Pre Final exam on CHD

Name: __________________________ Date:_________________

Section: _________________

Situation 1: The community health nurse must be adept with the concepts of Community
Health Nursing.

1 .The community is an integral part of any given society. This means the ff. EXCEPT:
A. Community problems are often reflections of societal problems.
B. Culture shapes people as people shapes culture.
C. A community can become self-reliant while an adjacent one is not.
D. Societal factors may have direct effects on the community’s situation.

2. The community is always in a state of continuous movement and change. This means
A. Change in the community is inherent.
B. After a particular period of time, community’s situation becomes predictable.
C. The condition in the community is static.
D. Traditional interventions are always applicable at any given time and situation.

3. If the condition in the community is always changing, it is necessary to

A. Isolates community problems from societal problems.
B. Develop a community health plan.
C. Identify sources of conflict in the community.
D. Continuously assess community situation.

4. The CHN Nurse recognize the roles of community leaders because

A. The nurse as a leader can dictate on the people.
B. Leadership is borne out of love of people.
C. Community members are dependent on their leaders.
D. Community participation must be upheld at all times.

5. The CHN services provided by the nurse must be based on

A. Needs and problems identified by a nurse
B. Those identified needs in community diagnosis
C. Plan of action
D. Objectives of the plan

Situation 2: CHN Theories and Major Concepts

6. Obstacle to Winlow’s birthright of health and longevity are the following EXCEPT:
A. Mispriorities of the government
B. Globalization
C. Primary health care
D. Privatization
7. The main concept of Hanlon is total development which pertains to
A. Dimorphism
B. Essentialism
C. Dualism
D. Holism

8. Purdom’s concept of public health practice pertains to these crucial phases of human
development:
A. Infancy and childhood
B. Adolescence and young adulthood
C. Mild and late adulthood
D. All phases of development

9. The highlight of Freeman’s definition of CHN is

A. Developing a social machinery
B. Enhancing capabilities of people
C. Organized communities
D. Singly as individual or group

10. Most implicit in CHN is the application of the process:

A. Nursing process
B. Research process
C. Problem solving process
D. Community organizing process

Situation 3: CHN Principles

11. Considered as vital parts of CHN practice include

A. Health education and counseling
B. Social mobilization and justice
C. Health and longevity
D. Struggle against poverty

12. To ensure competent practice quality care, nurses must

A. Attend seminars, symposia and for a
B. Go on graduate studies
C. Conduct/participates in research
D. Practice nursing

13. In collaborative relations among members of health team, the nurse usually performs this
role
A. Secretary of the team
B. Property custodian
C. Organizer of the socials
D. Coordinator of services
14. Indigenous community resources with the CH nurse can utilize are the following
EXCEPT:
A. Ventusa or dry coughing
B. Microsoft word
C. Traditional habits
D. Herbal medicine

15. Respecting values, custom and beliefs of people require which of the following actions
A. Awareness-raising
B. Income-generating projects
C. Discouraging harmful practices
D. Collaborative activities

Situation 4: Responsibilities of the CH nurse

16. The nurse actively participates in the development of the community health plan in order
to
A. Represents the community in the health team
B. Impresses the other members of the planning phase of the nursing process
C. Ensure that there is a nursing component in any health undertaking
D. See to it that the steps in the planning phase are carried out

17. What is the basic purpose of research in CHN?

A. Sources of funds and other resources
B. Media projection
C. Improvement of health care
D. Proof of competence

18. The nurse is practicing CHN when she

A. Visits an old woman in her home to change her post-surgical dressing
B. Instruct a couple on newborn care
C. Sets up a support program for teen-aged pregnant women
D. Does any of these

19. At all times, the community health nurse must provide quality nursing services based on
A. Standards of practice
B. Principles
C. Nursing philosophy
D. Concepts and objective of CHN
20. The context of CHN practice is
A. Existing health problems and needs of the people
B. Current health status of the people
C. DOH goals
D. Devolution of health

Situation 5: The application of the CHN concepts and processes

21. Which of the following statements is NOT correct?

A. As part of participation to policy formulation, the nurse plays an active role in
lobbying for amendments to the nursing law
B. In the community, the nurse raises the level of awareness of the people to identify
existing problems and potentials to address such problems
C. If the people in the community wants free medicines, the nurse complies as the basis
of services should be on what people demands
D. If many of the trained community health workers resigned, the nurse should start all
over again and never gives up

22. Which of the following statements is correct?

A. If people are not attending to the services offered by the health staff, the team must
reassess the needs of the people
B. In participatory approach, the nurse must devotedly adhere to what people want
C. In a peasant community where people are fighting for land ownership, the nurse must
not participate as this is not a health concern
D. Nurse must not join protest actions as nurses should always be neutral at all times

23. People have the potential for changing behavior this means
A. One cannot teach old dogs on new tricks
B. Apathy and passivity cannot be address as these are defense mechanisms developed
by people themselves
C. Education and training are meant to increase awareness towards responsible action
D. Social offenders must always be watched out as they have the tendency to revert to
their former selves

24. If a primary health service fails, the most basic question is

A. Is this what people demanded?
B. What went wrong?
C. Is this what people need?
D. Who is responsible for the failure?

25. In a meeting with people’s organization in the community, the nurse asked regarding her
position on gambling and usury. Most appropriate response is
A. As long as people do not harm others, it is okay.
B. Gambling and usury are part of Filipino culture so let them be.
C. Gambling, yes! Usury, no!
D. Consider other forms of recreation and economic resources.
Situation 6: Tessie is a new community health nurse assigned in a rural community.

26. She noticed that Nay Lolita, the local herbolaria is snubbing her. The best thing for her to
do is
A. Snub her as well and pretend she does not exist.
B. Ask the midwife to fetch her and have a meeting with her at the health center to
clarify matters.
C. Make a courtesy call by visiting her where she lives.
D. Send an invitation for training of community health workers.

27. She made a home visit to Marlyn and Jose to give pre-natal instructions. She noticed that
the two are having a quarrel. What will she say?
A. “Why are u quarreling? Tell me, so I can judge who is fault.”
B. “Can you stop quarreling? We will be talking about more important things.”
C. “Stop it, Jose. You are doing harm to the baby.”
D. “Is it alright if I’ll just comeback some other time?”

28. In a health workers training, you found out that the participants took along their small
children. Anticipating confusion during the training, the best action is
A. Put all the children in another room and have someone take care of them.
B. Tell the participants to go home and have someone take care of their children.
C. Let the children be, anyway, the participants have to take care of their young.
D. Postpone the training for a day when a participant can come by themselves alone.

29. It was election time and a candidate comes to you and requests you to participate in a free
clinic which is part of his campaign. What will you do?
A. Ask an apology fort not participating and tell him that people can come to the health
center anytime they need your services.
B. Verify first if candidate can give you a substantial professional fee.
C. You like him, no questions asked and go!
D. Wait until the rival candidate comes in and joins the one which you feel must win.

30. A woman went to the center for treatment of syphilis. Your midwife shared the matter to
mother who were there during that time. What will you do?
A. Confirm the story to the mother.
B. Explain to mother that syphilis can be treated.
C. Ignore the incident.
D. Make a denial.

Situation 7: Knowledge of the concepts and processes of CHN is important.

31. The concern of the CH nurse is not only those who got to the center but also those who
do not. What is the reason for this?
A. Determine the reason why people do not go to the center.
B. Identify health needs of people who do not come.
 C. Define the needs and problems of those who come.
D. Ensure that CH services are comprehensive.

32. Which of the following statements is correct?

A. Cognizant of the devolution of health services, decision making on health affairs
should be made by the office of the mayor at the municipal level
B. Given a community, the nurse should uplift the situation by herself.
C. Health and Illness have the same meanings in a homogenous community.
D. While health is a responsibility of the health department, it is as much responsibility
of the people themselves

33. To facilitate the implementation of a CHN project, the following are to be considered
EXCEPT
A. Clear task and responsibilities
B. Limited involvement of community members
C. Specific objectives with measurable output
D. Available materials and supplies

34. When promoting the healthy of the individual, family, and community, the first step to
take by the CH nurse is
A. Establish the registry of the families
B. Establish a community census
C. Do a health assessment\
D. Organize the community

35. The nurse makes a continuous appraisal of the care she provides for the community in
relation to the objectives of care and the response of the community. This process is called
community health
A. Assessment
B. Diagnosis
C. Participation
D. Evaluation

Situation 8: The health situation of the Philippines

36. The basis of poor health situation in the country is

A. Poverty
B. Lack of government support
C. Low priority on health
D. Graft and corruption

37. If infant mortality rate is high, emphasis should be given to

A. Communicable disease control
B. Nutrition program
C. Maternal and child
D. Immunization program
38. The following contribute to poor health situation of the majority
1-High cost of health services 3-Crisis Oriented concept of health
2-Low priority for Health 4-Backward economy
A. 1 only
B. 1,2, and 3
C. 1,3,and 4
D. All of the above

39. The following statements describe the health human resources EXCEPT
A. Every year, there is a marked increase in number of health professionals
B. Despite of the increase in the number of health providers, there is still an enormous
need in the countryside
C. The growing number of health professionals contributes to their low salaries and lack
of benefits
D. Migration to other countries is solely an economic issue

40. Despite of the preventive nature of the diseases comprising morbidity and mortality
patterns, hospitals has been developed and maintained as primary venues of health services
because
1-Diseases are far advanced and require hospitalization
2-Not all diseases can be prevented at the community level
3-Hospitals are infrastructures that project development
4-hospitals practice is rooted from colonial-oriented health science education
A. 1 and 2 B. 1, 2, and C. 2 and 3 D. 1, 2, 3,
3 and 4

Situation 9: Health Promotion

41. The goal of Health promotion is

A. Identify and minimize risk factors
B. Rehabilitation of sick individuals
C. Popularization of healthy habits
D. Increase in wellness level

42. Which of the following pertain to health promotion?

A. Health protection manifesting avoidance behavior
B. Specific to a particular health problem
C. Approach activities to enhance health capabilities
D. Shorten the duration of the disease process

43. Individual wellness refers to

A. The persons ability to abide by the community norms
B. Persons maintenance of healthy lifestyle
C. The persons ability to adapt to his external environment
D. The individuals’ formation of health beliefs and habits
44. In health promotion, community wellness is ensured through the promotion of
A. Healthy lifestyle
B. Healthy environment
C. Healthy behavior and beliefs
D. Healthy norms
45. Nutrition as an important method of health promotion is ensured through
A. Growth and monitoring
B. Balanced diet supplementation
C. Taking vitamins
D. Micro-nutrient

Situation10: Disease Prevention

46. The best time for disease prevention is during this phase of disease process
A. Asymptomatic
B. Prepathogenic
C. Symptomatic
D. Pathogenic

47. Primary level disease prevention methods are applied during this phase
A. Asymptomatic
B. Prepathogenic
C. Symptomatic
D. Pathogenic

48. Secondary level disease prevention methods are applied in this pahse
A. Asymptomatic
B. Prepathogenic
C. Symptomatic
D. Pathogenic

49. Tertiery level disease is applied in this phase

A. Asymptomatic
B. Prepathogenic
C. Symptomatic
D. Pathogenic

50. A particular disease is far advance if it is at this phase

A. Asymptomatic
B. Prepathogenic
C. Symptomatic
D. Pathogenic
Situation 11: Activities in Health Promotion

51. Establishing youth clubs and mothers’ organization in the community is

A. Primary level disease prevention
B. Secondary level disease prevention
C. Tertiary level disease prevention
D. Health promotion
52. Assistance in the therapy of a trauma patient
A. Primary level disease prevention
B. Secondary level disease prevention
C. Tertiary level disease prevention
D. Health promotion

53. Conducting clinics in prisons to determine extent of infectious disease is

A. Primary level disease prevention
B. Secondary level disease prevention
C. Tertiary level disease prevention
D. Health promotion

54. Giving lectures on sex education to high school students is

A. Primary level disease prevention
B. Secondary level disease prevention
C. Tertiary level disease prevention
D. Health promotion

55. Identifying sick individuals in the community to prompt treatment is

A. Primary level disease prevention
B. Secondary level disease prevention
C. Tertiary level disease prevention
D. Health promotion

Situation 12: In CHN practice, peoples’ participation is essential

56. Community participation is made possible through

A. Conducting consultation meetings with key leaders of the community
B. Full participation of nurses in decision making
C. Provision of comprehensive and understandable information
D. Shared leadership in the community at the onset of the program

57. To effectively provide nursing care to the community, the CH nurse must first
A. Understand community culture
B. Assess community beliefs
C. Identify community leaders
D. Review existing records in health
58. The minimum level of genuine people’s participation is
A. Consultation
B. Shared leadership
C. Self-reliance
D. Placation

59. In addressing the health problems of the community, CH nurse ensures

A. People identify and prioritize their own problems
B. Each health team member provides his/her share in health care
C. People act as recipient of services
D. DOH programs are being carried out

60. People’s participation is made possible through

A. Primary health care
B. Multi-disciplinary approach
C. Community development
D. Community organizing

Situation 13: In CHN, the nurse utilizes community organizing (CO)

61. The goal of CO is

A. Community participation
B. Community development
C. People’s organization
D. People’s awareness

62. Preliminary social investigation utilizes

A. Primary data sources
B. Interviews and observation
C. Registries and records
D. Focus group discussions

63. Upon entry to the community, the nurse can start the following EXCEPT
A. Deepening the social investigation
B. Community integration
C. Small-group formation
D. Social preparation

64. Manageable units of the community to facilitate service delivery and peoples
participation is called
A. Spot map
B. Small group
C. Core group
D. Organizing group
65. The basic reasons why community organizers needs to phase out from the community is
to enable
A. Nurse to open CO work in other depressed communities
B. People to exercise self reliance
C. The people’s organization to expand their coverage
D. People to test their unity and strength
Situation 14: The primary health care (PHC) approach

66. The following statements pertaining to PHC are correct EXCEPT

A. Ultimate goal is self reliance
B. Alternative health system
C. Responds to immediate health problems
D. Utilizes appropriate technology

67. PHC is effective when CH nurses

A. Are models of health
B. Lead people in community mobilizations
C. Initiate mass actions
D. Trust people’s capabilities

68. The goal of PHC according to the DOH is

A. Health for all by the year 2000
B. Health for all in the year 2000 and health in the hands of the people by 2000
C. Health for all by 2000 and beyond
D. Provide equity and quality health care in partnership with people

69. For common cough and colds, these medicinal plants can be used EXCEPT
A. Lagundi
B. Sambong
C. Bayabas
D. Luya

70. Niog-niogan is best for

A. Cough and colds
B. Diarrhea
C. Ascariasis
D. Asthma

Situation 15: There are different levels of clientele in CHN

71. An instrument for gathering subjective data from the individual is

A. Nursing history
B. Physical assessment
C. Use of laboratory exam findings
D. Process recording
72. The exact opposite of the current problematic situation is stated as
A. Plan
B. Goal
C. Objective
D. Evaluation

73. In the assessment phase of the family health nursing process, an indicator for the problem
prioritization of family health problem is
A. Nature of the problem
B. Physical assessment
C. Modifiability
D. Salience

74. By its nature, which of the following problems will be given LEAST priority?
A. Unemployment
B. Scabies
C. Poor home environment
D. Ascariasis

75. Which of the following indicators are used for determining the family’s value on
prevention?
1-Updated immunization schedule 3-Compliance behavior
2-Family’s concept of prevention 4-Eating habits
A. 1 and 2
B. 1 and 3
C. 1,2,and 3
D. All of the above

Situation 16: The population group

76. The constant presence of an etiologic factor and disease in a particular area is called
A. Sporadic
B. Endemic
C. Epidemic
D. Pandemic

77. To establish new cases of the disease by studying those exposed not exposed to a risk
factor, the nurse must conduct this study
A. Case control
B. Cross-sectional
C. Prospective
D. Experimental
78. The primary aim of occupational health nursing is
A. Reduction of health hazards in the area
B. Maintenance of a healthy work environment
C. Promotion of optimum health and prevention of diseases and injuries
D. Industrial peace among workers and management

79. Workers may be exposed to different hazards of work like biological hazards exemplified
by
A. Stress, tenure and salary
B. Dust, fumes, chemicals
C. Heat, cold, humidity
D. Fungi, virus, bacteria

80. To weed out drug users in the school, the nurse sets up a drug watch committee. This
activity is under what component of school health nursing?
A. School health services
B. School health instruction
C. Healthful school living
D. School-committee linkage

Situation 17: Community diagnosis

81. The most common method for community diagnosis that accounts for the bulk data is
A. Census
B. Records review
C. Interview
D. Sample survey

82. The following are steps in processing the data

1-Data analysis 3-Data presentation
2-Data collection 4-Data collation
A. 2,4,1,and 3
B. 2,3,4 and 1
C. 2,4,3, and 1
D. 2,3,1,and 4

83. Major factors affecting population includes the following EXCEPT

A. Births
B. Deaths
C. Migration
D. Morbidity
84. A population pyramid with triangular shape and broad base indicates the following
EXCEPT
A. High death rates
B. Poverty
C. Young population
D. More females

85. The sampling method used for reliable community diagnosis is

A. Simple random
B. Multi-stage
C. Cluster
D. Systematic random

Situation 18: Vital statistics

86. The crude birth rate of X community is 30.5. This means

A. 30.5 births in every 1000 population
B. 31 births in every 1000 population
C. 30 births in every 1000 population
D. 30 births in every 1000 population of women 15 to 44 y.o.

87. Infant mortality rate refers to deaths in every 1000 births belonging to
A. 0-28 days
B. 0-1month
C. 0-1week
D. 0-12months

88. There were 20 cases of measles in a community and 5 died. What is the case fatality rate
of measles?
A. 0.025
B. 2.5
C. 25%
D. 250

89. The relative importance of a cause of death is computed as

A. Case fatality rate
B. Cause-of-death rate
C. Proportionate mortality rate
D. Incidence rate

90. In estimating the rank cause as common illness, the nurse makes use of
A. Incidence rate
B. Prevalence rate
C. Swaroop’s index
D. Attack rate
Situation 19: Family planning, EPI

91. The following statements refer to the family planning EXCEPT

A. The policy program advocates partnership, participation, and promotion of health
B. The main aim of the program is birth control
C. The program is anchored on safe motherhood and child survival
D. Females may decide independently on choice of contraceptive method

92. Which of the following statement is correct?

A. Effectiveness or sterility will come after 25 to 40 days after vasectomy
B. Multiparous women have high fertility post IUD removal
C. Pills are advisable to those who have occasional sex
D. Condoms can be reused

93. Life long immunity for tetanus is achieved by a woman after

A. 3 pregnancies
B. 2 doses during pregnancy
C. 3 booster doses
D. Fourth tetanus toxiod

94. DPT is given at

A. 0.05 ml ID
B. 0.5 ml ID
C. 0.5 ml SQ
D. 0.1 ml ID

95. Which of the following is a normal reaction to BCG vaccination?

A. Deep abscess
B. Indolent ulceration
C. Glandular enlargement
D. Koch’s phenomenon

Situation 20: Nutrition, CARI, CDD

96. The following statements are true regarding kwashiorkor EXCEPT

A. Food is the only cure
B. Child is apathetic and does not want to eat
C. Characterized by skin sores, edema, and moon facie
D. Usually starts when the child is 1 y.o.
97. The recipients of the food assistance program are
A. General public
B. Children
C. Pregnant women
D. Children and pregnant women

98.Belen is one month old and has pneumonia. The intervention should be
A. Tepid sponge bath
B. Provide antibiotics and see after 2 days
C. Refer immediately
D. Assess for other signs

99. The initial sign for dehydration in diarrhea is

A. Weight loss
B. Positive skin fold test
C. Comatose
D. Thirst

100. Ana is 1 year old and with 5 bouts of diarrhea in a day. What should be given at every
bout?
A. ½ cup of rice water
B. 1 glass oresol
C. Antibiotic
D. IV fluids

GOD BLESS!!!!