ASIAN DEVELOPMENT FOUNDATION COLLEGE

COLLEGES OF NURSING & MIDWIFERY

Tacloban City
MIDTERM EXAM IN CHS 31
Name: ______________________________

Yr. Level: ___________

Date: ___________

Score: ______

MIDTERM EXAMINATION-CHS 31
GENERAL INSTRUCTIONS:
1. This test contains 90 test questions.
2. Only one answer for each question in your answer sheet.
3. Avoid ERASURES, SUPERIMPOSITIONS, and ALTERATIONS.
4. CHEATING of any form is strictly prohibited.

Situation: For the public health midwife to have better understanding of how public health came
about the Philippines, there are certain concepts that must be understood and should serve as a
point of reference in the foregoing discussions.
1. The health and individuals and communities into a large extent is affected by a
combination of factors. These factors or things that make people healthy or not is knows
as:
a. Determinants
c. Health services
b. Physical environment
d. Education
2. In order for Midwife Ren to fully appreciate the public health system in this country, it is
important that she has an understanding of the development of the government agency
mandated to protect the health of the people which is the DOH. As RHM, she is correct if
she said that which of the following is not part of DOHs mission?
a. Quality of life of all Filipinos
c. Ensure accessibility
b. Quality of health care
d. Health for all Filipinos
3. Midwife Ren is correct if she mentioned which of the following as the societys unit of
service in community health?
a. Family
b. Individual
c. Community
d.
Public
4. The National Objectives of the Department of Health are geared towards the improvement
of Health for all Filipinos. Which of the following is the mission of the DOH?
a. Ensure accessibility and quality of health care to improve the quality of life of all
Filipinos, especially the poor.
b. Improve the general health status of the population.
c. Reduce morbidity, mortality, disability, and complication from noted diseases.
d. Promote healthy lifestyle through healthy diet and nutrition, physical activity and
fitness, hygiene and mental health.
5. The new DOH vision is the leader, staunch advocate and model in promoting Health for all
in the Philippines. Its mission is embodied in the following statement:
a. Provide leadership in the formulation, monitoring and evaluation of national
programs.
b. Ensure the highest achievable standards of quality health care.
c. Administer direct services for emergent health concerns deem necessary for public
welfare.
d. Guarantee equitable, sustainable and quality health for all Filipinos, especially the
poor.
6. Among the factors that influence health according to WHO are:
1. Income & social status
3. Genetics
5. Education
2. Gender
4. Employment
6. Health services
a. 1,3,4,6
b. All except 2
c. All except 5
d. All of the above
7. The term health care delivery system refers to a:
a. Method for providing services to meet the health-related needs of individuals.
b. Collaboration of provider organizations.
c. Conglomerate of commercial health care suppliers.
d. Single-payer system.
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8. With the devolution of health services, the local health system is now run by LGUs. The
lead agency in health services at the national level is:
a. DOH
c. Local Health Board
b. City Health Office
d. LGUs
9. There are three major roles of the DOH as a national authority in health. Which one is not
included?
a. Decision-maker of peoples health
c. Administrator of specific services
b. Enabler and capacity builder
d. Leader in health
10.The Department of Health is the leader, staunch advocate and model in promoting health.
Its mission is to:
a. Provide quality health to poor Filipinos
c. Be a leader in formulation of health
policies.
b. Guarantee equitable health for all Filipinos. d. Reduce morbidity & mortality of
certain diseases.
Situation: The Rural Health Midwife should bear in mind the following historical milestones,
principles, and objectives of community health services.
11.All are true about PHC except:
a. Essential health care made universally accessible to individuals and families in the
communities.
b. Care that is free to individuals and families in the communities.
c. Care acceptable to individuals and families in the communities.
d. None of the above.
12.Health promotion activities are designed to:
a. Prevent people from exposure to germs.
b. Ignore spiritual factors because they can confuse medical issues.
c. Increase communities control over their health and well being.
d. Make sure the rural health midwife
13.The health behavior choice/s that is/are essential in promoting health & preventing
diseases is:
a. Getting the right kind of food, adequate sleep, physical exercise, and effectively
handling stress.
b. Stopping smoking and taking vacations.
c. Making sure that all prescription medications are taken properly & at the right time.
d. Avoiding crowds during flu season.
14.This is known as the composite expression of the social and cultural circumstances that
conditions & constrains behavior:
a. Health promotion b. Health education
c. Values
d. Lifestyle
15.Which of the following statements is true about health promotion?
a. Health promotion is a way of life.
b. Health promotion means absence of disease.
c. Health promotion is outside hospital care.
d. Health promotion is an investment in life.
16.The most basic type of health promotion program of the DOH is the:
a. Primary health care
c. Health information dissemination
b. Control of AIDS
d. EPI
17.A midwife knows that in all levels of prevention and even in all the program thrusts of the
health care delivery system, she should provide which of the following?
a. Health promotion
c. Health collaboration
b. Health education
d. None of the above
18.In which of the following settings would a midwife be less likely to be involved?
a. Neighborhood or community clinic or senior center
b. Physicians office with focus on individual client care.
c. Home based care
d. Neighborhood planning board.
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19.The goals of Millennium Development is/are:

1. Eradicate extreme poverty and hunger
4. Health for all Filipinos 2020
2. Achieve universal primary education
5. Improve maternal health
3. Promote gender quality and empower women.
a. 1 & 4 only
b. 2,3,4, & 5
c. 1,2,3, & 5
d. 1,2,3 & 4
20.Determinants of health are factors or things that make people healthy or not. WHO
included this factor which refers to safe water & clean air, healthy workplaces, safe house,
communities and roads all contribute to good health as:
a. Physical environment
c. Social support networks
b. Health services
d. Personal behavior
Situation: Public health systems are operating within a context of ongoing changes which exert a
number of pressures on the public health system.
21.Health is defined by the World Health Organization (WHO) as:
a. Absence of disease in an individual.
b. High level of productivity of the person.
c. State of complete physical, mental, and social well being.
d. Capacity to perform.
22.The level of community health is based on the following factors EXCEPT:
a. Culture
c. Personal behavior & coping skills
b. Income & social status
d. all of the above
23.The factors or things that make people healthy or not is known as :
a. Determinants of health
c. Injury & disease
b. Optimum level of functioning
d. Optimum level of health care
24.The Department of Health has the vision of:
a. The DOH guarantee equitable, sustainable and quality health for all Filipinos
especially the poor.
b. The DOH is the leader, staunch advocate and model in promoting Health for All in
the Philippines.
c. Health for all by year 2020.
d. Health in the hands of the people by 2020.
25.Primary Health Care is an essential health care based on appropriate technology made
available, accessible and affordable to the community with the goal of:
a. Health in the hands of the people.
c. Health made affordable to all.
b. Health made universally accessible.
d. Health for all by year 2020
26.Which of the following exerts a number of pressures on the public health system?
a. Shifts in demographic & epidemiological trends in diseases.
b. Health reforms.
c. New technologies.
d. All of the above.
27.Midwife Hannah is providing health services based on the DOHs mission. Which is not part
of the DOHs mission?
a. To provide sustainable health for all Filipinos.
b. To establish performance standards for health care system in the country.
c. To guarantee quality health for all Filipinos.
d. To provide health for the poor Filipinos only.
28.Which of the following contributes to the poor health situation of the majority?
1. High costs of health services
3. Crisis-oriented concept of health
2. Low priority for health
4. Globalization
a. 1 only
b. All except 4
c. All except 2
d. All of the
above
29.The following statements describe the human health resources, except:
a. Every year there is a marked increase in the number of health professionals.
b. Despite the increase in the number of health providers, there is still an enormous
need in the rural areas.
c. The growing number of health professionals contributes to their low salaries & lack
of benefits.
d. Migration to other countries is primarily an economic issue.
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30.Disease the nature of disease pattern, hospitals have been developed & maintained as
primary venues of health services because:
1. Some diseases are far advanced and require hospitalization.
2. Not all diseases can be prevented at the community level.
3. Hospitals are infrastructures that serve as proof of development.
4. Hospital practice is rooted in the colonial health science education system.
a. 1 and 2
b. All except 1
c. All except 4
d. All
of the above.
Situation: The Philippine Health Care Delivery System.
31.This process refers to the act by which the national government confers power and
authority upon the various local government units to perform specific functions &
responsibilities.
a. Globalization
b. Privatization
c. Devolution
d.
Liberalization
32.Which of the following services fall under tertiary level of health care services?
a. City hospitals
c. Provincial hospitals
b. Regional medical centers
d. Emergency hospitals
33.Health problems beyond the capability of the village health workers are referred to an
intermediate health facility, usually a:
a. District hospital
b. Medical center c. Specialty clinic d. RHU
34.Which one is not an element of the primary health care?
a. Active community participation
c. Control of communicable diseases
b. Environmental sanitation
d. Health education
35.The modern concept of health refers to optimum level of functioning. Of a community
program aims to address problems in education, it is focused on what influence?
a. Political
b. Environment
c. Socioeconomic d. Behavior
36.In September 2000, the UN General Assembly adopted a common vision of poverty
reduction and sustainable development exemplified in the Millennium Development Goals
(MDGs). Which of the following is not health related?
a. Ensure environmental sustainability
c. Develop a global partnership for
development.
b. Achieve universal primary education
d. Eradicate extreme hunger &
poverty.
37.Under the current administration, the vision of health is reflected in one of the following
statements:
a. Health for all Filipinos
c. the leader of health for all in the
Philippines
b. Health in the hands of the people
d. Guarantee provision of quality
health care.
38.Under the restructured health care delivery system, a physician, a public health nurse and
midwives comprise the:
a. Intermediate level health workers
c. Grassroot health workers
b. Frontliners
d. Barangay health workers
39.Trained community health workers, health auxiliary volunteers, traditional birth attendants
or healers are referred to as:
a. Intermediate level health workers
c. Grassroot health workers
b. Frontliners
d. Barangay health workers
40.The primary health care concepts and principles are premised on peoples right to health.
All are true about PHC except:
a. Care that is universally accessible
c. Health care that is free
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b. Health care that is socially acceptable

technology.

d. Care that is based on appropriate

Situation: Primary care is the term for the health services which play a central role in the local
community.
41.PHC is based on which of the following concept?
a. Empowerment of the private health care service providers
b. Partnership with the people.
c. Effective provision of essential health services.
d. All of the above.

42.The four pillars in Primary Health Care are:

1. intra and inter-sectoral linkages
2. Active community participation.
available.
3. Use of modern equipments.
a. 1,2,3,4
b. 2,3,4,5

4. Use of appropriate technology.

5. Support mechanism made
c. 1,2,4,5

d. All of the above

43.What is the legal basis of the implementation of PHC in conjunction to the First
International Conference on Primary Health Care sponsored by the World Health
Organization?
a. LOI 949
b. P.D. 996
c. RA 7305
d. RA 7164
44.One of the strategies of primary health care which links private & government agencies to
have a wider base for health care is:
a. Community mobilization
c. Use of appropriate technology
b. National health care system reorganization d. Intrasectoral linkages
45.One of the essential elements of primary health care which involves controlling all the
factors in mans environment that may form links in disease transmission is:
a. Immunization
c. Environmental sanitation
b. Treatment of locally endemic diseases
d. Control of communicable diseases
46.It is defined by the WHO as essential health care made universally accessible to
individuals and families in the community by means acceptable to them:
a. Inter-local health system
c. the NOH 2010-2016
b. Primary health care
d. Mandate of devolution
47.The core strategy of the PHC concept is characterized by:
a. Mandate of devolution.
b. Partnership & empowerment of the people.
c. Community-based, accessible and acceptable services.
d. Essential health care services.
48.The following are strategies of PHC, except:
a. Reorientation and reorganization of the national health care system.
b. Effective preparation for health actions at all levels.
c. Mobilization of the people.
d. Universal coverage of health insurance.
49.Elements of PHC include the following EXCEPT:
a. Active community participation
c. Control of communicable disease
b. Environmental sanitation
d. Health education.
50.Which of the following enables people to work together in order to address problems or
concerns that affect them?
a. Partnership & collaboration
c. education & training
b. Core group formation
d. Intersectoral collaboration
51. Public health services are given free of charge. Is this statement true or false?
a The statement is true; it is the responsibility of government to provide haste
services
b The statement is false; people pay indirectly for public health services
c The statement may be true or false; depending on the Specific service required
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The statement may be true or false; depending on policies of the government

concerned.
52.According to C.E. Winslow, which of the following is the goal of Public Health?
a. For people to attain their birthrights and longevity
b. For promotion of health and prevention and diseases
c. For people to have access to basic health services
d. For people to be organized in their health efforts
53.Who is the Chairman of the Municipal Health Board?
a. Mayor
b. Municipal Health Officer
c. Public Health Nurse
d. Any qualified physician

54.Which level of health facility is the usual point of entry of a client into the health care
delivery system?
a. Primary
b. Secondary
c. Intermediate
d. Tertiary
55.What is the legal basis of Primary Health Care approach in the Philippines?
a. Alma Ata Declaration of PHC
b. Letter of Instruction No 949
c. Presidential Decree No. 147
d. Presidential Decree 996
56.The features of PHC
a. Accessible
c. Affordable
b. Acceptable
d. All of the above
57.The approach to optimum health in 2000 and beyond
a. Medical care
c. Primary Health care
b. Secondary care
d.Socialized care
58.The intermediate level workers, as defined by PHC
a. Public health midwife
b. Trained health volunteers
c. Medical doctor
d. Public health nurse
59.The first contact of the community to the health chain, as defined by the PHC system is
the
a. Intermediate level health workers
b. Hospital personnel
c. Village health worker
d. Barangay captain
60.This is the first stage in trying to establish an authentic PHC system
a. Organizing the community to understand their health problems
b. Providing essential health services
c. Training the people in the community as health workers
d. Tapping the traditional leaders
61.The key point of PHC is:
a. Increase budgetary allocation on health
b. High technology at all levels of health care
c. Community participation
d. Increase information dissemination through mass media
62.These health facilities, manned by midwives provide preventive and promotive services at
the community level
a. PHC communities
b. Barangay health station
c. Primary hospitals
d. Community hospitals
63.This strategic approach to health care delivery is universally adopted by national and local
health units
a. Referral system
b. Primary health care
c. Public-Private sector participation
d. Local legislation of national program
64.Appropriate technology includes
a. All traditional providers of health care
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b. Use of herbal medicines and indigenous healing methods

c. Exclusion of western technologies
d. Experimental healing modalities
65.PHC requires decentralization which means:
a. Reallocation of budget resources
b. Re-orientation of health professionals
c. Neither
d. Both
66.Intersectoral coordination is necessary because:
a. Community needs may not be primarily medical in nature
b. Other agencies may respond better to the local problem
c. Health resources are generally inadequate
d. All of the above

67.Communities can participate in PHC by

a. Defining their problems and setting their priorities
b. Planning PHC activities
c. Being involved in the assessment of their health situation
d. All of the above
68.The essential health care services provided by PHC has the following characteristic
a. Acceptable
b. Accessible
c. Community based
d. All of the above
69.The principal and unique strategy of PHC is
a. Empowerment of the people
b. Holistic health care delivery
c. Teamwork among health personnel
d. Socialization of health care
70.A community based health program means
a. Only the community resources are utilized
b. The community is involved in the planning and implementation of the program
c. The program is completely independent from the national government
d. No outside assistance is utilized
71.The following measures has the greatest impact on community health, Except?
a. Provision of social services
b. Provision of potable water supply
c. Immunization
d. Medical care of the sick
72.Best group to identify and prioritize community health problems
a. Health workers
b. Community residents
c. Social workers
d. Consultants
73.In the rural health clinic, the first contact of the patient are the
a. Physicians
c. Midwives
b. Nurses
d. Sanitary inspectors
74.Basic health services means that:
a. There is provision for referral service to higher level of health care
b. There are services without the need of specialist
c. These are provided by both medical and paramedical personnel
d. All of the above.
75.PHC delivery system
a. Brings health care closer to the people
b. Maximize utilization of resources through integration of health facilities
c. Implementing community linkages through allocation of health centers in the
barangays
d. All of the above

Prepared by:

Mr. Charlie C. Falguera, RN, MAN