CHAPTER 7

The Nursing Process in the Care of the Community

1. Rather than focusing health resources on management of malnutrition in the community, the
health team decided to have an intensive health education campaign on breastfeeding and
application of nutritional guidelines for Filipinos. What principle of community health nursing
is applied in this situation?
A. Promote optimum use of resources.
B. Promote a healthful physical and psychosocial environment.
C. In selecting appropriate activities, focus on primary prevention.
D. Work with the community as an equal partner of the health team.
Answer: C

2. Case finding is frequently undertaken in community health nursing. What principle is

demonstrated in this practice?
A. Give priority to community needs.
B. Focus on the community as the unit of care.
C. Collaborate with others working in the community.
D. Reach out to all who may benefit from a specific service.
Answer: D

3. The health center team plans to have an outreach activity in a barangay with more than the
national average number of under-5 year old children. Which community characteristics have
been taken into consideration in this situation?
A. People
B. Location
C. Social system
D. All of the above
Answer: A

4. A major area of concern in rural areas is the low population density in a wide land area,
resulting in inadequate manpower. Which community characteristics have contributed to this
concern?
A. People
B. Location
C. Social system
D. All of the above
Answer: D

5. During a Pulong-pulong sa Barangay, the members of the community make plans to raise funds
for the repair of the Barangay Health Station, which was damaged by a recent typhoon. This is
an example of which characteristic of a healthy community?
A. A shared sense of being a community based on history and values
B. Open channels of communication and cooperation among the members of the community
C. Equitable and efficient use of community resources, with the view towards sustaining
natural resources.
 D. Existing structures that allow subgroups within the community to participate in decision-
making in community matters
Answer: B

6. The people in a particular barangay take pride in their capacity to work together to overcome
community problems. Which particular characteristic of a healthy community is manifested in
this situation?
A. A shared sense of being a community based on history and values
B. Open channels of communication and cooperation among the members of the community
C. A general feeling of empowerment and control over matters that affect the community as a
whole
D. Existing structures that allow subgroups within the community to participate in decision-
making in community matters
Answer: C

7. The nurse conducts a nutrition survey in a barangay with more than the national average
number of under-5 year old children. What type of community diagnosis is the nurse
undertaking?
A. Comprehensive
B. Problem-oriented
C. Community-oriented
D. Non comprehensive
Answer: B

8. Data about the community may be collected using different sources and methods. Which of the
following is a frequently used secondary method/source of community information?
A. Ocular survey
B. NSO census data
C. Community forum
D. Interview of community members
Answer: B

9. A group of nursing students are having their Related Learning Experience in the community.
For systematic data gathering about the community, which of the following methods will the
students first perform?
A. Review of records
B. Community forum
C. Community survey
D. Observation through an ocular survey
Answer: D

10. Act 3753 requires that birth, death and other civil registries be maintained by the Local Civil
Registrar. The nurse who attends a delivery also takes responsibility for the baby’s birth
registration. Who signs the baby’s birth certificate in this situation?
A. The community midwife
B. The health center physician
 C. The baby’s mother or father
D. The nurse who attended the delivery
Answer: D

11. The Field Health Service Information System is the recording and reporting tool used for public
health purposes. Which recording tool serves as its first building block?
A. Summary Table
B. Target Client List
C. Individual Treatment Record
D. Monthly Consolidation Table
Answer: C

12. FHSIS reporting forms contain data on overall health status and health service delivery of a
catchment area. Which of the following are characteristics of the Quarterly Report Form?
1. It covers a 3-month period. A. 1, 2, and 3
2. It is accomplished by the Midwife.. B. 1, 3, and 4
3. It is submitted to the Provincial Health Office. C. 2, 3, and 4
4. One form is submitted for the whole municipality. D. All of these
Answer: B

13. The National Statistics Office is responsible for conducting a national census of population
every ten years. Population assignment for the census is based on the usual place of residence
of persons. This method of population assignment is known as
A. de facto
B. de jure
C. population control
D. population checking
Answer: B

14. Understanding of data is facilitated with the use of graphs. During a barangay assembly, the
nurse wants to present a graph showing the trend of the frequency of occurrence of
Dengue fever in the barangay. Which graph is most appropriate for this purpose?
A. Pie
B. Bar
C. Line
D. Scatter
Answer: C

15. The nurse makes a community diagnosis stated as “Pregnant women working in a food factory
prefer artificial formula feeding over breastfeeding related to inadequate information on
benefits of breastfeeding and perceived difficulty in maintain lactation after their maternity
leave”. Based on Shuster and Goeppinger’s format, “prefer artificial formula feeding over
breastfeeding” is the
A. health risk.
B. specific aggregate with whom the nurse will work.
C. related factor that influences the aggregate’s response to the health risk.
 D. health condition.
Answer: A

16. The Omaha system is a framework in the care of clients by various health professionals. Based
on its problem classification scheme, pregnant women’s preference for artificial formula
feeding over breastfeeding is under which of the following categories?
A. Environmental
B. Psychosocial
C. Physiological
D. Health-related behaviors
Answer: A

17. Priority setting of identified community health problems is done using criteria set by the World
Health Organization. The presence of records, such as those in the FHSIS, increases the rating
for
A. ability to reduce risk.
B. community awareness.
C. availability of resources.
D. ability to identify target population.
Answer: D

18. Shuster and Goeppinger’s process of priority setting uses the nominal group technique. The
nurse has to ensure that the community is appropriately represented in the group. What is the
major strength of this process?
A. This process allows various ideas to be taken up by the group.
B. The health professional members of the group can guide the others in decision-making.
C. The group members who represent the community are given an equal voice in decision-
making.
D. The community representatives are made to feel they are making a major contribution in
decision-making.
Answer: C

19. Evaluation may be done using different approaches. When the evaluation is done to look into
the manner by which the health interventions were carried out, the approach is based on
A. process.
B. structure.
C. outcome.
Answer: A

20. A good evaluation of community health interventions guides the people concerned in decision
making with regard to the next course of action. Which criterion refers to consideration given to
ethical and legal aspects of the evaluation plan?
A. Utility
B. Propriety
C. Accuracy
D. Feasibility
Answer: B