FRANCISCO, KRISIANNE MAE L.

BSN 4B

37. You are assigned in a far-flung area as a community health nurse. One of your
projects is the development of a herbal garden. One member of the community
asked you, “What are the herbal medicines that I can use for my toothache?” You
answered it correctly if you said,

A. “Lagundi, Bawang and Guava can be used for your toothache.”

B. “Bawang, Yerba Buena and Guava can be used for your toothache.”
C. “Sambong, Bawang and Guava can be used for your toothache.”
D. “Bawang, Tsaang-Gubat and Guava can be used for your toothache.”

RATIONALE

A. According to the Approved Herbal Medicine by Department of Health in the

Philippines ang lagundi po is for is for the relief of coughs, colds and asthma not
for toothache
B. Bawang, yerba Buena, and Guava are the herbal medicines use to treat tooth
ache.
C. Sambong use for diuretic that helps increase excretion of urine. It can also be
used as an edema.
D. Tsaang gubat this herbal medicine is effective in treating intestinal motility
especially for diarrhea.
(Department of Health, 2018)

38. There has been a steady increase in the number of households having access to
safe water supply sources; however, there is still insufficient knowledge and
inappropriate practices in the handling of water from the source up to the storage
point in the house that could contaminate drinking water. The nurse is conducting
a health class regarding the different types of water supply facilities. Which
among the following statements by the nurse needs to be corrected?
A. “A level I facility normally serves around 15 to 25 households and its outreach
must not be more than 250 meters from the farthest user.”
B. “Level II facilities are also known as point source facilities which are located not
more than 25 meters from the farthest house.”
C. “A Level III facility is a system with a source, a reservoir, a piped distributor
network and household taps.”
D. None of the above

Rationale:

PHILIPPINE STANDARDS FOR DRINKING WATER 1993 UNDER THE PROVISION

OF CHAPTER II, SECTION 9 OF PD 856, OTHERWISE KNOWN AS THE CODE ON
SANITATION OF THE PHILIPPINES.
Level l (Point source) - a protected well or a developed spring with an outlet but
without a distribution system, generally adaptable for rural areas where the houses are
thinly scattered. A level l facility normally serves around 15 to 25 households and its
outreach must not be more than 250 meters from the farthest user. The yeild or
discharge is generally from 40 to 140 liters per minute.

Level ll (Communal Faucet System or Standposts)-A system composed of a source,

a reservoir, a piped distribution network and communal faucets, located at not more
than 25 meters from the farthest house. The system is designed to deliver 40-80 liters of
water per capita per day to an average of 100 households, with one faucet per 4 to 6
households. Generally suitable for rural and urban areas where houses are clustered
densely to justify a simple piped system.

Level lll (Waterworks System or Individual House Connections) - a system with a

source, a reservoir, a piped distribution network and household taps. It is generally
suited for densely populated urban areas. This level of facility requires a minimum
treatment of disinfection.

Approved types of water supply facilities:

 Level I (Point Source)
- Outlet without a distribution system
- Serves 15-25 households
- Not more than 250 meters from farthest user
- Protected well or a developed spring
 Level II (Communal Faucet System or Stand Posts)
- Source, reservoir, piped distribution network and communal
faucets
- Located not more than 25 meters from farthest house
- Serves 100 households with 1 faucet/4-6 houses.
 Level III (Waterworks System or Individual House Connections)
- Source, reservoir, piped distribution network and household taps
- Requires minimum treatment or disinfection
(Nursing Practice in the Community by Arceli Maglaya)

39. It is significant to note that there has been an increase in the proportion of
households having sanitary toilet facilities both in the urban and rural areas but
there is also an increase in the absolute number of persons, which do not have
access to sanitary toilet facilities. Which among the following statements made
by a community folk would necessitate further teaching from the nurse?
A. “Our toilet facility requires pour flushing of small amounts of water to wash the
waste into the receiving space; it is therefore considered as Level I toilet facility.”
B. “As a Level II toilet facility, we use a water carriage type with water-sealed and
flush type with septic tank disposal facilities.”
C. “Level III toilet facilities are connected to septic tanks and/or sewerage systems
and are consequently connected to treatment plants.”
D. None of the above
Rationale:
Approved Types of Toilet Facilities:
 Level I
o Non-water carriage toilet facility (pit latrines)- no water is necessary to
wash the waste
o Small amounts of water to wash waste into receiving space (pour flush,
aqua privies)
 Level II
o Water sealed and flush type with septic vault/ tank disposal facilities
 Level III
o Water carriage connected to septic tanks and/or to sewerage system to
treatment plant
(Nursing Practice in the Community by Arceli Maglaya)