CHN PHC BL Answers and Ratio

COMMUNI TYHEALTHNURSI NG
COMMUNI TYORGANI ZING

SITUATI ON:Communi tyOr gani zingpl aysani mpor tantrol einbui l
dingt hecapabi lit
yofpeopl ef orf uture
communi tyact i
onsandempower ment .
1.Thepr ocessofchangei ncommuni tyorgani zingwhi chi nvolvesbui l
di ngthecapabi li
tyofpeopl ef orf uture
communi tyact i
oni sknownas:
a.Ideol ogy
b.Soci al or gani zat ion
c.Empower ment
d.Communi tyanal ysi s
ANSWER:C
Studieshaveunder scor edsomekeyel ement soft hecommuni t
ywhi chmayber eact i
vatedt obr ingsoci aland
behavi or al change.Thesei ncl udesoci alorgani zations( relati
onshi ps,structureandr esour ces),ideol ogy
(knowl edge,ski ll
sandat ti
tude)andchangeagent s.Thi spr ocessofchangei sof tent ermedas“empower ment ” or
buil
dingt hecapabi l
ityofpeopl ef orf ut urecommuni tyact ion.
REFERENCE:( Cuevas,Boni to,et .al.PHN2007,p.55) .
CONCEPT:Communi tyOr gani zing
SUBJECT:Communi t
yHeal t
hNur sing
2.Thisst ager ef er st othepr ocessofassessi nganddef iningneeds,oppor tuni
tiesandr esour cesi nvolvedi n
i
niti
atingcommuni tyheal thact ionpr ogr am:
a.Communi tyOr gani zing
c.Desi gnandi nitiat i
on
b.Communi tyAnal ysis
d.Dissemi nat ion-Reassessment
ANSWER:B
Communi tyanal ysi sist hepr ocessofassessi nganddef i
ningneeds,oppor tuniti
esandr esourcesi nvol vedi n
i
niti
atingcommuni tyheal thact ionpr ogr am
SUBJECT:Communi t
yHeal t
hNur sing
3.Itent ailst heeval uationoft he“dr ivingfor ce” oft hecommuni t
ywhi chmayf acil
itat
eori mpedet headvocat ed
change.
a.Assessi ngcommuni tycapaci ty
c.Assessi ngcommuni tybar riers
b.Def iningt hecommuni ty
d.Assessi ngr eadi nessf orchange
ANSWER:A
Assessi ngcommuni tycapaci tyent ai
lst heeval uat i
onoft he“dr i
vingf orce” ofhecommuni tywhi chmayf aci
l
itat
e
orimpedet headvocat edchange.
SUBJECT:Communi t
yHeal t
hNur sing
4.Whi chst epwi llpr ovideacommuni typrofil
eoft heneedsandr esour ces,andwi l
lbecomet hebasi sf or
designi ngpr ospect ivecommuni tyi nterventionsf orheal thpr omot ion?
c.Synt hesi zi
ngdat aandset t
ingpr ioriti
es
ANSWER:C
Synthesi sdat aandsetpr i
orities:Wi l
lpr ovi
deacommuni typr ofil
eoft heneedsandr esour ces,andwi l
lbecome
thebasi sf ordesi gni ngpr ospect ivecommuni tyi ntervent ionsf orhealthpr omot i
on
SUBJECT:Communi t
yHeal t
hNur sing
5.Inwhatst ageoft hecommuni tyor ganizingi st heor gani zationst r
uctur eforthecor egr oupchosen?
a.Communi tyAnal ysis
b.Desi gnandi nitiat i
on
c.Impl ement at ion
d.Consol i
dat ion
ANSWER:B
Undert hest agedesi gnandi ni ti
at ion,t hecor epl anninggr oupi sestablishedandor ganizat i
onal structurechosen
SUBJECT:Communi t
yHeal t
hNur sing
6.Thisor gani zat ional structur ei sagr oupofci ti
zens( 5t o1 0)whi chemer gest oform apar t
nershi pwi tha
gover nmentagency.
a.Leader shipboar d
b.Coal iti
on
c.Gr ass-r oot s
d.Citizenpanel s
ANSWER:D
Citi
zenpanel s:agr oupofci tizens( 5-1 0)emer get of orm apar t
nershipwi thagover nmentagency.
SUBJECT:Communi t
yHeal t
hNur sing
7.I
treferstoexist
ingl
ocall
eadersworki
ngforacommoncause:
a.Leadershipboard
b.Coali
ti
on
c.Grass-roots
ANSWER:A
Leadershipboardorcounci
lref
erstoexi
sti
nglocal
leader
swor
kingf
oracommoncause.
d.Ci
ti
zenpanel
s
REFERENCE:( Cuevas,Boni t
o,et .al.PHN2007,p.56) .
SUBJECT:Communi tyHeal t
hNur sing
8.Thepr ogr am att hispoi nthasexper iencedsomedegr eeofsuccessandhasweat heredt hroughi mplementati
on
pr oblems:
c.I mpl ement ation
b.Desi gnandi ni ti
at i
on
d.Pr ogr am mai nt enance-Consol idat ion
ANSWER:D
Pr ogram mai ntenance–Consol idat i
on:
Thepr ogr am att hispoi nthasexper iencedsomedegr eeofsuccessand
hasweat her edt hr oughi mpl ement at i
onpr obl ems.Theor ganizati
onandpr ogr am isgai ni
ngaccept anceinthe
communi ty
o,et .al.PHN2007,p.57) .
hNur sing
9.Thi si st her esul tofgoodgr ouppr ocessbasedont rust,respect,andopenness.
a.Posi ti
veenvi ronment
c.Est abl i
shedr ecr uitmentpl an
b.I ntegrat edi nt ervent ionact iviti
esi nt ocommuni tynet works
d.Communi tyf eedback
ANSWER:A
Posi ti
veor gani zat ional cultureandenvi ronmenti st her esultofgoodgr ouppr ocessbasedont r
ust,respect,and
openness.I tisacr iti
cal el
ementi nmai ntai ningcooper at
ionandpr eventi
ngf astturnoverofmember s
o,et .al.PHN2007,p.57) .
hNur sing
10.Thi sr equi resabui l
ti nmechani sm f orcont inuousr ecruit
mentandt raini
ngofnewmember s.
a.Posi ti
veenvi ronment
c.Est abl i
b.I ntegrat edi nt ervent ionact iviti
esi nt ocommuni tynet works
d.Communi tyf eedback
ANSWER:C
Est abli
shanongoi ngr ecr uitmentpl an.Thi sr equi r esabui lti
nmechani sm forcont i
nuousr ecruit
mentand
trainingofnew member s
o,et .al.PHN2007,p.57) .
hNur sing
SITUATI ON:Thepubl icheal t
hnur secar ryoutnur singpr ocedureswhi char econsi stentwi t
ht henur si
ngcar e
plan,ar eadopt edt opr esentsi tuat ionswhi chpr omot esasaf eandt herapeuticenvi ronment .
11.Themai nr easonwhypubl i
cheal thnur sesi nvol vet hecl i
entandt hef amilyinthecar eprovidedi s:
a.Todel egat ecar i
ngr esponsi bili
tyt ot hecl ientandf ami l
y
b.Tomaxi mi zeheal t
hhumanr esour ces
c.Tomot ivat et hem t oassumer esponsi bili
tyf ort hei rcar e
d.Toal levi atepubl icnur sesf rom f ur therr esponsi bili
ties
ANSWER:C
Publ icheal thnur sesi nvol vet hecl ientandt hef ami lyint hecar eprovidedt omot ivatet hem toassume
responsi bilit
yf ort hei rcar e.
o,et .al.PHN2007,p.46) .
CONCEPT:Communi tyHeal thNur singPr ocess
hNur sing
12.Ther ear et hr eecl assi cf r
amewor ksf rom whi chnur si
ngcar eisdel i
vered.Thisf ramewor korelementi ncludes
thephysi cal set tings,condi ti
onst hroughwhi chnur singcar eisgivensuchasobj ect ives,buil
ding,budget ,and
staf f
.
a.St ruct ural el ement s
b.Pr ocessel ement s
c.Out comeel ement s
d.Qual it
yassur anceel ement s
ANSWER:A
St ructural element sincl udet hephysi cal set tings,i nst rument ali
ti
esandcondi ti
onst hr oughwhi chnur si
ngcar eis
given.
o,et .al.PHN2007,p.47)
hNur sing
13.Thi si ncl udest hest epsoft henur si ngpr ocessi tself.
a.St ruct ural el ement s
d.Qual it
yassur anceel ement s
ANSWER:B
Pr ocessel ement si ncludet hest epsoft henur singpr ocessi t
self–assessi ng,planni ng,implement i
ngand
eval uating.( Cuevas,Boni to,et .al.PHN2007,p.47) .
hNur sing
14.I
ncludedinthi
sframeworkarechangesi nthecl
i
ent’shealt
hstat
usresul
ti
ngfrom nursi
ngint
ervent
ions.
a.Str
ucturalel
ements
c.Outcomeel ements
b.Processelements
d.Qualit
yassuranceelements
ANSWER:C
Outcomeel ementsarechangesi
nt heclient
’shealt
hstat
usthatr
esul
tfr
om nursi
nginter
venti
on.REFERENCE:
(Cuevas,Bonit
o,et.
al.PHN2007,p.47) .
CONCEPT:Communi tyHealt
hNur singProcess
SUBJECT:Communi t
yHealthNursing
15.I
tisadecl
arat
ionofpurposeofi ntentthatgi
vesessential
directi
ontoact
ion.
a.Goal
b.Vi
sion
c.Missi
on
ANSWER:A
Agoal i
sadeclar
ati
onofpur poseofi nt
entthatgivesessenti
aldir
ectiont
oacti
on.
REFERENCE:(Cuevas,Bonit
o,et.al.PHN2007,p.45) .
CONCEPT:Communi tyHealthNur singProcess
SUBJECT:Communi t
yHealthNur sing
d.Phi
l
osophy
16.Itdescr i
best hephasei nt hecommuni tyheal thnur singpr ocessconcer nedwi t
hchoosi ngf r
om amongt he
possiblecour sesofact ion,sel ectingt heappr opr i
atet ypesofnur si ngint ervent i
on,ident i
fyi
ngr esour cesforcar e
andcomi ngupwi thoper at ional plan:
a.Goal set t
ing
c.Devel opinganoper ational plan
b.Const ructingapl anofact i
on
d.Impl ement ati
onofpl anofact i
on
ANSWER:B
Thepl anni ngphasei nt hecommuni t
yheal thnur si
ngpr ocessconcer nedwi t
hchoosi ngf rom amongt hepossible
coursesofact i
on,sel ect i
ngt heappr opriatet ypesofnur singi ntervent i
on,i dent i
fyi
ngr esourcesf orcar eand
comi ngupwi thoper ational plan
REFERENCE:( Cuevas,Boni to,et.al.PHN2007,p.45) .
CONCEPT:Communi tyHeal t
hNur singPr ocess
SUBJECT:Communi t
yHeal thNur sing
17.Speci f
icobj ecti
vesar est atedi nbehavi oral terms,except :
a.speci fic
b.manageabl e
c.attainabl e
d.ti
me-bounded
ANSWER:B
Speci fi
cobj ect i
vesar est atedi nbehavi or alter ms,speci fic,measur able,at tainable,realisti
candt i
me-bounded
(Cuevas,Boni t
o,et.al.PHN2007,p.45) .
hNur singPr ocess
SUBJECT:Communi t
yHeal thNur sing
18.Inwhatphaseoft hecommuni t
yheal thnur singpr ocessar eeval uationpar ameter sdevel oped?
a.Assessment
b.Diagnosi s
c.Planni ng
d.Impl ement ati
on
ANSWER:C
Devel opmentofeval uat ionpar amet ersi sdonei nthepl anni ngst age
hNur singPr ocess
SUBJECT:Communi t
yHeal thNur sing
SITUATI ON:Thepubl icheal thnur seanal yzest hedat acol lectedi ncommuni t
yheal thassessmenti naccordance
withthenur se’sconcept ionoft hesour ceoft hepr oblemsandneedst hatcanbemett hroughnur si
ng
i
ntervent i
ons.
19.Whatcat egor yofheal thpr oblem occur swhent her ear einstancesoff ailureinheal t
hmai ntenance?
a.Heat hdef icit
b.Heal tht hreat
c.For eseeabl ecr i
sis
d.Heal thneed
ANSWER:A
Aheal thdef icitoccur swhent hereisagapbet weenact ual andachi evabl eheal thstat usandoccur swhent here
areinst ancesoff ai
lurei nheal thmai ntenance.
REFERENCE:( Cuevas,Boni to,et.al.PHN2007,p.44) / Magl aya,A.( 2004)Nur si
ngPr ocessi nt heCommuni ty.4th
ed.
CONCEPT:Communi tyNur singPr ocess
SUBJECT:Communi t
yHeal thNur sing
20.Thepr esenceofbr eedi ngorr est i
ngsi t
esofvect or sanddi seasesi sanexampl eofa:
a.Heat hdef icit
b.Heal tht hreat
c.For eseeabl ecr i
sis
d.St r
esspoi nt
ANSWER:B
Aheal tht hreati sacondi tiont hatisconduci vet odi seaseandacci dent ,ormayr esulttof ai
luret omai nt
ain
wellnessorr ealizeheal thpot enti
al.Thi sincludespoorhome/ envi ronment al conditi
on/ sanitation.
REFERENCE:Magl aya,A.( 2004)Nur singPr ocessi ntheCommuni ty.4t hed. 69
CONCEPT:Communi tyNur singPr ocess
SUBJECT:Communi t
yHeal thNur sing
21.Mr s.Tadej ocamet ot heheal thcent erandaskedaboutwaysonhow t oconcei veachi ld.Shehashi st
or yof
repeat edmi scar ri
ages.Thi scondi ti
onf allsunder :
a.Heat hdef icit
b.Healththreat
c.Foreseeablecr i
si
s
d.Stresspoint
ANSWER:A
Hist
oryofr epeatedinfect
ionsormi scarr
iagesisunderhealt
hdeficit
REFERENCE:( Cuevas,Bonito,et.
al.PHN2007,p.44) .
CONCEPT:Communi tyNursi
ngPr ocess
SUBJECT:Communi tyHealthNursing
22.Thesear econdi t
ionsthatpromot edi
seaseorinjur
yandpr eventpeoplefrom r
eal
izingthei
rheal
thpot
ent
ial
.
a.Heat hdefi
cits
b.Healththreats
c.Foreseeablecr i
si
s
d.Stresspoint
ANSWER:B
Healththreatsareconditi
onsthatpr omotediseaseorinj
uryandpr eventpeoplef
rom real
izi
ngthei
rheal
th
potenti
al.
REFERENCE:( Cuevas,Bonito,et.
al.PHN2007,p.44) .
CONCEPT:Communi tyNursi
ngPr ocess
SUBJECT:Communi tyHealthNursing
23.Inanepi demi ologicalst
udyconduct edinacer t
ainbarangay,i
twasnotedthatthechil
dreneli
giblef
orbasi
c
i
mmuni zat
ionar enotadequat elyi mmunizedagainstHepati
ti
sBandMeasl es.Thi
ssituat
ionisconsider
ed:
a.Heat hdeficit
b.Heal t
hthreat
c.Foreseeabl ecrisi
s
d.Stresspoint
ANSWER:B
I
nadequat elyimmuni zedpopul ationisconsider
edunderhealththr
eat
CONCEPT:Communi t
yNur si
ngPr ocess
SUBJECT:Communi tyHealthNur sing
24.Itincl
udesst ressfuloccurr
encessuchasdeat horill
nessofafamilymember:
a.Heat hdeficit
b.Heal t
hthreat
c.Foreseeabl ecrisi
s
ANSWER:C
Foreseeablecr i
sisincludesstressfuloccur
rencessuchasdeat horil
l
nessofafamilymember
CONCEPT:Communi t
yNur si
ngPr ocess
SUBJECT:Communi tyHealthNur sing
d.St
resspoi
nt
25.Itexi stswhent her eisaheal thpr obl

em thatcanbeal leviatedwi thmedicalorsocialtechnology.
a.Heal thneed
b.Nur singneed
c.Nur singpr oblem
d.Stresspoi nts
ANSWER:A
Aheal thneedexi st
swhent hereisaheal thproblem t
hatcanbeal levi
atedwithmedi calorsocialtechnology
CONCEPT:Communi tyNur si
ngPr ocess
SUBJECT:Communi tyHeal thNur sing
26.Thi sr efer stoasi tuati
oninwhi chthereisademonst ratedheal thneedcombi nedwi t
hactual orpotenti
al
resourcest oappl yr emedi almeasur esandacommi t
mentt oactont hepartofthepr ovi
derorcl i
ent.
a.Heal thneed
b.Nur singneed
c.Heal thpr oblem
d.Stresspoi nts
ANSWER:C
Aheal thpr oblem isasi tuati
oni nwhi chthereisademonst r
at edheal t
hneedcombi nedwi t
hact ualorpotenti
al
resourcest oappl yr emedi almeasur esandacommi t
mentt oactont hepartofthepr ovi
derorcl i
ent.
REFERENCE:REFERENCE:( Cuevas,Boni t
o,et.al
.PHN2007,p.44-45) .
ngPr ocess
27.Thepr ocessofassessmenti ncommuni t
yhealthnursingi ncludesthefoll
owing,except :
a.Intensi vef actfi
ndi ng
b.Appl icat i
onofpr ofessionaljudgmenti nestimati
ngthei mpor t
anceoft hefacts
ANSWER:D
Goal set ti
ngi sundert hestepPl anni ngi
nt henursi
ngprocess
ngPr ocess
c.Anal
ysisofdat
a
d.Goalsett
ing
SITUATI ON:Thepl anf orcommuni tynursi

ngact ionorcar eisbasedont heact ual
andpotenti
alprobl
emsthat
wer eident i
fi
edandpr iori
ti
zed.
28.Planni ngcommuni tynursingact i
onsincludet hesesteps:
a.Goal sett
ing,const r
uctingapl anofact i
on,devel opinganoper ati
onal plan
b.Identifi
cationofneeds,goal setting,developingoper ati
onalplan
c.Goal sett
ing,const r
uctingapl anofact i
on,impl ement ati
onofplannedcar e
d.Const r
uctingapl anofact ion,impl ementati
onofpl annedcar e,evaluationoftheplan
ANSWER:A
Stepsi nplanni ngcommuni tynur singact i
onsincludeGoal set
ti
ng,const ructi
ngapl anofact
ion,devel
opi
ngan
operational plan
REFERENCE:( Cuevas,Bonito,et .
al .PHN2007,p.45) .
CONCEPT:Communi tyHeal thNur singProcess
SUBJECT:Communi t
yHeal thNur sing
29.Thepr esenceofpi leofgar bageandpoorsani t
ati
oni sanexampl eofa:
a.Heat hdef icit
b.Heal ththreat
c.Foreseeabl ecrisi
s
d.Stresspoi nt
ANSWER:B
Aheal t
ht hreati sacondi ti
ont hatisconduci vetodiseaseandaccident,ormayr esul
ttof ai
luretomaintain
well
nessorr eal i
zeheal thpotential
.Thisincludespoorhome/ envi
ronment alconditi
on/sanitat
ion.
REFERENCE:Magl aya,A.(2004)Nur si
ngPr ocessintheCommuni ty.4thed. 69
30.Mr .Tubol camet otheheal t
hcent erclini
cforDOTS.Hi scondit
ionfall
sunderwhi chcategor y?
a.Heat hdef icit
b.Healtht hreat
c.Foreseeabl ecr i
sis
d.Stresspoi nt
ANSWER:A
Aheal t
hdef i
ci toccurswhent hereisagapbet weenact ualandachievablehealthstatusandoccur swhent her
e
areinstancesoff ailur
ei nhealthmai ntenance.Thepr esenceofadiseasef all
sundert hiscategory:
Reference:Cuevas,Fr ancesP. ,et.al.(2007)DOH’sPubl icheal
thnursinginthePhi li
ppines.10thedit
ion,Page44
31.Thenur sei nthepl anni
ngphaseoft henursingprocess,shoul
dbeabl et oestabli
shwhi choft hefol
lowingin
ordertopr oceedf ordevelopinganoper at
ionalpl
an?
a.Rappor tt ot hecommuni t
ypeopl e
c.Permi ssionf rom higherauthor i
ty
b.Stati
stical records
d.Setti
ngupPr i
orit
ies
ANSWER:D
Todevel opanoper at i
onal plan,t hepubl icheal thnur semustest abli
shpr i
orities,phaseandcoor dinat eact i
vit i
es.
Plansofcar ear epr i
or i
ti
zedi nor derofur gencyt odet er mi net hoset hatneedear liestact i
onorat t
ent i
onsuchas
thoset hatact ual lyt hr eatent heheal thoft hecl ient .
Ref er ence:Cuevas,F.P.et .al .( 2007)DOHBook:Publ icHeal t
hNur singI nThePhi l
ippi nes. 10thed.Mani l
a,page
45-46.
32.I nr esponset ot heneedt omai nt aincommuni cat ionamongheal thcar ewor ker s,nur sesar eexpect edt o
compl yt ot hisact ivityint hef ulf i
llmentoft hisobj ect iveandt oensur ecar econt inui ty.Thi sact i
vit
yi s:
a.Repor ti
ng
b.Document at i
on
c.Endor sement
d.Or i
ent ation
ANSWER:B
Document at i
oni sani mpor tantf unct ionoft hepubl icheal thnur ses.Thi spr ovi desdat awhi chi sneededt opl an
thecl ient ’scar eandensur ei tscont inuity;ser vesasani mpor tantcommuni cat iont ool forvar ioust eam member s:
furnisheswr ittenevi denceoft hequal i
tyofcar et hatt hecl ient sr ecei vedandt hei rresponset oit:whet her
revisionswer emadei nhi s/ herpl anofcar eandwhet hersuchhasbeenef f
ect ive.
Ref er ence:Cuevas,F.P.et .al .( 2007)DOHBook:Publ icHeal t
hNur singI nThePhi l
ippi nes. 10thed.Mani l
a,page
46.
SITUATI ON:COPAR
33.Whi chst atementdoesnotdescr ibecommuni tyor gani zing?
a.Itisacont inuouspr ocessofeducat ingt hepeopl et ounder st andanddevel opt hei rcr it
ical awar enessont hei r
condi ti
on
b.Iti nvol vesmot ivat i
ngel ect edl eader st owor kf ort hegoodoft hesel ect edmember soft hecommuni ty
c.Itent ailswor kingwi tht hepeopl ecol lect i
vel yandef ficient l
yont hei rimmedi at eandl ong-t er
m pr oblems
d.Iti ncludesmobi l
izingt hepeopl ef orcapabi li
ty-bui ldingpr ocess
ANSWER:B
Communi tyor gani zingi sal ong-t er m appr oachwher et hepeopl eaf fect edbyani ssuear esuppor tedi nident i
fying
probl emsandt aki ngact i
ont oachi evesol utions.Theor gani zerchal lengest hoseheorshewor kswi thtochange
thewayt hi ngsar e—i tisameansofachi evi ngsoci al changet hroughcol lect i
veact ionbychangi ngt hebal anceof
power .Thet act icsandst rat egi esempl oyedbyt heor gani zerar esi mi lart ot hepr ocessesofl eader shi pincl uding
ti
mi ngt hei ssue,del iberatepl anni ng,get tingt heat tent ionoft hepopul ace,f rami ngt hei ssuei ntermsoft he
desi redsol ution,andshapi ngt het er msoft hedeci sion-maki ngpr ocess.Opt ionBi si ncor rectbecausecommuni ty
organi zingwor ksf ort hegoodoft heent ir
ecommuni ty.
Ref er ence:Moni anGesmundo.TheBasi csofCommuni tyHeal thNur si ng
34.Thest ept hatpr ovi desacommuni typr ofil
eoft heneedsandr esour ces,andwi llbecomet hebasi sf or
desi gni ngpr ospect ivecommuni tyi nt ervent i
onsf orheal thpr omot ioni s?
c.Synt hesi zingdat aandset tingpr ior iti
es
ANSWER:C
Synt hesi sdat aandsetpr iorities:Wi llpr ovideacommuni typr of i
leoft heneedsandr esour ces,andwi llbecome
thebasi sf ordesi gni ngpr ospect i
vecommuni t
yi nt ervent i
onsf orheal thpr omot i
on
Ref er ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl i
cheal thnur singi n
thePhi lippi nes.1 0t hedi ti
on,Page
55
35.I nwhatst ageofcommuni tyor gani zingi st heor gani zat ionst ructur ef ort hecor egr oupchosen?
on
c.Impl ement ation
d.Consol idat i
on
ANSWER:B
Undert hest agedesi gnandi nitiat i
on,t hecor epl anni nggr oupi sest abl ishedandor gani zat i
onal struct urechosen
cheal thnur singi n
thePhi lippi nes.1 0t hedi ti
on,Page
56
36.Nur seTekl ai spr epar i
ngf ori ntegr ationathercommuni ty.Oneoft hepur posesofi ntegr ati
oni nCOPARi sto:
a.Gat herdat at hati snecessar yi nt hei dent ifi
cat i
onofcommuni tyheal thpr obl ems
b.Under standdeepl ythecul tureandl ifest yleint hecommuni ty
c.Val i
dat et hecommuni t
yheal t hneedsi dent i
fiedear lier
d.Ident ifyt hecommuni tyl eader st hatmaybet appedf oror gani zingpur poses
ANSWER:B
I
ntegr ationi st hepr ocessofest ablishi ngr appor tandbui ldingmut ual trustandcooper ationwi ththecommuni ty
asacont inui ngef for ttoimbi bet hecommuni t
ywayofl ifebyunder goi ngt hesameexper ienceandshar ingt hei r
hopesandhar dshi ps.Thr oughi ntegr ation,t heheal thcar ewor kerbecomesonewi tht hepeopl et oexper iencet he
l
iber at i
ngaspectofcul tureandhowi tgi vesst rengt ht ot hepeopl easagr oup;under standdeepl ythecul tur e,
economy,l eader s,hi story,r hyt hm,andl i
fest yleoft hecommuni ty.
cheal thnur singi nt hePhi li
ppines.1 0thedi tion,Page56
37.Nur seI sabel ispl anningact iviti
est hatar ecr i
tical underCOPAR.Whi chi snoti ncluded?
a.Rol epl ay
b.Pr ogr am pl anni ng
c.Val i
dat i
on
d.Meet ings
ANSWER:C
CRITICALACTI VI
TIESINCOPAR:a.I nt
egrat
ion,b.Soci
al i
nvesti
gati
on,c.Tentati
veprogr
am planni
ng,d.
Groundwor k,e.Meetings,f.Rol
eplay,g.Mobili
zat
ionorAct i
on,h.Evaluat
ion,i
.Refl
ecti
on,j
.Organizat
ion
Reference:MonianGesmundo.TheBasi csofCommuni t
yHeal t
hNur si
ng
38.Thisphaseent ai
l
st heformati
onofmor eformalstr
ucturesinthecommuni ty:
a.Pre-entryphase
c.Organizati
onalbui
ldingphase
b.Entryphase
d.Sustenanceandst rengtheni
ngphase
ANSWER:C
Or gani zat i
on-Bui ldingPhase—oncet hecor egr oupmani f
est scohesi venessandcommi tmentt otheheal th
progr am,i tcoul dbeexpandedt oi ncl udeot hercommuni t
ymember s.Thi si sast epcl osert ot hef or mat i
onofa
communi ty-wi deheal t
hor gani zat ion.Thi sphaseent ailst hef ormat i
onofmor ef or mal structur esandt hei nclusion
ofmor ef or mal procedur esofpl anni ng,i mpl ement i
ng,andeval uat i
ngcommuni t
y-wi deact iviti
es.
Ref er ence:Moni anGesmundo.TheBasi csofCommuni tyHeal t
hNur sing
39.I nt hepr e-ent r yphaseofCOPARpr ocess,t hef ollowi ngar ei ncl uded,except :
a.Devel opmentofcr iter i
af orsi tesel ect i
on
b.Set tingofi ssues/ consi der at
ionsr elat edt osi t
esel ect ion
c.Net wor kingwi t
hl ocal gover nmentuni ts
d.Sel f -awar enessandLeader shi pTr aining( SALT)
ANSWER:D
Sel f-awar enessandLeader shipTr aini ngi sundert heEnt ryphaseoft heCOPARpr ocess.I npr e-ent r
yphaseoft he
COPARpr ocess,t heact i
viti
esar e:1 )communi tyconsul tat i
ons/ dial ogues,2)set tingofi ssues/ consi der ations
relat edt osi tesel ect ion,3)devel opmentofcr it
eriaf orsi tesel ection,4)si tesel ect i
on,5)pr elimi narysoci al
i
nvest igat i
on,5)net wor kingwi thl ocal gover nmentuni ts( LGUs) ,NGO’sandot herdepar t
ment s.
Ref er ence:Car menJi menez.Communi tyOr ganizingPar t
icipat or yAct i
onResear chf orCommuni tyHeal th
Devel opmentPage58
40.Communi tyor gani zingi sanenabl ingpr ocesswher eaf tersomet ime,t hecommuni tyor gani zersbecome
dispensabl eandt hepeopl e’sor gani zationt akesover .Ther elat i
onshi pbet weent hecommuni tyor gani zerandt he
peopl eshoul dbeat empor aryone.Thi sisknownas:
a.Tur noverandPhaseout
b.Eval uat i
on
c.Ref lect i
on
d.Mobi li
zat ion
ANSWER:A
Ther elationshi pbet weent hecommuni tyor ganizerandt hepeopl eshoul dbeat empor ar yonei scal ledTur nover
andphaseout .Itincl udest het ransf erofcommuni t
yor gani zingr ol esandr esponsi bili
tiesandi fdocument ssuch
ast hecommuni tyst udy,acul mi nat ingpr ogr am r evi ewi ngt heobj ect ivesoft hecommuni tyor gani zing.Thet urn
overdoesnotal waysmeanacompl et epul loutsi ncet hedegr eeofsel f-relianceachi evedmayber elativevi s-àvist
hepr
obl
emsconf
ront
ingt
he
communi tyi mmedi atel yaf terthephaseout ,theor gani zermayhavet oshi ftt o
asuppor ti
ver olemoni tor i
ng,consul tat i
onandeval uat ion.
Opt ionB– i sapr ocessofdi scover i
ngbyt hepeopl et hewaysi thasbeenaccompl ished,whathasbeenl eftout ,
andwhatr emai nst obedone.Thor ought hiscol lect i
veef f
or t,thepeopl edr awi nspi rationanddeepent heir
communi tiest opur suet heircommongoal s.
Opt ionC– meansanal yzingt hef inishedmassact ion,i tsgoodandweakpoi ntsi dent ified.Thatgoesbestr i
ght
aftert heact i
vi tywhi let hepeopl e’smi ndsar estil
lf resh.
Opt ionD– r efer st ot heact ivi
ti
esunder t
akenbyt hecommuni tyonpeopl e’sor gani zat iont osol vepr oblems
conf ront ingt hecommuni tyandwhi chser vest obui l
dandst rengt henpeopl esel f-conf i
denceandt heircol lecti
ve
spirit.
icipat or yAct i
Devel opmentPage1 29
41.Act iviti
esi nvol vedur ingTur noverandphaseouti ncl udes:
a.Tr ansf erofcommuni tyor gani zingr ol esandr esponsi bi l
iti
es
c.Bot haandb
b.Documentt urnover
d.Noneoft heabove
ANSWER:C
Thet ur noveri ncludest het ransf erofcommuni tyor gani zingr olesandr esponsi bili
tiesanddocument ssuchast he
communi tyst udy.
icipat or yAct i
Devel opmentPage1 29
42.St rengt heni ngt hemember s’ capabi li
tyi npr obl em sol vinganddeci sionmaki ngski l
lsnecessar yfordevel oping
selfr el iancei semphasi zedi n:
a.Communi tyor gani zing
b.Communi tydi agnosi s
c.Communi tyor ient at i
on
d.Fami lyHeal thpr ogr am
ANSWER:A
Incommuni tyor gani zi ng,t heemphasi si smor eonst rengt heni ngt hemember s’ capabi l
it
yi npr oblem-sol vi
ngand
deci si on-maki ngski ll
snecessar yf orsel f
-r eliantdevel opmenti nitiatives.Communi tyor gani zingi sapr ocess
wher ebyt hecommuni tymember sdevel opt hecapabi lityt oassesst hei rheal t
hneedsandpr obl ems,pl anand
i
mpl ementact i
onst osol vet hesepr obl ems,putupandsust ainor gani zational struct ureswhi chwi llsuppor tand
moni tori mpl ement at ionofheal thi nitiat i
vesbyt hepeopl e.
Ref er ence:Magl aya,Ar acel iS.( 2004) .Nur singPr act icei nt heCommuni ty.4t hed.Page1 95
43.Thef oll
owi ngar et hepr inciplesbehi ndCommuni tyOr gani zi
ngPar ticipat oryAct ionResear ch( COPAR) .Whi ch
onei snoti ncl uded?
a.Itshoul dleadt oasel freliantcommuni t
yandsoci et y
b.I tshoul dbebasedont hei nter est soft hepoor estsect orsofsoci ety
c.Peopl e,especi allyt hemostoppr essed,expl oitedanddepr i
vedsect or sar eopent ochange,havet hecapaci ty
tochangeandar eabl et obr ingaboutchange.
d.Noneoft heabove
ANSWER:D
COPARi sani mpor tantt ool forcommuni tydevel opmentandpeopl eempower mentast hishel pst hecommuni t
y
wor ker st ogener atecommuni typar ti
ci pat i
on.Thepr i
nci plesofCOPARar et heasf oll
ows:1 )I tshoul dl eadt oa
selfr el iantcommuni tyandsoci et y,2)I tshoul dbebasedont hei nter est soft hepoor estsect or sofsoci etyand3)
People,especi
all
ythemostoppressed,expl
oit
edanddepri
vedsector
sareopentochange,havet
hecapacit
yto
changeandar eabletobri
ngaboutchange.
Refer
ence:Jimenez,C.(2005)Communi t
yOrgani
zingPar
ti
cipat
oryActi
onResear
chforCommunityHeal
th
Development.Page.42,44-45.
44.Thest udentnur sesofBagongPagasaUni ver sityispr epar ingf ort heirf i
rstImmer sion.I nsel ect ingapot ent i
al
sit
e,t henur seshoul dbeari nmi ndt hef ollowi ngcr i
teria.Whi chi snoti ncluded?
a.Itshoul dbecur rent l
yser vedbysi milaragenci es
c.Itshoul dbeeconomi cal l
ydepr essed
b.Itshoul dhavepoorheal thst atus
d.Itshoul dhavehi ghmal nut riti
onr ate
ANSWER:A
Tobeabl et osel ectt hepot ent ialsi t
ef ort hepr ogr am,t hef ollowi ngcr i
teriashoul dbeconsi der ed:1 )thesi te
shoul dbeeconomi cal lydepr essedandunder servedwi thmaj or ityoft hepopul ationbel ongi ngt ot hepoorsect or,
2)theheal thser vicesi nt hecommuni t
yar ei naccessi bleori nadequat et omeett heheal thneedsoft he
communi ty,3) thecommuni t
yhasapoorheal t
hst atus,l ikeOPTI OND4)t hecommuni tyshoul dhaver elative
peaceandor dert osaf eguar dt hewel fareoft her esear cher s,st af f,et c.whowi llbei nvol vedi nt hepr ogr am,5)
accept anceoft hepr ogr am byt hecommuni t
yand,6)t hear eai snotcur rentlyser vedbysi mi l
aragenci es/ gr oups.
Ref erence:Ji menez,C.( 2005)Communi tyOr gani zingPar ticipat oryAct i
Devel opment .Page60-61
45.Thepr ocessofsi tesel ect i
onbel ongst owhatphasei nCOPAR?
a.Pr e-ent ry
b.Ent ry
c.Phase1
d.Sel ect ion
ANSWER:A
Thepr e-ent ryphasei nvol vesal ltheact ivitiesdonebef or egoi ngt ot hecommuni ty.Thi si ncludesf or mul at ingt he
goal sandobj ect ivesoft hepr ogr am,conductofpr elimi nar yi nvest igat ionandpot ent i
al sitef orthepr ogr am,
maki ngcour tesycal ltot hel ocal gover nmentof ficials,conduct ingocul arsur veys,devel opi ngt hesur veyt ools,
communi tyassembl yandbasel i
nest udy.
Ref erence:Ji menez,C.( 2005)Communi tyOr gani zingPar ticipat oryAct i
Devel opment .Page59.
46.Thi sr efer st osemi nar sandgr oupmeet ingst hatai mt of i
ndoutt hepeopl e’saccept abilit
yandwi ll
ingnesst o
offersuppor tandpar ticipat ioni nt hepr ogr am.
a.Communi tyAssembl y
b.Communi t
yDi agnosi s
c.Communi tyOr gani zing
d.Heal thEducat ion
ANSWER:A
Conduct i
ngacommuni tyassembl yispar toft hepr e-ent ryphase.Thi si nvol veshavi ngsemi narsandgr oup
meet ingst hatai mt of indoutt hepeopl e’saccept abilit
yandwi lli
ngnesst oof f
ersuppor tandpar ticipationi nt he
progr am.
Jimenez,C.( 2005)Communi tyOr ganizi ngPar ti
ci pator yAct i
onResear chf orCommuni tyHeal thDevel opment .
Page62.
47.Thi si soneoft hei mpor tantact ivit
iesi nt heent ryphaseofCOPARwhi chi sbei ngexempl if
iedhennur sedo
houset ohousevi si tandconver sewi thpeopl ei npl acest heyusual lygat her .Thisr eferst o:
a.Soci al invest igat ion
b.Cor egr oupf ormat ion
c.Team bui l
di ngact i
vi ti
es
d.Integr at ion
ANSWER:D
Int
egr at i
oni st hepr ocessofest ablishingr appor twi t
ht hepeopl ei nacont inuingef fortfort hest af ftobei nvol ved
i
ncommuni tyl i
fe,shar ingt heirhopes,aspi rati
onsandhar dshi pt owar dbui ldingt rustandcooper ation.
Jimenez,C.( 2005)Communi tyOr ganizi ngPar ti
ci pator yAct i
onResear chf orCommuni tyHeal thDevel opment .
Page65.
48.Thi si st her esul tofgoodgr ouppr ocessbasedont rust ,respect ,andopenness:
a.Posi tiveenvi ronment
c.Est abl i
b.Integr at edi nter vent ionact iviti
esi ntocommuni tynet wor ks
d.Communi t
yf eedback
ANSWER:A
Posi t
iveor gani zat i
onal cultur eandenvi ronmenti st her esul tofgoodgr ouppr ocessbasedont rust ,respect ,and
openness.I tisacr iti
cal elementi nmai nt ainingcooper at ionandpr event ingf astt ur noverofmember s
Ref erence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl i
cheal thnur singi nthePhi l
ippi nes.1 0t hedi t
ion,Page57
49.Thepr ogr am att hispoi nthasexper i
encedsomel evel ofsuccessandhasendur edi mpl ement at i
onpr obl ems:
a.Communi tyAnal ysi s
b.Desi gnandi nitiationc.I mpl ement ationd.Pr ogr am mai ntenance-Consol idation
ANSWER:D
Progr am mai nt enance–Consol idat i
on:
Thepr ogr am att hi spoi nthasexper iencedsomedegr eeofsuccessand
hasweat her edt hroughi mpl ement ationpr oblems.Theor gani zat ionandpr ogr am i sgai ni ngaccept ancei nt he
communi ty
ion,Page57
50.Thef ol l
owi ngexceptonear ecr it
eriaf orchoosi ngacor egr oupmember :
a.Bel ongi ngt ot hepoorsect or sofsoci et yandr epr esent sal lthezonesoral lfami liesoft hebar angays.
b.Mustbeabl et ocommuni cat e
c.Ar espect edmember soft hecommuni ty
d.Bel ongi ngt oar espect edpol iti
cal fami ly
ANSWER:D
Criteriaf orcor egr oupmember s:1 )Ar er espect edmember soft hecommuni ty,2)Bel ongi ngt ot hepoorsect or s
ofsocietyandr epresentsal lthezonesoral lfami
li
esofthebar angays.3)Mustber esponsibl
e,commi t
tedand
wil
li
ngt owor kf orsoci alchangeandsoci altr
ansformati
onort hecommuni t
y.Readyt oservewithoutseeki
ng
gainsinreturn.4)Mustbewi ll
ingtolearn,isopent onew i
deasandt oserveasexampl esforotherstoemulat
e.
5)Mustbeal et ocommuni cate,canexpr essoneselfinagroupandabl etovoicetheproblemsorneedsoft he
group.
Reference:Car menJi menez.Communi tyOr gani
zingParti
cipator
yActionResearchforCommuni t
yHealth
DevelopmentPage74
51.Deli
ver yofessent ialbasicheal t
hservicest ot
hecommuni tymaybedonet hrough:
a.Referraltopr imaryhospi tal
c.Conduct ingleader shiptrainingseminar
b.Physical assessmenti nt hecl i
nic
d.BPt akingdur inghouset ohousevi sit
ations
ANSWER:D
Basi cessent ial heal thser vicesar edel i
ver edast hest udent sunder takehouset ohousevi sitat i
on.Thi smaybe
donet hroughBPt aki ng,t emper at uret aki ng,wei ghi ngoft hechi ldrenandassessi ngcondi ti
onsoft hewhol e
communi tyasawhol e.Thi swi llor ientt hecommuni tyont heheal t
hser vicest hatcanbedonei nt hecommuni ty.
Ref erence:Car menJi menez.Communi tyOr gani zingPar ticipat oryAct ionResear chf orCommuni tyHeal th
Devel opmentPage75
52.Thi sr ef er st osemi nar sandgr oupmeet ingst hatai mt of indoutt hepeopl e’saccept abi l
ityandwi ll
i
ngnesst o
offersuppor tandpar ti
ci pat i
oni nt hepr ogr am.
b.Communi tyDi agnosi s
c.Communi tyOr gani zi ng
d.
Heal th
Educat i
on
ANSWER.A.Conduct ingacommuni tyassembl yi spar toft hepr e-ent ryphase.Thi si nvolveshavi ngsemi nar s
andgr oupmeet i
ngst hatai mt of indoutt hepeopl e’saccept abi l
ityandwi ll
i
ngnesst oof fersuppor tand
participat i
oni nt hepr ogr am.
Jimenez,C.( 2005)Communi tyOr gani zingPar ti
cipat or yAct ionResear chf orCommuni tyHeal thDevel opment .5th
edition.Mani la.Syner ai dePubl i
shi ng
53.Oneoft het askst hatshoul dbedonedur ingt heent ryphasei st hesel ect i
onofpot ent i
al leader sint he
communi ty.Forpot ent i
al leader st oper for mt hei rr olesef fect i
vel y,theyhavet opossesscer tainchar acteristics.
Whi choft hef ol l
owi ngchar acter isticswi llbegi vent hel eastpr iorit
y?
a.Shoul dbear espect edmemberoft hecommuni t
y
c.Shoul dhaveagoodmor alchar act er
b.Shoul dbeaweal thymemberoft hecommuni ty
d.Shoul dber esponsi bl eandwi ll
ingt owor kf or
soci alchange
ANSWER.B.I nt heent r yphase,pot ent ial leader si nt hecommuni t
yar echosenwhocanassi stthecommuni ty
organi zerorst af f.Thecr i
teriainsel ectingt hecor egr oupmember sar et hef oll
owi ng:1 )Shoul dbear espect ed
memberoft hecommuni t
y,2)Shoul dbel ongt ot hepoorsect orsofsoci et y,3)Shoul dber esponsi bleandwi ll
ing
towor kf orsoci al change,4)Shoul dbewi llingt ol ear nand,5)Shoul dbeabl et ocommuni cat eandexpr ess
onesel f.
shi ng
54.I ntegr ationi st hepr ocessofest ablishi ngr appor twi tht hepeopl eoft hecommuni ty.Thi ssi gnal st hestar tof
whatphaseofCOPAR?
a.Pr e-ent ry
b.Ent ry
c.Di agnosi s
d.
Communi ty
building
ANSWER.B.I ntegr ationi spar toft heent ryst age/ phasewher eint her esear cher s/communi tyor gani zersshoul d
establ i
shr appor tandi nt egr atewi tht hecommuni tyr esident s.Thest affor gani zer/resear chert riest oi mmer se
himsel f/her sel fi nt hecommuni tyt ol ear nabouti tslocal cul ture,l ocal hist ory,economy,l eader shi pandl i
fest yle.
Thisi sdonebybei ngi nvol vedi nt hevar iouscommuni t
yact iviti
es.
shi ng
55.Thef ollowi ngar esuggest edact ivit
iest oest abl i
shr appor twi t
ht hepeopl eoft hecommuni ty,whi chi snot
i
ncluded?
a.Conducthouset ohousevi sits
b.Seekoutandconver sewi t
ht hepeopl ei npl aceswher et heyusual l
ygat herl i
kecor nerst or esandmar ketpl aces
b.Par t
icipat ei nt hei rrecr eat i
onal act ivitiesl i
kegambl i
nganddr inking
d.Par t
icipat ei ndi rectpr oduct i
onact i
vitiessuchashar vest ingandpl antingpal ay
ANSWER.C.Theor gani zer/resear chershoul davoi dact iviti
essuchasgambl i
nganddr inki ng.He/ sheshoul d
respectt hepeopl e’sst rengt ht ohandl et hei rval uesandl ifestyle.I tissuggest edt hathe/ shepar ti
cipatei n
activiti
eswher epeopl ear eandbeoneoft hem wi thnospeci al concessi ons.
shi ng
56.Uponent ryt ot hecommuni ty,t heor gani zercanst artt hef ol l
owi ngexcept :
a.Communi tyi nt egr at ion
c.Deepeni ngsoci al invest igation
b.Cor egr oupf ormat ion
d.Pr ojectI mpl ement at i
on
ANSWERD.Dur ingt heent ryphase/ stage,t heor gani zerdoest hef oll
owi ng:Communi t
yi nt egr ation( wher ein
thehe/ sheest abl ishesr appor twi tht hepeopl eandengagei nthei rdayt odayact ivit
ies),Cor egr oupf ormat ion
(wher einagr oupofcommuni tyl eader sar esel ect edbasedont hecr i
teriament i
onedabove)anddeepeni ngsoci al
i
nvest igat i
on( thepr elimi nar ysoci al invest igat i
oni sconduct eddur ingt hepr e-ent ryst ageandadeepeni ngsoci al
i
nvest igat i
oni sconduct eddur ingt heent ryst age.Thi si sasyst emat icpr ocessofcol lecting,synt hesizingand
anal yzingdat at odr aw acl earpi ctur eoft hecommuni ty.Thi si scar ri
edoutt of i
ndoutt hepr essi ngcommuni ty
needs,val uesandnor m bel i
efsandr esour cesoft hecommuni tyt hataf fectheal th.Pr ojecti mpl ement ati
on( as
wel lasmoni toringandeval uat ionofheal thser vi
cesandpr oject s)isdonedur ingt hecommuni tyact i
onphase.
shi ng
57.Att hisphase,t heor gani zedl eader sorgr oupsar ebei nggi vent rainingt odevel opt heirst yl
ei nmanagi ng
theirownconcer ns/ pr ogr ams.
a.Pr e-ent ry
b.Ent r
y
c.Or ganizati
onBui l
ding
d.Sust enanceandSt rengthening
ANSWER.C.Theor gani zat
ionbuil
dingphaseinvolvestheformationofmor efor
mal str
uctureandthe
i
ncl usionofmor eformal pr
ocedureofplanning,implementi
ng,andeval uat
ingcommuni ty-wiseact
ivi
ti
es.Iti
sat
thisphasewher etheor ganizedleadersorgroupsarebeinggi ventr
aining(f
ormal,i
nformal,OJT)todevelopthei
r
stylei nmanagi ngtheirownconcer ns/
programs.
Jimenez,C.( 2005)Communi tyOrganizi
ngPar t
ici
patoryActi
onResear chforCommuni tyHeal t
hDevel
opment .5t
h
edition.Mani la.SyneraidePubl i
shi
ng
58.Thi si st hephasewhent hecommuni tyor ganizat ionhasal readybeenest abl ishedandt hecommuni ty
member sar eal readyact i
vel ypar t
ici
pat i
ngi ncommuni ty-wi deunder t
aki ngs.
a.Pr e-ent r
y
b.Ent ry
c.Or gani zat ionBui l
di ng
d.Sust enanceand
Strengt heni ng
ANSWER.C.Sust enanceandst rengt heni ngphase-t hedi fferentcommi ttees’ set upi nt heor gani zation-bui l
ding
phasear eal r eadyexpect edt obef unct ioni ngbywayofpl anni ng,i mpl ement ingandeval uat i
ngt heirown
progr ams,wi tht heover allgui dancef rom t hecommuni ty-wi deor ganizat ion.Thi sincl udesi mpl ement at i
onof
proposedl ivel ihoodpr oject s,et c.
edition.Mani l
a.Syner aidePubl ishing
SITUATI ON:Thepur poseoft heCommuni tyor gani zingpar ticipat oryact ionr esear chshoul dbewel l
-est abl ished
tobeabl et owor konacommonpur pose.
59.Par ti
cipat or yact ionr esear chi sani nvest igationonpr obl emsandi ssuesconcer ningl i
feandenvi ronmentof
theunder privi l
egedbywayofr esear ch.Theessent ial elementoft hispr ocessi s:
a.Empower ment
b.Par ticipat ion
c.Rappor t
d.Or gani zat ion
ANSWER:B
Part i
ci pat oryAct ionResear chi sani nvest igat iononpr obl emsandi ssuesconcer ningl ifeandenvi r
onmentoft he
under pr i
vilegedbywayofr esear chcol l
abor ationwi tht heunder privi
legedwhoser epr esent at ivespar ti
cipat ei n
theact ual resear chasr esear cher sthemsel ves.
Theessent ial elementofPARi spar t
icipat ion.I tenabl est hecommuni tytoexper ienceacol l
ect i
veconsci ousness
ofthei rownsi tuat ions.
Ref erence:Ji menez,C.( 2005)Communi tyOr ganizingPar ti
ci pator yAct ionResear chf orCommuni t
yHeal th
Devel opment .5t hedi ti
on.Mani la.Syner ai dePubl i
shi ng.Page39
60.TheCOPARgr oupi st ost ar ttheircommuni tyimmer sion.Thef oll
owi ngar eact i
vitiesdoneaspar toft he
prelimi nar ysoci al i
nvest igationexcept :
a.Looki ngf orl ocal heal thcent er s
b.Deval uei nci denceofcr i
me,dr ugaddi ctionorot herhar mf ul sit
uationorel ement s
c.Appr aisest hesi teaccor di ngt osetcr it
er ia
d.Int er viewi ngknownagenci est hatcont ri
but i
ngt ot hecommuni ty
ANSWER:B
Prelimi nar ySoci al invest i
gat ion– t hisi st ogat herdat aori nf ormat i
onaboutt hedi fferentbar angaysf orpot enti
al
sit
eoft hepr ogr am,accor dingt ot hef ollowi ngcr it
er is:
a.Si temustbesoci o-economi cal l
ydepr essedandunder ser vedcommuni tywi thmaj orit
yoft he
popul ationbel ongi ngt ot hepoorsect or
b.heal thser vicesi nt hesi tear ei naccessi bl eori nadequat et omeett heneedsoft hecommuni t
y
resident s
c.poorheal thst at usoft hecommuni ty
d.Thear eamusthaver elativepeaceandor dert oensur et hesaf etyoft hest af f,student sandf acul t
y
member s.
yHeal th
shi ng.Page59-60.
61.Int hesel ect i
onofacommuni tyfori mmer sion,t hegr oupshoul dbaset heirdeci sionont hecr i
teriaf orsi te
select ion.Whi choft hef oll
owi ngbar angaysdoesnotf al lwi t
hi nt heCOPARcr iter i
aofsi tesel ection?
a.Bar angayV,wi thnobar angayheal thst at ion
c.Bar angayM,wi thlackofi ncomeoppor tuni t
iesf ort her esi dent s
b.Bar angayA,wi thahi ghmal nut ri
ti
onr at e
d.Bar angayB,wi thahi ghcr imer ate
ANSWER:D
Aswhatwasment ionedabove,opt i
onsA,BandCf allswi thint hecr iteriaofsi tesel ect ion.Opt i
onDi st hecor r
ect
answerbecauseanar eashoul dhaver elativepeaceandor dert osaf eguar dt hewel far eoft her esear cher s,st aff
,
student s,t eacher s,et c.whowi l
l beinvol vedi nt hepr ogr am.
yHeal th
shi ngpage59-60.
62.Thegr oupi st oconductasemi narandgr oupmeet ingswhi chai mt of i
ndoutt hecommuni typeopl e’s
accept abi li
tyandwi ll
ingnesst oof fersuppor tandpar ti
cipat ioni nthepr ogr am.Thi sact i
vit
ywhi chf acili
tat est he
group’sobj ect ivei s:
b.Soci al invest igat i
on
c.Communi tyOr gani zing
d.Heal thEducat ion
ANSWER:A
Conduct i
ngacommuni tyassembl yispar toft hepr e-ent ryphase.Thi si nvol veshavi ngsemi nar sandgr oup
meet ingst hatai mt of i
ndoutt hepeopl e’saccept abi lit
yandwi l
li
ngnesst oof fersuppor tandpar ti
cipat ioni nthe
progr am.
yHeal th
shi ngpage62.
63.Af tert hei dent ificat i
onoft hecommuni ty’sheal thconcer n,t heCOPARgr oupgat heredsuppor t
ivedat aand
vali
dat et hem wi thst atistics.Basedont his,youwi llconcl udet hatt heyar ei nwhatphaseoft heCOPARpr ocess?
a.Communi tyassembl y
b.Communi tyStudy
c.Communi tyaction
d.Communi tyOr ganizati
on
ANSWER:B
Communi t
yst udy/diagnosisphaseisacompr ehensivedocument
ati
onoft
hedat
aaboutt
hecommuni
tygat
her
ed
thr
oughsoci ali
nvestigati
on.Duri
ngthisphasethegr oupisto:
a.Planact ualdatagat heri
ng
b.Dat agathering
c.Communi tyvalidati
on
d.Priori
ti
zati
onofcommuni tyneeds/pr
oblemsf oracti
on
Ref er ence:Ji menez,C.( 2005)Communi tyOr gani zingPar ticipat or yAct ionResear chf orCommuni tyHeal th
on.Mani la.Syner aidePubl ishing.Page75, 77.
64.Thecommuni t
yhasal readysel ect edt hei rcor egr oupl eader s.Whi choft hef oll
owi ngt rainingpr ogr amswi l
l
theCOPARgr oupempl oyt ohel pmember sofcor egr oupl eader saswel laspot entialleader soft hecommuni tyto
discovert hei rpot ent i
al sandoppor tuniti
esf orgr owt handdevel opmentoft hecommuni ty?
a.Asser ti
vet r aining
c.Sel f-awar enessl eader shi ptrai ning
b.Communi tyl eader st r aini ngpr ogr am
d.Team bui l
di ng
ANSWER:C
Sel f-awar enessl eader shi pTr aining( SALT)semi naramongt hemember soft hecor egr ouporpot ent i
al l
eadersof
thecommuni tywi l
lhel peachonedi scoverone’spot ent ials,t alent s,anddi scoveroppor tunitiesf orgr owt hand
devel opmentoft heent i
recommuni ty.
on.Mani la.Syner aidePubl ishing.Page68.
65.TheCOPARgr oupi si mmer singt heor gani zedl eader st obegi vent rainingt odevel opt heirst yl
ei nmanagi ng
thei rownconcer ns/pr ogr amsandt oconductt eam bui ldingf oropencommuni cation.Theseact i
vitiesar epartof
whatphaseofCOPAR?
a.Pr e-ent ry
b.Ent ry
c.Or gani zat ionBui l
di ng
d.Sust enanceandSt rengt hening
ANSWER:C
Theor gani zat i
onbui l
dingphasei nvol vest hef ormat ionofmor ef or mal st r
uct ureandt hei nclusi onofmor e
for mal procedur eofpl anni ng,impl ement ing,andeval uatingcommuni ty-wi seact i
viti
es.I tisatt hisphasewher e
theor gani zedl eader sorgr oupsar ebei nggi vent raining( for mal ,i
nf or mal ,OJT)t odevel opt hei rstylei n
managi ngt hei rownconcer ns/pr ogr ams.Team bui ldingact iviti
esar eal soi mpl ement ed.
on.Mani la.Syner aidePubl ishing.Page78-79.
66.Thegr ouphaspl annedt oi nst it
ut eaSWOTanal ysis.I fthet eam i st oi dent ifyavai lablesuppor tsf rom NGOs
andLGUs,t heyar eut ili
zi ngwhi chcomponentofSWOTanal ysi s?
a.St rengt hs
b.Weakness
c.Oppor tuni ti
es
d.Thr eat s
ANSWER:C
SWOTAnal ysi s
St rengt hs– l ikehuman/ mat erial resour ces
Weaknesses-l ikel ackoft rainedmanpower
Oppor tunit i
es– l ikesuppor tfrom LGUs,NGOsandGOs
Thr eat s– l i
kei mpl ement at ionpr obl em
Ref er ence:Aar onUnt al an.COPAR.3r dEdi tion.Page26.
67.Thegr oupofst udent si mmer singi nBul acanar et askedt oencour agemember soft hezoneorcl usterof
fami li
est osel ectt heircommuni tyheal thwor kersorvol unt eer st oat tendt het rainingofCHWs.Thi sst udent
act ivityi sdonedur i
ng:
a.Pr eent ryphase
b.Ent ryphase
c.Communi tydi agnosi sphase
d.Communi tyact i
onphase
ANSWER:D
St udentpar tici pat i
ondur i
ngt heCommuni tyAct i
onPhase
a.Pr epar eandconductcommuni tysemi nar s– wor kshopi nt het r ainingofcommuni tyheal thwor ker s
i
.Encour agemember soft hezoneorcl ust eroff ami l
iest osel ectt hei rCHWsort ovol unteert oat t
endt he
traini ngofCHWs
b.pr ovi del i
st sofgover nmentandnon-gover nmentor gani zat ionwi thwhi cht hecommuni tycanl i
nkor
net wor kvi ar ef er ralwhenneeded
c.t heof ficer sandchai rmenoft hecommi tteesshal lbet rainedonhow t oi mpl ement ,moni torand
eval uat et heheal thser vicesorpr oj ect soft hecommuni ty
d.i dent ifyt her esour cesoft hecommuni t
yandassi stt hel eader st omobi l
izet hist ohel pi nt he
i
mpl ement at ionoft heheal thpr ogr ams.Forexampl ebar angayl eader scanbet appedt ohel pinset ti
ngup
commont oilet sf orthecommuni ty.
on.Mani la.Syner aidePubl ishing.Page81 .
SITUATI ON:Mr s.Sant os,35year sol d,isagover nmentempl oyee.Shei snow awi dow.Her2chi l
dr enar eaged
2and4year s.Shei satpr esent8mont hspr egnant .
68.Mr s.Sant osdi dnotconsul tatt heheal t
hcent erf orherpr e-nat al check-up.Thi sconst itutesa:
a.Heal tht hreat
b.Heal thdef icit
c.St resspoi nt
d.For eseeabl ecr i
sis
ANSWER:A
Lackofpr e-nat al check-upi saheal tht hreatt hatmayr esul tt of ailuret omai ntai nthewel lnessoft hebabyand
heal thoft hemot her .
Heal thThr eat s-ar econdi tionst hatar econduci vet odi seaseandacci dent ,ormayr esulttomai ntainwel l
nessor
real izeheal thpot ent i
al.
Healt
hDef i
cits-ar einstancesoff ai
lur
einhealthmai nt
enance.
Str
essPoi nts/For eseeablecrisi
ssit
uati
ons-ar eantici
patedperiodsofunusualdemandont heindivi
dualor
famil
yi nter
msofadj ustment/f amil
yresources.
Reference:Magl aya,AraceliS.(2004).Nursi
ngPr acti
ceintheCommuni t
y.4thed.Page68
69.Mr s.Sant os’ husbanddi ed4mont hsago.Fort hefamily,t
hisisa:
a.HealthDef i
cit
s
b.Heal t
hThr eats
c.Str
esspoi nt
d.Wel l
nessCondi tion
ANSWER:C
Deathofaf ami l
ymemberf al
lsinthecategoryofStressPoints/Foreseeabl
ecrisi
s.Thesi
tuat
ionsar e
anti
cipatedper iodsofunusual demandont heindivi
dual orf
amilyintermsofadjust
ment/familyresources.
Heal thThr eat s-ar econdi tionst hatar econduci vet odi seaseandacci dent ,ormayr esul ttomai ntainwel l
nessor
realizeheal thpot ent ial.
Heal thDef icits-ar ei nst ancesoff ailurei nheal thmai ntenance.
Wel lnessCondi ti
on– acl i
ni cal ornur singj udgmentaboutacl i
enti nt r
ansi tionf rom aspeci fi
cl evel ofwel l
nessor
capabi l
ityt oahi gherl evel (
NANDA, 2001 )
Ref erence:Magl aya,Ar acel i S.( 2004) .Nur singPr acticei nt heCommuni ty.4t hed.Page68
70.Whatcat egor yi ni dent ifyingt heCommuni tyHeal thNur singPr oblemsper t
ai nt oexi stenceofsoci al,
economi c,envi ronment al andpol i
ti
cal fact orst hataggr avat et hei ll
ness-i nduci ngsi tuat i
onsi nt hecommuni t
y.
a.Heal thSt atusPr obl ems
b.Heal thResour cesPr obl ems
c.Heal th-Rel atedPr obl ems
d.Heal thThr eat
ANSWER:C
Communi tyHeal thNur singPr obl emsar ecat egor izedi ntot hree:
Heal thSt at usPr obl ems-descr ibedi nt er msofi ncr easedordecr easedmor bidi ty,mor tali
ty,fertil
it
yorr educed
capabi l
ityf orwel l
ness;mat er ials,ori nst itut
ionsnecessar yt osol veheal t
hpr obl ems;
Heal thRel atedPr obl ems-descr i
bedi nt ermsofexi stenceofsoci al,economi c,envi ronment al andpol i
t i
cal f
actors
thataggr avat et hei ll
ness-i nduci ngsi tuat ionsi tthecommuni ty.
Ref erence:Magl aya,Ar acel i S.( 2004) .Nur singPr acticei nt heCommuni ty.4t hed.Page1 69
71.Af tert hepr obl emshavebeeni dent ified,thenextt askf ort henur seandt hecommuni tyistopr i
or i
tizewhi ch
heal thpr obl emscanbeat tendedt oconsi deringt her esour cesavai lableatt hemoment .Thecr iteri
ai npr i
orit
ysetti
ngwhi
chr
efer
stot
he
probabi li
tyofr educi ng,cont r olli
ng,orer adicat ingt hepr obl em.
a.Modi fiabi li
tyoft hePr obl em
c.Nat ur eoft hepr obl em pr esent ed
b.Pr event i
vePot ent ial
d.Magni tudeoft hePr obl em
ANSWER:A
Modi fi
abi l
ityoft hepr obl em r ef er stot hepr obabi li
tyofr educi ng,cont roll
ingorer adi cat i
ngt hepr oblem.I n
priority-set ting,t henur semakesuseoft hef ollowi ngcr iter i
a:
Prevent ivepot ent ial -r ef erst ot hepr obabi l
ityofcont rollingorr educi ngt heef fect sposedbyt hepr obl em;
Nat ureoft hePr obl em pr esent ed-ar ecl assifiedasheal thst atus,heal thr esour ces,orheal t
h-r elat
edpr oblems;
Magni tudeoft hePr obl em -r ef erst ot hesever i
tyoft hepr obl em whi chcanbemeasur edi ntermsoft he
propor ti
onoft hepopul at i
onaf fect edbyt hepr obl em;
Soci al concer n-r ef er st ot heper cept ionoft hepopul ationort hecommuni tyast heyar eaf f
ect edbyt hepr oblem
andt hei rr eadi nesst oactont hepr oblem.
Ref erence:Magl aya,Ar acel i S.( 2004) .Nur singPr acticei nt heCommuni ty.4t hed.Page1 63-1 69-1 70
SITUATI ON:Communi tyOr gani zingpl aysani mpor tantr olei nbui ldi
ngt hecapabi lit
yofpeopl ef orfut ur e
communi t
yact ionsandempower ment .
72.Whi choft hef ollowi ngpr ocessesofchangei ncommuni tyor ganizingi nvol vesbui ldingt hecapabi lityofpeopl e
forf utur ecommuni tyact i
on?
a.Ideol ogy
b.Soci al or gani zat ion
c.Empower ment
d.Communi tyanal ysi s
ANSWER:C
Studi eshaveunder scor edsomekeyel ement soft hecommuni tywhi chmayber eact i
vat edt obr ingsoci aland
behavi or al change.Thesei ncl udesoci al organi zat ions( rel ationshi ps,st r
uct ur eandr esour ces) ,ideol ogy
(knowl edge,ski ll
sandat tit
ude)andchangeagent s.Thispr ocessofchangei sof tent ermedas“empower ment ” or
buildingt hecapabi l
ityofpeopl ef orf utur ecommuni tyact i
on.
REFERENCE:( Cuevas,Boni to,et .
al.PHN2007,p.55) .
73.Communi tyor gani zingwasdevel opedt o:
a.Assessanddef ineneedsoft hecommuni t
y
c.Initiatecommuni tyheal t
hact ionpr ogr am
b.Empowert hepeopl ei nt hecommuni ty
d.Communi tyneedsassessment
ANSWER:B
Communi tyor gani zingi sakeyel ementoft hecommuni tywhi chmayber eact ivat edt obr i
ngsoci aland
behavi or al changes.Thi spr ocessofchangei sof t
ent ermedas“empower ment ” orbui ldingcapaci tyofpeopl ef or
futurecommuni tyact i
on.
Ref erence:Cuevas,Fr ancesP. ,et .al.( 2007)DOH’sPubl icheal thnur si
ngi nt hePhi l
ippines.1 0t hedi tion,Page55
74.Thi sst ager ef er st ot hepr ocessofassessi nganddef iningneeds,oppor tunitiesandr esour cesi nvol vedi n
i
nitiatingcommuni tyheal thact ionpr ogr am:
a.Communi tyOr gani zi ng
c.Desi gnandi nitiat i
on
b.Communi tyAnal ysis
d.Di ssemi nat ion-Reassessment
ANSWER:B
Communi tyanal ysi sist hepr ocessofassessi nganddef iningneeds,oppor tunitiesandr esour cesi nvol vedi n
i
nitiatingcommuni tyheal thact ionpr ogr am.Thi spr ocessmayal sobecal ledcommuni tydi agnosi sorcommuni t
y
needsassessment .
Ref erence:Cuevas,Fr ancesP. ,et .al.( 2007)DOH’sPubl icheal thnur si
ngi nt hePhi l
ippines.1 0t hedi tion,Page55
75.Thecomponent sofcommuni tyanal ysisincl udet hef ol lowi ngexcept :
a.Demogr aphi c,soci al andeconomi cpr ofil
e
c.Heal th/ wel l
nessout comespr of i
le
b.Assesscommuni t
ycapaci ty
d.Surveyofcur r
entheal t
hpr omot ionprograms
ANSWER:B
Communi tyanalysishasf i
vecomponent sandt hesear e:demogr aphic,social
andeconomi cpr ofi
l
e,healthr
isk
profi
l
e,health/well
nessout comespr of
il
e,surveyofcur renthealt
hpr omot i
onpr ogramsandst udiesconductedin
cert
aintargetgroups.Assessi ngcommuni tycapacityi
sast epincommuni t
yanal ysi
s.
Reference:Cuevas,Fr ancesP. ,et.al
.(2007)DOH’sPubl ichealt
hnur si
ngi nthePhi l
ippi
nes.10thedit
ion,Page55
76.Crit
eri
af orcoregroupmember sar
et hefoll
owingexcept :
a.Belongingtothepoorsect orsofsocietyandr epresentsallt
hezonesoral lf
ami li
esofthebar angays.
b.Mustber esponsible,commi tt
edandwi l
l
ingtowor kf orsoci
alchangeandsoci al t
ransf
ormat i
onort he
communi ty
c.Ar er espect edmember soft hecommuni ty
d.Per sonwhoi sappr oachabl ebymostpeopl e
ANSWER:D
Crit
er i
af orcor egr oupmember s:1 )Ar er espect edmember soft hecommuni ty,2)Bel ongi ngt ot hepoorsect ors
ofsoci etyandr epr esent sal l t
hezonesoral l fami li
esoft hebar angays.3)Mustber esponsi ble,commi ttedand
will
i
ngt owor kf orsoci al changeandsoci altransf ormat i
onort hecommuni ty.Readyt oser vewi t
houtseeki ng
gainsi nr etur n.4)Mustbewi ll
ingt ol ear n,i sopent onew i deasandt oser veasexampl esf orot her stoemul ate.
5)Mustbeabl et ocommuni cat e,canexpr essonesel finagr oupandabl etovoi cet hepr obl emsorneedsoft he
group.
Refer ence:Ji menez,Car men,E. .( 2002) .Communi tyOr gani zingPar ti
cipat oryAct ionResear ch( CO-PAR)f or
Communi tyHeal thDevel opment .“Hel pingpeopl egr owandgl ow” 2ndEd.Page66-67
77.Whi chst epwi llpr ovi deacommuni t
ypr of i
leoft heneedsandr esour ces,andwi l
lbecomet hebasi sf or
designi ngpr ospect ivecommuni tyi nter vent ionsf orheal thpr omot ion?
a.Assessi ngcommuni tycapaci t
y
c.Synt hesi zingdat aandset ti
ngpr ior i
ties
ANSWER:C
Synthesi sdat aandsetpr iorities:Wi l
l provi deacommuni typr of i
leoft heneedsandr esour ces,andwi llbecome
thebasi sfordesi gni ngpr ospect ivecommuni t
yi ntervent ionsf orheal thpr omot ion
Refer ence:Cuevas,Boni to,et .al.PHN2007,p.55.
78.Thepr ogr am att hispoi nthasexper iencedsomedegr eeofsuccessandhasweat her edt hrough
i
mpl ement ationpr obl ems:
a.Communi tyAnal ysi s
c.Impl ement ation
on
d.Pr ogr am mai ntenance-Consol idat ion
ANSWER:D
Progr am mai ntenance–Consol idat i
on:
Thepr ogr am att hi spoi nthasexper iencedsomedegr eeofsuccessand
hasweat her edt hr oughi mpl ement at i
onpr obl ems.Theor gani zat i
onandpr ogr am i sgai ningaccept ancei nt he
communi ty
Refer ence:Cuevas,Boni to,et .al.PHN2007,p.57.
79.Int hepr e-ent r yphaseofCOPARpr ocess,t hef ol l
owi ngar ei ncludedexcept :
a.Communi tyconsul tations/di alogues
b.Set tingofi ssues/ consi der at i
onsr elat edt osi tesel ect i
on
c.Net wor kingwi thLGU’s,NGOsandot herdepar tment s
d.Sel f-awar enessandLeader shi pTr aining
ANSWER:D
Self-awar enessandLeader shi pTr ai ningi sundert heEnt ryphaseoft heCOPARpr ocess.I npr e-ent ryphaseoft he
COPARpr ocess,t heact i
vi t
iesar e:1 )communi tyconsul tations/ dialogues,2)set t i
ngofi ssues/ consi derat i
ons
rel
atedt osi tesel ect ion,3)devel opmentofcr i
teriaf orsi tesel ect ion,4)si tesel ection,5)pr el imi narysoci al
i
nvest igat i
on,5)net wor kingwi thl ocal gover nmentuni ts( LGUs) ,NGO’sandot herdepar t
ment s.
Communi tyHeal thDevel opment .“Hel pingpeopl egr owandgl ow” 2ndEd.Page53
80.Theact iviti
esar edat agat her ing,communi tyval idat i
onandpr esent ationoft hecommuni tydi agnosisand
recommendat i
onsbel ongt owhi choft hef ollowi ngphasesofCOPAR?
a.Communi tySt udy/Di agnosi sPhase
c.Communi tyAct ionPhase
b.Communi tyor gani zat i
onandCapabi lit
y-bui l
dingphase
d.Sust enanceandSt rengt heni ngphase
ANSWER:A
Communi tySt udyi sacompr ehensi vedocument ati
onoft hedat aaboutt hecommuni tygat her edt hroughsoci al
i
nvest igat i
on.Thecomponent soft hest udyar et hef oll
owi ng:1 )Physi cal andgeogr aphi cal dat a,2)Demogr aphic
data,3)Economi ccondi tion,4)Mor talityandMor biditydat a,5)Foodsuppl yandnut rition,6)Cul turalpat terns
andcommoncul tural beliefs,7)Heal thser vicesandf aci li
ties8)Educat i
on,9)Communi t
yLeader shipand
Organi zat i
on,1 0)Devel opmentagenci es,1 1
)Communi tyPr obl em andNeeds.
81.Int hepr e-ent ryphase,t heact i
vityt ogat herdat aori nf ormat ionaboutt hedi fferentbar angaysf orpot ent i
al
sit
eoft hepr ogr am r ef erst o:
a.Pr eli
mi nar ysoci al invest i
gat i
on
c.Basel i
nest udy
b.Sel f-awar enessl eader shi pt rai ning
d.Communi tyassembl y
ANSWER:A
Undert hepr e-ent ryphasei sconduct ingpr el i
mi nar ysoci al invest igat
ion( PSI).t hisist ogat herdat adat aor
i
nfor mat ionaboutt hedi f
fer entbar angaysf orpot ent i
al si teoft hepr ogr am accor dingt ot hef ollowingcr i
teri
a:1 )
sit
emustbesoci o-economi cal lydepr essedandunder ser vedcommuni tywi t
hmaj orityoft hepopul ationbel onging
tothepoorsect or .2)heal thser vicesi nt hesi tear einaccessi bleori nadequat et omeett heneedsoft he
communi tyr esident s.3)Poorheal thst atusoft hecommuni ty.4)Thear eamusthaver elativepeaceandor derto
ensur et hesaf et yoft hest af f,st udent sandf acul t
ymember swhowi l
l bei nvolvedi nt hepr ogr am 5)Accept ance
ofthepr ogr am byt hecommuni t
yt oensur et heirpar ti
ci pat ioni nt heact iviti
espl anned.6)t hear ei snotcur r
ent l
y
servedbysi mi laragenci esorpr ogr am t oavoi dcompet i
tionanddupl icat i
onofser vices.
Reference:Jimenez,Car men,E..(2002) .Communi t
yOr gani
zi
ngParti
cipatoryAct i
onResearch(CO-PAR)for
Communi tyHealthDevel opment .“Hel pingpeoplegrowandgl ow” 2ndEd.Page59-60
82.Thepur poseoft hisi
stof i
ndoutt heirprogr
am acceptabi
li
tyandwil
lingnesst ooff
ersupportandpar
ti
cipat
ion
fr
om thecommuni ty.Therearesemi narsandot hergroupmeet i
ngst
hatcanr espondtotheneedsofthe
communi tyforbasichealthcare.
a.Preli
minarysocialinvest
igati
on
c.Baseli
nest udy
b.Sel f-awar enessl eader shi pt rai ning
d.Communi tyassembl y
ANSWER:D
Thepur poseofconduct ingaCommuni t
yAssembl yist of i
ndoutt hei rpr ogr am accept abil
it
yandwi ll
ingnesst o
offersuppor tandpar tici pat ionf rom t hecommuni ty.Ther ear esemi nar sandot hergr oupmeet i
ngst hatcan
respondt ot heneedsoft hecommuni tyf orbasi cheal thcar e.Ont hepar tofcommuni t
yandbar angayl eader s,
theycant alkaboutt hei mpor tanceoft hepr ogr am t ot hecommuni ty.Thepr ogr am pr oponentdoesnotof fer
mat erial orf inanci al resour cesbutof ferst or efert heirf inanci alneedst oot heragenci esandgr oups.
Ref erence:Ji menez,Car men,E. .( 2002) .Communi t
yOr gani zingPar ti
cipat oryAct i
onResear ch( CO-PAR)f or
83.Or gani zat ionandt r ainingofcommuni t
yheal thwor ker sisunderwhatphaseofCOPARpr ocess?
a.Communi tyor gani zat ionandCapabi lit
y-bui l
dingphase
c.Sust enanceandSt rengt heni ngphase
b.Communi tyAct i
onphase
d.Communi tyst udy
ANSWER:B
I
nCommuni tyact ionphase,t heact iviti
esar e:1 )Or gani zat ionandt rai ningofcommuni tyheal thwor ker s( CHWs)
– devel opmentofcr it
er i
af ort hesel ect ionofCHWs,sel ect ionandt raini ngofCHWs.2)Set t
ingup
l
inkages/ net wor kr efer ral syst em,3)i nter vent i
onschemesandcommuni tydevel opmentpr oject s4)i niti
al
i
dent i
ficat ionandi mpl ement at i
onofr esour cesmobi l
izat ionschemes.
yOr gani zingPar ti
cipat oryAct i
84.Thef ol lowi ngar ecr i
ter i
af orcor egr oupmemberexcept :
a.Bel ongi ngt ot hepoorsect orsofsoci etyandr epr esent sal l t
hezonesoral lfami li
esoft hebar angays.
b.Mustber esponsi bl e,commi ttedandwi l
li
ngt owor kf orsoci al changeandsoci altr
ansf ormat i
onort he
communi ty
c.Ar er espect edmember soft hecommuni ty
d.Per sonwhoi sappr oachabl ebymostpeopl e
ANSWER:D
Criteriaf orcor egr oupmember s:1 )Ar er espect edmember soft hecommuni ty,2)Bel ongingt ot hepoorsect or s
ofsoci et yandr epr esent sal l thezonesoral l fami li
esoft hebar angays.3)Mustber esponsi ble,commi tt
edand
willi
ngt owor kf orsoci al changeandsoci altransf ormat i
onort hecommuni ty.Readyt oser vewi thoutseeki ng
gainsi nr et urn.4)Mustbewi lli
ngt ol earn,i sopent onew i deasandt oser veasexampl esforot her stoemul at e.
5)Mustbeal et ocommuni cat e,canexpr essonesel finagr oupandabl et ovoi cet hepr oblemsorneedsoft he
group.
yOr gani zingPar ti
cipat oryAct i
85.Thr ought his,ef for tsar emadet oi dent if
ypot ent ial l
eader swhocanassi stt hecommuni tyor gani zerorst affin
provi dingorval idat ingdat aaboutt hecommuni tyandi tspeopl e:
a.Soci al i
nvest igat ion
b.Communi tyAssembl y
c.Communi tySt udy
d.Sel f-awar enessLeader shi pTr aining
ANSWER:A
Thr oughsoci al invest igat i
on,ef for t
sar emadet oi dent ifypot ent i
al l
eader swhocanassi stthecommuni t
y
organi zerorst af finpr ovi dingorval idat i
ngdat aaboutt hecommuni tyandi tspeopl e.Assesst heact ivit
iesand
willi
ngnessofeachpot ent i
al leadert owor kf orachanget hrought hei nvol vementi nt hedi f
fer entact ivi
ties.
yOr gani zingPar ti
cipat oryAct i
86.Theel ect ionandi nduct ionof fers,t eam bui ldingact iviti
esandAct ionRef l
ect ionAct i
onSessi on( ARAS)ar et he
act i
vitiesofwhatphaseoft heCOPARpr ocess?
a.Ent ryphase
c.Communi tyOr gani zat i
onandCapabi l
itybui lding
b.Communi tyDi agnosi s
d.Sust enanceandSt rengt heni ngphase
ANSWER:C
UnderCommuni tyor gani zat ionandcapabi l
itybui l
ding,t hef ol l
owi ngact iviti
esar e:1)Communi tymeet i
ngst o
drawupgui del i
nesf ort heor gani zat ionoft heCommuni tyHeal thOr gani zat i
on.Di scussadvant agesand
disadvant ages.Cl arifyt her esponsi bili
tyoft heof fi
cer sandmember soft hecommuni ty.2)El ect i
onandi nduct ion
ofof f
icer s.3)Devel opmentofmanagementsyst emsandpr ocedur es,del ineat i
onofr oles,funct ionsandt asksof
theof ficer sandmember s.4)Team bui ldingact i
viti
es.5)Act ionRef lect ionAct ionSessi on( ARAS) ,6)Wor kingout
l
egal requi rement sf ort heest ablishmentoft heCHO.7)Or gani zationoft hewor kingcommi tt
ees,t askgr oups
e.g.educat ionandt raini ng,heal thser vicesandwaysandmeanscommi tt
ees.8)Tr ainingofCHOof ficer sand
member s.
yOr gani zingPar ti
cipat oryAct i
87.Est abl i
shi ngr appor twi tht hepeopl einacont i
nui ngef f
or ttoi mbi becommuni tylif
ebyl i
vingandt he
under goi ngt hesameexper iences,shar ingt hei rhopes,aspi rati
ons,andhar dshi pst owar dsbui l
di ngmut ual trust
andcooper at i
onar er ef erredt oas:
a.Par ticipat ionobser vat i
on
b.Soci al invest igat ion
c.Int egr at ion
d.Dat agat her ing
ANSWER:C
I
nt egr at i
oni sest abl ishi ngr appor twi tht hepeopl ei nacont i
nui ngef for ttoi mbi becommuni tyl i
febyl ivingand
theunder goingt hesameexper iences,sharingt heirhopes,aspirat
ions,andhar dshi
pst owardsbuildi
ngmut ual
trustandcooper at
ion.Theor ganizertri
est oi mmer sehimselforher selfi
nthecommuni tytogettoknow the
cul t
ure,hi
story,economy,l eader sandl i
festyleofthepeopl e.
Opt ionA– bypar ti
cipati
onint heactivit
iesoft hepeopl e,theobserverf eel
sandexper iencestheeventsand
situati
oninthecommuni t
y.
Opt ionB– i sthepr ocessofsyst ematicall
yl earni
ngandanal yzi
ngt hevar i
ousstr
ucturesandf or
cei nthe
communi t
yst udy-economi c,pol i
ti
calandsoci o-cult
ural.Theseresultsinacommuni tyst udywri
te-upwhi chisa
scientif
iccoll
ationandsynt hesisofdat a,gat heredinor dertodrawacl earpict
ureofthecommuni t
y.
Opt ionD– i st hepr ocessofi nvol vingcommuni tyr esident si nt hecol lect i
onandconsol i
dat ionofdat aor
i
nfor mat i
on,t husbecomi ngt hebasi sf orpr obl emsi dent ifi
cat i
onandst rat egyf or mul at i
on.
Ref erence:Ji menez,Car men,E. .( 2002) .Communi tyOr gani zingPar ti
ci pat or yAct ionResear ch( CO-PAR)f or
Communi tyHeal thDevel opment .“Hel pingpeopl egr owandgl ow” 2ndEd.Page98-1 02
88.Goi ngar oundandmot ivat ingpeopl eonaone-t o-onebasi st odosomet hi ngoncommuni tyi ssuesi scal l
ed:
a.Tact ic
b.Gr oundwor k
c.Soci al invest igation
d.Dat agat her ing
ANSWER:B
Groundwor kmeanst ogoar oundandmot i
vat epeopl eonaone-t o-onebasi st odosomet hingoncommuni ty
i
ssues.Thi si sal socal l
edagi tat i
on.Someaspect sofmot ivat ionoragi tationt hatcanbeusedar esel f
-interest,
mor ali
ty,r ight s,honor ,shame,oranger .
Ref erence:Ji menez,Car men,E. .( 2002) .Communi tyOr gani zingPar ti
ci pat or yAct ionResear ch( CO-PAR)f or
Communi tyHeal thDevel opment .“Hel pingpeopl egr owandgl ow” 2ndEd.Page1 07
89.Thecommuni tyor gani zer“phases-out ”f rom t hecommuni tywhen:
a.Theobj ect iveshavebeenat tained
b.Whent hecommuni tyr esour ceshasal readybeenmaxi mi zedbyt hepeopl e
c.Whenavi abl ecommuni tybasedor gani zat ionhasbeenest abl i
shed
d.Al loft heabove
ANSWER:D
Thecommuni tyor gani zerknowswhent ophaseoutf rom t hecommuni tywhen:Theobj ect iveshavebeen
attained,Whent hecommuni tyr esour ceshasal readybeenmaxi mizedbyt hepeopl e,Whenavi ablecommuni t
y
basedor gani zat i
onhasbeenest ablished,whent hei mpactoft hepr ojecthasbecomevi sibleandwhent he
member soft hecommuni tycant akeovert hepl anni ng,i mpl ement ation,moni tor i
ngandeval uat ionoft he
project .
Ref erence:Unt alan,A.Communi tyOr gani zingPar ticipat or yAct ionResear ch( CO-PAR)
90.Conduct ingacommuni tydi agnosi si sunderwhatphaseofcommuni tyor gani zing?
a.pr epar at oryphase
c.educat i
onandt rainingphase
b.or gani zat i
onal phase
d.int er sect oral collabor at i
onphase
ANSWER:C
UnderEducat ionandTr aini ngphaseofcommuni tyor gani zingar e1 )conduct ingcommuni tydi agnosi s,2)t rai
ning
ofcommuni tyheal thwor ker s,3)heal t
hser vicesandmobi lizat ion,4)l eader shi p-f ormat i
onact iviti
es.
Ref erence:Magl aya,Ar acel i S.( 2004) .Nur si ngPr act icei nt heCommuni ty.4t hed.Page1 98-1 99
91.Whi choft hef ollowi ngenabl espeopl etowor kt oget heri nor dert oaddr esspr obl emsorconcer nst hataf f
ect
them?
a.par tner shi pandcol l
abor at i
on
c.educat i
onandt raining
b.cor egr oupf ormat ion
d.int er sect oral collabor at i
on
ANSWER:A
Heal thandheal th-r elat edpr obl emsi nt hecommuni t
yar evar ied.Theymustwor kwi thot herpeopl eorgr oupst o
i
ncr easet hepr obabi li
tyofaccompl ishingt hegoal st hatt heyhaveset .Thenur semustpl ant oest abli
shand
mai nt ainval uabl ewor kingr elat i
onshi pswi t
hpeopl esuchaspeopl es’ or gani zat ions,heal thor gani zati
ons,
educat i
onal inst it
ut i
ons,t hel ocal gover nmentuni ts,financi al i
nst itutions,r eligiousgr oups,soci o-ci vic
organi zat i
ons,sect or al groups.Ast hesayi nggoes,t her ei sst rengt hi nnumber s.Theai m ofpar tnershipand
collabor ationi st ogetpeopl et owor kt oget heri nor dert oaddr esspr obl emsorconcer nst hataf fectthem.I tgives
peopl et heoppor t
uni tyt ol ear nski l
lsi ngr oupr elationshi p,int er per sonal relations,cr iti
cal anal ysisandmost
i
mpor tantofal l,deci sion-maki ngpr ocessi nt hecont extofdemocr at i
cl eader ship.
Ref erence:Magl aya,Ar acel i S.( 2004) .Nur si ngPr act icei nt heCommuni ty.4t hed.Page200-201
92.Thenur seasadvocat ehel psempowert hepeopl et omakedeci sionsandcar ryoutact i
onst hathavet he
pot ent ialtobet tert hei rlives.Advocacywor ki nvol vest hef ollowi ngexcept :
a.inf or mi ngt hepeopl eaboutt her ight nessoft hecause
b.thor oughl ydi scussi ngwi tht hepeopl et henat ureoft heal ter nat i
ves,t hei rcont entandpossi bleconsequences
c.inf l
uenci ngpubl icopi nion
d.invol vesal lthest akehol der sint hepr ocessoff or gingpar tner shi pandcol labor ationwi tht hecommuni t
y.
ANSWER:D
I
tisi mper ativef ort henur set oi nvol veal lthest akehol der si nt hepr ocessoff or gingpar tner shi pand
collabor ationwi tht hecommuni ty.Thi si soneoft hegener al i
deasf ort henur seonhow t ogetst ar t
edin
par tner shi pandcol labor at ionwor kanddoesnoti nvol veadvocacy.Advocacywor kofanur sei nvol vesOpt ionA,
B,andC.Addi tiont ot hisi ssuppor ti
ngpeopl e’sr i
ghtt omakeachoi ceandt oactont hei rchoi ce.
Ref erence:Magl aya,Ar acel i S.( 2004) .Nur si ngPr act icei nt heCommuni ty.4t hed.Page203
SITUATI ON:Thepl anf orcommuni tynur singact i
onorcar ei sbasedont heact ual andpot ent i
al problemst hat
wer ei dent ifi
edandpr i
or itized.
93.St epsi npl anni ngcommuni tynur singact ionsi nclude:
a.Goal setting,const ruct ingapl anofact ion,devel opi nganoper ati
onal plan
b.Ident i
fi
cat ionofneeds,goal set t
ing,devel opi ngoper ational plan
c.Goal setting,const ruct ingapl anofact ion,i mpl ement ationofpl annedcar e
d.Const r
uct ingapl anofact ion,i mpl ement ationofpl annedcar e,eval uat ionoft hepl an
ANSWER:A
Stepsi npl anni ngcommuni tynur singact i
onsi ncl udeGoal set ting,const ruct i
ngapl anofact ion,devel opingan
oper at ional plan
Ref erence:Cuevas,Boni to,et .al.PHN2007,p.45.
94.Communityassessmentsarei
mport
antf
ort
henur
setounderst
andandr espondt
otheneedsoft
he
popul
ati
on.I
nassessingthestr
uct
ureoft
hecommuni
ty,t
henur
sewi l
lfocuson:
a.Col lect i
ngdemogr aphi cdat aonagedi str i
but i
on
b.Visitingnei ghbor hoodschool st or evi ew heal thr ecor ds
c.Inter viewi ngcl ient st odet er mi net hecul tur al make-upoft hesubgr oups
d.Obser vingl ocat ionswher eser vices,suchaswat ersani tation,ar epr ovi ded
ANSWER:D
Whenassessi ngt hest r
uct ur eorl ocal eofacommuni ty,thenur seshoul dt ravel aroundt henei ghbor hoodor
communi t
yandobser vei tsdesi gn,t hel ocat ionofser vices,suchaswat erandsani tat i
on,andt hel ocationswher e
resi
dent scongr egat e.Opt ionA:Col lect ingdemogr aphi cdat aonagedi stribut ionwoul dbeanassessmentoft he
communi t
y’spopul at i
on.Opt ionB:Vi si t
ingnei ghbor hoodschool st or evi ew heal t
hr ecor dsi sanexampl eof
assessi ngasoci al syst em wi thinacommuni ty.Opt ionC:I nt erviewi ngcl ient st odet ermi necul tural make-upof
subgr oupsi sanexampl eofassessi ngt hepopul at ionwi thinacommuni ty.
Reference:Per ryandPot t
erFundament al sofNur sing6t hedi ti
onpage57
47
95.Whi choft hef ol l
owi ngst atement sbestdescr i
bet hechar act eristicofcommuni tydevel opment ?
a.Communi tydevel opmenti sconcer nedwi thapar ticul argr oupofpeopl eint hecommuni ty
b.Communi tydevel opmenti sanadhocpr ogr am
c.Communi tydevel opmentpr ogr am i sbasedont heconsensusoft heoft hecommuni ty
d.Communi tydevel opmenti smost lyconcer nedwi t ht heagr icul tural aspectoft hecommuni t
y
ANSWER:C
Communi tydevel opmentpr ogr am shoul dbebasedonf eltneedsanddesi res,aswel last heaspi rationsoft he
peopl ei nt hecommuni ty.I nt hephi l
osophyofcommuni t
ydevel opment ,i tisconsi der eddesi rablet hat
communi t
yact ionbebasedpr imar il
yont heconsensusoft hecommuni ty,r at herthanapr edet ermi nedpr ogr am
bygr oupofor gani zat ionf rom ei theri nsi deorout sideoft hecommuni ty.
Opt i
onA:Communi tydevel opmenti sconcer nedwi thal lthepeopl eoft hecommuni ty
Opt i
onB:Communi t
ydevel opmentcont inuesoverasubst ant ial per iodoft ime.I tisnotanadhocorcr ash
program,r ather ,itisapr ocess.
Opt i
onD:Communi tydevel opmenti sconcer nedwi tht hewhol ecommuni ty,e. g.,thet ot alneedsoft he
communi t
y,i nst eadofanyonespeci alizedaspect ,suchasagr icul t
ur e,busi nessoreducat ion
Reference:Car menJi menez.Communi tyOr gani zingPar ticipat or yAct ionResear chf orCommuni tyHeal th
Devel opmentPage4-5
96.Conduct ingapr elimi nar ysoci alinvest i
gat i
on( PSI )aboutt hedi fferentbar angaysi spar tofwhi chphaseoft he
COPARpr ocess?
a.Pre-ent ryphase
c.Communi tyst udy/ Di agnosi sphase
b.Ent ryphase
d.Communi tyor gani zat ionandCapabi litybui l
di ngphase
ANSWER:A
PhasesofCOPARpr ocess:
•Pre-ent ryphase-Communi tyconsul tat ions,devel opmentofcr i
ter i
af orsi tesel ection,si tesel ect i
on,PSI
•EntryPhase-I ntegr at i
onwi ththecommuni ty,cont inui ngsoci al invest igat i
ons,cor egr oupf ormat ion,Sel f
Awar enessandLeader shi pt raining( SALT)
•Communi tyst udy/ Diagnosi sPhase– Sel ect ionofr esear cht eam,t raini ngondat acol lectionmet hods,dat a
gather ing,t rai ningondat aval i
dat i
on,pr esent ationoft hecommuni tyst udy
•Communi tyOr gani zat ionandCapabi lityBui ldi ngphase– Communi tymeet i
ngst odr awupgui del i
nesf orthe
organi zat i
onoft hecommuni tyheal thor gani zat ions( CHO) ;El ect ingof ficer s;Team-bui lding/ Action-Ref lectionActi
on(
ARA)
;Wor
kingoutl
egal
requirement sf ort heest abl ishmentof( CHO) ;Or gani zat i
onofwor king
commi tt
eesandt askgr oups;t rainingofCHOof ficer s/communi tyl eader s
•Communi tyact i
onphase– Or gani zat ionandt raini ngofcommuni tyheal thwor ker s( CHW) ;set t
ingupl i
nkages
•SustenanceandSt rengt heni ngphase– I dent ifi
cat i
onofsecondar yl eader s;setti
ngupandi nst i
tutionali
zat i
onof
af i
nanci ngschemef ort hecommuni tyheal thpr ogr ams;For mal izingl inkagesandr eferral systems;Cont inuing
educat i
onandt rainingofcommuni tyl eader s,CHW’s,CHOmember sandcommuni tyr esident s;Devel opmentof
medi um andl ongt erm communi tyheal thanddevel opmentpl ans
Devel opmentPage59-61
97.Cr iter i
af orsel ect ingpot ent i
al sitef ort hepr ogr am woul di ncl ude:
a.Heal thser vicesar ei naccessi ble
c.Thear eamusthaver elativepeaceandor der
b.Communi tyi si npoorheal thst atus
d.All oft heabove
ANSWER:D
Crit
eriaf orsel ect i
ngasi t
e:
•Thesi t
emustbesoci o-economi cal l
ydepr essedandunder ser vedcommuni tywi thmaj ori
tyoft hepopul ati
on
belongi ngt ot hepoorsect or
•Heal thser vi cesi nt hesi tear einaccessi bleori nadequat et omeett heneedsoft hecommuni t
yr esident s
•TheCommuni tyisi npoorheal thst at us
•Thear eamusthaver elativepeaceandor dert oensur esaf et yoft hest aff,st udent sandf acultymember s
•Ther emustbeaccept anceoft hepr ogr am byt hecommuni ty
•Thear eai snotcur rent l
yser vedbysi mi laragenci esorpr ogr ams
Devel opmentPage66-67
98.Int egr ationi st hepr ocessofest abl ishi ngr appor twi tht hepeopl ei nt hecommuni ty,tof aci l
i
tat eintegration
suggest edact ivitywoul di nclude:
a.Conver singwi tht hepeopl ei ncor nerst ores
c.Allowi ngt hem t ot reatyouasavi sitor
b.Par ticipat i
ngi nmahj ongsessi on
d.Doi
ngcli
nicvisi
ts
ANSWER:A
I
ntegr
ati
onisdonedur i
ngEntryphase.Suggest
edacti
vi
tiest
ofacil
i
tateint
egrati
onincl
ude:
•Part
ici
pat
ionindirectproducti
onacti
vit
iesoft
hepeople(pl
ant
ing,harvest
ing,f
ishi
ng)
•Conducti
nghomevi si
ts
•Seeki ngoutandconver singwi thpeopl einpl aceswher et heyusuallygathersuchacor nerst ore,wat erwel l
s,
washi ngst reamsoratt hemar ketpl ace
•Lendi ngahandi ndoi nghousehol dchor es
•Avoi danceofgambl inganddr inkingandshar i
ngr espectf orthepeopl e’sst rengtht ohandl etheirvaluesand
l
ifest yle
Ref er ence:Car menJi menez.Communi tyOr ganizi
ngPar t
icipatoryActionResear chforCommuni tyHealth
Devel opmentPage72
99.Thi si st hepr ocessofest abl i
shi ngr appor twi t
ht hepeopl einacont i
nuingef fortt
oi mbi becommuni tylif
eby
l
ivingandt heunder goingt hesameexper i
ences,shar i
ngt heirhopes,aspirations,andhar dshipst owar dsbui l
ding
mut ual trustandcooper ati
on:
a.Par ticipat oryAct i
onResear ch( PAR)
b.Soci al invest igation
c.SpotMappi ng
d.Int egr at i
on
ANSWER:C
I
nt egr at i
oni sest ablishingrappor twi tht hepeopl einacont i
nuingefforttoimbi becommuni tylifebyl i
vi
ngand
theunder goi ngt hesameexper i
ences,shar ingt heirhopes,aspi r
ati
ons,andhar dshipst owar dsbui ldi
ngmut ual
trustandcooper ati
on.Theor gani zert ri
est oimmer sehi msel forherselfi
nt hecommuni tytogett oknow t he
cultur e,hi stor y,economy,l eader sandl i
festyleofthepeopl e.
ngPar t
Devel opmentPage72
100.Act i
vitiesdur i
ngsoci alinvest igationpr ovideanoppor tunit
yto:
a.Ident ifypot entialleader
b.Faci lit
at eint egration
c.AandB
d.Noneoft heabove
ANSWER:A
Thr oughsoci al i
nvest i
gat i
on,ef f
or tsar eexer tedtoi denti
fypot enti
alleaderswhocanassi stthecommuni ty
organi zerorst affinpr ovidi
ngorval i
datingdat aaboutt hecommuni t
yandi tspeopl e.Theact ivit
iesareassessed
aswel last hewi l
li
ngnessofeachpot ent i
alleadert owor kf orachanget hrought heirinvolvementi nthedi ff
erent
act i
vities.
ngPar t
Devel opmentPage74
DOHPROGRAMS
1.TheDOH,i npar tner shi pwi thsomeknownest abl ishedagenci es,hasl aunchedanewpr ojectcal ledNARSt o
addr esst hesur plusofnur sesnowadays.Themaj orgoal oft hispr ogram i s:
a.Topr ovi def reevol unt eerpr ogr am f ornur sest ogai nexper i
ence
b.Tor educet henumberofi nexper iencednur sesandpr olifer ationofvol unt eernur ses
c.Togi veempl oymentcer tifi
cat i
onaf terr ender ingser vicesi nt hecommuni tywi thaspeci fiedper iodoft ime
d.Topr ovi deempl oymentsecur ityaf terpassi ngt hequal ifyi ngexami nation
ANSWER:B
TheNARSi sTr aini ngcum Depl oymentPr ogr am,ai medataddr essi ngt hegl uti ninexper i
encednur sesandt he
prolif
er at ionof“vol unt eernur ses” wor kingi nhospi talswhoi nmanyi nst ancesevenpayf ort heexper i
ence.i tal
so
aimst opr omot eheal thoft hepeopl eandbr ingt hegover nmentcl osertot hem.
Refer ence:Phi l
ippi neJour nal ofNur sing.Vol ume79No. 1.Page26.
2.Int hei ntr oduct i
onoft heNARSpr ogr am,t het rai neeswi l
l bemobi li
zedasheal t
hwar riorsi nt heirhomet owns
forsever al mont hswhi chent ai lthem t oser vet hei rcommuni tyforabout :
a.2mont hs
b.4mont hs
c.6mont hs
d.12mont hs
ANSWER:C
Nur sesatanaver ageof5permuni cipal ity,ar edepl oyedt ot he1 ,000poor estmuni cipaliti
esf or6mont hs.
Anot herbat chwi lltakeoverf ort hesameper iod.
Refer ence:Phi l
3.Janna,oneoft heat tendeesdur ingt heor ient at ion,i sr el uct antt obepar toft heNARSpr ogr am f orshepl ans
togoabr oadatt heear li
estpossi blet i
me.Shei sconcer nedt hathert rai
ni ngaspar toft heNARSmaynotbe
creditedf orover seasnur sing.TheCer tificat ei nt heNARSpr ogr am i s:
a.Ai mi ngt opr ovi der eci proci tyt husnur seswoul dnothavet ot akequal i
fyingexami nation
b.Abl et oqual ifiesf ort hewor kexper i
encer equi rementofhospi t alswhet herbel ocal orover seas
c.Toshor tent heneededcl inical exper i
encer equi redf ort heappl icati
onofnur singabr oad
d.Li mitedt ot hel ocal empl oymentast heser vicesr ender edi nt heRur alar eaoft hePhi li
ppi nes
ANSWER:B
Thecer t i
ficat egi venaf tert hecompl et ionoft het raini ngpr ogr am qual i
fi
esf ort hewor kexper iencer equi r
ementof
hospi talsandot herheal thf aci li
ties,l ocal andover seas.
Refer ence:Phi l
4.TheNARSpr ogr am i saheal thcar ei nt er vent iont oai di nt hef ul fil
lmentoft heAl ma-At auni ver sal goal of
“Heal thf orAl lin2000”.Thi spr ogr am wi l
ldepl oynur sesi nt hepoor estcommuni t
iesint hePhi li
ppi nespr i
mar i
ly
to:
a.Par ticipat ei ndevel opment al pr ocess
c.Pr ovideheal thser vi ces
b.Enhancecommuni typar ti
ci pat ion
d.Bei mmer sedandi nt egr at ewi tht hecommuni ty
ANSWER:A
Onebasi cpr inci plei nanycommuni typr oj ecti st ost artf rom wher ethepeopl ear eandbui ldwi thwhatt hey
have.Thi smeansi mmer sionandi nt egr at i
oni nt hecommuni tyt hatdef i
nitelyt akesl ongert han6mont hs.
Ther efor eopt ionDi sincor rectasi tr efer st owayst oi nf i
ltrat et hecommuni ty,ent ryphaseofcommuni ty
organi zing.
Thenur semaybet heski l
ledonebutt hepeopl ear et he“pr imemover s” f orshapi ngt hei rheal thandl ife– a
componentoft hepr ogr am asi tenhancescommuni typar ti
ci pat iont hatst rengt henst hepr ogr am.
Wedonott oa( poor )communi tysi mpl yt opr ovideheal thser vi
ces.Wepar ticipat einadevel opment alprocess
wher et hef irstbasi cst epi st ol istent ot hepeopl e’sst or i
esofdi seaseandpover tyandunear tht her easonsand
factorst hatcont ribut et ot heirpl i
ght .Ther ef or e,maki ngopt ionAt hecor rectanswer ,andr ul eoutopt ionC.i n
mostcases,youl ear nt hatt hei rheal thpr obl emsar ei nt erwi nedwi theconomi c,soci al,andpol iti
cal issuest hat
i
mpactt hei rlives.Andasi mpor tantas,ormor et hanheal thser vi ces,t hepoorneedt hebasi cr equi sitesf or
survival namel yf ood,shel t
erandl ivel i
hood.
Refer ence:Phi l
5.Uponcompl etionoft het rai ningpr ogr am,t henur sesr ecei veaCer ti
fi
cat eofCompl etionj oint l
yissuedbyt he
fol
lowi ngagenci esexcept :
a.DOH
b.DOLE
c.PRC
d.PNA
ANSWER:D
Uponcompl et ionoft het raini ngpr ogr am,t henur sesr ecei veaCer t
if
icateofCompl etionj ointlyi ssuedbyt he
DOLE,DOHandPRC.Thi scer tifi
cat equal ifiesf ort hewor kexper iencer equi rementofhospi talsandot herheal t
h
facil
iti
es,l ocal andover seas.
Refer ence:Phi l
6.TheN. A. R. S.Pr ogr am l aunchedbyPr esi dentGMAser vesasa“pumpPr iming” st rategyt omi tigat ethei mpact
ofthegl obal financi al cr i
sis.Thepr ogr am i si nt endedt oai d:
a.Regi ster ednur sest oacqui reacer tificat ebyvol unt eer ingf oraspeci fi
edper iodoft ime
b.Filipi nonur seswor kingover seast hatdonotyetear nedt heirt enur e
c.Newl yl icense,i nexper iencednur sest ogai nr el i
abl eexper ience
d.Al loft heabove
ANSWER:C
TheNARSi sTr ainingcum Depl oymentPr ogr am,ai medataddr essi ngt hegl uti ni nexper i
encednur sesandt he
prolifer at i
onof“vol unt eernur ses” wor kingi nhospi talswhoi nmanyi nst ancesevenpayf ort heexper i
ence.i tal
so
aimst opr omot eheal thoft hepeopl eandbr i
ngt hegover nmentcl osert ot hem.
ACTUALBOARDCONCEPTNOV. 2009
Refer ence:Phi l
ippi neJour nal ofNur sing.Vol ume79No. 1
.Page26.
7.Anot herpr oj ectl aunchedbyt heDOHi st hePr ojectEnt repr enur sewhi chencour agesnur sesnotonl yt oseek
butcr eat ej obsandengagei nincomeaugment at i
onpr ogr ams.Theunder lyingconceptoft hispr ojecti sbased
on:
a.Br ingi ngi ntoawar enessofnur sest heoppor tuni tyf orwi derhor i
zonoft hepr ofessi on
b.Br ingi ngpr imar yheal thcar et ot hecommuni tyt hruhomeheal thcar e
c.Thef ul fi
ll
mentoft heDOHmi ll
enni um devel opment al goal sf orbet terheal t hcar eser vicesandheal thynat i
on
d.Maxi mi zingempl oymentoppor tuni tiesf ort hecount r y’sunempl oyednur ses
ANSWER:B
ENTREPRENURSEi sr oot edf rom t heor iginal conceptofI NTRODUCI NGAHOMEHEALTHCAREI NDUSTRYI NTHE
PHILI PPI NES.Thi spr ojectai mst opr omot enur seent repr eneur shipbyi nt roduci ngahomeheal thcar ei ndust r
yt o
reducet hecostofheal thcar ef ort hecount ry’si ndi gentpopul ationby( 1 )bringi ngpr imar yheal thcar eser vicest o
poorr ur al communi ti
es,( 2)t omaxi mi zeempl oymentoppor tuni t
iesf ort hecount ry’sunempl oyednur sesand( 3)
tout i
lizet hecount ry’sunempl oyedhumanr esour cesf orheal thf orthedel iver yofpubl icheal thser vicesandt he
achievementoft hecount ry’sMi ll
enni um Devel opmentGoal sonmat er nal andchi ldheal th,consi stentwi t
ht he
Four mul aOnef orHeal thf ramewor koft heDepar tmentofHeal th.Opt i
onsB,CandDar ecomponent soft he
healthcar eindust ryandt hemeanst oef fect i
vel yachi evei t
sgoal ofr educi ngt hecostofheal thcar e.
Refer ence:Souveni rPr ogr am.Oat ht aki ngCer emonyf orNewPr ofessional Nur ses.Mar ch201 0.Page227.
:BONNewsl etter .Mar ch8,201 0,Vol ume6.Page1 0.
8.Impl ement ationoft hepr ojecti nvol vesor gani zi ngunempl oyednur sesi nt ocooper at ivesi naci tyorpr ovince.
Thepr elimi nar ymoneygr anti spr ovi dedbywhi chagency?
a.BON-PRC
b.Phi lHeal t
h
c.DOLE
d.DTI
ANSWER:C
TheI ni tial Proj ectCostAl locat i
onbyt hegover nmenti sP2. 5mi l
li
onf orthepi lotr egi on,Regi on1 1,tobegr anted
tonur secooper ativesatP500,000. 00percooper at iveperpr ovi nceandf orDavaoCi ty.I nthef ull
-scal e,
nationwi dei mpl ement at ion,P1 6mi l
lionwi l
lber equi red,atP1mi ll
ionperr egi onx1 6r egi ons.Sour cesof
fi
nanci ngaf terDOLEi nitial gr antar e:LGU,Phi lHeal th,ECC,HMOs.PRI SM-USAI D,f or eigngr nat s,Congr essman,
Senat or sandsel f-payi ngcl ient s.
DOLE-pr ovideover al lmanagementanddi rect ionandpr ovidef i
nanci al assi st ancei nt hef or m ofgr ant sto
nurses’ cooper ativeswhi cht hel at terwi lluseasst ar t-upcapi tal.TheDOLEt hr oughi tsr egional officesshal lalso
assistt henur sesor gani zet hemsel vesi ntocooper ativesorassoci ationsandr egi stert hemsel veswi t
ht he
appr opr iategover nmentaut hor ity.
DOH– l eadi nt hef or mul at ionorr ef or m ofheal thpol ici esi nsuppor toft hisi ni ti
at ive,i ncludi ngr ef erringpat ients
tothepr oject ’snur ses’ cooper at i
ves.
Phil
Heal th– Payt hepr oj ect ’snur ses’ cooper at i
vef ort heirser vi
cesr ender edt oPhi lhealthmember sorr ei
mbur se
Phil
Heal thmember sf ort hesame.
LGUs– i dent ifyt hebar angayswhi char emosti nneedofheal t
hcar eser vicesandpayf ortheser vicesoft he
project ’snur ses’ cooper ativeonapervi sitbasi s.
BON-PRC– pr omot enur seent repr eneur shipamongt hecount ry’snur singst udent sandschool sandr esear chon
thef easi bili
tyofi ncl udi ngnur seent repr eneur shi pi nt heBSNcur ri
culum
Refer ence:Souveni rPr ogr am.Oat ht aki ngCer emonyf orNewPr ofessional Nur ses.Mar ch201 0.Page227,230.
9.Impl ement ationoft hepr ojecti nvol vesor gani zi ngunempl oyednur sesi nt ocooper at ivei naci tyorpr ovince
basisusi ngassi stancei naf orm ofgr ant st ogethomeheal t
hcar ebusi nessst ar ted.Tobui ldacooper ativeper
cit
ybasi s,t henumberofmember sshoul dr eachatl east :
a.250
b.500
c.1,000
d.5, 000
ANSWER:B
Ther eshoul dbeatl east500member spercooper ativef oraci t
yandatl east1 ,000member sf orapr ovi nce.
Met roMani laci t
iesshal l beconsi der edapr ovi ncef ort hepur poseoft hisi nitiat i
ve.
Refer ence:Souveni rPr ogr am.Oat ht aki ngCer emonyf orNewPr ofessional Nur ses.Mar ch201 0.Page229.
10.Nur sesundert heEnt r
epr enur sepr ogr am ar er equi r edt oser vei nabar angayf orhow manymont h/ saf ter
beingshi ftedt oanot herar ea?
a.1mont h
b.2mont hs
c.3mont hs
d.6mont hs
ANSWER:A
Nursesenr olledi nt heEnt repr enur sepr ogr am i st oser veperbar angaybasi sf oramont h.
Refer ence:BONNewsl et ter .Mar ch8,201 0,Vol ume6.Page1 0.
11.Nur sesundert heEnt repr enur sepr ogr am act sbot hasaheal theducat ororheal thcar epr ovi der .Wi thever y
vi
si
t,theyshouldrecei
veapaymentwhi chisnotlesst
han:
a.P850. 00
b.P1,000.00
c.P8,000/mont h
d.P2,000.00
ANSWER:B
Duri
ngt hebarangayvisi
t,t
henursewi l
lperfor
m bothashealt
heducatorandhealthcar
eproviderandwil
lbe
compensat edforherser
vicesbyeit
hert heLGUort hesponsori
ngorgani
zati
on,suchasPhilHealt
h,ECC,
Congressmen,andSenat orsorsomei nter
nati
onaldonor,whi
chshouldnotbelessthanP1 ,
000.00pervi
si
t.
Refer
ence:SouvenirProgram.OathtakingCeremonyf orNewPr of
essi
onalNurses.March2010.Page231.
12.Toensur et hatser vicesbei ngr ender edar eef ficientandpr oduct i
veast heycont ri
but etoal leviati
ngt he
heal t
hbur densofpoorr ur alcommuni ti
es,eachcooper at i
veshoul dhaveatl eastone:
a.Rur alHeal thdoct or
b.Super visor
c.Headnur se
d.Publ i
cheal thof fi
cial per hapsacounsel or
ANSWER:C
Eachcooper at i
veshoul dhaveatl eastoneexper i
encedheadnur set oover seei tsoper ati
ons.
Refer ence:Souveni rPr ogr am.Oat htaki ngCer emonyf orNewPr of essional Nur ses.Mar ch201 0.Page227.
13.Thi sr ef erst ot het ool whi chenabl est henur sedur i
nghervi sit,toper for m apr ocedur ewitheaseand
deftness,t osavet i
meandef for t,wi tht heendvi ewofr ender ingef fect i
venur singcar e.
a.Bagt echni que
b.Publ i
cheal thbag
c.Homevi sit
d.Bl ackbag
ANSWER:A
Thebagt echni quei st het ool whi chenabl est henur sedur inghervi sit,toper form apr ocedur ewi theaseand
deftness,t osavet i
meandef for t,wi tht heendvi ewofr ender ingef fect i
venur singcar e.
14.Whi chonei sacor rectpoi nt ert oconsi deri nt heuseoft hepubl icheal thbag?
a.Thebagshoul dcont ainal l t
henecessar yar t
iclest hatwi llbeusedsol el yf oremer gencyneeds
b.Thebagandi t scont ent sar enotconsi der edst er il
e.
c.Thear rangementoft hecont ent soft hebagshoul dbet heonemostconveni entt ot heuser .
d.Thear rangementoft hecont ent soft hebagshoul dbet heonemostconveni entt ot hepat ient .
ANSWER:C
Thear rangementoft hecont ent soft hebagshoul dbet heonemostconveni entt otheuser ,tof acil
it
ateef fi
ciency
andavoi dconf usi on.
15.Topr eventcont ami nat ion,t hef ollowi ngar edonecor r ect l
yi nbagt echni que,except :
a.Uponar rival,pl acet hebagont het abl el i
nedwi thcl eanpaper .
b.Takeoutt heapr onandputi tonwi tht her ightsi dei n.
c.Cl oset hebagaf terput tingont heapr on
d.Af tergi vi ngt reat ment ,cl eanal lthet hingsusedandper form handwashi ng.
ANSWER:B
Takeoutt heapr onf r
om t hebagandputi tonwi tht her ightsi deoutt opr ot ectt henur se’suni form.
SITUATI ON:Gi vingt ot hei ndi vidual pat ientt henur si ngcar er equi redbyhi sspeci f i
cill
nesshel phi mr eacha
l
evel off unct ioni ngatwhi chhecanmai nt ainhi msel fordi epeacef ull
ywi thdi gni ty.
16.Whi choft hef ollowi ngpr i
nci pl esi nnur singcar ei nt hehomei si ncor rect ?
a.Nur singcar eut il
i
zesamedi cal pl anofcar eandt reat ment .
b.Nur singcar egi venathomeshoul dnotbeusedasat eachi ngoppor tuni tyt ot hepat i
ent.
c.Theper formanceofnur singcar eshoul dr ecogni zedanger si nt hepat ient ’sover -pr ol
ongedaccept anceof
suppor tandcomf ort.
d.Nur singcar ei sagoodoppor tuni tyf ordet ect i
ngabnor mal signsandsympt omsi nt hepat ient .
ANSWER:B
Nur singcar egi venathomeshoul dbeusedasat eachi ngoppor tuni t
yt ot hepat ientoranymemberoft hef ami l
y
SITUATI ON:Ther ear eot herf ieldsofnur singwher epubl icheal thnur sesar ewor king.Theyar ei nschool sand
wor kset ti
ngs.
17.School nur singi sat ypeofpubl icheal thnur singt hatf ocusesont hepr omot ionandwel l
nessoft hest udent s,
teachi ngandnon-t eachi ngper sonnel oft heschool .Ever yschool chi l
dshoul dbeexami nedatl eastf orhow many
ti
mesayear ?
a.onceayear
b.onceever ygr adingper iod
c.twi ceayear
d.ast heneedar i
ses
ANSWER:A
Ever yschool chi l
dshoul dbeexami nedonceayearandast heneedar isesl i
kedur ingepi demi cs.
Refer ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi l
ippines.1 0thEd. ,Page91
18.Asaschool nur se,yourf unct ionsi ncl udeoft hef ol
lowi ng,except :
a.Heal thassessment
c.St udentheal thcounsel ing
b.Put t
ingupaf unct i
onal school cl i
nic
d.Noneoft heabove
ANSWER:D
Alloft heopt ionsi nA,BandCar ef unct i
onsofaschool nur se.Ther ei snoexcept i
onanswer .Ot herfunct i
onsof
theschool nur sear e:1 )School heal thandNut ri
ti
onSur vey.2)St andar dVi sionTest i
ngf orSchool chil
dren.3)
Earexami nat i
on.4)Hei ghtandwei ghtmeasur ementandNut ri
tional St atusDet er mi nation.5)Medi cal referrals.
6)At tendancet oEmer gencycases.7)Heal t
handNut ritionEducat ionact iviti
es.8)Or gani zationofschool communi t
yheal
thandnut
ri
ti
on
counci l
s.9)Communi cabl edi seasecont rol 10)Est abl i
shmentofDat abankon
School Heal t
handNut ritionact ivities.1 1 )School Planti nspect ionf orHeal thenvi r onment .12)Rapi dCl assr oom
i
nspect ion.1 3)Homevi si tation.
Refer ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi l
ippines.1 0thEd. ,Page90-96
19.Inschool nur sing,t hisshal lbedonei nitiallyt opr ovidedat af oreval uat ionandf orpl anningpur poses.
a.Schoolhealthandnut ri
ti
onsurvey
c.Healthassessment
b.Putt
ingupaf unct
ionalschoolcl
ini
c
d.Earexami nat
ion
ANSWER:A
Schoolhealt
handnut r
it
ionsurveyshall
bedonei
nit
ial
l
ytopr
ovi
dedat
aforeval
uat
ionandf
orpl
anni
ngpur
poses
20.I naschedul edschool nur singheal thassessment ,t henur sepr eparest hef oll
owi ng,except :
a.Twot ot hr eechai rs
c.Tonguedepr essor ,penl ight
b.wast ebasket
d.Cl ampsandsur gical sci ssor s
ANSWER:D
Thenur sepr epar est hef ollowi ng:wel l-lightedandvent il
at edr oom,t wot othr eechai rsaccor di
ngt oneed,
wast ebasket ,handwashi ngf aci l
iti
es,t onguedepr essor ,penl i
ght ,BPappar atusandf ormsorr ecor ds
REFERENCE:( Cuevas,Boni to,et .al.PHN2007,p.91 )
.
21.Ani tahasavi sual acui tyof20/ 40shoul dbe:
a.Assessf ur therbyt henur se
c.Ref erred
b.Askedt ocomebacknextweekf oranot hert est
d.Askedt oweargl asses
ANSWER:C
Achi l
dwi thavi sual acui t
yof20/ 40orpoor erduet oer rorofr ef r
actionshoul dber ef erred.
.
22.I nDepEd,wei ght -for -ageandhei ght -for-agei ndi cat orsar eusedf or:
a.Chi l
dr enbel ow 1 0year s
c.Chi l
dr enbel ow7year s
b.Chi l
dr en1 0year sandabove
d.Chi l
dr en7year sandabove
ANSWER:A
InDepEd,wei ght -for-ageandhei ght -f or-agei ndicat or sar eusedf orchi l
dr enbel ow 1 0year swhi leBMIi susedf or
children1 0year sandabove
.
23.Whi chi snott rueaboutNut ri
tional st atusdet ermi nat ionandmanagementi nchi ldr en?
a.Appr opr iateschool feedi ngpr ogr amswi thr ice,mi l
korf or t
ifiednoodl esar egi vent ochi ldrenwi thbel ow nor mal
nutriti
onal statusf or1 20f eedi ngdays.
b.Dewor mi ngi sapr e-r equi sit
ebef or ef eedi ngpr ogr am
c.Par ent al consenti snotamustbef or edewor mi ngi sdone
d.Hei ghtandwei ghtmeasur ementof fer sthemostaccept ablepar amet ertodet er mi net henut ri
tional statusof
children.
ANSWER:C
Par ent al consenti samustbef oredewor mingi sdone
24.Whi choft hef oll
owi ngcasesneedshomevi si
tation?
a.Pupi lswhosepar entsar enotaf raidofmedi cal pr ocedur es.
b.Pupi lswhor ecover edf rom communi cabl edi seases.
c.Pupi lswhoar emal nour i
shed.
d.Pupi lswhower eabsentf requent l
yf ort hel astschool yearbutar eregul arlypr esentf ort hecur rentschool year.
ANSWER:C
Thef ollowi ngcasesneedhomevi sitation: Pupi l
swhosepar ent sar eafraidofmedi cal pr ocedur es. ;Pupi l
ssuf feri
ng
from communi cabl edi seases;Pupi lswhoar emal nour ished;Pupi lswhoar eabsentf requent lybecauseof
sickness.
(Cuevas,Boni to,et .al.PHN2007,p.97) .
25.Occupat ional healthnur singi sspeci alt
ypr act i
cet hatpr ovi desf oranddel i
ver sheal thcar eser vicest owor kers
andwor kerpopul at i
ons.Whi chessent i
al componentoft hispr acticerefer stot hepr ocessofcoor dinatingan
i
ndi vidual client ’sheal thcar eser vicest oachi evequal itycar e?
a.Heal thpr omot i
onandpr event ion
c.Pr imar ycar e
b.Casemanagement
d.Managementandadmi nistration
ANSWER:B
Casemanagementi soneoft heessent i
al component soft heOccupat i
onal Heal thnur singpr acti
ce.Thi sisa
processofcoor dinat ingani ndi vidual cl i
ent ’sheal thcar eser vicest oachi eveopt imal ,qual i
tycar edel i
ver edin
cost -ef fect ivemanner .Theot heressent i
alcomponent sar e:1 )Heat hpr omot i
onandpr event i
onpr i
ncipl es.2)
Wor kerorwor kplaceheal thhazar dassessmentandsur vei l
lance.3)I nj
ur yandi ll
nessi nvest igat i
on,anal ysisand
prevent ion.4)Pr imar ycar e.5)Counsel i
ng.6)Managementandadmi nistration.7)Legal andet hical moni tori
ng
8)Resear ch.9)Communi tyor i
ent at i
on.
Ref erence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi lippines.1 0thEd. ,Page1 08110
owi ngi sconsi der edanexampl eofamechani calhazar d?
a.Exposur et oaer osol s
c.Repeat edawkwar dmovement swi thhandhel dt ools
b.Exposur et oext remet emper atur es
d.Raci al inequal ity
ANSWER:C
Mechani cal hazar dsar eagent smaycausest ressont hemuscul oskeletal orot herbodysyst ems.Hazar dsi nclude
i
nad3quat ewor k-st ationandt ool desi gn,f requentr epet it
ionofal imit
edmovement ,repeat edawkwar d
movement swi thhand-hel dt ools,l ocal vibration.Heal t hef fect smaybeacut e( neckst rain,visual fat i
gue) ,chronic
(Raynaud’ssyndr omef rom useofvi br ati
ngpowert ool s,car pal tunnel syndr omeandbacki njury)
Ref erence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi lippines.1 0thEd. ,Page1 11
27.Bot ikangBar angayr ef erst oadr ugout letmanagedby:
a.Bar angayChai rman
c.Legi
ti
mateCO,NGOandLGU
b.CommunityOrganizati
on(CO)
d.Trai
nedBarangayHealthWor ker
s
ANSWER:C
Boti
kangBarangay( BnB)ref
erstoadrugout
letmanagedbyal egi
ti
mateCommuni
tyOr
gani
zat
ion(
CO)
,Nongover
nmentOr
gani
zat
ion(
NGO)
andtheLocalGovernmentUnit(LGU)wit
hatrainedoper
atorandasupervi
si
ng
phar maci standspeci f
icallylicensedbyt heBur eauofFoodandDr ugs( BFAD)t osel l
,di stribut eof ferf orsal eand
ormakeavai lablel ow-pr icedgener ichomer emedi esovert hecount erdr ugs( OTCs) .
Refer ence:Cuevas,Fr ancesP. ,et.al .(2007)DOH’sPubl i
cHeal thNur singi nt hePhi lippi nes.1 0thEd. ,Page335
28.Itsel l
s,di stri
but essel ect edmedi cat i
onf orchr oni cdi seasest hatr equi rel i
fetimemedi cat i
onsuchast he
foll
owi ng,except :
a.diabet es
b.hyper tensi on
c.ast hma
d.cat ar act
ANSWER:D
BotikangBar angay( BnB)sel ls,di stributessel ect edmedi cat i
on,someofpubl i
cly-knownpr escr i
pt i
onant ibiotic
drugssuchasAmoxi ci
lli
nandCot rimoxazol eandr ecent l
y,sel ect edmedi cationf orchr oni cdi seasest hatr equi res
l
ifeti
memedi cationssuchasdi abet es,hyper tensi onandast hma.
29.Bot ikangBar angayr efer st oadr ugout l
ett hatwasest ablishedt opr omot eequi tyi nheal thensur ingt he
availabilityandaccessi bili
tyofaf fordabl e,saf eandef f
ect i
vequal ityessent i
al drugs.Al lbutone,ar econsi der ed
crit
eriaf orest abl ishi ngaBot ikangBar angay:
a.Communi tysour cesf undatl east1 /4oft hei niti
al capi tal r
equi rement s
b.Itshoul dbemanagedoroper atebyanest abl i
shedcommuni t
yor gani zationorcooper ati
ve
c.Ther eshoul dbet heavai l
abi l
ityofaBot ikangBar angayspace
d.Ther eshoul dbet hecommi tmentf rom al icensedphar maci stt osuper vise,t heoper at i
onsoft heBot ikang
Barangay.
ANSWER:A
Communi t
ysour cesf undsatl east1 /3oft hei nitial capi tal requi rement si soneoft heCr iteriaf orest abl i
shi nga
BotikangBar angay.Opt i
onB,CandDar eot hercr i
teria.
30.Thef ol l
owi ngdr ugsar eavai l
abl ei nt heBot ikangBar angay,except :
a.Ant aci ds
b.Met for mi n
c.Ant i-ver tigo
d.None
ANSWER:D
Ther ei snoexcept ioni nt hechoi ces.Thel i
stofOTCdr ugpr epar at i
onf orBot i
kangBar angayar e:
1)Anal gesi c/ Ant ipyr eti
cs2)Ant aci d3)Ant ihelmi nthi cs4)Ant i-hi stami nic5)NSAI Ds6)Ant i-ver t
igo7)
Bronchodi lat or/Ant i-cough8)Di ur eti
c9)Ant i
tussi ve1 0)Nasal Decongest ant s1 1)Ant i
-mot i
li
ty1 2)ORS1 3)
Laxat i
ve/ cat har tics1 4)Ant i-scabi es/ant i-lice/1 5)Ant i-anemi c1 6)ant i-fungal s1 7)Vi t
ami ns1 8)Mi ner al s1 9)
Antii
nf ect i
ves( Amoxi cil
li
nandCot rimoxazol e)20)Medi cat i
onsf orchr oni cdisease( Met for mi n,Gl i
bencl ami d,
Met opr ol ol,Capt opr il
,Sal but amol )21 )Topi cal nasal decongest ant22)Di sinfect ant s.
cHeal thNur singi nt hePhi lippi nes.1 0thEd.Page336338
31.Int hePhi l
ippi nes,t hemai nor al heal t
hpr obl emsar edent al car riesandper i
odont al disease.Theset woar e
widespr ead.Or al heal t
hpr ogr am oft heDOHai mst oreducepr eval encer ateoft hese.Fort hesechi ldren1 2-71
mont hsol d,whenshoul ddent al check-upsbedone?
a.Onceayear
b.Ever y6mont hs
c.Ever y3mont hs
d.Onceever y2year s
ANSWER:B
Dent al check-upsassoonast hef ir
stt oot happear sandever y6mont hst hereaf ter .Includi ngser vicesf ort hese
chil
dr enar e:super vi sedt oot hbr ushi ngdr il
ls,or al ur gentt r
eat mentandappl i
cat ionofAt r aumat i
cRest or ative
Treatment( ART) .
cHeal thNur singi nt hePhi lippi nes.1 0thEd. ,Page1 64
32.Underwhi chcl assi ficat i
onofor al i
nter vent ionswi llfluor i
deut i
lizat i
onpr ogr am f all
?
a.Pr event iveser vices
b.Pr omot i
veser vi ces
c.Cur at iveser vices
d.Rehabi li
tat iveser vices
ANSWER:A
FlourideUt ili
zat i
onPr ogr am i sanon-i nvasi veandcont rol measur est hr oughmul tipleuseoff l
uor i
desi nar eas
wher ef our idecont enti sl ow.Thi sisunderpr event ivemeasur est oget herwi thor al exami nation,or alhygi eneand
pitandf issur eseal antpr ogr am.
cHeal thNur singi nt hePhi lippi nes.1 0thEd. ,.Page1 65
33.Incur at i
ve/ treat mentser vices,t heor al inter vent i
oni ncl udet hef ol l
owi ng,except :
a.Per manentf il
ling
c.At raumat icRest or ativet reat ment
b.Gum t reat ment
d.Pitandf issur eseal antpr ogr am
ANSWER:D
Pitandf i
ssur eseal antpr ogr am i sunderpr event i
veser vices.Thi si sanon-i nvasi vepr event iveandcont rol
measur est oot hdecayf orchi l
dr en.Fl uor idet her apyi sbestf orsmoot hsur facesbutl i
mi tedwher egr indi ng
surfacesar econcer nedowi ngt ot hepr esenceofpi tandf i
ssur esont hesur face.
Opt i
onA– whi chi st her estor ationofsavabl et eet hwi thamal gam,composi teorgl assf ili
ngmat er i
als.
Opt i
onB– i st hedeepscal ingandr ootpl anni ngofaf fect edt oot hort eet hf orpr egnantmot herandol derper son
withper iodont aldi sease.
Opt i
onC– i sonef orm ofper manentf il
li
ngf orpr ior it
yt ar getgr oupsbymanual lycl eani ngdent al cavi t
iesusi ng
handi nst rument sandf il
li
ngt hecavi t
ieswi thf luor ider eleasi nggl assi onomerr est orativemat er i
als.
Reference:Cuevas,Fr ancesP.,et.al.(2007)DOH’sPubl i
cHeal thNur singinthePhil
ippi
nes.10t
hEd. ,
.Page165
34.Essent i
alhealthcarepackagesf ortheadolescentandtheyouthi ncludesallbutoneofthefol
lowing:
a.Dental care
c.Screeningandmanagementofchr onic,debi
li
tati
ngandinfect
iousdiseases
b.Fami l
ypl anning
d.Nutri
tionanddi etcounseli
ng
ANSWER:C
Screeningandmanagementofchr onicanddebilit
ati
ngandinfecti
ousdi seasesisundertheEssenti
alHealt
hcare
packagef ort heOlderPersons.TheEssent i
alHealthcar
epackagef ortheAdolescentandYouth:1)Management
ofi l
lness2)Counsel ingonsubst anceabuse,sexual ityandr epr oduct i
vet racti nf ect i
ons.3)Nut riti
onanddi et
counsel ing.4)Ment al heal t
h.5)Fami l
ypl anni ngandr esponsi bl esexual behavi or .6)Dent al car e.
Ref er ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi lippines.1 0t hEd. ,Page1 67
owi ngst at ement sar et ruer egar dingmenandwomeni nt hePhi l
ippines?
a.Asi gni fi
cant l
yl ar gerpor ti
onofmal est hanf emal essuccumbt oacci dent sandi njuries,chr oni cliverdi seases
andTB.
b.Car diovascul ardi seasesar et hel eadi ngcausesofdeat hamongadul tFilipinowomen.
c.Bot hAandB
d.Nei t
herAnorB
ANSWER:C
Asi gni fi
cant lyl ar gerpor t
ionofmal est hanf emal essuccumbt oacci dent sandi njur i
es( 86. 86%) ,chroni cl i
ver
diseases( 86. 39%)andTB( 71 .25%) .Car di ovascul ardi seasesar ethel eadi ngcausesofdeat hamongadul t
Fil
ipinowomeni n2000wi thar at eof85. 67%.
Ref er ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi lippines.1 0t hEd. ,Page1 68169
36.Thescopeoft heSent rongSi gl a( SS)qual ityst andar dsi sf ocusedont hemaj orf unct i
onst hatt heRHUor
heal thcent ermustper for m.Undert hescopeandst ructur eoft heSSqual ityst andar dsl evel 1,whi chi snot
i
ncl uded?
a.Faci l
ityandsyst em
c.Regul atoryf unct ion
b.Basi ccur ativef unct ion
d.Local heal thsyst emsdevel opment
ANSWER:D
Local heal thsyst emsdevel opmenti soneoft hepubl i
cheal thpr ogr amsi nt heLevel I
ISt andar dsofSSQual it
y
Standar ds.Undert hescopeandst ruct ureoft heSSqual it
yst andar dsl evel 1ar e:1 )Faci l
ityandsyst ems
standar ds2)I nt egr at edpubl icheal thf unct i
onst andar ds3)Basi ccur ativef unct i
onst andar ds4)Regul at ory
funct ionst andar ds.
Ref er ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal thNur singi nt hePhi lippines.1 0t hEd. ,.Page323
37.I nt heScopeandst ruct ur eofSSqual ityst andar dsl evel 1,t her ear ef ourcor epubl icheal thpr ograms,whi ch
i
ncl udesal loft hef ollowi ng,except :
a.Int egr atedpr event i
onandcont rol ofl i
fest yler elat eddi seases
b.Chi ldcar e
c.Saf emot her hoodandf ami lypl anni ng
d.Pr event i
onandcont r
ol ofi nf ect i
ousdi seases
ANSWER:A
Integr at edpr event i
onandcont rol ofl i
fest yler elat eddi seasesi sundert heI nt egr at edPubl i
cHeal t
hf unct ionsof
SSQual ityst andar dsLevel I
I.Thef ourcor epubl icheal t
hpr ogr amsar ei nSSqual i
tyst andar dsl evel 1ar e:1 )
Saf emot her hoodandf ami lypl anni ng.2)Chi ldcar e.3)Pr event ionandCont rol ofI nfect i
ousdi seases.4)
Promot i
onofHeal thyl ifest yle.
38.Sent rongSi gl aMovementi st hej ointef for toft heDOHandt heLGUwhosegoal wasqual i
t yheal thcar e.
Whi chl evel ofCer tifi
cat ionr ef er stot hehi ghestl evel qual it
yst andar ds?
a.Basi cSScer tifi
cat ion
b.Speci alt
yawar ds
c.Awar df orexcel lence
d.SSseal
ANSWER:C
Awar df orExcel lencehast hehi ghestl evel qual i
t yst andar dsf ormai ntainingLevel 2st andar ds.
Opt ionA– mi ni mum out put ,pr ocessandout putst andar dsf ori ntegr atedpubl icheal thser vicesf or4cor e
progr ams,f aci litysyst ems,r egul ator yf unct ionsandbasi ccur ativeser vices.
Opt ionB– secondl evel qual ityst andar dsf orsel ect ed4cor epubl i
cheal thpr ogr ams.
Opt ionD– seal wi llnotber emovedbutnoti ssuedanSSst icker .
39.Oneoft hescopeandst ruct ur eoft heSSqual it
yst andar dsi nLevel 1t hatensur ethatt heheal thf acili
tyand
staffpr omot epubl i
cheal thpr ogr amsandpr eventandcont rol publ i
cheal thpr obl emst hroughdi rectpat i
ent /
cli
ent
car eandsuppor tthatar econsi st ent ,wel l,pl annedandwel l execut ed.Thi si s:
a.Faci l
ityandSyst em St andar ds
c.Basi cCur ativeFunct ionSt andar ds
b.Int egr atedPubl i
cHeal thFunct ionSt andar ds
d.Regul atoryFunct i
onSt andar ds
ANSWER:B
Integr at edPubl icHeal thFunct i
onSt andar dsensur et hatt heheal t
hf aci l
ityandst affpr omot epubl i
cheal th
progr amsandpr eventandcont rol publ icheal thpr oblemst hr oughdi r
ectpat ient /clientcar eandsuppor tthatare
consi stent ,wel l
,pl annedandwel lexecut ed.
Opt ionA– ensur et hatt hef aci lityisappr opr iatelyequi ppedwi thsuf fi
ci entmanpower ,logi sticsandor gani zed
procedur es
to
efficient l
y
and
effect i
vel y
promot e
cor e
publ ic
heal th
progr ams.
Opt ionC– ensur et hatt heheal thf aci l
ityandst af fpr ovidebasi ccur at i
veser vicest hatconsi stofpr i
mar ylevel
outpatientandemer gencycar ef orcommonl yencount erednon-program di
seasesinthecommuni t
yt hatare
consistent,wel l
plannedandwel l executed.
OptionD– ensur ethattheheal thfacil
ityandstaffsuppor tandprovideanenvir
onmentt oprevent,reduceand
controlri
sksandhazar dst othecommuni t
yt heyserveandmai nt
ainsafecondi
tionsasmandat edbyheal t
hlaws
andr egulations.
Reference:Cuevas,Fr ancesP.,et .al.(2007)DOH’sPubl icHealt
hNur si
nginthePhil
ippi
nes.10thEd. ,.Page323
40.Toensur epotencyandavoi dspoi lage,temper aturemonitori
ngisdone:
a.Twi ceaday;Ear l
yint hemor ningandatnoon
b.Ear l
yint hemor ningbeforegi vingthevacci nes
c.Twi ceinaday;Ear l
yint hemor ni
ngandi nt heafternoonaf t
ergoinghome
d.Ever yweek;pr ef erabl yever yWednesday
ANSWER:C
Temper at ur emoni toringofvacci nesi sdonei nal llevelsofheal t
hf aci l
it
iestomoni torvacci netemper ature.Thisis
onet wiceadayear lyint hemor ni ngandi nt heaf ter noonbef or egoi nghome.
Ref erence:Cuevas,F.P.et .al .( 2007)DOHBook:Publ icHeal thNur singInThePhi l
ippines. 10thed.Page1 51
41.Nur seSar ahconcl udest hatt heat t
endeesunder st
andhert eachi ngwhent heyanswerwhi choft hef ollowing
whensheasksf ort hemi nimum ager equi rei nadmi ni
steringt hef i
rstdoseofOPV?
a.Uponbi rthoranyt imeaf terbi rthoft hei nf ant
c.Whent hei nf anti s9mont hsol d
b.Whent hei nf anti s6mont hsol d
d.Whent hei nf anti s6weeksol d
ANSWER:D
Themi nimum ageoft hei nfantt oadmi nist ert hef irstdoseofOPVi s6weeksol d.
ippines. 10thed.Mani la,page
149.
42.Whi choft hef ollowi ngi snott rueaboutt heuseofbayabas?
a.Iti susedf orwashi ngt hewounds.
c.Ithasant isept i
cef f
ect .
b.Itcanbeusedasagar gl et or elievet oot hache.
d.Itcanbeusedal sof orst omachache.
ANSWER:D
Opt ionsABCar ecor rectbutopt i
onddescr i
best heusageoft saanggubatasher bal medi cine.
ippines. 10thed.Mani la&
Depar tmentofHeal th.Page325-328
43..Nur seHannahi sconduct i
ngasemi narr egar di ngor al heal t
h.Shecounsel smot herwi t
hchi l
drenbet ween
ages1 2t o71mont hs-ol dt osubj ectt heirchi l
dt ohavef oll
ow-updent alcheckupaf tert hef i
rstvisi
tever y:
a.2mont hs
b.3mont hs
c.6mont hs
d.1 2mont hs
ANSWER:C
Childr en1 2t o71 2mont hsol d:t ypesofor al ser vicesar e:
a.dent al checkupassoonaspossi bleadst hef i
rstt oothappear sandever y6mont hst hereafter
b.super visedt oothbr ushi ngdr i
ll
s
c.or al ur gentt reat ment( OUT)
i
.removal ofunsavabl et eet h
i
i.ref erral ofcompl icat edcases
i
ii
.t reatmentofpostext ract ioncompl icat i
onss
d.appl icat ionofAt raumat icRest or ati
veTr eat ment( ART)
164.
44.Whatt ypeofpr event ivei nter vent ionsi suphel dwhenanur seencour agesever yonet omai ntai
nbasi c
per sonal measur esuchasor al pr ophyl axi s,gum massageandt heuseofmout hwashes?
a.Or alexami nat i
on
b.Or alhygi ene
c.Pi tandf issur eseal antpr ogr am
d.Fl uor ideUt i
lizationpr ogr am
ANSWER:B
Oral hygi enei sabasi cper sonal measur et opr eventandcont r oltoot hdecayandgum di sease.itincludesamong
otheror al prophyl axis,r egul arandpr operwayoft oot hbrushi ng,gum massage,eat i
ngdet ersi
vef oodsandt he
useofmout hwashes.
Opt ionA– i st hecar ef ul checki ngoft heor al cavi tybydul yt raineddent i
sttodet ectanddi agnoseor aldiseases
andcondi tions,or al exami nat i
onsanddet ectsi gnsandsympt omsofSexual ytransmi t
teddi sease-AI DSand
othernoncommuni cabl edi seasessuchasdi abet es.
165.
45.Acl ientcomest ot hedent al clinicf orr est or ationofhert eet h.Thedent i
stadvi seshert ohaveper manent
fi
ll
ing.Thecl ientaskst henur seaboutt het reat ment ,shecor rect lyrepl i
es:
a.“I tisat reat mentofdeepseat edt oot hdecaywi thzincoxi deandeugenol ”
b.“I tisadeepscal i
ngandr ootpl anni ngofaf fect edt oothort eet hf orpr egnantmot hers”
c.“Thi si smanual cleani ngofdent alcavi tiesusi nghandi nstrument sandf i
l
lingthecavi t
ieswi thfl
uor i
de”
d.“I tisar est orationofsavabl et eet hwi thamal gam,composi teorgl assf i
ll
ingmat erials”
ANSWER:D
Opt ionA– t empor aryf il
ling
Opt ionB– gum t reat ment
Opt ionC– at r aumat i
cr est or at i
vet reat mnt
ippines. 10thed. ,Page1 65166.
46.School nur sing,whi chi sasubspeci altyofcommuni tyheal thnur sing,engagesi nact i
viti
eswhi char ef ocused
on:
a.Heal theducat i
oni nschool s
c.Heal theducat i
onandser vi cesi nschool s
b.Heal thser vicesi nschool s
d.Heal theducat i
onandser vicesi nschool sandoccupat ional set ti
ngs
ANSWER:C
School nur singi sat ypeofpubl i
cheal th/communi tynur singt hatf ocusesont hepr omot ionofheal thandwel l
ness
ofthestudentsandt heteachingandnon-t eachingpersonneloftheschool
s.It
smaingoal i
stopr
ovi
dequal
i
ty
nursi
ngservicetotheschool populati
onandt ocr eat
eawar enessthr
oughhealtheducat
ion.
Cuevas,F.P.et.al.(2007)DOHBook:Publ i
cHeal thNursingInThePhil
ippi
nes.
10thed.Manil
a
47.Themai ngoal ofanoccupat i
onalhealt
hnur seis:
a.Topreventjobrelatedaccidents
c.Topromot eandmai nt
ainopti
mal well
-beingandheal thoftheworkers
b.Topreventill
ness
d.Toestabli
shpolici
est opromotet heheal
thoft hewor kers
ANSWER:C
Thef ocusofoccupat ional heal thnur singi st opr eser ve,mai ntainandr est or et heheal thoft hewor kersand
wor kingpopul ation.I tisnotj ustf ort hepr event i
onofi llnessandacci dent s.
Cuevas,F.P.et .al.( 2007)DOHBook:Publ icHeal thNur singI nThePhi l
ippi nes. 10thed.Mani la
SITUATI ON:Ther ear eot herf ieldsofnur singwher epubl icheal thnur sesar ewor king.Theyar einschool sand
wor kset ti
ngs.
48.School nur sing,whi chi sasubspeci altyofcommuni tyheal t
hnur sing,engagesi nact ivi t
ieswhi charef ocused
on:
a.Heal theducat i
oni nschool s
c.Heal theducat i
onandser vicesi nschool s
b.Heal thser vicesi nschool s
d.Heal theducat i
onandser vicesi nschool sandoccupat ional
setti
ngs
ANSWER.C.School nur singi sat ypeofpubl icheal th/ communi tynur singt hatf ocusesont hepr omot i
onof
healthandwel lnessoft hest udent sandt het eachi ngandnon-t eachi ngper sonnel oftheschool s.Itsmai ngoal i
s
topr ovidequal i
tynur singser vicet ot heschool popul ationandt ocr eat eawar enesst hroughheal theducat ion.
49.Themai ngoal ofanoccupat i
onal heal thnur sei s:
a.Topr eventj obr el atedacci dent s
c.Topr omot eandmai nt ainopt imal wel l
-bei ngandheal thoft hewor ker s
b.Topr eventi l
lness
d.Toest abl i
shpol iciest opr omot et heheal thoft hewor ker s
ANSWER.C.Thef ocusofoccupat i
onal heal thnur singi st opr eser ve,mai nt ainandr est or et heheal t
hoft he
wor ker sandwor kingpopul at ion.I tisnotj ustf ort hepr event ionofi ll
nessandacci dent s.
Communi tyOr gani zi
ngPar ticipat oryAct ionResear ch( COPAR)i sast rategyusedi ni mpl ement ingt hedeliveryof
Primar yHeal thCar e( PHC)i ndepr essedandunder ser vedcommuni tiest obecomesel f-r eliant
SITUATI ON:Ther ear eot herf ieldsofnur singwher epubl icheal thnur sesar ewor king.Theyar einschool sand
wor kset ti
ngs.
50.Inschool nur sing,t hi swi l
l bedonei niti
allytopr ovi dedat af oreval uat i
onandf orpl anni ngpur poses.
a.School heal thandnut ritionsur vey
c.Heal thassessment
b.Put tingupaf unct ional school clinic
d.Earexami nat ion
ANSWER:A
Rational e:School heal t
handnut ri
tionsur veyshal lbedonei nitiall
yt opr ovi dedat af oreval uat ionandf or
planningpur poses
Refer ence:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl icheal t
hnur singi nthePhi li
ppi nes.
10thedi ti
on,Page
90
51.Inaschedul edschool nur singheal thassessment ,thenur sepr epar est hef ollowi ng,except :
a.Twot ot hreechai rs
c.Tonguedepr essor ,penl ight
b.wast ebasket
d.Cl ampsandsur gical sci ssor s
ANSWER:D
Rational e:Thenur sepr epar est hef ollowi ng:wel l-li
ght edandvent ilatedr oom,t wot ot hr eechai rsaccor dingt o
need,wast ebasket ,handwashi ngf aci li
ties,t onguedepr essor ,penl ight,BPappar atusandf ormsorr ecords
ppi nes.
10thedi ti
on,Page
91
52.Ani t
awasassessedt ohaveavi sual acui tyof20/ 40.Af t
erassessment ,t heschool nur seshoul d:
a.Assessf urther
c.Ref ert hecl ient
bAskedt ocomebacknextweekf oranot hert est
ANSWER:C
Rational e:Achi ldwi thavi sual acui tyof20/ 40orpoor erduet oer rorofr ef ract i
onshoul dber efer r
ed.
ppi nes.
10thedi ti
on,Page
92.
53.InDepEd,wei ght -for -ageandhei ght -for -agei ndi cat orsar eusedf or :
a.Chi ldrenbel ow 1 0year s
c.Chi ldrenbel ow7year s
b.Chi ldr en1 0year sandabove
d.Chi ldr en7year sandabove
ANSWER:A
Rational e:I nDepEd,wei ght -for -ageandhei ght-f or -agei ndicat orsar eusedf orchi l
drenbel ow 1 0yearswhi leBMI
i
susedf orchi l
dr en1 0year sandabove
ppi nes.
10thedi ti
on,Page
91
54.Whi chi snott r
ueaboutNut ri
ti
onal statusdet er mi nat ionandmanagementi nchi l
dren?
a.Appr opr i
ateschool feedi ngpr ogr amswi thr i
ce,mi lkorf or t
ifi
ednoodl esar egi vent ochi ldrenwi t
hbel ow normal
nutrit
ional stat usf or1 20f eedi ngdays.
b.Dewor mingi sapr e-r equi sitebef or ef eedi ngpr ogr am
c.Parentalconsentisnotamustbef or
edewor mingisdone
d.Heightandwei ghtmeasur ementoffer
sthemostacceptableparametert
odeter
minethenutr
it
ional
stat
usof
chi
ldr
en.
ANSWER:C
Rati
onale:Parentalconsentisamustbeforedewor mingi
sdone
Refer
ence:Cuevas,Fr ancesP.,et
.al
.(2007)DOH’sPubl icheal
thnur
singint
hePhil
ippi
nes.
10t
hedition,Page
93
55.Whichoft hef ol
lowingcasesneedshomevi si
tati
on?
a.Pupi lswhosepar ent sar enotaf raidofmedi cal pr ocedur es.
b.Pupi lswhor ecover edf r
om communi cabl edi seases.
c.Pupi lswhoar emal nour ished.
d.Pupi lswhower eabsentf requent l
yf ort hel astschool yearbutar er egul arlypr esentf ort hecur r
entschool year .
ANSWER:C
Rational e:Thef ollowi ngcasesneedhomevi sitation:Pupi lswhosepar ent sar eaf raidofmedi cal procedur es;
Pupi lssuf feringf rom communi cabl edi seases;Pupi l
swhoar emal nour i
shed;Pupi lswhoar eabsentf requently
becauseofsi ckness.
Ref erence:Cuevas,Fr ancesP. ,et .al.( 2007)DOH’sPubl i
cheal thnur singi nt hePhi l
ippines.
10thedi tion,Page
97
56.Thi sl egal basi soft heschool heal t
hpr ogr am st atest hatever yef fortshoul dbeenact edt opr omot ethechi l
d’s
wel far eandenhancehi shappyoppor tuni ti
esf orausef ul happyl i
fe:
a.PD603
b.RA847
c.PD491
d.LOI441
ANSWER:A
Rational e:PD603Chi l
dandYout hWel fareCode:Ar ti
cleI :“Thechi ldi soneoft hemosti mpor tantassetsoft he
nation.Ever yef for tshoul dbeenact edt opr omot et hechi ld’swel far eandenhancehi shappyoppor tunit
iesf ora
usef ul happyl ife.” RA847i sther etur nodfdent al andmedi cal from t heDOHt oDeptofeducat i
on.PD491
desi gnat edJul yasnut r
itionmont h.LOI441mandat edt hei ntegr ationofnut r
itioneducat i
oni nt heschool
curricul um.
ippines.
10thedi tion,Page
99
SITUATI ON:Theheal thoft hepeopl eint hewor kpl acei sanot heri mpor tantf ocusf orcommuni tyhealthnur si
ng
pract ice.
57.Nur seWi ll
ieisapubl icheal thnur seandheknowst hathecanal sof unct ionasanoccupat ional healt
hnur se.
Occupat i
onal nur singf ocusesonwhat ?
a.Wor kingpopul at i
on
b.Heal t
hofwor ker s
c.Envi ronment alheal t
h
d.Saf et ypr obl ems
ANSWER:B
Occupat i
onal nur singf ocusesonpr eser vationandr estor ati
onoft heheal thofwor kersandwor kingpopul ati
onso
thebestanswerwoul dbeopt ionb,whi chi st heheal t
hoft hewor ker s.Opt ionAi si nvolvedi nopt i
onbal readyas
wel lasopt ioncanddt hatr equi resi ndependentdeci sionandsol utions.
ippines.
10thedi tion,Page
102
58.Nur seWi ll
ieknowst hathi sf unct i
onasanoccupat i
onal healthnur sei nvol vesal loft hef ol
lowi ngexcept :
a.Wor kingwi tht heoccupat i
onal heal tht eam t oleadsani taryandi ndust ri
al hygi ene.
b.Issui ngl icenseorbusi nessper mi t
sandsuspensi onsorr evocat i
onsf oranyvi olat i
on.
c.Coor dinat ingwi thot hergover nmentagenci esf ori mpl ement ingr ulesandr egul at i
ons.
d.Pr epar i
ngandsubmi tti
ngyear lyr epor tstoLocal andNat ional Gover nment .
ANSWER:B
Opt ionsA,C,andDar eal lfunct ionsofanoccupat ional heal t
hnur seexceptf oropt ionBbecauseanOHNcan
onlyr ecommendt ol ocal heal thaut hor ityfort hei ssuanceofl i
censeorbusi nessandsuspensi onandr evocat ionof
thesamef oranyvi olationoft hecondi ti
onuponwhi chsai dlicenseorper mi thadbeeni ssued,pur suantto
existingr ulesandr egul at i
on.
ippines.1 0thedi t
ion,Page
102
59.Whati st hemi ssi onofoccupat ional heal thandsaf ety?
a.Toassur eever ywor kingmani ssaf e
b.Toassur ehi ghbenef itorhi ghr iskj ob
c.Toassur epr imar y,secondar y,andt ertiarypr event ioni nwor kpl aces
d.Toassur er efer raltocommuni tyr esour ces
ANSWER:A
Themi ssi onofoccupat i
onal heal thandsaf etyi st oassur esof araspossi bleever ywor kingmanandwomani n
thecount ryissaf eandi nheal thf ul wor kingcondi tions.Opt i
onBi snotami ssionandnoti nvolvei nthescopeof
occupat ional heal thnur sing.Opt i
onCandDar eanappl i
cat i
onofpubl icheal thpr i
nci plest ooccupat i
onal heal t
h
nursi ng.
ippines. 10thediti
on,Page
103-1 05
60.AsNur seWi l
lieassessesf orhazar dsi nt hewor kingpl acet hatmayaf fectt hewor kers’ heal t
handsaf ety,he
fi
ndsoutt hatt her ear esol ut i
ons,mi sts,vapor s,aer osol s,andgasesf rom whi cht hewor kershavebeenexposed
ever yday.Whi choft hecat egor iesofwor kplacehazar dscanNur seWi l
li
ecat egor izet heobt ai neddat ainthe
assessment ?
a.Physi cal hazar d
b.Chemi cal hazar d
c.Bi ologi cal hazar d
d.Mechani cal hazar d
ANSWER:B
Chemi cal hazar dsar epot entiallyt oxicori rr
itatingchemi calst othebodysyst em t hr oughi nhalat i
on,skin
absorpt i
on,oraccidentali
njecti
ons.I
tincl
udessol
uti
ons,mist
,vapors,gases,aerosol
,sol
vents,metals,oi
ls,
pesti
cides,expl osi
veandet c.
Reference:Cuevas,Fr ancesP. ,et
.al
.(2007)DOH’sPubl i
chealthnursi
ngint hePhil
i
ppines.10thedit
ion,Page
11
1
61.Nur seswhoar eworki
ngi ntheoncologyuni
tareatincr
easedrisktobeexposedt oradiat
ions.Thesenurses
areexposedt owhi chcat
egor yofhazards?
a.Physi calhazard
b.Chemi calhazard
c.Biologicalhazard
d.Mechani calhazard
ANSWER:A
Physi cal hazar dsar eagent swi thint hewor kenvi r
onmentt hatmaycauset issuedamageorot herphysi calharm
thati ncl udesr adi ation,t emper at ureext remes,noi se,el ect ricandmagnet i
cf i
elds,laser s,mi crowaves,and
vibrat i
ons.Ont heabovesi tuati
on,nur seswhoar ef requent lyexposet oradi ationcanbecat egor izedunder
physi cal hazar dsot her ear esaf et ymeasur eswhi chnur sesf oll
owsi ndeal ingwi thradi ati
ont her apyasamodal i
ty
i
nt reat i
ngcancer .
Ref erence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl icheal thnursingi nt hePhi lippines.1 0thedi ti
on,Page
111
62.I nschool nur sing,t hi sshal lbedonei niti
allyt opr ovi dedat af orevaluationandf orpl anningpur poses.
a.School heal thandnut riti
onsur vey
c.Heal thassessment
b.Put tingupaf unct i
onal school cl i
nic
d.Earexami nat ion
ANSWER:A
School heal thandnut ritionsur veyshal lbedonei nitiallyt opr ovidedat af oreval uati
onandf orpl anni ngpur poses
CONCEPT:School nur sing
SUBJECT:Communi t
yHeal thNur sing
63.I naschedul edschool nur si
ngheal thassessment ,t henur sepr eparest hef oll
owing,except :
a.Twot ot hr eechai rs
c.Tonguedepr essor ,penl i
ght
b.wast ebasket
d.Cl ampsandsur gical sci ssors
ANSWER:D
Thenur sepr epar est hef ol l
owi ng:wel l
-lightedandvent il
at edr oom,t wot ot hr eechai rsaccor dingt oneed,
wast ebasket ,handwashi ngf aci l
ities,tonguedepr essor ,penl i
ght ,BPappar atusandf ormsorr ecor ds
.
SUBJECT:Communi t
yHeal thNur sing
64.Ani tahasavi sual acui tyof20/ 40shoul dbe:
a.Assessf ur t
herbyt henur se
c.Ref er red
b.Askedt ocomebacknextweekf oranot hert est
ANSWER:C
Achi l
dwi thavi sual acui tyof20/ 40orpoor erduet oer r orofr efr
actionshoul dber eferred.
.
SUBJECT:Communi t
yHeal thNur sing
65.I nDepEd,wei ght -f or -ageandhei ght -for-agei ndi cat orsar eusedf or:
a.Chi l
c.Chi l
dr enbel ow7year s
ANSWER:A
InDepEd,wei ght -for-ageandhei ght-f or-agei ndi cat or sar eusedf orchi l
dr enbel ow 1 0year swhi l
eBMIi susedf or
.
CONCEPT:School Nur si ng
SUBJECT:Communi t
yHeal thNur sing
66.Whi chi snott rueaboutNut riti
onal st atusdet er mi nat ionandmanagementi nchi l
dr en?
a.Appr opr i
at eschool feedi ngpr ogr amswi thr i
ce,mi lkorf or t
ifi
ednoodl esar egi vent ochi l
dr enwi thbelow nor mal
nutritional st atusf or1 20f eedi ngdays.
b.Dewor mi ngi sapr e-r equi sit
ebef oref eedi ngpr ogr am
c.Par ent alconsenti snotamustbef oredewor mingi sdone
d.Hei ghtandwei ghtmeasur ementof fer sthemostaccept ablepar amet ertodet ermi net henut riti
onal statusof
children.
ANSWER:C
Par ent al consenti samustbef or edewor mi ngi sdone
SUBJECT:Communi t
yHeal thNur sing
owi ngcasesneedshomevi si
tat ion?
a.Pupi l
swhosepar ent sar enotaf raidofmedi cal pr ocedur es.
b.Pupi l
swhor ecover edf rom communi cabl edi seases.
c.Pupi lswhoar emal nour ished.
d.Pupi l
swhower eabsentf requent l
yf ort hel astschool yearbutar eregular lypr esentf orthecur rentschool year.
ANSWER:C
Thef ollowi ngcasesneedhomevi sit
ation: Pupi l
swhosepar entsar eafraidofmedi cal pr ocedur es.;Pupi lssufferi
ng
from communi cabl edi seases;Pupi lswhoar emal nour ished;Pupi l
swhoar eabsentf requent lybecauseof
sickness.
(Cuevas,Boni to,et .al.PHN2007,p.97) .
SUBJECT:Communi t
yHeal thNur sing
68.Thi sl egal basi soft heschool heal t
hpr ogr am st at est hatever yeffortshoul dbeenact edtopr omot et hechi l
d’s
wel far eandenhancehi shappyoppor tuni t
iesf orausef ul happyl if
e.:
a.PD603
b.PD803
c.PD491
d.LOI441
ANSWER:A
PD603Chi l
dandYout hWel fareCode:Ar t
icleI:“Thechi l
di soneoft hemosti mpor tantasset soft henat ion.
Ever yef f or tshoul dbeenact edt opr omot et hechi l
d’swel far eandenhancehi shappyoppor t
uniti
esf orausef ul
happyl ife. ”
al.PHN2007,p.99) .
CONCEPT:School Nur sing
SITUATI ON:Ther ear eot herf ieldsofnur singwher epubl icheal thnur sesar ewor ki
ng.
69.Hei ghtandWei ghtmeasur ementi sapr ocedur ef oreval uat i
ngt het all
nessort heshor tnessandt he
heavi nessofapupi l.It’st hesi mpl estwayofdet er mi ni
ngt henut ri
ti
onal stat usofschool chil
dren.Wei ght -for-age
andhei ght -for -agei ndi cat or sar eusedf or:
a.Chi l
c.Chi l
dr enbel ow5year s
ANSWER:A
InDepEd,wei ght-f or -ageandhei ght -f or-agei ndi cat orsar eusedf orchi l
dr enbel ow 1 0year swhi l
eBMIi susedf or
Ref erence:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl icheal thnur singi nt hePhi lippines.1 0t
hedi tion,Page93
70.Whi chi snott rueaboutNut r
iti
onal statusdet ermi nat i
onandmanagementi nchi l
dr en?
a.Appr opr iateschool feedi ngpr ogr amswi thr i
ce,mi lkorf ortifi
ednoodl esar egi vent ochi l
drenwi thbel ow nor mal
nutritional statusf or1 20f eedi ngdays.
b.Dewor mi ngi sapr e-r equi sitebef or ef eedi ngpr ogr am
c.Par ent al consenti snotamustbef oredewor mi ngi sdone
d.Hei ghtandwei ghtmeasur ementof fer sthemostaccept abl epar amet ert odet ermi net henut ri
ti
onal statusof
children.
ANSWER:C
Par ent al consenti samustbef oredewor mingi sdone
Ref erence:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl icheal thnur singi nt hePhi lippines.
10thedi tion,Page
93
71.Nur seWi ll
ieknowst hathi sf unct i
onasanoccupat ional heal t
hnur seinvol vesal loft hef oll
owingexcept :
a.Suspendsorr evokebusi nessl i
censef oranyvi ol ation.
b.Wor ki ngwi ththeoccupat i
onal heal tht eam t ol eadsani t
ar yandi ndust rialhygi ene.
c.Coor di nat i
ngwi thot hergover nmentagenci esf ori mpl ement ingrul esandr egulati
ons.
d.Pr epar ingandsubmi ttingyear l
yr epor tst oLocal andNat i
onal Gover nment .
ANSWER:A
Opt ionsB,C,andDar eal l funct i
onsofanoccupat ional heal thnur seexceptf oropt i
onBbecauseanOHNcan
onlyr ecommendt ol ocal heal thaut hor ityfort hei ssuanceofl icenseorbusi nessandsuspensi onandr evocat i
onof
thesamef oranyvi ol ationoft hecondi ti
onuponwhi chsai dl i
censeorper mi thadbeeni ssued,pur suantt o
existingr ulesandr egul ation.
hedi tion,Page
102
72.Nur seswor kingatt heoncol ogyuni tareati ncr easedr iskofexposur et or adiati
ons.Thi shazar discat egorized
as:
a.Chemi cal hazar d
b.Bi ologi cal hazar d
c.Mechani cal hazar d
d.Physi cal hazar d
ANSWER:D
Physi cal hazar dsar eagent swi thint hewor kenvi ronmentt hatmaycauset i
ssuedamageorot herphysi cal har
m
thati ncl udesr adi ation,t emper atur eext remes,noi se,el ect ri
candmagnet icf iel
ds,laser s,mi crowaves,and
vibrat i
ons.Ont heabovesi tuat i
on,nur seswhoar ef requent l
yexposet oradi at i
oncanbecat egorizedunder
physi cal hazar dsot her ear esaf etymeasur eswhi chnur sesf oll
owsi ndeal i
ngwi thradi ati
ont herapyasamodal it
y
i
nt reat i
ngcancer .
hedi tion,Page
111
SITUATI ON:Apubl icheal thnur sef ocusesoncont inuum ofl i
fecycl e,f rom wombt ot omb.Asagener alist,she
shoul dknowal sohow t or esponset ot heheal thneedsoft headol escentasbei ngapar tofaheal thycommuni ty.
73.Adol escencei sdef inedbyt heWHOast heper i
odofl i
febet ween1 0and20year sol dwhi letheyout hrefers
tothosewhoar e:
a.Bet ween1 3and20year sofage
b.Bet ween1 0and24year sofage
c.Bet ween1 5and24year sofage
d.Anyper sonwhoengagesi nact i
vitiesandl ifestyl et hatkeepst hem yout hf ul
ANSWER:C
Rational e:Theagegr oupsr ef erredt oas“adol escent ” and“yout h” over lap.Adol escencei sdef i
nedbyt heWHOas
theper iodofl i
febet ween1 0and20year soldwhi l
et heyout hr eferst othosewhoar ebet ween1 5and24year s
old.
Ref erence:Publ icHeal thNur singi nt hePhi li
ppinesbyDOH,p.1 66
74.Thel eadi ngcauseofdeat hsamongyoungpeopl eages1 0-24year sol dar e:
a.Acci dent s
c.Mal ignantneopl asm,al l for ms
b.Car di ovascul ardi seases,al lfor ms
d.Tuber cul osis,al lf or ms
ANSWER:A
Rati
onale:Leadi
ngcausesofdeathamongyoungpeopl
eaged1
0to20year
sPhi
l
ippi
nes,2000
1.
Cardiovascul
ardi
seases,al
lfor
ms
2.
Malignantneopl
asm,allfor
ms
3.
Tuber culosis,al lfor ms
4.
Pneumoni a
5.
Nephr it
is,nephr i
ticsyndr omeandnephr osis
6.
Ot herdi seasesoft hener voussyst em
7.
Meni ngi ti
s
8.
Sept icemi a
9.
Epi l
epsy
Ref er ence:Publ i
cHeal thNur singi nt hePhi li
ppi nesbyDOH,p.1 66
75.Toaddr esst heheal t
hneedsofyoungpeopl e,t hegover nmenthaspr ovidedasEssent i
alHeal thCar ePackage
forAdol escent sandYout h.I tincludesal lexceptwhi choft hef ollowi ng?
a.Managementofi ll
ness,I nj uryandvi ol encepr event ion,counsel ingonsubst anceabuse,Nut ri
ti
onanddi et
counsel i
ng,
b.Ment al heal th,Fer til
ityawar eness,f ami lypl anni ng,r esponsi blesexual behaviorandmanagementof
repr oduct ivet racti nf ections
c.Or al car e,Heal thyl ifestyl eadvocacy
d.Devel opmentscr eeni ng,Psychosoci al stimul ation,Nut ri
tional screeni ngandcounsel ing,Di sabili
tydetect i
on
Integr atedmanagementofcommoni l
l
ness
ANSWER:D
Rat ional e:Essent ial Heal thCar ePackagef orAdol escent sandYout h
Managementofi ll
ness
Injuryandvi ol encepr event ion
Counsel ingonsubst anceabuse
Nut ritionanddi etcounsel ing
Ment alheal th
Fer til
ityawar eness,f ami l
ypl anni ng,r esponsi blesexual behavi orandmanagementofr epr oduct i
vetractinfecti
ons
Or al car e
Heal thyl i
fest yl eadvocacy
Ref er ence:Publ i
ppi nesbyDOH,p.1 66
SI TUATI ON:Mal nut ri
tioni soneoft hepr obl emst hataf fectt hei nf ants,chi l
drenandwomenofr eproductiveage
i
nt hecount ry.
76.Vi tami nAsuppl ement at ioni sr ecommendedf oral li
nfant sbet ween6-1 1mont hs,chi l
drenandpost partum
mot her s.Whi chi snoti ndi cat ionf orvi t
ami nAsuppl ement at i
on?
a.I nfant8mont hsol dwi thmeasl es
c.Twoweeksaf teruncompl icateddel ivery
b.3yearol dchi l
dwi thsever epneumoni a
d.Pr egnancyat8weeks
ANSWER:D
Rat ional e:Vi tami nAsuppl ement ationisnotr ecommendeddur ingt hef i
rsttri
mest erofpr egnancybecausei tcan
causef et alcongeni tal def ect s.However ,Vi tami nAcanbegi venr egar dlessofgest ati
oni fwomanhasni ght
blindness.I ft hewomani sal readyr ecei vingpr enat al vit
ami ns/mul tivit
ami nscontainingvi tami nA,itisnol onger
necessar y
to
give
vitami n
A
suppl ement at i
on.
Ref er ence:Communi tyHeal thNur singbyDavi dandRodol foet .al,p.264
77.Whoamongt hesepat i
ent sshoul dbegi ven200, 000I UofVi tami nA?
a.Pr egnantwomenwi thbl indness
c.6mont hol di nfantwi t
hsever epneumoni a
b.1 0mont hol di nf antwi t
hxer opt halmi a
d.2yearol dchi l
dwi thoutnut r
iti
onal deficiency
ANSWER:D
Rat ional e:Ther ecommendeddosef ori nfant s6-1 1mont hsr egar dlessofcondi ti
oni s100, 000I U.The
recommendeddosef orpr egnantwomeni s1 0,000I U.Ther ecommendeddosef orchildren1 2mont hst o83
mont hsi s200, 000I Ur egar dl essofcondi t
ion.Ther ecommendeddoseofpost partum womeni s200, 000I U.
Inter val ofgi vi ngvi tami nAsuppl ementshoul dbemor ethan4weeks.
Ref er ence:Communi tyHeal thNur singbyDavi dandRodol foet .al,p.298
78.Vi tami nAdef i
ci encyi smeasur edbyt aki ngt hel evel ofpl asmar et i
nol orVit
ami nAi nug/ dL.However ,cli
nical
findingscanal soi ndi cat et hepr esenceoft hi snut ri
ti
onal def ici
encyandt hesef i
ndingsi nclude:
a.Eyesensi tivityt obr i
ghtl ight ,dr ynessofski nmembr anes,l owr esistanceoft hebodyt oinfect i
ons
b.Pal lor,di zzi ness,dyspnea,anor exia,easyf at i
gabi li
ty
c.Del ayedment al devel opmentandment al retar dat i
oni nsever ecases
d.Al loft hese
ANSWER:A
Rat ional e:Exopht hal mi a,ni ghtbl indness,eyesensi tivi
tytobr ightl ight,dr ynessofski nmembr anes,low
resist anceoft hebodyt oi nf ectionsandbl i
ndnessi nsever ecasesar esomeoft hemani festationofvi t
ami nA
def iciency.
Reference:Communi tyHeal t
hNur si
ngbyDavi dandRodol foet.al
,p.298
Reference:PublicHealt
hNur singinthePhili
ppinesbyDOH,p.1 60-161
79.How muchVi taminAshoul dbegi vento6-11monthsol di
nfantswhohavevi t
aminAdef i
ciency?
a.200,000I U
b.100,000IU
c.400,000I U
d.50,000IU
ANSWER:B
AchildwithvitaminAdef i
ciency(VAD)mustbgi venvit
ami nAupondi agnosi
s,“today,tomorrow,aftertwo
weeksandaf ter6monthsf orhighriskgroup.” Fori
nfants6-11months:100,
000IU;12-83mont hs:200,000IU.
Reference:Communi tyHeal t
hNur si
ngbyDavi dandRodol foet.al
,p.298
hNur singinthePhili
ppinesbyDOH,p.1 60-161
80.Whi chlawpr ovi
desformasspr ovisi
onofmi cr
onutri
entst
hroughf or
ti
fi
cati
onofstapl
esli
kef l
our,sugarand
cookingoil
?
a.RA8976
b.RA9288
c.RA9482
d.RA91 65
ANSWER:A
Rational e:Theenact mentofRA8976ort hef oodf or ti
ficat i
onact0f2000wasami l
est onei nthemasspr ovi si
on
ofmi cr onut rient s.RA9288i sanActpr omul gatingACompr ehensivePol icyaNat i
onal Syst em forEnsur ing
Newbor nScr eeni ng.Republ icActNo.9482i sanactpr ovidingf ort hecont r
ol andel i
mi nat ionofhumanand
animal rabi es,Pr escr i
bingPenal ti
esf orVi olationTher eofandAppr opr i
atingFundsTher ef ore.Republ icAct91 65–
Danger ousDr ugsActof2002i sanacti nst i
tutingt hecompr ehensi vedanger ousdr ugsactof2002.
Refer ence:Communi tyHeal thNur singbyDavi dandRodol foet.al
,p.288
Refer ence:Publ i
cHeal t
hNur singi nt hePhi l
ippinesbyDOH,p.1 60-1 61
81.Iodi zedoi l capsul e200mgi sr ecommendedf or :
a.Al lwomenbet ween1 5-45year sol d
b.School -agechi l
dr en
c.Adul tmal es
d.Al loft hem
ANSWER:D
Rational e:Onceayearsuppl ement ationof200mgi fiodizedoi lcapsul eisrecommendedf orwomen,school
chil
dr enandadul tmal es.
Refer ence:Communi tyHeal thNur singbyDavi dandRodol foet.al
,p.298
Refer ence:Publ i
cHeal t
82.Mi cr onut rientsuppl ement ationi si ncludedi nwhatpr ogr am oft heDOH?
a.Expandedpr ogr am oni mmuni zat ion
c.Repr oduceheal th
b.Ar awngSangkapPi noy
d.Sent rongSi gla
ANSWER:B
Rational e:Al awhasbeenenact edbyt hePhi l
ippi neCongr ess,Republ icAct8976,al soknownast hef ood
fort
ificat ionact2000,ent itl
ed“AnActest ablishingt hePhi l
ippinef oodf orti
fi
cationpr ogr am andf orot her
purposes. ” Thel awpr ovidesf ort hemandat or yf ortifi
cat ionsofst aplef oodsbasedonst andar dssetbyt he
Depar tmentofHeal th,andvol unt ar yf ortifi
cationofal l processedf oodsorf oodpr oduct sundert heSangkapPi noy
Seal Pr ogr am.
Refer ence:Publ i
cHeal t
ippinesbyDOH,p.1 59
83.Adef iciencyi npr oteinleadst o
a.Kwashi or kor
b.Ber i– ber i
c.Ricket s
d.Hemor rhage
ANSWER:A
Rational e:Ber i
-ber iisduet oThi ami nedef i
ciency.Ri cket si sduet oVi tami nDdef i
ciency.Hemor rhagicdi sorder
causedbynut ri
tional def i
ciencyi sduet oVi tami nKdef iciency.
Refer ence:Publ i
cHeal t
ippinesbyDOH,p.298
84.Nut ri
ent sar ecl assi fi
edaccor dingt ot heirst ruct ures.Whi chamongt hesei snotami cr onutr
ient ?
a.Vitami nA
b.Iodi ne
c.Iron
d.Ami noaci ds
ANSWER:D
Rational e:Ami noaci di snotami cr onut rientsi ncei tisneededbyt hebodyr egularl
yi nlargequant iti
es.
Refer ence:Publ i
cHeal t
owi ngdi seasesr esul t
sf rom ni acindef i
ciency?
a.Di abet es
b.Pel lagr a
c.Ber i– ber i
d.Megal obl ast i
canemi a
ANSWER:B
Rational e:Megal obl ast i
canemi ai sduet of oli
caci ddef i
ciency.Ber i-ber iiscausedbyt hiamni ne( Vitami nB1 )
deficiency.
Refer ence:Publ i
cHeal t
86.APHNi sconduct ingaheal tht eachi ngaboutnut rit
ionandpar tofherdi scussioni saboutcal cium.Whi chis
notaf unct ionofcal cium?
a.Boneandt eethmi ner ali
zat i
on
c.Bloodcl ot t
ing
b.Absor pt i
onofi ron&t hef ormat i
onofhgb
d.Muscl er elaxat ion&cont ract i
on
ANSWER:B
Rational e:Cal cium i st hemostabundantmi ner al i
nt hebodyaccount ingf or1.5% to2ofanadul t’st otal body
weight .About99% oft hebody’scal cium i sfoundi nt het eethandbones.Ther estisf oundi ntissuesi nt hef or
m
ofcal cium phosphat esal ts,ner vecel l
s,bodyt i
ssues,bl ood,andot herbodyf l
uids.
Refer ence:Publ i
cHeal t
87.Al ber t,32-year s-ol dmal elivingi nbar angayPobl acionwasbr oughtt oheal t
hcent erbyhi swi fe.Apubl ic
healthnur seassessAl ber tandf oundoutt hemostcommonvi tami ndef i
ciencyseeni sal cohol i
csi swhi choft he
fol
lowi ng?
a.Thi ami ne
b.Pyr idoxi ne
c.Ribof lavi n
d.Pant hot eni caci d
ANSWER:A
Rati
onale:Pyr i
doxinedef iciencymayoccurwi t
hI soniazidandor alcontr
acepti
vesintake.Adefici
encyofvi t
amin
B5isconsider edpar ti
cularlyr are.Wheni tdoesoccur ,symptomsmaybesi mi
lartothoseseenindef i
cienci
es
i
nvolvingothertypesofBvi tami ns.Thecondi ti
oni smor ecommonl yseeninper sonswi t
hsuchr i
skfactorsas
pregnancy,lactation,phot other apyforhyper bi
li
rubi nemia(inpremat ur
einfant
s),advancedage,l ow i
ncome,
and/ordepr essi
on.
Reference:Publ i
cHeal thNur singinthePhilippinesbyDOH,p.1 60-161
SITUATION:Obj ect i
veofDOHenvi ronment alprogr am istoprotectman.Wast emanagementi sapr i
orit
y
program.
88.Whatdoeswast emanagementi ncl
ude?
a.Sewer agesyst em
b.Rehabili
tati
onofr i
vers
ANSWER:D
c.Sewage
d.Hospi
tal
wast
e
Environment al Sani tationi sdef inedast hest udyofal lfact orsinman’sphysi calenvi ronment ,whi chmayexer cise
adel et eriousef f ectonhi sheal thwel l
-bei ngandsur vival.Wast emanagementi ncl udeshospi tal wast e
management .
Refer ence:Publ icHeal thNur si ngi nt hePhi li
ppi nesbyDOH,p.31 2
89.Envi ronment al sani tat ioni saheal thpr oblem.Whi chonei saut hor it
yt opr otectt heenvi ronment ?
a.RA921 1
b.PD825
c.PD1 181
d.PD856
ANSWER:D
TheDOH,t hr ought heEnvi r
onment alandoccupat ional Heal thOf fi
ce( EOHO) ,hasaut hor it
yt oactonal lissues
andconcer nsi nenvi ronmentandheal thi ncl udingt heever ycompr ehensi veSani tationCodeoft hePhi l
ippines
(PD856,1 978) .Opt ionAi sant i
-t obaccoornosmoki ngcampai gn.PD825i spenal tyf orimpr operdi sposal of
garbage/ ref usewast eandot herf or msofuncl eanl i
ness.PD1 181i sthepr event i
onandcont r
ol ofai roulluti
onf or
mot orvehi cles.
ppi nesbyDOH,p.31 2
90.Cont ami nat edwat ersuppl yi ssour ceofcommuni cabl ediseases.Whi chcondi ti
oni scausedbyol dwor npipes?
a.Intest inal pai n
b.Dr opl eti nf ect ion
c.Diar rheal i
nf ect ion
d.Nauseaandvomi ti
ng
ANSWER:C
Peopl ewhoar eget tingdr i
nki ngwat erf rom t hepi pewat erf acilit
iesar enotexempt edf rom di ar rheal disease
contract ionpar ticul ar l
yt hoset hatar eser vedwi t
hol dwor n-outpi pest hatsucki nsewageort il
tthr oughcr acks
andj oint soft hepi pes.
ppi nesbyDOH,p.31 3
91.Nur semustbeawar eofgover nmentpol iciesr egar dingwat ersuppl y.Whati sapoi ntsour cewat ersuppl y?
a.Wat er wor kssyst em
b.Wat ert r eat ment
c.Wat erpr ocessi ng
d.Bot tledwat er
ANSWER:A
Wat er wor ks/ wat ersyst em i sunderl evel III
.Asyst em wi thasour ce,ar eservoir,api peddi stribut ornet wor kand
househol dt apsar eexampl eofl evel III
.Thi st ypeoff aci l
ityr equi resami ni
mum t reat mentordi sinf ection.
ppi nesbyDOH,p.31 3
92.PHNpl aysani mpor tantr ol ei nt eachi ngt hecommuni tyaboutpr operf oodpr epar at i
on.Whi choft hef oll
owi ng
doesnotbel ongt of ourr ight si nf oodsaf et y?
a.Rightsour ce
b.Rightpr epar at ion
c.Rightcooki ng
d.Rightpr ice
ANSWER:D
Thef ourr ight si nf oodsaf etyi ncl uder i
ghtsour ce,r ightpr epar at i
on,r i
ghtcooki ng,r ightst orage.
ppi nesbyDOH,p.31 6
93.ThePHNi sdi scussi ngaboutf oodsani tat i
onpr ogr am.Whi choneshoul dnotbei ncl udedi nt heheal th
teachi ng?
a.“Al waysbuyf reshmeat ,fish,f ruits,andveget abl e.”
b.“Al waysl ookatt heexpi rydat esofpr ocessedf oodsandavoi dbuyi ngt heexpi redones. ”
c.“Buycannedf oodswi thdent s,bul gesordef ormat ion. ”
d.“Usewat eronl yf rom cl eanandsaf esour ce.”
ANSWER:C
Communi tyshoul dbet aughtaboutr ightsour cet hati ncl udesopt ionsABDbuti nopt ionC,oneshoul dnotbuy
anycannedf oodswi thdent s,bul ges,def or mat ions,br okenseal sandi mpr operseams.
ppi nesbyDOH,p.31 6
94.Whi choft hef ollowi ngi st ruei nst or ingf oodssaf ely?
a.All cookedf oodsshoul dbel ef tatr oom t emper atur efornotmor et han3hour s.
b.Usenon-t ight l
yseal edcont ai ner sforst or i
ngf oods.
c.Besur et ost or ef oodunderhotcondi tionsori ncol dcondi t
ions.
d.Foodsshoul dal waysbef reshl ypr epar edandst oredpr oper l
yf ori nfants.
ANSWER:C
Besur et ost or ef oodunderhotcondi tions( atleastorabove60degr eescent igrade)ori ncol dcondi tions( below
orequal to1 0degr eescent igrade) .Opt i
onA:al lcookedf oodsshoul dbel ef tatroom t emper at uref ornotmor e
than2hour s.Opt ionB:besur et ouset ight l
yseal edcont ainer sf orst oringf ood.Opt ionD:Foodsf ori nfants
shouldal waysbef reshl ypr epar edandnott obest or edatal l.
ppi nesbyDOH,p.31 6
95.Whati st her ulei nf oodsaf ety?
a.Wheni ndoubt ,thr ow i tout .
c.Thr owal l l
ef toverf oods.
b.Donotover bur densel fi nfoodsaf et y.
d.Alwayscookf oodt hor oughl y.
ANSWER:A
Rulei nf oodsaf ety:Wheni ndoubt ,throw i tout .Foodst hatseemsr uinedoryout hinknoti ngoodcondi t
ion
shouldbet hr ownawayf orsaf et ypur pose.Opt ionsBCDar eal lincor rectandnott her uleinconsi deringf ood
safety.Donotover bur dent her efriger atorbyf i
lli
ngi twi t
ht oolar gequant i
tyofwar mf ood.Lef toverf oodscan
best or edsaf ely.Cooki ngf oodt hor oughl yandensur i
ngt hatthet emper at
ur eonal lpar tsoft hef oodshoul dreach
70degr eescent i
grade.
hNur singinthePhili
ppi
nesbyDOH,p.31 6-317
SITUATION:Ther eareotherfieldsofnursi
ngwherepubli
chealthnursesworksuchasi
nschoolsand
occupationalsett
ings.
96.School nursi
ng,whichisasubspeci alt
yofcommuni t
yhealt
hnur si
ng,engagesi
nact
ivi
ti
eswhichar
efocused
on:
a.Healtheducat i
oninschools
c.Healtheducat i
onandservicesi nschools
b.Healthservicesinschool
s
d.Healtheducat i
onandser vi
cesi nschoolsandoccupati
onal
setti
ngs
ANSWER:C
School nur singi sat ypeofpubl i
cheal th/communi t
ynur singt hatf ocusesont hepr omot ionofheal thandwel l
ness
ofthest udent sandt het eachi ngandnon-t eachi ngper sonnel oftheschool s.I tsmai ngoal istopr ovi dequal i
ty
nursingser vi cet otheschool popul ationandt ocr eateawar enesst hroughheal theducat i
on.
Cuevas,F.P.et .al.(2007)DOHBook:Publ icHeal t
hNur si
ngI nThePhi li
ppi nes. 1 0t
hed.Mani la
97.Themai ngoal ofanoccupat ional heal thnur sei s:
a.Topr eventj obr elat edacci dent s
b.Topr eventi ll
ness
c.Topr omot eandmai ntainopt imal wel l-bei ngandheal thoft hewor kers
d.Toest abl ishpol iciest opr omot et heheal thoft hewor ker s
ANSWER:C
Thef ocusofoccupat ional healthnur singi st opr eserve,mai nt ainandr estor et heheal thoft hewor ker sand
wor kingpopul ation.I tisnotj ustf ort hepr event ionofi ll
nessandacci dent s.
Cuevas,F.P.et .al.(2007)DOHBook:Publ icHeal t
hNur si
ngI nThePhi li
ppi nes. 1 0t
hed.Mani la
SITUATI ON:Nur seCar l
a,anur seepi demi ologi st,conduct sasemi naronenvi ronment al sani t
ati
on,ast hereis
anincr easi ngcasesofenvi ronment allyassoci ateddi seases.
98.Nur seCar l
a,namedt he3l evel sofappr ovedwat erf acility.Shement ionedt hatst andpostshoul dnotbe
mor et hanhowmaymet ersf rom t hef ar t
hesthousei ti sser ving?
a.2. 5met er s
b.25met er s
c.250met er s
d.20met er s
ANSWER:B
Communal faucetsyst em orst andpost s– asyst em composedofasour cear eservoi r,api peddi stributi
on
networ kandcommunal faucet s,l ocat ednotmor ethan25met er sfrom t hef arthesthouse.
Refer ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icheal thnur singi nt hePhi lippines.1 0thedi ti
on,Page
313.
99.Nur seCar l
ai sinf ormedoft henew wat erpoi ntsour cei nBar rioUnt iTubi g.Nur seCar l
at henobt ai neda
sampl eoft hewat erf orl abor ator yt est ing.Cer ti
f i
cat i
onofpot abili
tyofanexi stingwat ersour ceshoul dbei ssued
by:
a.Secr etar yofheal th
b.Local gover nment
c.DENRsecr etary
d.Labor at or iesaccr edi t
edby
DOH
ANSWER:A
Theexami nat i
onofdr i
nki ngwat ershal lbeper for medonl yinpr i
vat eorgover nmentl abor at
or i
esdul yaccr edited
byt heDepar tmentofHeal th.Cer tificat ionofpot abili
tyofanexi sti
ngwat ersour cei sissuedbyt heSecr et
ar yof
Heal t
horhi sdul yaut hor i
zedr epr esent ative( Local heal thaut hor it
y).
on,Page
314.
100.Ger r yappr oachesNur seCar l
af orcounsel ingr egar dinghi sSi omai rest aur ant .Asi def rom get ti
ngasani tar
y
permi t;Nur seCar l
aal soadvi sesGer ryt osubj ecthi sempl oyeest owhatexam t or eceiveHeal t
hCer ti
ficate?
a.Fecal occul ttest
b.Fecal smear
c.For mal i
nEt herConcent rati
onTechni que
d.Anyof
these
ANSWER:C
DOH’sAdmi ni
st r
at i
veOr derno.1– 2006r equi resal llabor ator i
est ousFor mal i
nEt herConcent rationTechni que
(FECT)i nst eadofdi rectf ecal smeari nt heanal ysisofst ool soff oodhandl ers.Thi swi l
l enabl elabor ator i
est o
i
dent ifyf oodhandl erswi thpar asitici nf est ationsandt r
eatt hem bef oret heyar eal l
owedt owor kinf ood
establishment s.Int hisway,par asi ti
sm wi llbepr event edf rom spr eadi ngt hr oughi ngest i
onofcont ami natedf ood
andwat er .
on,Page
315.
PRI NCI PLESANDSTANDARDSOFCOMMUNI TYHEALTHNURSI NG
1.Publ icheal thsyst emsar eoper at i
ngwi t
hinacont extofongoi ngchanges.Whi choft hef ollowi ngexer tsa
numberofpr essur esont hepubl i
cheal thsyst em?
a.Shi ftsi ndemogr aphi candepi demi ologi cal trendsi ndi seases.
c.Newt echnol ogi es
b.Heal thr ef or ms
d.Al loft heabove
ANSWER:D
Publ i
cheal thsyst emsar eoper at i
ngbasedonongoi ngchangesbr oughtbyopt i
onAt hati ncl udesemer genceand
re-emer genceofnewdi seasesandpr eval enceofr iskandpr otect ivef act or ;opt ionBheal thr ef ormsornew
pr ogr ams;opt ionCnewt echnol ogi esf orheal thcar e,communi cat ion,andi nformat i
on;addi tional l
yi stheexi sti
ng
andemer gingenvi ronment al hazar dsandsomeoft hisi sr elatedt ogl obal ization.
Ref er ence:Publ i
ppi nesbyDOH,p.2
2.I nr esponset oabovet rends,t hegl obal communi ty,repr esent edbyUNGener al Assembl y,deci dedt oadopta
commonvi sionexempl i
fiedbyt heMi l
lenni um Devel opmentGoal thati ncl udes:
i
.er adi cat eext remepover tyandhunger
v.i mpr ovemat er nal heal th
i
i.achi eveuni ver sal pr i
mar yeducat ion
vi.combatHI V
i
ii.pr omot egenderequal ity
vii.ensur eenvi ronment al sust ainabi l
ity
i
v.r educechi ldmor tali
ty
viii
.devel opgl obal par tner shi p
a.i ,ii
,i i
i,i v
b.v,vi ,vi i,vi i
i
c.i ,ii
i,iv,vi i,vi i
i
d.al l
oft heabove
ANSWER:D
Mi ll
enni um devel opment al goal sar ebasedonf undament al valuesoff r eedom,equal ity,sol i
dar i
ty,toler ance,
heal th,andr espectf ornat ur eandshar edr esponsi bili
ty.Al loft heabovear eincludedi nt hisgoal .
Ref er ence:Publ i
ppi nesbyDOH,p.3
3.Nur seshoul dr ememberwhi choft hef oll
owi ngasessent ial i
nt heachi evementoft heMi llenni um Devel opment
Goal andst andast hemaj orover archi nggoal ofpover tyr educt ion?
a.Heal th
c.Par ticipat ionofal l member sofsoci ety
b.Heal th-r elat ed
d.FOURmul aone
ANSWER:A
The8Mi llenni um Devel opmentGoal ar eal l heal t
hr elatedexceptf orgenderequal i
tyandachi evementof
uni ver sal pr i
mar yeducat ion.Heal thi sessent ial tot heachi evementoft hesegoal sandi samaj orcont ri
but orto
theover ar chi nggoal ofpover t
yr educt ion.Opt i
onB:Par ti
cipat i
onofal lmember sofsoci etyf r om bot hdevel oping
anddevel opedcount ri
esi sr equi redt oachi evet hegoal sbutnott heessent ialort hemaj orcont ributorinpover ty
reduct ion.FOURmul aOnei sani niti
at ivef rom var iouscount ri
est oi mpl ementcost -ef fect i
veheal thcar eser vices.
Ref er ence:Publ i
ppi nesbyDOH,p.3
4.Theheal thofi ndi vidual sandcommuni ti
esi ntoal argeext enti saf f
ect edbyacombi nat i
onoff act ors.These
fact orsort hingst hatmakepeopl eheal t hyornoti sknownas:
a.Det er mi nant s
b.Physi cal envi ronment
c.Heal thser vices
d.Educat i
on
ANSWER:A
Det er mi nant sar et hef act or sort hingst hatmakepeopl eheal thyornot .Aper son’sheal thisdet ermi nedbyhi s
circumst ancesandenvi ronment .I tisi nappr opr iatet heref oret obl ameorcr edi ttheper son’sst ateofheal thto
himsel fal onebecausehei sunl i
kel yabl et odi rect lycont rol manyoft hesef actor s.Thesef act or s,Opt ionsB,C,D,
aredet er mi nant sofheal thandal soi ncl ude:i ncomeandsoci al stat us,empl oymentandwor kingcondi t
ions,soci al
suppor tnet wor k,cul ture,genet ics,per sonal behavi orandcopi ngski llsandgender .
Ref er ence:Publ i
ppi nesbyDOH,p.4
5.Publ icheal thi sacor eel ementofgover nment s’ at tempt st oi mpr oveandt opr omot etheheal t
handwel fareof
thei rci ti
zens.WHOdef i
nedpubl icheal thas:
a.“Sci enceandar tofpr event ingdi sease,pr olongi ngl i
fe,pr omot ingheal thandef f
iciencyt hroughor ganized
communi tyef for t.
”
b.“Ar tofappl yi ngsci encei nt hecont extofpol iti
cssoast or educei nequal it
iesi nheal thwhi l
eensur ingt hebest
heal thf ort hegr eat estnumber .
”
c.“Asetoff undament al act iviti
est hataddr esst hedet ermi nant sofheal th,pr ot ectapopul at ion’sheal thand
treatdi sease. ”
d.“Pr act iceofnur si ngi nt hel ocal /nat ional heal t
hdepar tment swher enur singski l
lsar eappl ied.”
ANSWER:B
Rat ional e:WHOdef inedpubl i
cheal thast he“ar tofappl yingsci encei nt hecont extofpol iti
cssoast or educe
i
nequal itiesi nheal thwhi leensur ingt hebestheal thf orthegr eat estnumber .”
Ref er ence:Cuevas,Fr ancesP. ,et .al.( 2007)DOH’sPubl icheal thnur singi nt hePhi li
ppi nes.
10t hedi tion,Page
5
6.TheDepar tmentofHeal thi ni t
snewr oleast henat i
onal aut hor ityonheal tht hatpr ovi dest echni cal andot her
resour
ceassi
stancetoconcer
nedgr
oups.Thi
swasmandat
edt
hrough:
a.Execut
iveOrder102
b.Republ
icAct7160
c.Republ
icAct7164
d.Execut
iveOrder119
ANSWER:A
Rati
onal e:Executi
veOr der1
02:“Redi rect
ingtheFunctionsandOperat
ionsoftheDepartmentofHealth,” by
Pres.JosephEst radaonMay24,1 999.Itgrant
edtheDOHt oproceedwithi
tsplanwhichprescri
bedthecur r
ent
organizati
onal st
aff
ingandr esour
cestructureconsi
stentwit
hit
snew mandate,rolesandfuncti
onpost
devoluti
on.
Reference:Cuevas,Fr ancesP.,et.al
chealt
hnursingi
nthePhi l
i
ppines.1
0thedi
tion,Page23
7.Publ i
cheal thi st hear tofappl yingsci encei nthecont extofpol iti
cst or educei nequal iti
eswhi l
eensur ingt he
bestheal thf ort hegr eat estnumberi sadef init
iongi venby:
a.WHO
b.Dr .CEWi nslow
c.Uni tedNat ionGener al Assembl y
d.Li l
lianWal d
ANSWER:A
WHO:publ icheal thi st hear tofappl yingsci encei nt hecont extofpol i
ticst or educei nequal i
tieswhi leensur i
ng
thebestheal thf ort hegr eat estnumber .Dr .CEWi nslowdef inespubl icheal thasameanst oenabl eci t
izent o
real i
zehi sbi rthrightofheal thandl ongevi ty.
Ref er ence:Publ icHeal thNur singi nt hePhi li
ppinesbyDOH,p.4-7
8.Reni sanewl yhi redpubl i
cheal thnur sei nBr gy.Masi gla.Shei scor recti fshesai dt hatCHN’spr imar yf ocusis
whi choft hef oll
owi ng?
a.Heal thteachi ng
b.Heal thf ocus
c.Heal thpr omot i
on
d.Heal theducat ion
ANSWER:C
Thewor ldheal thor gani zat i
on,Rut hb.Fr eemanf amousdef init
ionsofcommuni t
yheal thnur singexpl ai
nt hatCHN
refer st oaser vicer ender edbyapr ofessi onal nur sewi t
hcommuni ti
es,gr oups,f ami lies,i ndividual sathome,i n
heal thcent ers,incl inics,i nschool s,i npl acesofwor kf ort hepr omot ionofheal th,pr event i
onofi l
l
ness,car eof
sickathomeandr ehabi l
itation.
ppinesbyDOH,p.7
9.I nor derf orNur seRent of ul l
yappr eciat et hepubl i
cheal thsyst em i nt hiscount ry;iti simpor tantt hatshehas
anunder standi ngoft hedevel opmentoft hegover nmentagencymandat edt opr otectt heheal thoft hepeopl e
whi chi stheDOH.AsPHN,shei scor recti fshesai dt hatwhi choft hef oll
owi ngi snotapar tofDOH’smi ssion?
a.Qual it
yofl ifeofal l Fil
ipinos
c.Ensur eaccessi bi l
ity
b.Qual it
yofheal t
hcar e
d.Heal thf oral lFilipinos
ANSWER:D
Mi ssionofDOH:guar ant eeequi table,sust ainabl e,andqual i
tyheal thf oral l Fil
ipinos,especi allyt hepoorandshal l
l
eadt hequestf orexcel l
encei nheal th.Ther efore,opt ionsB,C,andAar ecor rectstat ementexceptopt ionD.
ppinesbyDOH,p.25
SITUATI ON:Communi tyheal thnur singi sbasedt hewor thanddi gnityofman.I tistheuni quebl endofnur sing
andpubl i
cheal t
hpr act icewoveni ntoahumanser vice.
10.Whi chi st hepr imar ygoal ofcommuni tyheal thnur sing?
a.Tosuppor tandsuppl ementt heef fortsoft hemedi cal professi oni nt hepr omot ionofheal thandpr event i
onofi l
lness.
b.Toenhancet hecapaci tyofi ndi vidual s,f ami l
iesandcommuni tiest ocopewi ththei rheal thneeds.
c.Toi ncr easet hepr oduct ivityoft hepeopl ebypr ovidingt hem wi thser vicest hatwi l
l increaset hei rlevel ofheal t
h
d.Tocont ribut et onat ional devel opmentt hroughpr omot ionoff ami l
ywel far e,focusi ngpar ti
cul arlyonmot hers
andchi ldren
ANSWER:B
Thepr imar ygoal ofcommuni tyheal thnur singist hepr omot ionandpr eser vat ionofheal t
hofi tsdi f
ferentcl ienti
ndivi
dual,f
ami
l
y,popul
ati
on
group,andcommuni ty.Basedont hisopt ionDi sincor rectbecauset heser vicesof
CHNar enotpar ti
cul art omot herandchi ldrenonl ythought heyar epar toft hecommuni ty.Opt i
onAi sincor rect
becausei tisnott hemedi cal pr ofessi oncommuni tyheal thnur singwor ksonbuti nt hecont extoft heDOH,andi t
i
snott hepr i
mar ygoal ofCHN.Opt i
onCi si ncorrectbecauseCHNdoesnotf ocusesmer el
yoni ncreasi ngt he
l
evel ofheal t
hbutal soi nt hepr event i
onofi l
lness,car eoft hesi ckandr ehab.
ppinesbyDOH,gr een,p.1 6-1 8
11.Incommuni tyheal thnur si ng,Nur seReni scor r
ecti fshement ionedwhi choft hef ol l
owi ngast hesoci ety’s
unitofser vice?
a.Fami ly
b.I ndi vidual
c.Communi ty
d.Publ i
c
ANSWER:A
InCHN,t hef ami lyi st heuni tofser vicebutt hepr i
mar yf ocusofCHNi st hecommuni ty.
ppinesbyDOH,gr een,p.1 7
12.Nur seRenwasabl et owor kef f i
cient l
ybecausesheknowsherconcept sinCHN.Whi choft heseact ionsof
Nur seRenexempl i
fiesoneoft heconcept sofCHN?
a.Sheext endsnur singpr act icet obenef i
ti ndividual int hecommuni ty.
b.Shef unct i
onsasspeci alisti nt ermsofherpr act i
cet hr oughl ife’scont inuum.
c.Sheut i
li
zest henur singpr ocess.
d.Shef ocusesCHNt oever yf ami lyonl y.
ANSWER:C
Thedynami cpr ocessofassessi ng,pl anni ng,impl ement i
ng,i nterveni ng,eval uation( thenur singpr ocess)anda
cont inuum oft hecycl eunt i
l i
tst er mi nationi sappl iedi ncommuni tyheal thnur sing.Opt i
onAandopt i
onDar e
i
ncor rectbecauset heCHNpr act icei sext endedt obenef i
tnotonl ythei ndi vidual butt hewhol ef ami l
yand
communi ty.Communityhealt
hnursesaregeneral
isti
nt er
msoft hei
rpract
icethr
oughl
i
fe’sconti
nuum andnota
speci
alist
,soopti
onBi sincorr
ect.
Reference:Publ
icHealt
hNur si
nginthePhil
i
ppinesbyDOH,gr een,p.1
7
13.Oneoft henursi
ngstudentsasksNurseRenaboutt hepri
ncipl
esgoverningcommunit
yheal
thnur
sing.Whi
ch
ofthefoll
owingresponsesofNurseReni si
ncorr
ect?
a.“Weshoul dalwaysassesstheneedsofourcli
ents.”
b.“Weshoul dal wayspr i
or i
tizeandmustbeavai lablet opoori ndi vidual .”
c.“Asacommuni tyheal t
hnur se,Ishoul dwor kcol l
abor at ivelywi ththeheal tht eam. ”
d.“Heal tht eachi ngi sourpr imar yr esponsi bil
ityascommuni t
yheal thnur se. ”
ANSWER:B
Opt ionBi si ncor r ectbecauseCHNmustbeavai labl et oal l regar dl essofr ace,cr eedandsoci o-economi cst atus.
EvenCHNorheal thser vicesi savai lable,peopl ef ailtout il
izet hepr ogr ams.Opt i
onAi scor rectbecauseCHN
shoul dal waysassesst hecl ient ssi nceCHNi sbasedonr ecogni zedneedsofcommuni ti
es,f ami li
es,gr oups,and
i
ndi vidual s.Opt ionCi scor rectsi ncecommuni tyheal thnur sewor ksasmemberoft heheal t
ht eam.Opt i
onDi s
cor r
ectbecauseheal tht eachi ngi st hepr imar yr esponsi bil
ityoft heCHN.
Ref er ence:Publ i
cHeal thNur singi nt hePhi lippi nesbyDOH,gr een,p.1 9
14.Nur seRen,ascommuni tyheal thnur se,i dent i
fiesandi nt erpr etst het rainingneedsofbar angayheal th
wor ker sandhi loti nt heircommuni ty.Thi sfunct ionbestdescr i
beswhi chofherr olesascommuni tyheal thnur se?
a.Manager
b.Or gani zer
c.Counsel or
d.Pl anner
ANSWER:C
Counsel orort rai nerorheal theducat orr oleper tainst oCHNf unct i
onwhi chi st oi dent i
fyandi nterpr ett raini
ng
needsandpr ogr amsf orRHMs,BHWs,andhi lots,mor eoverar et heaf fil
iates.Managerf unctionsi ncl ude
formul at i
onofi ndi vidual ,fami ly,gr oupandcommuni tycent er edcar epl an.Or gani zeri sr esponsi blef or
mot ivat ingandenhanci ngcommuni typar ti
ci pat i
oni nt er msofpl anni ng,or gani zing,andi mpl ement ingand
eval uat ingheal thpr ogr ams/ser vices.
Ref er ence:Publ i
cHeal thNur singi nt hePhi lippi nesbyDOH,gr een,p.21 -24
15.management .Whi chi sthel astst epi nt hemanagementpr ocess?
a.Pl anni ng
b.Leadi ng
c.Cont rolling
d.Or gani zing
Answer :C
Thel astst epi nt hemanagementpr ocessi scont roll
ingwhi chi nvol vest heact i
vities:set ti
ngofst andar ds,
compar i
ngact ual per f
or mancewi t
hst andar ds,r epor tingt her esul tsofeval uat ionandt akingcor rect iveact ion.
Or gani zi ngr efer st oact iviti
eswhi chi nvol vedesi gni ngoft heor gani zation,i ncl udi ngst af f
ingandassi gningof
tasksanddut ies.
Leadi ngi sensur ingt hatper sonnel accompl ishwhatt het askorr esponsi bi l
ityassi gnedt othem.
Planni ngi st hef i
r stst epoft hemanagementpr ocess.
Ref er ence:Publ i
cHeal thNur singi nt hePhi lippi nesbyDOH,p.28
16.TheNat i
onal Obj ectivesoft heDepar tmentofHeal thar egear edt owar dst hei mpr ovementofHeal thf orall
Fili
pinos.Whi choft hef ollowi ngi st hemi ssionoft heDOH?
a.Ensur eaccessi bi l
ityandqual ityofheal thcar et oimpr ovet hequal it
yofl i
feofal lFi l
ipinos,especi allyt hepoor .
b.I mpr ovet hegener alheal thst atusoft hepopul ation
c.Reducemor bidi ty,mor t
ality,di sabi li
tyandcompl i
cat ionsf rom not eddi seases
d.Pr omot eheal thyl i
fest ylet hr oughheal thydi etandnut ri
tion,physi cal act ivityandf i
tness,hygi eneandment al
heal th
ANSWER:A
Themi ssi onofDOHi st oguar ant eeequi t
abl e,sust ainabl e,andqual i
tyheal thf oral l Fil
ipinos,especi al l
yt hepoor
andshal lleadt hequestf orexcel lencei nheal t
h.Opt ionsBCDar eunr elat edst at ement s.
Ref er ence:Publ i
17.ThenewDOHvi sioni st hel eader ,st aunchadvocat eandmodel inpr omot ingHeal t
hf orAl l i
nt hePhi li
ppines.
It
smi ssi oni sembodi edi nt hef oll
owi ngst atement :
a.Pr ovi del eader shi pi nt hef or mul ation,moni t
or ingandeval uat ionofnat ional progr ams.
b.Ensur et hehi ghestachi evabl est andar dsofqual ityheal thcar e.
c.Admi nisterdi rectser vi cesf oremer gentheal thconcer nsdeem necessar yf orpubl icwel fare
d.Guar ant eeequi tabl e,sust ainabl eandqual it
yheal t
hf oral l Fil
ipinos,especi allyt hepoor .
ANSWER:D
Rat i
onal e:DOHmi ssi on:Guar ant eeequi tabl e,sust ainabl eandqual i
tyheal t
hf oral l Fil
ipinos,especi al l
yt hepoor
andshal lleadt hequestf oeexcel l
encei nheal th.Thevi sionofDOHi si tist hel eader ,st aunchadvocat eand
model i
npr omot ingheal thf oral lint hePhi lippi nes.
Ref er ence:Cuevas,Fr ancesP. ,et .al.( 2007)DOH’sPubl icheal thnur singi nt hePhi li
ppi nes.1 0thedi ti
on,Page25
18.Theover r i
dinggoal oft heDOHi sknownas:
a.Heal thsect orr efor m agenda
c.FOURmul aOne
b.Leader shi pi nHeal th
d.Roadmapf orAl lst akehol der si nHeal th
ANSWER:A
Heal thSect orRef orm Agendai st heover ridinggoal oft heDOH.Thi swi llstandassuppor tmechani sm t hatis
basedonsoundor gani zat ional devel opment ,strongpol i
ci es,syst emsandpr ocedur es,capabl ehumanr esour ces
andadequat ef i
nanci al resour ces.Leader shi pi nheal thi soneoft her olesandf unct i
onsofDOH.FOURmul aOne
standsast hef ramewor kf ort hei mpl ement at i
onofHSRA.Roadmapf oral lstakehol desi nheal thper tainst ot he
Nat ional Obj ect ivef orheal th2005-201 0whi chset sthet ar getandst andsast hecr iti
cal i
ndicat ort hatwi ll
i
mpr ovei nter vent ionsi nt heachi evementofheal thf oral l Filipinos.
Ref er ence:Publ i
SITUATI ON:I fnur sesar et ocont inuet obeadynami cpar tofheal t
hcar eont hef utur e,wemustbeabl eto
under standt hecompl exandcommuni ty-f ocusednat ur eofheal thpr omot i
on,i l
lnesspr event ion,r ecover yf r
om
i
llnessandi njur y,andheal thr est orat i
on.
19.Thest udentnur sei sinvest igat ingdi fferentt ypesofpr act iceset ti
ngs.I nl ooki ngatcommuni tyheal th
nursi
ng,thest
udentrecogni
zest
hatit:
a.Requir
esaMast er’sdegreetobecomeaPubl
i
cHeal
thNur
se
b.Ist
hesameaspubl i
cheal
thnursi
ng
c.Focusesontheinci
denceofdisease
d.Incl udesdi rectcar eandser vicest osubpopul at i
ons
ANSWER:D
Communi tyheal thnur singst rivest osaf eguar dandi mpr ovet heheal thofpopul at i
onsi nt hecommuni tyaswel l
aspr ovi di ngdi rectcar eser vi cest osubpopul ationswi thinacommuni ty.Opt ionA:Nur seswhobecomeexper tin
communi tyheal thpr act icemayhaveadvancednur singdegr ees;BSNdegr eeandaRNcanbecomequi te
compet enti nf or mul atingandappl yingpopul at i
on-f ocusedassessment sandi nt ervent ions.Opt i
onB:Publ i
c
heal thnur singf ocusesont heneedsofpopul ations.Communi tyheal thnur singhasabr oaderf ocus,wi t
han
emphasi sont heheal thofacommuni ty.Thecommuni tyheal thnur semer gespubl icheal thknowl edgewi th
nursi ngt heor y.Thecommuni tyheal t
hnur seconsi der st heneedsofpopul ationsandi spr epar edt opr ovidedi rect
careser vi cest osubpopul ationswi t
hinacommuni ty.Opt ionC:Publ i
cheal thnur singi sconcer nedwi tht rendsand
patter nsi nf l
uenci ngt hei nci denceofdi seasewi thinpopul ati
ons.Acommuni t
yheal t
hnur semaybei nvol vedi n
dir
ectcl ientcar ef ordi seasewi thinacommuni ty.
Ref erence:Cuevas.Publ icHeal thNur singi nt hePhi li
ppi nes1 0t hedi ti
onpage7,365
20.I ncommuni tyheal th,t henur sewor kswi t
hcl i
ent sf rom di ffer entpopul ationswhoar eext remel yvul nerabl e.
Whi choneoft hef oll
owi ngcl ient sf rom avul ner abl epopul ati
oncur rent lyappear st obeatt hegr eat estr isk?
a.Aphysi callyabusedcl ienti nashel ter .
c.Aschi zophr eni ccl ienti nout pat ientt her apy.
b.Anol deradul tt akingmedi cat i
onf orhyper tensi on.
d.Asubst anceabusert hatshar esdr ugpar apher nal i
a.
ANSWER:D
Acl ientwi thsubst anceabusehasheal thandsoci oeconomi cpr obl ems.Fr equent l
yt hesecl ient smayavoi dheal th
caref orf earofj udgment al attitudesbyheal thcar epr ovi dersandconcer noverbei ngr epor tedt ocr i
mi nal
author iti
es.Opt ionA:Anabusedcl ienti nashel terhassoughtpr ot ect ion,socur rentlyshoul dbeatl essr isk.
Opt ionB:Al thoughconsi der edt obeamemberofavul ner ablepopul at ion,t heol deradul twhot akesmedi cat ion
forachr oni cdi seasesuchashyper t
ensi on,i st aki ngmeasur est omai nt ainheal th.Opt ionC:Aschi zophr eni c
cli
enti nout pat i
entt her apyi scur rentlyatl essr iskbecauseheorshei sr ecei vingt reatment .
Ref erence:Cuevas.Publ icHeal thNur singi nt hePhi li
ppi nes1 0t hedi ti
on
21.Ther ear edi ff erentwayst ol ookonheal thandi llness.Whenf or mul atingadef i
niti
onof“heal th,” aper son
shoul dconsi dert hatheal th,wi thini tscur rentdef inition,i s:
a.Theabsenceofdi sease
c.Ast ateofwel lbei ngi nvol vi ngt hewhol eper son
b.Af unct i
onoft hephysi ologi cal state
d.Theabi l
ityt opur sueact ivitiesofdai lyl iving
ANSWER:C
Whenf or mul ati
ngadef initi
onof“heal th,” aper sonshoul dconsi dert het ot al per son,aswel last heenvi ronment
i
nwhi cht heper sonl ives.Heal thgener al l
yi mpl i
esast at eofwel lbei ng,whi chi sul t
imat elydef inedi nt ermsof
thei ndi vidual .Opt ionA:Heal t hi sconsi der edt obemor et hanmer elyt heabsenceofdi sease.Opt ionB:The
def i
ni ti
onofheal thhasbr oadenedbeyondt hephysi ologi cal statet oi ncl udement al,soci al,andspi ri
tual wel l
being.Opt i
onD:Ani ndi vidual whohast heabi l
i
t yt opur sueact ivitiesofdai lyl ivingmaynotdef inehi msel for
hersel fasbei ngheal thy.Li fecondi t
ionssuchasenvi r
onment ,dietandl ifest ylepr acticesmaynegat i
vel yaf fect
one’sheal thl ongbef or eonei sunabl et oper for m act iviti
esofdai l
yl iving.
Ref erence:Pot terandPer ryFundament alsofNur sing6t hedi ti
onpage91
22.Theheal thofi ndi vi
dual sandcommuni tiesint oal argeext enti saf fect edbyacombi nat i
onoff act ors.These
factor sort hingst hatmakepeopl eheal thyornoti sknownas:
a.Heal thser vices
b.Cul tur e
c.Det er mi nant s
d.Soci al suppor tnet wor ks
ANSWER:C
Det er mi nant sar et hef act or sort hingst hatmakepeopl eheal thyornot .Aper son’sheal thisdet er minedbyhi s
cir
cumst ancesandenvi ronment .I tisinappr opr iatet her ef oret obl ameorcr edi ttheper son’sst ateofheal tht o
himsel fal onebecausehei sunl ikel yabl et odi rect lycont rol manyoft hesef act ors.Thesef actor s,Opt ionsA,B,D,
aredet er mi nant sofheal thandal soi ncl ude:i ncomeandsoci al stat us,empl oymentandwor ki
ngcondi t
ions,soci al
suppor tnet wor k,cul ture,genet ics,per sonal behavi orandcopi ngski ll
sandgender .
ppi nesbyDOH,p.4
23.Amongt hef act orst hati nf luenceheal thaccor di ngt oWHOar e:
1.IncomeandSoci al stat us
3.Genet ics
5.Educat ion
2.Gender
4.Empl oyment
6.Heal thser vices
a.1 ,3,4,6
b.Al l except2
c.Al lexcept5
d.Al l oft heabove
ANSWER:D
Det er mi nant sar et hef act or sort hingst hatmakepeopl eheal thyornot .Aper son’sheal thisdet er minedbyhi s
cir
cumst ancesandenvi ronment .Thesear e:IncomeandSoci al stat us,
Gender ,Genet i
cs,Empl oyment ,
Educat i
on,Heal thser vices,Per sonal behavi orandcopi ngski l
ls,Cul ture,Physi cal envi ronment ,andSoci al suppor t
networ ks.
ppi nesbyDOH,p.4
24.Themi ssionofpubl icheal thi st of ulfillsoci et y'si nter esti nassur i
ngcondi ti
onsi nwhi chpeopl ecanbe
heal thy.Wor ldHeal thOr gani zat ion’sdef init
ionofpubl icheal thi s:
a.Thepr esenceorabsenceofadi sease
b.Thesci enceandar tofpr event i
ngdi sease,prolongingli
fe,promot i
nghealthandeffici
encythroughor ganized
communi t
yeffort
c.Thear tofapplyi
ngsci encei nt hecont extofpolit
icssoast or educeinequal
it
iesinhealt
hwhi l
eensur ingthe
besthealthforthegr eat estnumber
d.Healthisnotacondi t
ion;itisanadj ustment.I
tisnotast atebutapr ocess.Theprocessadapt stheindi vi
dual
notonlytoourphysi cal butal sooursoci alenvi
ronment s".
ANSWER:C
WHOdef inedpublicheal t
hast he“ar tofapplyingscienceint hecontextofpoli
ti
cssoast oreducei nequal i
tiesi
n
healt
hwhi leensuri
ngt hebestheal thf orthegreatestnumber .”
Reference:Cuevas,Fr ancesP. ,et.al.(2007)DOH’sPubl i
cheal thnursi
nginthePhil
ippi
nes.10thedi t
ion,Page5
25.Whenwor kingasacommuni t
yheal thnurse,thenur sewor kstoimprovethehealthof:
a.Inf ant sandpr eschool chi l
dren
c.Mot her sandchi ldren
b.El der lycl ient si nanaggr egat e
d.Theent irecommuni t
y
ANSWER:D
Nur seswhowor ki nt hecommuni tymakeacommi tmentt oi mpr ovi ngt heheal t hoft heent irecommuni tyandnot
j
usti nf ant s,pr eschool chil
dr en,mot her s,orel der lycl i
ent s.
Ref erence:Cuevas.Publ i
cHeal thNur singi nt hePhi l
ippines1 0thedi tion
26.Fel imoni spubl icheal t
hnur se.I ndevel opi ngcar eofpl anf ort hecommuni ty,hispr imar yf ocusshoul dbe:
a.Heal t
ht eachi ng
b.Heal t
hf ocus
c.Heal t
hpr omot ion
d.Heal t
heducat ion
ANSWER:C
Thewor l
dheal t
hor gani zation,Rut hb.Fr eemanf amousdef i
niti
onsofcommuni tyheal thnur singexpl aint hatCHN
referst oaser vicer ender edbyapr of essi onal nur sewi t
hcommuni ti
es,gr oups,f amili
es,i ndi vidualsathome,i n
heal t
hcent ers,i ncl inics,inschool s,inpl acesofwor kf ort hepr omot ionofheal th,pr event ionofi ll
ness,car eof
sickathomeandr ehabi li
tation.
Ref erence:Publ icHeal thNur si
ngi nt hePhi li
ppi nesbyDOH,p.7
27.Thenur sei swor kingi nawomen’sheal thcl i
ni cinwhi chPapsmear sandmammogr amsar eper formedon
selectcl i
ent s.Thi si sanexampl eof :
a.Pr imar ypr event i
on
b.Secondar ypr event i
on
c.Ter tiarypr event ion
d.Heal t
hpr omot ion
ANSWER:B
Thegoal ofsecondar ypr event ioni sear l
ydet ect ionofdi seaset oi nitiateear l
yint ervent i
on.Anexampl eoft hi
s
typeofpr event ioni sscr eeni ngf orpar ti
cul ardi seases.Thepur poseofpr i
mar ypr event i
oni st odecr easet he
person’svul ner abi l
itytodi sease.Ter ti
ar ypr event ioni susedt omi nimi zet heef fectsofadi seasepr ocesst o
preventf urtherdi sabi l
it
y.Heal thpr omot i
onact iviti
esar et hoset hatf ost erlifest ylebehavi orsconduci vet o
optimum heal thst at us.
28.I nt hepl anni ngst ageofheal thpr omot i
onf oracl ient,t hebestr olef ort henur sei sasa( n):
a.Advi sor
b.Counsel or
c.Teacher
d.Deci sionmaker
ANSWER:C
Wheni nt hepl anni ngst ageofheal thpr omot ionf oracl ient ,thebestr olef ort henur sei sat eacher .Cl ient
teachi ngi samaj ori ntervent ionf orpr omot i
ngheal th.Theot herchoi cesmayormaynotbeappl i
cabl eandar e
i
ncor rect.
29.Changei snotal wayseasyf ormember sofacommuni tyorapr of ession.Thenur sewor ki
ngasanef fective
changeagenti nacommuni tyshoul d:
a.Tel l communi tymember show t omanaget hei rheal thneeds.
b.Wor kwi thcl i
ent sandgr oupst osel ectal ter nat iveheal thcar esi tesandt reat ment s.
c.Makedeci sionsf ori ndividual client sr egar dingt heirheal thcar eopt i
ons.
d.Pr ovi dei nst ruct ioni nt hewayt hecommuni tyshoul daddr essheal thi ssues.
ANSWER:B
Asachangeagent ,t henur seseekst oi mpl ementnew andmor eef fect iveappr oachest opr oblems.Thenur se
creat eschangebywor kingwi thandempower ingi ndivi
dual sandt hei rf ami l
iest osol vepr obl emsort obecome
i
nst rument al inchangi ngaspect saf fect i
ngt hei rheal t
hcar e.Opt ionA:Tel l
ingcommuni tymember show t o
managet hei rheal thcar eneedsmaymeetr esi stance.I tdoesnotenabl ecl ient sandt heirf ami l
i
est ot ake
responsi bi l
ityf ort hei rheal thcar e.Opt i
onC:Maki ngdeci sionsf orcl ient sdoesnotenabl ei ndi vi
dual st oassume
responsi bi l
ityf ort hei rheal thcar edeci sions.Opt ionD: Thecommuni ty-basednur seact i
ngasachangeagentmay
beanexcel lentr esour cef orheal thi nfor mat iont omember soft hecommuni t
y.Ul t
imat ely,however ,the
communi tymember swi l
ltakeanact iver ol et ocr eat echangef ort hemsel vesandwi l
l assumer esponsi bil
ityfor
theirheal thcar edeci sions.
Ref erence:Pot terandPer ryFundament alsofNur sing6t hedi ti
onpage56
30.Amongheal thcar epr ovider s,whi chgr oupi scur rent l
yhel di ngr eat estest eem?
a.Physi cians
b.Nur ses
c.Dent i
sts
d.Physi cal ther api sts
ANSWER:B
Issuesr elat edt opr ovidergr eedandwast ewi t hint heheal thcar edel iver ysyst em havebeeni dentifiedasmaj or
probl ems.Publ icper ceptionofnur ses,however ,r emai nsposi tive;cl ient sbel i
evet hatnur sesenhancequal it
yof
careandcont r i
but et or educi ngcost sbecauseoft heirfocusonhol i
st iccar e.
31.Thet er m heal thcar edel i
verysyst em r ef erst oa:
a.Met hodf orpr ovi dingser vicest omeett heheal t h-relatedneedsofi ndi vidual s
b.Col l
abor at ionofpr ovideror gani zat i
ons
c.Congl omer at eofcommer cial heal thcar esuppl iers
d.Si ngl e-payersyst em
ANSWER:A
Theheal thcar edel i
ver ysyst em i samet hodf orpr ovidingser vicest omeett heheal t
hneedsofi ndividual s.
Reference:Whi t
e.Foundat i
onsofNur sing3rdedi t
ion
:Cuevas.PublicHealthNur singi nthePhil
ippi
nes1 0t hediti
onpage1 3
32.Wi ththedevolut
ionofheal thser vi
ces,thelocal healthsyst
em isnow r
unbyl ocal
governmentunit
s( LGUs)
.
Theleadagencyi nhealt
hser vicesatthenat i
onal l
evel isthe:
a.Depar tmentofHealth( DOH)
c.Local Heal
thBoar d
b.TheCi tyHealthOffi
ce
d.Local GovernmentUni ts(LGUs)
ANSWER:A
Thepubl i
csectorconsistsoft henat i
onalandl ocalgover nmentagenciesprovi
dingheal
thservi
ces.Atthenati
onal
l
evel,theDOHi smandat edast heleadagencyi nheal th.
Reference:Cuevas.PublicHeal thNursi
ngi nthePhi l
ippines10thedit
ionpage19
33.TheDepar tmentofHeal thi ni tsnew r oleast henat ional aut hor ityonheal tht hatpr ovidest echni cal andot her
resour ceassi stancet oconcer nedgr oups.Thi swasmandat edt hr ough:
a.Execut iveOr der201
b.Execut iveOr der204
c.Execut iveOr der1 02
d.Execut iveOr der1 09
ANSWER:C
Execut iveOr der1 02:“Redi rect ingt heFunct i
onsandOper at i
onsoft heDepar tmentofHeal th,” byPr es.Joseph
EstradaonMay24,1 999.I tgr ant edt heDOHt opr oceedwi t
hi tspl anwhi chpr escr i
bedt hecur rentor gani zational
staffi
ngandr esour cest ruct ureconsi stentwi t
hi tsnew mandat e,r olesandf unct ionpostdevol uti
on.
Refer ence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl i
ppi nes.10thedi t
ion,Page23
34.Undert hisl aw,al lst ruct ures,per sonnel ,andbudget aryal l
ocat ionsf rom thepr ovi
nci alheal t
hlevel downt o
thebar angayswer edevol vedt ot heLocal Gover nmentUni ts:
a.Execut iveOr der1 02
b.Republ icAct71 60
c.Republ icAct761 0
d.Execut iveOr der201
ANSWER:B
Republ icAct71 60knownast heLocal Gover nmentCodepr ovi dedf ort hedecent rali
zationoft heent i
re
gover nment .
ppi nes.10thedi ti
on,Page23
35.Ther ear et hr eemaj orr olesoft heDepar tmentofHeal t
hasanat i
onal author i
tyi nheal th.Whi chonei snot
i
ncluded?
a.Deci sion-makerofpeopl e’sheal th
c.Admi nist ratorofspeci ficser vices
b.Enabl erandCapaci tybui l
der
d.Leaderi nheal th
ANSWER:A
Thet hreemaj orr olesoft heDepar tmentofHeal thasanat i
onal aut hor it
yi nheal t
har ethef oll
owi ng:Leader ship
i
nheal th,Enabl erandCapaci tybui l
der ,andAdmi nistratorofspeci fi
cser vices.
ppi nes.10thedi t
ion,Page24
36.Whi choneoft hef ollowi ngi soneoft hemai n,over ridinggoal ofDOH?
a.Heal thSect orRef or m Agenda
c.Nat ional Obj ect i
vesf orHeal t
h
b.FOURmul aOnef orHeal th
d.Heal thf orAl lFilipinos
ANSWER:A
Heal t
hSect orRef or m Agenda( HSRA)i st heover r i
dinggoal oft heDOH.
ppi nes.10thedi t
ion,Page25
37.TheDepar t
mentofHeal thi st hel eader ,staunchadvocat eandmodel i
npr omot i
ngheal t
h.I t
smi ssi onist o:
a.Pr ovidequal i
t yheal tht opoorFi li
pinos
c.Beal eaderi nf or mul ationofheal t
hpol i
cies
b.Guar ant eeequi tabl eheal thf oral l
Fi l
ipinos
d.Reducemor bidityandmor talityofcer taindi seases
ANSWER:B
DOH’sMi ssioni st oguar ant eeequi tabl e,sut ainabl e,andqual i
tyheal thf orall Fili
pinos,especi all
ythepoorand
shallleadt hequestf orexcel l
encei nheal th.
ppi nes.10thedi t
ion,Page25
38.TheDOHl auncht heHeal t
hSect orRef orm Agendat oimpr ovet heheal t
hst atusoft heFi l
ipinost hrought he
i
mpl ement ationofr ef ormsi nt hef oll
owi ngar eas,whi chi snoti ncl uded?
a.Publ icHeal th
b.Hospi tals
c.Financi ngandl ocal heal thsyst ems
d.Humanr esour ces
ANSWER:D
Thegoal oft heHSRAwast oi mpr ovet heheal thst atusofal l Fil
ipi nost hrought hei mpl ement ationofr ef ormsi n
fi
vegener al ar eas:publ icheal th,hospi tals,r egulat i
on,f i
nanci ngandl ocal heal thsyst ems.
Refer ence:DOHAdmi ni strat i
veOr derNo.23s.2005" I
mpl ement ingGui delinesf orFOURmul aOnef orHeal thas
theFr amewor kf orHeal t hRef or ms"
39.Whi chel ementi nt heFOURmul aOnef orHeal tht hatf ost ergr eat er,bet terandsust ainedi nvestment si n
health?
a.Heal thFi nanci ng
b.Heal thRegul at i
on
c.Heal thSer viceDel i
ver y
d.GoodGover nance
ANSWER:A
Thegoal ofheal thf inanci ngr ef orm ar eai stof ost ergr eat er ,bet t erandsust ainedi nvest ment si nheal th.Heal th
servicedel iver ygoal i
st oi mpr oveandensur et heaccessi bili
tyandavai labili
tyofbasi candessent i
al healthcar e
i
nbot hpubl i
candpr ivat ef aciliti
esandser vices.Heal thr egul ationgoal istoensur ethequal it
yandaf fordabi l
ity
ofheal thgoodsandser vi ces.Goodgover nancegoal ist oenhanceheal thsyst em per formanceatt henat ional and
l
ocal level s.
Refer ence:Publ icHeal thNur si ngi nt hePhi l
ippinesbyDOH,p.26
40.Heal thSect orRef orm Agenda( HSRA)i stheover ridinggoal oft heDOH.Rat ionalef orheal thsect orr eform
i
ncludei nwhi choft hef ol lowi ng:
1.Bur denofdi seasei sheavi estont hepoor
4.Highbur denf r
om i nfectiousdiseases
2.Risingbur denfrom chr onicdegener ati
vedisease
5.Inappropriatehealthdel i
verysystem
3.Poorheal thcaref i
nanci ng
a.1,2,3
b.1,2,4
c.2,3,5
d.alloftheabove
ANSWER:B
Therear esixRationalef orHealthSect orReform:1)Sl owingdowni nthereductionint
heI nfantMortal
i
tyRate
andt heMat ernalMor tali
tyRate,2)Per si
stenceofl argevariat
ionsi
nheal thst
atusacrosspopul at
iongroupsand
geogr aphicareas,3)Hi ghbur denf r
om infecti
ousdi seases,4)Risi
ngbur denfrom chr
onicanddegener at
ive
diseases,5)Unat tendedemer gingheal t
hrisksfrom environmentalandwor krelat
edfactors.6)Burdenofdisease
i
sheavi estinthepoor .Item number s3and5ar etheexpl anat
ionwhyt heabovecondi t
ionsar esti
ll
seenamong
thepopul ati
on.
Reference:Cuevas,Fr ancesP. ,et.al
cHealthNur si
nginthePhili
ppines.10t
hEd. ,page26
41.TheDOH,i ni tsnew r oleast henat ional aut horityonheal t
hhassever al r
olesi nt heheal t
hsect or.Whi ch
funct ioni sspeci fi
ct ot her ol
eoft heDOHast headmi nist r
at orofspeci ficser vices?
a.Exer cisef or esi ghtf unct ionsandmoni t
or i
ngofnat ional heal thpl ansandpr ogr ams
b.Ser veast headvocat ei nt headopt i
onofheal thpol icies,pl ans,andpr ogr ams
c.Managesel ect ednat ional heal thfaci l
it
iest hatser veasnat i
onal refer ral cent er s
d.Ensur ehi ghestachi evabl est andar dsofqual it
yheal thcar e,pr omot ionandpr ot ecti
on
ANSWER:C
Managesel ect ednat ional heal thf acili
ti
est hatser veasnat ional ref erral cent er sisundert headmi nistratorof
speci ficser vi cesr oleoft heDOH.
Opt ionAandD– Enabl erandCapaci t
yBui lderr oleofDOH
Opt ionB– Leader shi pi nHeal thr oleofDOH
Ref erence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl icHeal thNur singi nt hePhi l
ippines.10thEd. ,page24
42.Fr amewor kf ori mpl ement ationofHeal thSect orRef or m Agenda( HSRA)i s:
a.Goodgover nance
c.FOURr mul aOnef orHeal t
h
b.Local Gover nmentUni ts
d.Nat ional Obj ect ivesf orHeal th
ANSWER:C
Thef ramewor kf ori mpl ement ationofHSRAi sFOURmul aOnef orHeal th.Goal sofFOURmul aONEf orHeal th:1)
Betterheal thout comes2)Mor er esponsi veheal thsyst ems.3)Equi tabl eheal thcar efinanci ng.
Ref erence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl icHeal thNur singi nt hePhi l
ippines.10thEd. ,page26
43.Thegoal oft hisel ementi nFour mul aonei st oenhanceheal thsyst em per for manceatt henat i
onal andlocal
l
evel s?
a.Heal t
hf i
nanci ng
b.Heal t
hSer vicedel iver y
c.Heal t
hr egul at ion
d.GoodGover nance
ANSWER:D
Goodgover nancegoal ist oenhanceheal thsyst em per formanceatt henat ional andl ocal l
evels.Heal thf i
nancing
goal i
st of ost ergr eat er ,bet terandsust ai
nedi nvest ment si nheal th.Heal thser vicedel iverygoal istoi mpr ove
andensur et heaccessi bil
ityandavai l
abi l
i
tyofbasi candessent ial heal thcar ei nbot hpubl i
candpr ivatef acil
it
ies
andser vices.Heal thr egul ationgoal ist oensur et hequal ityandaf fordabi li
tyofheal thgoodsandser vices.
Ref erence:Publ icHeal thNur si ngi nt hePhi lippinesbyDOH,p.26
44.Whatel ementi nt heFOURmul aonef orheal tht hatf ost ergr eat er,bet terandsust ainedi nvestment sin
heal th?
a.Heal t
hFi nanci ng
b.Heal t
hRegul at ion
c.Heal t
hSer viceDel i
ver y
d.GoodGover nance
ANSWER:A
Thegoal ofheal thf i
nanci ngr efor m ar eai stof ost ergr eat er ,bet terandsust ai nedi nvest ment sinheal th.Heal th
servicedel iver ygoal i
st oimpr oveandensur et heaccessi bi li
tyandavai l
abi l
ityofbasi candessent i
al healthcar e
i
nbot hpubl icandpr ivat ef acilit
iesandser vices.Heal thr egul at i
ongoal ist oensur ethequal i
tyandaf fordabili
ty
ofheal thgoodsandser vices.Goodgover nancegoal i
st oenhanceheal thsyst em per formanceatt henat i
onal and
l
ocal level s.
Ref erence:Publ icHeal thNur si ngi nt hePhi lippinesbyDOH,p.26
45.Al lar et rueaboutPHCexcept :
a.Essent ial heal thcar emadeuni versallyaccessi blet oi ndivi dual sandf ami l
iesi nt hecommuni t
y(IFC) .
b.Car et hati sf reet ot heI FC.
c.Car eaccept abl et oI FC.
d.Noneoft heabove.
ANSWER:B
Primar yheal thcar ei sessent ial heal thcar ebasedonpr actical ,sci entifical l
ysoundandsoci al
lyaccept able
met hodsandt echnol ogymadeuni versall
yaccessi blet oi ndi vidual sandf ami li
esi nt hecommuni tythrought heir
ful
l par ti
ci pat ionandatacostt hatt hecommuni tycanaf for dt omai ntainatever ystageoft heirdevel opmenti n
thespi ri
tofsel f-r el i
anceandsel f-det erminat i
on.Basedont hisopt ionBi sincor rect ,becausecar et hati s
affor dabl eandnotf r
ee.
Ref erence:Nur singPr act icei nt hePhi li
ppinesbyMagl aya,p.1 3
SITUATI ON:Becauseofeverchangi ngpat ternsofheal thandcor respondi ngemphasi sonl ifestyl
e,pr omot i
onof
heal thwasgi vensi gni ficance.
46.MangAl ber to,45-year -oldr esidentofbar angayLi kasYaman,wal ksever ymor ni
ngatpl azaaspar tofhis
dailyr out ine.Heal sof oll
owsaheal thydi etandhasnoknownsi cknessathi sage.MangAl berto’sr out i
neswoul d
bebestchar act erizedasengagi ngi nwhi chki ndofact i
vities?
a.Heal t
hbal ance
b.Di seasepr event ion
c.Heal t
hpr omot ion
d.Sel f– f ulfill
ment
ANSWER:C
Rational e:Heal thpr omot i
onar eact i
viti
est hatgoesbeyondheal tht eachi ngsandheal thpromot ioncampai gn.
Thepr omi nenceofheal thpr omot ioncameaboutasar esul toft hechangi ngpat ternsofheal thandt he
correspondi ngemphasi son“l ifest yle” asamaj orfact or .Rout inewal kingandf ol
lowi ngaheal t
hydi etar elif
estyl
e
behavi or.
Ref erence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl icheal thnur singi nt hePhi l
ippines.
10thedi tion,Page
58
47.Theheal t
hbehavi orchoice/sthati
s/areessent
iali
npromot i
nghealt
handpr eventi
ngdiseasesis/ar
e:
a.Gettingtheri
ghtki ndoffood,adequat esl
eep,physical
exerci
se,andef f
ectivel
yhandlingstr
ess
b.Stoppingsmoki ngandt akingvacations
c.Maki ngsurethatal l
prescri
pti
onmedi cati
onaretakenproperlyandattherightti
me
d.Avoidingcrowdsdur i
ngfluseason
ANSWER:A
Healthpr omoti
onf ocusesonact i
vit
iestoenablepeopletoincr
easecontroloverandt oimprovetheirheal
th.The
perquisit
esofhealthpr omoti
onincludespeace,shelt
er,educati
on,andfoodaswel lasincome,stableeco-
syst em,sust ainabl eresour ces,soci al j
ust iceandequi t
y.Opt ionAr ef er stot hoseact i
viti
est hatwillpromot e
heal thbasedont hepr erequi si
tes.Opt i
oncf ocusesonr ehabi l
itation.Opt i
ondi sill
nesspr event i
on.Opt i
onBi s
i
llnesspr event ion:st oppi ngsmoki ngwhi l
et aki ngvacat ionscoul dbeaheal thpr omot ion.
Ref er ence:Cuevas,Fr ancesP. ,et.al.( 2007)DOH’sPubl i
cheal t
hnur singi nt hePhi li
ppi nes.
10t hedi tion,Page
58
48.Heal thpr omot ionact iviti
esar edesi gnedt o:
a.Pr eventpeopl ef rom exposur etoger ms
b.I gnor espi rit
ual factorsbecauset heycanconf usemedi cal issues
c.I ncr easecommuni tiescont r
ol overt hei rheal thandwel l being
d.Makesur et hecommuni tyheal t
hnur sei sinchar geofheal thpr ogr ams
ANSWER:C
Heal thpr omot i
oni sdef inedbr oadl yast hepr ocessofenabl i
ngpeopl et oi ncr easecont rol overandt oimpr ove
thei rheal th,t her efor eopt i
onCi sthebestanswer .Healthpr omot i
oncannotpr eventpeopl ef rom exposur eto
ger msbutr atheri ncreaset heheal t
hst at usofpeopl et
husi ncr easi ngt heirimmuni tyagai nstger m-causing
diseases.I gnor ingspi rit
ual factorsisnott hepur poseofheal thpr omot i
on.Changi ngpat ternsofl i
fe,wor kand
l
ei sur ehavesi gni ficanti mpactonheal t
h,sooneneedsal sospi ri
tual suppor t.Opt ionDi si ncor r
ectbecausei ti
s
noti nt hehandsofnur sesone’sheal thcanbepr omot edt houghnur sespl aysimpor tantr oleinhealtheducat ion.
cheal t
ppi nes.
10t hedi tion,Page
58-59
49.Thi si sknownast hecomposi teexpr essi onoft hesoci al andcul tural circumst ancest hatcondi t
ionsand
const rainsbehavi or :
a.Heal t
hpr omot ion
b.Heal t
heducat ion
c.Val ues
d.Li fest yle
ANSWER:D
Rat ional e:Thepr omi nenceofheal thpr omot ioncameaboutasar esul toft hechangi ngpat ternsofheal t
hand
cor respondi ngemphasi sonl if
est yleasaf act or.Lifestyl ei st hecomposi teexpr essi onoft hesoci alandcul t
ural
circumst ancest hatcondi tionandconst rai nbehavi or.
cheal t
ppi nes.
10t hedi tion,Page
58
owi ngst atement si st rueaboutheal thpr omot i
on:
a.Heal t
hpr omot ioni sawayofl ife
c.Heal t
hpr omot ioni sout sidehospi talnur sing
b.Heal t
hpr omot i
onmeansabsenceofdi sease
d.Heal t
hpr omot i
oni sani nvest menti nl ife
ANSWER:A
Heal thpr omot i
oni sseenasar esour cef orever ydayl i
fe,t her ef oreawayofl ifeandnott heobj ecti
veofl i
ving.
Heal thpr omot i
onnotmer elymeanst heabsenceofdi seasebutr at hert or eachast ateofcompl etephysical,
ment al andsoci al wel l-bei ng.Heal t
hpr omot i
onshoul dbet aughtal soi nsideaheal thcar ef acil
i
ty.Healthisan
i
nvest menti nl ifebutheal thpr omot ioni st hepr ocessorawayofl i
fet oachi eveheal t
h.
cheal t
ppi nes.
10t hedi tion,Page
58-59
51 .Themostbasi ct ypeofheal thpr omot ionpr ogr am oft heDepar tmentofheal thi sthe:
a.Pr i
mar yheal thcar e
c.Heal t
hi nfor mat iondi ssemi nation
b.Cont rol ofAI DS
d.Expandedpr ogr am oni mmuni zation
ANSWER:C
Heal thinf ormat i
ondi ssemi nat i
on,underheal theducat ion,i sthemostbasi ct ypeofheal thpr omot i
on.Thr ough
i
nf or mat iondi ssemi nat i
on,heal thpr omot i
onar t
icles,progr amsandact i
viti
escanbeeasi lypassedont othe
communi ty.
cheal t
ppi nes.
10t hedi tion,Page
61
owi ngr emai nedast hegui di ngpr i
nci plesi nheal thpr omot i
on?
a.Ot tawachar ter
b.WHO
c.Depar tmentofHeal th
d.Heal t
handwel fareCanada
ANSWER:A
Rat ional e:Ot tawaChar t
err emai nedt obet hegui dingpr inci plei nheal thpr omot i
onef f
orts.
cheal t
ppi nes.
10t hedi tion,Page
58
53.Nur seJackknowst hati nal llevelsofpr event ionandeveni nal l thepr ogr am t hrust soft hehealthcare
del i
ver ysyst em,sheshoul dpr ovidewhi choft hef ollowing?
a.Heal t
hpr omot ion
b.Heal t
heducat ion
c.Heal t
hcol labor at i
on
d.Noneoft heabove
ANSWER:B
Heal t
heducat ioncover sthecont i
nuum ofwhatLeavellcall
sthelevelsofprevention.Inalll
evelsofprevent i
on,
healtheducat ionplaysani mpor t
antrole.All
theprogr
am thrust
soft hehealthcaredel i
verysystem have
correspondi ngheal t
heducat i
on/promot i
oncomponent s.
Reference:Cuevas,Fr ancesP. ,et
.al.(2007)DOH’sPubl i
chealthnursi
ngi nthePhili
ppines.
10thedi ti
on,Page
61
54.Anur singact ivi
tydesignedt odiagnoseandt r
eatadiseaseorcondi t
ioninitsearli
eststagesbef or
ei tcomes
full
-blown,woul dbecl assi
fi
edas:
a.Pr i
mar ypr event i
on
on
c.Ter t
iarypr event i
on
d.Heal theducat i
on
ANSWER:B
Secondar ypr eventionfocusesonear l
yidenti
fi
cat
ionofhealthproblemsandpr omptinterventi
ontoalleviat
e
healthpr oblems.I tsgoal i
stoidentif
yindivi
dualsi
nanear l
ystageofadi seasepr ocessandt oli
mitfutur
e
disabil
ity.Opt i
ona,pr i
mar ypreventi
on,focusesonhealthpromot i
onandpr otecti
onagai nstspecifi
cheal t
h
problemswi tht hepur poseofdecr easi
ngt heri
skorexposureoft heindi
vidualorthecommuni tytodisease.
Opt ionc,t er ti
ar ypr event ion,f ocusesonr est or ationandr ehabi l
it
at ionwi thgoal ofret urningt hei ndi vidual t
o
OLOF.Heal theducat ioni st hepr imar yr esponsi bili
tyofPHN.
Refer ence:Fundament alsofnur singbyKozi er,8t hedi tion,p.276
55.Mar i
ani sper f
or mi ngsel f
-br eastexami nat ionever ymont h.Mar iani sengagi ngi nwhi chl evel ofpr event i
on?
on
on
c.Ter ti
ar ypr event ion
d.Heal theducat ion
ANSWER:B
Secondar ypr event ionf ocusesonear l
yi dent ificat i
onofheal thpr obl emsandpr ompti nt ervent iont oal l
evi ate
heal thpr obl ems.I tsgoal ist oi dent ifyi ndi vidual sinanear lyst ageofadi seasepr ocessandt ol i
mi tfut ur e
disabi li
ty.Opt iona,pr i
mar ypr event i
on,f ocusesonheal thpr omot i
onandpr ot ect i
onagai nstspeci fi
cheal t
h
probl emswi tht hepur poseofdecr easi ngt her iskorexposur eoft hei ndividual ort hecommuni tytodi sease.
Opt ionc,t er ti
ar ypr event ion,f ocusesonr est or ationandr ehabi l
it
at ionwi thgoal ofret urningt hei ndi vidual t
o
OLOF.Heal theducat ioni st hepr imar yr esponsi bili
tyofPHN.
56.Nur seRubyi sper for mi ngr iskassessmentf ordi abet esmel l
it
us.Nur seRubyknowst hatshei sper formi ngr i
sk
assessmentunderwhi chl evel ofpr event i
on?
on
on
c.Ter ti
ar ypr event ion
d.Heal theducat ion
ANSWER:A
Riskassessmentf orspeci ficdi seasef allsunderpr imar ypr event ion.Heal theducat ionaboutnut ri
tion,gr owt hand
devel opment ,pr event ionofi nj ur yandpoi soni ng,st ressmanagement ,immuni zat i
on,f ami l
ypl anni ng,
envi ronment al sani tat i
onar eact ivitiesunderpr imar ypr event ion.Opt i
ona,pr imar ypr event ion,f ocusesonheal th
promot ionandpr ot ect ionagai nstspeci ficheal thpr oblemswi tht hepur poseofdecr easi ngt her iskorexposur eof
thei ndi vidual ort hecommuni tyt odi sease.Opt ionB,secondar ypr event ionf ocusesonear lyi dent i
f i
cat ionof
heal thpr obl emsandpr ompti nt er vent iont oal l
evi ateheal t
hpr obl ems.I tsgoal ist oi dent ifyindi vi
dual sinanear l
y
stageofadi seasepr ocessandt ol imi tf ut ur edi sabi l
it
y.Opt ionc,t er ti
arypr event i
on,f ocusesonr est or ati
onand
rehabi l
itat i
onwi thgoal ofr et ur ningt hei ndi vidual toOLOF.Heal theducat ioni st hepr imar yr esponsi bil
ityofPHN.
57.Whi choft hef ollowi ngi s/ ar et hecont ri
but i
on/ sofcommuni tyheal t
hnur sest ot hecommuni ty’sgener al
heal th?
a.Pr ovi di ngheal t
heducat i
ont ovul ner abl epopul ati
on
b.Coor di nat i
ngaccesst oi ntegr at edcar ef orapopul ation
c.Devel opi ngcompr ehensi vesyst emsofheal thcar einavar i
etyofset ti
ngs
d.Al l oft heabove
ANSWER:D
Alloft heaboveopt ionsar et hecont ribut ionsofCHNt ocommuni t
y.
58.I nwhi choft hef ol l
owi ngset ti
ngswoul dacommuni tyheal t
hnur sel essl ikel ytobei nvolved?
a.Nei ghbor hoodorcommuni tycl inicorseni orcent er
c.Homebasedcar e
b.Physi cian’sof ficewi t
hf ocusoni ndi vidual cl i
entcar e
d.Nei ghbor hoodpl anni ngboar d
ANSWER:B
CHNf ocusi st hecommuni tyashercl ient .I tislessl i
kelyt hataCHNwi llbei nvol vedi nphysi ci an’sof ficef or
i
ndi vidual car ebecauset hewhol epopul ationwi l
lbet hef ocus;t houghi ndi vidual coul dbeal soacl ient .CHNar e
expect edt obei nt henei ghbor hoodorcommuni tysincecommuni tyheal thnur singi samass-appr oachand
communi tyf ocus.
Refer ence:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl icheal thnur si ngi nt hePhi l
ippines.
10thedi tion,Page
61
59.Thef ollowi ngar et hepr i
nci pl esofheal thpr omot ionci tedbyWHOexcept :
a.Invol vest hepopul ationasawhol ei nt hecont extoft hei rli
fe
b.Di rect edt owar dsact ionont hedet er mi nant sorcauseheal th
c.Ai mspar ticul arlyati nef f ect i
veandi nsubst ant i
al publicpar tici
pat i
on
d.Pr imar i
lyasoci etal andpol itical vent ur eandnotamedi cal service
Answer :C
Rational e:TheWHOci test hef ol l
owi ngpr inci plesonheal thpr omot i
on:I nvol vest hepopul ati
onasawhol eint he
cont extoft hei rl if
e,Di rect edt owar dsact ionont hedet er mi nant sorcauseheal th,Pr i
mar i
lyasoci etal andpol itical
vent ur eandnotamedi cal ser vice.Ai mspar t
icul arl
yatef fect iveandconcr et epubl i
cpar t
ici
pat i
onnoti nef fective
andi nsubst ant ial.
Refer ence:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl icheal thnur si ngi nt hePhi l
ippines.
10thedi tion,Page
60
60.Thef ol l
owi ngar et rueaboutcommuni tyheal th,except :
a.Thr oughpr imar yheal thcar e,communi tyheal thbecomesacat alystnotonl yofheal thbutal soofdevel opment
asitpr omot escol l
ect i
veact i
onf orpr oduct ivityi npar ti
cul arandeconomi cdevel opmenti ngener al
b.Communi tyheal thmaxi mi zest heuseoft i
meandal locat ionofr esour cest oef fectivelyandef fi
cient lyaddr ess
theheal thneedsandpr obl emsofmor epeopl ebyf ocusi ngonpr imar yheal thcar e
c.Wi tht hel imi tedheal thr esour cesandsoci o-economi candpol it
ical fact ors,communi tyheal thisnowvi ewedas
mor er elevantt oindi vidual izeddi agnosi sandt r eatmentofdi sease.
d.Communi tyheal th,t oget herwi thcommuni tyheal thnur sing,ar et woconcept si nt hePhi l
ippi neheal thcar edel iver
ysyst
em t
hatf
ost
er
cooperat
ionandparti
cipat
ionofthepeopleincommunit
yheal
thpr ograms
ANSWER:C
Withtheli
mit
edhealthresourcesandsocio-economi
candpol
i
tical f
actor
s,communityhealt
hi snow vi
ewedas
MORERELEVANTTOPREVENTI NGDI SEASESANDPROMOTI NGHEALTHr athert
hantheindividual
i
zeddiagnosi
s
andtreat
mentofdisease.
Refer
ence:Cuevas,FrancesP.,et.al
.(2007)DOH’sPubli
cHealthNur si
nginthePhi
li
ppines.10thedit
ion,
page4
61.I tisdef inedbyWHOast he“ar tofappl yingsci encei nt hecont extofpol it
icssoast or educei nequal i
ti
esin
heal thwhi leensur ingt hebestheal thf ort hegr eatestnumber .”
a.Heal thCar eDel iver ySyst em
c.Publ icHeal th
b.Communi tyHeal thNur sing
d.Communi tyOr gani zing
ANSWER:C
Inar ecentt hree-count ryst udyonessent ial publ i
cheal thf unct ionsintheWest ernPaci fi
cRegi on,publ i
cheal t
his
def i
nedbyWHOast he“ar tofappl yi ngsci encei nt hecont extofpol i
ti
cssoast or educei nequal i
ti
esinheal t
h
whi leensur ingt hebestheal t
hf ort hegr eat estnumber .
”I tpoi ntstothef actt hatpubl icheal thisacor eelement
ofgover nment s’ at temptt oi mpr oveandpr omot et heheal thandwel fareoft hei rciti
zens.
Ref er ence:Cuevas,Fr ancesP. ,et .al .(2007)DOH’sPubl icHeal t
ippines.1 0thediti
on,page5
62.Theessent i
al funct ionsofpubl icheal thi s/ are:
1.Heal thsi tuat i
onmoni toring
4.St rat egi esmanagementofheal thsyst em
2.Di seasecont rol
5.Humanr esour cesdevel opment
3.Heal thpr ot ection
a.1 ,2,and3
b.2,3,and4
c.1 ,4,and5
d.2,3,4,5
ANSWER:C
Opt ions1 ,4,and5ar eessent i
al publ icheal t
hf unctions.Opt i
on2and5ar ecor ebusi nessofpubl ichealth.
ippines.1 0thediti
on,page6
63.I nt hest andar dsofPubl icHeal thNur singi nthePhi l
ippine2005.Publ icHeal thNur ses( PHNs)r eferto:
a.Nur sesi nt hel ocal /nat i
onal heal thdepar tment s
c.Nur seswor kingasNGO’s
b.Nur sesi npr i
vat eschool s
d.Nur seswor kingi nhospi tals
ANSWER:A
Publ icHeal thNur ses( PHNs)r ef ert ot henur sesi nt helocal /nat i
onalhealthdepar tment sorpubl icschools.
ippines.1 0thediti
on,page8
64.I nwhi choft hef ol l
owi ngst rat egi eswi llitbepossi bl
et oachi evethecommonvi si
onofpover tyreduct i
onand
sust ainabl edevel opmentwhi let aki ngi ntoconsi derat i
onthef undament al valuesoff reedom,equal i
ty,soli
darit
y,
toleranceandshar edr esponsi bili
ty?
a.Achi eveuni ver sal pr imar yeducat i
on
c.Reducechi l
dmor tal i
ty
b.Achi evet heMi ll
enni um Devel opmentGoal s
d.Devel opagl obal par tnershi pf ordevel opment
ANSWER:B
Ther estoft heopt ionsar epar toft heei ghtMi ll
ennium Devel opmentGoal s.
ippines.1 0thediti
on,page3
65.Thegoal sofMi llenni um Devel opmenti s/ar e:
1.Er adi cat eext remepover tyandhunger
4.Heal thf oral lFili
pi nos2025
2.Achi eveuni ver sal pr imar yeducat i
on
5.Impr ovemat er nal heal t
h
3.Pr omot egenderqual ityandempowerwomen
a.1and4onl y
b.2,3,4and5
c.1 ,2,3and5
d.1 ,2,3and4
ANSWER:C
Opt ions1 ,2,3,and5ar ei ncl udedi nei ght( 8)Mi ll
eni um Devel opmentGoal s.Theot hergoal sare:Reducechi ld
mor tality;CombatHI V/AI DS,mal ariaandot herdi seases;Ensur eenvironment al sustai nabili
ty;andDevel opa
global par tner shipf ordevel opment .
ippines.1 0thediti
on,page3
66.Det er mi nant sofHeal thar ef act or sort hi ngst hatmakepeopl ehealthyornot .Wor ldHeal thOr ganizati
on
i
ncl udedt hisf act orwhi chr ef er st osaf ewat erandcl eanai r,heal thywor kpl aces,saf ehouse,communi ti
esand
roadsal lcont ribut et ogoodheal thas:
a.Physi cal envi ronment
b.Heal thSer vices
c.Soci al suppor tnet wor ks
d.Per sonal behavi or
ANSWER:A
Physi cal Envi ronmentper tainst osaf ewat erandcl eanai r,heal thywor kplaces,saf ehouse,communi ti
esand
roadsal lcont ribut et ogoodheal th.
Thef ol l
owi ngar et heDet ermi nant sofHeal thl i
stedbyWor ldHeal t
hOr gani zationsuchas:I ncomeandsoci al
status;Educat i
on;Physi cal Envi r
onment ;Empl oymentandWor kingcondi tions;Soci al suppor tnetworks;Cul t
ure;
Genet i
cs;Per sonal behavi orandcopi ngski l
ls;Heal thser vices;Gender .
Heal t
hSer vices– def inedasaccessanduseofser vi
cest hatpr eventandt reatdi seasei nfl
uenceheal t
h.
Soci al Suppor tnet wor ks– per taint of ami lies,f ri
endsandcommuni ti
es
Per sonal behavi or– r ef erst obal ancedeat i
ng,keepi ngact ive,smoki ng,dr i
nking,andhow wedeal withlif
e’s
stressesandchal lengesal l af fectheal th.
Ref er
ence:Cuevas,Fr ancesP. ,et.al.(2007)DOH’sPubl icHeal thNur si
ngi nthePhi li
ppines.10thedi tion,page4
67.Whatr olesandf unct i
onsofDOHi nwhi cht heyadmi nisterheal themer gencyr esponseser vices,including
referr
al andnet workingsyst em f ortrauma,i njuriesandcat astrophi cevents,incasesofepi demi candot her
widespr eadpubl i
cdanger ,upont hedirectionoft hePr esidentandi nconsul t
ationwi thconcer nedLGU.
a.Admi nistr
at orofSpeci fi
cSer vices
c.Enabl erandcapaci t
yBui l
der
b.Leader shipi nhealth
d.Ser veasadvocat einheal thpol ici
es
ANSWER:A
TheDepar tmentofHeal th,initsnewr oleast henat ionalaut horit
yonheal thpr ovidingtechnical andot her
resourceassi stancet oconcer nedgr oupsasmandat edbyExecut i
veOr der(EO) 102hasi dentifi
edt hef ollowing
gener alfunct ionsunderi tsthreespeci ficrolesi ntheheal thsect or:1)LeadershipinHeal th;2)Enabl erand
Capaci tyBui lder3)Admi nist
rat orofSpeci ficSer vices
DOHasAdmi nistrat
orofSpeci ficSer vicesadmi nisterheal themer gencyresponseser vices,includingr eferraland
networ kingsyst em fortrauma,i njuri
esandcat astrophicevent s,incasesofepi demi candot herwi despr eadpubl i
c
danger ,upont hedirectionoft hePr esi
dentandi nconsul tationwi thconcer nedLGU.
DOHasLeaderofHeal thser vesasadvocat eint headopt ionofheal thpoli
cies,plansandpr ogramst oaddr ess
national andsect oralconcer ns.
DOHasEnabl erandCapaci tyBui l
deri nnovat esnew st rat egi esi nheal tht oi mpr ovet heef fect i
venessofheal th
progr ams.
Refer ence:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl icHeal thNur singi nthePhi l
ion,page24
68.ARur al Sani tar yI nspect or( RSI )i spar toft hecommuni tyheal thteam.Al lbutonei st hef unct i
onoft heRSI :
a.Responsi blef ort hepr omot i
onofheal thyenvi ronment al condi ti
onsandpr event ionsofenvi r
onment al relat
ed
diseaset hr oughappr opr iatesani tat ionst rat egi es
b.Admi ni strativel yi n-char geoft heRHU,r ender spr event iveandcur ativemedi cal ser vices
c.Planspr ogr amsf orenvi ronment al sani tat ion
d.Impl ement ssani t
at ionpr ogr amst hatar egear edt owar dst heel i
mi nat i
onandcont rol ofenvi ronment al factors
diseaset ransmi ssi ont hr ought hepr ovi sionofbasi cservi cesandf acili
tiest oal lhousehol ds
ANSWER:B
Opt i
onBi st her ol eofRur al Heal thPhysi ci an.
ion,page
32-33
69.Thepr i
nci plesi nvol vedi npr epar i
ngf orahomevi sitis/ are:
a.Gi venur singcar et ot hesi ck
c.Gi veheal thteachi ngsr egar di ngpr event i
onandcont rol ofdi seases
b.Assessl ivingcondi ti
onoft hecl ient
d.Makeuseofal l avai labl ei nfor mat i
onaboutt hecl i
ent
ANSWER:D
Opt i
onDi si ncludedi nt hepr inci pl ei nvol vedi npr epar i
ngf orahomevi sit.Opt i
onsa,b,andcar eal lpurposesof
homevi sit.
ion,page51
SITUATI ON:Thecommuni t
yheal thnur seshoul dbeari nmi ndt hef oll
owi nghi storical mi l
est ones,pr inciplesand
object ivesofCHN.
70.Heal thi sdef inedbyt heWor ldHeal thOr gani zat i
on( WHO)as:
a.Absenceofdi seasei nani ndi vidual
c.St ateofcompl et ephysi cal ,ment al andsoci al wel lbeing
b.Hi ghl evel ofpr oduct ivityoft heper son
d.Capaci tyt oper for m
ANSWER:C.TheWor ldHeal thOr gani zat ion( WHO)def i
nedheal t
hasast at eofcompl etephysi cal,ment aland
social wel l beingandnotmer elyt heabsenceofdi seaseori nfirmity.
Kozier ,B.et .al .( 2004)Fundament alsofNur sing:Concept s,Pr ocessandPr actice.7t hed.Pear sonPr ent iceHal l
.
71.Thel evel ofcommuni tyheal thi sbasedont hef ol
lowi ngf act orsexcept :
a.Cul tur e
b.Incomeandsoci al stat us
c.Per sonal behavi orandcopi ngski ll
s
d.All oft heabove
ANSWER:D.Cul tur e,i ncl udingt hecust oms,t radi tionsandbel i
efsoft hef ami ly,af f
ect sheal th.Ithasal sobeen
ment ionedt hathi gheri ncomeandsoci al stat usar el i
nkedt obet terheal th.I naddi ti
on,per sonal behavi orand
copingski l
lsgr eat lyaf fectheal th.Ot herdet ermi nant sofheal thar eeducat ion,physi cal envi ronment ,
empl oyment ,soci al suppor tnet wor ks,genet ics,heal thser vicesandgender .
Cuevas,F.P.et .al .( 2007)DOHBook:Publ icHeal thNur singI nThePhi li
ppi nes.10t hed.Mani l
a
72.Publ icheal thdef inedbyDr .C. E.Wi nsl owast hear tandsci enceofpr omot i
ngheal t
handef fici
ency,
prolongi ngl if
eandpr event i
ngdi seaset hr oughcommuni tyef for t
si sdirect edt owar ds:
a.Assi stingt hei ndi vidual t
obef reef r
om i nfirmi ties
b.Enabl ingever yci tizent or eal i
zehi sbi rthrightofheal t
handl ongevi ty
c.Acqui ringser vicesandmedi ci nesatal owcost
d.Obt ai ningsoci al ser vices
ANSWER:B.Dr .C.E.Wi nsl owdef inedpubl icheal t
hast hear tandsci enceofpr omot i
ngheal t
handef f
iciency,
prolongi ngl if
eandpr event i
ngdi seaset hr oughcommuni tyef for t
ssoast oenabl eever yci tizent or eali
zehi s
birt
hr i
ghtofheal thandl ongevi ty.
a
73.Thepr i
mar yf ocusofcommuni tyheal thnur singi s:
a.Ear lydet ect i
onandpr omptt reat mentofadi seasei nacer taincommuni ty
b.Pr event i
onofdi sabi li
tyandr ehabi li
tat i
on
c.Pr omot ionofheal thandpr event i
onofdi sease
d.Pr ovi sionofessent ial medi cat i
onsandt reat ment
ANSWER:C.Thepr imar yf ocusofcommuni t
yheal thnur singi st hepr omot ionofheal thandpr event ionof
diseaseofwhol epopul at i
onsandcommuni ti
es.
a
74.Iti scommuni tyheal thnur singpr act icedi nt hepubl i
csect or
a.Inst i
t utional Heal thNur sing
b.Publ icHeal thNur sing
c.Occupat ional Heal thNur sing
d.School Nur sing
ANSWER:B.Themoder ndef i
ni tionofpubl i
cheal thnur singi s:itist hepr act iceofnur singi nnat ional and
l
ocal gover nmentheal thdepar tment s.I tiscommuni tyheal t hnur singpr act icedi nt hepubl icsect or
a
75.Incommuni tyheal thnur sing,whati sconsi der edast hebasi cuni tofser vice?
a.Indi vidual
b.Fami ly
c.Communi t
y
d.Nat i
on
ANSWER:B.I ncommuni t
yheal thnur sing,t hef ami lyisthebasi cuni tofser vice.
Cuevas,F.P.et .al.(2007)DOHBook:Publ i
cHealthNur si
ngInThePhil
ippines.
10thed.Manil
a
76.Af ather,motherandchi l
dlivi
ngtoget
herbutapartfrom bot
hsetsoftheirparent
siswhatt ypeoffamil
y?
a.Blended
b.Dyad
c.Nucl ear
d.Extended
ANSWER:C.Anucl earfamil
yiscomposedofaf ather,motherandchil
dli
vingtogetherbutapartfr
om bothset
s
oftheirparents.Anext endedfamilyi
scomprisedofthreegenerat
ionsi
ncludingthegrandparentsandother
rel
at iveswhi leabl endedf ami lyisacombi nat ionoft wof ami lieswi thchi ldr enf rom oneorbot hfami l
ies.Adyadi s
composedofahusbandandwi f
eorot hercoupl el i
vingal onewi thoutchi l
dr en.
Bailon,S. G.&Magl aya,A. S.( 1978) .Fami lyHeal thNur si
ng:ThePr ocess.Mandal uyongBr ainchildManager sand
Consul t
ant s.
77.Thepr imar yr esponsi bil
ityoft hecommuni tyheal t
hnur sei s:
a.Tor epor tt heexi st enceofnon-communi cabl eandcommuni cabl edi seasespr esenti nt hecommuni ty
b.Todet ectandt reatdi seasespr ompt l
y
c.Toconductheal tht eachi ngst ot hepeopl eoft hecommuni ty
d.Tof ormul at ecommuni tyheal t
hpr ojects
ANSWER:C.Heal tht eachi ngi sthepr imar yr esponsi bil
it
yoft heCHNnur se.
78.Communi tyheal thnur singr efer stoaser vicer ender edbyapr of essi onal nur sewi thcommuni ties,gr oupsand
fami li
esf ort hepr omot i
onofheal thandpr event ionofi ll
ness.Thi sdef initioncomesf rom:
a.WHO
b.Li l
ianWal d
c.Rut hB.Fr eeman
d.Jacobson
ANSWER:C
Oneoft hef amousdef i
niti
onsofcommuni tyheal t
hnur singcomesf rom Rut hB.Fr eeman.Communi tyhealth
nursi ngr efer st oaser vi
cer ender edbyapr of essi onal nur sewi t
hcommuni ti
es,gr oupsandf ami li
esf ort he
promot ionofheal thandpr event ionofi l
lness.
ippi nes.1 0thedi tion,Page7
79.Jacobsonst atest hatCHNi slear nedpr act icedi scipl
inewi thul ti
mat egoal ofcont ribut i
ngasi ndividual t
hrough
cli
ent s:
a.Opt i
mum l evel off unct ioni ng
c.Opt imum l evel ofr ehabi l
itation
b.Opt i
mum ofsoci al envi ronment
d.Opt i
mum l evel ofheal thcar e
ANSWER:A
Jacobsonst atest hatCHNi sl ear nedpr acticedi sci pli
newi thul t
imat egoal ofcont ri
but ingasi ndividual through
cli
ent ’sopt imum l evel off unct i
oning.Thesear ePol it
ical,Behavi or,Her edi t
y,Heal t
hCar eDel iverySyst em,
Envi ronmentandSoci o-Economi c.
ippi nes.1 0thEd. ,page5
80.Thef act or sort hingst hatmakepeopl eheal thyornoti sknownas:
a.Det er mi nant sofheal th
c.Injur yandDi sease
b.Opt i
mum l evel off unct i
oni ng
d.Incomeandsoci al status
ANSWER:A
Thef act or sort hingst hatmakepeopl eheal t
hyornotar eknownasdet er mi nant sofheal t
h.Opt i
mum l evelof
funct ioni ngi saf r
amewor kusedt odescr i
bedet er mi nant sofheal th.I ncomeandsoci al statusi sonedet erminants
ofheal t
h.
81.Whatmandat edt heDepar tmentofHeal t
hi ni t
snewr oleast henat i
onal aut hor it
yonheal thprovi ding
techni cal andot herr esour ceassi stancet oconcer nedgr oups?
a.Execut iveOr der1 02
b.Republ icAct71 60
c.Republ icAct71 64
d.Execut i
veOr der1 19
ANSWER:B
TheDepar tmentofHeal th( DOH)hasnewr ol esast henat i
onal aut hor i
tyonheal thpr ovi dest echnical andot her
resour ceassi stancet oconcer nedgr oupsandt hisi smandat edbyt heExecut i
veOr der1 02andhasi dent i
fi
edt he
threegener al f
unct i
onsofDOHas:a)Leader shi pi nHeal th,b) Enabl erandcapaci tybui lderandc) Admi nistr
atorof
speci f i
cser vi ces.
82.TheDepar tmentofHeal th( DOH)hast hevi sionof :
a.TheDOHguar ant eesequi tabl e,sust ainabl eandqual i
tyheal t
hf oral lFi l
ipinosespeci al l
ythepoor
b.TheDOHi st hel eader ,st aunchadvocat eandmodel i
npr omot ingHeal thf orALLi nt hePhi li
ppines
c.Heal thf orALLbyyear2000
d.Heal thi nt hehandsoft hepeopl eby2020
ANSWER:B
Opt ionBdescr i
best hevi sionofDOHwhi l
eOpt ionAi sthemi ssionofDOH.
Opt ionCdescr ibest hegoal ofpr imar yheal thcar e( PHC)whi leOpt ionDi st heunder l
yi ngt hemeofPHC.
83.Thi si st heactt hatcr eat edt heBoar dofHeal thoft hePhi lippineswhi chi st hef or er unneroft heDepar t
ment
ofHeal th( DOH) .
a.R. A.91 73
b.R. A.71 64
c.R. A.71 60
d.ActNo.1 57
ANSWER:D.Act1 57i st heactt hatcr eatedt heBoar dofHeal thoft hePhi li
ppi neswhi chi sthef orerunneroft he
Depar tmentofHeal t
h( DOH) .
84.Al soknownast he“Faj ardoAct ”,i tconsol i
dat edmuni cipalit
iesi ntosani tarydi visions.
a.Act2468
b.Act2156
c.Act157
d.Act4007
ANSWER.B.I twasdur i
ngtheyear1912whenActNo.21 56,al
soknownast heFaj
ardoAct
,wasest abl
i
shed.
Thi
sactconsoli
datedthemunici
pali
ti
esintosani
tarydi
vi
si onsandheal
thfundfort
ravel
andsalar
ies.
Cuevas,F.P.et.al
.(2007)DOHBook:PublicHealt
hNur singInThePhi
li
ppines.
10t
hed.Manil
a
85.I
tisalsoknownast he“RuralHealthActof1954”.
a.R.A.1062
b.R.A.7160
c.R.
A.7305
d.R.
A.1
082
ANSWER.D.Republ icAct1 082i sal soknownast he“Rur al Heal t
hActof1 954”.Thi sactcr eat edmor erural
heal thuni tsandcr eat edpost sf ormuni cipal heal thof ficer samongot herpr ovi sions.Republ i
cAct71 60r eferst o
thedevol ut i
onofpowert ot heLGU’swhi l
eRepubl icAct7305i st heMagnaCar taf orpubl i
cheal t
hwor kers.
Cuevas,F.P.et .al.( 2007)DOHBook:Publ i
cHeal thNur singI nThePhi li
ppi nes. 10thed.Mani l
a
86.Undert hisl aw,al lstruct ur es,per sonnel andbudget aryal l
ocat ionsf r
om t hepr ovi ncial healthl evel downt o
thebar angayswer edevol vedt ol ocal gover nmentuni ts.
a.R. A.771 9
b.R. A.71 60
c.R. A.7600
d.R. A.7875
ANSWER:B.Republ icAct71 60,al soknownast heLocal Gover nmentCode,t ransf err edt hedel iveryofbasi c
servicesandf aci l
itiesoft henat ional gover nmentt ot hel ocal gover nment .Thi sinvol vesdevol utionofpower s,
funct i
onsandr esponsi bil
itiest ot hel ocal gover nment .
a
87.TheDepar tmentofHeal th( DOH)i smandat edast hel eadagencyofheal thi nt hecount ry.Ithast he
fol
lowi ngr olesandf unct ions.Whi chi snoti ncl uded?
a.Pr ovi desl eader shi pi nf or mul at i
on,moni tor ingandeval uat i
onofnat i
onal pol icies,pl ansandpr ograms
b.For mul atesandpr omul gat est hecodeofet hicsf ornur ses
c.Managessel ect ednat ional heal thf aci l
iti
esandhospi tals
d.Ser vesast henat ional pol i
cyandr egul at or yinst it
ut i
onf oral lheal thcar esect ors
ANSWER:B.Opt i
onBi saf unct ionoft heBoar dofNur sing( BON) .Opt i
onsA,CandDar et her ol esand
funct i
onsoft heDepar tmentofHeal th( DOH)asmandat edi nExecut i
veOr der1 02.
a
88.Pr i
mar yHeal t
hCar e( PHC)i sanessent i
al heal thcar ebasedonappr opr iatet echnol ogymadeavai l
able,
accessi bleandaf f
or dabl et ot hecommuni tywi tht hegoal of :
a.Heal thi nt hehandsoft hepeopl e
c.Heal thmadeaf for dabl et oal l
b.Heal thmadeuni ver sallyaccessi bl e
d.Heal thf oral l byyear2000
ANSWER:D.WhenPr i
mar yHeal t
hCar e( PHC)wasdecl ar edi nAl maAt a,USSR,t hegoal was“Heal thf orAl lby
theyear2000”.
a
SITUATI ON:Publ i
cHeal thNur singr ef erst ot hepr act i
ceofnur singi nl ocal/nat i
onal heal thdepar tment s.
89.Thecommuni t
yheal thnur seassumesdi ffer entr oleswhi lewor kingwi thcl i
ent s.Asaneducat orassi sti
ngt he
cli
entandf ami lywi thnut ritional needs,t henur seshoul d:
a.Tel lthecl i
entt hebestf oodst obuy
b.Pur chasef oodsatt hel owestcostf ort hecl i
ent
c.Askt hecl i
entandf ami l
ywhatt heyt hinkt heyshoul deat
d.Pr ovi dei nfor mat i
ononf oodsour cesandst or eswi thr easonabl epr i
cing
ANSWER:C
Wi tht hegoal ofhel pi ngcl ient sassumer esponsi bili
tyf ort hei rownheal t
hcar e,t hecommuni tyheal thnur semust
assessacl ient ’sl ear ningneedsandr eadi nesst olear nwi t
hint hecont extoft hei ndi vidual ,thesyst emst he
i
ndi vidual inter act swi th,andt her esour cesavai labl ef orsuppor t.Aski ngt hecl ientaboutwhatf oodsheorshe
shoul deatmayhel pt henur seassesst hecl ient ’sl evel ofknowl edger egar di ngnut riti
on,aswel last hecl i
ent ’s
foodpr efer ences.I tal soenabl est hecl i
entt obecomeapar t
icipanti nhi sorhercar e.Opt ionA:Tel l
i
ngt hecl ient
whatf oodst obuydoesnotencour aget hecl ientt oassumer esponsi bil
ityf ormanagi ngheal t
hcar e.Opt i
onB:
Thenur seshoul df i
r stassesst her esour cesavai lable,andt henencour aget hecl ientt odohi sorherown
shoppi ng.Opt ionD:Pr ovidi ngi nf or mat i
ononf oodsour cesandst or eswi t
hr easonabl epr icingmaybeappr opr i
ate
aftert henur sehasdet ermi nedwhati nfor mat iont hecl i
entr equi rest omeetnut r i
tional needs.
Ref erence:Per r yandPot terFundament alsofNur sing6t hedi tionpage55
90.Publ i
cheal thsyst emsar eoper at i
ngwi thinacont extofongoi ngchanges.Whi choft hef ollowi ngexer t
sa
numberofpr essur esont hepubl icheal thsyst em?
a.Shi ftsi ndemogr aphi candepi demi ologi cal trendsi ndi seases.
c.Newt echnol ogies
b.Heal thr efor ms
d.Al loft heabove
ANSWER:D
Publ icheal thsyst emsar eoper atingbasedonongoi ngchangesbr oughtbyopt ionAt hatincl udesemer genceand
re-emer genceofnewdi seasesandpr eval enceofr iskandpr otect ivef act or ;opt ionBheal t
hr ef ormsornew
progr ams;opt ionCnewt echnol ogi esf orheal t hcar e,communi cat ion,andi nf or mat ion;addi t
ional l
yi stheexi sti
ng
andemer gingenvi ronment al hazar dsandsomeoft hisisr elatedt ogl obalizat ion.
Ref erence:Cuevas.Publ icHeal thNur singi nt hePhi lippinesbyDOH,p.2
91.I nr esponset ochangi ngheal thcar esyst em,t hegl obal communi ty,r epr esent edbyUNGener alAssembl y,
deci dedt oadoptacommonvi sionexempl ifi
edbyt heMi l
lenni um Devel opmentGoal thati ncludes:
1.Achi eveuni ver sal primar yeducat ion
5.CombatHI V
6.Impr ovemat ernal heal th
3.Reducechi l
dmor tality
7.Devel opgl obal par tner shi p
4.Pr omot egenderequal ity
8.Ensur eenvi ronment alsust ainabi l
ity
a.1 ,2,3,4,5
b.5,6,7,8
c.1 ,3,4,6,8
d.Alloftheabove
ANSWER:D
Mil
lennium developmentalgoalsarebasedonf undament alvaluesoff r
eedom,equali
ty,soli
dar
it
y,tol
erance,
healt
h,andr espectfornatur
eandshar edresponsibil
it
y.Al l
oft heabovear eincl
udedinthisgoal.
Reference:Cuevas.PublicHealthNursi
nginthePhi l
ippinesbyDOH,p.3
92.Whi choft hefol
lowi
ngsituati
oncorrect
lydemonst ratesthepr act
iceofcommunityhealthnursi
ng?
a.Anur sesuper vi
si
ngthesuppor tgr
oupofobeseadol escent sinBar angayThaba
b.Anur sedoingahomevi si
ttochangeacl i
ent’swounddr essing
c.Acl i
nicnursecounseli
ngacoupl eaboutfamilyplanning
d.Al l oft heabove
ANSWER:D
Communi tyheal thnur singcomesf rom Rut hB.Fr eemanwhi chr ef erst oaser vicer ender edbyapr ofessional
nur sewi thcommuni ties,gr oups,f ami l
i
es,i ndi vidual sathome,i nheal thcent er s,incl i
nic,inschool s,inpl acesof
wor kf ort hepr omot i
onofheal th,pr event ionofi l
lness,car eoft hesi ckathomeandr ehabilit
at i
on.Opt i
onsABC
areact ivitiest hatar ei ncl usi vei nt hedef ini ti
onofcommuni tyheal thnur sing.
ippines.1 0t hedi ti
on,Page7
93.Whent eachi ngagr oupofnur singst udent sinpr epar ationf ort hei rdut yi nt heBar angayHeal t
hCent er ,the
Clinical Inst ruct orshoul dputanemphasi st ot hef ocusofcommuni tyheal thnur sing,whi chi s:
a.I dent i
ficat i
onandassessmentofheal thpr oblem
c.Thet r eat mentofheal thpr obl ems
b.I l
lnessendoft hewel lness– i llnesscont i
nuum
d.Pr event i
ngheal t
hpr obl emsandpr omot i
ngopt imum heal th
ANSWER:D
Thecor ebusi nessofpubl icheal thi ncl udest hei mpr ovementandpr omot ionofheal t
handpr event i
ngheal th
probl ems.Communi tyheal thnur singdoesnotf ocusont reatmentt houghPHNcanpr ovidenur singi ntervent i
ons
butnotpr i
mar i
lyf ocusesont reat mentoreveni not heropt i
ons.
ippines.1 0t hedi ti
on,Page6
94.Publ i
cHeal thNur si ngaccor di ngt ot heWor ldHeal thOr gani zat i
oni sa/ an:
a.Assessmentofcl ient ’sheal thneeds
c.Team wor k-basedsoci al &nat ur al sci ence
b.Achi evementofhumanpot ent ials
d.Speci al fieldi nnur singt hati ncl udessoci al assist ance
ANSWER:D
Publ icheal thnur singi saspeci al fieldofnur singt hatcombi nesski llsofnur sing,publ icheal thandsomephasesof
soci al assi stance,andf unct ionsasapar toft het ot alpubl i
cheal thpr ogr am f ort hepr omot ionofheal t
h,t he
i
mpr ovementofcondi ti
onsi nt hesoci al andphysi cal environment ,rehabi lit
at i
onandt hepr event ionofi l
lnessand
disabi lity.
Ref er ence:Publ i
ippi nesbyDOH,p.1 1
95.Nur seHannahi spr ovi di ngheal thser vi cesbasedont heDOH’smi ssion.Whi chisnotpar toft heDOH’s
mi ssion?
a.Topr ovi desust ainabl eheal thf oral lFi l
ipi nos
b.Toest abl i
shper formancest andar dsf orheal t
hcar esyst em int hecount r
y
c.Toguar ant eequal ityheal thf oral l Fil
ipi nos
d.Topr ovi deheal thf ort hepoorFi li
pi nosonl y
ANSWER:D
Mi ssionofDOH:guar ant eeequi t
abl e,sust ainabl e,andqual it
yheal thf oral lFil
ipinos,especi allyt hepoorand
shal lleadt hequestf orexcel lencei nheal th.Ther efor e,opt i
onsB,C,andAar ecor rectst at
ementexceptopt ion
D.
Ref er ence:Publ i
ippi nesbyDOH,p.25
96.Toef fi
ci ent l
yf unct ionasapubl i
cheal thnur se,Nur seIsabel shoul d:
a.Pr act iceCHNt hatwi l
l benef itani ndi vidual fi
rstbef or ethecommuni t
y
b.Beaspeci alisti napar ticul arf ieldofnur sing
c.Ut i
lizet henur singpr ocess
d.Pr ovi deessent i
al heal thser vicef orf ree
ANSWER:C
Thedynami cpr ocessofassessi ng,pl anni ng,i mpl ement i
ng,i nterveni ng,eval uat ion(thenur singpr ocess)anda
cont inuum oft hecycl eunt ilitst er mi nat ioni sappl i
edi ncommuni t
yheal thnur sing.Opt i
onAi sincor rectbecause
theCHNpr act i
cei sext endedt obenef itnotonl ythei ndividual butt hewhol ef ami lyandcommuni ty.Communi ty
heal thnur sesar egener al i
sti nt ermsoft hei rpr act icet hroughl i
fe’scont inuum andnotaspeci alist,soopt i
onBi s
i
ncor rect .Opt ionD:TheconceptofPHCi schar act er i
zedbypar t
ner shi pandempower mentofi tspeopl et hatshall
per meat east hecor est rat egyi nt heef fect ivepr ovi sionofessent ial heal thser vicest hatar ecommuni ty-based,
accessi ble,accept abl e,andsust ai nabl eatacostwhi cht hecommuni tyandt hegover nmentcanaf ford.
Ref er ence:Publ i
ippi nesbyDOH,gr een,p.1 7,30
97.Thepubl icheal thnur secar esf orabedr iddencl ientint hecommuni tyandappl iessandbagsagai nstt hesol e
oft hef eetoft hecl i
ent .Thei nt ervent ioni sanexampl eofwhi choft hef ollowi ngl evelsofcar e?
a.Pr i
mar ycar e
b.Secondar ycar e
c.Ter tiar ycar e
d.Psychol ogi cal car e
ANSWER:C
Ter ti
ar yHeal thCar er ef erst ot hosespeci alizedser vicesmost lypr ovi dedbypr i
vat emedi calpr ofessi onalsort hose
ser viceswhi chf ocusonr ehabi lit
at ion.
Ref er ence:Cuevasetal .,Publ icHeal thNur singi nt hePhi li
ppi nes.2007.1 0t hEdi ti
on.Page32.
98.Publ i
cheal thnur sesar ef ocusonr ender ingpr imar ycar e.Whi choft hef ollowi ngnur singi nter vent i
onsar e
consi der edpr imar ycar e?
1.Conduct ingmot her s’ cl assonhowt obat henewbor ns
2.Conduct i
nggr oupcl assesonLamazet echni quet ocoupl es
3.Conduct i
nggr oupcl assest odi abet i
cpat ient s
4.Doi ngadol escentr epr oduct i
veheal thcounsel ing
5.Doi ngheal t
heducat ioncl assesonhowt ost opsmoki ng
a.1 ,2,4and5
b.1 ,2,3and5
c.2,3,4and5
d.1 ,2,3and4
ANSWER:A
Pri
maryhealt
hcar ecoversabroadrangeofheal
thandpreventati
veservices,suchasheal
theducat
ion,
counsel
i
ng,diseasepreventi
onandscreeni
ng.No.3– ispartofthetert
iarylevelofcar
easitai
mstoprevent
compli
cati
ons
Refer
ence:Cuevasetal.,Publ
icHeal
thNursi
nginthePhi
li
ppines.2007.10thEditi
on.Page32.
99.Mi anniei sanewl yhiredpubl icheal thnur se.Shei sor i
entedr egar dingt hepr i
marypur poseofcl i
ent
s’ care.
Whi choft hef oll
owi ngappl iesthepr incipleofpr i
mar ycar e?
a.Scr eeningpat i
ent sfort uberculosis
b.Pr ovisi
onofdi rectnur singcar etopat ientsi nt hewar d
c.Counsel ingnewl ymar riedcoupl esonappr opr iatefami l
yplanni ngmet hods
d.Teachi ngdi abet icpatient show t osel f– i njecti nsuli
n
ANSWER:C
Primar ycar er elatest othepr ofessional heal thcar erecei vedint hecommuni ty,usuall
yf r
om nur ses.Pri
mar y
healthcar ecover sabr oadr angeofheal thandpr event ativeservices,suchasheal t
heducat ion,counseling,
diseasepr event i
onandscr eening.
Refer ence:Cuevasetal .,Publ i
ppines.2007.1 0thEditi
on.Page32.
100.Publ icheal t
hnur sesshoul dbegui dedbyt hepubl i
cheal t
hcor eel ement sinanat t
emptt oimpr oveand
promot etheheal thandwel f
areoft heirci t
izens.Thef ollowingar et hecor ebusi nessofpubl i
cheal thexcept:
a.Injurypr event ion
b.Heal t
heducat i
on
c.Diseasecont rol
d.Heal t
hpr otection
ANSWER:B
TheCor ebusi nessofpubl ichealthar e:(1)Di seasecont rol,(2)Injur yprevent i
on,(3)Heal thprotection,(
4)
Heal t
hypubl i
cpol icyincludi ngthosei nr elat i
ont oenvi r
onment al hazar dssuchasi nt hewor kplace,housing,
food,wat er,et c
(5)Pr omot ionofheal t
handequi tableheal thgai n.
Opt i
onB( heal theducat i
on)t hi
sisoneoft heel ement sofpr i
mar yheal thcar e
Refer ence:Cuevas,et .
al.Publ i
cHeal thNur si
ngi nt hePhi li
ppines( 2007) .10thEditi
on.Page6,31 .
INTEGRATEDMANAGEMENTOFCHI LDHOODI LLNESSES
SITUATI ON:I MCIi sani nt egr at edappr oacht ochi ldheal t
ht hatf ocusesont hewel l-beingoft hewhol echil
d.
1.Thef ol lowi ngar est epsi ncl udedi nt heIMCIst r
at egyexcept :
a.Cl assi fyt hei l
lness
c.Assessi ngchi ldr en5year sol dabovef ormaj orsympt oms
b.Tr eat ingt hechi ld
d.Counsel ingandf ollow-upcar e
ANSWER:C
TheI MCIst rategyi ncl udesassessi ngage2mont hsupt o5year s.“Upt o5year s” meanst hechi ldhasnotyethad
hisf i
fthbi rthday.
Ref erence:I MCImanual 2009
2.Whenasi cki nf antorchi ldi sbr oughtt ot heheal thcent erforconsul tation,thei niti
alactionoft henur sei
st o
assessf ordangersi gnswhi chi ncludechecki ngt hef ol
lowi ngexcept :
a.Ist hechi ldabl et odr inkorbr eastfeed
c.Hast hechi l
dhadconvul sions
b.Doest hechi l
dvomi tever yt hing
d.Ist hechi ldpassi ngwat eryst ool fr
equent ly
ANSWER:D
Toassessf ordangersi gns,t henur seshoul d:
Looki ft hechi ldi sl et har gi corunconsci ous
Askt hemot heroradul twi tht hechi ld:
Isthechi ldabl et odr inkorbr east feed?
Doest hechi ldvomi tever ythi ng?
Hast hechi ldhadconvul sions?
Ref erence:WHO.I MCIManual .2009Edi ti
on.Page2.
3.Themaj orsympt omsbei ngassessedi nI MCIi ncludesal lofthef oll
owi ngexcept :
a.Cough
b.Fever
c.Di arr hea
d.Anemi a
ANSWER:D
Opt ionsa,b,andcal ongwi thearpr oblem ar emai nsympt omst obeassessed.
cHeal t
hNur si
ngi nthePhi li
ppines.1 0thedit
ion,page1 57
4.Whenassessi ngf ort heel ast ici
tyoft heski n,Nur seMonashoul dper for mthisint heabdomenwi t
hthefoldoft he
skin:
a.Hor izont al t
ot hechi ld’sbody
c.Di agonal tot hechi ld’sbody
b.Ver ti
cal tot hechi ld’sbody
d.Indi ffer entdi rect ionswi t
ht hechi l
d’sbody
ANSWER:B
Theski nf oldshoul dbei n-l inewi t
ht hechild’sbody.
Ref erence:I MCI
5.Gener allyspeaki ng,achi ldi sconsi deredser i
ousl yil
li
fhe/ shepossesses:
a.Al loft hef ourgener al dangersi gns( GDS)
c.Al loft hef ourmai nsympt oms
b.Oneormor eGDS
d.Wei ghtpr obl em
ANSWER:B
Ifachi l
dhasoneormor eGDS,he/ shemustbeconsi der edser i
ousl yil
landwi ll
alwaysneedr eferral
.
Ref erence:I MCI
6.Si gnsofgoodat tachmenti nclude:
1.Chi ld’schi nt ouchi ngbr east
4.Chi l
d’sl owerl i
pt ur nedout war d
2.Chi l
d’smout hwi deopen
5.Chi l
dsuckswi thchar act er i
st i
csound
3.Chi l
d’st onguepr ot rudesi n-bet weensucki ng
6.Mor ear eol aisvi sibl eabovet hanbel ow themout h
a.1 ,3,5,6
b.1 ,2,4,6
c.1,2,3,4
d.Al loft heabove
ANSWER:B
Signsofgoodat tachmenti ncl ude:chi ntouchingbr east;mout hwi deopen;l owerl i
pt urnedout war d;morear eola
visi
bl eabovet hanbel ow t hemout h.
Ref erence:I MCI
SITUATI ON:Ai nai s1 0mont hsol d.Shewei ghs8kg.Hert emper atureis38. 5degC.Shei sher etodaybecauseshe
hashaddi arrheaf or3days.Ai nadoesnothaveanygener aldangersi gns.Shedoesnothavecoughordi ff
icult
breat hing.Thechi lddr anknor mal lywhenof feredsomewat eranddoesnotseem t hir
sty.Shedoesnothavesunken
eyes.Ski npi nchgoesbacki mmedi ately.
7.Ai nai scl assi fiedunder :
a.NODEHYDRATI ON
b.SOMEDEHYDRATI ON
c.SEVEREDEHYDRATI ON
d.VERYSEVEREDEHYDRATI ON
ANSWER:A
Thechilddoesnothaveenoughsignstocl
assi
fyasSOMEorSEVEREDEHYDRATI
ON.
Reference:I
MCImanual2009
8.Shei scl
assi
fi
edunderwhatcolor?
a.Red
b.Pink
ANSWER:D
NODEHYDRATI ONisundergreenrow.
c.Yel
l
ow
d.Gr
een
Reference:I
MCImanual 2009
9.Treatmentwouldincl
udealloft
hefol
l
owi
ngexcept
:
a.Giveextrafl
uid
b.Breastf
eedfrequentl
y
ANSWER:C
Fol
lowupshoul dbedoneaf t
er5days.
Reference:I
MCImanual 2009
c.Foll
owupin7daysi
fnoti
mpr ovi
ng
d.GiveZi
ncsuppl
ement1t
ablet20mgfor1
4days
10.Forever yl oosest ool ,Ainashoul dbegi venhow muchext raflui

d?
a.25ml to50ml aftereachl oosest ool
c.1 00ml to1 25ml aftereachl oosest ool
b.50ml to1 00ml af t
ereachl oosest ool
d.1 25t o150ml aft
ereachl oosest ool
ANSWER:B
ForUpt o2year sgi ve50t o100ml ofext r
af luidaf t
ereachl oosest ool.For2year sormor egive100t o200ml af
ter
eachl oosest ool.
SITUATI ON:Joj ohashaddi arrheaf orf ivedays.Hehasnobl oodi nthest ool.Hei si
rri
table.Thehealthworkerof
fers
someJoj osomewat er,andt hechi l
ddr inkspoor ly.Hiseyesar enotsunken.Nogener aldangersigns.Ski
npinchgoes
backi mmedi atel
y.
11.Jojoi sclassi f
iedunderwhatcat egor y?
a.NODEHYDRATI ON
b.SOMEDEHYDRATI ON
ANSWER:B
SEVEREDEHYDRATI ON:Twooft hef fsi gns:Abnor mal l
ysleepyordi f
ficul
ttoawaken,sunkeneyes,notabl eto
drinkordr i
nki ngpoor l
y,skinpi nchgoesbackver ysl owly.
SOMEDEHYDRATI ON:Twooft hef fsi gns:r estless,irr
it
able;sunkeneyes;dr inkseager l
y,thi
rst
y;skinpi
nchgoes
backsl owl y
NODEHYDRATI ON:Notenoughsi gnst ocl assifyassomeorsever edehydr ation.
Ifonesi gni spr esenti nbot hpi nkandyel l
owr ow,t hechi l
disclassif
iedunderyel l
owr ow (SOMEDEHYDRATI ON).
12.Joj oisunderwhatcol orcode?
a.Pi nk
b.Red
c.Yel l
ow
d.Gr een
ANSWER:C
Ifonesi gni spr esenti nbot hpi nkandyel l
owr ow,t hechi l
disclassif
iedunderyel l
owr ow (SOMEDEHYDRATI ON).
13.Whi choft hefollowi ngfoodsf ordehydr ationisl eastli
kel
ybeof feredtoJoj o?
a.Ri cewat er
b.Bukoj uice
c.Or angej ui ce
ANSWER:C
Extraf ood-basedf l
ui ds:soups,r i
cewat er,andbukoj ui
ce,andcl eanwat er
d.Soups
14.Whi legi vi
ngt heORS,Joj ovomi t
s.Themot hershouldbet aughtt o:
a.Immedi atelygi veanot herORS,butmor eslowly
b.Cal ltheheal thcent erandaskf oranotherwayofgi vi
ngORS
c.Mi x2t bspofsugart ot heORS
d.Wai tfor1 0mi ns.Thencont inue,butmor eslowly
ANSWER:D
I
ft hechi ldvomi ts,waitfor1 0mi ns,t henconti
nuebutmor esl
owl y.
15.Ifachi ldisclassifi
edunderSEVEREDEHYDRATI ON,theheal t
hwor kershouldfi
rst:
a.Ref ert hechi l
di mmedi at ely
c.Gi vef luidsusi ngNGT
b.Pr oceedwi thPl anA
d.Advi set hemot hertor etur naf ter5days
ANSWER:C
Rehydr ationt herapyusi ngI Vf luidsorNGTi srecommendedf orchildrenwhohaveSEVEREDHFandt hosewith
SEVEREDEHYDRATI ON.I ft hechi l
dcannotbemanagedbyr ehydr ati
ont herapy,t
hechi l
disimmediat
elyr
efer
redt
o
thehospi tal.
SITUATI ON:Boboyi s6mont hsol d.Hewei ghs5.5kg.Hist emper atureis38degC.Hi smot hersai
dhehashad
coughf or2days.Boboyi sabl etobr east
feed.Hehasnogener aldangersi gns.Hisrespi
rati
onis58breat
hsper
minut e.Ther eisnochesti ndr awi ng,andnost ri
dor.
16.Boboyi sclassi
fi
edunder:
a.SEVEREPNEUMONI AorVERYSEVEREDI SEASE
b.PNEUMONI A
ANSWER:B
Fastbreathing
2mont hsupt o1 2months:50bpm ormor
e
12mont hsupt o5years:40bpm ormore
Reference:IMCImanual 2009page16
c.NOPNEUMONI A:COUGHorCOLD
d.VERYSEVEREPNEUMONIA
17.Thefirst
-li
neofant
ibi
oti
ctobeadmi
nist
eredaspar
toft
hepr
e-r
efer
ral
treat
mentt
oBoboyi
s:
a.Amoxi cil
l
in
b.Tetr
acycl i
ne
c.Cotri
moxazol e
d.Nali
dixicAcid
ANSWER:A
Fir
stl i
neofant i
biot i
cf orPNEUMONI A,MASTOI DITIS/ ACUTEEARI NFECTI O,orVERSEVEREDI SEASE:Amoxi cil
l
in
2ndl ineofant i
bi ot i
c:Cot ri
moxazol e
Refer ence:I MCI
18.Whi choft hef ollowi ngf indingsshoul dbepr esentt ocl assifyapat i
entt oSEVEREPNEUMONI A?
a.Dyspnea
b.Wheezi ng
c.Fastbr eat hing
d.Chesti ndr awi ng
ANSWER:D
Dyspneai snotoneoft hesi gnsofsever epneumoni a;( B)St ridorinacal m chi ldandNOTwheezi ngi sthesignof
SEVEREPNEUMONI A;( C)Fastbr eathi ngi sasi gnf orPNEUMONI A.
Tocl assi f yasSEVEREPneumoni a:Achi l
dwi thcoughanddi ffi
cult
yofbr eat hingpl uschesti ndr
awi ngorst ri
dori na
calm chi ldoranydangersi gn
Refer ence:I MCI
19.Ifachi ldi scl assi fiedunderSEVEREPNEUMONI A,t hemanagementshoul dbet o:
a.Soot het het hr oat
c.Inst ructt hemot hert oi ncr easef l
uidi nt ake.
b.Ref erhi m ur gent lyt ot hehospi tal.
d.Inst ructt hemot hert ocont i
nuebr east feedi ng.
Answer :B
Sever epneumoni ar equi resur gentr ef er r
al toahospi tal.
Refer ence:I MCI
SITUATI ON:Andoyi sa3week-ol di nf ant .Hi swei ghti s3. 6kg.Hi saxi ll
aryt emper atur ei s36. 5degC.Hei sbr ought
totheheal t
hcent erbecausehei shavi ngdi fficult
ybr eat hing.Hi smot hersayst hatAndoyhasnothadany
convul sions.Theheal thwor kercount s74br eat hspermi nut e.Her epeat sthecount .Thesecondcounti s70br eaths
permi nut e.Hef indsmi ldchesti ndr awi ngandnasal flaring.Hehasnogr unting.Thef ontanel doesnotbul ge.Ther eis
nopusi nhi sear s,t heumbi licussnor mal ,ther ear enoski npust ules.Andoyi scal m andawake,andhi smovement s
arenor mal .Hedoesnothavedi arrhea.
20.Andoyi scl assi f
iedunder :
a.VERYSEVEREDI SEASE
c.SEVEREDI SEASEORLOCALI NFECTI ONUNLI KELY
b.LOCALBACTERI ALI NFECTI ON
d.SEVEREPNEUMONI A
ANSWER:A
ForASSESS,CLASSI FY,ANDTREATTHESI CKYOUNGI NFANTAGEDUPTO2MONTHS:
VERYSEVEREDI SEASE:Anyoft hef fsi gns:Notf eedi ngwel l,fastbr eathing( 60ormor e) ,severchesti ndrawi ng,
fever( 37. 5degCorabove) ,lowbodyt emper ature( 35. 5degC) ,movementonl ywhenst imulat
edornomovementat
all
.
LOCALBACTERI ALI NFECTI ON:umbi li
cusr edordr ainingpusorski npust ules
SEVEREDI SEASEORLOCALI NFECTI ONUNLI KELY:noneoft hesi gnsofver ysever edi seaseorl ocal bacterial
i
nfect ion
Refer ence:I MCI
21.Tr eat mentpl anf orAndoywoul di ncl ude:
a.Gi vef irstdoseofi ntramuscul arant ibiot i
c
c.Treatt opr eventl owbl oodsugar
b.Ref erur gent lyt ot hehospi t
al
d.All oft heabove
ANSWER:D
Treatmentpl anf orpi nkr ow i nclude:Gi vef irstdoseofi ntramuscul arant i
biotic,Ref erur gentlytothehospi tal,Treatt o
preventl ow bl oodsugar ,andadvi set hemot heronhow t okeept hei nfantwar m ont hewayt othehospi tal.
Refer ence:I MCI
22.Uponhi st oryt aki ngandassessmentyouf oundoutt hatMoj ahaspusdr ainingf rom hi searsandi scompl ainingof
earpai nf ort hepast1 0days.Whatcol ori nt heI MCIr ow woul dyoucl assifyhi scondi ti
on?
a.Pink
b.Yel low
c.Gr een
d.Red
ANSWER:B
Thechi l
d’scat egor yisacut eeari nf ect i
onwhi chi schar acter i
zedbypusdr ainingf rom t heearf orlessthan1 4days.I t
i
saccompani edbyearpai n.I tisint heyel l
ow r owoft heI MCIchar t.
Refer ence:I MCIManual .Page5.
23.UnderI MCI ,aneardi schar get hathasbeenpr esentf orlesst han1 4dayscanbecl assifi
edas:
a.Compl icat edeari nf ection
b.Acut eeari nfect i
on
c.Chr oni ceari nf ection
d.Mast oiditis
ANSWER:B
Chroni ceari nfect i
oni nvol veseardi schar gepr esentf or1 4daysormor e;Mast oidit
isi schar acteri
zedofhavi ngt ender
swellingbehi ndt heear ;ther eisnocl assi fi
cat i
onofCompl icatedeari nfectioni nI MCI .
Refer ence:WHO.I MCIManual .2009Edi tion.Page5.
24.Nur seAnai st eachi ngamot heronhowt owi ckherchi l
d’sear .Nur seAnadet ermi nest hatthemot herunder stood
herinst ruct i
onsi fsher etellst hecor rectsequenceoft hepr ocedur e:
1.Removet hewi ckwhenwet
2.Repl acet hewi ckwi thacl eanoneandr epeatt hispr ocedur e
3.Rollcl
eanabsorbentcl othorsoft
,str
ongt i
ssuepaperi nt
oawi ck
4.Placethewickinthechi l
d’sear
a.3,4,2,1
b.3,4,1,2
c.4,3,2,1
d.4,3,1,2
ANSWER:B
Wickingisdonetodryt heearf oratl
east3timesdaily.Iti
sdoneasf ol
lows:Rol
lcl
eanabsor
bentcl
othorsoft,str
ong
ti
ssuepaperintoawi ck,then,Placethewickinthechild’searwai tunti
lthewi
ckiswetbef
oreremovi
ngit.Finall
y,
Replacethewickwithacl eanoneandr epeatthesestepsunti
learisdry.
Reference:I
MCIManual .Page9.
25.Assessmentofa2-yearol dchi l
dr eveal ed“baggypant s”.Usi ngt heI MCIgui delines,how wi l
lyoumanaget hi
s
chil
d?
a.Ref ert hechi l
dur gent l
yt oahospi t
al forconf inement .
b.Coor dinat ewi ththesoci al wor kert oenr ollthechi l
di naf eedi ngpr ogr am.
c.Makeat eachi ngpl anf ort hemot her ,focusi ngonmenupl anni ngf orherchi ld.
d.Assessandt r
eatt hechi ldf orheal thpr obl emsl i
kei nfect ionsandi nt est i
nalpar asitism.
Answer :A
“Baggypant s” isasi gnofsever emar asmus.Thebestmanagementi sur gentr efer r
al toahospi t
al.
Reference:I MCIManual .Page62
26.Dur ingt hephysi cal exami nat i
onofayoungchi l
d,whati stheear l
iestsi gnofxer opht halmiat hatyoumay
observe?
a.Ker atomal acia
b.Cor neal opaci ty
c.Nightbl indness
d.Bitot’sspot
ANSWER:D
Theear l
iestsi gnofVi tami nAdef iciency( xer opht halmi a)i sni ghtbl i
ndness.However ,thisi saf unct i
onal change,
whichi snotobser vabl edur i
ngphysi cal exami nat ion.Theear li
estvi siblel esioni sBi tot’sspot .Bi t
ot'sspot sarethe
buil
dupofker ati
ndebr isl ocat edsuper ficial l
yint heconj unct iva,whi char eoval ,tri
angul arori rregulari nshape.These
spotsar easi gnofvi tami nAdef iciencyandar eassoci at edwi thconj unct ivalxerosi s.
SITUATI ON:3-year -ol dBabyBenj aminwasbr oughti nf oracheck-up.Hehadahi gh-gr adef everof( 39C)f or3
days.Hehadnocoughandcol ds.Hei slet har gicandhasst iffneck.Hel ivesinapl acewi thknownMal ariacases.
27.BabyBenj ami nwi llfallinwhatcat egor y?
a.MALARI AUNLI KELY
c.FEVER
b.VERYSEVEREFEBRI LEDI SEASE/ MALARI A
d.NOMALARI A
ANSWER:B
Hel i
vesi namal ariar i
skpl ace,nocoughandcol ds,hi ghf ever ,pr esenceofanydangersi gn( l
ethar gic)andhasst if
f
neck.Hewi l
lfallint hecat egor yofVer ySever eFebr il
eDi sease/ Mal aria.
Reference:I ntegr atedManagementofChi ldhoodI l
lness
28.BabyBenj ami nwoul dbegi venaf irstdoseoft hissecond-l ineofdr ugundermedi cal super visi
onori fahospitali
s
notaccessi blewi t
hin4hour s:
a.Chlor ampheni col
b.Qui nine
c.Cot ri
moxazol e
d.Tetracycl ine
ANSWER:B
Forachi ldr enwi thaVer ysever ef ebri
ledi sease/ Mal ariabei ngr ef erredt oahospi tal:Gi vet hef ir
stdoseofQui ni
ne
(undermedi cal super visionori fahospi tal isnotaccessi bl ewi thin4hour s)
lness
SITUATI ON:Budoy,a5-year -ol dchi l
d,hasdi arrheaf or2dayswi thaf requencyof6-7t i
mesperday.Assessment
revealedt hathehassunkeneyes,vomi t
sever yt hingheat e,di ff
icultt of eedandconsi der edasl ethar gic.
29.Basedont heassessment ,Budoyi scl assi fiedunder :
a.NODEHYDRATI ON
b.SOMEDEHYDRATI ON
ANSWER:C
Twoormor eoft hef ollowi ngsi gnswi l
l beconsi der edsever edehydr ation:1 )Abnor mal l
ysl eepyordi ff
icul ttoawaken,
2)sunkeneyes,3)notabl et odr inkordr inki ngpoor ly,4)pi nchedski ngoesbackt oi t
sor i
ginal statever yslowly.
lness
30.A3-yearol dchi l
di scompl aini ngoft enderswel li
ngbehi ndhi sr ightear .Theheal thwor kershoul d:
a.Advi set hemot hert ogot ot henear esthospi tal
c.Advi set hemot herf orf ollowupi n3days
b.Dryt heearbywi cki ng
d.Givet hechi l
dchl or ampheni col
ANSWER:A
Tenderswel li
ngbehi ndt heeari scl assifiedunderMASTOI DITI S.Thechi ldneedst ober ef err
edt ot henear est
hospital.
lness
SITUATI ON:A3-weekol di nf anti sr ushedt ot heheal t
hcent er.Thei nf anthasr edumbi li
cus.Noconvul sions,no
chestindr awi ng,t het emper atur ei s37degr eeCel sius.Notabnor mal l
ysl eepyordi fficultt oawaken.
31.Thei nfanti sclassi fiedunder :
a.Pinkr ow
b.Greenr ow
c.Yellowr ow
d.Redr ow
ANSWER:C
Reumbi l
icusordr ainingpusi scl assifi
edunderLOCALBACTERI ALI NFECTI ON( Yel low r ow) .POSSI BLESERI OUS
BACTERI ALI NFECTI ON( pinkr ow) .
Reference:I MCI2009
32.Appr opr i
at et r
eat mentf ort hisi nfantwoul di ncl ude:
a.Ref ert ot hehospi tal
b.Giveor al ant i
bioticf or5days
c.Followupi n2days
d.Bot hBandC
ANSWER:D
Treatmentunderyellowr owi ncludes:Anti
bioti
csf or5days,treatl
ocali
nfecti
oni
nthehealthcenterandt eachthe
mot hertotr
eatlocalinf
ectionsathome,f oll
owupi n2days.
Reference:IMCI2009
SITUATI ON:Ahealthwor kerisassessinga3weekol dinfant,whoisbreast
feedi
ng,f
orfeedingproblem.Whi le
breastfeedi
ng,t
heheal thwor kersitsquietl
yandwat chtheinfantbr
eastf
eed.Theinf
ant’schinisnott ouchingthe
breast,ther
eismor eareolavi si
blebelow theinfant’smout ht hanaboveit
.Themotherreport
slessthan8br east
feeds
i
n24hour s.
33.Theyoungi nf anti scl assi fi
edunder :
a.NOTABLETOFEED-POSSI BLESERI OUSBACTERAI LINFECTI ON
c.NOFEEDI NGPROBLEM
b.FEEDI NGPROBLEM ORLOW WEI GHT
d.VERYSERI OUSFEEDI NGPROBLEM
ANSWER:B
Basedont hesi tuat ion,t hei nf antdonothavesi gnsofgoodat tachment .Ther efor e,thei nfantiscl assi f
iedunder
opt ionB.
Ref er ence:I MCI2009
34.Appr opr iat emanagementwoul dinclude:
a.Advi set hemot hert oi ncr easef requencyofbr eastfeedi ng
c.Ref erur gent lyt ot hehospi tal
b.Tr eatt opr eventl owbl oodsugar
d.Gi veORS
ANSWER:A
Ifinfanti sbr east f eedi ngl esst han8i n24hour s,advi set hemot hert oi ncr easet hef requency.I fnotwel lattachedor
notsuckl ingef fect ivel y,teachcor rectposi ti
onandat tachment .
35.Thenur seassessesf orchesti ndrawi ngandknowswhi choft hef ollowi ngist rueaboutchesti ndr awi ng?
a.I tmustbecl ear lyvi sibl eandpr esentonl ydur i
ngcr yingandf eedi ng.
b.I tismor eaccur atei fassessedast hechi l
di si nupr ightposi ti
on.
c.I tiswhent hei nt ercost alsar eagoesOUTast hechi l
dbr eathsI N.
d.I tinvol vesonl yt hel owerandupperchestwal l(subcost al)
.
ANSWER:B
Toappr opr i
at elyassessf orchesti ndr awingt hechi l
dshoul dbepl acei nanupr ightposi ti
on.Opt ionsA,candDi s
i
ncor rect .Chesti ndr awi ngi spr esental lthet imesandnotonl ywhent hechi l
discr yi
ngorf eeding.I nter costalsareas
goi nast hechi ldbr eat hsi n.I tinvol vesonl yt hel owerchestwal landnotal lthear easi nbet weent her ibs.
Ref er ence:WHO.I MCIManual .2009Edi ti
on.Page1 6.
36.Dwyanehashaddi arr heaf oraweekandhei sver yirri
tablewi thsunkeneyebal l
s,butnobl oodi nt hest ool.When
thenur sepi nchest heski nont hechi l
d’sabdomen,i tgoesbacksl owl y.Hi spar ent st el
l t
henur set hathei seagerto
drinkwhenevert heyof ferf luids.Thesesi gnsar eclassi fi
edont owhatt ypeofdehydr ati
on?
a.SEVEREDEHYDRATI ON
c.VERYSEVEREDEHYDRATI ON
b.SOMEDEHYDRATI ON
d.NODEHYDRATI ON
ANSWER:B
Signs:t wooft hef ollowi ng
•
i
r r
itabl e
•
sunkeneyes
•
ski npi nchgoesbacksl owl y
Int heabovesi t
uat ion,Dwaynemani festt wosi gnsf rom t hecr i
teriaunderSOMEDEHYDRATI ON.
37.Af teradmi nist rat i
onofaddi tional fl
uids,t hechi l
dvomi ts,themot hercor rectl
yunder stoodt henur sei nstructi
onif
shedi dwhi choft hef ollowi ng?
a.St opt hef eedi ngandbr ingt hechi l
dt otheheal thcent er
c.Lett hechi ldl iedownonhi ssi de.
b.Pausef or1 0mi nut esandr esumemor eslowl y.
d.Di scont i
nuet hef eedi ngunt ilMi guel i
toaskf orwat er .
ANSWER:B
Ifthechi ldvomi ts,wai tf or1 0mi nut es.Thencont inue,butmor eslowl y.
Ref er ence:WHO.I MCIManual .2009Edi t
ion.
38.I nassessi ngsever epal marpal lor,thenur sewoul dber i
ghti fshei slooki ngf orapal mt hatis:
a.Paperwhi te
b.Paperwhi tewi that ingeofpi nk
c.Acr ocyanot ic
d.Noneoft heabove
ANSWER:A
Sever epal marpal lori schar act erizedbypaperwhi tepal msandnotanypi nkorr edt inged.
Ref er ence:WHO.I MCIManual .2009Edi ti
on
SITUATI ON:TheWor ldHeal thOr gani zation( WHO) ,handi nhandwi thUNI CEFandot heragenci es,devel opeda
strat egyknownast heI nt egr at edManagementofChi ldhoodI ll
ness( IMCI ).Thest rategiesusedi nI MCIar enotonl y
focusedont heneedsofcur ativecar ebuti tal soanswer saspect sofnut r
iti
on,immuni zati
on,andot heri mpor tant
element sofdi seasepr event ionandheal t
hpr omot i
on.Thef ol
lowingquest i
onsar eaboutI MCI .
39.Mostcl assi ficat i
ont abl eshavet hreer ows.Thecol oredr owssi gni f
yt hesever i
tyoft hei ll
ness.I fachi l
di stobe
treat edwi t
hhomet reat mentt hisi scl assifiedunderwhatcol or?
a.Pi nk
b.Yel low
c.Bl ue
d.Gr een
ANSWER:C
Gr eenr owspeci fiessi mpl eadvi ceonHOMEmanagement .Theot hert wocl assifications( color)ar e:(A)PI NK:ur gent
pr e-r efer ral t
r eat mentandr ef er ral,(B)speci ficmedi cal t
reat mentandadvi ce;(C)Bl uei snotusedi nIMCI
40.Thefollowingassessment sar etobedonepr iortochecki
ngofgeneraldangersi
gns,except
:
a.Deter
mi net heageoft hechild
b.Assessifthechi ldhascoughordi ff
icul
tyofbreathing
c.Askthemot herwhatt heproblemsis/ar
eoft hechild
d.Determinei fi
tisani ni
ti
alorfol
low–upvi si
t
ANSWER:B
Assessi
ngi fthechi l
dhascoughordi f
fi
cul
tyofbreathing(MAINSYMPTOM)i sdoneaft
ercheckingt
hegener
aldanger
si
gns.Ther estoft heoptionsshouldbeaskedpr i
ortocheckingofgeneraldangersi
gns.
41.Usethest epsont heASSESSANDCLASSI FYTHESI CKCHILDchartforages:
a.1weekt o2mont hsold
c.1weekt o5year sold
b.2mont hsto5year sold
d.anyoneunder5year sold
ANSWER:B
For1weekto2mont hsol
duset hestepsontheYOUNGI NFANTchar
t
42.Whichofthefoll
owingfi
ndingsi
ndicat
ef astbr
eat
hing?
a.Respi
rat
oryrateof50ormor ebreathsfora15monthsoldchild
b.Respi
rat
oryrateof40ormor ebreathsfora2monthsol dchil
d
c.Respi
rat
oryrateof50ormor ebreathsfora2weeksol dinf
ant
d.Respi
rat
oryrateof60ormor ebreathsfora6weeksol dinf
ant
ANSWER:D
Ther
eisfastbreat
hingifachi
ldwhoseagei s:
1weekt
o2mont
hsol
dinf
anthave60ormor
ebr
eat
hspermi
nut
e
2t
o12mont
hsol
dchi
l
dhave50ormor
ebr
eat
hspermi
nut
e
12mont hst o5year sol dchi l

dhave40ormor ebr eat hspermi nut e
43.Thef i
rst-li
neant i
bioticadmi nister edaspar toft hepr e-refer r
al treatmentt oachildwi thSEVEREPNEUMONI AOR
VERYSEVEREDI SEASEi s:
a.Amoxyci ll
in
b.Tet racycl i
ne
c.Cot rimoxazol e
d.Nal i
di xicAci d
ANSWER:C
(A)secondl ineant i
biot i
cf orPNEUMONI A,ACUTEEARI NFECTI ON,VERYSEVEREDI SEASE,MASTOI DITIS;( B)fi
rst
l
inef orchol era;( D)Secondl i
nef orDYSENTERY.
44.Achi l
dwi t
hSEVEREPNEUMONI Awi llmani festwhi choft hef ol l
owi ng?
a.Dyspnea
b.Wheezi ng
c.Fastbr eat hing
d.Chesti ndr awi ng
ANSWER:D
(A)Dyspneai snotoneoft hesi gnsofsever epneumoni a;(B)St r
idori nacl am chi
ldandNOTwheezi ngi st hesi gnof
SEVEREPNEUMONI A;( C)Fastbr eat hingi sasi gnf orPNEUMONI A.
45.Chesti ndrawi ngi sdef i
nedas:
a.Lowerchestwal lgoesi n,whent hechi ldbr eat hsin
b.Lowerchestwal lgoesi n,whent hechi l
dbr eat hsout
c.Lowerchestwal lgoesout ,whent hechi l
dbr eathsout
d.Lowerchestwal lgoesout ,whent hechi ldbr eathsi n
ANSWER:A
Whenassessi ngf orchesti ndr awi ngl ookatt hel owerchestwal l(l
owerr i
bs).Chestindr awingshouldonl ybe
consider edpr esenti fITI SCONSI STENTLYPRESENTi naCALM CHI LD.Agi t
ati
on,blockednoseorbr east feedingcan
causet empor ar ychesti ndr awi ng.
46.Achi l
dwi t
hf everhasanaxi l
laryt emper atureofatLEAST?
a.37. 5degr eesCel sius
b.37. 6degr eesCel si
us
c.37. 7degr eesCel sius
d.37. 8degr eesCel si
us
ANSWER:A
Achi ldhasaf everi faxill
ar yt emper at urei s37. 5degr eesCel siusorar ectalt
emper atureof38degr eesCel sius.
47.UnderI MCI ,childrenwi thsever edi seasear er eferredt othehospi talespecial
l
yift hechi l
dmanifest swhi choft he
foll
owi ng?
a.Wheezi ng
b.Stoppedf eedingwel l
c.Difficultt oawaken
d.Fastbr eat hing
ANSWER:C
Diffi
cultyt oawakeni soneoft hef ourgener aldangersi gns;achi ldwi thfastbreathi
ngi sinyell
ow r
ow( sever e
diseasei sclassi fi
edi npi nk) ;wheezi ngi snotaknownsi gni nIMCI ;achi l
dwhoi sUNABLETODRI NKAND
BREASTFEEDhasasever edi sease.Thi sshoul dnotbeconf usedt oachi ldwhost oppedf eedingwell,sincet hechi ld
canst il
l eatbuti sdoi ngi ti nappr opr iatel y.
48.UnderI MCI ,achi ldwi thearpr oblem shoul dbeassessedf ort hef oll
owingexcept :
a.Earpai n
b.Isther eanyf ever ?
c.Eardi schar ge
d.Ifdischar gei spr esentf orhow l ong?
ANSWER:B
Feveri samai nsympt om andnotoneoft hesi gnsf orthedi f
fer entcl assifi
cati
onsundert heearproblem.
49.UnderI MCI ,ifthechi l
ddoesnothaveearpr oblem,usi ngI MCI ,whatshoul dyouast henur sedo?
a.Checkf ort enderswel lings,behi ndt heear
c.Checkf oreardi schar ge
b.Got henextquest i
on,checkf ormal nut r
iti
on
d.Checkf orearpai n
ANSWER:B
Achi ldwi thoutearpr oblem shoul dnol ongerbeassessedf orsi gnsr elati
ngtoearpr obl em.Got othenext
assessmentwhi chi st henut riti
onoft hechi ld.
50.UnderI MCI ,aneardi schar get hathasbeenpr esentf orlesst han1 4dayscanbecl assif
iedas:
a.Compl i
cat edeari nfection
b.Acuteeari nfection
c.Chroni ceari nfection
d.Mast oiditi
s
ANSWER:B
Chroniceari nfect i
oni nvolveseardischar gepr esentfor14daysormore;Mastoidit
isischar
act
eri
zedofhavi
ngt
ender
swelli
ngbehi ndt heear ;thereisnocl assif
icati
onofCompl icat
edeari
nfect
ioninIMCI .
51.UnderI MCI ,achi ldwhonodehydr at
ionneedshomet reatment
.Whichofthefollowingi
snoti
ncl
udedin
i
nstructi
onsf orhomet reat ment/
homet reatmentcar e?
a.Knowwhent or eturntot hehealthcent er
c.Giveor esol every4hour s
b.Givet hechi l
dext r
af l
uids
d.Cont i
nuef eedi ngt hechi l
ANSWER:C
Givi
ngor esol ever y4hour sisdonei fthechi l
disclassif
iedashavingSOMEDEHYDRATI ON.Achi
ldwit
hno
dehydrationi st reatedathomeusi ngPLANA:
•
Giveextraf l
uid
•
•
•
Gi
veZincsupplement
s
Cont
inuefeedi
ng
Whent or
eturn
52.UnderI MCI ,achi ldwhohashaddi arrheaf or14daysbuthasnosi gnsofdehydr ati

oni sclassi
fi
edas:
a.Sever edysent ery
b.Sever eper sist entdi arrhea
c.Dysent er y
d.Per sistentdi ar rhea
ANSWER:D
Persistentdi arrheai sinyel lowr ow.Sever eper sistentdi arrhea( diarrheaof1 4daysormor eWI THsignsof
dehydr at i
on)i sinpi nkr ow;Dysent eryisdi ar r
heawi thbl oodonst ool ;Ther eisnocl assi
ficati
onofsever edysenteryin
I
MCI .
53.Muymuyhashaddi arrheaf or5days.Ther ei snobl oodi nt hest ool,hei sirri
table.Hi seyesar esunken.The
nurseof fersf luidt ot hechi ldandhedr i
nkseager l
y.Whent henur sepi nchedt heabdomen,i tgoesbacksl owly.
Consi der i
ngt hecl assi ficationsunderI MCI ,how wi llyoucl assifyMuymuy’si l
lness?
a.Nodehydr ation
b.Moder atedehydr ation
c.Sever edehydr at i
on
d.Somedehydr at ion
ANSWER:D
Ther ear ef oursi gnsseeni nt heyel lowr ow:i rritable,sunkeneyes,dr inkseager l
yandski npinchgoesbacksl owly.
Weonl yneedt wosi gnst ocl assifyachi l
di ndehydr ation;Sever edehydr ati
oni swr ongsi ncethereisonlyonesingfor
i
t:sunkeneyes;Ther eisnocl assi f
icati
onofMODERARATEDEHYDRATI ON( underI MCI )
54.UnderI MCI ,whi choft hef ollowingcl assi ficat i
onsr equi resaf oll
ow upvi sitin1 4days?
a.ANEMI A
c.VERYLOW WEI GHTFORAGE
b.CHRONI CEARI NFECTI ON
d.FEVER:MALARI AUNLI KELY,i ffeverper sists
ANSWER:A
Byt het i
meoft hef oll
ow upvi si
t,theent i
r ecour seofi ront reatmenti sf i
nishedal ready.
55.Inbr east feedi ng,t hef ollowi ngar epr i
nci pl esf orgoodat tachment ,except :
a.Mout hwi deopen
c.Mor ear eol avi siblebel ow t hanabovet hemout h
b.Chi nt ouchi ngt hebr east
d.Lowerl i
pt ur nedout war d
ANSWER:C.
Mor ear eol avi sibl ebel ow t hanabovet hemout h
Ther eisgoodat tachmenti ft hebabyi sCALM
C– chi nt ouchi ngt hebr eastorchi nverycl oset obr east
A– ar eol aismor evi sibleabovet henbel owt hemout h
L– l owerl ipi st ur nedout war d
M – mout hwi deopen
56.Indehydr ationusi ngPLANB,howmuchoft heORSwi llyougi vet oachi l
dwhowei ghs1 0kgint hefi
rst4hours?
a.450ml
b.550ml
c.650ml
d.750ml
ANSWER:D
I
nget ti
ngt heamountofORSt ogivet oachi l
df orthef irst4hour suset hisformul a:wei ghtinkg.x75ml .
Ther efore,1 0kgs.x75ml =750ml ofORSi nt hef irst4hour s.
SITUATI ON:I MCIi sast rategydevel opedbyt heWor ldHeal t
hOr gani zation'sDi vi
sionofChi l
dHeal thand
Devel opmentandUNI CEF.
57.Thecor rectsequencei nper formingt hecasemanagementpr ocessi s:
1.Givef ol l
ow-upcar e
3.Ident i
fyt het reat ment
2.Cl assifyt hei llness
4.Assesst hechi ld/youngi nf ant
a.4,2,3,6,5,1
b.4,2,3,3,1 ,5
c.4,2,3,1 ,5,6
ANSWER:A
Thechar tdescr ibest hef ollowi ngst eps:
1.Assesst hechi ld/ youngi nfant
2.Cl assifyt hei llness
3.Ident i
fyt het reat ment
4.Tr eatt hechi ld/ refer
5.Counsel themot her
6.Gi vef oll
ow-upcar e
Refer ence:I MCIr esour ceManual Page3
5.Counselthemother
6.Treatt
hechil
d/r
efer
d,4,2,3,1,5,6
58.Nur sei sacommuni tyhealthnur se.Herappr oachindeal i

ngwi t
hchil
dhoodi l
lnessesi sguidedbyt heprincipl
es
statedi nherI MCImanual .Whi chisnotincluded?
a.Al lsickchi ldrenmustber outinelyassessedf ormajorsympt oms
b.Acombi nat i
onofi ndividualsignsleadstoachi l
d’sdi agnosis
c.TheI MCIgui delinesaddr essmost ,butnotal l
,ofthemaj orreasonsasickchi l
di sbr oughttoacl i
nic.
d.Thegui delinesunderI MCIdonotdescr i
bet hemanagementoft r
aumaorot heracut eemer genciesduet oacci dents
orinjur i
es.
ANSWER:B
Acombi nat i
onofi ndividual si
gnsl eadstoachi l
d’sCLASSI FICATION(S)ratherthanaDI AGNOSI S.Classi
fi
cation(s)
i
ndi catet hesever ityofcondi t
ion(s).Theycall f
orspecifi
cact i
onsbasedonwhet hert hechild(1)shouldbeur gentl
y
referredt oanot herl evel ofcare;( 2)requi
resspeci f
ictr
eatment sor(3)maybesaf elymanagedathome.
Ref erence:I MCIr esour ceManual Page
59.Acl assificationi nIMCIt ablethatmeanst hechilddoesnotneedspeci ficmedi caltreatment.Andt hehealthwor ker
teachest hemot herhowt ocar eforherchi l
dathome:
a.Pi nk
b.Yel low
c.Red
d.Gr een
ANSWER:D
Gr eenr owspeci fiessi mpl eadvi ceonHOMEmanagement .Theot hertwocl assifi
cat
ions(col
or)are:(A)PI NK:urgent
pr e-referral treat mentandr efer ral,(B)speci ficmedi caltr
eat mentandadvi ce;(C)Redi snotusedinI MCI
Ref erence:I MCIr esour ceManual Page1 6
60.Whi choft hef ollowi ngf i
ndi ngsi ndi cat ef astbr eat hi
ng?
a.An1 8mont hsol dchi l
dwi thar espi r
at oryr ateof35
c.A2mont hsol di nfantwi t
har espi rator yr ateof55
b.A2mont hsol dchi l
dwi t
d.A6weeksol di nfantwi t
ANSWER:C
Ther ei sfastbr eat hingi fachi l
dwhoseagei s:
1weekt o2mont hsol di nfanthave60ormor ebr eat hspermi nut e
2t o1 2mont hsol dchi l
dhave50ormor ebr eat hspermi nute
12mont hsto5year sol dchi l
dhave40ormor ebr eat hspermi nut e
61 .Amot heroranysi gni f
icantot her susual l
ybr i
ngst hechi ldt otheheal thcenterbecauset hechil
di ssick.When
youseet hemot herwi thhersi ckchi l
dyoushoul df irst:
a.Gr eett hemot herappr opriately
c.Askt hechi ld’sage
b.Askwhati st hechi ld’spr obl em
d.Det erminei ft hisi sani niti
al orf ollow-upvi sitfort hisprobl em
ANSWER:A
Whenyouseet hemot herandhersi ckchi l
d:
1.Gr eett hemot herappr opr i
at elyandaskhert osi twi thherchi l
d
2.Det erminet hechi l
d’sagei nmont hst osel ectt heappr opr iatechar t
3.Askwhati st hechi ld’spr obl em
4.Det erminei ft hisi sani niti
al orf ollow-upvi sitfort hisprobl em
Ref erence:I MCIr esour ceManual Page8
SITUATI ON:BabyGeei s1 0mont hsol d.Shei scoughi ngfor3days. .Shei snotvomi t
ing.Thereisnoconvul si
onand
shei snotabnor mal lysl eepy.HerRRi s45br eathspermi nut e.
62.Nur seHannahaskst hemot heri fthisist hechi ld’sf i
rstvi si
t.Themot herrepli
es,“Opo,unangbi sit
anami ndit
osa
heal t
hcent er ” Basedont hemot her ’sst atement ,theheal thwor kerdocument sthi
sas:
a.Ani niti
alvi sit
b.Fol low-upvi sit
c.Chi efcompl aint
d.Fol low thr oughvi sit
ANSWER:A
Ifthisist hechi ld’sf irstvisitfort hisepi sodeofani l
lnessf orthispr oblem,thent hisi
sani ni
ti
alvi
sit
.Ifthechi ldwas
seenaf ewdaysagof ordi ff
erenti l
lness,t hisi sstillani nit
ialvisit.Ifthechil
dwasseenaf ewdaysagof ort hesame
i
llness,t hisisaf ollowupvi si
t.
63.Basedont heassessment ,theappr opr iatet r
eat mentf ort hischi l
dis:
a.Pl anA
b.Pl anB
c.Pl anC
d.Ref ertot hehospi tal
ANSWER:A
Thecl i
enti scl assi fiedasNOPNEUMONI A:COUGHORCOLD.Tr eatmentpl anisPLANA:Soot hethethr oat,andrel
ieve
coughwi thsaf er emedy.Advi set hemot herwhent or eturnimmedi atel
y.Follow upin5daysi fnotimproving.
64.BabyGeei scl assi fiedunder :
a.Pi nkr ow
b.Yel lowr ow
c.Gr eenr ow
ANSWER:C
SinceBabyGeehasnogener al dangersi gns,nof astbr eathing.
Ref erence:I MCI2009
d.Redr
ow
SITUATI
ON:At hreeyearoldchil
dhashaddi ar
rheafort
hreedays.Ther
ei snobloodi
nthest
ool
.Thechi
l
dis
dri
nki
ngpoor l
y.Heisnotabnor mall
ysleepy.Andskinpi
nchgoesbacksl owly.
65.Thechil
disclassi
fi
edunder :
a.VERYSEVEREDEHYDRATI ON
b.SEVEREDEHYDRATI ON
c.SOMEDEHYDRATI ON
d.NODEHYDRATI ON
ANSWER:C
ForSeveredehydrati
on(TWOoft hefol
lowingsigns)
:
•
Abnormall
ysleepyordiff
icul
ttoawaken
•
Sunkeneyes
•
Notabletodri
nkordr i
nki
ngpoor ly
•
Skinpi
nchgoesbackver yslowly
ForSomedehydr at i
on(TWOoft hefoll
owi ngsi gns)
:
•
Rest l
ess,irr
it
able
•
Sunkeneyes
•
Drinkseager ly,thirsty
•
Skinpi nchgoesbacksl owl y
ForNodehydr ation:Notenoughsi gnst ocl assif
yassomeorsever
edehydr
ati
on
I
ft hechi l
dmani fest sonlyonesi gnfor m pinkr owandonl
yonesignfor
mtheyell
owr
ow,cl
assi
fyt
hechi
l
dashavi
ng
SOMEDEHYDRATI ON.
Ref erence:IMCI( 2009)r esourceManual Page26
66.Tr eatmentf ort hechi l
dwoul dinclude:
a.Pl anA
b.Pl anB
ANSWER:B
PlanA( NODEHYDRATI ON) :
PlanB( SOMEDEHYDRATI ON)
PlanC( NODEHYDRATI ON)
Ref erence:IMCIr esourceManual Page1 78
c.Pl
anC
d.Pl
anD
67.Forever yl oosest ool themot hershoul dgi vehowmanyext raf lui
dst ot hechi l
d?
a.25ml
b.25t o50ml
c.50t o1 00ml
d.100t o200ml
ANSWER:D
Explaint ot hemot hert hatherchi l
dshoul ddr inkt heusual fluidst hatt hechi lddrinkseachdai l
yandaddi ti
onal fluid.
Showt hemot herhowmuchext raf lui
dt ogi veaf tereachl oosest ool :
ForUpt o2year sgi ve50t o1 00ml aftereachl oosest ool
For2year sormor egi ve1 00t o200ml af tereachl oosest ool
Reference:I MCIr esour ceManual Page1 81
SITUATI ON:Mi nioni s3year sol d.Shehashaddi arrheaf or1 5days.Mi nionhasnogener aldangersi gns.Shedoes
notdifficul tybr eat hing.Ther ei snobl oodi nt hest ool.Shei sr est
lessandski npinchgoesbackver ysl owly.
68.Mi nioni scl assi fi
edashavi ng:
a.VERYSEVEREPERSI STENTDI ARRHEA
c.PERSI STENTDI ARRHEA
b.SEVEREPERSI STENTDI ARRHEA
d.DYSENTERY
ANSWER:B
I
fachi l
dhashaddi ar rheaf or1 4daysormor eandal sohassomeorsever edehydr at i
on,classif
yt hechi l
d’si l
lnessas
SEVEREPERSI STENTDI ARRHEA.Acl assi ficationofPERSI STENTDI ARRHEA:Achi l
dwhohashaddi arrheaf or1 4days
ormor eandwhohasnosi gnsofdehydr at i
on.DYSENTERYi fther eisbl oodi nthest ool.
Reference:I MCIr esour ceManual Page27
69.IfMi nionhasbl oodi nt hest ool ,hei scl assifiedunder :
a.VERYSEVERPERSI STENTDI ARRHEA
c.PERSI STENTDI ARRHEA
b.SEVEREPERSI STENTDI ARRHEA
d.DYSENTERY
ANSWER:D
I
fachi l
dhashaddi ar rheaf or1 4daysormor eandal sohassomeorsever edehydr at i
on,classif
yt hechi l
d’si l
lnessas
SEVEREPERSI STENTDI ARRHEA.Acl assi ficationofPERSI STENTDI ARRHEA:Achi l
dwhohashaddi arrheaf or1 4days
ormor eandwhohasnosi gnsofdehydr at i
on.DYSENTERYi fther eisbl oodi nthest ool.
SITUATI ON:Mi tsui,2-yearol d,i sbr oughtt otheheal thcent erbecausehehasf elthotf or2days.Ther ei smal ar i
a
ri
sk.Hedoesnothavegener aldangersi gns.Hedoesnothavecoughordi ffi
cultybr eathi
ngordi arrhea.Hehasa
runnynoseandt hebl oodsmearwasnegat i
ve.
70.Thi schi l
di scl assi fi
edashavi ng:
a.VERYSEVEREFEBRI LEDI SEASE/ MALARI A
c.FEVER:MALARI AUNLI KELY
b.MALARI A
d.COUGHORCOLD
ANSWER:C
Becauset hechi ldhasar unnynoseandt hebl oodsmearwasnegat ive,hei sclassifiedashavi ngFEVER:MALARI A
UNLI KELY.
71.Thef ir
stl ineant imal arial drugi s:
a.Artemet her -Lumef ant r
ine
b.Chl oroqui ne
c.Primaqui ne
d.Sulfadoxi ne
ANSWER:A
Thef i
rstl ineant imal ar i
alsi sAr temet her -Lumef ant ri
ne.Chl or oqui ne,Pr imaqui ne,Sul fadoxine,andPyr i
met hami neare
thesecond-l ineant i
mal ari
al sdr ugs.
Reference:I MCIr esour ceManual
SITUATI ON:Shi bangi s3year sol d.Shewei ghs1 4.5kg.Hert emper at ureis37degr eeC.Hermot hercamet othe
healthcent ert odaybecauseShi bangi ssi ckf ort hel asttwodays.Shewascr yi
ngl astnightandcompl ainedt hather
earishur ting.ShehasnoGDS.Shi bangdoesnothavecoughordi fficultybreat hi
ng.Shedoesnothavedi arr
heaand
fever.Theheal thwor kerdoesnotseeanypusdr ainingf ort hechi l
d’sear .Ther eisat enderswel l
ingbehi ndt hechi l
d’s
l
eftear .
72.Theheal thwor kerr ecor dShi bang’ssi gnofearpr oblem andcl assi fythem as:
a.Acut eeari nfect ion
b.Chr oni ceari nf ect i
on
c.Mast oidi t
is
d.Noeari nfect i
on
ANSWER:C
MASTOI DI TIS( Pink) :Tenderswel li
ngbehi ndt heear
ACUTEEARI NFECTI ON( Yel low) :Pusdr ainingf r
om t heearanddi schar geisr epor t
edf orlessthan1 4days;earpai n
CHRONI CEARI NFECTI ON( Yellow) :dr ainingf rom t heearanddi schar gei srepor tedf ormor ethan1 4days
NOEARI NFECTI ON( Gr een) :Noearpai nandnopusdr ainingf rom t heear
73.IfShi banghaspusdr ainingi nherearf or1 5daysandnoearpai ni nsteadofhavi ngtendernessbehi ndt helef t
ear,shei scl assi fi
edunder :
a.Acut eeari nfect ion
b.Chr oni ceari nf ect i
on
c.Mast oidi t
is
d.Noeari nf
ection
ANSWER:B
MASTOI DITI
S(Pi nk):Tenderswel l
i
ngbehi ndt heear
ACUTEEARI NFECTI ON( Yellow):Pusdr ai
ningf r
om theearanddi schargei
sreport
edforl
essthan1
4days;earpai
n
CHRONI CEARI NFECTI ON( Yell
ow) :dr
aini
ngf rom t
heearanddi schar
geisrepor
tedformorethan1
4days
NOEARI NFECTI ON( Gr een):Noearpai nandnopusdr ai
ningfrom theear
Reference:IMCIr esour ceManual Page58
74.UnderCHRONI CEARI NFECTI ONcl assi
ficati
on,appropri
atemanagementwoul dincl
ude:
a.Oralant i
biot
icf or5days
c.Urgentr efer
ral tohospi t
al
b.Drytheearbywi cking
d.Not reatmentnecessar y
ANSWER:B
Mostbact eriat hatcauseCHRONI CEARI NFECTI ONar edi fferentf rom t hosewhi chcauseacut eeari nfections.Forthis
reason,or al antibiot icsar enotusual lyef fect iveagai nstchr oniceari nfect i
ons.Donotgi ver epeat edcour seof
antibiot icsf oradr ai ningear .Themosti mpor tantandef fect i
vet reat mentf orCHRONI CEARI NFECTI ONi st okeept he
eardr ybywi cki ng.Ur gentr ef erralisnecessar yforMASTOI DITIS
75.Asyouwi ckt hechi ld’sear ,youshoul dt el l
themot hert o:
a.Useapi eceofbondpaperf ormaki ngawi ck
c.Car ef ullyr otat et hewi ckt ocompl etel yr emovet hepus
b.Useacot ton-t ippedappl i
cat orforwi cki ng
d.Pl acet hewi cki nt hechi ld’searunt ilthewi cki swet
ANSWER:D
Tot eachamot herhow t odr yt heearbywi cking,f i
rsttellheri tisimpor tantt okeepani nfect edeardr ytoal low i
tto
heal .Thenshowherhow t owi ckherchi ld’searby:
•
Useacl ean,absor bentcl othorsof tstrongt i
ssuepaperf ormaki ngawi ck.Donotusecot ton-t ippedappl i
cator
orf l
imsypapert hatwi l
l apar tint heear
•
Placet hewi cki nt hechi ld’searunt i
l t
hewi cki swet ,donotr otat ethewi ck.
•
Repl acet hewetwi ckwi thacl eanone
•
Repeatt hest epsunt ilt
hewi ckst aysdr y.Thent heeari sdr y.
76.Themot heraskst heheal thwor ker ,“Pagkat aposmaubosngl uga,anopaangi lalagaykosat ainganya?” The
heal thwor keraccur atelyr espondsbysayi ng:
a.“Lagyannyopongbabyoi langt ai nganyapagkat aposni tongmat uyo”
b.“Lagyannyopongbul akangt ainganyapagkat aposmat anggal angl uga”
c.“Wal anapongi lalagaysat ainganganakni yopagkat aposmat uyoi to”
d.“Buhusannyopongmal i
gamgam nat ubigpar amal inisngmabut iangt ainganya”
ANSWER:C
•
Theearshoul dbewi ckedt hr eet imesaday
•
Uset hist reat mentf orasmanydaysasi tt akesunt ilt
hewi cknol ongerwet swhenputi ntheearandnopus
draini ngf rom t heear
•
Donotpl aceanyt hing( oi l
,flui d,orot hersubst ancei ncludi ngcot tonbal l
)i ntheearbet weenwi cki ng
treatment s.Donotal l
ow t hechi ldtogoswi mmi ng.Nowat ershoul dgeti nt heear .
77.Achi l
dwhoi s1 0mont hsol dandbr east feedi ngshoul dbegi venwi thwhatcompl ement aryf oods?
a.Fl akedf ish,mal unggay,peanut s
c.St eamedt okwa,mashedveget abl es,eggyol k
b.Pul ver izedr oast eddi lis,squash,banana
d.Monggo,camot e,boi ledyel l
owcor n
ANSWER:C
Forchi ldr enages6t o1 2mont hsandnotbei ngbr eastfed,t heyshoul dbegi venanyoft hef ollowi ng:lugaw wi th
addedoi l
,mashedveget abl esorbeans,st eamedt okwa,f l
akedf ish,pul ver i
zedr oasteddi l
is,f i
nel ygr oundmeat ,egg
yolk,bi t
e-si zef ruits.Thesef oodshoul dbegi ven5t imesadayi fnotbr east f
edor3t imesadayi fbreast f
ed.
Ref erence:I MCIResour ceManual Page1 99-200
78.Thef ollowi ngexceptonear erecommendat i
onsf orachi ldwhoi snotf eedingwel l
dur ingi llness:
a.Br east feedt hechi ldmor ef requent l
y,andf oral ongert imeateachf eed
b.Gi vet hechi l
dsof t,var iedandappet izingf oods,aswel last hechi l
d’sf avoritefoods
c.Cl eart hechi l
d’sbl ockednost ri
lsift heyi nter ferewi thf eedi ngs
d.Fol l
ow-upanyf eedi ngpr obl em i n1 0days
ANSWER:D
Follow-upanyf eedi ngpr obl em i n5days.
Ref erence:I MCI2009edi ti
onPage22
79.Whati st hesi gnt hatt hei nfanti ssucki ngef fect i
velydur i
ngbr east f
eedi ng?
a.Thei nf antsuckl eswi thsl ow deepsucksandsomet imespauses
c.Ther ei scheeki ndr awi ng
b.Thei nf anti st akingar api d,shal l
ow suck
d.Si lentsucki ng
ANSWER:A
Thei nf anti ssuckl ingef fect ivel yifhesuckl eswi thsl owdeepsucksandsomet i
mespauses.Youmayseeorheari nfant
swal lowi ng.Ot heropt ionsar ei ncor rect .
Ref erence:I MCIResour ceManual Page96
80.I nI nt egr atedManagementofChi ldhoodI ll
ness( IMCI ),sever econdi t
ionsgener al
lyr equi reur gentr eferraltoa
hospi tal.Whi choft hef ollowi ngsever econdi tionsDOESNOTal waysr equi reur gentref erral toahospi t
al?
a.Mast oi ditis
b.Sever edehydr at i
on
c.Sever epneumoni a
d.Sever ef ebr i
ledi sease
ANSWER:B
Theor derofpr i
or i
tyi nt hemanagementofsever edehydr at i
oni sasf ol
lows:i ntravenousf luidt her apy,r eferralt
oa
faci
li
tywher eIVfl
uidscanbei ni
tiatedwi thi
n30mi nutes,Oresol/
nasogastr
ictube,Oresol
/or
em.Whent heforegoi
ng
measur esarenotpossi bleoref fective,thenur gentreferr
altothehospit
alisdone.
Reference:IMCIManual .Page1 2-1 3.
81.Dolorbroughther2-year -olddaught ertotheheal thcenterbecauseof2dayscoughand3dayscol ds.On
assessment ,t
henur secount edt hechi ld’sr espirat
iontobe56cycl e/minute.Basedonthisfi
ndi
ng,t
hefoll
owing
stat
ement saretr
ueandappl icable:
A.Thechi l
dhaspneumoni a
B.Thechi l
dhastober ef erredt ot hehospi tal
immedi ately
C.Soot hethethr
oatandr eli
evecoughwi thasaf eremedy
D.Thechi l
dcanbet reatedathome
a.A,B,C
b.A,C,D
c.B,C
d.C,D
ANSWER:B
Achi ldhavi ngf astbr eat hingonl yi scl assi fiedashavi ngpneumoni a.Managementf orachi ldwithpneumoni a:gi vean
appr opr i
ateant ibioticf or3days.I fwheezi ng( eveni fitdi sappear edaf terrapid-actingbr onchodilator )
,giveani nhaled
bronchodi l
atorf or5days.Soot het het hroatandr elievet hecoughwi thasaf eremedyt hatcanbedoneathome.I f
coughi ngf ormor et han3weeksori fhavi ngr ecur rentwheezi ng,r ef erforassessmentf orTBorast hma.Advi set he
mot herwhent or et urni mmedi at el y.Fol l
ow-upi n2days.
on.Page2.
82.Achi ldwhowasf oundt ohavepneumoni awasbei ngt r
eat edappr opr i
atel
yi nther ur alhealt
hcent er.Af ter
par entalcounsel i
ngaboutt hedi seaset hechi l
dwasdi schar ged.Themot herisinstructedt oretur
nt ot heheal th
cent erafter:
a.Oneday
b.Twodays
c.30days
d.1 4days
ANSWER:B
Thenur sewi l
ladvi set hemot hert ocomet ot heheal thcent erf orf oll
ow-upi n2days.
on.Page2.
83.Toef fect i
velyandaccur at elyassessf orchesti ndr awi ngthenur seshoul dbeawar eoft hepr i
nci pleofr espi rat or
y
assessment .Whi chi snott r
uei sassessi ngchesti ndr awi ng?
a.Itiswhent hei nter cost alsar easgoesI Nwhent hechi l
dbr eat hsI N
b.Itismor eaccur at ei fassessedast hechi ldisl yi
ngf lat
c.Itmustbecl ear l
yvi sibleandpr esental l t
het imeandnotonl ydur ingcr yi
ngandf eeding
d.Itinvolvesonl yt hel owerchestwal l(subcost al)andnotal lt
hear easi nbet weent her i
bs
ANSWER:B
Toappr opr i
atelyassessf orchesti ndr awi ngt hechi ldshoul dbepl acei nanupr i
ghtposi ti
on.
Otheropt i
onsar et rueaboutchesti ndr awi ng.
on.Page1 6.
84.Themot herandher1 2-mont h-ol dinf antr eturnt ot hecl i
nicaf ter3daysbecauset hesympt omsar enotr elieved.
Thei nfantdevel opedst ridorandwasnotabl et obr eastf eed.Par toft hemanagementi nt hissi
tuationi sgi ving
Vitami nAsuppl ement s.Basedont hechi ld’saget hedoseoft heVi tami nAt obegi veni s:
a.1 0,000I U
b.1 00,000I U
c.200,000I U
d.1capsul e
ANSWER:B
Forchi ldrenage6mont hst o1 2mont hst her equi r
eddosewi l
lbe1 00, 000I U( 1capsul e)orhal foft hedosef or
children1 2mont hsupt of iveyear swhi chi s200, 000I U.1 0,000I ui sther ecommendeddoseoft hevi taminf or
pregnantwomen.
Ref erence:I MCIManual .Page8.
85.Johnny,a3-year -ol d,wasbr oughtt ot heRHUbyhermot herbecauseofdi arr
hea.Onassessment ,thechi ldi s
pl
ayf ul andal ert.Whi choft hef ollowi ngwi llyounotadvi set heboy’smot her?
a.Boi lwat erforf or mul af or1 5-30mi nut es
c.Tel lt
hemot hershecangi vet hechi ldbananat oeat
b.St opgi vingmi l
kasi twor sendi arrhea
d.Inst r
uctt hemot hert or eturnt hechi ldt ot heRHUaf ter3days
ANSWER:B
Thechi l
dhasnodehydr at ion.I nsuchacase,t henur sewi ll
institutePl anAwi l
li
nvol vest hef ol
lowingi nter vent ions:
PlanA:Tr eatDi arrheaatHome
Counsel themot heront he3Rul esofHomeTr eatment :
GiveExt r
aFl uid,Cont i
nueFeedi ng.Whent oRet urn
1.
Giveext r
af lui
d( asmuchast hechi ldwi lltake) .Tell t
hemot her :
Br
east
feedf
requent
lyandf
orl
ongerateachf
eed.
I
fthechi
l
disexcl
usi
vel
ybr
east
fed,gi
veORSorcl
eanwat
eri
naddi
ti
ont
obr
east
mil
k.
I
fthechi
l
disnotexcl
usi
vel
ybreast
fed,gi
veoneormor eofthefol
l
owi
ng:ORSsol
uti
on,f
ood-basedf
lui
ds
(
suchassoup,r
ice,wat
erandyoghurtdr
inks)
,orcl
eanwater.
I
tisespeci
all
yimpor
tantt
ogi
veORSathomewhen:
Thechi
l
dhasbeent
reat
edwi
thPl
anBorPl
ancdur
ingt
hisvi
si
t.
Thechi
l
dcannotr
etur
ntoacl
i
nici
fthedi
arr
heaget
swor
se.
Teacht
hemot
herhowt
omi
l
kandgi
veor
s.Gi
vet
hemot
her2packet
sofORSt
ouseathome.
Showt
hemot
herhowmuchf
lui
dtogi
vei
naddi
ti
ont
otheusual
flui
dint
ake:
Upt
o2year
s50t
o100ml
aft
ereachl
oosest
ool
Year
sormor
e100t
o200ml
aft
ereachl
oosest
ool
Tel
lthemot
hert
o:
Gi
vet
hef
requentsmal
lsi
psf
rom acup
I
fthechi
l
dvomi
ts,wai
t10mi
nut
es.Thecont
inue,butmor
esl
owl
y
Continuegivi
ngextrafl
uidunti
lthedi
arrheast
ops
2.
Givezincsupplements(ages2mont hsupt o5years)
3.
Continuefeeding
4.
I
nstructwhent oret
urn– after5daysifthechi
lddoesnoti
mpr
ove
Af
ter5daysi
fthemot
herr
etur
ns,askher
:
Hast
hedi
arr
heast
opped?
Howmanyl
oosest
ool
sist
hechi
l
dhavi
ngperday?
Tr
eat
ment
:
I
fthedi
arr
heahasnotstopped(
chil
dissti
l
lhaving3ormor eloosest
ool
sperday)
,doaf
ull
reassessmentof
t
hechil
d.Giveanyt
reat
mentneeded.Thenrefertohospi
tal
.
I
fthediar
rheahasstopped(chi
l
dhavinglesst
han3loosest
oolsperday)
,tel
lthemot
hert
ofol
l
ow t
heusual
f
eedingrecommendationsf
orthechi
l
d’sage.
I
nadditi
on,thenur
secanadvisethemothertodot
hef ol
l
owing:
Gi
veher
bal
prepar
ati
on,weakt
ea,di
l
utedmi
l
k,banana(
lat
undan)
Obser
vepr
operhygi
enewhenpr
epar
ingchi
l
d’smi
l
kfor
mul
a
Boi
lwat
ert
obegi
vent
othechi
l
dfor1
5-30mi
nut
es
Avoidfatt
yorfr
iedfoods
Reference:WHO.IMCIManual
.2009Edi
ti
on.Page1
4.
86.AsJohnnyorachi ldcomest ot
hecl
i
niccompl
aini
ngofdi
arr
heat
henur
seshoul
d:
a.Cl
assif
yf ordehydr
ation
c.Chi
ldisrestl
essandirri
table
b.Askhow longthediarrheahasbeenpresent
d.Al
loftheabove
ANSWER:D
Toassessachi l
dhavingdi ar
rhea:
Askt
hemot
her
:
Forhowl
ong?
I
sther
ebl
oodi
nthest
ool
?
Lookandf
eel
:
Lookatthechil
d’sgeneralcondit
ion.
I
sthechildl
ethargi
corunconsci
ous
Rest
lessandirr
it
able?
Lookf
ort
hesunkeneyes
Off
erthechi
l
dflui
d.I
st hechi
l
d
Notablet
odri
nkordrinki
ngpoor
ly
Dri
nki
ngeagerl
y,t
hir
sty?
Pinchtheskinoft heabdomen.Doesi tgoback

Veryslowly(longert han2seconds) ?
Slowly?
Reference:WHO.I MCIManual .2009Editi
on.Page3.
87.BasedonJohnny’spr esentedconditi
on,hewascl assi
fiedinthegreenr ow.Hewassenthomeaf tert
henurse
counseledhi smot herwi thregardstothe4r ulesofhomet r
eatment .Whichofthefol
l
owingisnoti
ncluded?
a.Giveext r
af l
uid
b.GiveVi t
ami nAsuppl ement
c.Continuef eeding
d.Whent oreturn
ANSWER:B
Counsel t
hemot heront he4r ul
esofhomet reatment:gi
veext r
af l
uid,gi
vezincsuppl
ements,cont
inuefeedi
ngand
whent oreturn.
on.Page1 4.
88.Tocheckf ortheski nturgorofachi l
dhavi ngdiar
rhea,thenur sewill
:
a.Pinchthechi l
d’sabdomen
c.Pinchthechi l
dout erupperar m
b.Applypr essureont heskinatt hef
ootarea
d.Lookf orsunkeneyes
ANSWER:A
Toassessachi l
dhavi ngdiarr
hea:
Askt
hemot
her
:
Forhowl
ong?
I
sther
ebl
oodi
nthest
ool
?
Lookandf
eel
:
Lookatthechil
d’sgeneralcondit
ion.
I
sthechildl
ethargi
corunconsci
ous
Rest
lessandirr
it
able?
Lookf
ort
hesunkeneyes
Off
erthechi
l
dflui
d.I
st hechi
l
d
Notablet
odri
nkordrinki
ngpoor
ly
Dri
nki
ngeagerl
y,t
hir
sty?
Pincht heskinoftheabdomen.Doesi tgoback

Veryslowly( l
ongert han2seconds) ?
Slowly?
Reference:WHO.I MCIManual .2009Edi ti
on.Page3.
89.Par tofthedischar gecounseli
ngdonet oJohnny’smot her
,thenur
sewouldconcludethatsheunder
standsthe
teachingwithr egardst ot
hechi l
d’sneedf oraddi
ti
onal
flui
dintakewhenshest
atethatsheneedstogiveaddit
ional
fl
uidstohischi l
damount i
ngof:
a.50t o100ml aft
ereachl oosest ool
c.150t o200ml aft
ereachl oosest ool
b.100t o200ml aftereachl oosest ool
d.5ot o200ml af tereachl oosest ool
ANSWER:B
Themot hershoul dgi veaddi ti
onal fl
uidstotheusual flui
di ntakeofachi l
dwi thdi arr
heawi t
hthesedoses:
•
Upt o2year sol d– 50t o1 00ml aft
ereachst ool
•
2year soldormor e– 1 00t o200ml aft
ereachst ool
Reference:WHO.I MCIManual .2009Edi t
ion.Page1 4.
90.IfJohnnyvomi tsaf teradmi ni st
rati
onofaddi ti
onal fl
uids,themot herisinstructedto:
a.Pausef or10mi nut esandr esumemor esl owly
c.Lett hebabyl iedownonhi ssi de
b.Stopt hef eedi ngandbr i
ngt hebabyt otheheal t
hcent er
d.Discont i
nuef eedi ng
ANSWER:A
Ift
hechi ldvomi ts,wai tf or1 0mi nutes.Thencont i
nue,butmor esl
owl y.
Reference:St o.Tomas,Mar coAnt onioC.( 2005)IntegratedManagementofChi ldhoodIl
lness,page13.
:WHO.I MCIManual .2009Edi ti
on.Page1 4.
91.I
fJohnnyhasdi arrheaf or8daysbuthehasnosi gnsandsympt omsofdehydr ati
on,thefol
lowingar
etrueexcept:
a.Hei sdr i
nkingnor mal l
y
c.Hisski npinchwentbacki mmedi atel
y
b.Hehassever eper si
st entdi arrhea
d.Hei sclassifiedi nt hegr eenr ow
ANSWER:B
Persistentdiarrheai sinyel lowr owwhi chischaracter i
zedby1 4daysofdi arrheawi thnosympt omsofdehydrat
ion.
Sever eper si
stentdi arrhea( di
ar rheaof1 4daysormor eWI THsignsofdehydr ati
on)isinpinkrow.
OptionsA,CandDar ecor rect .
Reference:WHO.I MCIManual .2009Edi t
ion.Page3.
92.Syd,a5-year -oldchi ld,isbroughttothecl i
nicbyhermot herbecauseofearpr obl
em.UnderI MCI ,achil
dwit
h
earprobl em shouldbeassessedf orthefollowingexcept :
a.Earpai n
b.I
st her eanyfever ?
c.Eardi scharge
d.I
fdi schargeispr esentf orhow long?
ANSWER:B
Feveri samai nsympt om andnotoneoft hesignsf orthediff
erentclassi
fi
cati
onsundertheearpr oblem.
on.Page5.
93.Uponhi stor
ytakingandassessmentyouf oundoutt hatSydi shavingpusdraini
ngfrom hisearsandi s
compl ainingofearpai nf ort hepast10days.Whatcol orintheI MCIrowwoul dyouclassifyhi
scondi t
ion?
a.Pink
b.Yellow
c.Green
d.Red
ANSWER:B
Thechi ld’scat egoryi sacut eearinfecti
onwhi chi scharact
erizedbypusdr aini
ngfrom theearforlessthan14days.I
t
i
saccompani edbyearpai n.Iti
sintheyellow rowoft heIMCIchar t.
Reference:I MCIManual .Page5.
94.UnderI MCI,aneardi schar gethathasbeenpr esentforl
esst han14dayscanbecl assifi
edas:
a.Compl i
catedeari nfection
b.Acut eeari nf
ecti
on
c.Chroni cearinfection
d.Mast
oidi
ti
s
ANSWER:B
Chr oniceari nfect ioni nvol veseardi schar gepr esentf or14daysormor e;Mast oiditi
sischar acter i
zedofhavi ngtender
swel li
ngbehi ndt heear ;ther eisnocl assifi
cat i
onofCompl icatedeari nfectioni nI MCI .
Ref erence:WHO.I MCIManual .2009Edi t
ion.Page5.
95.Youadvi ceandi nst ructSyd’smot hert owi ckhi sear stor emovet hedi schar ges.Asanur se,youdet ermi nethat
themot herunder standsyouri nstruct i
onaf tersher etell
sthecor rectsequenceoft hepr ocedur e:
1.Removet hewi ckwhenwet
2.Repl acet hewi ckwi thacl eanoneandr epeatt hi
spr ocedur e
3.Rol l cleanabsor bentcl ot horsof t,strongt i
ssuepaperi ntoawi ck
4.Pl acet hewi cki nt hechi ld’sear
a.3,4,2,1
b.3,4,1 ,2
c.4,3,2,1
d.4,3,1 ,2
ANSWER:B
Wi ckingi sdonet odr yt heearf oratl east3t i
mesdai l
y.Itisdoenasf ollows:Rol lcleanabsor bentcl ot
horsof t,str
ong
ti
ssuepaperi ntoawi ck,t hen,Pl acet hewi ckint hechi l
d’searwai tunt ilt
hewi cki swetbef orer emovingit.Finall
y,
Repl acet hewi ckwi thacl eanoneandr epeatt hesest epsunt i
leari sdr y.
Ref erence:I MCIManual .Page9.
96.Af t
ercl assi fyi
ngSyd’scondi t
ion,youwi lladvisehismot hert or eturnt othecl i
nicf oraf oll
ow upcheck-upaf t
er
howmanydays?
a.2days
b.5days
c.1 4days
d.30days
ANSWER:B
Advi set hemot herwhent or eturnt ot heheal thwor kerforf oll
owupvi sits
Ift
hechi ldhas:
Ret urnf orf ol l
ow-upi n:
PNEUMONI A
WHEEZE
DYSENTERY
MALARI A,i ff everper sists
FEVER:MALARI AUNLI KELY,i ffeverper sists
2DAYS
FEVER:NOMALARI A,i ffeverper sists
MEASLESWI THEYEORMOUTHCOMPLI CATI ONS
DENGUEHEMORRHAGI CFEVERUNLI KELY,i ffever
per si
st s
PERSI STENTDI ARRHEA
ACUTEEARI NFECTI ON
5DAYS
CHRONI CEARI NFECTI ON
ANYOTHERI LLNESS,i fnoti mpr oving
ANEMI
14DAYS
VERYLOW WEI GHTFORAGEW
30DAYS
ion.Page23.
97.UnderI MCI ,ifthechi l
ddoesnothaveearpr oblem,whatshoul dyoudoashi snur sedo?
a.Checkf ort enderswel lings,behi ndt heear
c.Checkf oreardi schar ge
b.Got henextquest ion,checkf ormal nutriti
on
d.Checkf orearpai n
ANSWER:B
Achi l
dwi thoutearpr obl em shoul dnol ongerbeassessedf orsi gnsr elatingt oearpr obl em.Got othenext
assessmentwhi chi st henut ri
tionoft hechi ld.
ion.Page6.
98.Par toft hecur r
icul um ofst udentnur sesi sthecommuni t
yinvol vementi nt henear estbar angay.Leaht oget her
withhert eam member ssuggestt oconductOper ati
onTi mbangofchi l
dr en1 0year s-ol dandbel ow inBarangay
Maybunga.Tot oyBat o,an8-year -oldwi t
hobvi ousedemaoft hef eetandwei ghing20% l esst hanhisideal weightfor
agewasspot tedbyt het eam.Accor dingt ot heIMCImanual ,theywi llclassifyTot oyi nwhatcol or-codecat egory?
a.Pi nk
b.Yel low
c.Gr een
d.Red
ANSWER:A
Thechi ldi shavi ngSever eMal nutriti
onasmani festedbyedemaofbot hf eetorhasvi siblesever ewast i
nginchi l
dren6
mont hsandabove.Thi scat egor yneedsanur gentr eferr
al tohospi tal,thuspl acei nt hepi nkr ow.Tr eatthechildto
preventl ow bl oodsugar ,Gi veVi tami nAandr eferur gentl
y
Yellowr ow-ver ylowwei ght ,thechi ldhasver ylow wei ghtf orage,managementar easf ol
lows:
•
Assesst hechi ld’sf eedi ngandcounsel t
hemot heronf eedi ngaccor dingt ot hef eedi ng
recommendat i
onsandcar ef ordevel opment
•
GiveVi t
ami nA
•
Advi set hemot hertor etur
nimmedi at
ely
•
Followupi n30days
Gr eenr ow– Notver ylowwei ght– thechi l
disnotveryl ow inweightforageandpr esentednoot hersignsof
mal nut r
iti
on.
on.Page6.
99.Measl esisoneoft hecommonchi l
dhooddi seasesnowadaysbecauseofi ncr
easedt emper ature.I
fachi l
dcomest
o
thecl ini
ccompl ai
ningofpusdr ai
ningfrom hiseyes,youwi llplacethechil
dinwhatcolorcl assi
ficat
ion?
a.Pi nk
b.Yel l
ow
c.Gr een
d.Red
ANSWER:B
UnderYel low row– measl eswi t
heyeormout hcompl icati
onsi smanif
estedbypusdr ainingf r
om theeyeormout h
ulcer s.
Pinkr ow– sever ecompl i
catedmeasl eswhichi smanifestedbycl oudi
ngoft hecorneaordeeporext ensivemout
h
ulcer s
Gr eenr ow– measl es,measlesnoworwi thi
nthel ast3mont hs.
on.Page4.
100.Int heIMCIt reatmentpl an,whatisusedt ocleanthemout hifachi
ldhasmeasl
eswit
hmouthcompl
i
cat
ion?
a.Dil
utedhydr ogenper oxide
b.Steril
ewat eronly
c.Dil
utedbet adine
d.Dilutedgent ianviolet
ANSWER:D
Mout hul cersarebei ngtreatedwi thdi
lut
edgent i
anviolettwi
cedail
y.Stepsi
ntr
eati
ngmouthul
cer
s:
1.
Washhands
2.
Washchi l
d’smout hwi t
hacl eansoftclot
hwr appedar oundthefi
ngerandwetwit
hsal
t
water
3.
Paintthemout hwi thhalf-st
rengt hgenti
anvi ol
et(0.25% dil
uti
on)
4.
Washhandsagai n
5.
Continueusi ngGVf or48hour saftert
heul cershavebeencur ed
6.
Givepar acetamol f
orpainr eli
ef
on.Page1 1
.
PHI LIPPI NEHEALTHCAREDELI VERYSYSTEM ANDPRI MARYHEALTHCARE
SITUATI ON:ThePhi lippi neHeal thCar eDel iver ysyst em.
1.Whi choft hef ollowi ngcont ribut est ot hepoorheal t
hsi tuat ionoft hemaj ority?
1.Hi ghcost sofheal thser vices
3.Cr isis-or ient edconceptofheal t
h
2.Low pr i
or ityf orheal th
4.Gl obal izat ion
a.1onl y
b.Al lexcept4
c.Al lexcept2
d.Al loft heabove
ANSWER:D
Thepoorheal t
hsi tuat ioni nt hecount ryisl argel yduet ot hef ollowingr easons:Hi ghcost sofheal thser vi
ces,Low
priorityf orheal th,Cr i
sis-or ient edconceptofheal thandGl obal i
zation.
Ref erence:Moni naGesmundo.TheBasi csofCommuni tyHeal thNur sing
2.Thef ol l
owi ngst at ement sdescr i
bet hehumanheal thresour ces,except :
a.Ever yyeart her ei samar kedi ncreasei nt henumberofheal thpr ofessional s
b.Despi tet hei ncr easei nt henumberofheal thpr ovider s,t her eisst il
lanenor mousneedi nt heruralar eas
c.Thegr owi ngnumberofheal thpr ofessi onal scont ributest ot heirlow sal ariesandl ackofbenef i
ts
d.Mi gr ationt oot hercount riesi spr imar i
lyaneconomi ci ssue
ANSWER:C
Thegr owi ngnumberofheal thpr ofessional s( especi all
ynur ses)doesnotaf fectlow sal ari
esandl ackofbenef it
s.
Lowsal ar yi sl ar gelyaf f
ect edbyeconomi cs.Theot heropt ionsar et rue.
3.Despi tet henat ureofdi seasepat t
ern,hospi t
alshavebeendevel opedandmai ntainedaspr imar yvenuesof
heal thser vicesbecause:
1.Somedi seasesar ef aradvancedandr equi rehospi tal
izat ion
2.Notal l diseasescanbepr event edatt hecommuni t
ylevel
3.Hospi talsar ei nfrast ruct urest hatser veaspr oofofdevel opment
4.Hospi tal pr act icei sr ootedi nt hecol oni al heal t
hsci enceeducat i
onsyst em
a.1and2
b.Al lexcept1
c.Al lexcept4
d.Al loft heabove
ANSWER:A
Hospi talshavebeendevel opedandmai ntai nedaspr imar yvenuesofheal t
hser vi cesbecausesomedi seasesar e
faradvancedandr equi rehospi t
al i
zation,andnotal ldiseasescanbepr event edatt hecommuni tylevel .
4.Thi spr ocessr ef er st otheactbywhi cht henat ional gover nmentconf erspowerandaut hor i
tyupont hevar i
ous
l
ocal gover nmentuni tst oper form speci ficf unct i
onsandr esponsi bil
iti
es:
a.Gl obal izat i
on
b.Pr ivat izat i
on
c.Devol ut i
on
d.Li ber alizat ion
ANSWER:
Devol utionr ef er st ot heactbywhi cht heNat i
onal Gover nmentconf erspowerandaut horityupont hevar ious
l
ocal gover nmentuni tst oper form speci ficf unct i
onsandr esponsi bil
iti
es,incl udi
ngpr ovisi
onanddel iveryofbasi c
heal thser vices.Gl obal i
zationr efer stot hei ncr easinguni fi
cat ionoft hewor ld'seconomi cor derthroughr eduction
ofsuchbar rierst oi nter nat i
onal tradeast ar i
f f
s,expor tfees,andi mpor tquot as.
owi ngar et hecomponent sofHeal thSect orRef orm agenda( HSRA) ?
1.Heal thf i
nanci ngr efor ms
4.Hospi tal syst em r efor ms
2.Local heal thsyst em r eforms
5.Heal thr egul ator yr ef orms
3.Publ icheal thpr ogr am r ef orms
6.Publ ici nvest mentr ef orms
a.Al loft heabove
b.Al lexcept6
c.Al lexcept1
d.2,3,4,6
ANSWER:B
Areast hatneedt ober eformedunderHSRAar e:Local heal thsyst ems,hospi talsyst ems,publ ichealt hpr ograms,
heal thf inanci ngandheal thr egul ati
on.
6.TheDOHi saspi ri
ngt ogi veHi bvacci nef oraver yaf f
or dabl epr i
cei never ypubl i
cheal t
hf acili
tytobeabl et o
uphol dt hei rvi sion.Thi saspi rationi sbasedonwhatel ementoft heFOURmul aone?
a.Heal thf i
nanci ng
b.Heal thser vicedel iver y
c.Goodgover nance
d.Heal thr egul ation
ANSWER:D
Heal thr egul at i
on– t hegoal i
st oensur et hequal i
tyandaf for dabi l
ityofheal thgoodsandser vices
Opt ionA– t hegoal oft hisheal thr eform ar eai stof ostergr eat er,bet t
erandsust ainedi nvest ment sinheal th.
OptionB– t hegoal i
stoimproveandensuretheaccessibi
l
ityandavail
abili
tyofbasicandessent
ial
heal
thcarei
n
bothpublicandpr i
vatefaci
l
iti
esandservi
ces
OptionC– t hegoal i
stoenhancehealthsyst
em per
formanceatt henat i
onalandlocall
evel
s
Reference:Cuevas,F.P.et.al.(
2007)DOHBook:Publ i
cHealthNursingInThePhili
ppines.
10t
hed.Manil
a,page
26.
7.I
npur suantforachievi
ngtheendgoalsofbett
erhealthoutcomes,ar esponsi
vehealthsyst
em andequi
tabl
e
healthcarefi
nancingtheoverarchi
ngphil
osophytoreali
zethisgoal
is:
a.FOURmul aone
b.Healthsectorrefor
m
c.NOH2005-201 0
d.Primaryhealthcare
ANSWER:A
FOURmul aONEf orheal thi sanover archi ngphi l
osophyt oachi evet heendgoal sofbet t
erheal thout comes,a
responsi veheal thsyst em andequi tableheal thcar ef i
nanci ng.I tisdi r
ect edt owar dsensur i
ngaccessi ble,
affordabl equal i
tyheal thcar eespeci allyf ort hemor edisadvant agedandvul ner ablesect or soft hepopul at i
on.
Ref erence:Cuevas,F.P.et .al .(2007)DOHBook:Publ i
cHeal thNur si
ngI nThePhi li
ppi nes. 10thed.Mani la,page
27.
8.Nur seMakoyknowst hati nal llevel sofpr event i
onandeveni nal lthepr ogr am t hrust soft heheal thcar e
deliver ysyst em,heshoul dpr ovi dewhi choft hef oll
owi ng?
a.Heal thpr omot ion
b.Heal theducat i
on
c.Heal thcol labor ation
d.Noneoft heabove
ANSWER:B
Heal theducat ioncover st hecont inuum ofwhatLeavel lcal l
st hel evel sofpr event i
on.I nal l
level sofpr evention,
heal t
heducat i
onpl aysani mpor tantr ole.Al l
t hepr ogr am t hr ustsoft heheal thcar edel i
ver ysyst em have
cor r
espondi ngheal theducat ion/ pr omot i
oncomponent s.
cheal t
hnur singi nt hePhi l
ippi nes.
10thedi ti
on,Page
61
9.Whi choft hef oll
owi ngser vicesf all undert er ti
arylevel ofheal t
hcar eser vi ces?
a.Ci tyhospi tals
b.Regi onal medi cal cent ers
c.Pr ovi nci al hospi t
al s
d.Emer gencyhospi tal
s
ANSWER:B
Primar ylevel ofheal thcar eser vices:BHS,RHU,Communi tyhospi talsandHeal thCent ers,Pr i
vat e
pract i
tioner s/ Puer i
cul t
ureCent er s.
Secondar yl evel ofheal thcar eser vices:Emer gency/ Distr i
cthospi tals,Pr ovi ncial/Cityhospi tals
Ter t
iaryl evel ofheal thcareser vices:Regi onal Heal t
hser vices,Regi onal Medi cal Cent er sandTr ainingHospi tal
s,
Nat i
onal Heal thSer vices,Medi cal Cent er s,Ter ti
aryteachi ngandTr ainingHospi tals.
10.Heal thpr obl emsbeyondt hecapabi lityoft hevi l
l
ageheal thwor ker sar er eferredt oani ntermedi ateheal th
facili
ty,usual l
ya:
a.Di stricthospi tal
b.Medi cal cent er
c.Speci al tycl inic
d.Rur al heal thuni t
ANSWER:D
TheRHUt eam usual l
yconsi stsofr ural heal t
hphysi cianort hemuni cipal heal t
hof ficer( MHO) ;Dent ist;Publ i
c
heal t
hnur se;Rur al healthmi dwi fe;sani taryinspect or;communi t
yvol unt eerheal thwor ker sorbar angayheal th
wor ker s( BHW) .
11.Cat het er i
zat i
ont opr omot eur i
nar yel imi nat i
oni sanexampl eof :
a.Pr imar yl evel diseasepr event i
on
c.Ter tiaryl evel di seasepr event i
on
b.Secondar yl evel diseasepr event ion
d.Heal thpr omot ion
ANSWER:B
Secondar yl evel ofcar e:Render edby[ hysi cianswi thbasi cheal tht rai ni
ngi ndi stri
ctpr ovi ncial andci tyhospi tals;
capabl eofbasi csur gical procedur esandsi mpl elaborat or yexami nat ions;ser vesast her efer ral cent erofpr imary
heal t
hf aci l
ities.
12.Whi choft hef ollowingst at ement si st rueaboutheal thpr omot ion:
a.Heal thpr omot ioni sawayofl ife
c.Heal thpr omot ioni sout sidehospi tal nur sing
b.Heal thpr omot ionmeansabsenceofdi sease
d.Heal thpr omot ioni sani nvest menti nl if
e
ANSWER:A
Heal thpr omot i
oni sseenasar esour cef orever ydaylife,t her eforeawayofl if
eandnott heobj ectiveofl i
ving.
Heal thpr omot i
onnotmer elymeanst heabsenceofdi seasebutr at hert or eachast ateofcompl etephysi cal,
ment alandsoci al wel l
-bei ng.Heal thpr omot i
onshoul dbet aughtal soi nsideaheal thcar ef aci l
ity.Heal thisan
i
nvest menti nl i
febutheal t
hpr omot ioni st hepr ocessorawayofl i
fet oachi eveheal th.
cheal t
ippi nes.
10thedi ti
on,Page
58-59
13.Themostbasi ct ypeofheal thpr omot i
onpr ogram oft heDepar tmentofheal thist he:
a.Pr imar yheal t
hcar e
c.Heal thi nf or mat i
ondi ssemi nat i
on
b.Cont rol ofAI DS
d.Expandedpr ogr am oni mmuni zat ion
ANSWER:C
Heal thi nf or mat iondi ssemi nat i
on,underheal theducat i
on,i st hemostbasi ct ypeofheal t
hpr omot ion.Thr ough
i
nf ormat iondi ssemi nati
on,heal thpr omot ionar ti
cles,pr ogr amsandact ivit
iescanbeeasi l
ypassedont othe
communi ty.
cheal t
ippi nes.
10thedi ti
on,Page
61
14.Karelisperfor
mi ngself-breastexami nat i
onever ymont h.Kar elisengaginginwhi chlevel ofpr evention?
a.Primaryprevention
b.Secondar ypreventi
on
c.Terti
arypreventi
on
d.Heal t
heducat i
on
ANSWER:B
Secondar ypreventi
onf ocusesonear l
yidentif
icati
onofheal thpr oblemsandpr ompti nterventiont oal l
eviate
healthprobl
ems.I t
sgoal istoi dentif
yindivi
dual si
nanear lystageofadi seasepr ocessandt olimitf utur
e
disabil
i
ty.Opti
ona,pr imar yprevent i
on,focusesonheal thpromot i
onandpr otecti
onagai nstspeci ficheal t
h
problemswi t
ht hepurposeofdecr easi
ngt her i
skorexposur eoft heindi
vi
dual orthecommuni tytodi sease.
Opt i
onc,tert
iaryprevention,focusesonr estorati
onandr ehabili
tati
onwithgoal ofret
urningt hei ndividual t
o
OLOF.Heal theducat i
onist hepr i
mar yresponsi bi
li
tyofPHN.
Reference:Fundament alsofnur singbyKozi er,8t
hedi t
ion,p.276
SITUATION:Publ i
cheal t
hsyst emsar eoper ati
ngwi t
hinacont extofongoingchanges,whi chexer tanumberof
pressuresont hepublicheal t
hsyst em.
15.Whenapubl icheal thnur sei nvol vest hepeopl ei ni dent ifyingt heirpr evai lingpr obl ems,mot i
vat ingthem t o
solvet hei rpr obl emsusi ngl ocal /indi genousr esour ces,shei si nstit
utingwhi chappr oach?
a.Communi t
yassembl y
b.Pr imar yheal thcar e
c.Communi t
yheal thpr ocess
d.Communi t
ydi agnosi s
ANSWER:B
PHCi sast rategy,whi chf ocusesr esponsi bi li
tyforheal thont hei ndividual,hi sfami l
yandt hecommuni t
y.
WHOdef inesPHCasessent i
al heal thcar emadeuni versallyaccessi bletoi ndi vi
dual sandf ami l
iesi nthe
communi tybymeansaccept abl et ot hem t hrought heirf ullpar ti
cipat ionandatacostt hatt hecommuni tyand
count rycanaf for datever yst ageofdevel opment .
Ref er ence:Cuevasetal .,Publ icHeal thNur singint hePhi l
ippines.2007.1 0t hEdi ti
on.Page30.
16.InPubl icheal thnur sing,t hemoder nconceptofheal t
hr efer stoopt imum l evel off unct ioning( OLOF) .Ifa
communi typr ogr am ai mst oaddr esspr obl emsi neducat ion;i tisf ocusedonwhatOLOFeco-syst em influence?
a.Pol it
ical
b.Envi ronment
c.Soci oeconomi c
d.Behavi or
ANSWER:C
Empl oyment ,educat ionandhousi ngar eal lpartoft hesoci oeconomi cinfluence.
Opt ionA– Pol iti
cal :saf et y,oppr essi on,andpeopl eempower ment
Opt ionB– Envi r
onment :ai r,food,wat erwast e,wat er/r
ur al,noi se,r adiationandpol l
ut i
on
Opt ionD– Behavi or :cul tur e,habi ts,mor esandet hni ccust oms
on.Page5.
17.InSept ember2000,t heUni tedNat ionsGener al Assembl yadopt edacommonvi sionofpover tyr educt ionand
sust ainabl edevel opmentexempl ifi
edi nt heMi l
l
enni um Devel opmentGoal s( MDGs) .Whi choft hef oll
owi ngi snot
heal th-r el ated?
a.Ensur eenvi ronment al sust ainabi l
ity
c.Devel opagl obal par t
ner shi pf ordevel opment
b.Achi eveuni ver sal pr imar yeducat i
on
d.Er adi cat eext remehungerandpover ty
ANSWER:B
Theei ghtMi l
lenni um Devel opmentGoal sar easf ollows:
2.Achi eveuni ver sal pr imar yeducat i
on
3.Pr omot egenderequal ityandempowerwomen
4.Reducechi ldmor tal it
y
5.Impr ovemat er nal heal th
6.CombatHI V/ AIDS,mal ar i
a,andot herdi seases
7.Ensur eenvi ronment al sust ainabi l
ity
8.Devel opagl obal par tner shi pf ordevel opment
Exceptf orgoal s2and3,al l theMGDsar eheal thorheal th-relat ed.Heal thi sessent i
al tot heachi evementof
thesegoal sandi samaj orcont ribut ortot heover ar chinggoal ofpover tyreduct ion.
on.Page3.
18.Dr .Wi nsl ow def i
nedpubl icheal thast hesci enceandar tofpr event ingdi sease,pr olongi ngl ife,pr omot i
ng
heal thandef fi
ciencyt hr ough:
a.Or gani zedcommuni tyef fort
c.Nur si nghomesser vices
b.LGUandcommuni typar tner shi p
d.Del iver yofbasi cheal thser vices
ANSWER:A
Thecl assi cdef initi
onofpubl icheal thcomesf r
om Dr .C.E.Wi nsl ow.Hedef i
nespubl icheal thast he“sci enceand
artofpr event ingdi sease,pr olongi ngl if
e,pr omot i
ngheal thandef fi
ciencyt hr oughor gani zedcommuni t
yef f
ortfor
thesani tat i
onoft heenvi ronment ,cont rol ofcommuni cabl edi seases,t heeducat i
onofi ndi vidual si nper sonal
hygi ene,t heor gani zat ionofmedi cal andnur si
ngser vi
cesf ort heear lydiagnosi sandpr event ivet reatmentof
disease,andt hedevel opmentoft hesoci al machi ner yt oensur eever yoneast andar dofl ivingadequat ef orthe
mai nt enanceofheal th.
on.Page5.
19.Undert hecur rentadmi nistrat i
on,t hevi sionofheal thi sref l
ect edi noneoft hef ollowi ngst atement s:
a.Heal thf oral lFili
pi nos
c.Thel eaderofheal thf oral lint hePhi lippi nes
b.Heal thi nt heHandsoft hePeopl e
d.Guar ant eepr ovi sionofqual i
tyheal t
hcar e
ANSWER:C
Vision:TheDOHi st hel eader ,staunchadvocat eandmodel inpr omot ingHeal t
hf orAl l
int hePhi lippines
Opt ionD– r ef erst ot heDOHmi ssi on
on.Page25.
SITUATI ON:Thepubl i
cheal thnur seshoul dbeawar eofsomechangesi nt heheal t
hcar edel iverysyst em asa
resul toft hel ocal gover nmentcode.
20.Undert hel ocal gover nmentcode,pr ovi sionofheal thcar eser vi
cesar edevol vet oLocal Gover nmentUni ts
(LGUs)f ort hef oll
owi ngr easonsexcept :
a.Tot ransf orm LGUsi nt osel f-rel i
antcommuni ti
es
b.Toi nvol vepeopl ei nt hedevel opmentandpr ogressoft hei rcommuni ti
es
c.Empowerl ocal heal thof ficials
d.Topr ovi depeopl ebet teraccesst oheal t hcar eser vices
ANSWER:C
WiththepassageofRA71 60oftheLocalGover nmentCode,t heresponsi bili
tyforthedel
iver yofbasi cser
vices
andfacil
i
tiesofthenat
ionalgovernmenthasbeent r
ansferredtothelocal gover nment.Thisi nvolvesdevol
ution
ofpowers,functi
onsandr esponsi
bil
i
tiest
ot helocalgovernmentbothpr ovi ncialandmuni cipal.Thisactnotaims
toempowerl ocalheal
thoffi
cial
sasmuchf ort hi
sisnotmadet oi
ncreaset hepubl i
coffi
cials’ power .
Refer
ence:Cuevasetal .
,PublicHealt
hNur si
nginthePhi l
i
ppines.2007.1 0thEdi ti
on.Page341 .
21 .TheDepar tmentofHeal t
h( DOH)adopt smeasur est oaugmentbasi cser vicesandf acilit
iesassi gnedt oLGUs.
Whi choft hef ollowi ngi sapr iorit
yar eaf ort hepr ovisionofassi st ancebyDOH?
a.Ar easwher est udi es/ r esear cher sonheal thar econduct ed
b.Sel ect edar easi nt heci ty
c.Ar easr ecommendedbygover nment /local official
s
d.Lessdevel opedanddeser vingl ocal gover nmentuni ts
ANSWER:D
Thepr i
mar yheal thcar emai nconcepti st opr ovideessent i
al heal thcar emadeuni versallyaccessi blet po
i
ndi vi dual sandf ami liesi nt hecommuni tybymeansaccept ablet ot hem t hr ought heirfullpar tici
pat ionandata
costt hatt hecommuni tyandcount rycanaf for d.Theappr oachshoul dbegi nt opr ovidenecessar yheal thcar e
ser vicest ot hosear east hatar edepr essedt oachi evet heunder lyinggoal ofthepr oject” heal t
hf oral lFili
pinos.”
Opt i
onA– t hisar eai smostl ikelyr ecei vedheal thcar esuppor t
Opt i
onB– t hiswi llnotensur et heaccessi bili
tyoft hedel i
ver yofheal thcar eser vi
cest ot hecommuni ty
Opt i
onC– t hismaybet ruebutt hisar easshoul dneedt obeeval uat edf i
r st
Ref er ence:Cuevasetal .,Publ icHeal thNur singi nt hePhi l
ippines.2007.1 0thEdi ti
on.Page30-31 .
22.Communi tyheal t
hnur seshel pi nfluencet heheal t
hofcommuni ti
est hr oughwhi choft hef ollowi ngf unct i
ons?
a.Legi slat ingheal thbehavi or
b.Recor dingheal thst at usofi ndivi dual si nasi mi l
argeogr aphi car ea
c.I nfluenci ngheal thbehavi orandengagi ngi nheal thpr omot i
on
d.Noneoft heabove
ANSWER:C
Communi tyheal thnur sesar egear edt opr ovidepr i
mar yheal thcar ewhi chi ncl udesheal thpr omot ion( the
pr i
mar yr ol e)andheal theducat i
on.
on.Page32,58.
23.Oneoft hemaj orel ement sofPr imar yHeal thCar eist heuseofappr opr iatet echnology.Thi sel ement
emphasi zesequi t
yandj ust icet hatheal thi sabasi cr i
ghtofever yindi vidual .Appr opriatet echnol ogyr efer sto
met hodsandt echnol ogywhi char e:
i
.Avai l
abl eandaccessi bl e
i
ii.Soci allyaccept abl e
i
i.Sci ent i
ficallysound
i
v.Repl icabl eandi nexpensi ve
a.1&2onl y
b.2&3onl y
c.1 ,3,&4onl y
d.Al loft heabove
ANSWER:D
Useoft echnol ogyt hati ssci ent i
fical lyandsoci allyaccept abl easwel l aseconomi callysound.
Cr it
er iaindet er mi ningt heuseofappr opr iat et echnol ogy:
a.ef fectivenessandsaf ety– pr oducest hedesi redef f
ectwi thouthar m
b.compl exi t
y– si mpl eandeasyt oappl ybyt heheal thcar epr ovi dersandcl i
ent ele
c.cost– af for dabl ef ort hepeopl e
d.accept abi l
ity– under st andabl eandat tuni ngwi tht hecul tural,pr act icesofpeopl e
e.f easi bility– compat ibl ewi tht hel ocal condi ti
onoft hecommuni t
y
Ref er ence:Rodol fo,M. J.,etal .Communi tyHeal thNur sing( 2007) .Page85,87.
SITUATI ON:TheHeal thSect orRef or m Agendaf ocusesont her educt ionofI MRandMMR,cont rolofi nfectious
diseases,addr essi ngt her isingbur denf r om chr oni canddegener ativedi seases,andi mpr ovementoft heser vi
ces
pr ovidedt ot hepoor .
24.TheHeal thSect orRef or m Agendai sconsi der edast he:
a.Goal soft heDOH
b.Goal ofPHC
c.Fr amewor kofDOH
d.Mai nst r ategyoft heDOH
ANSWER:A
DOHGoal :Heal thSect orRef orm Agenda( HSRA)– t hisisdef i
nedast heover ri
dinggoal oft heDOH.Suppor t
mechani smswi l
l bet hroughsoundor gani zat ional devel opment ,st r
ongpol i
cies,syst emsandpr ocedur es,capabl e
humanr esour cesandadequat ef inanci al resour ces.
Four mul aone– i st hef ramewor kofHSRA
on.Page25-26.
25.Whatf ramewor kofHSRAi ntendst oi mpl ementcr i
ti
cal intervent ionsasasi nglepackagebackedbyef f
ective
managementi nf rast ruct ur eandf i
nanci ngar rangement sfollowi ngasect orwi deappr oach?
a.Heal thf inanci ng
b.Heal thI nsur ance
c.FOURmul aOnef orHeal t h
d.Heal thr egul ation
ANSWER:C
FOURmul aOne-i sadopt edast hei mpl ement ationf ramewor kf orheal thsect orr eformsundert hecur rent
admi nist ration.I ti ntendst oi mpl ementcr iti
cal i
nter ventionsasasi nglepackagebackedbyef fect i
ve
managementi nf rast ruct ur eandf i
nanci ngar rangement sfollowi ngasect orwi deappr oach.
Opt i
onAandD– ar eel ement sofFOURmul aOne
Opt i
onB– i st hekeyf eat ur eofFOURmul aOne
on.Page26.
26.Mr s.Vi l
lahasbeendi agnosedwi thchol elithiasisandhospi t
alizedf orsur ger y.Wi tht heor derofdi schar ge,her
husbandappr oachest hebi l
li
ngst at ionandusest heirheal thinsur ancebenef it
si npayi ngt heirbi l
lsthusr educes
thei rcostofbi ll
ing.Basedont hesi tuat i
on,t heNat i
onal Heal thInsur ancepr ogr am i ssigni fi
cant lyusedi nwhi ch
oft hef ollowi ngel ement s?
a.Heal thregul ation
b.Heal thfinanci ng
c.Heal thser vi
cedel i
very
d.Goodgover nance
ANSWER:B
TheNHI Psuppor tseachoftheelementsofHRSAi ntermsof:
a.financing– asi treducesthefi
nanci
alburdenplacedforFil
i
pinosbyhealthcar
ecosts– thi
sappli
estothe
sit
uat i
onadsi tlessenst hebi
ll
ingst
atementtonepai dthecouple
b.Gover nance– asi ti
saprudentpurchaserofhealt
hcaretherebyinf
luenci
ngtheheal
thcaremarketand
rel
at edinstit
ution.
c.regul at i
on– ast heNHI P’sr oleinaccr edi tationandpayment sbasedonqual it
yact sasadr i
verf ori mpr oved
perfor mancei nt heheal thsect or ;
d.ser vicedel i
ver y– ast heNHI Pdemandsf aircompensat ionf orthecost sofcar edirectedatpr ovidingessent i
al
goodsandser vicesi nheal th
Refer ence:Cuevasetal .,Publ icHeal t
hNur singi nt hePhi li
ppines.2007.1 0thEdi ti
on.Page26-27.
27.Whi choft hef ollowi ngi stheover ri
dinggoal oft heDepar tmentofHeal th?
a.Heal thsect orr ef orm
c.Cont r ol ofCommuni cabl eDi seases
b.Pr imar yHeal thCar e
d.Phi lippi neHeal thCar eDel iver ySyst em
ANSWER:A
Heal thsect orr efor mi st heover ridinggoal oft heDOH.Suppor tmechani smswi llbet hroughsoundor gani zational
devel opment ,st rongpol icies,syst emsandpr ocedur es,capabl ehumanr esour cesandadequat ef inanci al
resour ces
Refer ence:Cuevas,Boni to,et .
al .PHN2007,p.25.
28.TheDepar tmentofHeal th( DOH)hast hevi sionof :
a.TheDOHguar ant eesequi tabl e,sust ainabl eandqual i
tyheal thforal lFili
pinosespeci all
yt hepoor
b.TheDOHi st hel eader ,st aunchadvocat eandmodel i
npr omot i
ngHeal thf orALLi nt hePhi lippi nes
c.Heal thf orALLbyyear2000
d.Heal thi nt hehandsoft hepeopl eby2020
ANSWER:B
OptionBdescr ibest hevi sionofDOHwhi l
eOpt ionAi sthemi ssi onofDOH.
OptionCdescr ibest hegoal ofpr imaryheal t
hcar e( PHC)whi leOpt i
onDi st heunder lyingt hemeofPHC.
Refer ence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl icheal t
hnur si
ngi nt hePhi lippines.1 0thedi ti
on,Page25
29.Whi choft hef ollowi ngvi ewst henur sesandt hecl ientsasasyst em?
a.Communi tyheal th
b.Nur singpr ocess
c.Nur singAct ion
d.Nur singcar e
ANSWER:B
Nursi ngpr ocessi sasyst emat ic,sci entif
ic,dynami c,on-goi ngi nterper sonal pr ocessi nwhi cht henur sesandt he
cli
ent sar evi ewedasasyst em wi theachaf f
ect i
ngt heot herandbot hbei ngaf fectedbyt hef act orswi thinthe
behavi or .
hnur si
on,Page43
30.Undert her est ruct ur edheal t
hcar edel iver ysyst em,aphysi cian,apubl i
cheal thnur seandmi dwi vescompose
the:
a.Inter medi atel evel heal thwor ker s
c.Gr assr ootheal thwor ker s
b.Fr ont liner s
d.Bar angayHeal thWor ker s
ANSWER:A
Int
er medi atel evel heal thwor ker sincludeaphysi ci an,apubl i
cheal thnur seandmi dwi ves,r ural sani tary
i
nspect ors.Opt i
onB,CandDr ef ertot hevi l
l
ageorbar anggayheal thwor ker swhoar et het rainedcommuni ty
healthwor ker s,t radi tional birthat tendant sorheal er.
hnur si
on,Page32
31.Thest andar dsofpubl icheal thnur singi nt hePhi li
ppineswhi chdescr i
bedt hequal i
ficationsandf unct ionsofa
publicheal t
hnur sewasdevel opedby:
a.Depar t
mentofHeal t h
c.Nat i
onal LeagueofPhi li
ppi neGover nmentNur ses
b.Wor l
dHeal thOr gani zat ion
d.Depar t
mentofLaborandEmpl oyment
ANSWER:C
Thest andar dsofPubl icheal thnur singi nthePhi lippi nesdevel opedbyt heNat ional LeagueofPhi li
ppi ne
Gover nmentNur sesi n2005descr ibedt hequal ifi
cat i
onandf unct i
onsofapubl icheal thnur se.Thef unct ionsofa
PHNar econsi st entwi t ht heNur singLaw 2002andpr ogram pol i
ciesf ormul atedbyt heDepar t
mentofHeal thand
thelocal gover nmentheal thagenci es.
hnur si
ngi nt hePhi lippines. 10thedi tion,Page37
32.Whi choft hef ollowi ngf unct ionsoft hePHNi sdemonst r
atedwhenshemakesar epor tonpr ogr am
accompl i
shment ?
a.Super vi soryFunct i
on
b.Nur singcar ef unct ion
c.Managementf unct i
on
d.Tr aini ngf unct i
on
ANSWER:C
Managementf unct ioni swher et hePHNexcel sin.Asapr ogram managershei sr esponsi blei npl anni ngact ivi
ti
es,
organi zi ng,di rect sandout put s.Repor tsonpr ogr am accompl ishment sar eadocument ati
onofhermanagement
skil
l.
Super visor yfunct i
on– super visesot hernur sesandmi dwivesi nthecat chmentar ea
Nursi ngcar ef unct i
on-i nher entf unctionoft henur seandt hatist opr ovidenur singcar e
Trainingf unct ion-f ormul ationofst affdevel opmentandt rainingpr ogr amsf ormi dwivesandot herauxi l
iary
wor ker s
hnur si
on,Page38
33.Thef ramewor kf ort hei mpl ement at i
onoft heHeal thSect orRef orm Agenda( HSRA)r ef erst o:
a.FOURmul aOnef orHeal th
c.DOHpr ogr ams
b.Pri
mar yHeal t
hCar e
d.Phi
lippineHeal t
hCar edeli
verySystem
ANSWER:A
Theframewor kfortheimplementati
onoftheHealt
hSectorRef
orm Agendaist
heFOURmul aONEf
orHeal
th.
Refer
ence:Cuevas,Boni t
o,et.al
.PHN2007,p.26.
34.Whi choft hefoll
owingisnotincl
udedinthet
hreegoalsoft
heFOURmul aOneforHeal
th?
a.Healthfinancing
c.Mor eresponsivehealthsystems
b.Betterhealthoutcomes
d.Equitablehealthcarefi
nancing
ANSWER:A
Healthfi
nancingi soneoft hefourelement sofFOURmul aONEf
orheal
th,notagoal
Reference:Cuevas,Boni to,et
.al.PHN2007,p.26.
35.ThePhi l
ippineHeal t
hInsuranceCor porati
ont hroughthe
wil
lleadthisFOURmul aONEcomponentj oint
ly:
a.Healthfi
nanci ng
b.Healthservicedelivery
ANSWER:A
Thegoal ofHeal thfi
nancingreform areaistof ostergreater
,
Phil
ippi
neheal thInsuranceCor porat
ionthrought heNat i
onal
thi
sFOURmul aONEcomponentj oi
ntl
y
Reference:Cuevas,Boni to,et
.al.PHN2007,p.26.
Nati
onalHeal
thInsur
ancePr
ogr
am andt
heDOH
c.Heal
thregul
ati
on
d.Goodgover
nance
bet
terandsust
ainedi
nvest
ment
sinheal
th.The
Healt
hInsur
anceProgr
am andt
heDOHwi lll
ead
36.Whi choft hef ollowi ngpr ovidest her oadmapf orst akehol der sinheal thandheal th-r el
atedsect orst o
i
ntensi tyandhar moni zet hei ref f
or tst oat t
aint heDOHmi ssionandVi si
on?
a.FOURmul aONE
c.Pr i
mar yHeal thCar e
b.Nat i
onal Obj ect ivef orHeal th2005-201 0
d.Local Gover nmentCode
ANSWER:B
TheNat ional Obj ect i
vef orHeal th( NOH)2005-201 0pr ovidest her oadmapf orst akehol der
si nhealthandheal threl
atedsect
orst
oint
ensi
tyand
harmoni zet hei ref fortst oat taint heDOHmi ssi onandVi sion.
Ref erence:Cuevas,Boni to,et .
al.PHN2007,p.27.
37.Thef ourcomposi tionoft heI nter -Local Heal thZonear e:
a.LGUs,peopl e,boundar ies,heal t
hf acilit
ies
b.Peopl e,boundar i
es,heal thfaci li
ties,f undi ng
c.Peopl e,boundar i
es,heal t
hf aci li
ties,heal thwor ker s
d.Pr i
mar yheal thcar e,boundar i
es,heal thf acilit
ies,heal t
hwor ker s
ANSWER:C
Composi ti
onoft heI nt er-Local Heal thSyst em ar e:Peopl e,boundar ies,heal t
hf acil
it
iesandheal thwor kers
al.PHN2007,p.29.
PRI MARYHEALTHCARE
SITUATI ON:Pr imar ycar ei sthet ermf ort heheal thserviceswhi chpl ayacent ralroleint helocal communi t
y.
38.Tr ai nedcommuni tyheal thwor ker s,heal thauxi l
laryvol unteer s,traditi
onal birt
hat tendant sorheal er sare
referredt oas:
a.Inter medi at el evel heal thwor ker s
c.Gr assr ootheal thwor ker s
b.Fr ont li
ner s
d.Bar angayHeal t hWor ker s
ANSWER:D
RATI ONALE:Vi ll
ageorBar angayHeal thWor ker sar ecommuni tyheal thwor ker sorheal thauxi l
laryvolunt eeror
atradi tional birthat tendantorheal er
al.PHN2007,p.32.
39.Pr i
mar yheal thcar e( PHC)concept sandpr inciplesar epr emi sedonpeopl e’sr ightt ohealth.Allar et r
ueabout
PHCexcept :
a.Car et hati suni versal l
yaccessi ble
c.Heal thcar et hati sf ree
b.Heal thcar et hati ssoci all
yaccept abl e
d.Car et hati sbasedonappr opr i
at et echnol ogy
ANSWER:C
Primar yheal thcar eisessent i
al heal thcar ebasedonpr act i
cal,scient if
icall
ysoundandsoci all
yaccept able
met hodsandt echnol ogymadeuni ver sallyaccessi bletoi ndividual sandf amili
esi nthecommuni tythrought heir
ful
l par ti
ci pat i
onandatacostt hatt hecommuni tycanaf fordt omai ntainatever ystageoft heirdevelopmenti n
thespi ri
tofsel f-rel i
anceandsel f -det er minat ion.Basedont hisopt ionBi sincor r
ect,becausecar ethati s
affordabl eandnotf ree.
Ref erence:Nur singPr act icei nt hePhi l
ippinesbyMagl aya,p.1 3-14
40.PHCi sbasedonwhi choft hef ol l
owi ngconcept ?
a.Empower mentoft hepr i
vat eheal thcar eser vicepr oviders
c.Ef fect ivepr ovi sionofessent i
al heal t hser vices
b.Par tner shipwi tht hepeopl e
d.Al loft heabove
ANSWER:B
TheconceptofPHCi schar acter izedbypar tner shipandempower mentoft hepeopl et hatshall per
meat east he
corest rat egyi nt heef fect ivepr ovi sionofessent i
al healthser vicest hatar ecommuni tybased,accessi ble,
accept abl eandsust ainabl eatacostwhi cht hecommuni tyandgover nmentcanaf f
or d.
Ref erence:Publ i
cHeal t
hNur si
ngi nt hePhi lippinesbyDOH,p.30
41.Thef ourpi ll
ar si nPr i
mar yHeal t
hCar ear e:
1.Intra-andi nter -sect or al l
i
nkage
4.Useofappr opriatetechnology
2.Act i
vecommuni typartici
pation
5.Suppor tmechani sm madeavai l
able
3.Useofmoder nequipment s
a.1,2,3,4
b.2,3,4,5
c.1,2,4,5
d.Alloft heabove
ANSWER:C
Thef ourcor nerstone/pil
larsi
npr i
mar yhealt
hcarear eacti
vecommuni typarti
cipati
on,int
raandint
er-sect
oral
l
inkages,useofappr opriatetechnol ogyandsuppor tmechanism madeavai l
able.Healtheducat
ionorhealt
h
teachingi sthepr i
mar yresponsi bil
i
tyofcommuni t
yhealthnurse.
Reference:Publ icHeal thNur si
ngi nt hePhil
i
ppinesbyDOH,p.31
42.Whati sthel egalbasisoft heimpl ement
ati
onofPHCi nconjunct
iontotheFi r
stInt
ernati
onal
Conferenceon
PrimaryHeal t
hCar esponsor edbyt heWor l
dHealthOrganizati
on?
a.LetterofInst r
uct i
on949
b.PresidentialDecr ee996
c.RA7305
d.RA71 64
ANSWER:A
TheLet terofI nstruct ion949( LOI949)wassi gnedbyPr esidentFer dinandMar cosonOct ober1 9,1979andi s
thelegal basi sofi mpl ement ationofPHC.
Refer ence:Cuevas,Fr ancesP. ,et .al.( 2007)DOH’sPubl icheal thnur si
ngi nt hePhi li
ppi nes.1 0thedi t
ion,Page30
43.Oneoft hest rat egi esofpr imar yheal t
hcar ewhi chl inkspr ivateandgover nmentagenci est ohaveawi der
basef orheal thcar ei s:
a.Communi tymobi lizat ion
c.Useofappr opr iat et echnol ogy
b.Nat i
onal heal thcar esyst em r eor gani zat i
on
d.Int r
a-sect or allinkages
ANSWER:D.Onest rat egyofpr imar yheal thcar eist hei ntra-sect oral l
inkagesofgover nmentandpr i
vate
agenci essot hatpr ogr amsoft heheal t
hsect orar ecl osel ylinkedwi t
hot hersoci o-economi csector satthe
national ,pr ovi nci al andcommuni tylevel .
Cuevas,F.P.et .al .( 2007)DOHBook:Publ i
cHeal thNur singI nThePhi l
ippines. 1
0thed.Mani l
a
44.Oneoft heessent ial element sofpr i
mar yheal thcar ewhi chi nvolvescont roll
i
ngal lt
hef actorsinman’s
environmentt hatmayf orml inksi ndi seaset r
ansmi ssi oni s:
a.Immuni zat i
on
c.Envi ronment al sani tat i
on
b.Tr eat mentofl ocal lyendemi cdi seases
d.Cont rol ofcommuni cabl edi seases
ANSWER:C.Envi ronment al sani t
at ioni soneel ementofpr imar yheal thcarewhi chencompassesadequat e
suppl yofsaf ewat erandpr operwast edi sposal andcont r
ol l
ingal l
thef actor sintheenvi ronmentt hatmayf orm
l
inksi nt het ransmi ssi onofdi sease.
Cuevas,F.P.et .al .( 2007)DOHBook:Publ i
cHeal thNur singI nThePhi l
ippines. 1
0thed.Mani l
a
45.I tisdef inedbyt heWHOasessent ialheal thcar emadeuni versallyaccessi bl
et oindi vi
dual sandf amili
esin
thecommuni tybymeansaccept abl et ot hem:
a.Inter -Local Heal thSyst em
c.TheNOH2005-201 0
b.Pr imar yHeal thCar e
d.Mandat eofDevol ut ion
ANSWER:B
WHOdef inesPHCasessent ial heal thcar emadeuni ver sallyaccessi blet oindi vi
dualsandf ami l
iesint he
communi tybymeansaccept abl et othem t hrought hei rf ullpar ti
cipationandatacostt hatt hecommuni t
yand
count rycanaf fordatever yst ageofdevel opment .
ngi nt hePhi li
ppi nes.1 0thedi t
ion,Page30
owi ngl awsi st hel egal basi soft hei mpl ement ati
onofPHCi nconj unct i
ont otheFi r
st
Int
er nat i
onal Conf er enceonPr imar yHeal thCar esponsor edbyt heWor l
dHeal thOr gani zation?
a.Let terofI nst ruct ion949
b.Pr esident ial Decr ee996
c.RA7305
d.RA71 64
ANSWER:A
TheLet terofI nstruct ion949( LOI949)wassi gnedbyPr esidentFer dinandMar cosonOct ober1 9,1979andi s
thelegal basi sofi mpl ement ationofPHC.
ngi nt hePhi li
ppi nes.1 0thedi t
ion,Page30
47.Int heconcept ual fr amewor kofPr imar yHeal t
hCar ei nt hePhi l
ippineHeal thCar eDel i
ver ySyst em,i t
sgoal i
s
embodi edi nwhi choft hef ol lowi ngst atement sofobj ect i
ve?
a.Qual ityheal thf oral lFilipinosespeci allythepoor
b.Communi ty-based,accessi ble,accept ableandcost -ef fect i
veheal thcar eser vi
ces
c.Heal thf oral lFilipinosandHeal thi nt hehandsoft hePeopl ebyt heyear2020
d.ALongerDi sabi l
ity-Fr eel ife
ANSWER:C
Pri
mar yheal thcar e( PHC)hast hegoal of“ Heal t
hf orALLFi li
pinos” and“Heal thi nt hehandsoft hepeopl eby
2020” .Opt ionAr efer stot hevi sionofDOH.
ngi nt hePhi li
ppi nes.1 0thedi t
ion,Page30
48.Thecor est rat egyoft hePHCconcepti schar acter izedby:
a.Mandat eofdevol ut ion
c.Communi ty-based,accessi bleandaccept ableser vices
b.Par tner shipandempower mentoft hepeopl e
d.Essent i
al heal t
hcar eser vices
ANSWER:B
TheconceptofPHCi schar act er izedbypar tner shipandempower mentoft hepeopl et hatshal lpermeat east he
corest r ategyi nt hepr ovi sionofessent i
al heal thcar eser vicest hatar ecommuni ty-based,accessi ble,accept abl
e
andsust ainabl eatacostt hatt hegover nmentandcount rycanaf ford.
ngi nt hePhi li
ppi nes.1 0thedi t
ion,Page30
49.ThePhi lippi neHeal thI nsur anceCor porationt hrought heNat ional HealthI nsurancePr ogr am andt heDOH
wil
l l
eadt hisFOURmul aONEcomponentj ointly:
a.Heal thf inanci ng
b.Heal thser vicedel iver y
c.Heal thr egul ation
d.Goodgover nance
ANSWER:A
Thegoal ofHeal thf i
nanci ngr efor m ar eai st of ostergr eater ,bet terandsust ainedi nvest ment si nheal t
h.The
Phil
ippi neheal thInsur anceCor por at i
ont hrought heNat ional Heal t
hI nsurancePr ogr am andt heDOHwi ll
lead
thi
sFOURmul aONEcomponentj ointly
CONCEPT:Phi l
ippineHeal thCareDel i
ver
ySystem
SUBJECT:Communi tyHealthNur si
ng
50.Thi
spr ovi
dest her oadmapf orstakehol
dersinhealt
handhealth-r
elat
edsect
orstoi
ntensit
yandharmoni
ze
thei
reff
ortstoattaintheDOHmi ssionandVisi
on.
a.FOURmul aONE
b.TheNOH2005-201 0
c.Pri
mar yHealt
hCar e
d.LocalGovernmentCode
ANSWER:B
TheNationalObject i
veforHealth( NOH)2005-2010providesther
oadmapf orst
akehol
dersinheal
thandheal
thr
elat
edsect
orst
oint
ensi
tyand
harmonizethei
ref fort
st oatt
aintheDOHmi ssionandVision.
REFERENCE:( Cuevas,Boni to,et
.al.PHN2007,p.27).
CONCEPT:Phi li
ppineHeal thCar eDel iverySystem
SITUATI ON:Devol uti
onmadel ocal governmentexecut ivesr esponsibletooperatelocalhealt
hcar eservi
ces.
51.Itisdef inedbyt heWHOasessent i
alhealt
hcar emadeuni versal
lyaccessi
bletoindi
vidualsandf amil
i
esin
thecommuni tybymeansaccept abl etothem:
a.Inter-Local Heal t
hSyst em
c.TheNOH2005-201 0
b.Pr i
mar yHeal thCar e
d.Mandat eofDevol ution
ANSWER:B
WHOdef inesPHCasessent ialheal t
hcar emadeuni ver sallyaccessi bl
etoindivi
dualsandf amil
iesinthe
communi t
ybymeansaccept abletot hem
CONCEPT:Phi li
52.Thecor est r
ategyoft hePHCconcepti schar acterizedby:
a.Mandat eofdevol uti
on
c.Communi ty-based,accessi bleandaccept ableser vices
b.Par tnershi pandempower mentoft hepeopl e
d.Essent ial healt
hcar eser vices
ANSWER:B
TheconceptofPHCi schar acterizedbypar t
ner shi
pandempower mentoft hepeoplethatshallpermeateasthe
corest rategyi nthepr ovi
si onofessent i
alhealthcareser vices.
CONCEPT:Phi li
53.Whi chonei snotanel ementoft hepr i
mar yhealthcar e?
a.Act i
vecommuni t
ypar t
ici pation
b.Envi ronment alsanitati
on
ANSWER:A
Activecommuni t
ypar tici
pat i
oni soneoft hecor nerstonesprpi l
larsofPHC
REFERENCE:( Cuevas,Boni to,et.al.PHN2007,p.31 ).
CONCEPT:Phi li
c.Cont
rolofCD
d.Heal
thEducati
on
54.Thef oll
owi ngar est rat egiesofPHC,except :
a.Reor i
ent ationandr eor gani zationoft henat i
onalheal thcar esyst em
b.Ef fectivepr eparat i
onf orheal t
hact i
onatal llevels
c.Mobi li
zat i
onoft hepeopl e.
d.Uni ver sal cover ageofheal thinsur ance
ANSWER:D
Univer sal cover ageofheal t
hinsur ancei sasetexpect edachi evementoft heInt er-Local HealthSystem
al.PHN2007,p.31 )
.
CONCEPT:Phi li
ppineHeal thCar eDel i
verySyst em
SUBJECT:Communi t
yHeal thNur si
ng
55.Var i
ouscat egor i
esofheal t
hwor kersmakeupt hepr imar yheal thcar et eam.Thet ypesvar yindiff
er ent
communi tiesdependi ngupont hef oll
owing:
a.Heal t
heducat ion,avai lableheal t
hmanpowerr esour ces,local healthneedsandpr oblems.
b.Heal t
heducat i
on,avai lableheal t
hmanpowerr esour ces,pol i
ticalandf i
nanci alfeasi bi
li
ty
c.Avai lableheal thmanpowerr esour ces,local healthneedsandpr oblems.pol i
tical andf i
nancialfeasibil
it
y
d.Local heal thneedsandpr oblems.pol i
ticalandf inancial feasibil
it
y,andheal t
heducat i
on
ANSWER:C
Thet ypesvar yi ndifferentcommuni ti
esdependi ngupont heavai l
ableheal thmanpowerr esources,local heal
th
needsandpr oblemsandpol it
ical andf i
nanci alfeasibil
ity
al.PHN2007,p.32) .
CONCEPT:Phi li
ppineHeal thCar eDel i
verySyst em
SUBJECT:Communi t
yHeal thNur si
ng
56.Theel ement sofpr imar yheal thcar eincludet hef oll
owi ngexcept :
a.Act ivecommuni t
ypar t
icipation
b.Envi ronment alsani tation
c.Cont rolofCD
d.Heal t
hEducat i
on
ANSWER:A
Activecommuni typar ticipat i
oni soneoft hecor nerstonesprpi ll
arsofPHC.
Fourcor ner stones/ pill
ar sofPHCi ncludeact ivecommuni typar ti
cipation,int r
aandi ntersect or
al l
inkages,useof
appr opr i
at etechnol ogyandsuppor tmechani sm madeavai l
able.
Refer ence:Cuevas,Fr ancesP. ,et.al.(2007)DOH’sPubl i
ippines.10thedition,Page
SITUATI ON:I nai mi ngt odel iverheal thcar eser vi
cest hatar euni versallyaccessi blet oi ndi
vidualsandf ami l
i
es
i
nt hecommuni ty,pr i
mar yheal thcar ewasmadeasanappr oach.
57.Thegoal ofPHCi st oachi eve“heal t
hf oral li
nt heyear2000”.Thi smeanst hatis:
1.Global lycompet iti
ve
4.Accept ableandaf for dabl etoever yone
2.Accessibletoeveryone
5.Transcult
ural
3.Gendersensi t
ive
6.Basedi nthecommuni t
yorwor
kpl
ace
a.Alloftheabove
b.1,3,5
c.2,4,6
d.3,4,5
ANSWER:C
Primar yheal t
hcar eisanessent i
al heal
thcar emadeuniversal
l
yaccessi blet
oi ndi
vi
dualsandf ami
l
iesi
nthe
communi t
ybymeansaccept abl et othem throughthei
rful
lpart
ici
pati
onandatacostt hatthecommunityand
count rycanaf fordatever ystageofdevel opment .
Refer ence:Moni naGesmundo,TheBasi csofCommuni tyHealt
hNur si
ng
58.Theel ement sofpr imar yheal t
hcar eincludewhichofthefoll
owing?
1.Envi ronment al sani t
at ion
4.Pr ovisionofessent ial drugs
2.Cont rolofcommuni cabl edi sease
5.Emer gencyt r eatment
3.Adequat ef oodandpr opernut r
iti
on
6.Tr eatmentofl ocal lyendemi cdi seases
a.Al loft heabove
b.1,2,5,6
c.1,2,3,4
d.Noneoft heabove
ANSWER:A
Theel ement sofPHCar est atedabovepl usHeal t
heducati
on,EPI,Mat ernalandChil
dHeal thandFamil
yplanni
ng.
hNur si
ng
59.Thef i
rstinter national confer enceonPr i
mar yheal
thcarewashel din:
a.Geneva,Swi tzer landon1 978
c.Al maAt a,USSRon1 978
b.Washi ngton,USA1 979
d.Tokyo,Japanon1 978
ANSWER:C
ThePHCgoal wasdecl ar edinALMAATA,USSRdur i
ngtheFir
stInter
nat i
onalConferenceonPHChel don
Sept ember6-1 21 978t hrought hesponsor shipofWHOandUNI CEF
hNur si
ng
SITUATI ON:FAMI LYHEALTHNURSI NGPROCESS.
Nur seMayahascol lect edt hef oll
owi ngdata:
1.Blindness
2.Regul arexer ci se
3.Hospi tali
zat i
onofaf ami lymember
4.Fami lydisuni ty
5.Mal nutrit
ion
6.Resett
lementinanewvil
lage
7.Spir
it
ualwell-bei
ng
8.STD’s
9.Fif
thpregnancyofunemployedcoupl
e
10.Poorimpulsecontr
ol
59.Whi chnur singpr oblem descr i

besheal thdef i
cit
?
a.1,5,8,1 0
b.4,5,8
c.5,8,1 0
d.1and5onl y
ANSWER:A
Healthdef i
cit
s—i nstancesoff ailureinheal thmaintenance(disease,disabili
ty,developmentlag).
Reference:Moni naGesmundo,TheBasi csofCommuni tyHealthNur si
ng
60.Whi chdat aconst itut
eHeal tht hreat?
a.1and4
b.4onl y
c.1,4and9
d.1,4,5,9
ANSWER:B
Healththreatar econdi ti
onst hatar econduci vetodisease,accident,orfail
uretor eali
zeone’spot ent
ial
.
ng
61.Whi chdatacompr iseoff oreseeabl ecr i
sis?
a.3and6onl y
b.3,6and9onl y
c.6and9onl y
d.3,4,6and9onl y
ANSWER:B
Stresspoints/For eseeabl ecr i
sisar eant i
cipatedper i
odsofunusual demandont hei ndi
vi
dual orfamil
yinter
msof
adjustmentorf ami l
yr esources.
ng
62.Nur seMayai scol l
ectingdat af orFir
stlevelassessment.Whi chdat abestdescr ibestheexampl eunderFamily
st
ructure,char act eri
sticsanddynami cs?
a.Nut r
iti
onalintakeofeachf ami lymember
b.Allmember soft hef ami l
yf i
nishedhi ghschool i
npublicschool
c.Themot herst ates,“Namat andakasiakonungnagbubunt isako”
d.Extendedf ami l
y
ANSWER:D
Extendedf ami l
ybestdescr ibest heexampl eunderFami l
ystr
uct ur
e,char acteri
sti
csanddynami cs.Opti
onAf al
l
s
underHeal thst atusofeachf ami lymember .Opti
onBf all
sunderSoci o-economi candcul t
uralcharact
eri
sti
cs.
OptionCf al
lsunderBel iefsandPr acti
ces.
Reference:Magl aya.Nur singPr act i
ceint heCommuni t
y
63.Nur seMayaconsi der st hef ol l
owingf actor
si ndet ermini
ngt hemodi fiabi
l
ityofahealthconditi
on,except:
a.Cur rentknowl edge,t echnol ogyandi nterventi
ons
c.Resour cesoft hefami ly
b.Resour cesoft henur se
d.Gr avityoft heheal thpr oblem
ANSWER:D
Modi fi
abi l
ityofthecondi t i
onr ef erstot hepr obabi l
i
tyofsuccessi nenhanci ngthewellness,i
mpr ovi
ngt he
condition,mi nimi zi
ng,al leviati
ng,ort otallyeradicatingthepr oblem throughintervent
ion.Thefactorsin
determi ningt hemodi fiabi li
tyofaheal thcondi ti
onorheal t
hpr oblem:
•Cur rentknowl edge,t echnol ogyandi nterventi
onst oenhancet hewel lnessstateormanaget hepr oblem
•Resour cesoft hefami ly:physi cal,fi
nanci alandmanpower
•Resour cesoft henur se:knowl edge,ski llsandt i
me
•Resour cesoft hecommuni ty:f acil
it
iesandcommuni tyorganizati
onorsuppor t
ceint heCommuni t
y
Reference:Moni naGesmundo,TheBasi csofCommuni t
yHeal t
hNur si
ng
64.Nur seMayaconsi der sthef ol l
owingi nscor ingfort heprevent i
vepot enti
alofahealthproblem,except :
a.Exposur eofanyhi gh-r i
skgr oup
c.Histor yofi l
lness
b.Dur ationofthepr obl em
d.Cur rentmanagementoft hedi sease
ANSWER:C
Factor sthatneedst obeconsi der edwhendeci dinganappr opri
atescor ef ort hepr eventivepot enti
al oftheheal
th
conditionorpr oblem:
•Gr avityorSever ityoft hepr obl em:r efer stothepr ogr essoft hedisease/pr obl em indicati
ngext entofdamage
onthepat ient
/fami l
y:al soi ndicat espr ognosi s,reversibilit
yormodi fi
abili
tyoft hepr oblem.
•Dur ationofthepr obl em:r ef
er st ot hel enthoft imet hepr oblem hasbeenexi sti
ng.Gener all
yspeaki ng,
durationoft hepr oblem hasadi rectr elationshiptogr avi ty;thenatureoft hepr oblem isavar iablethat
may, however ,altert hisr elati
onshi p.Becauseoft hisrel ationshiptogr avit
yoft hepr oblem,dur ati
onhasal soa
di
rectr elati
onshipt opr event i
vepot ential.
•Cur rentmanagement :referst ot hepr esenceandappr opriatenessofi ntervent ionmeasur esinsti
tutedt o
enhancet hewel l
nessst ateorr emedyt hepr obl
em.
•Exposur eofanyvul nerabl eorhi gh-r i
skgr oup:increasest hepr event i
vepot ent i
alofacondi ti
onorpr oblem.
cei nt heCommuni ty
Reference:Moni naGesmundo,TheBasi csofCommuni tyHeal t
hNur sing
65.Whi chofthef ol
lowi ngi sthehi ghestpossi blescor eofanyheal thpr oblem?
a.4
b.5
c.6
ANSWER:B
Thehi ghestpossi blescor eofanyheal thpr oblem is5
Natur eofcondi ti
on:Hasawei ghtof1
Modi fi
abi l
i
tyofthecondi t
ion:Hasawei ghtof2
Prevent i
vepot ential:Hasawei ghtof1
Sali
ence:Hasawei ghtof1
cei nt heCommuni ty
c.7
SITUATI ON:COMMUNI TYHEALTHNURSI NGPROCESS

66.Itdescr ibest hephasei nthecommuni t
yheal t
hnur singpr ocessconcer nedwi thchoosi ngf rom amongt he
possibl ecour sesofact ion,sel ectingt heappr opri
at etypesofnur singi nter vent i
on,identifyi
ngr esour cesf orcare
andcomi ngupwi t
hoper at i
onal plan:
a.Goal setting
c.Devel opi nganoper ational plan
b.Const ructingapl anofact ion
d.Impl ement at i
onofpl anofact i
on
ANSWER:B
Thepl anni ngphasei nt hecommuni tyheal thnur singpr ocessconcer nedwi t
hchoosi ngf rom amongt hepossi bl
e
coursesofact i
on,sel ect i
ngt heappr opr i
atet ypesofnur singi ntervention,i dent i
fyi
ngr esour cesf orcar eand
comi ngupwi thoper ational plan.
Reference:Cuevas,Fr ancesP. ,et.al.( 2007)DOH’sPubl i
cheal thnur singi nthePhi li
ppi nes.10thedi ti
on,Page45
67.Thef ollowi ngar especi fi
cobj ectivesst atedi nbehavi or alterms,except :
a.Speci f i
c
b.Manageabl e
c.Attai nabl e
d.Time-bounded
ANSWER:B
Speci fi
cobj ect i
vesar est atedi nbehavi oralter ms,speci fi
c,measur abl e,at tainable,reali
st i
candt i
me-boundedor
knownbyanacr onym SMART.
ppi nes.10thedition,Page45
68.Inwhatphaseoft hecommuni tyheal thnur si
ngpr ocessar eeval uat ionpar amet ersdevel oped?
a.Assessment
b.Diagnosi s
c.Planni ng
d.Impl ement at i
on
ANSWER:C
Devel opmentofeval uat ionpar amet er sisdonei nt hepl anni ngst aget hati sbasedonst andar dssetbyt he
nursi
ngser vices,pr oblem i dentifi
ed,goal sandpr iorit
iesasr ef l
ectedi nt hepl anorpr ogr am ofnur singcar ef or
theclient s.
ppi nes.
10thedi ti
on,Page
46
69.Communi tydiagnosi sisapr ocessi nvolving:
a.Ast epbyst epdat agat her i
ng
b.Ident ificat i
onoft heheal t
hpr oblemsoft hecommuni ty
c.Acont i
nuousl earningexper i
encef orthenur seandt hecommuni t
ypeopl e
d.Acont i
nuousdevel opmentofcommuni t
yheal t
hpr ogr ams
ANSWER:C
Communi t
ydi agnosi s,asaPROCESS,i sacont i
nuousl ear ni
ngexper iencef ort henur se/ program coor dinatorand
thestaf f ,aswel last hecommuni typeopl efort hef oll
owi ngr easons:
•
I
tenabl est henur se/progr am coor dinat or/stafftoadj ustoral terthepr ogr am f oroptimum ef fecti
veness
•
I
tall
owst hecommuni t
yt ograduallybecomeawar eoft hesolut
ion
•
I
tisanor ganizedat t
emptt oinvolvepeopl einrecognizi
ngandr esolvingpr oblemst hatconcer nthem
most
•
I
tenabl est hecommuni tytounder standatitsownpacet hepotenti
al advantagesofchange,whi chmay
eventuallyleadt oalter
ati
onsi natti
tudes,valuesandbehavi or.
Refer
ence:Moni naGesmundo,TheBasi csofCommuni tyHealt
hNur sing
70.Thef oll
owi ngareexampl esofdemogr aphicdataneededi nthecommuni tydi agnosis,except:
a.Patternsofmi grati
on
b.Growt hrate
c.Poli
tical groupsidenti
fied
d.Total popul ati
on
ANSWER:C
Exampl esofdemogr aphicvariabl
es:Tot al
populati
onandgeogr aphicaldistr
ibution;ageandsexcomposi t
ion;
vi
tali
ndi catorssuchasgr owthr at
e,cr udebirt
hrate,andl i
feexpectancyatbi rth;patternsofmi grat
ion;
populationpr ojecti
ons;populationgr oupswithspecialneeds.
Refer
ence:Moni naGesmundo,TheBasi csofCommuni tyHealt
hNur sing
71.Whi choft hef ollowi ngi snotacommuni tydimensi onssecondar il
yr elatedt oheal th?
a.Pr esenceofconcr eter oad
c.23% ar eI glesi aniCr i
sto
b.50% ofchi ldr enar emal nour ished
d.Api gger yint hesout her npar tdoesnotpr acti
cepr operexcr etadi sposal
ANSWER:B
Dat agat her edshoul dcovert hef oll
owi ng:
A.Communi t
ydi mensi onssecondar i
lyr elatedt oheal thar e:
•
Demogr aphi cdat a( Opt i
onA)
•
Economi cchar act eristic
•
Soci al i
ndi cat ors( Opt i
onC)
•
Pol it
ical char act eristics
•
Cul tural char act eristic
•
Envi ronment al i
ndi cat or s( opt ionD)
B.Communi t
ydi mensi onsdi rect lyrelatedt oheal th:
•
Gener al heal thi ndi cator s
•
Mat ernal andChi ldheal thcar e
•
I
mmuni zat ionst atus
•
Foodandnut ri
tion
•
I
llnessandi njury
•
Wat erandenvi ronment
•
Endemi cdi seases
•
Essent i
al drugs
•
Heal theducat i
on
•
Heal thr esour ces
•
Per cept ionofheal thpr oblems
Ref er ence:Moni naGesmundo,TheBasi csofCommuni tyHealthNur sing
72.Thef ollowi ngar einst rument sindat agat heringexcept :
a.Bi odat af or m
b.Sur veyquest i
onnai re
c.I nter viewgui de
d.Obser vat i
oncheckl ist
ANSWER:A
I
nst rumentmaybet hef ollowi ng:Sur veyquest i
onnai res;obser vationcheckl ist;i
nterview guide.
73.Tar getset tingi ncommuni t
ydi agnosi sinvolveswhi choft hefollowi ng?
a.Conduct i
ngat imepl an
c.Mot ivatingcommuni tymember stopar ti
cipatei nthest udy
b.Conduct i
nghousecal l
s
d.Devel opi ngaspotmapoft hecommuni t
y
ANSWER:A
Set ti
ngt het ar geti nvol vesconst ructi
ngat i
met abl eofact ivi
ti
es,takingi ntoconsi derationthesampl esi ze,and
thenumberofper sonnel thatwi l
lwor k.
74.Nur seLal aconsi der sot herf actorsineval uatingt henur singcar e,whenshei ncludest hestepsoft henur si
ng
processi t
sel finassessi ng,pl anni ng,i mpl ement ingandeval uati
ng.Shei susi ngwhi choft hef oll
owi ngcl assi
c
framewor kf r
om whi chnur si ngcar ewasdel i
vered?
a.St ruct ural element s
d.Qual ityassur anceel ement s
ANSWER:B
Pr ocessel ement si ncludet hest epsoft henur singpr ocessi t
self–assessi ng,planni ng,i
mpl ement i
ngand
eval uat ing.I tal soi ncl udest aki ngt hef ami lyheal thdat abase,per formi ngPE,maki ngnur singdi agnosis,
det ermi ningnur singgoal andwr iti
ngnur si
ngcar epl an.
Ref er ence:Cuevas,Fr ancesP. ,et .al.(2007)DOH’sPubl i
cheal t
hnur singi nthePhi l
i
ppines.1 0thedi t
ion,Page47
75.I ncl udedi nt hisf ramewor kar echangesi nthecl ient ’sheal thstat usr esulti
ngf rom nur si
ngi nterventi
ons.
a.St ruct ural element s
ANSWER:C
Out comeel ement sar echangesi nt hecl ient’sheal thstatust hatresultfrom nursi
ngintervention.
Ref erence:Cuevas,Fr ancesP. ,et.al .(2007)DOH’sPubl ichealthnur singinthePhili
ppines.
10thedi ti
on,Page
47
76.Whi cheval uationpr ocessi ncludesconf ormitywi t
haccept edcommuni tyandpublicheal t
hst andardsof
pract ice,advancementofnur singski l
lsthroughcont inuedf iel
dexper ienceandcont i
nuingeducat i
on?
a.Eval uat i
onbasedonpr of essional practice
c.Eval uat i
onbasedoni nformat i
ongat her ed
b.Eval uat i
onofst ructure
d.Qual ityassur anceeval uat i
on
ANSWER:A
Eval uat i
onbasedonpr ofessional pr act i
cei ncl
udeconf ormitywi t
haccept edcommuni tyandpubl ichealt
h
standar dsofpr act i
ce,cont inuedr efinementandenhancementofnur si
ngski l
lst
hroughcont i
nuedf i
eldexperience
andapr ogram ofcont i
nuingeducat ion.
Ref erence:Cuevas,Fr ancesP. ,et.al .(2007)DOH’sPubl ichealthnur singinthePhili
ppines.
10thedi ti
on,Page
47
SITUATI ON:Communi tyheal thpur posesandgoal sarer eali
zedt hrought heappli
cati
onofaser i
esstepst hat
l
eadt odesi rabler esults.Nur singpr ocessi scent r
altoal lnursingactions.
77.Typeofnur singassessmentwher ebyexi st
ingpr oblemsoft hefami l
yar edetermined:
a.Fi rst-l evel assessment
b.Second-l evel assessment
c.On-goi ngassessment
d.Thi rd-l evel assessment
ANSWER:A
First-level assessmenti sapr ocesswher ebyexi sti
ngandpot enti
alheal t
hcondi t
ionsorpr oblemsoft hef amil
yare
det ermi ned.Second-l evel assessmentdef i
nesthenat ureort ypeofnur singproblemsthatt hef amil
yencount ers
i
nper for mi ngt heheal tht askswi thr espectt oagi venheal thcondi tionorpr obl em,andt heet iologyorbar r
iersto
thefami ly’sassumpt i
onoft heset asks.
Reference:Magl aya.Nur singPr act icei nt heCommuni ty4thedi t
ionpage54
78.Dat acol lect edi nsecond-l evel assessmenti ncl udesal lbutone:
a.Fami l
y’sper cept i
onoft hepr obl em
c.Act i
onst akenandr esul ts
b.Deci sion’smadeaboutt hepr obl em
d.Labor at or yanddi agnost icr esul ts
ANSWER:D
Second-l evel assessmentdef inest henat ureort ypeofnur singpr oblemst hatt hef ami lyencount ersi nper formi ng
theheal tht askswi thr espectt oagi venheal thcondi ti
onorpr obl em,andt heet iologyorbar rierst ot hef ami ly’s
assumpt i
onoft heset asks.Thesedat ai nclude:
a.Fami l
y’sper cept i
onoft hepr obl em
b.Deci sion’smadeandappr opr iat eness;i fnone,r easons,and
c.Act i
onst akenandr esul ts;i fnone,r easons;and
d.Effect sofdeci sionsandact ionsonot herf ami lymember s
Opt i
onD:I ncl udedi nFi rst-level assessment .
ionpage58
79.BabyMonmon,1 2mont hsol d,di dnotr ecei vehi sschedul edmeasl esvacci neat9mont hs.Nur seJai ka
i
dent i
fiescat egor izet hisheal thpr obl em as:
a.Heal tht hr eat
b.Heal thdef i
ci t
c.Stresspoi nt s
d.For eseeabl ecr i
sis
ANSWER:A
Healtht hr eat sar econdi ti
onst hatpr omot edi seaseori njuryandpr eventpeopl ef rom r eali
zi
ngt heirheal th
potential .
Reference:Cuevas,Fr ancesP. ,et .al .( 2007)DOH’sPubl i
cheal thnur singint hePhi li
ppines.1 0thedi t
ion,Page44
80.Ahyper tensi vecl ientcomest ot heheal thcent ercompl ainingofheadache.I niti
al assessmentr eveal st hatthe
cli
enthasnor egul archeck-up,andhe’snott aki nganymedi cationf orhi shyper tension.Thecl i
ent ’spr oblem can
becat egor izedas:
a.Heal tht hr eat
b.Heal thdef i
ci t
c.Stresspoi nt s
d.For eseeabl ecr i
sis
ANSWER:B
Healthdef icitoccur swhent her ei sagapbet weenact ual andachi evabl eheal thst atus.Exampl esofheal thdeficit
arerepeat edi nfect i
onsormi scar r
iagesandhavi ngnor egularcheck-up.
ppines.1 0thedi t
ion,Page44
81.Inpr ior i
t i
zi ngheal thpr obl ems,whi choft hef ol lowi ngcr it
er i
ar eceivest hehi ghestscor e?
a.Nat ur eoft hepr obl em
b.Modi fiabi li
t yoft hepr obl em
c.Prevent i
vepot ent ial
d.Salience
ANSWER:B
Modi fi
abi l
ityoft hepr obl em r ef erst ot hepr obabi li
t yofsuccessi nenhanci ngt hewel lnessst ate,i mpr ovingt he
condition,mi nimi zing,al leviat i
ngort ot allyer adicat ingt hepr obl em t hroughi nter vention.Itsscor eisequi valent
to2.Opt i
onA,CandD:Scor eequi val entof1
ionpage89
82.Thi st ypeofeval uat i
oni ncl udescost -benef it-r ation,qual i
ficat i
onsandnumberofmember soft heheal thcar e
team:
a.Eval uat ionbasedonpr ofessi onal pr act i
ce
c.Eval uat ionbasedoni nf ormat iongat her ed
b.Eval uat ionofst ruct ure
d.Qual ityassur anceeval uat ion
ANSWER:B
Evaluat i
onofst r
uct ur eincl udecost -benef i
t-ratio,qual if
icati
onsandnumberofmember soft heheal tht eam
especi allynur sesi npr opor tiont ot hepopul at ionsser vedandt hemat er i
alresour cesi ntermsofquant i
tyand
qualit
y
ppines.1 0thedi t
ion,Page47
83.Nur seAl l
ani st oeval uatet henur singpl anofcar er ender edt ooneoft hef ami l
yint hecommuni ty.Hei s
evaluat i
ngt hephysi cal set ti
ngs,condi tionst hroughwhi chnur singcar eisgi vensuchasobj ect ives,bui l
ding,
budget ,andst aff.Thi sr eferst owhi choft hef oll
owi ngt hreecl assicf ramewor ks?
a.Struct ur al el ement s
b.Processel ement s
ANSWER:A
Structur al element si ncludet hephysi cal setti
ngs,i nst rument al i
ti
esandcondi t
ionst hroughwhi chnur singcar ei
s
given.Pr ocessel ement si ncludet hest epofnur singpr ocessi tself.Out comeel ement sar ethechangesi nt he
cli
ent’sheal thst atust hatr esul tfrom nur singi nt er vent i
on.opt i
onD,r ecommendst hateval uat ionofst ructure,
processandout comecr i
teriabemade.
ppines.
10thedi tion,Page
47
SITUATI ON:Communi tyhealthpurposesandgoalsarer
eali
zedt hroughtheappli
cati
onofaseri
esofst
epsthat
l
eadt odesi r
edr esul
ts.
84.Anne,acommuni t
yheal t
hnurse,istoest
imatet
hedegreetowhi chthei
ndivi
dual,f
ami
lyorcommunit
yis
achievingt helevelofheal thpossi
bletothem.Sheiscur
rent
lyint heassessmentphaseoft
hecommuni t
y
nursingpr ocessandi sexpectedtoper f
orm whi
chofthefol
lowingst eps?
i
.Dat acol l
ect i
on
i
v.Anal ysisandi nter
pr etat
ionofdata
i
i.Identif
icationofheal thproblems
v.Priori
ti
zingneeds
i
ii
.Assessi ngcopi ngabi li
ty
a.I,II
,II
I,IV&V
b.I,II
,IV&V
c.I,II
,II
I&I V
d.I,II
I,I
V&V
ANSWER:C
Assessmentphasei nvol ve:(1 )initi
al cont act ;(2)demonst rat ecar ingattitudes;(3)mut ualtrustandconf idence;
(4)col lectdat af rom al lpossi bl esour ces;( 5)identifyheal thpr obl ems;( 6)assesscopi ngabi l
it
y;( 7) analyzeand
i
nt erpr etdat a
V– i spar toft hepl anni ngphase
Ref er ence:Cuevasetal .,Publ i
cHeal t hNur singint hePhi l
ippines.2007.1 0thEdi t
ion.Page43-45.
85.Af teri dent i
fi
cat ionofanumberofheal thandnur singpr oblemswhi chcannotbet akenal latt hesamet i
me,
Annewi l
llikelyut ili
zeasetofcr iteri
ai npr iorit
izi
ngheal thpr oblemswhi chi nclude:
a.Nat ur eoft hepr obl em,modi f
iabili
ty,pr event i
vepot ent ial
b.Nat ur eoft hepr obl em,modi f
iabili
ty,pr event i
vepot ent ial,salience
c.Nat ur eoft hepr obl em,pr event i
vepot ent i
alandur gencyoft hepr oblem
d.Nat ur eoft hepr obl em,modi f
iabili
tyandur gencyoft hepr oblem
ANSWER:B
Her ear ef ourcr iteriaf ordet er miningpr i
or it
iesamongheal thcondi ti
on/sorpr oblems.Thesei ncl ude:
a.
Nat ur e
of
the
pr oblem
b.
Modi fiabi li
ty
of
the
condi tion
c.pr event ivepot ent ial
d.Sal ience
Ref er ence:Ar celiMagl aya.Nur singPr act icei ntheCommuni t
y( 2004) .4t hEdi t
ion.Page86.
86.Annei nt erviewsa23-year -oldmot herwi thtwochi l
dr enages3year sand8mont hswhoi shesi t
antt ohave
herchi l
dr eni mmuni zedagai nstDPTandmeasl es.Herel destchi ldreceivedBCG,OPV2vacci neswhi let helast
chi l
dwasonl ygi venBCGvacci ne.Thi ssi tuationconst i
tut esa:
a.Heal thdef i
cit
b.For eseeabl ecr isis
c.Heal tht hr eat
d.Heal thpr obl em
ANSWER:C
Heal t
ht hr eat sar econdi t
ionst hatpr omot edi seaseori njur yandpr eventpeopl efrom r eal
izingt hei rheal th
pot ent ial.Anexampl eofheal t
ht hreati swhent hepopul at i
oni si nadequat elyimmuni zedagai nstpr event able
disease.
ion.Page44.
87.Nur seAnneeval uat est heheal thst at usofMangTeddy,a50year s-ol dTBpat ient,aft
er7mont hsofmul ti
drugtherapy.Shefi
ndoutt hathi
s
threeconsecut ivesput um examsar enegat i
ve;hehasgoodcompl iancet ot he
treat mentr egimenandshar eshi sinter esti ngoi ngbackt owor kasasecur i
tyguar d.Thedat apr esent edar e
underwhatcl assicf r amewor kofeval uat ion?
a.St r uct ur al element s
d.Eval uat i
onbasedoni nf ormat i
on
ANSWER:C
Out comeel ement sar echangesi nt hecl i
ent ’sheal thst at ust hatr esultf r
om nur singintervent ion.Thesechanges
i
ncl udemodi fi
cat i
onofsi gns/ sympt oms,knowl edge,at titudes,sat i
sfact i
on,skilll
evel andcompl i
ancewi th
treat mentr egimen.
Opt i
onA– i ncl udephysi cal settings,i nst rument alit
ies,andcondi ti
onst hroughwhi chnur singcar ei sgi ven
Opt i
onB– i ncl udesst epsoft henur singpr ocessitself– assessi ng,planni ng,impl ement ationandeval uati
ng
Opt i
onD– i sut i
li
zedt oi mpr ovecommuni tyhealthnur singser vicesaspar tofthet otalcommuni tyheal th
ser vices.
ion.Page47.
88.Nur seAnner evi ewst henur singcar epl anf orMangTeddyandr evisest hest atementofneeds,goal sand
i
nt ervent ionst omeethi sheal thmai ntenanceneeds.Thi si sbasedon:
a.St r uct ur al element s
d.Eval uat i
onbasedoni nf ormat i
on
ANSWER:B
Pr ocessel ement si ncl udest epsoft henur singpr ocessi tself– assessi ng,pl anning,impl ement ingandeval uating:
suchast aki ngt hef ami lyheal thdat abase;per f
or mingphysi cal exami nat i
on:maki nganur singdi agnosi s,
det ermi ningnur singgoal s,wr iti
nganur singcar epl an,per formi ngt henecessar ynur singinter vent ionsand
coor di nat ionofser vicesandmeasur ingsuccessofnur singact i
ons.
ion.Page47.
89.Mr s.Cur tisconduct saqual it
yassur anceeval uat i
ont oMs.Anne’scat chmentar ea.Sher evi ewst hecost benefi
trati
o,qual
i
ficat
ionsand
numberofmember soft heheal t
ht eam andmat erialresour cesi ntermsof
quant ityandqual it
y.Shei nstit
ut eseval uat ionbasedon:
a.Pr of essi onal pract ice
b.St ruct ur e
c.I nfor mat ion
d.Out comeeval uat ion
ANSWER:B
Evaluationofst ructureincl udecostbenef i
tratio,qual ifi
cati
onsandnumberofmember softhehealthteam
especiallynur sesinpr opor tiont othepopul ationsser vedandt hemat eri
alr
esourcesintermsofquantit
yand
quali
ty.
Reference:Cuevasetal .
,Publ icHealthNur singi nt hePhi l
ippi
nes.2007.10thEdit
ion.Page47.
SITUATI ON:I mplement ati
oni nvolvesvar i
ousnur singi nt
erventi
onswhi chhavebeendet erminedbythe
goals/obj ecti
vesthathavebeenpr eviouslyset .Allnur si
ngactivi
ti
esandever ystepofthepubl i
cheal
thnurses
areinterwoveni neval uation.
90.Nur seAndr eapl anst oi nvolveDomi ngot oget herwi thhisotherf
ami l
ymember sontheimplementati
onof
thecar epl an.Themai nr easonwhyNur seAndr ea,publ i
chealthnurse,i
nvolvesthecli
entandthefamilyi
nthe
carepr ovi dedis:
a.Todel egatecar i
ngr esponsi bil
it
ytot heclientandf ami ly
b.Tomaxi mizeheal thhumanr esources
c.Tomot i
vatethem t oassumer esponsibili
tyfort heircar e
d.Toal leviatepublicnur sesf rom furtherresponsi bili
ties
ANSWER:C
Rational e:Publ i
cheal thnur sesi nvol vet hecl ientandt hef ami lyi nthecar epr ovi dedt omot ivat et hem t oassume
responsi bili
tyf ort heircar eandt obeabl et oteachandmai ntainadesi redl evel offunct ion.
hnur si ngi nt hePhi li
ppi nes.
10thedi ti
on,Page
46
91.Nur seAndr eai stoeval uatet henur singpl anofcar er ender edt ooneoft hef ami l
yi nt hecommuni ty.She’s
evaluat ingt hephysi cal set t
ings,condi tionst hroughwhi chnur singcar ei sgi vensuchasobj ect i
ves,bui l
ding,
budget ,andst af f.Thi sr ef erst owhi choft het hr eecl assi cf ramewor ks?
a.St r
uct ural element s
ANSWER:A
Rational e:St r uct ur alelement sincl udet hephysi cal set ti
ngs,i nstrument al i
tiesandcondi ti
onst hr oughwhi ch
nursingcar ei sgi ven.Pr ocessel ement si ncludet hest epofnur singpr ocessi tsel f
.Out comeel ement sar et he
changesi nt hecl ient ’sheal thst atust hatr esul tf r
om nur singint ervent ion.opt ionD,r ecommendst hateval uati
on
ofstruct ure,pr ocessandout comecr iteriabemade.
ppi nes.
10thedi ti
on,Page
47
92.Nur seAndr eaconsi der sot herf act or si neval uatingt henur singcar e,whenshei ncludest hest epsoft he
nursingpr ocessi tselfinassessi ng,pl anni ng,i mpl ement ingandeval uat ing.Shei susingwhi choft hef oll
owi ng
classicf ramewor kf rom whi chnur singcar ewasdel ivered?
a.St r
uct ural element s
ANSWER:B
Rational e:Pr ocessel ement sincludet hest epsoft henur singpr ocessi tsel f–assessi ng,pl anni ng,i mpl ement i
ng
andeval uating.I tal soi ncl udest akingt hef amilyheal t
hdat abase,per for mi ngPE,maki ngnur singdi agnosi s,
determi ningnur singgoal andwr it
ingnur singcar epl an.
ppi nes.1 0t hedi tion,Page47
93.Incl udedi nt hi sf r
amewor kar echangesi nthecl ient ’sheal thst atusr esul tingf r
om nur singi ntervent ions.
a.St r
uct ural element s
ANSWER:C
Rational e:Out comeel ement sar echangesi nthecl ient ’sheal thst atust hatr esul tf
rom nur singi ntervent ion.
ppi nes.
10thedi ti
on,Page
47
94.Whi cheval uat ionpr ocessi ncl udesconf ormi tywi t
haccept edcommuni tyandpubl i
cheal t
hst andar dsof
practice,advancementofnur singski l
lst hroughcont inuedf i
eldexper ienceandcont inui ngeducat ion?
a.Eval uat ionbasedonpr of essional pr actice
b.Eval uat ionofst ructur e
on
ANSWER:A
Rational e:Eval uat i
onbasedonpr of essi onal pr act i
cei ncl udeconf or mitywi thaccept edcommuni tyandpubl i
c
healthst andar dsofpr act i
ce,cont i
nuedr ef i
nementandenhancementofnur singski l
lst hroughcont i
nuedf i
eld
exper ienceandapr ogr am ofcont inui ngeducat i
on.
ppi nes.
10thedi ti
on,Page
47
95.Thi si ncludescost -benef i
t-rat i
on,qual ifi
cat i
onsandnumberofmember soft heheal thcar et eam:
a.Eval uat ionbasedonpr of essional pr actice
b.Eval uat ionofst ructur e
on
ANSWER:B
Rational e:Eval uat i
onofst ructurei ncl udecost -benef i
t-rat i
o,qual i
ficationsandnumberofmember soft heheal t
h
team especi al l
ynur sesi npr opor tiont ot hepopul ationsser vedandt hemat er i
al resour cesi nt ermsofquant ity
andqual it
y
ppi nes.
10thedi ti
on,Page
47
96.Thef act or st hatmakepeopl eheal thyornoti sknownas:
a.Det er mi nant sofheal t h
c.InjuryandDi sease
b.Opt i
mum l evel off unct ioning
d.Incomeandsoci al stat us
ANSWER:A
Rational e:Thef act orsort hi ngst hatmakepeopl eheal thyornotar eknownasdet er
mi nantsofheal t
h.Opt i
mum
l
evel off unct
ioningisaf r
amewor kusedtodescr i
bedeterminantsofheal t
h.Incomeandsoci alst
atusi
sone
determi nantsofhealth.
Reference:Cuevas,Fr ancesP.,et
.al.(
2007)DOH’sPubl i
chealthnursingint hePhil
i
ppines.10thedit
ion,Page4
97.Whi chofthef ol
lowingisthemajorcontri
butortotheoverarchinggoal ofpovertyreducti
on?
a.Mi l
lenium developmentGoal s
c.Nat i
onal objecti
vesforhealth
b.Heal th
d.Publ ichealthprograms
ANSWER:B
Rationale:Heal t
hisessentialt
otheachievementoft heMDG’sgoal sandi samaj orcontri
butortothe
overarchi nggoal f
orpover t
yreducti
on.Mil
leni
um development algoali
savi sionofpovertyreducti
on.Nat i
onal
objectivesforhealthspellouttheprogr
am imper ati
vesofhealt
hsect or
.
Reference:Cuevas,Fr ancesP.,et
.al.(
2007)DOH’sPubl i
chealthnursingint hePhil
i
ppines.10thedit
ion,Page3
98.WHOdef i
nespubl i
chealthnursi
ngasoneoft hefol
lowi
ng:
a.Team wor kbasedonsoci al &natur alsciences
b.Assessmentofcl i
ent sheal thneeds
c.Achi evementofhumanpot enti
als
d.Speci alfi
eldi nnur singt hati ncl
udessoci al assistance
ANSWER:D
Publicheal t
hnur singi saspeci alf
ieldofnur singt hatcombi nesski ll
sofnur sing,publi
chealthandsomephasesof
social assi stance,andf unctionsasapar toft het otalpubl
icheal thpr ogram f orthepromot i
onofheal t
h,the
i
mpr ovementofcondi tionsint hesoci alandphysi calenvi
ronment ,rehabi l
it
ationandt hepreventi
onofi l
l
nessand
disabi l
ity.
Refer ence:Publ icHeal thNur singint hePhi l
ippi nesbyDOH,p.1 1
owi ngconcepti nCHNi susedt oworkint oget herwi ththecommuni tyasitscl
ient?
a.Knowl edgeofWor ldheal thor gani zati
onst andar ds
c.Ext ensi onofbenef it
st ocl i
ent
b.Pr imar ypr event ion
d.Heal thpr omot ion
ANSWER:D
Thepubl icheal thef f
or tsfocusonheal t
hpr omot i
onanddi seasepr event i
on.Heal t
hpr omotionacti
vit
iesenhance
resour cesdi rectedati mpr ovingwel l being.I tisthemai nconceptt hataPHNshoul dwor kont ogetherwith
communi tyasi tcl i
ent .
Refer ence:Communi tyHeal thNur singbyDavi dandRodol f
oet .al
,p.37
100.I tist hepr ocessi nwhi cht henur sesandt hecl i
entsarevi ewedasasyst em:
a.Communi tyheal thpr ocess
b.Nur singpr ocess
c.Heal thAct i
on
d.Nur singcar epr ocess
ANSWER:B
Rational e:Nur singpr ocessi sasyst emat i
c,sci entifi
c,dynami c,on-goi ngint er
personalprocessinwhicht he
nursesandt hecl ient sar eviewedasasyst em wi theachaf fecti
ngt heot herandbot hbeingaf f
ectedbyt he
factor swi thint hebehavi or.
Refer ence:Cuevas,Fr ancesP. ,et.al.(2007)DOH’sPubl icheal t
hnur singint hePhil
ippi
nes.10thediti
on,Page43

CHN PHC BL Answers and Ratio

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