MCNP CHN 3

SITUATION: CHN CONCEPTS

Situation: Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the
Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in
their City, which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing
Practice.
1. Which of the following is the primary focus of community health nursing practice?
A. Cure of illnesses
B. Prevention of illnesses
C. Rehabilitation back to health
D. Promotion of health
2. In community health nursing, which of the following is our unit of service as nurses?
A. The community
B. The extended members of every family
C. The individual members of the Barangay
D. The Family
3. If a particular health service fails, the most basic question is:
A. Is this what the people demanded?
B. What went wrong?
C. Is this what the people need?
D. Who is responsible for the failure?
4. Health education is the one of the most significant functions of a nurse especially in the prevention and
control of communicable diseases. ALL EXCEPT ONE of the following statements are TRUE description of
the health education:
A. Health education is an independent effort of all health personnel
B. Health education is integrated in the planning, and implementation of all health programs and
services
C. Health education considers the health status of the people
D. Health education is a learning process whereby knowledge, attitudes and practices of people are
modified to help improve the life and social conditions of individuals, families and groups towards
development

5. Which of the following statement is correct?

A. If people are not attending to the services offered by the health staff, the team must reassess the
needs of the people
B. In participatory approach, the nurse must devotedly adhere to what the people want
C. In a peasant community where people are fighting for land ownership, the nurse must not
participate as this is not a health concern
D. Nurses must not join protest actions as nurses should always be neutral at all times
6. “Community Health Nursing is aggregate-focused”. Which best demonstrates this concept?
A. The provision of nursing care in the natural environment of the people.
B. The provision of service at an affordable cost.
C. The performance of community diagnosis
D. The coordination of service by different members of the health team
ANSWER: C, Aggregate-focused means population-focused, one of the characteristics of CHN. Population-focused
practice means “the greatest good for the greatest number of people”. This is best depicted through the conduct
of Community Diagnosis. Option A shows the characteristic which is “community-based”. Option D shows the
“multi-sectoral approach” characteristic of CHN.

7. Which of the following best describes community health nursing practice?

A. Setting of practice is situated in the natural environment of the people.
B. It is population focused.
C. A synthesis of nursing practice and public health practice.
D. Prioritizes health-promotive and disease preventive strategies
ANSWER: C.Community Health Nursing is a “synthesis of nursing knowledge and practice of public health,
implemented via a systematic use of the nursing process and other processes to promote health and prevent
illness in population groups”. Options A, B, and D are all characteristics of CHN.
REFERENCE: Maglaya, Nursing Practice in the Community, 5th Ed., p.16.

8. The primary goal of Community Health Nursing is to:

A. Support and supplement the efforts of the medical professions in the promotion of health and
prevention of illness
B. Enhance the capacity of individuals, families and communities to cope with their heath needs
C. Increase the productivity of the people
D. Raise the level of health of the citizenry
Answer: B, The primary goal of Community Health Nursing is to help communities and families to cope with the
discontinuities of health and threats in such a way as to maximize their potential for high level wellness, as well as
to promote reciprocally supportive relationship between people and their physical and social environment.
(Community Health Nursing Services in the Philippines)

9. Community health is made up of which of the following?

A. Epidemiology, parasitology and correlation studies
B. Etiology studies, prevention and demographics
C. Epidemiology, human ecology and demography
D. Infectious agents, natural history of a disease and demography
10. Which basic method can determine the extent to which the basic needs are met for the health workers to
bring about the adjustment between need and resources?
A. Fact finding
B. Determination of needs
C. Program formation
D. Education and Interpretation
11. A very important part of the Community Health Nursing Assessment Process includes:
A. The application of professional judgment in estimating importance of facts to family and community
B. Evaluation structures and qualifications of health center team
C. Coordination with other sectors in relation to health concerns
D. Carrying out nursing procedures as per plan of action
12. In a three-year study conducted by the World Health Organization, it defines that PH is” art of applying
science in the context of politics”. This definition entails that the goal of public health would be:
A. For early diagnosis and preventive treatment of disease
B. Enable every citizen to realize his birthright of health and longevity
C. Reduce inequalities in health while ensuring the best health for the greatest number
D. Provide learning experiences to clients in the community
Answer: C. Reduce inequalities in health, Reference: Public Health Nursing in the Philippines, 10th edition

13. Which of the following situations does NOT apply to Public Health Principles?
A. The nurse utilizes vital and health statistics to describe the community’s health status.
B. Nursing care is mainly directed to sick population who seek consultation in the health center.
C. In preventing and controlling disease transmission in the community, the nurse’s priority is to
protect the healthy population by instituting specific protection measures against a disease.
D. The nurse analyses the determinants of health needs and problems as basis in developing
community heath programs.
ANSWER: B. Option A focuses on sick population which is not very true to Public Health Nursing, this is more
associated with hospital or clinical nursing. Public Health Nursing deals with primarily healthy population, which is
actually the reason why CHN focuses on Health Promotion and Disease Prevention. All other options pertains to
PHN. REFERENCE: DOH, p. 19.

14. According to Dr. C.E. Winslow, which of the following is the goal of Public Health?
A. For promotion of health and prevention and diseases
B. For people to be organized in their health efforts
C. For people to have access to basic health services
D. For people to attain their birthrights and longevity
Answer: D, Dr. C.E. Winslow defines public health as the science and art of preventing disease, prolonging life,
promoting health and efficiency through organized community effort for the sanitation of the environment, control
of communicable diseases, the education of individuals in personal hygiene, the organization of medical and
nursing services for the early diagnosis and preventive treatment of disease, and the development of the social
machinery to ensure everyone a standard of living adequate for the maintenance of health, so organizing these
benefits as to enable every citizen to realize his birthright of health and longevity. (Public Health Nursing in the
Philippines)

15. According to Dr. Margaret Shetland, the philosophy of public health nursing is based on which of the
following?
A. The worth and dignity of man
B. The mandate of the state to protect the birthrights of its citizens
C. Health and longevity as birthrights
D. Public health nursing as a specialized field of nursing
Answer: A, According to Dr. Margaret Shetland, the philosophy of community health nursing is based on the worth
and dignity of man. (Community Health Nursing Services in the Philippines)

16. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital
B. Public health nursing focuses on preventive, not curative services
C. The public health nurse functions as part of a team providing a public health nursing service
 D. Services are provided free of charge to people within the catchment area
Answer: B, The public health nurses in this country are using their nursing skills in the application of public health
functions and social assistance within the context of public health programs designed to promote health and
prevent diseases. Public health nursing focuses on preventive, not curative services. (Public Health Nursing in the
Philippines)

Situation: Nurse Dang Casillo, initiated the organizing of the “Caring Frontiers Nursing Service Company” in Leyte.
This was envisioned to deliver health care and various nursing services through home health care services well
within the scope of nursing practice.
17. Nurse Lanie is one of their Registry Officials and acts as a liason between families and communities served
by the company to actively engage on policy and social change that will support and promote family health
in their Province. Nurse Dang Casillo is performing what role?
A. Care Provider
B. Counselor
C. Client Advocate
D. Facilitator
18. Formulating and implementing a supervisory plan, 2 and 5monitoring and evaluating beginning nurse
practitioners performance in the implementation of public health programs are what functions of a public
health nurse?
A. Trainer
B. Coordinator
C. Supervisor
D. Manager
19. As an advocate, Registry Nurse Lanie places her client’s right as priority. She is aware that advocacy work
involves which of the following?
A. Influencing public opinion
B. Obtaining a general information about the community
C. Coordination with the team
D. Prioritizing health conditions and problems
20. According to the World Health Organization (W.H.O), one of the leading causes of mortality in the
Philippines is which of the following?
A. Leukemia
B. Heart Disease
C. Malignant Neoplasm
D. Lower respiratory tract infections

Situation: In community health work, you arm yourself with Community Health Nursing Concepts and Principles.
This serves as basis for safe and quality care for individual, families, population/vulnerable groups and
communities. Consider these situations.
21. As a community health nburse covering a cluster of Barangays, your population in the communities you
serve. You ensure this you are EXPECTED to
1. Families in their homes
2. School population
3. Workers in factories
4. Patients in hospital
A. 1,2,and 3
B. All except 3
C. 1,2,3,4
D. All except 4
22. You direct all your efforts toward optimum health of the whole population in the communities you
serve. You this you are EXPECTED to:
1. Receive the entry salary equivalent to Salary Grade 10 or according to your position
classification
2. Provide health services to individuals in the communities you serve
3. Provide health services to families in the communities you serve
4. Provide health services to population especially vulnerable groups with the communities
you serve
A. 1 and 3 are correct
B. 2,3,4 are correct
C. 2 and 4 care correct
D. 1 and 4 are correct
23. Part of your routine function is to conduct regular assessments of the community’s status. The reason
for this are the following EXCEPT:
 A. Conflicts in varying forms are almost always present in the community which affects the health
of people
B. This is a requirement for undertaking the DOH-led RN H.E.A.L.S Program
C. Community situations and problems are reflection of social conditions affecting individuals,
families, vulnerable groups and the entire community
D. Healthy community relationships are proven to be precursors to health development in any
community
24. When you assess the needs and plans health interventions for a group of people in coordination with
other health professionals, you are demonstrating which of the following features of community health
nursing?
1. Community health nursing involves interdisciplinary collaboration
2. Use of epidemiologic approach is part of nursing practice
3. Community health nursing helps ease health burdens of people at the community level
4. Health statistic is a good indicator for health care performance among community
health nurses

A. 1 and 3 are correct

B. All are correct
C. 2 and 3 are correct
D. Only 1 and 2 are correct
25. The emphasis of community health nursing is on:
1. The assessment and identification of health situations and problems affecting
individuals, families, population groups and communities
2. Promotion of health and prevention of occurrences of potential and further health
problems and situations which would affect people
3. Treatment of actual and potential community health problems
4. Empowerment of the communities through health education
A. 1 and 2 are correct
B. 1,2,and 3 are all correct
C. Only 4 is correct
D. 2 and 3 are correct

Situation: Home care started in the early 1800s as the primary source of care for many years to come. Public
health nursing only began in 1983. Home health care offered a more cost-effective way of meeting client
needs but nurses in this practice requires a lot of critical thinking skills and the ability to make decision
independently. The following conditions apply.

26. A meeting with clients for home care (HC) is essential in order to explain the role of the nurse and the
advantages of this alternative health provision. Among important emphasis to be made is that HC
A. Encourages a dependent relationship between the nurse and the client
B. Provides a holistic view of the client that helps nurse to establish appropriate goals and to plan
appropriate care
C. Allows the nurse to have primary control over the environment where the client will recover
D. Saves the client money because the care is provided in a one-to-one situation
27. A public health nurse and a home health care nurse are meeting to discuss their roles in the
community. The home health care nurse states that her role in home health care focuses on:
A. Work with for an agency that is governed by its own board
B. Are paid a salary exempt from income taxes
C. Are concerned about earning money for the stockholders of the home health care corporation
D. May receive funding from various public or public donors agencies
28. When a client’s contacts as established private home care agency in the community for provision on
nursing care services, the nurse should explain that the nurses in the agency:
A. Work with for an agency that is governed by its own board
B. Are paid a salary exempt from income taxes
C. Are concerned about earning money for the stockholders of the home care corporation
D. May receive funding from various public or public donor agencies
29. When planning the home care for client who has returned home after suffering from stroke, the
home health nurse should plan to supervise which of the following?
1. The speech therapist who works with the client
2. The physical therapist who helps the client regain mobility
3. The discharge planner who works with the client and family
4. The home care aide who assists the client with personal cares
30. During an initial home visit to assess the client’s needs, the nurse should inform the client:
A. About the physician’s orders that mandate care
B. What must be paid by the client directly to the home health care agency
 C. About the client’s rights at the start of care
D. That advanced medical directives do not apply in the home setting

Situation: The public health Nurse in the Rural Health Unit (RHU) is expected to perform actively in the
attainment of health communities. The questions apply:
31. As a Public health Nurse you actively participate in planning a comprehensive public health program
for a cluster of Barangays. Your MAIN activity would be to:
A. Implement program plan of care
B. Identify the health needs of the community
C. Gather and analyze data collected
D. Plan the nursing activities for the health program
32. As a Public health nurse, if you monitor and evaluate the performance of midwives, you are
performing the role of:
A. Manager
B. Health provider
C. Preceptor
D. Supervisor
33. The function of the public health nurse in the current health Care Delivery System an?
A. Intermediate level health worker
B. Liaison person of the community
C. Low level health worker
D. Manager of the RHU
34. The composition of the basic primary health care team under the restructured Health Care Delivery
System include the following EXCEPT:
A. Public health nurse
B. Midwife
C. Doctor
D. Barangay health worker
35. When reviewing the function of the rural the function of the rural health unit you can concur that
the RHU should function as a:
A. Health arm of the LGU
B. Central health resource for the municipality
C. Community resource
D. Clinic for the municipality

Situation: One of your responsibilities as a community health nurse is to conduct home visits to evaluate
the health condition of families and communities
36. What is the specific function of a community health nurse at the barangay level?
1. Supervision of the Rural Health Midwife and Barangay Health Workers assigned in
specific barangays
2. Provide technical assistance to health programs and services implementation at the
barangay level
3. Monitoring and evaluation of specific health programs and services implemented by
the health Department from the national down to the barangay level
4. Be the representative and promoter of the health programs of the sitting Mayor
A. 1,2,and 3 are correct
B. Only 4 is correct
C. 1 and 3 correct
D. 2 and 4 are correct
37. Prior to the visit you have checked on your clients’ records in the health center to have a
background of their case and to formulate objectives of the visit. This phase is:
A. Closing
B. Planning
C. Professional
D. Socializing
38. In every home visit, you are not only concerned with the client but you should also:
A. Pay particular attention to the economic status of the family
B. Observe the family and environment
C. Put emphasis on the children’s education
D. Observe the family’s spiritual practices.
39. In your community home visits, you have scheduled several cases. Who is your LASTS priority?
A. Family planning defaulters
B. G4P3 3 day Post Partum
C. PTB case on D.O.T.S.
D. G3P2 36 weeks AOG
 40. During a home visit, socialization is important in order to:
A. Do procedures
B. Establish rapport and put the client ease
C. Identify the needs of the client
D. Evaluate the visit
41. To give clear and correct information to the client, the nurse should consider the following
ECXEPT:
A. Give several Instructions at one time
B. Listen to what the patient is saying
C. Do not use medical terms
D. Repeat important information

Situation: One important tool a community health nurse uses in the conduct of his/her activities is the
CHN Bag. Which of the following BEST DESCRIBES the use of this vital facility for our practice:
42. The community/Public Health Bag is:
a. A necessary requirement for home visits
b. An essential and indispensable equipment of the community health nurse
c. Contains basic medications and articles used by the community health nurse
d. A tool used by the Community health nurse is rendering effective nursing procedures
during a home visit
43. What is the rationale in the use of bag technique during home visits?
a. It helps render effective nursing care to clients or other members of the family
b. It saves time and effort of the nurse in the performance of nursing procedures
c. It should minimize or prevent the spread of infection from individuals to families
d. It should not overshadow concerns for the patient
44. Which among the following is important in the use of the bag technique during home visit?
a. Arrangement of the bag’s contents must be convenient to the nurse
b. The bag should contain all necessary supplies and equipment ready for use
c. Be sure to thoroughly clean your bag especially when exposed to communicable disease
cases
d. Minimize if not totally prevent the spread of infection
45. A client visits your primary health care (PHC) nursing clinic in the barangay complaining a severe facial
pain. In order to collect subjective data from the client, it is MOST important for you to:
a. Obtain the client’s vital signs
b. Interview the client
c. Inspect the face from grimacing
d. Administer pain medication
46. This is an important procedure of the nurse during home visits.
a. Protection of the CHN bag
b. Arrangement of the contents of the CHN bag
c. Cleaning of the CHN bag
d. Proper hand washing
47. In consideration of the steps in applying the bag technique, which side of the paper lining of the
CHN bag is considered clean to make a non-contaminated work area?
a. The lower lip
b. The upper tip
c. The inside surface
d. The outside

SITUATION: PHCDS CONCEPTS

Situation: You are active participant of Project EntrepreNurse whose higher goals is to build Philippine
Nursing’s economic milieu, however this comes with realities embedded in the present Philippine Health
Care Delivery System (PHCDS).
48. Which of the following is TRUE of the Philippine Health Care System (PHCDS)?
1. Health insurance companies dictate the current referral system in the country.
2. Health care delivery system in the country was specifically designed for the poor
congruent with the Primary health Care concept.
3. The PHCDS is composed of a 3-tier referral system
4. The Department of Interior and Local Government is the country’s foremost health
coordinating agency because of the implementation of devolution
49. The current frontline health care providers in the PHCDS are the:
 a. Traditional healers/ hilots
b. Barangay health workers
c. Doctors
d. Rural health nurses
50. Which of the following is NOT a characteristic of the PHCDS?
a. Linkages with all societal sectors should be initiated, maintained and enhanced.
b. PHCDS envisions serving the entire Filipino populace
c. Local governments are in full control of health programs they want to implement
d. All of the above
51. Which of the following is NOT presently a part of the PHCDS?
a. Private – Community Nursing Service Providers
b. Health Maintenance organization
c. Rehabilitation Center
d. Doctors
52. A characteristic of healthy communities that is a shared vision of EntrepreNurse is that it?
a. Has socially controlled sub groups that do not influence community decisions.
b. Has a smoothly functioning government that requires minimal citizen participation
c. Makes systems and resources available to all members of the community.
d. Allows group in the community to resolve conflict among themselves in their own way.
53. Cost-effective health care emphasizes the primary prevention of illness. Which of the following is
an example of a primary prevention activity?
A. Antibiotic treatment of a suspected urinary tract infection
B. Occupational therapy to assist a client in adapting his or her home environment following a
stroke
C. Nutrition counseling for young adults with a strong family history of high cholesterol
D. Removal of tonsils for client with recurrent tonsillitis
Rationale: C. Primary prevention includes activities that prevent a problem before it occurs. Example is
option C. secondary prevention are activities that provide early detection and intervention example is
option A. Tertiary prevention include activities to correct a disease state and prevent it from further
deteriorating such as options B and D.

54. Which of the following statements is true regarding types of health care agencies and services?
A. Hospitals provide only acute, inpatient services
B. Public health agencies are funded by governments to research and provide health programs
C. Surgery can only be performed inside a hospital setting
D. Skilled nursing, extended care, and long-term care facilities provide care for the elderly whose
insurance no longer covers hospital stays
Rationale: B. Public health agencies has a tremendous import on human well-being. Its responsibilities
expands to the care and supervision of individuals and families in their homes. There are funded by
government to do research and provide health programs to the community.

55. For most clients over age 65, the majority of their health-care costs are provided by:
A. Supplemental Security Income
B. Blue Cross and Blue Shield
C. Medicare
D. Medicaid
Rationale: C. Title XVIII of the Social Security Act – provides federally funded health insurance for elderly
(65 and over) and the disabled, regardless of their income level.

56. A client is concerned because he does not think he can pay his hospital bill. To assist with this
problem, the nurse should notify a:
A. social worker
B. physician
C. bookkeeping department
D. case manager
Rationale: A. The role of the social worker includes:
 Attends case conference to coordinate needed social services with other home care services.
 Acts as a resource to other health team members.
 Assist clients and caregivers in resource management to promote continuity of care.
 Assist with transition from different levels of care to home and long-term care placements as
needed.
57. A 65-year-old grandmother who is usually healthy has been experiencing fatigue and difficulty
breathing for the past three days. Her family noticed the change in her health and encouraged her
to seek medical attention. At this time, the most appropriate care agency for her would be a:
A. hospice
B. hospital
C. rehabilitation center
D. primary health-care provider
Rationale: D. The primary health care provider are skilled at providing services to population at high risk
for illness, aging population whom the client should see first for health care, that in turn results in less
expensive interventions.

58. A client needs a low-fat, low-salt diet because of his hypertension. He should be referred to a:
A. dietitian
B. nutritionist
C. physician
D. paramedical technologist
Rationale: A. The dietitian provides proper nutrients and food source requirements in patient’s diets,
instructs patients on meal planning and diet restrictions. Nutritionist is a person who specializes in the
study of nutrition.

59. A major purpose of home health care is:

A. assess health-care need
B. prevent illness
C. Maximize independent functioning
D. help clients cope with an immediate crisis
Rationale: C. Home health care is an organized, nonphysician health service provided by professionals to
clients in their home to maximize the person’s independent functioning.

60. Which characteristic of families in the Philippines is presently causing stress to the health-care
delivery system?
A. increase in the number of single-parent families
B. increase in the number of families in which both parents work outside the home
C. decrease in the number of children
D. decrease in the number of teenage marriages
Rationale: A. Single parent family tends to be vulnerable economically and socially. Single parents are
responsible for the economic, physical, spiritual and emotional care of the family. Possibly overwhelmed
if they try to carry out all family functions. With the increase in the number of single parent families, it is
causing stress to the health care delivery system.

61. How does the increasing proportion of older adults to younger adults impact the health care
system?
A. Older adults have more accidents than other age groups
B. Older adults have more long term illnesses than other age groups
C. Over 30% of older adults are institutionalized because of their health problems
D. Older adults do not benefit much from home care
Rationale: B. With the increasing proportion of older adults to younger adults, older adults have more
long term illness compared to other age groups. Therefore, the health care delivery for this population
must focus on prolonging the period of their productivity and improving quality life of the elderly that will
help them retain their sense of self-worth and enthusiasm towards life.

62. A client’s mother is in the early stage of Alzheimer’s disease. He is reluctant to institutionalized his
parent at this time. The best method of care for his mother would be:
A. daily visits by a public health nurse
B. adult day care
C. admission to a long-term care facility
D. admission to an acute care facility
Rationale: B. An adult dare care center is a non-residential facility specializing in providing activities for
elderly and/or handicapped individuals. Adult day care centers may also focus on providing care only for
persons with Alzheimer’s and related dementia or their services may be available for any disabled adult.

63. Surveillance of infectious diseases is governed by:

A. Provincial or state government
 B. National Institute of Health
C. Public health services
D. Centers for Disease Control and Prevention
Rationale: D. The centers for Disease and Control and prevention is an agency in the US Department of
Health and Human Services. It works to protect public health and safety by providing information to
enhance health decisions and it promotes health through partnerships with state health departments and
other organizations. It also governs surveillance of infectious diseases, environmental health, health
promotion and education activities designed to improve the health of people.
64. The case manager for the oncology unit is a professional nurse responsible for:
A. arranging home care
B. assisting with financial arrangements
C. coordinating all aspects of client care
D. prescribing client outcomes
Rationale: C. A case manager is responsible for organizing client care through an episode of illness to
achieve specific clinical and financial outcomes within an allotted timeframe. He/she coordinates all
aspects of client care.

65. A 75-year-old client needs a hearing aid. Which part of his health-care coverage would most
likely pay for this device?
A. Medicare
B Supplemental Security Income
C. Medicaid
D. Supplemental Medicare with a private insurance company
Rationale: D. Medicine is a social insurance program administered by U.S government providing health
insurance coverage to people who are aged 65 and over, or who meet other special criteria. The original
Medicare program has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance) Part A
covers inpatient hospital stay. Part B medical insurance helps pay for some services and products not
covered by Part A, generally outpatient basis. Part B also helps with durable medical equipment including
canes, walkers, wheelchairs, eyeglasses and hearing aid.

66. A characteristic of community-based health care is that the nurse provides client care
A Primarily to clients with identified illnesses
B. To individuals in groups according to their geographical commonalities
C. That is paid for by the community as a whole rather than by individuals
D. In which all clients are case managed
Rationale: B. The fundamental process of community-based nursing/health care is concerned with
promoting and maintaining the health of community members, either as individual, families or groups
according and defined by culture, interest and geographical commonalities.

67. Collaborative health care necessitates that the nurse

A. Assume a leadership role in directing the health care team
B. Demonstrate respect for the opinions of the clients peers, and other health care providers
C. Be physically present for the implementation of all aspects of the care plan
D. Pass decision-making authority to each health care provider in turn
Rationale: D. Collaboration means a partnership in which and parties are valued for their contribution.
Therefore, collaborative health care necessitates that the nurse demonstrate respect for the opinions of
the clients peers, and other health care providers.

68. The nurse can conclude that effective discharge planning (hospital to home) has been conducted
when the client states:
A. “As soon as I get home, the nurse will come out, look at where I live, and see what kind of
care I will need.”
B. “All I need are my medications and a ride home. Then I’m all ready for discharge.”
C “When I visit my doctor in 10 days, they will show me how to change my bandages.”
D. “I have the phone number of the home care nurse and the therapist who will visit me at home
tomorrow.”
Rationale: D. Discharge planning involves critical anticipation and consideration for the client’s needs
after discharge, the client begins to resume self-care activities before leaving the health care
environment. When the client states option D, the nurse can conclude that effective discharge planning
has been carried out.
69. Ms. Moreno, RN, is the chief manager in a center where nurses are the primary providers clients
see when visiting the center. Nursing staff are also accountable and responsible for client care and
professional practice. Ms. Moreno most likely practices in a:
A. Hospital-sponsored satellite
B. Community nursing center
C. Secondary healthcare system
D. Wellness program
Rationale: B. Community health nurses, working in community nursing care influences health behavior
and assist in health protection for people in communities by teaching people which behaviors do and do
not contribute to health and well-being, and by implementing strategies to help people stay healthy,
from research to education to policy management.

70. Ms. Moreno is an advanced practice nurse working independently in a group practice. She fits in
the category of nurses called:
A. nurse educators
B. nurse midwives
C. nurse practitioners
D. nurse providers
Rationale: C. Nurse practitioner is a registered nurse who possess additional preparation and skills in
physical diagnosis, psychosocial assessment and management of health-illness needs in primary health
care.

71. Which of the following is true about discharge planning?

A. Discharge plans involve referral to community resources
B. Basic discharge plans involve referral to community resources
C. Simple referral involves use of a discharge planner
D. Complex referral involves interdisciplinary collaboration
Rationale: D. Discharge planning is the systematic process of planning for patient care after discharge
from the hospital often a patient will require the services of various disciplines within a hospital thus
referrals. Complex referrals involve interdisciplinary collaboration of various health disciplines.

72. A client has just been told that she will require chemotherapy for her cancer. In applying the
concept of holism, the nurse would:
A. Offer to come to the client’s home to provide needed physical care
B. Contact the client’s spiritual adviser
C. Inquire how the client thinks this will affect other aspects of her life
D. Provide the client with information about how to join a support group
Rationale: C. The concept of holism or holistic health care is the comprehensive or total patient care that
considers the physical, emotional, social economic and spiritual needs of the person; the response to the
illness and the effect of the illness on the person’s ability to meet self-care needs. Thus option C, best
fits the concept of holism.

73. When a father prepares to leave for work in the morning, his 3-year-old son starts to cry and
scream. The father picks him up and delays leaving for a while. The child’s behavior most reflects
which part of a system:
A. Input
B. Throughput
C. Output
D. Feedback
Rationale: D. Feedback is the information the sender receives about the reaction to the message. The
crying of the 3-year-old son was the feedback the father received when he was preparing to leave for
work.
74. A client is very worried about how his business is doing while he is hospitalized. He spends much
time on the phone and with colleagues instead of resting. The nurse recognizes that, in this case.
A. This higher level need cannot be met unless the lower level physiologic need is met
B. His lower level physiologic needs are being deferred while higher needs are addressed
C. The higher need takes precedence and the lower need no longer must be met
D. It is necessary for someone else to meet his higher level needs so he can focus on the lower
level need.
Rationale: B. From the foregoing situation, the client was very preoccupied with his business that he
deferred his lower physiologic needs which is to rest while higher needs are addressed.
75. “At risk” groups are identified in a community so that:
A. all residents can be alerted to possible problems
B. health care workers can be trained to deal with health and social problems
C. measures can be taken to prevent problems or deal with them in the early stages
D. health and economic matters are given adequate funds for solution of those problems
Rationale: C. The “at risk” groups are the population/group of individual who are vulnerable to a certain
disease condition and nurses must identify them in the community so that measures can be taken to
prevent problems or deal with them in the early stages.

76. Mr. Santos, a divorced 33-year-old former drug addict, is paralyzed from the waist down. During
hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How
might the nurse assist him in meeting his needs as they relate to roles and relationships?
A. Have get-well cards sent anonymously
B. Provide paper and pen for letter writing to his sons
C. Spend time with him after work hours
D. Leave him alone to allow for meditation
Rationale: B. The nurse must find ways such as option B to let the patient meet his needs as they relate
to roles and relationships with others.

77. A bilateral amputee is assisted by his wife and children from the wheelchair to the commode
for bowel evacuation. This example best demonstrates the family’s assistance to meet which
needs?
A. Nutrition and metabolism
B. Activity
C. Health perception and health maintenance
D Elimination
Rationale: D. The family is assisting the patient who is a bilateral amputee, meet his elimination needs.

78. Mr. Castro had a stroke, but he has not accepted his present state of health. He is focused on
himself and views things negatively. The nurse may intervene to assist the client with his health
perception and health maintenance by:
A. refocusing attention to functions he can control
B. listening quietly to his complaints and reporting them to the physician
C. referring him to a psychiatrist
D. limiting visits by his family
Rationale: A. In Gordons functional health pattern Health Perception and health management means
what the individual perceives health to be and how the person takes care of him/her self. The nurse may
intervene to assist the client with his health perception and health maintenance by refocusing attention
to functions he can control.

79. Mr. Troy has been hospitalized for months following special spinal cord surgery. The Boys Club in
his hometown is renamed The Troy’s Boys Club, and a parade is planned to honor Mr. Troy. Such
community action should positively influence Mr. Troy’s:
A. coping and stress tolerance
B. self-perception and self-concept
C. cognition and perception
D. health perception and health maintenance

Rationale: B. Self-perception/self-concept in Gordon’s functional health pattern means how the

individuals see themselves and what the individual’s concept of self is. By changing the clubs’ name and
honoring Mr. Troy will greatly improve Mr. Troy’s self perception and self-concept.

80. An 80-year-old woman now lives with her daughter, but sees herself as burdensome to the
daughter’s family. The nurse may assist her to build feelings of self-worth by focusing on which of
the following:
A. Her limitations and the future
B. Her age and the past
C. The things that she can do
D. The things that others do for her
Rationale: C. Self-concept is the individual’s perception of self; includes self-esteem, body image and
ideal self. In the situation, the nurse may assist the 80-year-old woman to build feelings of self-worth by
focusing on the things that she can do.
81. Melvin has a gunshot wound to the back and cannot use the lower extremities. His brother-in-law
has agreed to install grab bars in the bathroom so Melvin can live with him and his family. This
action is planned primarily to meet which of the following needs?
A. Activity and exercise
B. Cognition and perception
C. Health perception and health maintenance
D Coping and stress tolerance
Rationale: C. The action of the brother-in-law is planned to meet Melvin’s health perception and health
maintenance needs. The brother-in-law was trying to let Melvin be independent to take care of himself.

82. The nurse asks a client to describe his community. Such assessment focuses discharge planning
on:
A. maximizing individual and family potentials and reducing healthcare costs
B. a method the client finds acceptable and a method using community resources maximally
C. an individual method of client education and a method of quick referral
D. Minimizing of hospitalization and reducing family stress
Rationale: B. Discharge planning is the process that enables the client to resume self-care activities
before leaving the health care environment. The nurse must take into account the possible problems the
client may encounter when he/she goes back to his/her home. That is the reason why the nurse asked
the client to describe his community so that the client can make use of his available resources in the
community.

83. Understanding family dynamics and the community context will assist the nurse in planning care
that is:
A. compatible with the client’s everyday life and therefore has the greatest chance of success
B. regimented according to predetermined medical and social regulations and policies
C. in harmony with the financial resources of the family and community
D. reasonable, inexpensive, current, and compatible with high technology
Rationale: A. When community health nurses assess the family, they not only examine the health status
of individual family members but look at the family dynamics as well. The purpose of understanding
family dynamics is to determine the level of family functioning, to clarify family interaction patterns, to
identify family strengths and weakness so that the plan of care of the family is compatible with the
client’s everyday life and therefore has the greatest chance of success.

84. One role of the nurse in a community-based setting focuses on primary intervention. An example of
primary intervention would be:
A. Screening children for vision in a preschool
B. Teaching bicycle safety in an after-school program
C. Identifying head lice in a child in elementary school
D. Exploring financial help for a client in a home setting
Rationale: B. Primary prevention such as case finding, disease prevention, and health teachings are
activities armed prior to the appearance of first signs and symptoms of disease or problems.

85. One role of the nurse in a community-based setting focuses on secondary intervention. An example
of secondary intervention would be:
A. Screening children for hearing loss in a preschool
B. Teaching bicycle safety in an after-school program
C. Recommending a group home setting for an adolescent
D. Administering immunizations to infants in a clinic
Rationale: A. Secondary prevention is aimed at disease detection in a presymptomatic stage or
prevention of complications in clients with symptomatic chronic disease. Example is screening children
for hearing loss in preschool.

86. One role of a nurse in a community-based setting focuses on tertiary intervention. An example of
tertiary intervention would be:
A. Screening children for hearing loss in a preschool
B. Teaching bicycle safety in an after-school program
C. Administering immunizations to infants in a clinic
D. Exploring financial help for a client in a home setting
Rationale: D. Tertiary prevention are activities to correct a disease state and prevent it from further
deteriorating. An example of this activity is exploring financial help for a client in a home setting.
87. A mother of a child being cared for in a home setting makes the following statements. Which
statements best illustrates one of the positive aspects of home health care?
A. “My family gets to visit once a week when my child is in the hospital.”
B. “I can do my child’s care, since you taught the procedure to me.”
C. “Our insurance pays for us to go to the well-child clinic.”
D. “The neighbor’s child likes being in the group home.”

88. When a nurse is doing teaching in a community-based setting, it is most important for the nurse
to:
A. Ask questions about the histories of those present
B. Use posters that everyone in the group can read
C. Tell the participants about the nurse’s background
D. Know the needs of the audience

89. A 45-year old client recently lost her job only a week after her husband disappeared. A nurse
applying the concept of holism would consider that these events in this client’s social status could
cause changes in her:
A. emotional health, but not her spiritual health
B. spiritual health, but not her physical health
C. emotional health only
D. emotional, physical, and spiritual health

SITUATION: COPAR CONCEPTS

Situation: The nurse is involved in community organizing activities of Barangay Malusog. The following
questions pertain to this situation
90. Community Health Nursing is a specialized field of nursing that follows the basic principles in
Community Development work. Which of the following statements best described Community
Development as a process of empowering people in the community?
A. Community development may allow women to discover and strengthen their innate
capabilities to enjoy and utilize equal opportunities in all aspects of development work
B. Sustainability aspects of development strategies can be taken into consideration
C. Community development is solely confined to the meeting of the day to day survival of
the people
D. Community development is a learning process where both women and men participate to
improve their lives
Answer: D, Community Development is defined as an organized effort of people to improve the
conditions of the community life and the capacity of the people for participation, self-direction and
integrated efforts in community affairs in which development is accomplished by the people. Everyone
has something to contribute to the life of the community. It is not solely for women (option A) and not a
short term process (option C). (C.E Jimenez, CO-PAR)

91. A nurse considering being a community organizing development?

a. Full active participation in decision making
b. Basic daily needs of the people are met
c. People still dependent on the authorities for action
d. Equality between males and females
92. As a nurse, you have gained entry in the community. Which initial step is done?
A. List names of persons to contact
B. Gather information from persons and records
C. Arrange the first meeting
D. Prepare the agenda
Answer: B, The initial step when the nurse gained entry in the community is gathering initial information
about the community from other members of the RHU or from records and reports. (Community Health
Nursing Services in the Philippines)

93. The following statements pertain to Community Organizing, except:

A. Its goal is community development

B. A never-ending process once started
C. Can apply for increasing awareness
 D. A process for increasing organization and initiating responsible action
Answer: B, Community Organizing is a process by which people, health services and agencies of the
community are brought together to learn about the common problems, identify these problems as their
own, plan the kind of action needed to solve these problems and act on this basis. Its goal is community
development (option A). It can be applied to increase the awareness of the community (option C). It is
also a process for increasing organization and initiating responsible action (option D).
Option B is incorrect because it sets up action pattern to solve problems, not a never-ending process
once started. (Community Health Nursing Services in the Philippines)

94. Which among the following does not pertain to Participatory Action Research?

A. Problem identification involves the community or group experiencing the problem

B. Method of data gathering is determined by local culture and innovativeness
C. Use of research results is within the full control of the people
D. It is done by an outsider utilizing technical quantitative techniques for publication use
Answer: D, Option D is incorrect because it is not done by an outsider. (Community Health Nursing
Services in the Philippines)

95. Which of the following are true of Community organizing?

1. Develop capability of the people in finding solution to their problems
2. The organizer plan and implement solutions to their problem
3. There will be structure to continuously deliver impacts to the
community
4. Relies on the people capability to organize themselves
A. 1,2,3
B. 2,3,4
C. All except 4
D. All except 2
96. Community organizing is an important part of community nursing function. Given the following
elements choosing an organizational structure identifying and recruiting members defining
mission vision and goals clarifying roles and responsibilities at which stage do these elements
belong?
a. Program maintenance-consolidation
b. Dissemination-Reassessment
c. Community Analysis/diagnosis
d. Design and initiation
97. Arrange the activities of community organizing as a continuous sustained process for community
development.
A. Organization, Education, Mobilization
B. Organization, Mobilization, Education
C. Education, Organization, Mobilization
D. Education, Mobilization, Organization
Answer: C, Community organizing as a continuous sustained process for community development involves
the process of Education, Organization and Mobilization. (Community Health Nursing Services in the
Philippines)
98. Assemble community members for a meeting carrying out the planned activities involving maximum
community participation is referred to as
a. Mobilization c. Community organization
b. Integration d. Community assembly
99. Integration is important because:
a. It will provide basis for community diagnosis
b. It will be easy to meet and discuss with the people
c. To be able to understand their culture and lifeway
d. It is important to spot leaders that will work with the empowerment of the community
100. The objective is to unify he members/ people on the goals, objectives, activities and
methods of COPAR
a. Team building
b. Networking
 c. Participation
d. Education and training
101. Which of the following should a nurse do if the purpose in community organizing is to
integrate with the people?

A. Live with the people

B. Assign community officers
C. Be punctual in reporting at the Rural Health Unit (RHU)
D. Reside in the home of the Municipal Health Officer
Answer: A, When integrating with the people, it is crucial for the nurse to reside in his/her area of
assignment. This is the first act of integrating with the people. Living with them will give the nurse an in
depth participation in community health problems and needs. (Community Health Nursing Services in the
Philippines)

102. Integration is the process of establishing rapport with the people in the community. It can
BEST be achieved by:
A. Sponsoring a sports festival to have an opportunity to meet more people
B. Conversing with the people where they are and participating in social activities
C. Cleaning the house and doing other household chores
D. Bringing in some gifts to win acceptance of the people in the community
ANSWER: B, Integration is the process of establishing rapport with the people in a continuing effort for the
staff to be involved in community life, sharing their hopes, aspirations and hardships toward building
trust and cooperation. Suggested activities include:
i. Participation in direct production activities of people (e.g. harvesting palay, fishing, etc.)
ii. Seeking out and conversing with the people in places where they usually gather
iii. Lending a hand in doing household chores (e.g. cooking, fetching water, babysitting, etc.)
iv. Avoidance of gambling and drinking, and sharing respect for the people’s strength to handle
their values and lifestyle.
Option A and D- These activities are unnecessary for Integration.
Option C- Although lending a hand in doing household chores is correct, it is only a part of the correct
answer.
REFERENCE: Jimenez, COPAR, 2008, p.72
103. Manageable units of the community to facilitate service delivery and people's participation is
called the:
A. Core group
B. Spot map
C. Small group
D. Organizing group
Answer: A, Core group is the manageable units of the community to facilitate service delivery and people's
participation. (Community Health Nursing Services in the Philippines)
SITUATION: Community Organizing Participatory Action Research (COPAR). Community organizing is a
process by which people, health services and agencies of the community are brought together to act and
solve their own problems.
104. This concept aims people to work together in order to address the problems and concerns that
affects them:
A. Networking
B. Cooperation
C. Collaboration
D. Cooperation
Rationale:
CO:
PAR: This type of research is jointly undertaken by the people and the outside researchers

105. The public health nurse takes an active role in community participation. What is the primary goal of
community organizing?
A. To educate the people regarding community health problems
B. To mobilize the people to resolve community health problems
C. To maximize the community’s resources in dealing with health problems
D. To maximize the community’s resources in dealing with health problems
106. This refers to the definition or statement of the problems
 a. COPAR
b. ARAS
c. Community diagnosis
d. Participatory research
107. It is the process where the community organizes itself to identify and analyze health problems and
implement appropriate action
a. Community integration
b. Community participation
c. Core group formation
d. Mobilization
108. Enabling the community to acquire the knowledge and skills to make informed decision and allowing
communities to make those decision. Which of the ff refers to building the capability of people for
future community action
a. Community participation
b. Community development
c. Community organizing
d. Community empowerment
109. Mobilization of the community In which step are plans formulated for solving community problems?
a. Mobilization
b. Community organization
c. Follow-up/extension
d. Core group formation
110. The objective is to unify he members/ people on the goals, objectives, activities and methods of
COPAR:
a. Team building
b. Networking
c. ARAS
d. Education and training
111. As a newly appointed PHN instructed to organize Barangay Bulugan, Which of the following is your
initial step in organizing the community for initial action?
A. Study the Barangay Health statistics and records
B. Make a courtesy call to the Barangay Captain
C. Meet with the Barangay Captain to make plans
a. Make a courtesy call to the Municipal Mayor
112. The working relationship is made formal through
i. establishment of trust and sense of cooperation
ii. contract setting
iii. community meetings
iv. expectation set
113. Which of the following are true of Community organizing?
1. Develop capability of the people in finding solution to their problems
2. The organizer plan and implement solutions to their problem
3. There will be structure to continuously deliver impacts to the community
4. Relies on the people capability to organize themselves
b. 1,2,3
c. 2,3,4
d. All except 4
e. All except 2
114. Involves the actual organization of people, identification and setting up a system for doing the
assigned tasks, resource allocation
i. Community integration
ii. Community participation
iii. Core group formation
b. Mobilization
115. Mang Carding approaches you for counseling. You are an effective counselor if you
 a. Give good advice to Mang Carding
b. Identify Mang Carding’s problems
c. Convince Mang Carding to follow your advice
d. Assist Mang Carding identify his problems
116. Which of the following dwelling place should the Nurse choose when integrating with the people?
i. A simple house in the border of Barangay Busog and Don Pablo
ii. A simple house with fencing and gate located in the center of Barangay Busog
iii. A modest dwelling place where people will not hesitate to enter
iv. A modest dwelling place where people will not hesitate to enter located in the center
of the community

***Area Selection: Preparatory phase is the first phase in organizing the community. Which of the following
is the initial step in the preparatory phase

117. A systematic process of identifying indigenous leaders in the community who can express their
support to the COPAR process:
i. Sociogramming
ii. Community consultation
iii. Core group transformation
b. Community Study
118. Which step in community organizing involves training of potential leaders in the community?
i. Integration
ii. Community organization
iii. Community study
iv. Core group formation
Rationale:
Core group formation: the nurse is able to transfer the technology of community organizing to the
potential or informal community leaders through a training program. Done during the entry phase.
Community organization is the step when community assemblies take place. During the community
assembly, the people may opt to formalize the community organization and make plans for
community action to resolve a community health problem.

119. Vital to the success on the use of the health care process in the hope of gaining cooperation
a. initial assessment
b. conduct community diagnosis
c. understanding community dynamics
d. establishing rapport with the people
120. Community diagnosis is done to come up with a profile of local health situation that will serve as
basis of health programs and services. This is done in what phase of COPAR?
i. Preparatory
ii. Organizational
iii. Education and Training
iv. Intersectoral Collaboration
v. Phase out
121. The institutionalizing linkages / networks/ referral points is best observed in which phase of the
COPAR process?
a. Pre entry
b. Entry
c. Organization building
d. Sustenance
122. It is a state or condition in which the community has achieved its goals and is working to maintain
its viability
a. Pre entry
b. Entry
c. Organization building
 d. Sustenance
Pre entry: It is a state or condition in which the community has achieved its goals and is working to
maintain its viability
Pre entry: It is the parameters for selection and strategies for community organizing, participation
and actual selection of the site:

123. To identify potential barangays belong to which phase of the COPAR process?
i. Pre entry
ii. Entry
iii. Organization building
iv. Sustenance
Organizational: Which should come first in the COPAR process Organizational: It is at this phase
where the organized leaders or groups are given trainings to develop their skills in managing their
own concerns and programs.
Organizational: This phase involves the conduct of the training to develop the SKA of leaders in
managing the health program.
Organizational: PIME occurs in which phase of the COPAR process
Organizational: Formal structures are formed to run the affairs of the community. This belongs to
which phase of the COPAR process
Organizational: The consolidation of community diagnosis and PAP, result happens in which phase of
the COPAR process
Organizational: Setting up Committee on Education and Training is in what phase of COPAR?
Organizational: Election of officers of the community
124. Nurse Chinito wrote a letter to PCSO asking them for assistance in their feeding programs for the
community’s nutrition and health projects. PCSO then approved the request and gave Chinito
50,000 Pesos and a truckload of rice, fruits and vegetables. Which phase of COPAR did Chinito
utilized?
i. Preparatory
ii. Organizational
iii. Education and Training
iv. Inter-sectoral Collaboration
v. Phase out
125. Formal structures are formed to run the affairs of the community. This belongs to which phase of
the COPAR process
a. Pre entry
b. Entry
c. Organizational building phase
d. Strengthening phase
126. The working relationship is made formal through
a. Establishment of trust and sense of cooperation
b. Contract setting
c. Community meetings
d. Expectation set
127. At which phase of the community organizing process are the leaders or groups given training to
develop their knowledge skills and attitude in managing their own programs?
a. Sustenance and strengthening phase
b. Pre-entry phase
c. Organizing-building phase =correct answer
d. Entry phase
128. At which phase of community organizing process are the leaders or groups given training to
develop their knowledge, skills and attitude in managing their own programs?
a. Entry Phase
b. Pre-entry Phase
c. Sustenance and Strengthening Phase
d. Organizing-building Phase
ANSWER: D, In this phase, community meetings are conducted to draw up guidelines for the organization
of the Community Health Organization (CHO). Officers are also elected and trainings are provided for each
CHO officer and member. REFERENCE: Jimenez, COPAR, 2008, p.65-89.
129. Meeting is one of the critical step in building people's organization. It's function is:
a. To choose issues on which to start organizing
b. To draw clear picture of the community
c. Problems and issues can be discussed
d. Actual exercise of people's power
130. The nurse make an ocular surveys of Barangay Malusog. Upon reaching the barangay it is
appropriate for her to:
a. Pay a visit to the barangay captain
b. Encourage community involvement
c. Introduce self to the community
131. To ensure collective participation of the people, community organization should be formed through
a community assembly. The purpose of having a community assemblies are the following EXCEPT:
a. Gain cooperation, pledge support and work together on their own
b. Plan for the solution of identified problems
c. Help people identify their own problem
d. Undertake measure to solve existing problems of the community
132. Which of the following approaches is the BEST in applying community organization in community
Health?
a. Primary Health care
b. Universal Health care
c. Community oriented Organization
d. Community Development = correct
133. Community organizing ends when the community is already self-reliant. This signals that the
community organizers is now ready to pull out of the community because;
a. Organizers can expand to other poor communities
b. It can evaluate the outcomes of the programs
c. It indicates that community organization is finished
d. It will prevent dependency of the community

Situation: You are beginning community health center you are aware that meaningful integration is
essential for you to carry out your roles and function. The following questions apply.
134. Integration is the process of establishing rapport with the people in the community. It can BEST be
achieved by:
a. Conversing with the people where they are and participating in social activities
b. Bringing in some gifts to win acceptance of the people in the community
c. Cleaning the house and doing other household chores
d. Sponsoring a sport festival to have an opportunity to meet more people
135. When you have already organized, follow-up visits are likewise needed. Which of the following should
you do first?
a. Explain the purpose of the visit
b. Wash your hands and perform the necessary procedure
c. Do an environmental surveillance
d. Greet the patient/resident introduce self = correct
136. Which of the priority conditions will be determining factors on the frequency of home health visits?
a. Acceptance of the family of their health concerns and their coping strategies= correct
b. The need for health teachings and level of family understanding
c. The result of the studies conducted and level of family understanding b
d. Administration of medication and the schedules set

Siatuation:You are now in the entry phase of community organizing process, after establishing rapport with th
e people of Barangay Putong Luntian. The following questions apply.

137. With the community health activities started and in the ENTRY PHASE, which of these activities shoul
d NOT be included?
a. Conduct of deepening social investigation
b. Project management
c. Information campaign on health programs
d. Core group formation
 138. Identification of potential leaders is crucial during the entry phase. Which of these characteristics
may NOT be necessary to an efficient and effective community leader?
a. Responsive and willing to work for change
b. Must have relatively good communication skills
c. A college graduate with management skills
d. A respected member of the community
139. The BEST technique in identifying potential leaders in the community proven to be effective is to:
a. Ask volunteers who are willing to become community leaders
b. Ask community residents to directly name person whom they consider as community leaders
c. Review family background, properties and academic records of community residents
d. Observe people who are active in small mobilization activities that motivate residents to start worki
ng
140. The core group is composed of individuals in the community who possess leadership potentials organ
ized into a cohesive working unit. The core group works with the team im:
a. Setting up community organization that will serve the interest of a sector in the community
b. Selecting community activities according to their preferences
c. Monitoring the performance of the barangays officiall
d. Mobilizing the community to act on their most immediate felt needs and participate in the delivery
of essential health services
141. The nurse as a community health practitioner functions as a community:
a. Leader
b. Planner
c. Facilitator
d. Evaluator

Siatuation:Community empowerment is an important in that work of a community health nurse. The follow
ing questions apply.
142. To empower community members, the community health nurse performs which activity?
a. Step back at the beginning and giving litter output
b. Define the community needs for the members
c. Do all activities for community members
d. Give ownership and leadership to the community
143. Descriptors of a healthy community include:
a. Keeping the sub – groups informed of changes whenever necessary
b. Seeking to make all the resources available to all members
c. A community where the members are disease free
d. The leaders making decision for the community members
144. When a community health nurse work as a client advocate, the nurse:
a. Uses a passive approach in solving identified problem
b. Is assertive in speaking and acting on behalf of the client
c. I aggressive in pursuing the achievement of the client goals
d. Attempts to smooth problems over to keep the community
145. The community health nurse leads a class on breastfeeding with a group of prenatal parents. The nur
se allows the participants to ask questions,make comments, and reason out loud As Feedback
is given.Which of the following teaching techniques is a nurse using?
a. Discussion
b. Demonstration
c. Lecture
d. Role Playing
146. When beginning a relationship with a family on home visit, the Community Health Nurse:
a. Allows the discussion to be open and non – directional
b. Focuses on the problem of one of the family member
c. Encourages others to speak for the main client to get an unbiased view
d. Is accepting and listens carefully to problem of all family members

SITUATION: HEALTH EDUCATION

147. Jason Santos, a PH nurse assigned in a rural community is aware of his responsibilities in the
community where he is assigned. All but one is the responsibilities of a PH nurse in the community:
A. Provide health teachings to all clients in the community
B. Health promotion towards healthy lifestyle of all in the community
C. Prevention and control of diseases that would arise and is currently present in the community
D. Health education to individuals and family
Answer: D. Health education to individuals and family
Reference: Community Health Nursing Services in the Philippine Department of Health, 9th edition.

148. A public health nurses functions are in accordance with RA 9173, The Philippine Nursing Act of 2002.
When nurse Enzo organizes the nursing service in his community. This action is under what functions
of a PH Nurse:
A. Research
B. Supervisory
C. Management
D. Nursing Care
Answer: B. Management function
Reference: Public Health Nursing in the Philippines 10th edition

149. Daniel, a newly registered nurse is intending to apply as a Public Health Nurse in a certain local
health department. Which statement is correct regarding the specific function of Daniel if he is hired
as PHN – II:
A. He will refers cases not within his responsibilities, provides health teaching and promote health
in the community
B. He will interpret the agencies policies, and he will guide, supervise and evaluate the work of
co-ph nurses
C. He will supervise and coordinate the work of nurses, midwives and other healthcare personnel,
including the evaluation staff of performance.
D. He will oversee the performance of groups of nurses assigned in numbers of health centers or
barangay health stations, and he will also study and evaluate the performance rating of the
nursing team.
Answer: A. He will refers cases not within his responsibilities, provides health teaching and promote health in
the community. Reference: Public Health Nursing in the Philippines, 10th edition

150. Nurse Feng is a newly hired school nurse. She wants to know the objectives of school nursing. The
following are specific objectives of school nursing, except:
A. To promote and maintain the health of the school populace by providing comprehensive and
quality nursing care
B. Provide quality nursing service to the school population
C. Establish/strengthen linkages with government and non-government organization/agencies for
school community health work
D. Conduct and participate in researches related to nursing care
Answer: A, To promote and maintain the health of the school populace by providing comprehensive and
quality nursing care is the general objective of school nursing.

151. The following are duties and responsibilities of Nurse Enriqueta, except:
A. Community outreach like attending community assemblies and organizing school community
health councils
B. Health and nutrition assessment including other screening procedures such as vision and
hearing
C. Supervision of the health and safety of the school plant
D. Coordinates with other government agencies relative to the implementation of the
implementing rules and regulations
Answer: D, Coordinates with other government agencies relative to the implementation of the implementing
rules and regulations is one of the duties of an occupational health nurse.

152. One of the functions of Nurse Enriqueta is health assessment. Which of the following is not true
regarding the conduct of a health assessment?
A. Health assessment should include appraisal of the general physical and mental condition
B. Before the health assessment, the nurse should conduct a classroom health lecture
C. Every school child should be examined twice a year
D. Three to five children at a time should be in waiting for the assessment
Answer: C, Health assessment aims to discover the signs of illness and physical defects in order to correct
them, check on the health habits of pupils and prevent the progress of those which cannot be corrected.
Every school child should be examined once, not twice, a year and as the need arises like during epidemics.

153. Nurse Manchu is a newly hired occupational health nurse in an international company. He knows that
the following are functions of an occupational health nurse, except:
A. Recommends to Local Health Authority the issuance of license/business permits and
suspensions or revocation of the same
B. Height and weight measurement and nutritional status determination
 C. Provide control measures to reduce noise, dust, health and other hazards
D. Informs all affected workers regarding the nature of hazards and the reasons for the control
measures and protective equipment
Answer: B, Height and weight measurement is a procedure for evaluating the tallness or the shortness and
the heaviness of a pupil. It offers the most acceptable parameter and is the simplest way to determine the
nutritional status of school children. It is one of the duties and responsibilities of a school nurse.

154. Nurse Manchu is oriented on the mission of occupational health and safety, which is:
A. To conduct and/or assist other health personnel in outbreak investigation
B. To assure so far as possible every working man and woman in the country is safe and in
healthful working conditions
C. To promote and maintain the health and safety of workers through a systematic process of
assessment, planning, intervention and evaluation
D. To provide summary of data on health services delivery and selected program accomplished
indicators at the barangay, municipality/city, district, provincial, regional and national levels
Answer: B, The mission of occupational health and safety is “to assure so far as possible every working man
and woman in the country is safe and in healthful working conditions.”
Situation: Community health nurses take care of clients with varying health concerns:

155. A population group that should be given attention by the community health nurse is obse women
who become pregnant. Obesity is responsible from what pregnancy complication?
a. Spontaneous abortion
b. Anemia
c. Prematurity
d. Gestational Diabetes
156. A community health nurse visits a child with exacerbation of asthma. The nurse would likely assess f
or which one of the following in determining what exacerbates the child’s asthma?
a. The amount of exclusion the child is experiencing
b. Air Pollution and secondhand cigarette smoke = correct
c. The child’s height and weight
d. The education level of the child’s caregiver
157. The four major change agents that impact the future of community health care for children and famili
es are demographics, science and:
a. Market-driven economic policy and technology
b. Hospital administrative policies and health care reimbursement
c. The stock market and recession periods
d. The amount of influence the public has on legislator and the political party in power

Situation: The occurrence of non-communicable disease(NCDs) is on the rise and is attributed to the
changing lifestyle of Filipinos. The major NCDs are cardiovascular diseases (CVDs), cancer, chronic
obstructive pulmonary disease (COPD) and diabetes mellitus (DM). The community health nurse can help
address these problems.

158. The major risk factors common to the above mentioned 4 major NCDs are:
a. Unhealthy diet, physical inactivity and smoking
b. Hypertension, sedentary lifestyle, and poor stress management
c. Obesity, sedentary lifestyle and smoking
d. Unhealthy diet, alcoholism and sedentary lifestyle
159. The Filipino Guide Pyramid strongly emphasizes the need for:
1. Ensuring variety of foods everyday
2. Eating diet low in fats and sugar
3. Maintaining specific daily serving of food groups
4. Avoiding poor eating habits
a. 1,2,3 and 4
b. 1 and 2 only
c. 1,2,3 only
d. 1,2 and 3
160. Diabetes has become a major health problem. The nurses can help to reduce the incidence of
diabetes by:
a. Extensive screening of diabetes patients
b. Helping implement Republic Act 8191
c. Establishing the support group for diabetes mellitus
d. Unhealthy diet, alcoholism, and sedentary lifestyle
161. This is a learning process whereby knowledge, attitudes and practice of people are changed to
improve the health status of individuals, families or communities:
 a. Motivating
b. Counseling
c. Disease prevention
d. Health education
162. The BEST strategies to addresses the nutrition problems of Filipinos related to non-communicable
diseases are the following, EXCEPT:
A. Aim for ideal body weight
B. Consider food preferences of family members
C. Build healthy nutrition-related practices
D. Choose food wisely

SITUATIO: COMMUNICABLE DISEASE

Situation: A relevant DOH program addresses community health conditions particularly Tuberculosis. Again,
safety and quality of care is every nurse’s concern. The following questions apply.
163. Directly Observed treatment Short Course (D.O.T.S.) can do all of the following except.
a. Stop resistance to anti-Tb drugs
b. Require hospitalization
c. Cure TB patients
d. Prevent new infection among children and adults.
164. Which vital statistic relating to Tuberculosis (TB) in our country is INACCURATE?
a. The Philippines is among the 22 highly burdened poor countries in the world
b. Tb is the 6th leading cause of illness among Filipinos
c. Tb is the 6th leading cause of deaths among Filipinos
d. Most TB patients belong to the 0+15 age groups
165. The elements of T.B. – D.O.T.S. that needs to be fulfilled include all of the following EXCEPT:
a. Regular supply of anti – TB drugs
b. Supervised treatment by a treatment partner
c. Regular chest x-ray for diagnosis
d. Standardized recording and reporting of Tb data
166. Pulmonary Tb is suspected when client manifests which symptom?
a. Cough for more than 2 weeks
b. Precordial chest pain
c. Hematemesis
d. Sudden loss of weight
167. Which of the following statement about TB treatment is INCORRECT?
a. Combination of 3-4 anti-TB drugs is the treatment of choice
b. Single drug is appropriate
c. Treatment render patients non-infection and cured
d. Tuberculosis is a curable disease

Situation: You are working in the pulmonary clinic of the Out Patient Department. Georgina, a 40 year-old
female office worker is confirmed to have active pulmonary tuberculosis. She complained of fatigue,
anorexia, and productive cough with blood-tinged sputum.
168. Which of the following confirmed the diagnosis of active pulmonary tuberculosis?
a. Sputum culture
b. Tuberculin test
c. Hemoptysis
d. Chest X-ray
169. You recognize that a positive tuberculin test is interpret as:
a. A cell mediated immunity after infection
b. Active pulmonary tuberculosis
c. Secondary tuberculosis
d. A reactivation of the disease
170. Georgina is newly diagnosed with tuberculosis, so she is treated with an initial regimen of four oral
ant tubercular drugs. Most of these drugs have some degree of risk for which of the following
adverse effects?
a. Hyperurecemia
b. Ototoxicity
c. Hepatotoxicity
d. Peripheral neuropathy
171. Georgina had to be transported to another department for further diagnostic tests. Which of the
following Intervention is MOST appropriate to minimize risk of spreading infection to visitors and
personnel?
a. Provide visitors and personnel with masks
 b. Schedule patients last in the list of patients for diagnostic tests
c. Place a mask on the patient
d. Ask the patient to cover his mouth when he coughs
172. If Georgina wishes to go back to work, which of the following will be the basis for resumption of
work?
a. Completion of the 6 months combination drug therapy
b. Negative chest x-ray
c. Negative tuberculin test
d. Results of 3 sputum cultures are negative
173. Which of the following symptoms are common to typhoid fever?
A. Rapid Pulse
B. Slow Pulse
C. High Temperature
D. Sub-normal Temperature

Rationale: B. Typhoid fever or enteric fever or Salmonella typhi is transmitted by ingestion of food or water
contaminated by feces. It is caused by bacterium Salmonella enterica serovar typhi. Early manifestation of
untreated typhoid fever include a slowly rising temperature with relative bradycardia, malaise, headache and
cough.
174. Complications which may occur in typhoid fever are:
A. Bronchitis
B. Nephrosis
C. Hemorrhage
D. Osteomyelitis

Rationale: C. Internal hemorhage due to bleeding in congested Peyer’s patches; this can be very serious but
it is usually non-fatal.
175. General measures to be used in the control of typhoid fever:
a. Immunization of all milk cows
b. Pasteurization of milk supply
c. Supervision of carrier
d. Rigid inspection of beef sold for human consumption

Rationale: D. Sanitations and hygiene are the critical measures that can be taken to prevent typhoid. Typhoid
can only spread in environments where human feces or urine are able to come into contact with food or
drinking water.
176. The portal entry in typhoid fever is the:
a. Upper respiratory tract
b. Genitourinary tract
c. Gastrointestinal tract
d. Skin

Rationale: C. The portal of entry of typhoid fever is the Gastrointestinal tract. Typhoid fever is contacted by
the ingestion of the bacteria in contaminated food or water. Patient’s with acute illness can contaminate the
surrounding water supply through stool, which contains high concentration of the bacteria.
177. The most common incubation period of typhoid fever is:
a. 1 to 7 days
b. 7 to 14 days
c. 14 to 21 days
d. 21 to 28 days

Rationale: B. The most common incubation period of typhoid fever is 7 to 14 days. At this time the bacteria
overcome the cells and enter the bloodstream. Then the small and large intestine becomes inflamed.

SITUATION: EPI
Situation: There are other important basic knowledge in the performance of our task as Community Health
Nurse in relation to IMMUNIZATION, these include:
178. The correct temperature to store vaccines in a refrigerator is:
A. Between -4 deg C and +8 deg C
B. Between +2 deg C and +8 deg C
C. Between -8 deg C and 0 deg C
D. Between +8 deg C and +4 deg C
 179. Which of the following vaccines is not done by intramuscular (IM) injection? \
A. Measles vaccine
B. DPT
C. Hepa-B vaccine
D. Tetanus toxoids
180. This vaccine content is derived from RNA recombinants.
A. Measles
B. Tetanus toxoids
C. Hepatitis B vaccines
D. DPT
181. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a
fully immunized child”.
A. DPT
B. Measles
C. Hepatitis B
D. BCG
182. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from
neonatal tetanus and likewise provide 10 years protection for the mother?
A. Tetanus toxoid 3
B. Tetanus toxoid 2
C. Tetanus toxoid 1
D. Tetanus toxoid 4
SITUATION: MATERNAL and CHILD HEALTH
183. Nurse Marian is a community health nurse conducting prenatal care at the Rural Health Unit in one
of the communities in Quezon City. Nurse Marian is aware that recent developments in Maternal care
strongly places emphasis on quality antenatal care. The strength of this advocacy is on:
a. Consistent vaginal examination on prenatal visit
b. Proper care to every pregnant woman providing support to normal pregnancy and early detection
and management of complications
c. Doing monthly antenatal care during the first 7 months, every 2 weeks on the 8th month and
weekly on the 9th month
d. Spending more time with every pregnant women especially the high risk one
184. With international standards integrated in intrapartal care the program has now evolved into the
EINC program under the guidance of the WHO. Now considered as myths and fallacies
1. Use of ENEMA to reduce the risk of infections and shorten the duration of labor
2. SHAVING the pubic hair of women in labor as a hygienic practice to minimize infections
3. RESTRICTED INTAKE OF FOOD AND FLUID during active for possible risk of aspirating
contents due to anesthesia
4. Application of IV THERAPY to hydrate the women due to food and drink restrictions
5. Use of FUNDAL PRESSURE to help the mother in the expulsion of her fetus
6. Early AMNIOTOMY and OXYTOCIN AUGMENTATION in order to prevent operative delivery
A. 4,5, and 6
B. 1, 2 and 3
C. None of these
D. All of these
185. In the immediate care of the newborn there are also practices, which were debunked as practices
based on false beliefs. Which are they?
1. Routine SUCTIONING believed to be necessary to clear the baby’s airway and stimulate
him to breathe
2. FOOT PRINTING as a means of identification for the newborn
3. EARLY BATHING and WASHING as a form of hygienic practice
4. ROUTINE SEPARATION (baby in the nursery while mother is in her room)
5. Continue providing ARTIFICIAL FEEDING (starts w/ pre lacteals then artificial milk
substitutes)
A. 2 and 5
B. 1, 3 and 4
C. Only 2
D. All 5 are taken now as wrong beliefs

186. On INTRAPARTAL CARE one among 5 recommended practices include MATERNAL POSITIONING
especially during the 1st stage of labor. The recommended practice now is:
A. Allow women to assume an upright position v.s. the former recumbent position
 B. Strictly follow the traditional medical model of labor and delivery
C. Encourage women to take up the position they find most comfortable to them
D. Allow women to assume any other upright position (walking, sitting, standing, kneeling)
v.s. recumbent
187. On ESSENTIAL CARE OF THE NEWBORN the 3 new major RECOMMENDED PRACTICES are:
1. Practice ROOMING-IN
2. SKIN-to-SKIN CONTACT
3. Strict HANDWASHING of CARERS handling the newborn
4. Use of PARTOGRAPH
5. Properly TIMED CORD CLAMPING
6. Initiation of BREASTFEEDING
A. 1, 3 and 4
B. 4, 6 and 2
C. 2, 5 and 6
D. 4, 5 and 1
188. Nurse Marian is a member of the birthing team the day Mrs. ESPENORIO gave birth to her 1st born.
Inside the delivery room nurse Marian assisted the attending obstetrician. To address the concerns
of keeping the baby warm, her first step in obtaining thermal protection for the newborn was:
A. Drying the baby thoroughly immediately after birth
B. Covering the baby with a clean, dry cloth after the cord has been cut
C. Covering the baby with a clean, dry cloth immediately after birth
D. Drying the baby thoroughly after the cord has been cut
189. Nurse Marian did not stop by simply drying the baby thoroughly upon birth she observed other
details as essential part of the immediate care of a normal newborn which included:
A. Skin to skin contact followed by placing the baby in a warming incubator
B. Removing used wet cloth and covering the baby with clean, dry cloth
C. Stimulating the baby by slapping the soles of the baby’s feet
D. Deep suctioning of the airway to remove mucus
190. In further applying essential newborn care (ENC) nurse Marian keeps in mind that care of the
umbilicus should include:
A. Cleansing with cooled, boiled water and leaving the umbilicus uncovered
B. Applying antibiotic cream
C. Covering with a sterile compress
D. Cleansing with alcohol
191. Cord clamping and traditional milking of the cord immediately post delivery have now proven to be
non beneficial and may result in causing more harm and complications especially in preterms and
fragile blood cells in the brain of the newborn. Now NEW practices have been introduced as part of
essential newborn care termed as:
a. Properly timed cord clamping
b. Routine separation
c. Unang Yakap
d. Partographing

Situation 4: Myths and fallacies as pertain care of the birthing mothers and their newborn have been
debunked resulting in the development of what is now known as Essential Intrapartum Newborn Care or
EINC. The following applies

192. On ESSENTIAL CARE OF THE NEWBORN, the three (3) new major RECOMMENDED PRACTICES are
1. Practice Rooming-in
2. Skin to skin contact
3. Strict Hand washing of Cares handling the newborn child
4. Use of partograph
5. Properly timed cord clamping
6. Initiation of Breastfeeding
a. 1, 3, and 4
b. 4, 6, and 2
c. 2, 5, and 6
d. 4, 5, and 1
193. Essential intrapartum and Newborn Care (EINC) is our country’s instrument in health addressing the
challenge of the United Nations 2 out of 8 Millennium Development Goals (MDGs) targeted to be
achieved by 2015. Which are these 2 MDGs?
 a. MDGs 3 and 6
b. MDGs 4 and 5
c. MDGs 1 and 2
d. MDGs 7 and 8

Siatuation:Community Health Nursing in the Philippines is a challenging area of nursing practice. As

result of the Global Financial Crisis, someauthorities are led to think that this arena may well be
explored for strengthening application in countries most affected.
The following questions reflect this practice:
194. You are at the RHU clinic when a woman brought her infant, Zachary, for his OPV
immunization. You assessed that the infant has diarrhea. What will be your next action?
A. Notify the physician
B. Do not give the OPV
C. Refer Immediately
D. Give the OPV
195. After assessing Zachary, your nursing diagnosis is dehydration secondary to diarrhea. ORS was
administered. Which health instruction regarding ORS therapy will you give the mother once
the diarrhea has stopped:
A. Stop administering of ORS
B. Decrease the administration of ORS
C. Increase the administration of ORS
D. Return to the clinic
196. Which of the following is NOT TRUE about home care for all sick infants?
A. Make sure the young state cool at all times
B. Breastfeeding frequently, day and night during sickness and health
C. Blood in the stool is a danger sign that needs to be reportd
D. Bring the infant to the clinic if he/she shows sign of difficulty of breathing
197. Vitamins help fight various deficiencies which affect the eye. As a health care provider, you are
aware that one sign of Vitamin A deficiency is:
A. “Halo Signs”
B. Corneal clouding
C. Opaque Lens
D. Fatigue
198. Taking such medication. Your next action would be to:
A. Instruct the mother to continue giving iron for 14 days
B. Refer the child immediately
C. Give iron the return tomorrow
D. Give iron medications 3x a day

SITUATION 9: ESSENTIAL DRUGS

Situation: Nowadays, traditional medicine is being recognized by medical practitioners as an
alternative treatment to illness conditions affecting individuals and families. While complimentary
health care is universally accepted it is still professionally sound to be SAFE and LEGALLY cautious.
The following questions apply:
199. Rosario, a 55 old client with rheumatism, uses a traditional plant used to lower uric acid. This
herbal plants called “pancit-pancitan”. How is it commonly known?
A. Vitex negundo
B. Peperonia pellucida
C. Allium sativum
D. Blumea balsamifera
200. Joseph, 45 years of age, a community resident of barangay 22-A suddenly had 2 bouts of soft
to almost watery stools after having taken his lunch. While observing his condition further at
home later deciding whether to refer him for medical treat you recommended that he boil a
decoction for 15 minutes at low fire 10-15 leaves of what medicinal plant?
A. Psidium guajava
B. Momordica charantia
C. Cassia alata
D. Quisqualis indica
201. A unit Girl Scouts went up hiking over MT. makiling. While resting, scout jaymee, 14 years of
age complained of sudden moderately bearable toothache. In checking their first-aid kit they
 found none of mefenafic acid BUT they luckily chanced upon a home who uses alternative pain
relieving medicinal plants. What would this plant be:
A. llium sativum
B. Mentha cordifelia
C. Blumea balsamifera
D. Carmona retusa
202. Manny Pacquiao, a Filipino and world boxing used to advertise a muscle pain-relieving drug
popularly known in Philippines market. What can be an equally effective medicinal alternative
which one can use, especilally on far flung communities and provinces, to relieve muscles and
joint pains and prove to non-costly?

A. Quisqualis indica
B. Vitex negundo
C. Cassia alata
D. Mentha cordifelia

203. We are aware that community health nursing (CHN) in the Philippines encompasses health
care provisions affecting 4 clients: individuals, families, population groups and communities. In
the course of our community health work, traditional, non-traditional, alternative, or
complimentary healthcare strategies are stabilized. Legal basis for this action maybe derived
from the:
a. RA 1072
b. RA 8423
c. RA 9165
d. RA 8749