He describes the WELLNESS-ILLNESS Continuum as interaction of the environment with well being and illness. A. B. C. D.

Cannon Bernard Dunn Clark

83. An integrated method of functioning that is oriented towards maximizing ones potential within the limitation of the environment. A. B. C. D. Well being Health Low level Wellness High level Wellness

84. What kind of illness precursor, according to DUNN is cigarette smoking? A. B. C. D. Heredity Social Behavioral Environmental

Rationale: Behavioral precursors includes smoking, alcoholism, high fat intake and other lifestyle choices. Environmental factors involved poor sanitation and over crowding. Heridity includes congenital and diseases acquired through the genes. There are no social precursors according to DUNN. 85. According to DUNN, Overcrowding is what type of illness precursor? A. B. C. D. Heredity Social Behavioral Environmental

86. Health belief model was formulated in 1975 by who? A. B. C. D. Becker Smith Dunn Leavell and Clark

Rationale: According to Becker, The belief of an individual greatly affects his behavior. If a man believes that he is susceptible to an illness, He will alter his behavior in order to prevent its occurence. For example, If a man thinks that diabetes is acquired through high intake of sugar and simple carbohydrates, then he will limit the intake of foods rich in these components.

87. In health belief model, Individual perception matters. Which of the following is highly UNLIKELY to influence preventive behavior? A. B. C. D. Perceived Perceived Perceived Perceived susceptibility to an illness seriousness of an illness threat of an illness curability of an illness

Rationale: If a man think he is susceptibe to a certain disease, thinks that the disease is serious and it is a threat to his life and functions, he will use preventive behaviors to avoid the occurence of this threat. 88. Which of the following is not a PERCEIVED BARRIER in preventive action? A. B. C. D. Difficulty adhering to the lifestyle Economic factors Accessibility of health care facilities Increase adherence to medical therapies

Rationale:Perceived barriers are those factors that affects the individual's health preventive actions. Both A and B can affect the individual's ability to prevent the occurence of diseases. C and D are called Preventive Health Behaviors which enhances the individual's preventive capabilities. 89. Conceptualizes that health is a condition of actualization or realization of persons potential. Avers that the highest aspiration of people is fulfillment and complete development actualization. A. B. C. D. Clinical Model Role performance Model Adaptive Model Eudaemonistic Model

Rationale: Smith formulated 5 models of health. Clinical model simply states that when people experience sign and symptoms, they would think that they are unhealthy therefore, Health is the absence of clinical sign and symptoms of a disease. Role performance model states that when a person does his role and activities without deficits, he is healthy and the inability to perform usual roles means that the person is ill. Adaptive Model states that if a person adapts well with his environment, he is healthy and maladaptation equates illness. Eudaemonistic Model of health according to smith is the actualization of a person's fullest potential. If a person functions optimally and develop self actualization, then, no doubt that person is healthy. 90. Views people as physiologic system and Absence of sign and symptoms equates health. A. Clinical Model B. Role performance Model

C. Adaptive Model D. Eudaemonistic Model Rationale: Refer to question # 89. 91. Knowledge about the disease and prior contact with it is what type of VARIABLE according to the health belief model? A. B. C. D. Demographic Sociopsychologic Structural Cues to action

Rationale:Modifying variables in Becker's health belief model includes DEMOGRAPHIC : Age, sex, race etc. SOCIOPSYCHOLOGIC : Social and Peer influence. STRUCTURAL : Knowledge about the disease and prior contact with it and CUES TO ACTION : Which are the sign and symptoms of the disease or advice from friends, mass media and others that forces or makes the individual seek help. 92. It includes internal and external factors that leads the individual to seek help A. B. C. D. Demographic Sociopsychologic Structural Cues to action

Rationale: Refer to question # 91. 93. Influence from peers and social pressure is included in what variable of HBM? A. B. C. D. Demographic Sociopsychologic Structural Cues to action

Rationale: Refer to question # 91. 94. Age, Sex, Race etc. is included in what variable of HBM? A. B. C. D. Demographic Sociopsychologic Structural Cues to action

Rationale: Refer to question # 91.

95. According to Leavell and Clarks ecologic model, All of this are factors that affects health and illness except A. B. C. D. Reservoir Agent Environment Host

Rationale: According to L&C's Ecologic model, there are 3 factors that affect health and illness. These are the AGENT or the factor the leads to illness, either a bacteria or an event in life. HOST are persons that may or may not be affected by these agents. ENVIRONMENT are factors external to the host that may or may not predispose him to the AGENT. 96. Is a multi dimensional model developed by PENDER that describes the nature of persons as they interact within the environment to pursue health A. B. C. D. Ecologic Model Health Belief Model Health Promotion Model Health Prevention Model

Rationale: Pender developed the concept of HEALTH PROMOTION MODEL which postulated that an individual engages in health promotion activities to increase well being and attain self actualization. These includes exercise, immunization, healthy lifestyle, good food, self responsibility and all other factors that minimize if not totally eradicate risks and threats of health. 97. Defined by Pender as all activities directed toward increasing the level of well being and self actualization. A. B. C. D. Health prevention Health promotion Health teaching Self actualization

Rationale: Refer to question # 96. 98. Defined as an alteration in normal function resulting in reduction of capacities and shortening of life span. A. B. C. D. Illness Disease Health Wellness

Rationale: Disease are alteration in body functions resulting in reduction of capabilities or shortening of life span. 99. Personal state in which a person feels unhealthy

A. B. C. D.

Illness Disease Health Wellness

A sudden redness of the skin is known as:

Flush Cyanosis Jaundice Pallor Q.21) Kussmauls breathing is;

A.Shallow breaths interrupted by apnea. Prolonged gasping inspiration followed by a very short, usually inefficient expiration. Marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea.

B.

C.

D.Increased rate and depth of respiration. Presty has terminal cancer and she refuses to believe that loss is happening ans she assumes artificial cheerfulness. What stage of Q.22) grieving is she in?

A.depression B.bargaining C.denial

D.acceptance Immunization for healthy babies and preschool children is an example of what level of preventive health care?

Q.23)

A.Primary B.Secondary C.Tertiary D.Curative Which is an example of a subjective data?

Q.24)

A.Temperature of 38 0C B.Vomiting for 3 days C.Productive cough D.Patient stated, My arms still hurt. The nurse is assessing the endocrine system. Which organ is part of Q.25) the endocrine system?

A.Heart B.Sinus C.Thyroid D.Thymus

Nurse Cherry is teaching a 72 year old patient about a newly prescribed medication. What could cause a geriatric patient to have difficulty Q.13) retaining knowledge about the newly prescribed medication?

A.Absence of family support B.Decreased sensory functions C.Patient has no interest on learning D.Decreased plasma drug levels When assessing a patients level of consciousness, which type of Q.14) nursing intervention is the nurse performing?

A.Independent B.Dependent C.Collaborative D.Professional Claire is admitted with a diagnosis of chronic shoulder pain. By definition, the nurse understands that the patient has had pain for Q.15) more than:

A.3 months B.6 months C.9 months

D.1 year Which of the following statements regarding the nursing process is Q.16) true?

A.It is useful on outpatient settings. B.It progresses in separate, unrelated steps. C.It focuses on the patient, not the nurse. D.It provides the solution to all patient health problems. Which of the following is considered significant enough to require immediate communication to another member of the health care team?

Q.17)

A.Weight loss of 3 lbs in a 120 lb female patient. B.Diminished breath sounds in patient with previously normal breath sounds C.Patient stated, I feel less nauseated. D.Change of heart rate from 70 to 83 beats per minute. When performing an admission assessment on a newly admitted patient, the nurse percusses resonance. The nurse knows that resonance heard on Q.10) percussion is most commonly heard over which organ?

A.thigh B.liver C.intestine

D.lung A skin lesion which is fluid-filled, less than 1 cm in size is Q.6) called:

A.papule B.vesicle C.bulla D.macule During application of medication into the ear, which of the following is Q.7) inappropriate nursing action?

A.In an adult, pull the pinna upward. B.Instill the medication directly into the tympanic membrane. C.Warm the medication at room or body temperature. Press the tragus of the ear a few times to assist flow of medication into the ear canal. Which of the following is appropriate nursing intervention for a client who is grieving over the death of her child?

D.

Q.8)

A.Tell her not to cry and it will be better. B.Provide opportunity to the client to tell their story. C.Encourage her to accept or to replace the lost person.

D.Discourage the client in expressing her emotions. A male client tells the nurse that there is a big bug in his bed. most therapeutic nursing response would be: The

Q.95)

A.Silence B.Wheres the bug? Ill kill it for you. C.I dont see a bug in your bed, but you seem afraid. D.You must be seeing things. The nursing applicant has given the chance to ask questions during a Q.93) job interview at a local hospital. What should be the most important question to ask that can increase chances of securing a job offer?

A.

Begin with questions about client care assignments, advancement opportunities, and continuing education. Decline to ask questions, because that is the responsibility of the interviewer.

B.

C.Ask as many questions about the facility as possible. Clarify information regarding salary, benefits, and working hours first, because this will help in deciding whether or not to take the job. The nurse is teaching a group of women about fertility awareness, the nurse should emphasize that basal body temperature:

D.

Q.92)

A.Can be done with a mercury thermometer but no a digital one. B.The average temperature taken each morning. C.Should be recorded each morning before any activity. D.Has a lower degree of accuracy in predicting ovulation than the cervical

mucus test. The nurse is planning to talk to the client with an antisocial personality disorder. What would be the most therapeutic approach?

Q.91)

A.Provide external controls. B.Reinforce the clients self-concept. C.Give the client opportunities to test reality. D.Gratify the clients inner needs. The nurse observes the female client in the psychiatric ward that she is having a hard time sleeping at night. The nurse asks the client Q.83) about it and the client says, I cant sleep at night because of fear of dying. What is the best initial nursing response?

A.It must be frightening for you to feel that way. Tell me more about it. B.Dont worry, you wont die. You are just here for some test. C.Why are you afraid of dying? D.Try to sleep. You need the rest before tomorrows test. In the hospital lobby, the registered nurse overhears a two staff Q.84) members discussing about the health condition of her client. What would be the appropriate action for the registered nurse to take?

A.Join in the conversation, giving her input about the case. B.Ignore them, because they have the right to discuss anything they want to. C.Tell them it is not appropriate to discuss such things. D.Report this incident to the nursing supervisor. Q.68) A hospitalized client cannot find his handkerchief and accuses other

cient in the room and the nurse of stealing them. therapeutic approach to this client?

Which is the most

A.Divert the clients attention. B.Listen without reinforcing the clients belief. C.Inject humor to defuse the intensity. D.Logically point out that the client is jumping to conclusions. One day the mother of a young adult confides to nurse Frida that she is Q.4) very troubled by he childs emotional illness. The nurses most therapeutic initial response would be:

A.You may be able to lessen your feelings of guilt by seeking counseling B.It would be helpful if you become involved in volunteer work at this time I recognize its hard to deal with this, but try to remember that this too shall pass Joining a support group of parents who are coping with this problem can be quite helpful. 1. The midwife: a. Can never use the opthalmoscope b. Can become proficient in the use of the opthalmoscope c. Must refer the patient topphysician for fundoscopy d. Must refer the patient to opticism for eye evaluation

C.

D.

2. Which wways a. b. c. d.

of the following processes employed in physical examination shoud be done first? Inspection Palpation Percussion Auscultation

3. A test that can be done to evauate visual acquity in adults: a. Snellens chart

b. Hirschbergs test c. Accomodation and convergence d. Direct and consensual lighting

4.