COMMUNITY HEALTH NURSING

POST TEST
Prepared by: Daniel Joseph E. Berdida, RM, RN, MAN

Situation: After passing the board exams, Jocelyn decided to become a community health nurse.

1. The community as a patient and client in CHN is defined as:

*SETTING OF THE COMMUNITY (A, B, C) – where people under usual normal condition are found
a. Any place outside of purely curative institutions
b. A place where people under usual conditions are found.
c. Includes the homes, schools, and places of work.
*DEFINITION OF COMMUNITY
d. A group of people sharing common characteristics/interest living in a particular place.

2. The community is an integral part of any given society. This means:

a. The community situation is isolated from the situation of the society.
b. Culture shapes people as people shape culture
c. A community may develop while an adjacent one will not
d. Solutions to family problems will only require family level intervention

*Community is the client (well individual)/patient (sick)

*Family – intrafamilial (Interpersonal)
*Community – intracommunity (Intrafamilial)
*Society -
*Contradictions and conflicts are always present
*Change is inherent

3. The community is always in a state of continuous movement and change. This means the following except:
a. After the particular period of time, the community’s situation becomes predictable
b. Change in the community is inherent (natural in the community)
c. The condition in the community is dynamic
d. Interventions are based on scientific analysis of the problem situation

4. The condition of the community is always changing because:

a. People interact with one another
b. Conflicts are present within each element and among different levels in the community
c. The condition in the community is static
d. There are many types of people in the community

5. The condition in the community is always changing, Nurse Jocelyn must:

a. Ensure attendance to activities to provide updates in her practice
b. Identify sources of problems and analyse the root causes
c. Plan together with some people in the community
d. Continuously assess the community situation

Situation: Nurse Jocelyn defines health in Community Health Nursing (CHN)

6. The following refers to the traditional concepts of health and illness that reflects strong Christian influence,
EXCEPT: *influenced by Spanish/strong Christian influenced
a. Engkanto (word came from Spanish) c. Gaba (Karma)
b. Kapre d. Aswang

7. Health is a dynamic state between optimum wellness and death is according to this model:
a. Wellness-Illness model
b. Agent host environment
c. Health promotion model
d. Evolutionary based model (survival of the fittest), illness and death serves

1. HEALTH-ILLNESS CONTINUUM MODEL – degree of wellness ranging from optimum wellness to death
- dynamic state, matter as a person adopts to changes in internal/external environment
 2. HIGH LEVEL WELLNESS MODEL – maintain a continuum balance and purposeful direction with environment
- progress to a higher level of functioning to live to the fullest potential

8. Health practices of the individuals are determined by his beliefs. Thus is making sure that he practices
prevention, the nurse must apply this model:
a. Health promotion
b. Wellness-Illness
c. Health belief
d. Epidemiologic triad

*HEALTH BELIEF MODEL – preventive relationship between a person’s belief and his behavior
*WHO: health is a social phenomenon
-result of interplay of different societal factors: a. biological
b. Physical – heat, temperature
c. Ecological – adaptation to environment
d. Political
e. Economic
f. Social cultural
*it is an outcome of many theories
a. Descartes – DUALISM
b. Multi causal theory – holistic – general systems theory

9. The health promotion model can be applied to:

(A, B – health belief model)
a. High risk groups c. mothers and children
b. Vulnerable groups d. healthy individuals

10. WHO defines health as the following, EXCEPT:

a. Dualism c. Dimorphism
b. Holism d. Multi-causal

Situation: application of the nursing process in CHN.

11. Which of the following definitions aptly support the goals and principles of CHN:
1. Autonomy 3. Self-reliance
2. Self – care 4. Independence
a. All b. 2 and 3 c. 2, 3 and 4 d. 2 only
 12. Assisting the sick individuals achieve optimum level of wellness is:
a. Orem
b. Henderson (21 nursing problems)
c. Nightingale
d. Freeman

13. Which one of these community activities violates Orem’s definition of Nursing:
a. Free clinics (people become dependent)
b. Operasyon Linis
c. Health Cooperative
d. Bayanihan

14. According to Florence Nightingale, and individual patient/client has the capacity for:
a. Adaptation to ever changing environment (sister calista roy)
b. Self -care
c. Control of environment (nurse manipulates the environment)
d. Self –repair (patient- reparative process)

15. Which of the following is an example of subjective data:

a. Nausea b. Loss of weight c. Pallor d. Seizures

Situation: Nurse Jocelyn needs to have a firm grasp of CHN concepts.

16. The primary focus of CHN is:

a. Health education and counselling c. health promotion and disease prevention
b. Care of the family d. health and longevity

*COMMUNITY HEALTH DEFINITIONS

1. WINSLOW- science and art of preventing disease, prolonging life, promoting life and efficiency
through organized community effort.
- to enable each citizen to realize his birth right and longevity
2. HANLON – most effective total development and life of individuals and his society
3. PURDOM- applies holism in early yearsof life, young, adults midyear and later life
- prioritizes survival of human being
4. OREM -
5. MAGLAYA – utilization of nursing process in diff levels of clientele (INDIVIDUAL,
6. JACOBSON – learned practice discipline
7. WHO –
8. FREEMAN – service rendered

*GOAL OF CHN: to raise the level of health citizenry

*PHILOSOPHY OF CHN: based on WORTH AND DIGNITY OF MAN (accdg to Margaret
Shetland)

17. The concern of the Community nurse is the health of all segments of the population. All types of
health services are provided to the people through-out their life continuum. This concept pertains to:
a. CHN is people oriented c. CHN is comprehensive and integrated
b. CHN emphasizes health of people d. CHN utilizes multi-sectoral approach

18. The basic concepts of CHN are:

a. Health promotion and disease prevention
b. Active and full participation of the people in decision making
c. Community participation
d. People’s participation, health promotion and disease prevention
*PRINCIPLES AND CONCEPTS OF CHN
1. PRIMARY FOCUS- health promotion and disease prevention
2. PRIMARY GOAL – self-reliance in health or enhanced capabilities
3. ULTIMATE GOAL: raise the level of health citizenry
4. PHILOSOPHY- worth and dignity of man
A. CHN is integrated and comprehensive
B. CHN are generalists – matter of community health nurse
C. All types and levels of healthcare
levels of health care: a. Primary HC- community health center, RHU
b. Secondary HC – provincial, district, municipal, local hospitals
c. Tertiary HC -

D. Nature of chn requires biological and social knowledge

E. Impilicit in CHN is nursing practice (ADPIE)

*BASIC PRINCIPLES
4 LEVELS OF CLIENTELE
-INDIVIDUAL
-POPULATION GROUP
-FAMILY
-COMMUNITY

*CLIENT IS ACTIVE – PARTICIPATORY APPROACH

*GOAL OF CHN IS ACHIEVED THROUGH – MULTISECTORAL APPROACH

*NURSING FUNCTIONS
Independent-
Collaborative

*BASIC PRINCIPLES from DOH

1. Primary focus- health promotion
2. CHN practice is extended, not only individual but whole family and community
3. Community health nurses are generalist
4. Contact with client/family may continue over a long period of time
5. Nature of CHN requires current knowledge
6. Dynamic nursing process

*KEY PRINCIPLES
1. Recognized needs
community diagnosis, active and full involvement of people in decision making
2. Understanding of agency objectives, policies
PLANNING: prioritization, goal setting, objectives, actions
EVALUATION: based on objectives, criteria evaluation
3. FAMILY- basic unit of service
4. Respect values
IMPLEMENTATION
5. Health education and counselling: vital parts of CHN
>health educator (provide info, education, advise)/ counselor (listener, GIVE OPTIONS): same goal=
BEHAVIORAL CHANGES
6. Collaborative working relationship
7. Continuing staff education
9. Indigenous and existing
APPROPRIATE TECHNOLOGY: methods and technology that are
A. scientifically sound- experimentation
B. socially acceptable
10. People actively participate
11. Supervision by qualified
12. Accurately recording/reporting
*WHO SUPERVISES THE NURSE
- CH Nursing Practice: RN SUPERVISION
- Project Program Implementation: MD
- Management and Administration: MAYOR

*ROLES OF PUBLIC HEALTH NURSE

1. CLINICIAN- health care provider, taking care of sick people at home
2. HEALTH EDUCATOR – dissemination of correct information, educating people
3. FACILITATOR – establishes multi-sectoral linkages by referral system
4. SUPERVISOR – monitors and supervises midwives

*ROLES OF PUBLIC HEALTH NURSE

1. PLANNER/PROGRAMMER: >identifies needs, priorities, problems of individuals
>formulate nursing component
>responsible for the formulation of municipal health plan
>provide technical assistance to rural health midwives in health
matters like target setting
2. PROVIDER OF NURSING CARE
3. MANAGER/SUPERVISOR: formulate care plan for the 4 clientele
4. COMMUNITY ORGANIZER: motivates and enhances community participation
5. COORDINATOR OF HEALTH SERVICES
6. TRAINER/ HEALTH EDUCATOR/ COUNSELOR
7. RESEARCHER- coordinates with government with NGO

*sources of CHN standards: BON, PNA (PHILIPPINE NURSES ASSOCIATION)

*DEVELOPMENTAL MODEL BY Evelyn Duvall

*LAUNCHING CENTER – EMPTY NEST

8 FAMILY TASK
1. Physical Maintenance
2. Allocation of Resources- INCOME GIVEN TO WIFE
3. Division of Labor – JOINT PARENTING
4. Socialization of Family Members
5. Reproduction
6. Maintenance of Order – HIGH CRIME RATE (NO ORDER)
7. Placement of Members in Larger Society – INDICATION OF FAMILY SUCCESS
8. Maintenance of Motivation and Morale

*STRUCTURAL FUNNCTIONAL MODEL (Ruth Freeman)

a. INITIAL DATABASE
-Demographic Data
-Type and Structure of Family
b. SOCIO-ECONOMIC AND CULTURAL
>Resources and Expenses
>Educational Attainment
>Ethnic Background
>Religious Affiliations
>
c. ENVIRONMENTAL FACTORS
d. HEALTH ASSESSMENT OF A MEMBER: PE
e. VALUED PLACED ON PREVENTION OF DISEASE

*CATEGORIES OF HEALTH PROBLEM

*****1ST LEVEL ASSESSMENT
1. HEALTH THREAT: promote diseases, injury, accidents (family history, nutritional problem, personal behavior,
inherent personality characteristics, hazards, poor home environment, lack of immunization)
2. HEALTH DEFICIT: gap between actual and achievable health status (disease, disabilities, developmental
problems)
3. FORESEEABLE CRISIS: stress point situation, occurrences of death/illness of family member (entrance in
school, adolescents, courtship, marriage, pregnancy, unemployment, graduation, board exam)

*HEALTH NEED – CAN BE ALLEVIATED BY MEDICAL….

*HEALTH PROBLEM -
 **VITAL STATISTICS – direct health indicator

19. The community health nurse need to apply different concepts form other sciences in confronting
different problems in the community, she is a/an:
a. Specialist b. Generalist c. Expert d. Authority

20. A most basic guide the community health nurse can apply in the fulfilment of her responsibilities:
a. Professional nursing ethics
b. Nursing process
c. COPAR
d. Social dynamics intervention

Situation: Jocelyn applies principles of CHN.

21. The CHN services provided by the nurse must be based on:
a. Needs and problems identified by the nurse
b. Needs and problem identified by the people
c. Those identified by the members of the health team
d. Those identified health demands by the community

22. For each priority problem identified by the nurse, she states a situation that is exactly the opposite of
the problem situation. This is called:
a. An objective b. A goal c. A plan d. An intervention

23. Towards a healthy community, the CH nurse Jocelyn must ensure the health of this basic unit of the
community:
a. Individual b. Family c. Special population d. Vulnerable groups

24. Confronted with traditional values, customs and beliefs of people, the CH Nurse Jocelyn must:
a. Search for the historical bases of such practices and beliefs
b. Provide logical explanations for such
c. Correct unscientific, barbaric and stupid practices and beliefs
d. Be nonjudgmental

25. Vital elements of CHN practice are:

a. Total population c. Health promotion and disease prevention
b. COPAR d. Health education and counselling
Situation: Nurse Jocelyn must understand the responsibilities of the CHN Nurse.

26. The nurse actively participates in the development of the community health plan in order to:
a. Represent the community in the health team
b. Impress the other members of the planning phase of the nursing process
c. Ensure that there is a nursing component in any health undertaking
d. See to it that the steps in the planning phase are carried out

27. At all times, the community health nurse must provide quality nursing services based on:
a. Standards of practice c. nursing philosophy
b. Principles d. concepts and objectives

28. The joint efforts of the basic sectors and the support organizations will lead to significant actions to provide
solutions to community problems. This approach is called:
a. Interdisciplinary b. intrasectoral c. Intersectoral d. multi-sectoral

29. What is the basic purpose of research in CHN?

a. Development of health technology c. improvement of health service
b. Scientific bases for practices d. documentation of experiences

30. The context of CHN practice is:

a. Existing health problems c. DOH goals
b. Current health status of the people d. Devolution of goal

**VULNERABLE GROUPS
1. INFANTS/YOUNG CHILDREN – dependent to care takers
2. SCHOOL AGE – most neglected
3. ADOLESCENT – identity crisis, HIV
4. MOTHERS – pregnancy, delivery, puerperium
5. MALES – too macho to consult
6. OLD PEOPLE – degenerative

**SPECIALIZED FIELD OF CHN

1. COMMUNITY MENTAL HEALTH – focus= mental health promotion
PSYCHIATRIC NURSING – focus= mental disease prevention
>MENTAL DISEASE PREVENTION = shorten disease process
2. OCCUPATION HEALTH NURSIN – conserving health of all workers in all occupations
3. SCHOOL HEALTH NURSING – application of nursing theories in school
COMPONENTS: A. SCHOOL HEALTH SERVICE
B. HEALTHFUL SCHOOL LIVING

**ASSESSMENT OF COMMUNITY HEALTH NEEDS

1. COMMUNITY DIAGNOSIS (product= health program development)
> Profile General Status
> Process;
TWO TYPES:
A. COMPREHENSIVE – provides general health of profile of the community
B.
STEPS:
1. PREPARATORY PHASE: A. Site selection (1st criteria) – poor community, free from other agency
B. Preparation of community
C. Statement of objective – dependent community diagnosis
D. Identify methods and instruments for data collection
Methods of Survey Questionnaire:
>CENSUS most ideal, enumeration of data conducted 6 months ago
>SAMPLING SURVEY – most practical, study representative of a
community, size matters in terms of validity
>INTERVIEW METHOD – instrument-interview guide/schedule

F. finalize sampling design and method

a.) PROBABILITY – equal chances-random (simple, stratified)
b.)
 **DEMOGRAPHY AND VITAL STATISTICS
STATISTICS – Science of collection ….
BIOSTATISTICS – refers to application of statistical method to the life science like biology, medicine
DEMOGRAPHY – study of population size, composition, spatial distribution as affected by births, deaths and
migration

**TYPES OF DATA
1. CONSTANT – value remains the same
2. VARIABLE – values is changing

Situation: The application of CHN

31. The ultimate goal of CHN is:

a. Health promotion and disease prevention
b. Upholding the worth and dignity of man
c. Enhancing health capabilities of the people towards self-reliance in health
d. Raising the level of health of the citizenry

32. The primary goal of CHN is:

a. Health promotion and disease prevention
b. Upholding the worth and dignity of man
c. Enhancing health capabilities of the people towards self-reliance in health
d. Raising the level of health of the citizenry

33. The focus of CHN is:

a. Health promotion and disease prevention
b. Upholding the worth and dignity of man
c. Enhancing health capabilities of the people towards self-reliance in health
d. Raising the level of health of the citizenry

34. The philosophy of CHN is:

a. Health promotion and disease prevention
b. Upholding the worth and dignity of man
c. Enhancing health capabilities of the people towards self-reliance in health
d. Raising the level of health of the citizenry

35. The philosophical bases of Community Health Nursing practice are theories and principles of:
a. Nursing c. Community development
b. Public health d. Nursing and Public Health

Situation: Nurse Jocelyn regards the individual as bio-psycho-social and spiritual being.

36. All of the following conditions are examples of the application of holistic approach, EXCEPT:
a. Defining gender
b. Discussing discharge plan of infant patient to his mother
c. Assessing reproductive health of a female client
d. Identifying family type structure

37. Based on pure biological perspective, which of the following statements is NOT correct:
a. Humans can have sex with anyone, anytime and anyplace
b. Pheromones are also present among human beings
c. Sexual reproduction is better than asexual reproduction because it provides pleasure to humans (asexual
better than sexual)
d. A human being is basically a warm-blooded animal with bipedal and erect posture surviving the test of
times.
38. Essentialism (what is important) provides plausible explanations for the following conditions, EXCEPT:
a. Maternal predisposition to homosexualty
b. True hermaphrodism among Dominican Republicans
c. Sex role stereotyping of family members
d. Turner’s syndrome and Klinefelter’s syndrome

39. Which of the following statement is correct?

a. Man by nature have greater sexual desires than female
b. Homosexuality can be cured
c. Safest sex is lesbian sex
d. Sexuality is the public projection of one’s sexual identity
 40. Theories of sociology can be used to analyse which of the following?
a. Domestic violence c. Hereditary diseases
b. Sex d. Anemia

Situation: As a new nurse of Barangay Bubuli, Nurse Jocelyn conducts regular home visits to priority families in the
community.

41. Which of the following is a family:

1. A bachelor with own condominium bringing lovers once in a while
2. A couple with two children with no permanent residence and sleeps on the street
3. Two gay men living together
4. A pregnant woman living in an apartment
5. A convent for cloistered nuns
a. All b. 2, 3 and 4 c. 2, 3 and 5 d. 2 and 3

42. If there is a gap between achievable health status, this is called:

a. Foreseeable crisis c. Health deficit
b. Health threat d. Health Need

43. Based on its nature, this is considered a priority problem:

a. Familial predisposition to illness c. Abortion
b. Dealt of a family member d. Demolition

44. Empty nest, divorce and marital dyad are features of the family developmental stage:
a. Beginning family c. Family as launching center
b. Family with teenagers d. Middle aged family

45. In evaluating nursing interventions to a family, the community health nurse makes use of:
a. Objectives of care c. Plan of action
b. Measureable outcome criteria d. Salience of problems

Situation: The following questions depict the various definitions surrounding community health nursing.

46. This person defined that community health is both a science and an art of preventing illness, prolonging life,
promoting health:
a. Hanlon c. Winslow
b. Freeman d. Jacobson

47. He applied the principles of holism and prioritizes the survival of the human race:
a. Hanlon c. Purdom
b. Freeman d. Jacobson

48. The nurse must make sure that CHN practice in the community is based on learned practice disciple thereby
contributing to the optimum wellness of the community. This definition was formulated by:
a. Hanlon c. Maglaya
b. Freeman d. Jacobson

49. This definition stresses that for CHN practice to be effective full utilization of the nursing process in all levels of
clientele:
a. Hanlon c. Maglaya
b. Freeman d. Jacobson

50. Which definition of CHN states that it is the services and care rendered by a professional nurse to the four
clients of community:
a. Hanlon c. Maglaya
b. Freeman d. Jacobson
Situation: In the care of the population groups in the community, Nurse Jocelyn applies special fields in CHN.

51. The main focus of Community Mental Health Nursing is:

a. Mental health promotion c. Mental hygiene
b. Mental disease prevention d. All of the above

52. The primary aim of occupational health nursing is:

a. Reduction of hazards in the work area
b. Maintenance of a healthy work environment
c. Promotion of optimum health and prevention of diseases and injuries
d. Industrial peace among workers and management

53. Workers may be exposed to different hazards of work like biological hazards exemplified by:
a. Stress, tenure and salary c. heat, cold, humidity
b. Dust, fumes and chemicals d. fungi, virus, bacteria

54. To weed out drug users in the school, the nurse sets up a drug watch committee. This is an activity
under what component of school health nursing:
a. School health services c. Healthful school living
b. School health instruction d. School-community linkage

55. The role of the nurse in the healthful school living component is:
a. Health educator-counsellor c. Provider of care
b. Health monitor d. Supervisor

Situation: Community diagnosis will provide Nurse Jocelyn the bases of CHN services for the community.

56. The following statements pertaining to community diagnosis are correct, EXCEPT:
a. Community diagnosis is a descriptive quantitative study that will determine the health status of a given
community
b. Comprehensive community diagnosis is done to identify nature, scope and magnitude of a
particular health problem
c. In analysing data, dimensions directly related to health will refer simply to vital statistics.
d. Mortality rate means the number of death per 1000 population

57. There are 2,351 households in the community. Funding a personnel allow a 25% sample for the
diagnosis.
How many households will be part of the sample?
a. 587.75 b. 588 c. 0.0106337 d. 106

58. In collecting data on the disease patterns (morbidity and mortality causes) the best method is:
a. Interview of the municipal health officer c. Family survey
b. Records review of the health center d. Census

59. After prioritizing the problems of the community, the nurse and the barangay health workers must:
a. relax and celebrate on the initial major accomplishment of the program
b. present the identified priority problems to the community for feedback and validation
c. develop the curriculum of the training program for barangay health workers
d. start developing the community health plan

60. the most ideal method for community diagnosis is:

a. Census b. Records review c. Interview d. Sample survey

Situation: Sources of data

61. Which of the following will not affect the population size:
a. Births b. Diseases c. Deaths d. Migration

62. A double bar graph that will depict the age and sex structure of the population is called:
a. Sex ratio b. Age ratio c. dependency ratio d. population pyramid

63. The sex ratio will increase if the following conditions exist, EXCEPT:
a. More female immigrants c. More females dying
b. More male immigrants d. more male are being born

64. Direct health indicators refer to:

a. Demographic data c. Epidemiologic Studies
b. Vital Statistics d. Socio-cultural profile
 65. There are 3,456 total population in the community. What is the target population for EPI vaccination:
a. 103.68 b. 104 c. 104.68 d. 105

Situation: Nurse Jocelyn applies basic concepts of vital statistics

66. The following are examples of specific mortality rate, EXCEPT:

a. Infant mortality rate c. Maternal mortality rate
b. Neonatal mortality rate d. Incidence rate

67. The relative importance of a cause as a killer is computed by this rate:

a. Case fatality c. Cause-of-date
b. Proportionate mortality d. Crude death

68. The relative decrease in the population due to deaths refers to this rate:
a. Case fatality c. cause-of-death
b. Proportionate mortality d. crude death rate

69. In identifying the leading cause of mortality, this formula is used:

a. Case fatality rate c. proportionate mortality rate
b. Cause-of-date rate d. specific mortality rate

70. The killing power of a disease as compared to others can be illustrated by computing for:
a. Case fatality rate c. proportionate mortality rate
b. Cause-of-death rate d. specific mortality rate

Situation: Nurse Jocelyn conducted an epidemiologic study on sterility among flagmen and aerial spraying
of chemical pesticide P on banana plantation.

71. The interest of the investigation is:

a. Flagmen c. chemical pesticide P
b. Sterility d. Aerial spraying

72. To identify relationship of sterility and exposure to pesticide P, the best epidemiologic study is:
a. Case control c. Experimental
b. Case-control d. Incidence

73. If a prospective study is done, the investigator will identify extent of risk of sterility among the:
a. Exposed group c. both A and B
b. Non-expose group d. case group

74. In conducting this type of function of a Community health nurse, this role is considered as:
a. Planner/organizer b. Supervisor c. Educator d. Researcher

75. The most important goal of conducting research is:

a. To accommodate budget from the government
b. To enhance the time exposure to the community people
c. To develop the practice of professional nurses
d. To keep a record of the events in the community

Situation: Health care delivery system

76. The following are included in the FOURmula 1 for Health, EXCEPT:
a. Good governance c. Health services
b. Health financing d. Health monitoring

77. This is the major blueprint of defining the nation’s health agenda:
a. Local health plan c. Sentrong Sigla Movement
b. National health plan d. Department of health

78. This partner in health usually makes the trailblazing activities in the community:
a. Local government units c. Department of Health
b. Non-government organizations d. WHO

79. Which of the following is the vision of DOH:

a. Health for all
b. Health for all by 2000
 c. Health for all by 2000 and beyond
d. Health for all by 2000 and health in the hands of the people by 2020

80. Who is the major partner of the government in achieving the vision and mission of health of the country:
a. Public sector c. private sectors
b. NGO’s d. people themselves

Situation: The application of the concepts of health promotion and disease prevention.

81. The CH Nurse is actively involved in health promotion and disease prevention projects. This particular health
concern focuses on health promotion:
a. Expanded program of Immunization
b. Control of Acute Respiratory Infection
c. Mental Health Promotion
d. Integrated Management of Childhood Illness

82. An activity of Primary level disease prevention is:

a. Conducting sputum smear to the community
b. Newborn screening
c. Avoidance of fats, MSG and allergens
d. Rehabilitation

83. The following are characteristics of health promotion activities, EXCEPT:

a. Broad and general c. Avoidance
b. Offensive d. Positive

84. To reach the broadest vulnerable segments of the population, this type of screening is utilized:
a. Mass screening c. Case finding
b. Contact tracing d. Surveillance

85. The following are true regarding tertiary prevention, EXCEPT:

a. Rehabilitation starts the moment the patient steps in the health facility
b. Patient’s manifest health seeking behaviour during this phase
c. Involves periodic selective examination
d. Prevent further stress, disabilities and death

Situation: Lina Lagnat, a child with fever in a far flung community. Her mother, Mina Laria wanted to use herbal
medicines for her family.

86. Which is the best herbal medicine to use for Lina:

a. Ampalaya c. Lagundi
b. Ulasimang bato d. Niyog-niyugan
87. For her eldest son who is having ringworm, what is the herbal medicine of choice:
a. Sambong c. Bayabas
b. Akapulko d. Yerba Buena

88. Mina’s mother is suffering from edema, what is the best herbal plant for this condition:
a. Sambong c. Bayabas
b. Akapulko d. Yerba Buena

89. Mina’s youngest child exhibit’s wheezing and difficulty of breathing accompanied with cough and colds, this
child will be given with:
a. Ampalaya c. Lagundi
b. Ulasimang bato d. Niyog-niyugan

90. Mina’s neighbour, complains that she is having menstrual cramps. What herbal remedy should Mina advice :
a. Sambong c. Bayabas
b. Akapulko d. Yerba Buena

Situation: In CHN practice, people’s participation is essential. Nurse Jaynette Napoles ensures active and full
involvement of the people in decision making.

91. Community participation is made possible through:

a. Conducting consultation meeting with key leaders of the community
b. Full participation of nurses in decision-making
 c. Provision of comprehensive and understandable information
d. Shared leadership in the community at the onset of the program

92. The goal of CO is:

a. Community participation c. People’s organization
b. Community development d. People’s awareness

93. Preliminary social investigation utilizes:

a. Primary data sources c. registrations and records
b. Interviews and observations d. focus group discussions

94. Manageable units of the community to facilitate service delivery and people’s participation is called:
a. Spot map b. Small group c. Core-group d. Organizing group

95. The basic reasons why community organizers need to phase out from the community is to enable:
a. Nurse to open CO work in other depressed communities
b. People to exercise self-reliance
c. The people’s organization to expand their coverage
d. People to test their unity and strength

Situation: Reconstruction and recovery are difficult interventions to address the ill-effects of disastrous typhoon
Yolanda. The community nurse will play a vital role in these situations.

96. In disaster management, the basic consideration are the following, EXCEPT:
a. There is a need for thorough appraisal of the extent of the damage to lives and properties of the affected
population
b. Communication and transport systems are essential during this time of disaster
c. Multisectoral collaboration is necessary at the earliest time possible.
d. Clear cut non-overlapping responsibilities must be ensured for each member of the health team

97. During an on-site distribution of relief goods, an old woman told the nurse “Maraming Salamat sa iyo. Hulog
ka ng langit”. The best response of the nurse is:
a. “Wala pong anuman. Ipagdarasal ko kayo”
b. “Para sa inyo po talaga yan. Huwag kayong mag-alala makakaraos din kayo.”
c. “Kulang pa po yan. Kung responsible lamang po ang pamahalaan, hindi mangyayari ito. Patuloy po tayong
makibaka at labanan ang kahirapan!”
d. “Maari pong di sapat yan. Pero susubukan po nating gawin an gating makakaya. Magtutulungan po tayo.”

98. A clinic for evacuees will be conducted in the congested gym. What is the best thing to wera?
a. White uniform and apron, surgical mask and gloves and white shoes
b. Below the knee smock gown over white uniform and black shoes
c. White shirt, white pants and black shoes
d. White shirt, denims, rubber shoes and white arm band with red cross print

99. A week after the disaster, you are part of the team that will provide psychological rehabilitation to
the residents of the community. Your task is to handle 30 schoolchildren of the affected family. An
effective method to identify and express the extent of their anxieties is through:
a. Expression through forms and colors through drawings and art forms
b. Individual narrations
c. Group interview
d. Written min-biographies

100. The health team is expected to make a rapid health appraisal of the community after the
disaster.
Priority data will be:
a. Most common health complaints
b. Nutritional status of children through mid-upper circumference utilizing Shakir’s strip
c. Number and causes of mortality
d. The extent of damage to families in terms of properties and lives