St.

Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

NCM 104: Community Health Nursing I:

Individual and Family

Module 1

AN OVERVIEW OF
COMMUNITY HEALTH NURSING
PRACTICE IN THE PHILIPPINES

Melanio P. Rojas Jr, MAN

Clinical Instructor

2024
 St. Paul College of Ilocos Sur
( Member, St. Paul University Member)
St.Paul Avenue, 2727 Bantay, Ilocos Sur

DEPARTMENT OF NURSING

MODULE OUTLINE
COURSE CODE NCM 104
COURSE TITLE Community Health Nursing I – Individual and Families as Clients
PRE-REQUISITE NCM 100, 101 and 103/NSC 100
CREDIT 3 units lecture, SL-1 unit, C-1 unit
CONTACT HOURS 36 hours
TERM 2nd Year, First Semester
CLASS DAYS, TIME & ROOM
PROFESSOR/INSTRUCTOR Mr. Melanio P. Rojas Jr.
Email address: melanio_17@yahoo.com
Facebook: melanio_17@yahoo.com
Cp #- 09454089653
CONSULTATION TIME
COURSE DESCRIPTION The course covers the concept and principles in the provision of
Basic care in terms of health promotion, health maintenance and
disease prevention, at the individual and family.
INSTITUTIONAL GRADUATE
St. Paul College of Ilocos Sur aims to produce graduates who are
OUTCOMES
Christ-centered, creative, compassionate, collaborative and globally
competent leaders and professionals.
As graduates, they should be able to:
1. model Gospel values and practice Christian leadership;
2. innovate and contribute to national development,
3. meet challenges through resiliency;
4. manifest support for global sustainable development and the
preservation of cultural heritage through linkages and
partnership; and;
5. implement programs and policies that foster transformation of
the Church and the Society
PROGRAM GRADUATE
Graduates of this Program should be able to do the following:
OUTCOMES
1. integrate of physical, social and other allied science in the
nursing practice;
2. demonstrate in their daily life a sense of God witnessing
through their critical consideration of human issues and
sense of justice and truth wherever they maybe;
3. show pride in their Filipino cultural heritage and national
identity;
4. integrate the existing laws, legal, ethical and moral principles;
5. manifest self-direction in their professional life;
6. function effectively at the first level position in any setting;
7. apply nursing process in evidenced-based practice their
nursing responsibilities;
8. perform effectively in primary health care through
interdisciplinary working relationship aimed at the promotion

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LEARNING OUTCOMES
of the community’s health;
9. practice entrepreneurial skills in the management of nursing;
10. demonstrate skills in nursing leadership and management
which are globally competitive and;
11. conduct nursing researches for continuing development in
their role as an active participant in the nursing profession.
On the completion of the course, the student is expected to be able
to do the following:

1. apply concepts and principles of the Primary Health Care in

the context of Community Health Nursing;
2. discuss the health condition of individual and family
considering environmental, political, and economic situations;
3. observed bioethical principles and care values (love of GOD,
country, people and caring) and;
4. participate in the care of individuals and family through the
implementation of the Philippine health care programs.

Overview of Community Health Nursing- Family

I. Global and National Health Situations

1. Emphasis on the importance of the greatest good for the greatest number
2. Assessing health needs planning, implementing, and evaluating impact of health services on
population groups
3. Priority of health promotive and disease preventive strategies over curative intervention
4. Application of principles of management and organization in the delivery of health services in the
community

II. Definition and Focus

1. Public Health
2. Community Health
3. Public Health Nursing
4. Community Health Nursing
5. Standards of Public Health Nursing
6. Evolution of Public Health Nursing
7. Roles and Responsibilities of a Community Health Nurse
III. The Health Care Delivery System
A. World Health Organization
1. Millennium Development Goals
2. Sustainable Development Goals
3. Components
B. Philippine Department of Health
1. Mission- Vision
2. Historical Background
3. Local Health System and Devolution Services
4. Classification of Health Facilities (DOH AO-0012A)
5. Philippine Health Agenda 2010-2022
C. Primary Health Care (PHC)
1. Brief History
2. Legal Basis
3. Definition
4. Goals

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 5. Elements
6. Principles and Strategies
D. Level of Prevention
E. Universal Health Care (UHC)
1. Legal Basis
2. Background and Rationale
3. Objectives and Thrusts
IV. The Family
A. Family as Basic Unit of Society
B. Types
1. Family as a Client
2. Family as a System
C. Functions Developmental Stages
D. Family Health Task
E. Characteristic of a Healthy Family
V. Family Nursing Process
A. Family Health Assessment
1. Tools for Assessment
 Initial Data Base
 Typology of Nursing Problems in Family Nursing Practice
 Family Health Task
 Family Coping Index
2. Family Data Analysis
 Socio-economic and Cultural Characteristics
 Home environment
 Family Health Status
 Family Values and Health Practices
B. Family Nursing Diagnosis
C. Formulating Family Nursing Care Plan
1. Priority Setting
2. Establishing Goals and Objectives
3. Selecting Appropriate Family Nursing Interventions/Strategies
D. Implementing Family Care Plan
1. Categories of Intervention
 Promotive
 Preventive
 Curative
 Rehabilitative
2. Tools of Public Health Nurses
 PHN Bag and Contents
 Principles and Techniques in the Use of PHN Bag
3. Types of Family Nurse Contact
 Clinic Visit
 Home Visit
 Group Conference
 Telephone Calls
 Written Communication
E. Family Health care Researches
1. Related Studies
2. Evidence- Based Practices
F. Interprofessional Care in the Community
1. Rural Health Unit Personnel

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 2. Local Government Units
3. Government Organizations
 DSWD
 Nutrition Council
 Population Commission
4. Non-Government Organizations
 Socio-Civic Organizations
 Religious Organizations
 Schools
G. Evaluation of Family Nursing Care
 Evaluation Process and Outcomes
 Re-assessment

REQUIREMENTS AND ASSESSMENTS

Aside from the final output, the student will be assessed at other times during the term by the following:

Attendance
Proficiency/Summative Tests
Group work output/presentation of assigned topics
Performance Evaluation

GRADING SYSTEM

The student will be graded according to the following standard grading system of the college

Outputs/Projects/Products 40%
Prelims 15%
Midterm 15%
Final Exam 20%
Class Standing (Deportment/Leadership/Attendance) 10%
100%

Prepared by:

MELANIO P. ROJAS JR., MAN

Clinical Instructor- DON

Module No. One

MODULE 1 5
 AN OVERVIEW OF COMMUNITY HEALTH NURSING
PRACTICE IN THE PHILIPPINES

Learning Objectives:

After completing this module, the students will be able: to:

1. Discuss historical events that influenced the development of public health,

nursing and community health nursing.
2. Discuss the relationship between the science of public health and community
health nursing practice.
3. Critically appraise the fundamental tenets of the concepts of community.
4. Describe the four levels of the clientele.
5. Describe the family as the unit of care and the community as the patient.
6. Demonstrate knowledge of the relationship between Primary Health Care and its
role in the Community Health Development.
7. Critically analyze the concept of primary health care.
8. Identify the roles and functions of CHNs in primary health care.
9. Discuss the roles and responsibilities of the CHN nurses in health promotion
10.Describe the status of healthcare delivery systems in the Philippines.
11.Explain how public health objectives are accomplished through multidisciplinary
approach.
12.Discuss the roles and functions of the community health nurse and how changes
in society and in the field of health affect the professional practice of community
health nursing.
13.Express critical insights into historical and contemporary developments in
community nursing in the Philippines.

St. Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

MODULE 1 6
 DEPARTMENT OF NURSING

PRE-LEARNING ACTIVITY

PRE-TEST EXAMINATION: MODULE 1

NCM 104: Community Health Nursing I- Individual and Families as Clients

First Semester A.Y. 2022-2023
(Lecture)

Melanio P. Rojas Jr. MAN

(Clinical Instructor)

Name: _______________________________ Score: ___________________

Course/Year: __________________________ Date: ____________________

MULTIPLE CHOICE: Choose the best answer place your answer on the answer sheet provided.
Shade the box that correspond the letter of your choice. Use black ink ball
pen only. ERASURES MEAN WRONG.

1. The Universal Act Declaration of Human Right Article 25, section, Section 1 states that health is a
basic human right. It therefore means that:
A. Everyone has a right to security in the event of illness and unemployment
B. Everyone has a right to security in widowhood and old age
C. Everyone has a right to standard of living adequate for health and well-being of himself and
his family
D. Everyone has the right to go and multiply
2. Primary healthcare is focused on the following EXCEPT:
A. Hospital and treatment
B. Essential or basic health care
C. Accessibility to technology by individuals and families in the community
D. Rural Health Unit
3. The principle of “Universal Access to basic health services” is in the__________.
A. Senior Citizen Act
B. National Objectives for Health
C. Magna Carta of Public Health Workers
D. Patient’s Bill of Rights
4. The following are the characteristics of a healthy community?
A. Awareness that we are community
B. Settling of disputes through legitimate mechanisms
C. Decision-making is done by the learned and the powerful
D. Conservation of natural resources

A. A, B, and C C. A, B and D
B. B, C, and D D. All of the above

5. The Primary focus of community health nursing practice in terms of maintaining the people’s
optimum level of functioning is:
A. Health promotion
B. Prevention of communicable diseases
C. Reduction of lifestyle diseases
D. Disease Prevention
6. In the communities families from the lower groups are the ones mostly served by the public health
services and by the community health nurses because:
A. They have proportionally greater number of illness and health problems

MODULE 1 7
 B. Those from the higher income groups do not trust the government services
C. The poor people have no choice but to go to government public health services where
services where free
D. Those from the higher income groups do not get sick
7. The diseases today are largely man-made like poor sanitation, poor garbage disposal, air
pollution, smoking and utilization of chemicals and pesticides. These are classified
under____________.
A. Political factors C. Environmental factors
B. Behavioral factors D. Social factors
8. Which of the following role of a community health nurse that seeks to promote and understanding
of health problems, lobby for beneficial public policy and stimulate supportive community action
for health?
A. Case Manager
B. Community Organizer
C. Health Educator
D. Health Planner
9. The primary focus of community health nursing practice in terms of maintain the people’s OLOF
is:
A. Health and Promotion
B. Disease Prevention
C. Prevention of communication diseases
D. Reduction of lifestyle diseases
10. Which of the following characteristics of an unhealthy community?
A. Participation of subgroups in the affairs of the community
B. Very strong inclination towards the family’s welfare instead of the community’s interests
C. Decision-making is done by the learned and the powerful
D. Absence of distributive justice

A. A,B, and C C. All of the above

B. B,C, and D D. None of the above

CONTENT: EVOLUTION OF COMMUNITY HEALTH NURSING

Historical Perspectives in Public Health Nursing

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A. Influences of Ancient Cultures on Public Health
1. Egypt Civilizations (ca. 3000 B.C)
 Built irrigation canals and granaries for proper storage of food
 Sanitation measures (removal of refuse and crude fumigation in times of
epidemics
2. Hebrews (ca. 1400 B.C.)
 Founders of public hygiene
 Moses- Father of sanitation
3. Greeks (ca. 600 B.C)
 Hippocrates – “Father of Medicine”
 Exponent of the science of preventive medicine
4. Romans (ca. B.C.)
 Contributed to the field of sanitation (building of aqueducts, purification of
water supply.
 Appointing pf public health medical officers
B. Development of Public Health Nursing as a World Movement
1. Early Christian Period (First Century)
 Order of Deaconesses- organized visiting of the sick
 called visiting nurses
 Phebe- a friend of St. Paul and the first deaconess and visiting nurse
2. Middle Ages ( 500-1500)
 Beguines of Flanders- worked as a nursing sisters in the
hospital, bit also gave care to the sick in their homes, staying
with the dying and consoling the families of the bereaved.
3. Renaissance ( 1500-1700)
 St. Vincent de Paul- introduce modern principles of visiting and
social services.
4. Early Nineteenth Century
 Pastor Theodor Fliedner- went on tour to raise funds when the
main industry of his community failed, came with money and
ideas for a program of social work.
 Frederika Munster Fliedner- wife of Pastor Fliedner, organized a Woman’s
society for visiting and nursing the sick poor in their homes.
 This couple recognized the need for preparing and training those who care
for the sick; organize a hospital school of nursing in Germany (Kaiserswerth
Institute for the Training of Deaconesses.
C. Development of Modern Public Health Nursing
1. Period of Empirical Environmental Sanitation (1840-1890)
 Characterized by clean-up measures in the control of communicable diseases
 Florence Nightingale- She is credited as the “Mother of Nursing”
 William Rathbone- Father of Modern District Nursing

2. Period of Scientific Control of Communicable Diseases (1890-

1910)
 Application of bacteriology and immunology
3. Period of Health Education (1910 to present)

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  Characterized by education for prevention of disease with active cooperation of
the individual in the health action.
D. Public Health Nursing in the USA
1. Lilian Wald (1868-1940)
 The first American Public Health Nurse
E. Public Health Nursing in the Philippines
 1912 Fajardo Act (Act. No. 2156). Created Sanitary Divisions
 1915- The Bureau of Health was renamed Philippine Health Service with a
Director of Health as its head.
 1916-1918- Ms. Perlita Clark took charge of the public health nursing work.
 1917- Four graduate nurses paid by the City of Manila were employed to work in
the City Schools.
 1919- The organization was established. Public health nursing inaugurated its
pioneer work in Tondo, Manila when a visiting nurse Ms. Balbina Basa was
assigned to make a house to house visit, hold clinic and dispensary work with
special emphasis on maternal and child care.
 1923- There were 90 public health nurses assigned in the different provinces
 1928- First convention of nurses
 1933- The division of Maternal and Child Health Office of Public Welfare
Commission was transferred to the Bureau of Health.
 1954- Republic Act 1082- Rural Health Unit Act
 1986- The Ministry of Health became Department of Health
 1992- Full implementation of Republic Act No. 7160 of Local
Government Code.
 1999-2004- the Health Sector Reform Agenda of the Philippines
was Launched
 2005- The Department of Health launched Fourmula One for
health to ensure speed, precision and effective coordination
towards improving the efficiency, effectiveness and equity of health
care delivery.
 2000- Philippine is signatory of millennium development goal.

DEFINITION AND FOCUS: PUBLIC/COMMUNITY HEALTH NURSING

The term public health nursing and community health nursing are often synonymous or
interchangeable. The differences are reflected in these definitions that provide similar yet
distinctive ideologies philosophies of nursing.

Public Health Nursing Community Health Nursing

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  Is a synthesis of public and nursing  Unique blend of public health and nursing
practice for human service with holistic approach
 Maybe defined as a field of professional  Is considered to be a broader and more
practice in nursing and in public health in general specialty area that
which technical nursing, interpersonal, encompasses subspecialties that include
analytical and organizational skills are public health nursing, school nursing,
applied to problems of health as they occupational nursing and other
affect the community developing fields of practice such as
home health, hospice and independent
nursing practice
 A professional practice in public health  Nursing for the community’s heath
and nursing in which technical nursing
and organization skills are applied to
community health problems.

Community Health Nursing, as a distinct field of nursing has been aptly described as any of
the following:
1. A field of nursing that is blended or synthesis of nursing practice with public using
primary healthcare as the tool in the delivery of health services.

2. A learned practice discipline with the ultimate goal of contributing as individuals and in
collaboration with others to the promotion of the client’s
optimum level of functioning thru teaching and delivery of
care (Jacobson, 1969).

3. A service rendered by a professional nurse to individuals,

families, communities, and population groups in health
centers, clinics, schools, and the workplace in order to
promote health, prevent illness, provide care for the sick at
their respective homes, provide effective rehabilitation
( Freeman, 1970).

4. Is a synthesis of nursing practice and public health applied

in promoting and preserving the health and population
(American Nurses Association, 1980).

5. Is a unique blend of nursing and public health practice woven into a human service that
properly developed and applied has a tremendous impact on human well-being
(Department of Health).

6. A collection of people who interact with one another and who common interest and
characteristics form the basis for a sense of unity or belonging (Allender et al. 2009).

7. Locality based entity, composed of systems of formal organizations reflecting society’s

institution, informal groups, and aggregates (Shuster and Geoppinger, 20008).

8. It attributes people, place, interaction, and common characteristics, interest and goals
(Maurer and Smith, 2009).

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Community-Based Nursing
Application of nursing process in caring of individuals, families and groups as they move
through the healthcare system.
Philosophy of Community Health Nursing
The philosophy of CHN is based on the worth and dignity of men (Shetland, 1958). This
philosophy is care is based in the belief that care directed to individual, the family, and the group
to the health care of the population as a whole.
Goal of Community Health Nursing
The ultimate goal of Community Health Nursing is to assist the individual family and
community in attaining their higher level of holistic health which is attained through
multidisciplinary effort and to promote reciprocally supportive relationship between people and
their physical and social environment. The primary goal is to achieve self-reliance and enhance
people’s capability.
According to David et al., (2007) the Basic Concept and Principles in Community
Health Nursing Practice are the following:
1. The family is the unit of care, hence the community
health nurse consider the health needs of all members
of the family in providing nursing services.
2. The community as a whole is the locus of service and
the patient.
3. The goal in improving community health is realized
though multidisciplinary approach.
4. The community health nurse is deeply concerned with
the increasing capability of her four level of clientele-
individual, family, population, groups and community
to deal with its own recognize needs and health
problems.
5. The public health nurse works with and not for the
client who is an active partner.
6. Practice is affected by changes in society in general;
and by development in the health field in particular.
7. Community health nursing is a part of functions within a large and complex system and
any change in this affects it.
Additionally, as the public health nurse becomes more responsive to the needs and problems of
her clientele, she/he is applying the basic ethical principles in
rendering service and care to her clients. There include:
1. Respect for person/autonomy. Protecting the client’s
rights as they are given the right for self-governance, to
deliberate and decide what is the best solution to their
recognized needs and problems.

MODULE 1 12
 2. Beneficence/utility. Do good for everyone, maximize possible benefits/ community
resources and minimize possible harms.
3. Non-maleficence. Applying “primum non nocere” –at first do no harm.
4. Justice. Treat everyone equally regardless of their race, creed to socio- economic
status, give what is due corresponding to the needs and problems of the people.
5. Inviolability of life. Maintain the dignity of the individual as we give respect for human
life.

These are the essential ethical principles that the public health nurse considers as
he/she guided by the philosophy: “community health nursing is based on the worth and
dignity of man”.
Salient Features of Community Health Nursing
1. Population or Aggregate Focus- the hallmark if community health nursing is that
population or aggregate-focused. The whole community is the patient/client.
2. Greatest Good for the Greatest Number- the emphasis of CHN is on the importance of
the “greatest good for the greatest number” where the nurse first looks at the health
needs and problems of the community rather
than focusing solely on the needs of
individuals and families.
3. Utilizes the Nursing Process- CHN involves
the assessment of health needs, planning,
implementation and evaluation of the impact
of health services on population groups using
the problem method also known as the
nursing process.
4. Promotive-preventive by nature- the priority
of CHN in health-promoting and disease
preventing strategies rather than curative interventions.
5. Uses of Variety of Instruments- CHN makes use of tools for measuring and analyzing
community health problems like public health statistics or vital statistics.
6. Requires Management Skills- CHN applies the principles of management especially
during the organization of the nursing service in the local health agency and in activities
that require the effective management of a certain program or health service.

According to Castro (2012), characteristics of a health community:

1. Awareness that “ we are community”

2. Conservation of natural resources
3. Recognition of and respect for the existence of subgroups
4. Participation of subgroups in community affairs
5. Preparation to meet crises
6. Ability of solve problems
7. Communication through open channels
8. Resources available to all
9. Settling of dispute through legitimate mechanisms
10. participation by citizens in decision-making

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 11. wellness of a high degree among its members

Concepts Related to Community Health Nursing Practice

Health is a changing, evolving concept that is basic to nursing. Kozier, Erb and Oliveiri,
quoted the World Health Organization’s (WHO) classic definition of health as “a state of
complete, physical, mental and social well-being and not merely the absence of disease or
infirmity”.
Optimum Level of Functioning (OLOF)
1. Political factors- politics have power and authority to regulate the environment or social
climate. For example legislative acts are often related to promoting safety and people
empowerment.
2. Behavioral factors- a person’s level of functioning is affected by certain habits while their
lifestyle, health care and child-rearing practices are
determined by culture and ethic heritage. For
example, culture, habits, mores and ethnics.
3. Hereditary factors-understanding of genetically-
influenced diseases and genetic risks. For example,
genes through parents, familial, ethnic and racial
defects.
4. Health care delivery system- primary health care is a
partnership approach to the effective provision of
essential health services that are community-based,
accessible, acceptable and sustainable. For
example, Health promotion, Health preventive,
Health curative and rehabilitation aspects care are
done in the community.
5. Environmental influences- the menace of pollution, communicable diseases due to poor
sanitation, poor garbage, collection, smoking, and utilization of pesticides. For example,
air pollution, communicable diseases, poor sanitation, poor garbage collection, and
contaminated food waste, health risks which are inherent in urban/rural milieu, noise and
radiation pollution.
6. Socio-economic influences- families in lower group are the one’s mostly served. For
example, unemployment or underemployment, lack of education and lack of decent
housing.
DEFINITON AND FOCUS: PUBLIC HEALTH AND COMMUNITY HEALTH
C.E. Winslow is known for the following classic definition of public health: Public
Health is the science and art of (1) preventing disease (2) prolonging life, and (3)
promoting health and efficiency through organized community effort for the following:
a. sanitation of the environment,
b. control of communicable diseases,
c. the education of the individual in principles of personal hygiene,
d. organization of medical and nursing service for early diagnosis and preventive
treatment of disease and
e. the development of the social machinery which ensure to every individual in the
community a standard of living adequate for the maintenance of health, so

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 organizing these benefits as to enable every citizen to realize his birthright of health
and longevity.

PREVENTIVE APPROACH TO HEALTH

Health Promotion and Levels of Prevention
Public health efforts focus on health promotion and diseases prevention. Health
promotion activities enhance resources directed at improving well-being whereas disease
prevention activities protect people from disease and the effects of disease. The following are
the three levels of prevention (Leavell and Clark, 1958):
1. Primary Prevention- activities prevent problem before it occurs. Immunization.
2. Secondary Prevention- activities provide early detection and intervention
(screening for presence of diabetes).
3. Tertiary Prevention. Activities correct of disease state and prevent it further
deteriorating (e.g., teaching insulin administration in the home).
LEVEL OF PREVENTION
Primary Secondary Tertiary
( Health promotion and ( Early diagnosis and treatment) ( Limitation of disability and
specific prevention) rehabilitation)
 Dietary teaching  HIV testing  Teaching new clients with
during pregnancy,  screening for cervical cancer diabetes how to administer
 immunizations  Dental examinations insulin
 Education or  Diabetes screening for family at  Exercise therapy stroke
counselling regarding risk  Skin care for incontinent
smoking, dental or  Vision screening of first-grade  Mental health counselling or
nutrition class referral for family in crisis
 Adequate housing  Mass sputum examination in a  Dietary instructions and
 Mother’s class on low-income neighborhood monitoring for family and
breastfeeding  Hearing tests at a center for the overweight members
 Education for drug elderly  Alcoholic Anonymous and
abuse prevention for  Organized screening programs other self-help groups
high school students for communities (e.g., health  Shelter and relocation
 Fluoride water fairs, VDRL screening for centers for fire typhoons, or
supplementation marriage license applicants in a earthquake victims
 Environmental city.  Emergency medical services
sanitation  Operation Timbang  Home care services for
 Removal of chronically ill
environmental  Community mental health
hazards services for chronically
mentally ill.
 Provide nutrition education
to mothers of children with
severe malnutrition

Types of Clientele
1. Individual – serves as an “entry point” in providing care to all types of clientele.
2. Family- collection of people who are integrated, interacting and interdependent and
focus point of focus of care; center of delivery.

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 3. Population- group of people who share common characteristics, developmental stage
and point of specific care
4. Community- point of entire care.
According to David et al., (2007), the Roles of Community Health Nurses
1. Case Manager. Assisting clients to make decisions about appropriate health care
services and to achieve service delivery of integration and coordination which are among
the important roles of the community health nurse.
2. Advocate. Clients in the community health nursing setting
frequently are unable to negotiate in the health care system.
3. Teacher. Application of teaching-learning principles to facilitate
behavioral changes among clients is a basic intervention strategy
of community health nurse.
4. Partner and Collaborator. The aim of partnership and
collaboration is the get people to work together in order to address
problems and concerns that affect them.
5. Health Planner/Programmer. Identifies needs, priorities and
problems of individuals, families and communities, formulates
nursing component of health plans, interprets and implements the
nursing care plan and program and provides technical assistance
to rural health midwives in health matters.
6. Manager/Supervisor. Formulates individual, family and aggregates centered care plan,
interprets and implements programs, policies, memoranda and circulars, organizes work
force, provide technical and administrative support to Rural health Midwife.
7. Community Organizer. Responsible for motivating and enhancing community
participation in terms of planning, organizing, implementing and evaluating health
programs/services and Initiates and participates in community development studies.
8. Health Educator/Trainer. Identifies and interprets the needs of midwives, hilots,
barangay health worker and barangay health volunteers, formulates appropriate training
and program design, conduct training for health personnel, act as a resource speaker on
health and health related services as the need arises and participates in the
development on health and distribution of Information Education and Communication
materials.
9. Case Finder. Because of the nurse of proximity to families and aggregates in the
community, case finding has been a strategic role for many years. Example: at –risk
children are identified and followed periodically as they develop.
10. Epidemiologist. The nurse uses the epidemiological method to study disease and
health among population groups and to deal with community wide health problems.
11. Recorder/Reporter/Statistician. Prepares and submits required records and reports.
Review, validates, consolidates, analyzes and interprets all records and reports.
Maintain adequate, accurate and complete recording and reporting.
12. Community Leader. The CHN, being a leader, a role of model and respected in the
community is in a better position to empower others.
Qualifications, Functions and Responsibilities of PHN Positions in Different Levels

Supervising Public Health Nurse Instructor II

Nurse/Supervisor at the Provincial City
Level

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BSN, RN, with Master’s Degree in Nursing or BSN, RN, Master’s Degree, 3 years
Public Health and 5 years experience as a experience as a community health nurse and
public health nurse special training on the functions of the nurse
instructor.
Regional Training Nurse Regional Nurse Supervisor/Regional
Public Health Nurse ( Nurse V)
BSN, RN, Masters Degree in Nursing/ Public BSN, RN, Master’s Degree in Public Health
Health with 6 years nursing experience and 3 or Master of Arts in Nursing, Major in
years of which are in training or nursing Community Health Nursing Administration
education and Supervision with at least 5 years
experience in community health nursing, 2
years of which are in supervisory position.
Nursing Program Supervisor Chief Nurse ( VII) Selected City Health
Nurse VI Departments & Health Offices
BSN, RN, Master’s Degree in Public Health BSN, RN, Master’s Degree in Public Health
or Master of Arts in Nursing, Major in Nursing Major in Community Health Nursing
Community Health Nursing Administration Administration or Master’s Degree in Nursing
and Supervision with at least 7 years Major in Community Health Nursing with at
experience in community health least 5 years experience in community health
nursing/training nursing, 3 years of which have been either in
supervisory or Assistant Chief Nurse position,
with demonstrated leadership capability.
Assistant Chief Nurse in Selected City Occupational Health Nurse
Health Departments
BSN, RN, Master’s Degree in Public BSN, RN, preferably with training/unit in
Health/Nursing Administration or Masters in occupational health nursing
Nursing Major in Community Health Nursing,
with at least 5 years experience in community
health nursing, 2 years of which have been
supervisory position with demonstrated
leadership capability

St. Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

DEPARTMENT OF NURSING

POST EXAMINATION: MODULE 1

NCM 104: Community Health Nursing I- Individual and Families as Clients

First Semester A.Y. 2022-2023

Melanio P. Rojas Jr. MAN

(Clinical Instructor)

MODULE 1 17
Name: _______________________________ Score: ___________________
Course/Year: __________________________ Date: ____________________

Activity No. 1 Present or discuss “Partnership and Empowerment Towards Self-Reliance

in terms of the following:
1. Active community participation in identifying problems and planning for possible
interventions or solutions in partnership with the CHN and internal and external
community resources fight against NCOV-19.

2. Characteristic and abilities that an empowered community demonstrates or manifests as

an indication of self-reliance.

 You can use any method of presentation like panel and talk show webinar format
utilizing the google meet. Your teacher will serve as a moderator.

St. Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

DEPARTMENT OF NURSING

POST-LEARNING ACTIVITY

POST EXAMINATION: MODULE 1

NCM 104: Community Health Nursing I- Individual and Families as Clients

First Semester A.Y. 2022-2023

Melanio P. Rojas Jr. MAN

(Clinical Instructor)

MODULE 1 18
Name: _______________________________ Score: ___________________
Course/Year: __________________________ Date: ____________________

MULTIPLE CHOICE: Choose the best answer place your answer on the answer sheet provided.
Shade the box that correspond the letter of your choice. Use black ink ball
pen only. ERASURES MEAN WRONG.

1. Margareth Shetland stated that the philosophy of community health nursing is based on:
A. The greatest good for the greatest number.
B. The worth and dignity of man
C. The rule of the majority
D. The “ fishing rod effect”
2. In the communities, families from the lower income groups are the ones served by the public
health services and by the community health nurses because:
A. They have proportionally greater number of illness and health problems.
B. Those from higher income groups do not trust the government services
C. Poor people have no choice but go to free government health services
D. Those from higher income groups do not get sick
3. One of the several factors in the eco-system which affect level of the functioning includes
oppression, people empowerment, increases of crime and lack of safety in streets and even in
the home, which are major concerns of society is:
A. Socio-economic C. Hereditary
B. Environment D. Political
4. The Philosophy of CHN practice is based on the belief that the family is the smallest unit in a
democratic society. Which age group should be the priority adults of the nurses in the
community?
A. Older people and terminally ill
B. Adolescents
C. Infants and children
D. All ages regardless of status
5. What is the primary goal of community health nursing?
A. Worth and dignity of man C. Self-reliance
B. To raise the health level of citizenry D. Family
6. Which of the following type of clientele in the community that point specific care?
A. Community
B. Groups
C. Family
D. Individual

7. The following are requirements and qualifications of Public Health Nurse V

A. BSN, RN
B. With at least experience 5 years in community health nursing
C. With MAN major CHN
D. 3 year supervisory position
A. A, D and C C. A, D and C
B. C, A and B D. B only
8. Additionally, as the public health nurse becomes more responsive to the needs and problems of
her clientele, she is applying the basic ethical principles in rendering service and care to her
clients by minimizing harm to others is called_____________.
A. Utility C. Justice
B. Non- maleficence D. Autonomy
9. Nurse Oliva is conducting a mass rapid test in Barangay Bulalakaw because of the increasing
number of NCOV suspect. Which of following activities level of prevention?
A. Primary C. Tertiary
B. Secondary D. All of the above

MODULE 1 19
 10. It refers to the application of nursing process in caring for individuals, families and groups where
they live, work or go to school as they move through the health system is called___________.
A. Community Health Nursing
B. Public Health Nursing
C. Community- Based Nursing
D. All of the above

St. Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

DEPARTMENT OF NURSING

POST-LEARNING ACTIVITY

POST EXAMINATION: MODULE 1

NCM 104: Community Health Nursing I- Individual and Families as Clients

First Semester A.Y. 2022-2023

Melanio P. Rojas Jr. MAN

(Clinical Instructor)

Name: _______________________________ Score: ___________________

MODULE 1 20
Course/Year: __________________________ Date: ____________________

Activity No. 3. The role of the community health nurse is varied and dynamic. It is
influenced by the nature of health needs of the population, specific goals of the health
care system and attitudes and practices of the nurse in providing care. Please give a
specific role of a community health nurse in a certain situation like the NCOV-19 in our
locality.

Roles of Community Health Function/s Specific situation

Nurse
1. Researcher

2. Epidemiologist

3. Recorder

4. Health Educator

5. Advocate

6. Community Organizer

St. Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

DEPARTMENT OF NURSING

POST EXAMINATION: MODULE 1

NCM 104: Community Health Nursing I- Individual and Families as Clients

First Semester A.Y. 2022-2023

Melanio P. Rojas Jr. MAN

(Clinical Instructor)

Name: _______________________________ Score: ___________________

Course/Year: __________________________ Date: ____________________

MODULE 1 21
Activity No. 4. The role of the community health nurse is varied and dynamic. It is
influenced by the nature of health needs of the population, specific goals of the health
care system and attitudes and practices of the nurse in providing care. Please give a
specific example of level of prevention during COVID-19 and other health related
problems.

Primary Level Secondary Level Tertiary Level Prevention

Prevention Prevention
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.

MODULE 1 22