Manila Iloilo Compre CHN Set A Ratio

COMPETENCY OPTIMIZING REVIEW (CORE) SERIES
EXTENSIVE NLE REVIEW

COMMUNITY HEALTH NURSING
PRINCIPLES AND STANDARDS
SET A
SITUATION: Nurse Kat just had her license and was immediately hired as the new
PHN of Barangay Maasim.
1. As a nurse, Kat knows very well that she can perform all of the following except:
a. Assist in home deliveries
b. Perform Leopolds maneuver in the home setting
c. Conduct lectures on the importance of prenatal visits to all pregnant
women
d. Suture 2nd degree lacerations during home deliveries
ANSWER: D
In case of suturing of perineal laceration, special training shall be provided according
to the protocol established.
Reference: RA 9173
2. As a public health nurse, Kat knows that one of the following statements is not
true. Which one is it?
a. All public health nurses are employed by the government
b. All community health nurses are employed by the government
c. All community health nurses provide care in the community setting
d. All public health nurses provide care in public health setting
ANSWER: B
Some community health nurses are self-employed . Public health nurses work in
government and private agencies, including clinics, schools, retirement communities,
and other community settings. They are employed by the government.
Reference: Monina Gesmundo. The Basics of Community Health Nursing
3. When asked, Nurse Kat identified the following as the patient of the community
nurse:
a. Individual
b. Family
c. Population group d. Community
ANSWER: D
The COMMUNITY is the patient in CHN.
4. Nurse Kat quoted C.E. Winslow when she said that her job also deals with applying
her knowledge of the science and art of preventing disease, prolonging life,
promoting health to enable every citizen to realize his birthright to health and
longevity. This statement is C. E. Winslows definition of:
a. Public Health
b. Public Health Nursing
c. Community Health
d. Community Health Nursing
ANSWER: A
This definition of public health is from C.E. Winslow.
5. Nurse Kat knows that only one of the following statements is correct. Which is it?
a. In CHN, the client is considered as passive recipient of care, not an active partner
b. The goal of CHN is achieved through sectoral efforts
c. CHN practice is affected by the development in health technology, in
particular, and changes in society, in general
d. CHN is independent from health care system and the larger human services
system
ANSWER: C
Option C is one of the basic principles of CHN. Option A: The client is considered as
an active partner. Option B: The goal of CHN is achieved through multisectoral
efforts. Option D: CHN is part of health care system and the larger human services
system.
SITUATION: Ruthie is the PHN in the Municipality of Rizal. As a PHN, she assumes a
different role, depending on the client needs. In the month of August, she noticed
that there has been a rising incidence of diarrhea among the young children in her
municipality. This situation called for her to control the spread of the health problem.
6. Ruthie conducts a mothers class to discuss the importance of boiling water to
make it safe for drinking. Which among the following roles is she performing?
a. Clinician
b. Researcher
c. Leader
d. Health educator
ANSWER: D
Health educator utilizes teaching skills to improve health knowledge, skills, and
attitudes of the individual, family, and the community, and conducts health
information campaigns to various groups for the purpose of health promotion and
disease prevention.
Reference: Monina Gesmundo. The Basics of Community Health Nursing page 4
7. Ruthie organized a group of young adults and teenagers to help clean up garbage
near the communitys water source. Which among the following roles is she
performing?
a. Clinician
b. Researcher
c. Leader
d. Health educator
ANSWER: C
Leader and change agent influences people to participate in the overall process of
community development.
8. When Ruthie instructed the community people and the health workers to
continuously report cases of diarrhea and the midwives properly document the cases,
she was performing her role as:
a. Clinician
b. Researcher
c. Leader
d. Health educator
ANSWER: D
Health educator utilizes teaching skills to improve health knowledge, skills, and
attitudes of the individual, family, and the community, and conducts health
information campaigns to various groups for the purpose of health promotion and
disease prevention.
9. During home visits, Ruthie identified cases of severs dehydration among children
and immediately referred them to the district hospital. Which among the following
roles is she performing?
a. Clinician b. Researcher
c. Leader
d. Health educator
ANSWER: A
Clinician utilizes the nursing process in the care of the client in the home setting
through home visits and in public health care facilities; conducts referral of patients
to appropriate level of care when necessary.
10. Which among the following roles transcends all dimensions of nursing?
a. Clinician
b. Researcher
c. Leader
d. Health Educator
ANSWER: B
Researcher participates in the conduct of research and utilizes research findings in
practice.
SITUATION: JC, Kenneth, Mayo, Kat, and Liane are new community health nurses.
11. JC is responsible for providing immunizations to factory workers. What field of
CHN is JC in?
a. Community mental health nursing
c. School health nursing
b. Occupational health nursing
d. Institutional health nursing
ANSWER: B
Occupational health nursing is the application of nursing principles and procedures in
conserving the health of workers in all occupations.
12. Kenneth organized health education classes on human sexuality among the high
school students in her workplace. What field of CHN is Kenneth in?
ANSWER: C
School health nursing is the application of nursing theories and principles in the care
of the school population
13. Mayo recommended to the administration that the employees be provided with
personal protective equipment. What field of CHN is Mayo in?
ANSWER: B
Occupational health nursing is the application of nursing principles and procedures in
conserving the health of workers in all occupations.
14. Kat organized a lecture discussion on the prevention of substance abuse among
the out of school youth in her workplace. What field of CHN is Kat in?
a. Community mental health nursing c. School health nursing
ANSWER: A
Community mental health nursing is a unique clinical process which includes an
integration of concepts from nursing, mental health, social psychology, community
networks, and the basic sciences.
15. Liane organized the clean-up of stagnant canals and disposal of uncovered water
receptacle in the school to prevent Dengue. What field of CHN is Liane in?
ANSWER: C
School health nursing is the application of nursing theories and principles in the care
of the school population
SITUATION: Nurse Isabel is assigned as a PHN in the RHU I of the Municipality of
Bukang Liwayway
16. Nurse Isabels responsibilities include the following except:
a. Participate in the implementation and evaluation of the municipal health plan for
the year 2011
b. Participate in the anti-insurgency drive of the military in her municipality
c. Organize trainings on the standards for hypertension detection and BP taking for
midwives
d. Organize anti-rabies immunizations for the dogs in the municipality
ANSWER: B
Responsibilities of a CHN:
Participates in the development of an overall health plan, its implementation and
evaluation for communities (option A)
d. Health educator Provides quality nursing services to the four levels of clientele
(option D)
Maintains coordination/linkages with other health team members, NGO/government
agencies in the provision of public health services
Initiates and conducts researches relevant to CHN services to improve provision of
health care
Initiates and provides opportunities for professional growth and continuing education
for staff development. (Option C)
17. Her roles include the following except:
a. Care provider
b. Collaborator
c. Epidemiologists
Budget Officer
ANSWER: D
Budget officer is not a function of a community health nurse.
d.
18. Related to patient care, her tasks include the following except:
a. Administer streptomycin (IM) to category II PTB patients
b. Insert the NGT since it is available in the home setting and provide ORS to a
severely dehydrated child
c. Close a 4-inch cut by suturing it after local infiltration with anesthesia
d. Cleanse a stage 2 decubitus ulcer in a bedridden patient in home setting
ANSWER: C
Suturing is not a function of a CHN.
19. Nurse Isabel knows very well that she should organize activities in the areas of:
a. Health promotion
b. Disease prevention
c. Rehabilitation
d. All of the above
ANSWER: D
As independent nurse practitioners, nurses are primarily responsible for the
promotion of health and prevention of illness. As members of the health team,
nurses shall collaborate with other health care providers for the curative, preventive,
and rehabilitative aspects of care, restoration of health, alleviation of suffering, and
when recovery is not possible, towards a peaceful death.
Reference: RA 9173
20. In terms of educational preparation, a PHN should have:
a. A BS Nursing degree
b. A BS Nursing degree and a registered nurse
c. A BS nursing degree, a registered nurse and Masters degree units
d. A BS nursing degree, RN, and a masters degree
ANSWER: B
To be a public health nurse, one must possess a BSN degree and a registered nurse.
SITUATION: In the same manner that the Department of Health and the public
health system have evolved into what it is now in response to the challenges of the
time, so has public nursing practice.
21. In the WHO determinants of health, this factor plays a part in determining
lifespan and likelihood of developing certain illnesses, this refers to:
a. Gender
b. Genetics
c. Culture
d. Physical environment
ANSWER: B
Genetics: inheritance plays a part in determining lifespan, healthiness and the
likelihood of developing certain illnesses.
Gender: men and women suffer from different types of diseases at different ages.
Culture: customs and traditions, and the beliefs of the family and community all
affect health
Physical environment: safe water and clean air, healthy workplaces, safe houses,
communities and roads all contribute to good health.
Reference: Cuevas, F. P. et. al. (2007) DOH Book: Public Health Nursing In The
Philippines.10th ed. Manila, page 4.
22. Which of the following factors in the ecosystem is known to affect the individual's
health that is involved in the aspect of education and employment?
a. Behavioral
b. Socio-economic
c. Environmental influences
d. Health Care Delivery System
ANSWER: B
Socio-economic: employment, education and housing
Option A culture, habits, mores and ethnic customs
Option C air, food, water waste, urban/rural, noise, radiation and pollution
Option D promotive, preventive, curative and rehabilitative
23. Public health nurses are found in various health settings, which of the following
functions of PHN is considered to be inherent that applies in whatever setting she
may be role she may have?
a. Management function
b. Supervisory function
c. Nursing care function
d. Research function
ANSWER: C
Nursing care provision is an inherent function of the nurse. her practice is based on
the science and art of caring, in whatever setting she maybe or role she may have,
providing nursing care is at the heart of it. public health nursing is caring for
individuals, families, and communities toward health promotion and disease
prevention, as such PHNs are expected to provide nursing care.
24. Public health nurses have broad roles, which level of public health nurse is
considered to have first contact to the patient in the health center and serves as the
front liner health worker?
a. Public health nurse I
c. Public health nurse III
b. Public health nurse II
d. Public health nurse IV
ANSWER: B
The PUBLIC health nurse II works in a health center where she is the front line
health worker and prime mover of all health programs and activities. She is the first
contact of the patient in the health center, where she screens cases according to
established program protocol.
25. The WHO defines public health in the context of the current events as:
a. The art of applying science in the context of politics so as to reduce
inequalities in health while ensuring the best health for the greatest number
b. A service rendered by a professional nurse with communities, groups, families,
individuals at home, in health centers, in clinics, in schools, in places of work for the
promotion of health
c. A special field of nursing that combines the skills of nursing, public health and
some phases of social assistance and functions as part of the total public health
programme for the promotion of health
d. A state of complete physical, mental, and social well being, not merely the
absence of disease or infirmity
ANSWER: A
Option B definition of public health nursing by Ruth Freeman
Option C definition of public health nursing by WHO
Option D WHO definition of health
Philippines.10th ed. Manila, page 6-7.

Manila Iloilo Compre CHN Set A Ratio

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COMPETENCY OPTIMIZING REVIEW (CORE) SERIES

EXTENSIVE NLE REVIEW

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