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NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

1. A main characteristic of population-based public health nursing practice is that it;
a. Gives preference to primary prevention
b. Gives preference to secondary prevention
c. Gives preference to Tertiary prevention
d. Considers multiple levels of prevention

2. Primary prevention refers to;
a. Easy diagnosis and prompt treatment
b. Limitation of disability
c. Rehabilitation
d. Prevention of exposure to risk factors

 

3. What measure should a pregnant woman undertake to protect the unborn child from tetanus?
a. Eat nourishing diet during pregnancy
b. Immunize with anti-tetanus serum during pregnancy
c. Immunize with tetanol toxoid during pregnancy
d. Prevent herself from nail prick during pregnancy

 

4. In establishing rapport during home visit, the nurse must do the following
i. Knock, enter and greet according to custom
ii. Introduce yourself and explain your mission of your visit
iii. Identity family needs
iv. Ask about the health of the family
a. i, ii and iii only
b. i, and iii only
c. ii ,iii and iv only
d. i, ii and iv only

 

5. Madam Grace Pokuaa is a regular CWC attendant. She visited your clinic with her14-weeks old
baby Akua. What immunization will baby Akua be due for?
a. 0PV 0,DPT/Hep B/Hib3/Rotarix2/yellow fever
b. 0PV 3,DPT/Hep B/BCG and Pneumoccocal 3
c. 0PV 3,DPT/Hep B/Hib 3/Rotarix 3 and Pneumococcal 3
d. 0PV 3,DPT/Hep B/Hib 3, and Pneumococcal 3

 

6. A 2-month old infant was brought to the health center for immunization. During assessment, the
infant‟s temperature registered at 38.1C which is the best course of action that you will take?
a. Advise the infant‟s mother to bring him back for immunization when he is well
b. Give paracetamol and wait for his fever to subside
c. Go ahead and give the infant the immunization
d. Refer the infant to the physician for further assessment

 

7. The public health nurse is responsible for presenting the municipal health statistics using graphs
and tables. To compare the frequency of the leading causes of mortality in the municipality, which
graph will you prepare?
a. Bar
b. Line
c. Pie
d. Scatter diagram

 

8. The family is known as the basic unit of society. Which of the following is a very important
function performed by a family?
a. Acculturation
b. Identification
c. Socialization
d. Stratification

 

9. The process whereby vaccines are kept in a potent state from the manufacturer to the consumer is
referred to as:
a. Chain of command
b. Cold chain
c. Food chain
d. Vaccination chain

 

10. The aim of childhood immunization is to protect the child from:
a. All childhood diseases
b. Communicable diseases
c. Life threatening diseases
d. Specific childhood diseases

 

11. After exposure to an infection, the vaccine administered to the individual confers:
a. Active artificial immunity
b. Active natural immunity
c. Passive artificial immunity
d. Passive natural immunity

 

12. One of the factors which may demotivate mothers from patronizing a child welfare clinic is:
a. Community durbar
b. Community mobilization
c. Home visits
d. Long waiting time

 

13. After giving a vaccine you should do all of the following EXCEPT:
a. Observe the recipient for immediate adverse reaction
b. Keep the recipient under observation for one hour
c. Dispose of equipment used for vaccination in safety box
d. Keep accurate and accessible records on both the recipient and vaccine given

 

14. Which of the following is a benefit of community mobilization?
a. Encourage community dispute
b. Encourage lust for power
c. Encourage resistance to change
d. Encourage sustainability of effort

 

15. Madam Adwoa Diewon holds child welfare clinic daily at Medowo Health Centre. What type of
clinic is this?
a. Outreach
b. Satellite
c. Special
d. Static

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16. The mother of a two-year old boy told you that, her son has temper tantrums and demand for toys
when they go to the market. The mother asks you for advice on now best she can handle these
temper tantrums. What would you suggest to this mother?
a. She should buy one toy for him anytime they visit the market
b. She should discipline the child immediately when he demands for toys
c. She should leave him at home whiles she goes to the market
d. She should remain calm and ignore his tantrums

 

17. The first step in the community assessment process is to:
a. Describe the population that comprises the community
b. Elicit the community „s perception of their strengths, problems and health influences
c. Gather and analyze existing /available information to identify health indicators
d. Identify all potential partners for assessment and planning

 

18. Four-year old Akosua has chickenpox. The mother asks the nurse when Akosua can return to
school. What is the best response that the nurse should give?
a. All the lesions must be completely gone before contact with others is assumed
b. Within two to three weeks the itching should be under control and good
c. Akosua can return six days after the first lesions appear,because the crust will be informed.
d. Akosua must learn to cough with her mouth covered ,put tissues in the trash and wash her
hands after touching her nose or mouth

 

19. The mother of a four –month old baby who had his second DPT/Hep 3/Hib immunization
yesterday called you the nurse and reported that the baby has a temperature of 38.7 oC and hard
reddened area on his thigh. The best interpretation of this data is the child
a. Has developed a secondary infection
b. Is developing symptoms of the disease
c. Is reacting normal to immunization
d. May be allergic to the vaccine

 

20. Control of environmental hazards and protection against occupational hazards are all examples of
a. Health promotion
b. Primary prevention
c. Secondary prevention
d. Tertiary prevention

 

21. Public health is the science and art of ……………disease…………………and……………..health
through the organized efforts of society.
a. Controlling, protecting, maintaining
b. Preventing, prolonging, promotion
c. Prevent ,promotion ,prolonging
d. Treating, maintaining, protecting

 

22. The weakest link in the chain of infection that nurses can manipulate to prevent spread of infection
and disease is the
a. Infectious agent
b. Mode of transmission
c. Portal of entry
d. Susceptible host

 

23. Communicability of disease depends upon the availability of:
a. Parasite
b. Pathogen
c. Reservoir
d. Susceptible person

 

24. A person who has been in such association with an infected person or animal or a contaminated
environment as to have had an opportunity to acquire the infection is a
a. Carrier
b. Contact
c. Vector
d. Vehicle

 

25. A baby is born at 39 weeks with petechial rash, low birth weight, hepatosplenomegaly and
cataracts. This is due to infection acquired in utero. Which microorganism is likely to cause their
clinical presentation?
a. Cytomegalovirus
b. Rubella virus
c. Toxoplasma qondi
d. Treponema palladium

 

26. River blindness is a chronic ………………infection
a. Bacterial
b. Parasitic
c. Protozoan
d. Viral

 

27. What sexually transmitted infection can be transmitted to a newborn during the birthing process?
a. Trichomoniasis
b. Gonorrhea
c. Herpers
d. Syphilis

 

28. The recommended site if administration of DPT/HepB/HIB in infants is
a. Deltoid muscle
b. Forearm
c. Gluteal muscle
d. Lateral aspect of thigh

 

29. A foreign substance that elicits an immune response is referred to as
a. Antibody
b. Antigen
c. Leucocytes
d. Phagocytes

 

30. Which of the following is true about BCG immunization?
a. It is normally given into the lateral aspect of the arm at the level of the insertion of the
deltoid muscle
b. It must be administered subcutaneously
c. The correct dose for children is 0.5ml
d. The injection should be given with the needle bevel downwards

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31. Mr. Boateng a 60 year old has just retired and expresses concern of loneliness due to the loss of
job and co-workers. Which response by the nurse is most therapeutic?
a. But now you can finally relax and enjoy life
b. Do you know about the senior citizens club?
c. Why don‟t you go into work and visit your old friends
d. You need to take a vacation

 

32. During a school health progamme, you observed that 10-year old Akwesi Mensah had a circle of
ring worm on his scalp so you asked some questions. Which of the environmental factors most
likely contributed to his acquisition of ringworms
a. He forgets to wash his hair sometimes and his mother has to remind him to do so
b. They have a kitten at home which stays out side during the day but comes in during
the night to sleep near him
c. He loaned his football to his friend kwame last week but has not gotten it back
d. he takes Trotro to and from school every day and likes to sit near the driver‟s mate sothey
can talk about football

 

33. A nurse, planning a home visit to a mother who has a high risk infant knows that the visit will be
more productive if scheduled when the:
a. Husband is out of the home
b. Mother is feeding the infant
c. Nurse has time to spend with family
d. Time is convenient for the family

 

34. Mr and Mrs Quansah visited the CWC with their new born who has an obvious physical defect.
Which nursing intervention provides the most support to these parents?
a. Discourage them from talking about their baby
b. Encourage them to express their concern
c. Show them postoperative photographs of infants had similar defects
d. Tell them not to worry because the defect can be corrected

 

35. You were invited by parent teacher association (PTA) of Glory Preparatory school to give a talk
on communicable disease .During the talk you reminded them that these disease are serious and
that encephalitis can be a complication of one of the following;
a. Pertussis
b. Poliomyelitis
c. Scarlet fever
d. Varicella (chicken pox)

 

36. A mother wants to know how to differentiate between measles(ruboala) and German measles
(rubella).What characteristics feature of rebeola will your tell her?
a. A high fever and koplik spots
b. A rash on the trunk with pruritus
c. Nausea, vomiting and abdominal cramps
d. Signs that are similar to those of a cold followed by rash

 

37. Home visiting is advantageous because it;
a. Ensures effective counseling in the home
b. Help reduce reluctance of client to health education
c. Provide incentives to families
d. Reduce risk and problems in the home

 

38. The level of immunity achieved by a whole community or population is termed?
a. Acquired immunity
b. Cross immunity
c. Herd immunity
d. Racial immunity

 

39. The immunity obtained when one causative organism provides immunity to a related organisms is:
a. Acquired immunity
b. Cross immunity
c. Herd immunity
d. Racial immunity

 

40. The population of a community is needed for effective expanded programme on immunization
(EPI) because it:
a. Gives the number of the vulnerable group
b. Helps to know the children that have been immunized
c. Makes the demographic characteristics very simple
d. Tells the vaccines that are possible to loose potency

 

41. The adverse effect of BCG immunization includes
a. Abscess formation
b. High body temperature
c. Pain at the site of injection
d. Swelling of the lymph nodes

 

42. A community can be identified by its
a. Acquisition of land
b. Behavior change
c. Demographic features
d. Poverty levels

 

43. Community mobilization is a process that:
a. Changes the goals of the community
b. Focuses on communal activities
c. Motivates the community to take action
d. Moves groups to come together

 

44. Report writing is essential in community work and it must includes
a. Achievements and problems
b. Meetings scheduled with community
c. Number of people in given program
d. Statistical arrangement for inventory

 

45. The following are components of the Primary Health Care concept EXCEPT:
a. Community participation
b. Equal allocation of service
c. Health education
d. Preventive services.

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46. A mother is using oral Rehydration salt (ORS) in the management of diarrhea of her 3-year old
child. She asked you what to do if her child vomits. You will tell her to:
a. Bring the child to the nearest hospital for further assessment
b. Bring the child to the health center for IV therapy
c. Bring the child to the health center for assessment by the physician
d. Let the child rest for 10 minutes then continue giving ORS more slowly.

 

47. How can harmful socio-cultural practices be change in the community.
i. Identify local leaders as focal persons
ii. Collaborate with other agencies
iii. Strengthen homevisiting activities
iv. Threaten the people on the dangers
a. i and ii only
b. ii and iv only
c. i,ii and iv
d. ii, iii and iv

 

48. An infection from this disease causing organism has no specific cures:
a. Bacteria
b. Protozoa
c. Fungi
d. Virus

 

49. The determinants of health include all of the following EXEPT:
a. Access to health care service
b. Food, water, and air
c. Personal coping skills
d. Private health insurance

 

50. Which of the following is defined as an intervention through which the community health nurse
assists individuals, families, groups, organizations, and /or communities to utilize necessary
resources available to prevent or resolve problems or concerns?
a. Case management
b. Collaboration
c. Policy development
d. Referral and follow up

 

51. Which of the following interventions involves an interpersonal relationship between the
community health nurse and community, system, family, or individual intended to increase or
enhance the capacity for self-care and coping?
a. Case finding
b. Collaboration
c. Counseling
d. Outreach

 

52. When counseling the parents of children with anaemia related to diet, you will explain that there
are several different nutrients involved. These nutrients include proteins ,iron, vitamin B12 and:
a. Calcium
b. Folic acid
c. Riboflavin
d. Thiamine

 

53. You are teaching mothers of children who have aneamia related to inadequate diet. Inaddition to
iron ,which of the following nutrients are necessary for the synthesis of red blood cell(RBC)
a. Calcium and vitamin A
b. Carbohydrates and thiamine
c. Protein and ascorbic acid
d. Vitamin D and Ribloflavin

 

54. Which step in community organizing involves training of potential leaders in the community?
a. community organizing
b. community study
c. core group formation
d. Integration

 

55. The major sign of iron deficiency anemia is pallor. What body part is best examined for pallor?
a. Around the lips
b. Lower conjunctival sac
c. Nallbeds
d. Palms

 

56. An indicator of success in community organizing is when people are able to;
a. Identify the health problem as a common concern
b. Implement activities for the solution of the community problem
c. Participate in community activities for the solution of community problem
d. Plan activities for the solution of the community problem

 

57. Isolation of child with measles belongs to what level of prevention?
a. Intermediate
b. Primary
c. Secondary
d. Tertiary

 

58. Which of the following is an advantage of a home visit?
a. It allows sharing of experience among with similar health problems
b. It allows the nurse to provide nursing car to a greater number of people
c. It develop the family‟s in providing for health needs of its members
d. It provides an opportunity to do first hand appraisal of the home situation

 

59. Primary health care is total approach to community development .which of the following is an
indicator of success in the use of the primary health care approach:
a. Health programs are sustained according to level of development of the community
b. Health services are provided free of charge to individuals and families
c. Health workers are able to provide care based on identified health needs of the people
d. Local officials are empowered as the major decision makers in matters of health

 

60. The primary purpose of conducting an epidemiologic investigation is to
a. Determine the aetiology of the epidemic
b. Encourage cooperation and support of the country
c. Identify geographical location of cases of the disease in the community
d. Identify groups who are at risk of contracting the disease

 

61. Which of the following is not one of the pillar of regenerative health
a. Drinking enough potable water
b. Getting enough rest and relaxation
c. Good nutrition
d. Periodic exercise

 

62. The nurse should observe the autistic child for signs of:
a. Crying for attention
b. Irresponsiveness and failure to bond with caretakers
c. Loss of temper
d. Use of multiple non-verbal behavior

 

63. Echolalia and neologism are characteristics communication impairment found in one of these types
of schizophrenia
a. Catatonia
b. Folie a deux
c. Simple schizophrenia
d. Paranoid

 

64. A parrot-like repetition ofanother „s speech is
a. Echolalia
b. Echopraxia
c. Perseveration
d. Vebigeration

 

65. The use of jumble of words and phrases that lacks any comprehensive meaning or logical
coherency is schizophreniais known as:
a. Clang association
b. Loose association
c. Neologism
d. Word salad

 

66. A thinking that is delayed and indirect in reaching a goal or getting to the point isblock known as:
a. Blocking of thought
b. Circumstantiality
c. Tangentiality
d. Perseveration

 

67. A client who has been hospitalized with schizophrenia tells nurse ‟Everyone hates me” .the best
response by the nurse would be
a. Everyone does not hate you
b. Tell me more about this
c. That feeling is part of your illness
d. You may be doing something to promote this feeling

 

68. One of the sexual deviations involving dressing in clothes appropriate to the opposite sex for the
purpose of arousal is:
a. Exhibitionism
b. Fetishism
c. Transexualism
d. Transvertism

 

69. The method of achieving sexual excitement by the use of non-human objects is:
a. Aversion
b. Fetishism
c. Frotteurism
d. Transverstic-festishism

 

70. The most prominent symptoms of korskoff‟s syndrome is:
a. Ataxia
b. Confabulation
c. Oculomotor difficulties
d. Recent Memory

 

71. The nurse should observe the autistic child for signs of;
a. Crying for attention
b. Irresponsiveness and failure to bond with caretakers
c. Loss of temper
d. Use of multiple non-verbal behavior

 

72. A person seeing a design on the wallpaper and perceived it as an animal;
a. Illusion
b. Delusion
c. Hallucination
d. Ideas of reference

 

73. When a nurse is working with a client with psychiatric problems, a primary goal is the
establishment of a therapeutic nurse-client relationship. The major purpose of this relationship is to:
a. Increase non-verbal communication
b. Provide an outlet for suppressed hostile feelings
c. Assist the client acquiring more effective behavior
d. Provide client with someone who can make decisions

 

74. Delusions are NOT a hallmark of:
a. Folie a deux
b. Schizoaffective type
c. Simple schizophrenia
d. Residual type

 

75. Which one of these behavioral modification is used to produce deterrent to drinking of alcohol in
alcoholics?
a. Antabuse
b. Aversion therapy
c. Desensitization
d. Hypnosis

 

76. You noticed that a child has a small skull, slated eyes, protruding tongue, short neck and enlarged
abdomen when interacting with her. Which disorder is likely to be diagnosed?
a. Downs syndrome
b. kinefelter syndrome
c. Fetal tobacco syndrome
d. Fetal alcohol syndrome

 

77. Joe is afraid of entering into a shopping mall unless in the company of a trusted friend.The
disorder is known as:
a. Agoraphobia
b. Ailurophobia
c. Social phobia
d. Simple phobia

 

78. Abrupt withdrawal from barbiturate could cause a person to experience:
a. Ataxia
b. Urticarial
c. Diarrhea
d. Seizures

 

79. Neuroleptics are the drug of choice to relieve symptoms of
a. Depression
b. Hyperkinesias
c. Narcotic withdrawal
d. Psychosis

 

80. A 27-year old male client who recently lost his wife due to a terminal cancer reveals that he and
his wife discussed her end of life wishes including her burial service. The client states that he is
now unable to sleep; has a poor appetite; and feels sad even when in the company of their two
children ,ages 5and 7 years. Which of the following is the client experiencing?
a. Acceptance
b. Anger
c. Bereavement
d. Mourning

 

81. Which of these personality disorders are categorized predominantly dramatic,emotional and
erratic in nature?
a. Histrionic ,Paranoid and borderline
b. Histrionic,compulsive and schizoid
c. Narcissistic ,antisocial and paranoid
d. Narcissistic ,histrionic and antisocial

 

82. An adult individual with a longstanding pattern of breaking rules/laws,violating theright of
others arrogantly without lack of remorse is suffering from:
a. Conduct disorder
b. Oppositional defiant disorder
c. Passive-aggressive personality disorder
d. Psychopathic disorder

 

83. Skipping from one idea to another in a continuous flow if accelerated speech is said to be
a. Pressure of speech
b. Flight of speech
c. Flight of ideas
d. Puns

 

84. A nurse is assessing a client with dementia .which of the following is unexpected in the client
a. Acts in pessimistic manner
b. Appears agitated
c. Has short attention span
d. Exhibits disordered reasoning.

 

85. A delirious client sees a design on the wallpaper and perceives it to be an animal. This is an
example of :
a. A delusion
b. An illusion
c. A hallucination
d. An idea of reference

NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1
NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

NMC PUBLIC HEALTH NURSING QUESTIONS AND ANSWERS SOLUTION-1

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