NAFISATU COLLEGE OF NURSING SCIENCES

SCHOOL OF NURSING KWANKWASO, MADOBI LOCAL GOVERNMENT KANO STATE

TUTORIAL QUESTIONS FOR FIRST YEAR STUDENT

NAME: DEPARTMENT:
ADMISSION NO: DATE : 12/08/2023
PRIMARY HEALTHCARE (PAPER 1)
TOPICS: BASIC HEALTHCARE SERVICES, COMMUNITY INTERCTION, COMMUNITY ORGANIZING
AND COMMUNITY HEALTH NURSING

1. The most pressing cause of health care reform has been

A. Rising costs of providing technology, drugs and services
B. The depression
C. Lack of available technology
D. Lack of accessibility
2. Which Law ensures that every Nigerian citizen has access to health care?
A. The long term care facilities act
B. The Nigeria health act
C. The Medical care act
D. The hospital insurance and diagnostic services act
3. Support services provided through home care do not include
A. Personal care
B. Assistance with activities of daily living
C. Respiratory therapy
D. Assistance with home management
4. A holistic approach to health is one that
A. Takes a realistic view of a person's health problems
B. Takes into account the whole person
C. Focuses on the person's illness or disability
D. Focuses on the person's physical health
5. Which of the following is false? People with strong emotional health
A. Show their emotions easily
B. Have strong self esteem
C. Exhibit self control
D. Are aware of their own strengths and weaknesses
6. An acute illness
A. Appears suddenly and lasts a short time
B. Is a slow, progressive illness
C. Results in disability
D. People usually recover
7. Which of the following is not true of chronic illness?
A. It is a slow progressive illness
B. The symptoms often appear gradually
C. It may result in physical or mental disability
D. People usually recover
8. Maslow's hierarchy of needs can best be described as
A. Another term for psychosocial health
B. A system that arranges human needs into categories
C. Physiological and safety needs
D. Love and belonging needs
9. Which statement about the Nurses charter of rights and freedoms is false?
A. It is part of the Nigerian constitution
B. It does not apply at a provincial level
C. It protects Nigerian right to equality before and under the law
D. It protects Nigerian right to freedom and expression
10. The provincial human rights codes do not promote
A. Freedom from discrimination and harassment
B. Equal treatment with respect to services and facilities
C. The right to vote
D. Equal treatment with respect to age, sex and ethnicity
11. Which of the following is not required for a person to make informed consent?
A. Information about the nature of the treatment
B. A discussion of the potential risks and side effects of the treatment
C. Reassurance that the proposed treatment is the best and only option
D. Information about the likely consequences of not having the treatment
12. Which of the following statement about negligence is false?
A. It is an unintentional tort
B. The negligent person did not act in a reasonable manner
C. Harm was caused to a person or a person's property
D. A prison term is likely
13. The intentional attempt or threat to touch a person's body without the person's consent
A. Assault
B. Battery
C. Defamation
D. False imprisonment
14. The illegal restraint of another's person movement is
A. Assault
B. Battery
C. Defamation
D. False imprisonment
[Link] of this statement is false?
A. Race refers to a group of people who share similar physical traits
B. A country has one ethnic group
C. A person's culture influences health and illness practises
D. People within an ethnic community often share a common history and identify with one another
16. You and mr Long are talking; mr Long avoids facing you stepping back from you. Which is false?
A. Culture influences communication
B. Culture may affect roles and responsibilities
C. All people respond to cultural differences in the same way
D. Culture affects how people view health care and illness
17. Which of this statement is false?
A. Prejudice is an attitude that judges people based on their group membership
B. In some cases prejudice is acceptable
C. Prejudice frequently leads to discrimination
D. Stereotypes are often associated with prejudice
18. Activities of daily living are
A. Physical exercises that people perform daily to keep themselves t
B. Activities that support workers perform to prevent injuries
C. Self-care activities that people perform daily to remain independent and to function in society
D. Social and recreational activities
19. Support workers are
A. Unregulated health care workers
B. Licensed health care workers
C. Members of a professional college
D. Members of a regulatory body
20. Professionalism is
A. An approach to work used only by members of regulated professions
B. An approach to work that demonstrates respect for others, commitment, competence, and
appropriate behaviour
C. A commitment made by regulated professionals
D. Another term for con dentiality
21. Which work setting may provide acute care?
A. Home care
B. Long term care facilities
C. Assisted living facilities
D. Hospitals
22. What type of service aims to provide a temporary break to family caregivers
A. Acute-care services
B. Palliative care
C. Respite services
D. Outpatient services
23. Residents in retirement facilities generally include
A. People with mental illness
B. Young adults with physical or other disabilities
C. Frail, older adults with multiple health problems
D. Older adults with limited care needs
24. The membership of a health care team is determined by
A. The client's needs
B. The RN'S needs
C. The physician's needs
D. The needs of the client's family
25. Which of the following is a bene t to the team approach to health care
A. Opportunities for confidenciality
B. Opportunities for delegation
C. Opportunities for colaboration
D. Opportunities for assignment of tasks
26. In a community setting, who usually assesses, monitors, and evaluates a client's needs and coordinates
the services of the health care in a community team?
A. The family physician
B. The case manager
C. The occupational therapist
D. The social worker
27. If an RNT delegates a task to you, which statement is true?
A. The RNT is completely responsible for your actions, you are not responsible
B. The RNT has overall responsibility for your actions, you are also responsible
C. You are completely responsible for your actions, the RN is not responsible
D. Neither you or the RNT are responsible
28. Stress is
A. The way you cope with and adjust to every day living
B. The emotional, behavioral, or physical response to an event or situation
C. A mental or emotional disorder
D. A thought or idea
29. Which does not influence a person's reaction to a stressor?
A. Past experiences with the same stressor
B. The person's sex
C. The number of stressors present
D. The person's temperament or personality
30. You are angry with a co-worker. Instead of responding appropriately, you yell at a friend. Which defense
mechanism is this?
A. Denial
B. Conversion
C. Displacement
D. Compensation
31. Nursing Goals should be SMART. What does SMART stand for?
A. Simple, monthly allowable, reasonable, timely
B. Specific, measurable, achievable, realistic, timely.
C. Simple, measurable, achievable, reasonable, topical
D. Specific , monthly, allowable, realistic, topical
32. Providing a safe environment is an example of
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
33. Respecting personal preferences is an example of
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
34. Which is not a function of the health care plan
A. To provide a central reference point on the client's health problems, needs, treatment and care
B. To enable the health care team to communicate with each other about the client
C. To ensure that everyone provides the same care
D. To provide information about the client that never changes
35. Mrs. Muyama says, " I didn't sleep at all last night because of the pain in my back". This is
A. A nursing diagnosis
B. Subjective data
C. An intervention
D. Objective data
36. A graphic sheet in hospital is used to represent the …………
A. Records a client's activities of daily living (ADL's)
B. Is used to record measurements and observations made three to four times per day
C. Contains information about the care given, the client responses to care, and observations about the
client's condition
D. Summarizes a client's care and services over a period of time
37. In 24 hour time means, 1330 is
A. 3:30 pm
B. 3:30 am
C. 1:30 pm
D. 1:30 am
38. During an exchange of information, a message is send
A. From a speaker to receiver
B. From a receiver to a speaker
C. From a speaker to speaker
D. Without feedback
39. Which of this statement is false?
A. Verbal communication involves the spoken word
B. Verbal communication is the truest reflexion of a person's feelings
C. Messages can be sent by facial expressions, gestures, posture, body movements, appearance, and
eye contact
D. Touch means different things to different people
40. You and Mrs Jones are talking about her surgery. Which of the following is a closed question?
A. Do you feel better now?
B. Tell me what your plans are for home?
C. What would you do when you fully recover?
D. You said that you would be off work for a while?
41. Focusing is a useful communication tool when
A. A person is rambling
B. You want to make sure you understand the message
C. You want the person to share thoughts and feelings
D. You need information
42. Which statement will promote communication?
A. Don't worry
B. Everything will be just ne
C. This is a good facility
D. Why are you crying?
43. Which is not a barrier to communication?
A. Interrupting
B. Repeating what the person says
C. Answering for the person
D. Giving advise
44. People with receptive aphasia have problems with ………
A. Speaking and writing
B. Understanding language
C. Moving the mouth, tongue and lips
D. Speaking and understanding language
45. Apraxia of speech is cause by
A. Brain injury
B. Weakness in the muscles used to speak
C. Paralysis in the muscles used to speak
D. Lack of coordination in the muscles used to speak
46. People with dysarthria
A. Make unpredictable speech errors
B. Understand what its said
C. Can control the muscles used to speak
D. Cannot read or write
 47. People with speech and language disorders
A. Have the same emotional reactions as those without
B. Are not affected emotionally
C. Often have problems relating to family and friends
D. Cannot improve their communication
48. [Link] has Meniere's disease. Which is likely true?
A. He has a middle ear infection
B. Vertigo is a major symptom
C. Hearing aids will correct the problem
D. He has vision problems because of it
49. Which effect of hearing problems is often not obvious to others?
A. Loneliness and social isolation
B. Talking to loudly
C. Asking to repeat things
D. Answering questions inappropriately
50. Mr. Poulin's hearing aid is not working; first, you should ……………
A. See if its turned on
B. Wash the hearing aid with soap and water
C. Have it repaired
D. Change the batteries
51. What is implied by the reference, "biotic portion of an ecosystem"?
A. The portion of the community involved in competition
B. Everything within the ecosystem
C. The portion involved in coevolution
D. The "living" portion of the ecosystem
52. Coevolution is ___________.
A. A competition between two species that harms one and bene ts the other
B. The particular space within an ecosystem occupied by a species
C. A process wherein two interacting species act as agents of natural selection on one another
D. A mechanism that results in death of one of the competing individuals
E. An interaction between two species that benefits both
53. Complete the statement: Different species share many aspects of their niche with others, but
__________.
A. They do not compete within the niche for the resources it provides
B. The niche is not necessarily the home of any of the species
C. Intraspecific competition will be detrimental to the species
D. No two species ever occupy exactly the same ecological niche within the same community
54. Under what conditions does competition occur between individuals of the same or different species?
A. When there is competition between a predator and prey
B. Only when available resources are limited
C. When they attempt to use the same limited resources, particularly energy, nutrients, or space
D. When resources are partitioned
55. What evolutionary adaptation occurs when species with similar ecological niches coexist and compete?
A. Loss of physical and behavioral adaptations
B. Resource partitioning
C. Population size reduction
D. Predation
56. Which of the following is an example of resource partitioning?
A. Predator and prey relationships
B. Related species of inches of the Galapagos Islands
C. Both bats and moths with wings
D. A moth whose color and shape resemble a bird dropping
E. Coevolution
57. What process has provided the predator spots that serve as camouflage?
A. Coevolution
B. Mimicry
C. Intraspecific competition
D. The competitive exclusion principle
E. Carnivorous food gathering
58. A Cat hiding under the bed watching for Rat is an example of __________.
A. An herbivore
B. Camouflage
C. Mutualism
D. Mimicry
E. Intraspecific competition
59. Habitat destruction is the leading cause pushing endangered species toward extinction. What is the
second leading cause?
A. Increasing amounts of carbon dioxide in the atmosphere
B. Imported beetles to control purple loosestrife in North America
C. Invasive species
D. Wild rest
E. Pollution of waterways
60. The malaria parasite spends part of its life cycle infecting human red blood cells. However, up to 40% of
the human population in some parts of Africa is resistant because of a mutation in the hemoglobin gene
that prevents infection. This is an example of __________.
A. Parasitism
B. A parasite exerting selective pressure on evolution of its host
C. Mutualism
D. Aggressive mimicry
E. Resource partitioning
61. Which of the following is a symbiotic mutualistic relationship between two different species?
A. Lichen
B. Malaria
C. Nagana
D. A female re y producing a rhythmic flashing to attract males.
E. Octopus and other mollusks
62. Which of the following is true of lichen?
A. The fungus provides food for the two mutualistic participants.
B. The alga provides the food for the two mutualistic participants.
C. It is usually found as a parasite on a tree.
D. The fungus provides light-trapping pigments.
63. Which of the following is the definition of keystone species?
A. A particular species that plays a major role in determining community structure
B. The few hardy plants that initiate succession
C. A particular species that interacts with another where both bene t
D. The species that is the primary prey of a parasite
64. What is the best definition for community organizing in the following choices?
A. A process by which people come together to talk about matters connected to their health
B. A group of people who seek to change errors in their community
C. They're goal is to develop a sense of well being to others
D. A process by which people organize themselves to take charge of their situation and to develop a
sense of being a community together
65. A key principle of community organizing that states that strong community organizing organizations have
proven adept at integrating a diverse set of issues and linking them to a large vision of the common good?
A. Breadth of mission and vision
B. A participative culture
C. Inclusiveness
D. Critical perspective
66. A key principle of medical director that seek to change policies that are not working in hospital is known
as?
A. Breadth of mission and vision
B. A participative culture
C. Critical perspective
D. Inclusiveness
67. Clinical Instructor (A.Y) gives emotional support to Student Nurse and Midwives, this Clinical Instructor is
acting as...?
A. Facilitator
B. Health educator
C. Health counselor
D. Community health service provider
68. She is the one who carries out health services contributing to the promotion of health, prevention of illness
and early treatment of illness
A. Facilitator
B. Health educator
C. Health counselor
D. Community health service Nurse
69. They are the ones who teach various methods / scientific procedures to clients in healthful ways of
living...
A. Facilitator
B. Health educator
C. Health counselor
D. Community health service provider
70. The phases of community organizing are: 1. Pre-entry phase 2. Entry Phase [Link] and strengthening
phase. What should be in the 3rd phase?
A. Creation phase
B. Organizing - Building phase
C. Planning
D. Implementation
71. It is the initial phase of community organizing in which the community organizer looks for a community to
help / serve
A. Pre-entry phase
B. Entry phase
C. Organizing - building phase
D. Sustenance and strengthening phase
72. This phase is also called as "social preparation phase"
A. Strengthening and sustenance phase
B. Phase 4 B
C. Pre-entry phase
D. Entry phase
73. It is the establishing of rapport with the people and imbibing community life by living with the community
people and undergoing the same experience that they have, sharing their hopes, aspirations and hardships
towards building mutual trust and cooperation?
A. Community Organizing
B. Cooperation
C. Integration
D. Being friendly
74. Refers to a systematic approach, a study of the health condition of a community, involving the collection,
analysis and the interpretation of data including statistical data
A. Diagnosis
B. Medical health diagnosis
C. Nursing care diagnosis
D. Community health diagnosis
75. A systematic study designed to collect data about a community, but costly and time consuming is
A. Epidemiology
B. Home visit
C. Survey
D. Interview
76. It is the phase of community organizing that is the formation of more formal structure and the inclusion of
more formal process of planning, implementing and evaluating of community wide activities
A. Pre-entry Phase
B. Sustenance and Strengthening Phase
C. Organizing - Building Phase
D. Entry Phase
77. This phase occurs when the community organization has already been established and the community
members are already actively participating in community wide undertakings
A. Entry Phase
B. Organizing - Building Phase
C. Pre-entry Phase
D. Sustenance and Strengthening Phase
78. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
79. The public health nurse takes an active role in community participation. What is the primary goal of
community organizing?
A. To educate the people regarding community health problems
B. To mobilize the people to resolve community health problems
C. To maximize the community’s resources in dealing with health problems
D. To maximize the community’s resources in dealing with health problems
80. An indicator of success in community organizing is when people are able to
A. Participate in community activities for the solution of a community problem
B. Implement activities for the solution of the community problem
C. Plan activities for the solution of the community problem
D. Identify the health problem as a common concern
81. Tertiary prevention is needed in which stage of the natural history of disease?
A. Pre-pathogenesis
B. Pathogenesis
C. Prodromal
D. Terminal
82. Isolation of a child with measles belongs to what level of prevention?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
83. On the other hand, Immediately Operation is _____ prevention.
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
84. Which type of family-nurse contact will provide you with the best opportunity to observe family
dynamics?
A. Clinic consultation
B. Group conference
C. Home visit
D. Written communication
85. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of
families. The youngest child of the family has been diagnosed as mentally retarded. This is classified as
a …..
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
86. The two couple have a 6-year old child entering school for the first time. This family has a ……..
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
87. Which of the following is an advantage of a nursing home visit?
A. It allows the nurse to provide nursing care to a greater number of people.
B. It provides an opportunity to do first hand appraisal of the home situation.
C. It allows sharing of experiences among people with similar health problems.
D. It develops the family’s initiative in providing for health needs of its members.
88. Which is CONTRARY to the principles in planning a home visit?
A. A home visit should have a purpose or objective.
B. The plan should revolve around family health needs.
C. A home visit should be conducted in the manner prescribed by the RHU.
D. Planning of continuing care should involve a responsible family member.
89. The first aid bag is an important tool in providing nursing care during a home visit. The most important
principle of bag technique states that it
A. Should save time and effort.
B. Should minimize if not totally prevent the spread of infection.
C. Should not overshadow concern for the patient and his family.
D. May be done in a variety of ways depending on the home situation, etc.
90. To maintain the cleanliness of the first aid bag and its contents, which of the following must the nurse
do?
A. Wash his/her hands before and after providing nursing care to the family members.
B. In the care of family members, as much as possible, use only articles taken from the bag.
C. Put on an apron to protect her uniform and fold it with the right side out before putting it back into
the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated
side is on the outside.
91. The public health nurse conducts a study on the factors contributing to the high mortality rate due to
heart disease in the municipality where she works. Which branch of epidemiology does the nurse
practice in this situation?
A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation
92. Which of the following is a function of epidemiology?
A. Identifying the disease condition based on manifestations presented by a client
B. Determining factors that contributed to the occurrence of pneumonia in a 3 year old
C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with pneumonia
D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness
93. Which of the following is an epidemiologic function of the nurse during an epidemic?
A. Conducting assessment of suspected cases to detect the communicable disease
B. Monitoring the condition of the cases affected by the communicable disease
C. Participating in the investigation to determine the source of the epidemic
D. Teaching the community on preventive measures against the disease
94. The primary purpose of conducting an epidemiologic investigation is to
A. Delineate the etiology of the epidemic
B. Encourage cooperation and support of the community
C. Identify groups who are at risk of contracting the disease
D. Identify geographical location of cases of the disease in the community
95. Which is a characteristic of person-to-person propagated epidemics?
A. There are more cases of the disease than expected.
B. The disease must necessarily be transmitted through a vector.
C. The spread of the disease can be attributed to a common vehicle.
D. There is a gradual build up of cases before the epidemic becomes easily noticeable.
96. In the investigation of an epidemic, you compare the present frequency of the disease with the usual
frequency at this time of the year in this community. This is done during which stage of the
investigation?
A. Establishing the epidemic
B. Testing the hypothesis
C. Formulation of the hypothesis
D. Appraisal of facts
97. The number of cases of Typhoid fever usually increases towards the end of the rainy season. This
pattern of occurrence of Typhoid fever is best described as
A. Sporadic occurrence
B. Secular variation
C. Epidemic occurrence
D. Cyclical variation
98. Primary health care is a 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 workers are able to provide care based on identified health needs of the people.
B. Health programs are sustained according to the level of development of the community.
C. Health services are provided free of charge to individuals and families.
D. Local officials are empowered as the major decision makers in matters of health.
99. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would sometimes
get false negative results in this exam. This means that the test is not perfect in terms of which
characteristic of a diagnostic examination?
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
100. Which of the following demonstrates intersectoral linkages?
A. Two-way referral system
B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between the PHN and public school teacher