pointA. Identify their needs, achieve consensus, and plan and implement goalsB. Delegate any community processes to an outside expert such as the community health nurseC. Perform their own cross-sectional epidemiological studiesD. Predict morbidity and mortality rates in the population or geographic area33. Hannah, a school nurse, has informed their barangay chairman about the stores that are selling cigarettes near her school. She understands that according to Tobacco Regulations Act in 2003, there should be no selling of cigarettes within how many meters in school?*1 pointA. 25 metersB. 35 metersC. 100 metersD. 70 meters34. The agency in charge with registering vital records in the Philippines is/are:*1 pointA. Local civil registryB. National Statistics Office (NSO)C. PSAD. Barangay Health CentersSituation 6: Assessment at the community level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and or gathers primary data for community diagnosis.35. Assessment is the first step in the nursing process. In the community setting, which of the following objectives of assessment by the public health nurse is NOT included? *1 pointA. Identify specific risk factors related to health and health problems.B. Define the nature of the health status and health related problems.C. Identify clients who should be given priority for care.D. Determine who should be referred to different health care facilities

The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time? *1 pointA. Daily needs and concernsB. The overview cardiac rehabilitationC. Medication and diet guidelineD. Activity and rest guidelines

A 7-year-old child is admitted to the hospital with a medical diagnosis of acute rheumatic fever. Which of the following diversional activities is least desirable to the child during the acute phase of the illness?*1 pointa. Reading a book to the father.c. Watching the television with a sibling.b. Playing with a doll with the nurse.d. Playing checkers with a roommate.

A nurse is caring for a 1 year-old client with a congenital heart defect who suddenly develops difficulty breathing. What should the nurse do next?Cassidy RhodyID: 112703Question 4Select one:1.Place the client in reverse Trendelenburg position2.Administer oxygen via facemask3.Place the client in a left lateral position4.Place client in supine position