COMMUNITY HEALTH NURSING

1. He defined public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort.

   

a. Winslow b. Nightingale c. Rosenstock d. Maslow

According to C. E Winslow, the goal of Public Health is for the people to attain their bright rights of health and longevity. Nightingale developed the environmental theory. Maslow developed the hierarchy of basic human needs. Rosenstock developed the health belief model. 2. The different clients of the community health nurse include the following: 1. 2. 3. 4. Individual Family Population group Community a. 1 and 2 only b. 1, 3, 4 only c. 1, 2, 4 only d. 1, 2, 3, 4

   

There are different levels of clientele in community health nursing the individual, family, population group and community. 3. According to Maslows hierarchy of needs, developing ones potential is included in which of the following:

   

a. Physiologic b. Safety and Security c. Love and Belonging d. Self-actualization

Other needs included in self-actualization are as follows: the need to learn a, create, understand, and comprehend the need for harmonious relationships, the need for beauty, the need for spiritual fulfillment. 4. Pandemic occurrence of a disease means:

   

a. The intermittent occurrence of a few isolated and unrelated cases in a given locality. b. The simultaneous occurrence of epidemic of the same disease in several countries. c. The unusually large number of cases in a relatively short period of time. d. The continuous occurrence throughout a period of time of the usual number of cases in a given locality.

Option B pertains to pandemic occurrence of a disease. Option A refers to the sporadic occurrence. Option C pertains to the epidemic occurrence. Option D is the endemic occurrence of a disease. 5. Mrs. Panganibans 6 year old son is entering school for the first time. Mrs. Panganiban has a:

   

a. Stress point b. Foreseeable crisis c. Health deficit d. Health threat

The entry of a 6 year old boy into school is an anticipated period of unusual demand on Mrs. Panganiban. 6. Operation Timbang is in which level of prevention of health problem?

   

a. Primary b. Secondary c. Tertiary d. Intermediate

Primary prevention is directed to the healthy population, focusing on prevention of emergence of risk factors and removal of the risk factors or reduction of their levels. Operation Timbang is done to identify members of the susceptible population who are malnourished. 7. A 3 year old boy was classified to have severe pneumonia or very severe disease. The following symptoms are present, except:

a. Convulsions

  

b. Chest indrawing c. Stridor d. Fast breathing

In IMCI, options A, B and C are all under the pink category. Option D is under the yellow category. 8. Severe dehydration is classified when TWO of the following signs are present, except:

   

a. Drinks eagerly, thirsty b. Sunken eyes c. Skin pinch goes back very slowly d. Abnormally sleepy or difficult to awaken

Drinks eagerly, thirsty are signs that are classified under some dehydration. Options B, C and D are signs under severe dehydration. 9. Which of the following is an advantage of a home visit?

   

a. It allows the nurse to provide nursing care to a greater number of people. b. It allows sharing of experiences among people with similar health problems. c. It provides an opportunity to do first hand appraisal of the home situation. d. It develops a familys imitative in providing for health needs of its members.

Option A is not correct since a home visit requires that the nurse spend so much time with the family. Option B is an advantage of a group conference. Option D is true of a clinic consultation. 10. Newborn Screening act is:

   

a. R.A 8980 b. R.A 7610 c. R.A 7305 d. R.A 9288

Option A is the early childhood care and development act of Philippine. Option B is the Child Abuse and Exploitation Act. Option C is the Magna Carta of the Public Health Workers. 11. In the conduct of a census, the method of population assignment based on the usual place of residence of the people is termed:

   

a. De jure b. De facto c. De locus d. De novo

The other method of population assignment is De facto which is based on the actual physical location of the people. 12. A 5 year old child has given Retinol capsule every 6 months to prevent xerophthalmia. What is the dose given to preschoolers?

   

a. 15,000 IU b. 200,000 IU c. 50,000 IU d. 100,000 IU

Preschoolers are given Retinol 200,000 IU every 6 months. 100,000 IU is given once to infants aged 6 to 12 months. 10,000 IU is the dose for pregnant women. 13. In the Philippines, which condition is the most frequent cause of death associated with schistosomiasis?

   

a. Bladder cancer b. Intestinal perforation c. Liver cirrhosis d. Liver cancer

The etiologic agent for schistosomiasis in the Philippines is schistosoma japonicum, which affects the small intestine and the liver. Liver damage is consequence of fibrotic reactions to schistosoma eggs in the liver. 14. Core business of public health will include the following except:

   

a. Disease control b. Health protection c. Health public policy d. None of the above

There are 4 core business of public health these are disease control, health protection, health public policy and injury prevention.

15. Which element of FOURmula one aims to ensure quality and affordability of health services?

   

a. Health financing b. Health regulation c. Health service delivery d. Good governance

Health regulation aims to ensure quality and affordability of health services. Health financing aims to sustain investments in health. Health service delivery aims to improve and ensure accessibility and availability of basic and essential health care. Good governance aims to enhance the performance of the health sector. 16. When is Rabies awareness month celebrated?

   

a. January b. March c. May d. June

The month of March is the Rabies awareness month, fire prevention and burn injury prevention month. January is cancer awareness month. May is natural family planning month. June is kidney month, no smoking month and also dengue awareness is also celebrated at this month. 17. Pillars of primary health care include all of the following, except:

   

a. Active community participation b. Provision of medical care and emergency treatment c. Support mechanism made available d. Use of appropriate technology

There are four pillars of primary health care, these are the active community participation, support mechanism made available, use of appropriate technology and intro and intra-sectoral linkages. 18. A very important part of the community health nursing planning process includes:

   

a. Evaluation of structures and qualifications of health care team b. The application of professional judgment in estimating importance of facts to family and community. c. Carrying out nursing procedures as per plan of action. d. Coordination with other sectors in relation to health concerns.

Evaluation structures and qualifications of health care team is part of the community health nursing planning process. Option B is in included in the assessment process while option C and D are both part of the implementation process. 19. Mrs. Larazabal brought her 2 month old baby to the health center for immunization. On assessment, the infants temperature registered 38 degrees C. Which is the best action that you will take?

   

a. Give paracetamol and wait for his fever to subside. b. Refer the infant to the physician for further evaluation. c. Proceed with the infants immunization. d. Tell the mother to bring her baby back at the health center when her baby is feeling well.

IN the EPI, fever up to 38.5 degrees C is not a contraindication to immunization. Mild acute respiratory tract infection, simple diarrhea and malnutrition are not contraindication either. 20. Which herbal plant is given for fever, headache and cough?

   

a. Sambong b. Tsaang gubat c. Akapulko d. Lagundi

Lagundi is given for fever, headache and cough. Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea. Akapulko is used for its antifungal property. 21. Dependency ratio is best described as:

   

a. Compares the number of economically dependent with the economically productive group in population. b. Graphical representation of the age-sex composition of the population. c. Compares the number of males to the number of females in the population. d. Illustrates the proportion of the people living in urban compared to the rural areas.

Dependency ratio compares the number of economically dependent with the economically productive group in population. Option B refers to population pyramid. Option C refers to sex ratio. Option D is under population distribution and it refers to the urban-rural distribution. 22. Type of water supply facility composed of a system with a piped distribution network and household taps.

   

a. Level I b. Level II c. Level III d. Level IV

Level III type of water supply facility has a source, a reservoir, a piped distribution network and household taps. 23. Which of the following is not a principle of community organizing?

   

a. Principle of Leadership b. Principle of Evaluation c. Principle of Structure d. Principle of Attainment

There are 6 principles of community organizing such as principle of leadership, principle of evaluation, principle of structure, principle of needs, principle of participation and principle of communication. 24. Which method of family panning cannot be immediately used by a breastfeeding mother?

   

a. LAM b. BTL c. Combined OCP d. Condom

Combined OCP decreased the production of milk. Therefore, it cannot be immediately used by a breastfeeding mother. 25. If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be?

   

a. 6.9 per 1000 live births b. 7.8 per 1000 live births c. 0.16 per 1000 live births d. 0.0014 per 1000 live births

When getting the infant mortality rate, we use this formula, deaths under 1 year of age number of live births x 1000.