COMMUNITY HEALTH NURSING. INSTRUCTIONS: Select the correet answer for each ofthe following questions. Mark only one answer for each item by ‘making the box corresponding to the letter of your choice on the answer shect provided. Cemranity Heath Nuri is service hat i proved 1 an envimnet thts const caning. Thi plist he Communit brah nurse 0 beable toprviersisvat serve must Y eangng Ts ils dass {Av iavoNecther disilisincanyng out all ences inva stingy Bove sere totic toed provides sence ts une ond eamprcnsve D, Uae her koowlaecontheconen ae evving charters of hehehe sem ‘The concept of community health nursing as ¢ popolation-based service means that tshould be provided tobe: AL home only B. nursing community C. individuals only D. individual and families 3. The goal of community heath nursing A. lessen exseload of publi health auese B. provide elinie-nursing services to the populace C. assist families tobe F-reliant and be able to identify nad solve own problem 1D._ spread information about facilites of rural health unis oreentrs 4. A phase of the nursing process where the needs ofthe patiat or family are being observed ‘A. nursing diagnosis B. assessment C. evaluation D. intervention 5. Health services were devolved to local government units (LOU'S forthe following reasons EXCEPT A. to transform LGU into sel-raiaat communities B. toinvol peopk in the development and progres oftheir comstunties c. D. to empower local oficial to provide people better acaes to decision-nalcing 6. Which ofthe following public health program are devolved and are made more accessible tothe people? A. Envionmental health and communicable disease control B. Maternal and Child Health Program ©. Contolafnon-conmunicable diseases D. Al these programs 7. The Department of Health adopts measures to augment basie heath services and facies provided by LGU'S. Which of the following is NOT priority cea forthe provision of asistance by the DOH? A. Areas where sudies/escarch on heath are conducted B. Sclecedareas inthe city C._ Areas recommended by govemors and other bal officials D._ Deserving but less developed local govemment units 8. Which law mindaes devolution of bral services to LGU'S? A. RA.7610 B. RA.7I60 C RA6IT0 D. RA6TIO 9, According to C.E. Winslow, public health is directed towards assisting every citizen to Be free fromilness Realize his bith rights of health and longevity Get social services and welfare support Have medicine lan affordable Z pop 10. best demonstrate the concept that community heath nutsng i population-ocused? ‘The performance of community diagnosis ‘The provision ofservices at an affordable cost “The provision of rising care in the natural environment of people ‘The coordination of services by different merobers ofthe health team sap 11, Which isthe primary geal of community health nursing? | A. Tosupport and suppleient the efforts ofthe medical profession i the promotion of health and prevention of ness B. Toenhance the capacity of individuals, families and communis to cope with thei heath needs CC. Toincrease the productivity of the people D. Tocontibute 1 nation development20. a1 2, 2B, Which DOES NOT deserbe primary health care? A. Ttemphasizes partnership benveen heath eare providers and the people B._Itisa tou approach to community development C. Mims to provide free health services to the people. D. It stresses the use of approprise technology When we determines whether the objectives of program were attained or not, we are determining A. Effectiveness B. Bficiene ©. Adequacy D. Appropriateness Which is « mark of success in Primary Health Co A. The people uilize health services according to their nests B._ Health workers are able to provide efficient and aecersable services C._ The people are abe to attain the highest level of health through theit own effods D._Bareapay officials participate actively in health related activities Accessibility of health services means all of the following EXCET ‘A. Health service providers are within S kilometers feom most oftheir eatchment population 1B. Health services and the manner of delivery ofthese services are acceptable to the people, C._ The people and the government can afford the health servies provided 1D. Government and non-government agencies participate in providing, tn the present healthcare delivery system, the public health nurses 3 A. Manager of the Rural Health Unit B. Primary health worker C. Grussroots heath worker D._ Secondary health worker Ina conference with midwives and the rural sanitary inspector, you reviewed the functions af the Rural Health Unit. You agreed thatthe RHU should function asa A. Heath areofthe LGU B. Rewurveof the community C. Allof these D. Municipal Clinic Which herbal preparation may be rweommended for fever, cough and abdominal pain? ‘A. Sambong B. Tssang Gutat C. Yerba Bucs D._Bayabas ‘Which herbal preparation may be used to relieve pain duc to arthritis? Ac Lagundi B. Herta Buena C. Both ofthese D. None of these ‘The Public Health Nurse in the Rural Health Unit is expected to partiipate in the plan the municipality. Hermain contsibution isto A. Collect and collate community data B. Prepare the nosing component ofthe plan C._ Inplement the community health plan D. Assess the total health needs ofthe community of the total public health progrom for Epidemiology is used for A. Determining the factors that brought about occurrence of an epidemic B._ Bvahuatine the effectiveness of the Under Five Clinic Progean C._ Determining the efficacy of garlic in preventing hypertension D. Allofthese programe Immunity by antibody formation during the course of a disease is A. Active natural B. Aciveantificial C. Passive natural D. Passive anifiekal ‘When a factor must necessarily be present for adisease to oceur, itis described as A. Predictse B. Associative ©. Comtrivutcey D. Causative24, The chief advantage in conducting a home visitis A) The nurseis able tosave time and elfor BL The nurses able to provide service to many people's within a given period of tine ©. Themurse is able to perfomn first hand appraisal ofthe home situation 1D. Itemphasizes the family initiative fm healh care 25. The school nurse provides ditect nursing care by A. Guiding popls in developing health habits B._Enhancing interpersonal relationships among pupilsand the teaching staff C._ Maintaining a healthy and safe physica environment forthe children 1D. Conducting annual physical exams to pupils 26. Primary level prevention is ithstated by: A} Teaching the mother of child with diarrhea how to use Oresol BL eolation ofa child with chickenpox CC. Coniucting Operation Tinbane 1D. Teaching a patient post mastectomy exercises 27. Which isa secondary level facility? A. San huan Rural Health Unit BL locos Norte Provincial Hospital San Lazaro Hospital D. University of Santo “Tomas Hospital Situation: From July to September, there were two outbreaks of typhoid feverin Santa Rosa, Laguna. Fpidemiologi ‘undertaken by the Rural Health Unit tam, 28 As a public heath nurs, you know that typhoid fever i Poor personal hygiene practices Tovake of unsafe food and or water Inhalation of contaminated ai Fomites caused by: 2, imary purpose of conducting an epidemiologic investigation isto dewity groups who are at risk of cortracting the disease Delincate the etiokogy of the epidamic Enceurage cooperation and support of the comnminity <4.) Identify peopraphical location af cases of the disease i the community PPPes oper 30. To which step of epidemiologic invesigation will aera belong? A. Exablishing the qpideric BL Appmisal of facts Formulation of the hyportesis D. Testing the hypothesis 1 the number of eases of typhoid fever occuring inthe community 31. Asan epidemiologist, among other living thi ‘A. Institute appropriate contra, BL Check the presence of signs and symptoms inpatients according to the standard ease definition ofthe disease CC. Monitor the occurrence of selected notifiable diseases by weekly charting or graphing cases 1D. Planand secure necessary resources ncedal for disease control measures you are expected t 32. In the Under Five Clie, which ofthe following services ean be competently provided by the public health nurse? ‘A. Assessment of the tutional status of ehiklren BL Assessment af children's motordevelopment C. Allofthese services 1. Treatment ofeomnon childhood diseases 33, The expanded role ofthe public bealh nurse includes making a medical diagnosis when the plysician isnot around. What is used asa puide in performing this task? Management guidelines Diagnostic guidelines ‘Assessment puidelines ‘Standard case definition SoRP 34. Which component of the Fick! Heath Serviecs and Information System is most helpful in monitoring PTB cases enrolled in bors? Individval health recon Output report Tally report, Client Lis epee Download35, Which herbel preparation is specifically recommended for cough and colds by the DOH? A. Lagundi B. Yerba Buena CC. Both of those D. None of these 36. Which ofthe following can give the most accurate reflection of the health status of a eoramunity? A, Id yeur oldage-specitic mortality rate B. Maternal mortality rate CC. Infant mortality rate D. Crude death rat: 37, Iva community with insufficient water supply, which type of toilet will you recommend to be constructed? ‘water sealed Aqua privy Covered Pit privy Overning pop Situation: You are assigned to a municipality witha total population of 25,000. 38. You work with two rural health midwives. How many more midwife items will you request? 439. The request for additional midwife items will be submitted for approval to the Rural Health Unit ‘Municipal Health Board District Health Office Provineial Heath Office por>a one 40. In making the staff schedule, you will see to it thatthe rural health mihi A. Twice a week B. Once aweek . Twiee a month D. Once amenth s visit their Barangay assignments at least 41, 1,350 persons died within the past year. 36 persons died due to pneumonia. S40 of those who died were aged 50 years and above, ‘What is the erude death rate? A. 521,000 B. 54/1,000 Cc. 27% D. 27% 42. What isthe Swaroop's index of community? AL 0% 43. What numerator will be used in computing neonsal mortality rate? ‘A. Number of deaths aged 1 weck and below B. Number of deaths aged ! month and below C. Number of deaths aged 28 days and below D. Number ofeaths aged 11 months and below 44, What denominator is uscd in compoting general fertility rate? A. Estimated midyear population B. Number of registered live bets C. Number of pregnancies in the year D. Number of females of repradctive age 45. In gathering data about the community, which of these are important? People’s major concerns even if they are not health related Their occupation, geographic distribution and seasonal movement of the population Heath status, mutrition, housing and sanitation All ofthese are important SRP9, 48, 49, 50, sh 3 4, 57. ‘Yeu will know that you were suecessfl in the social preparation of the community in relation to a community heath problem if the people participate in ‘A. Identify thei common concems and planning and implementing activities forthe solution ofthe community problem B. Plaming activities to solve the hal problem CC. Implementing activities to solvethe health problem 1D. Idertifjing the health problem asa common concern ‘When the nurse ealests information about 100% of the population, she is conducting aan? A. Community survey B. Epidcmiclogica survey ©. Census D._ None of these correct ‘The number of cases ofinflenza inthe past month will be reflected in which recotd/ report ofthe Rural Health Unit? A. Family health record B. Clientlist © Tally report D. Output report ‘The public health nurse mast be aware that erasures inthe clients record must be avoided because the A. Record will lok messy B. Writing would be blured and difficult to read C. Record isa sttitical document D. Records alegal document, What law requires the registry of births within 30 days fom its occurrence? A. Act 3573 BRA 3753 © RA.3375 D. PD.6si Which ofthe following professionals can sign the death certificate? A. Rural heakh midwife BL Municipalhealth officer C. Public heath nurse D. any of these health professionals 12, Asa public health nurse, one of the functions that you will perform is monitoring of the health satus of the community: Weekly ‘monitoring wll be accomplished for which disease? A. Severe acute diathea B. Typhoid fever C. allof these disease D. Pneumonia ‘Which eases have ty be reported within 24 hours fom the time of diagnosis? A. Measles B. Acute polio CC. both of these D. none of these Which of the following should be given priority in providing care to pregnant and thet families? Pregnant women whose systolic and diastolic pressures have increased by 5-10 mmHg over her baseline systolc-disstokc pressures, A pregiant worn who weighs 110 Ibs, A pregnant woman with a history of hypertension in a previous pregnancy ‘A women pregnant for the third time andis 33 years ok > par ‘Which ofthe following statements is INCORRECT regarding measles control? A. Treating measles patients with high dese vitamin A significantly reduces movtality rate, B._Allcases of measles should be reported. C. Asaroutine, measles vacrine is given to infants hetween 9-12 months of age. D. Ther are specific containdications forgiving measles vaccine. For prevention of hepatitis A, you decided to conduct health educa ‘A. ‘Sale food preparation and food handing by vendors B. Proper disposal of human excreta and personal hygiene C._ Use of sterile syringes and neadles for injection D._ Immediate reporing of water pipe leaks and llega water connections jon activities. Which ofthe following is IRRELEVANT? Which of the following ae strategies implemented by the Deparment of Health to prevent transmission of malaria? ‘Teaching people in endemic areas to use chemically treated mosquito nets Allof these strategies ‘Chemoprophylavis of non immune personal oing to endemic areas ‘Chemoprophylatis of pregnant women in endemic areas poE>58, To protect the other members of the household, which of the following is a priority objective in the care of a patient with active pulmonary tubeeculosis? A. To offer emotional support B. Toassess the environment for standards of sanitation and pro\ C. Toteach the patieit about the mature of the disease D. To coordinate with various agency services thatthe patient requires fe needed health teachings 59, Secondary prevention for malaria includes A. Residual spraying of insceticides at night B._ Planting of neem or encalyptus twes C._ Determining whether a place is endemic or not D.. Growing larva-cating fish in mosquito breeding places 60. Which isthe best preventive measure of schistosomiasis? ‘A. Destruction of snsils B. Envirenmentil sanitation CC. Useof protective foonvear D._Ivigation of snail breeding places Situation: Nedi, 3 years old, was brought by his mother to the health center because of cough and colds. 61. Which ofthe follow AL Cyanosis B. Chest indrawing C. Fast breathing D. Wheezing ssi 'S will indicate that Nedi is suffering ffom severe pneumonia? 62. While assessing Nedi for the above sign, you have to make sure that he is ‘A. Notaware you arecounting respiratory rate B. Noterying Asleep: D. Notphyi 63. Yeu decide that Nei has pneumonia, What isthe best management that you can administer? A. Prescribe an antibiotic. BL Proside close follow-up of bis condition C. All ofthese measures D._ Give the mother instructions on how to take care of him at home. 64, IfNedi manifests wheezing, you will ‘A. Give hima bronchodilitor. ia gnose hina as having very severe disease. C. Refer him to the nearest hospital D._ Prescribean antibiotic ani follow up closely. Situation: Asa public health nurse, you play an important role in the implementation ofthe Expanded Program on Immunization. 65, Maintenance of the cold eh: Health Unit? As Rural health midwife B. Public Health Nurse C. Municipal Healt officer D. Rural sanitary inspector win is nevessary to keep the vaccines and toxoids potent, Who is the cold chain officer in the Rural 66, What is the dose f hepatitis B vaccine in the EPR? A. OS mi. B. 0.05 mi CO D. 10m 67. Which ofthe following is/are trueafter giving BCG? A. You must net use sleohol on the site of injection, BL All of theseare tue, C._ Awheal is formed: it disappears after about 30 mins, D._ The child develops an abscess at the site of injection, 68. What reaction’ is/are expected after giving DPT? A. All ofthese are expected. B. The patient will have fever lasting for 24 hm. ©. The patient will have a permanent scat atthe site of injection,D. ‘The patient will have local tendemess atthe site of injection of the 2" week. (69, Which vaccines should not be stored in the freezer? A. DPT 1B. Tetanus toxoid vaccine © Allordese D. Hepavits B 70, According to Margaret Shand, public health nursing is bused on which philosophy’? ‘A. Health and longevity ae birtrighss, B. Manhas worth and dignity (C._ Public heath nursing functions as party of a tout public heath program. D._ The public health nurse is responsible for developing the people's health capability. 71. In the heath center, who & the supervisor of midwives? A. Midwife supervisor B. Public heath nurse C. Health cester physician D. Obsteeician 72. As an epidemiologist, the nurse is responsible for presentations of health statistics. To compare the frequency ef occurrence of pneumonias and diserses of the heat which graphs will she prepare? A. Line B. Bar ©. Pic D. Scanerdliagram 73. Which step in community organizing involves establishing a twoavay communi ith the people? A. Community study B. Core proup formation C. Entryilggration D. Mobilization 74, Youare aware that you have to report notifiable diseases to the proper authorities. This is mandated by which law? AL RA3S73 B. Act3573 ©. RAS3IS3 D. Aet3753 75. You are newly appointed public health nurse. What isthe first activity that you will be concemed with? ‘A. Establish a working edationship wit the people. B._ Study the setup of the local government system . Assess the health needs of the people by conducting a survey. 1D. Make a pln of eave togetier wit the decor and midwives. 76. You were designated to be the public health nurse in a doctor-Iess municipality. Who will be the manager of the Rural Health Unit? A. Public health nurse B. Rural health mide C. Municipal heath afficer D. Rua sanitary inspocto 77. When the oecupational heslth nurse applies ergonomic principles, she & carrying out which of her functions? A. Health care provider B. Environmental manger CC. Health educstor D. Health enorcintor 178. Which criteria must the murse take into consideration when determining which of the identified health problems should be given priority after conducting community diagnosis? ‘A. Magnitude of the health problem B,_ Nature ofthe pmblem presented C. Modifiability ofthe problem 1D. Allof these should be taken into consideration 79. In assessing the family’s coping capacity, you noted that the children have incomplete immuni assessment in the family coping index will you include the observation? ‘A. Application of principles of general hygiene B. Therapeutic competence C. Heath atirades D. Family living 80. Tawhich level of prevention does sereening of potential blood donors belong? A. Primary BL SecondaryC. Intermediate D. Tertiary Situ n: Bennie, 7 weeks old, was brought by his mother to the health center because of diarthea occurring 4 10S times a day. 81, Your assessment revealed that Bennic has sunken eyes and he is restless and irritable. What will be your diagnosis? A. Nosign of dehydration BL Some deindration C. Severe dchytiration D. Youneed to assess him further to be able to make a diagnosis. Based on your diggnosis, which of the followings the best that you can do fer Bennie? A. Accempany Bennie to the nearest facility where IV fluids ean be given, B._ Give Bennie, 200 10-400 ml, Oresol in 4 hours, C._ Give Bennie's mother instntcticns on home management. 1D, Keep him in your health center for close observation 83, Bennie’sassessment, what other problems do you have to consider? ‘A. The presence of blood in his stools B. Severe undermutrition C. Fever or hypothermia D. Allofthes: 84, Rennie's mother says Pennie has been having diarthea for 6 days now. You will decide that Bennie has A. Acute diaethea B. You cannot be certain C. Chronic dinbea D. Sub-acute derhea After your management of Benrie’s condition, your assessment revealed that he has no more sigas of dehydration. What inctions will you give Bennie's mother? A. Continue breastfeeding him frequently B. Give him Oresol, 50-100ml after every bose stool CC. Observe him for danger signs. D._ Allofthese instructions, 86, Primary health care is. total appreach to community development. Which ofthe following isan indicator of success inthe use of the primarily health eate approach? ‘A. Health Services are afondabe to indiviuols and fits. B. Health programs are sustained according othe level of development of the community © Allorthese D. Heath workers uilize appropriate echeologs: 87, Towhieh level of health eare delivery does the Region I Provincial belong? A. Primary: B. Secondary C. Intemediae DL Tertiary 188, Which level of water supply is best in an urban setting? A. Pointsouce BL Water standpost C. Communal D, Waterworks system 89, The Sentrong Sigla Movement has been launched to improve health service delivery. Which of the followi movement? ‘All ofthese are tue. ‘This is joint project of the Depantment of Health and Local Government Units. aims to promote availability of quality health services. ‘The DOI provides grants and technical assistance to a Sentrong Sigh. wg lore true ofthis goep Situation: Marie, 25 years old, G1PO, cam tothe center for her first prenatal check-up ‘90, When is the best time to stan preparing Marie for breastfeeding? A. On the last monthot presnaney BL On the first prenatal check-up CC. Inthe sscone trimester D. Immediate after delivery 91. During her preenaney, Marie may NOT be given which supplement? ‘A. Ferrous sulfite 100 mg. OD from the fith mom of pregnancy w 3 moms afterdetiveryB. Retina! 200,000 units once every 6 months C. Iodine 200mg. capsule once during the pregnancy D. Allofthese may be given 92, Marie is instructed 10 offer her breasts to the baby for the first ime win 30 minutes after delivery. What is the purpose for offering the breasts this early? A. Te foster early maternal bonding with the child B, Allofthese CC. To lessen blood loss after delivery D. To stimulate mitk production 93, After delivery and based on the recommended schedule ia the Under Five Clinic Program, you will encourage Maric to bring her baby to the healt center, A. Whenever the baby has a health problem BL Regularly every 2 months C._ Regularly every month D. At the time when the baby is scheduled for immanization 94. Mrs. Jose Cruz had a home delivery under the care of a traditional bith attendant. She was noted to have excessive vaginal bleeding. The traditional bieth attendant will refer her to which of the following? A, Public health murse B. Municipal health officer C. Rurabinealth midwite D. Privateebstetrician 95, liarthza disease/s warrants the prescription of antibiotics? - Giandinsis B. Boillary dysentery Amocbiasis Allorthese pO Situation: Two other diseases endemic in certain parts of the Philippines are Malaria and Schistosomiasis. 96. The most common diagnostic test for Schistosomiasis is through a: A. Stool analysis, B. Blood examination CL Urine examination D. Spuitumexamination 97. Schistosomiasis can be contlled by observing the following: building of foot brides wearing of boots by farmers an fishermen using sanitary toilets clearing vegetation Ag B. Palawan C. Tawi-Toai D. Kalinga and Apayao 99, Toconfirm the presence of the discas A. urine exam B. stool analysis ©. blood smear D. sputummecioseopy ina victim, she should be subjected to: 100. Part of Malia control in an endemic aren are the fllowi A. Use of mosquito repellaat at night B._Propapating “tilapia” in fs foods CC. Planting Eucalyptus tees D._ Destroy fishes in ponds EXCEPT: