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COMMUNITY HEALTH NURSING evaluation of health program.

This vital
responsibility of the nurse must be executed for
SITUATION 1. An ounce of prevention is a pound of which further purpose?
cure. The dictum should make preventive services an A. Schedule of assignments
attractive alternative approach in health care particularly C. Research and Legal
that more and more people are under the poverty line B. National archives
and also because of high cost of hospitalization and D. Financial evaluation
medical expenditures.
8. The chief nurse in City and Regional Health office is
1. Prevention is an important responsibility of the concerned with administration, supervision and
nurse in: control of nursing practice to attain highest quality,
A. Hospital and infirmaries C. among her functions and responsibilities, which one
Health Center and Industrial clinics below encompasses leadership skills?
B. All health care setting D. A. Utilization of management process
Community and school setting B. Staff development
C. Implementation of nursing process
2. The promotion and protection of health is a major D. Utilization of resources
responsibility of the DOH which can be most 9. The community health nurse functions as manager
successful when there is active partnership with and provider of nursing care services in the
and /or involvement of: community. In planning and organizing nursing
A. Department of Education and Local services, one vital functions at the beginning of the
Government services is:
B. Professional health association A. Establishing of good working
C. The people and every citizenry relationship
D. Non-government organization B. Conducting an assembly for
instruction
3. Based on the Health Belief Model, a person is more C. Listing of families in each purok
likely to take preventive health action if he: D. Courtesy call with the town mayor
A. Understand the nature of the 10. Provision of nursing care to clients include home
disease visits and clinic consultation according to priority.
B. Has access to health care facilities Which one below should the CHN utilize to reach
C. Believes he is susceptible to the more people in the community for health?
disease A. Home visit for TB control
D. Believes in the competence of the B. Community assemblies like mother
class
nurse
C. Referrals of cases to appropriate
agencies
4. The motivation of the individual to participate in
D. Reach out clinics for distribution of
health promotion activities and take a specific health
medicine
action is most effective in which of the following
strategies:
Situation 3. A National Health Plan program which
A. Enactment of a law
established prevalence rate nationwide has been
C. Experiential activities
implanted.
B. Use of social pressure D.
Health Education
11. Which program is active to identify increase risk of
AIDS?
5. Which of the following is a health concern in the
A. AIDS prevention. C.
primary level of prevention?
AIDS national council
A. Development of health habits and
B. AIDS surveillance D.
practices
Sentinal site nationwide
B. Poverty alleviation
12. Which program advocates right to protection and
C. Early and prompt treatment
human dignity?
D. Case finding.
A. HIV/AIDS patients C.
AIDS prevention
Situation 2: Community Health Nursing is define by
B. Sentinel site D.
WHO as a special field of Nursing which combine the
AIDS national council
field of Nursing, Public Health, and some phases of social
13. Which program broadens context on women’s
assistance for the promotion of health and rehabilitation
health and safe motherhood?
of illness.
A. Family planning organization of the
Philippines
6. The philosophy of the CHN practice is based on the B. DOH family planning services
belief that the family is the smallest unit in a C. Family planning program of the
democratic society. Which age group should be the Philippines
priority of the nurses in the community? D. UNICEP program on reproductive
A. Older person and terminally ill
health
C. Infants and Children
14. Which innovation scheme provides health
B. Adolescents and adults.
manpower in doctor- less, nurse-less municipalities?
D. All ages regardless of status
A. Health human resource program
7. One important principle of CHN is accurate
recording and reporting of data as basis for
B. Human resource for health What would you tell her?
manpower A. “Why did you come only today?”
C. Health manpower resource program B. “Let me tell you the importance of prenatal
D. Resource manpower of DOH check-up”
15. Which of the following programs promotes C. “Do you have an obstetrician?”
backyard propagation and mass production? D. “Are you going to practice family
A. Herbal collection of scientific planning?”
benefits 23. The home delivery for normal pregnancy is being
B. Anthropology and Trad. Med encouraged by primary care
C. Herbal and Philippine Trad Med. providers. If there is no licensed health professional
D. Resources manpower of DOH in the RHU, who will attend to
the delivery?
Situation 4. An example of self- finance project that is A. Licensed midwife
supervised by a nurse is “Botika sa Baryo.” C. New R.N.
B. Trained hilot
16. How is “Botika Sa Baryo” Put up? D. Comadrona
A. Pharmacy sa Barangay 24. Postpartum must be avoided through appropriate
B. RHY drug store prenatal counseling.
C. Common medicine for Botika ng After home delivery, when will you do the first visit
Barangay to check bleeding and
D. Common medicine para Botika sa Infection
A. 40 hrs.
Baryo
C. Two weeks
17. Other programs with less cost is substitute of cotton
B.One week
swab to clean ears. What is the indigenous material
D. 24 hrs
used as swab?
25. To promote appropriate health practice of
A. Alcoholized banana stick
pregnant women, you, as public health
C. Sharpened stick wrapped in
nurse must focus on:
kapok
A. Prompt referral system
B. Tingting wrapped in cotton
C. Accurate record and report
D. Toothpick wrapped in cotton
B. Linkages with PNA, IMAP and POGS
18. Who is the trained health personnel accepted by
D. Public education program
Barrio folds to deliver babies?
A. Community organization officer C.
SITUATION 6: The DOH has drawn from the National
Traditional healer
Health plan the scenario by 2020. One is reduction of
B. Community health nurse
infant and maternal mortality rate.
D. Community health workers
26. Infants mortality rate means death under one
19. In case of complication due to improper use of
year of age per 1,000 live births
technology to whom should cases
Which formula below is correct?
referred to:
A. Deaths under one year
A. District hospital C.
C. Live births of the same year
City health officer
-----------------------------x100
B. Midwife
----------------------------x100
D. rural physician
Live births of the same year
20. Who held the meeting in this place where PHC was
Deaths under one year
discussed? Where is this place?
B. Deaths under one year
A. Geneva
D. Live births of the same year
C. Russia
----------------------------x1000
B. Vienna
---------------------------x1000
D. Alma Ata
Live births of the same year
deaths under one year
SITUATION 5: Maternal and Child Health Services is
27. Maternal mortality rate is the number of
one vital program in the Department of Health ,
maternal deaths per 1,000 live births in
Maternal mortality is high due to hemorrhage, infection
a specific year. Which formula below is correct?
and hypertensive complication.
A. Neonatal deaths and fetal death C.
Live Births of the same year
21. Mrs. Delgado came to the RHU to consult with the
--------------------------x100
MHO but he was attending a
--------------------------x100
seminar. You were available as the RHU nurse.
Live birth and fetal death
What would you do now if she tells
Deaths under one year
that she is bleeding?
B. Deaths under one year D.
A. Accompany her to the provincial
Live births of the same year
hospital
-------------------------x1000
B. Tell her to go the city
--------------------------x10000
C. Give transfusion at once
Live births of the same year
D. Check the vital signs
Deaths under one age
28. The statistical work in the community vital
statistics is mostly done by the
22. Lucy is 20-years-old, 3 months pregnant and asked
Sanitarian but which programs data is done
you about pre-natal services.
greatly by the nurse
A. CD cases D. If the couple has any doubt, offer
C. Maternal child health another contraceptive method.
B. Primary health care
D. Vital Statistics 32. After sterilization, which of the following
29. Town A has a population of 50,000 as of July 1 should be avoided by Mrs. Duque?
1998(midyear) as per calendar A. Take medication as ordered.
year 1998 (January to December) 600 died. B. Shower anytime, but keep the incision
Which formula below should be site dry for 7 days.
uased to compute crude death? C. Resume sexual relation with
A.50,000 husband
C.50,000 D. Lift her youngest child
----------x1000 33. Which among of the following is not true
-----------x10000 about BTL?
B. 600 A. Allows immediate sterility
600 B. Does not interrupt sexual
----------x100 activities
600 C. Irreversible
50,000 D. Very effective and safe
34. Mrs Martha ask “ will it be possible for be
to get pregnant after the procedure? The best
D. ----------x1000
response of the nurse will be:
A. “ The doctor here are all
specialists, I wouldn’t worry if I were you.”
50,000
B. “ Absolutely not, this is a
30. Incidence rate means new cases as percent of
permanent sterility”
population and prevalence rate
C. There are some reports of women
means cases in a given period of time as
getting pregnant, but this is
population. Which formula below is
comparatively rare.”
prevalence rate.
D. “ What made you ask”
A. Number of cases of a specific
disease
35. Other methods of contraception are
explored Mr. Duque expresses his nnon-
-------------------------------------------------x1000
preference for vasectomy. Which of the
following is the main reason why this method is
Estimated population
not a popular choice among men?
B. Total number of cases of a
A. Very costly
disease(old + new) at a given time
B. Restoration of fertility does not
always succeed
--------------------------------------------------------------------------
C. Sterility is not immediate
x1000
D. Diminished macho image.
Estimated population at that time
Situation 8. Water quality and monitoring for
C. Number of cases of a specific
surveillance is the responsibility of each municipality
disease during a specific time
through the RHU. Planning must be assisted by the
Environmental Health Service.
--------------------------------------------------------------------------
36. The nurse should know that the
x100
examination of drinking water by the
Estimated population exposed to
government or non government laboratories
that disease during that time
must be accredited. Who does accreditation of
D. Total number of cases of a disease
laboratories?
(old + new) at a given time
A. Sanitary Engineer
B. Municipality
--------------------------------------------------------------------------
C. DOH
---x100
D. City Health
Estimated population at that time
37. Disinfection of water supply is required in
SITUATION 7: Mrs. Martha Duque, 35 years-old, G4P4
newly constructed well, repaired water pipes
expressed her desire to undergo bilateral tubal litigation
contaminated container and what else?
(BTL). Her younger child is one year old.
A. Unimproved spring
B. Open well
31. In counseling Mrs. Martha and her husband
C. Surface water
about BLT, which of the following should be the main
D. River Dam
focus of the nurse?
38. Approved type of toilet facilities may need
A. Review family and personal
water or not depending on receiving space.
circumstances that could affect their
What type of toilet is without need for water?
decision.
A. Pit latrines
B. Motivate the couple to accept the
B. Water shield
technology.
C. Flush toilet
C. Assist the couple to make a sound, well
D. Aqua privies
– informed decision to
39. Hospital waste management program is a
Undergo the procedure.
requirements before construction of the
facility. The hospital personnel are required to C. Direct contact with infected
train in waste management to prevent which of persons
the following? D. Unsanitary surrounding
A. Communicable disease 47. A physician orders an X ray examination
B. Nosocomial disease for Mamg Tomas and you refer him to nearby
C. Cross infection government agency with x ray facilities. What
D. Transmission of infection is the purpose of this laboratory aid to
40. Nursing responsibilities and activities to diagnosis?
ward off environmental pollution is beyond A. To check if patients has relatives
measure. The nurse is in best position to with TB
conduct health education through B. To see the evidence of having the
A. Development of design or disease
program C. Determine the severity of lesion in
B. Use of communication media the disease.
C. Development and distribution of D. To aid in doctors prescription
IEC materials 48. In TB control Program DOH has specific
D. Role modeling approach. objectives, one on family prevention is a
program, which is focused on children. Which
Situation 9. The Expanded Program of one below is this program?
Immunization (EPI) was started in July 1976 A. Differential prophylaxis
by virtue of PD 996, a compulsory B. Sputum collection and
immunization of children below 8 years of age. examination
C. EPI for BCG
41. This EPI is based on 3 principles. Which D. Tuberculin testing
one is pro people: 49. On health education, which one is the
A. Case findings and treatment on responsibility of the Community Health
site Nurse?
B. A basic health service A. Intensive and responsive IEC
C. Based on epidemiological campaign
situation B. Intersectoral coordination
D. Mass approach rather than C. Supervision and monitoring
individual D. Periodic reporting and recording.
42. Which one is primary element of EPI? 50. If assigned to conduct a research related to
A. Logistic management TB control, which would provide
B. Target setting epidemiological and sociological information,
C. Information campaign choose one method of data collection.
D. Surveillance and research A. Identify operation problem
43. The general objective of EPI is to reduce B. Prevalence survey
morbidity and mortality among children BCG C. Read related literature
is given at birth followed by 2 doses. When are D. Include TB cases as population
the 2nd and the 3rd dose given?
A. Pre-school Situation 11. Mrs. Cruz has breast cancer.
B. One and one a half months after Your aim is to relieve physical and mental
one month after distress.
C. Two months after the 1st dose 51. Which of the following is your role in
D. every months after 2 months cancer?
44. Measles is given subcutaneously an a dose A. Arrange for spiritual consultation
of 0.5ml. At what age is this done? B. Allow patient to get angry
A. Nine months C. Maintain dignity of patient
B. Six months D. Control pain
C. One and one half year 52. Which level of care is preventive before
D. One year treatment?
45. Which of the following agency in the world A. Treatment
helps erase Polio in Children? B. Primary
A. Canadian International agency C. Supportive
B. WHO D. Secondary
C. Rotary international 53. The rural doctor orders Mrs. Cruz to see a
D. UNICEF facility with radiation. What is the level of care
in this facility?
Situation 10. Mang Tomas is known to be A. Specialty
malnourished, living in the crowded area in the B. Secondary
squatter area of a big city. He came to the city C. Tertiary
health due to lost of weight, easy fatigability, D. Primary
chronic dry cough and low grade fever. 54. When Mrs. Cruz came home, she had some
medication. Which one is anti- metabolite?
46. The main sources of infection in pulmonary A. Five F-C
tuberculosis of mang Tomas is through which B. Cytoxan
of the following? C. Ampicillin
A. Crowed living quarters 55. Information materials related to cancer is
B. Unavailability of living quarter available. Which agency distribute these?
A. Philippine Cancer Control A. Health direction for better
B. Philippine Cancer Society tomorrow
C. Cancer prevention and Control B/. Health care available even at
D. Cancer and You ( Pamphlet) high cost
C. Health care procedure with
supply
D. Health care accessibility with low
Situation 12. The regional Training Nurse must be cost.
qualified before assuming the position. 64. PHC is a system, which emphasizes well
56. Which of the basic qualification of a Public being of all segments. What is the result of this
Health Nurse at the Regional Office? effort?
A. Three years abroad A. Progress well being
B. BSN, RN with Masteral degree B. Progressive well being
C. Experience as Clinical Instructor C. Health care procedure with
D. Relative of the Governor supply
D. Economic progress and self-
57. What is the qualification of the Public reliance
Nurse Instructor? 65. PHC activities are fully integrated with
A. Recommended by the Mayor other sector, Which sector is always involved?
B. BSN, RN, with Masteral Degree A. Industries
C. Experience as Clinical Instructor B. Politician
D. Experience as a public health C. Congress
Nursing D. Public works.
58. Functions and responsibility of a public
health nurse begin with the use of the nursing Situation 14. As a professional nurse practitioner, is
process. Which process does she needs to expected that you are aware of the issues and concerns
design a training program for nurses and mid affecting the health care delivery system in the country.
wives ? 66. Traditionally, the most common used
A. Assessment services of the health care delivery system
B. Intervention include:
C. Evaluation A. Prevention of diseases and
D. Planning promotion of health.
59. Even if the Nurse is in the highest position, B. Hospice and care of the
There is a need to keep abreast. Which area of terminally ill.
CHN should a nurse train or re train? C. Diagnosis and treatment of
A. Community Organizing disease
B. Matrix of Hospital administration D. Rehabilitation and gerontological
C. Model of Health Care. care.
D. Use of high tech machine 67. Ideally, rehabilitation service begins:
A. Upon admission of the client in
60. Which one should a PHN retain as nursing the health care delivery system.
value in her community health practice. B. Upon discharge from of clients
A. Spiritual from health care system.
B. Goodwill C. After the client physical condition
C. Human relations stabilizes
D. Academic D. Soon after the Client’s request
fro rehabilitation services
Situation 13. PHC utilizes linkages all over the 68. Philippines, most, if not all day care
world. centers can be manage and/ or organized by
nurses because they provide:
61. Who receives referral from intermediate A. ambulatory care to all clients of
level of care? all ages and are usually situated in
A. Chief Nurse malls
B. First line hospital B. emergency psychiatric care and
personnel counseling to clients experiencing
C. Cardiologist extreme stress
D. Medical Director. C. Care and supervision of older
62. When first line hospital workers are done clients usually those with emotional
with severe dehydration, patient goes home to disturbance
your level of care . In what way you could D. Care and supervision of pre-
provide support? school children located in the barangay.
A. Linkages works . 69. The Department of Health is currently
B. Bring patients for check up faced with health issues and concerns that
C. Refer Clients with same problem needs immediate attention for the greater
D. Give IV’s in case of repeat benefits of the general population. Which of
dehydration. the following issues involving health services
63. The dual role of PHC workers as a can be directly addressed by nurses either
community health Care developer and individually or collectively?
Community development. How could you link A. Increasing cost of hospitalization
and provide care at the same time.
B. Unemployment and D. 0 – 36 months.
underemployment. 77. Iron deficiency anemia in pregnant
C. Access to health care facility. women, lactating mothers, infants and pre-
D. Quality health care services schoolers increased as per findings of the
70. The legal permission obtained from the National Nutrition Survey. What is the highest
client before an invasive procedure cause of anemia.
involvement in research or administration of A. Poor absorption
experimental medication intervention is: B. Increased demand.
A. affidavit C. Low-dietary intake.
B. Contract D. Blood loss.
C. Informed consent 78. Children’s dental care starts at the proper
D. power of attorney. age of weaning. Preventive dentistry is
emphasized to children under five. At what age
Situation 14 The Rural health unit personnel implements should proper tooth brushing begin?
health program relevant of the needs of the country. A. When child starts school.
71. In order to gain the cooperation and B. After 2 years old.
support of the community in control of C. Before 2 years old.
diarrheal diseases, which of the following need D. Upon weaning.
to be done first. 79. Dental caries of temporary teeth need to be
A. Create public awareness of the given attention. Consulting a dentist for this
diarrheal disease problem problem is for what purpose?
B. Solicit the health of the minucipal A. Temporary filling of temporary
health committee tooth.
C. Confer with barangay captain B. Installation of braces.
D. form a working groups C. Replace temporary with false
72. The people must be informed that the teeth.
preventive and control measure/s against D. Pulling out temporary teeth.
diarrheal diseases is /are 80. Isolation technique in the home is difficult
A. Cleanliness and proper food to do but fundamental principles must be
handling followed. Soiled articles with discharges should
B. Practice of handwashing before be boiled in water before laundry. How long
eating should these articles be boiled?
C. Taking of Oresol solution and A. One hour.
other fluids by patients with diarrhea B. Two hours.
D. All these measures C. One-half day.
73. For the prevention and control of dengue D. Thirty minutes.
fever, the Most importanrt health measure that Situation 16 – CHN is a synthesis of nursing practice.
should be implemented is: 81. What is the aim of CHN?
A. Personal hygiene A. To serve all ages of population.
B. Health education on the use of B. Promoting and preserving health.
repellants C. Development of human being.
C. Immunization of contacts D. Limitation to a certain age only.
D. environmental Sanitation 82. Which one is the primary focus of CHN?
74. The mosquito that transmit Dengue fever A. Health food.
may bite anytime during the day, but its peak B. Health continuum.
hours of biting is: C. Health habits.
A. Early morning and late afternoon D. Health promotion.
B. night time 83. Where is CHN extended to?
C. early morning A. Individuals, families and
D. late afternoon communities.
75. The incidence of sanitation-related diseases B. Female population only.
is high in areas characterized by which of the C. Mature and elderly.
following. D. Adolescent, adult and aged.
A. Contaminated wells and 84. What is the criteria to become a public
unsanitary handling of water health nurse?
B. improper use of latrines by most A. BSN graduate with license.
people B. Specialist on CHN.
C. Poor hygiene habits C. Specialist on Any field.
D. Presence of any or all of these. D. Cum laude in graduation.
85. The dynamic care of this nursing tools
Situation 15 – The Department of Health presents a provides measurements of progress. What is
situation where maternal and child health is inadequate the scientific systematic process for quality
in our country. To obtain quality health care, there are care?
programs and services in all levels of care. A. Nursing policies.
76. The Under Five Care Program is a child B. Nursing standards.
related service, which will ensure wellness and C. Nursing procedures.
survival of children. Which age-range is this: D. Nursing process.
A. below 3 years old. Situation 17 – Change within the health care system has
B. perinatal age. accelerated during the past decade. This is brought about
C. 0 – 59 months.
by changes in technology and the nations economy and B. Adoption of the policy for smoke
the increasing number of population, to name a few. free work place among factories,
86. One of the most recent development that schools and hospitals.
was enacted to help subsidize the cost of health C. Organization of morning joggers
services both for the employed and the club or other groups that encourage
unemployed: sports and regular exercises.
A. Medicare Act. D. Fortification of milk and other
B. National Amelioration Pay. food products with Vitamin A and
C. National Health Insurance. D.
D. Workmen’s Compensation Act. 92. As a community health nurse, Miss de
87. Lately, health promotion and disease Castro must have a good understanding of the
prevention services have been getting increased interrelationship between external and internal
attention in the Department of Health. One of variables that can affect health and illness.
the implications of these changes as far as the Examples of internal variables that influence
scope of nursing practice is concerned with is health beliefs and practices include.
emphasis in the application of which of the A. Spiritual factors and individual’s
following competencies: development stage
A. therapeutic use of self. B. Socio-economic and political
B. health education. factors
C. execution of nursing procedures C. Cultural and ethnical
and techniques. background
D. administration of treatment and D. Family practices and traditions.
medication. 93. External variables influencing a person’s
88. The latest census has shown increase in the health belief and practices include:
life span among Filipinos resulting to an A. Emotional and spiritual factor
increase in the number of elderly population. B. Family practices and traditions.
In addition to these data, it is observed that the C. Cultural and perceptual
cost of hospitalization is getting more expensive functioning.
and unaffordable to majority of the people. D. Socio-economic and intellectual
These facts can bring about an increase in the background.
demand of which of the following nursing 94. Levels of prevention is an important
services: concept in community health nursing. Which
A. Managed Care Services one among the following nursing activities can
B. Clinical Specialization. be considered a primary level of prevention?
C. Hospice and Home Care A. Conducting Adolescent
Services. Reproductive Health (ARH) counseling.
D. Acute Care Services. B. Injecting a DMPA to family
89. The latest trend that has developed to planning acceptors
deliver care based on prepaid fees with C. Administering medication to TB
emphasis on health promotion and illness patients who came top the clinic.
prevention is covered under. D. Teaching a stroke victim how to
A. Government Insurance Plan perform active and passive exercise.
|B. Preferred Provider Organization. 95. The health model that describes level of
C. Private Insurance Plan. health or illness of an individual of group
D. Health Maintenance based on the dynamic relationship among three
Organization. variables: the client, the environment and
90. Hospital nowadays are encouraged, if not factors leading to illness. This model of health
required, to offer comprehensive health and illness is:
services to include illness prevention and A. Agent-Host-Environment Model
health promotion. To implement this program, B. High level illness
hospitals, especially government hospitals have C. Health promotion
already added in the regular services of which D. Health Belief
the following. Situation 20. Many changes in the department
A. Rehabilitation Centers of health happened since 1901. In 1975, The
B. Newborn Screening DOH national Health Plan reviewed the health
C. Wellness Centers. system.
D. Intensive Care Units. 96. What was implemented after the
Situation 19. After passing the Board exam, restructuring of the DOH?
Miss de Castro decided to apply in the local A. Philippine Heart Center of Asia.
government unit. She was admitted and was B. Alma Ata Restructuring of WHO.
assigned in her hometown. In addressing some C. Tertiary Hospitals
problem of the community, she remember she D. Restructured Health Care
can be guided by the different models of delivery system
health. 97. What was there devolution?
91. An active healthy promotion strategy that A. To bring services near people
Ms. De Castro could initiate in the community B. To empower local politician
is: C. To become self reliant
A. Advertisement for the use of a D. To stop funding from national
specific mineral water. funds
98. Dr. Winslow defines public health as
science and art of preventing diseases. What is
the art in public health?
A. Leadership skills of the Nurse
B. Organizing people to participate.
C. Creativity in making health
programs.
D. Team building in group work
99. Harlon stresses that public health is
dedicated to common attainment of highest
level of physical health, mental and social well-
being. What is the concise definition?
A. Emotional quotient
B. Total well-being
C. Focus on physical fitness
D. Fragmented Health
100. In community health, assessment of the
client requires multi-disciplinary approach.
Who is the team leader of the group?
A. Nursing students
B. Doctor
C. Trained hilot
D. Nurse

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