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Understanding of the Concepts and Principles of Community Health Nursing will enable the nurse to provide care effectively and
efficiently
4. Community health which is the art and science of promoting health and efficiency, prolonging life and preventing
disease through organized community efforts is directed towards:
a. assisting every citizen to be free from disease
b. assisting every citizen to realize his birth right of health and longevity
c. assisting every citizen to get social services
d. assisting every citizen to have medicine at low cost
6. The concept of community health nursing is a population based service means that it is:
a. provided to priority families in the community
b. provided in the health center only
c. provided in the home only
d. provided in the areas where the people of the community reside and work
8. Community Health Nurse given an orientation may learn that community health nursing is all, except:
a. utilizes philosophy, objectives, contents and practice of CHN
b. synthesis of nursing and community health services
c. with responsibility to serve the total population
d. getting census of population in the community
14. Which of the following indicates the effectiveness of public health services?
a. health educated community
b. health informed community
c. community utilization of health facilities
d. community dependence on health personnel for health services
16. The following are general principles when working with the community, except one:
a. know the community where you are serving
b. work with the community
c. talk about specific benefits of health services offered
d. make specific predictions about how many cases or death will be prevented by utilizing any type of service
18. The concept that CHN is carried out through a multidisciplinary approach implies that CHN is:
a. a general approach
b. a community-based
c. an ecologically-based
d. a comprehensive and integrated health care
19. The community health nurse participate in the following activities, except:
a. defining the health and health related needs and problems
b. organizing and mobilizing resources in the community
c. evaluating the results of health activities
d. none of the above
20. Community healthy nursing program planning is similar to any planning activity, the purpose of which is to:
a. decides who is to carry out the plan
b. decides what is to be done
c. clarifies differences among available alternatives
d. clarifies administrative functions
21. In planning of any nursing activity, the community health nurse must develop objectives. The purpose of formulating
objectives is:
a. to know the background of the problem
b. to assess the needs of the program
c. to provide direction and come out with strategies
d. to evaluate the program
24. To evaluate a community health program effectively, the program directors must have previously established:
a. objectives
b. long term goals
c. program personnel
d. client/patient population
25. The public Health Nurse is required to record care/services provided to individuals and families. She should understand
the purpose of these records which is or the following?
a. contribute to the care of the patient
b. interpret the work to the public and other agencies
c. provide excellent source of information for appraising and interpreting nursing
d. all these purposes
a. to promote health
b. partnership in PHC
c. health for all
d. health citizenry
28. The advent of the restructured health care delivery system has brought about:
a. more effective utilization of manpower
b. more emphasis on specialization
c. lesser case load for community health nurse
d. provision of restructured health care in areas
29. While the midwife provide care to individuals within her catchment areas, it is the nurse’s responsibility to review the
management by the midwife of selected number of patients. This review share focus on which of the following areas:
a. correctness of assessment of patient’s needs
b. appropriateness and adequacy of medications given
c. faithfulness to procedures/guidelines on proper treatment/management
d. all of these
30. Considered as the Key strategy in arresting the rapid increase in the number of deaths from health problems:
a. specialized hospitals
b. advancement in medical technology
c. public awareness and health education
d. all of the above
31. In the rural health unit, the midwife is administratively supervised by the:
a. supervising midwife
b. public health nurse
c. rural health physician
d. municipal mayor
SITUATION: The family is the fundamental unit of society. The CHN utilizes a holistic approach in assessing the family as a
social system, utilizing the nursing process to facilitate achievement of development task.
35. the family provides affection, security, identity, affiliation, socialization and control for individual members within the
family which is responsible for defining:
a. basic goals
b. basic functions
c. family goals
36. Specific kinds of behavior contributing to wellness are learned primarily within the:
a. family
b. community
c. school system
d. health care system
37. If the CHN is to identify total family needs it becomes necessary to:
a. focus on the family as a unit
b. focus on the family members
c. identifies deviant behavior of family members
d. identifies deviant roles of family members
38. When the nurse is scheduled to visit a family, it is important to review the family records thoroughly before visiting so
that she can;
a. analyze what is known so far the existing health needs of the family
b. plan the health program the health agency should take
c. implement strategies for health education
d. familiarize herself with the personal characteristics of each family member
39. When the nurse takes note of the family coping index as a basis for her nursing care plan she is involved in:
a. intervention
b. assessment
c. evaluation
d. diagnosis
40. In identifying mutual family goals the most appropriate strategy of the nurse would be to set:
a. small, achievable goals
b. large, achievable goals
c. goals that are easy to achieve
d. goals that are difficult to achieve
42. This area in family health nursing which helps determine the maturity and integrity of the family in meeting the usual stresses
and problems in life.
a. social competence
b. therapeutic competence
c. emotional competence
d. physical competence
43. Of these four coping areas in family health nursing, which one is concerned with the interpersonal relationship in making
decisions, giving support, showing respect and attention and managing the budget?
a. health attitude
b. use of community facilities
c. physical environment
d. family living
SITUATION: In working with high risk families, the CHN’s responsibilities are to strengthen the families response to crisis
situations and facilitate adoption to prevention orientation in promotion family health.
45. Which of the following would the community mental health nurse identify as a situation crisis?
a. marriage
b. losing a job
c. birth of the first child
d. retirement
46. The initial process of sorting or triage in disaster should be done immediately to detect
a. consciousness
b. convulsions
c. threats to life
d. fracture
SITUATION: Participation in community needs assessment by the CHN means assessing health needs and patters of health
care/provision of nursing interventions and enhancing educational processes and providing diverse roles and responsibilities in
Community Health Nursing
49. Epidemiology as a descriptive science provides knowledge about disease. With these functions what does it seek to
analyze?
a. the agent
b. host
c. the environment
d. all of these factors
52. Which of the following cases will be counted under maternal deaths?
a. a pregnant woman who dies due to vehicular accident
53. The number of new cases of specific diseases that occur during a defined
period of time in a population exposed during the time is known as the:
a. prevalence rate
b. incidence rate
c. morbidity rate
d. proportionate rate
54. The total number of existing cases of specific diseases at the particular time in a defined time period in a population is
called
a. prevalence rate
b. incidence rate
c. morbidity rate
d. proportionate rate
56. To get the Crude Birth Rate, CHN may use this formula
a. total number of livebirth x 1000
midyear population
b. total number of registered birth x 1000
total deaths
c. total number of registered birth x 1000
population of women 15-44 years
d. total number of 0-1 year x 1000
population of women 15-44 years
57. In order to get a picture of the community, it is necessary that he/she conducts
a. home visit
b. mass information drive
c. mother’s class
d. community health survey
60. Community diagnosis are based on interdependent reactions and changing conditions stated below except:
a. health capability
b. health actions to solve problems
c. supervision and coordination
61 The ways and directions in which the community is likely to work on its health problems
a. health status
b. health capability
c. health resources
d. health action potential
62. In making community diagnosis the nurse should consider one of these in determining the coping ability of the
community in solving health problems:
a. health status
b. health capability
c. health resources
d. health action
64. Primary health care is a practical approach to health development and improve quality and quantity of care to include
the following, except:
a. recognizes interrelationship between health and socio-economic developments
b. effective provision of community health based, sustainable at cost, government and community can afford
c. organize health task force with specialist to access patients for hospitalization
d. achieve acceptable level of health and well-being by active participation of the community
66. The elements of primary health care are the following except:
a. promotive, protective, curative and rehabilitative
b. accessible and available to all
c. availability of medical specialists
d. integrated health services
67. Support health mechanisms to sustain primary health care includes all, except:
a. improvement of the referral system
b. provision of maternal and child health care
c. formation and use of information system
d. improvement of the working conditions of health personnel
68. The Primary Health Care goal of Health for All means
a. people are managing their own health care
b. People can take care of their own health needs
c. Health centers and hospitals become support facilities
d. all of the above
c. it is affordable
d. it mainly uses western medicine
70. On the main implementation strategies, this approach links private and government agencies to have a wider base for
health care:
a. community organization
b. intra/intersectoral collaboration
c. health planning
d. financial and logistic support
71. This PHC strategy is needed so that people in the barangays can identify their problems, implement and evaluate their
programs
a. community organization
b. social mobilization
c. intra/intersectoral coordination
d. income generating projects
74. The coordination between the Department of Health and the Department of Education, Culture and Sports is an
example of:
a. intersectoral coordination
b. intra-sectoral coordination
c. social mobilization
d. all of the above
76. The tasks of the Barangay Health Workers related to the elements of PHC is/are the following except:
a. Identification and management of moderate illnesses
b. Health education
c. Monitoring of treatment
d. Inform next higher level in case of outbreaks
79. An essential health care based on appropriate technology made available, accessible and affordable to the community:
a. primary health care
b. health cooperative like “Botika sa Baryo”
c. community organization
d. community development
81. When the primary health care nurse motivates individual to change unhealthy practices and beliefs she is doing:
a. clinician role
b. developmental role
c. facilitative role
d. supportive role
85. When the CHN involves people to identify common health problem and motivate them to work together, she is
concerned with:
a. community survey
b. community hygiene
c. community diagnosis
d. community organization
86. CHN, motivation others to the action required for improvement of a problem situation is:
a. assessment
b. mobilization
c. planning
d. evaluation
87. The important foundation in community organizing is to bring together several indigenous leaders. This is:
a. integration
b. core group formation
c. representation
d. mobilization
88. This is a method of establishing rapport with the people and exercising effort to imbibe community lifestyle with them:
a. integration
b. core group formation
c. representation
d. socialization
89. The community health nurse can best control present problems on drug addiction through;
a. treatment center
b. rehabilitation center
c. massive screening program
d. continuing education
90. School health program for an area where intestinal parasitism is rampant includes:
a. physical fitness program
b. deworming program
c. provision of food cafeteria services
d. provision of food supplementary program
91. School nursing as a subspecialty of community health nursing should engage in activities which are focused on:
a. health education and health services in school
b. only health services in schools
c. only on health education on schools
d. health education and health services in schools and in the community
92. The redesigned Approach in School Health Nursing (RASHN) has the concepts of PHC, the features are the following
except:
a. school clinics are improved and made functional
b. referrals are strengthened
c. problems and constraints on logistics and supports
d. teachers assume their role as school health guardian
94. The scope and practice of an occupational health nurse is influence by factors within the work setting, overriding
influence of which is the:
a. nurse’s comfort with the occupational role
b. number of employees
c. policy established by administration within the occupational setting
d. cost of occupational health programs
97. This sexually transmitted disease is characterized by cheesy curd-like vaginal discharges
A. trichomoniasis
B. Gonorrhea
C. moniliasis
D. syphilis
100. The following diseases can be transmitted through skin penetration EXCEPT
A. Tetanus
B. Hookworm infection
C. Hepatitis A
D. ascariasis