Community Health Nursing
Community Health Nursing
Community Health Nursing
A. To support and supplement the efforts of the medical profession in the promotion of
health and prevention of
B. To enhance the capacity of individuals, families and communities to cope with their
health needs
C. To increase the productivity of the people by providing them with services thatwill
increase their level of health
D. To contribute to national development through promotion of family welfare,focusing
particularly on mothers and children
2. CHN is a community-based practice. Which best explains this statement?
A. The service is provided in the natural environment of people
B. The nurse has to conduct community diagnosis to determine nursing needs and
problems
C. The service are based on the available resources within the community D. Priority
setting is based on the magnitude of the health problems identified
3. Population- focused nursing practice requires which of the following
processes?
A. Community organizing
.B. Nursing, process
C. Community diagnosis
D. Epidemiologic process
4. RA 1054 is also known as the Occupational Health Act. Aside from the number
of employees, what other factor must be considered in determining the
occupational health privileges to which the workers will be entitled?
A. Type of occupation,: agriculture, commercial, industrial
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit D. Sex and age
composition of employees
5. A business firm must employ an occupational health nurse when it has at least
how many employees.
A. 21
B. 101
C. 201D. 301
6. When the occupational health nurse employs ergonomic principles, she is
performing which of her roles?
A. Health care provider B. Health educator C. Health care coordinator
D. Environment manager
7. A garment factory does not have an occupational nurse. Who shall
31. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extensionD. Core group formation
32. The public health nurse takes an active role in communityparticipation. What
is the primary goal of community organizing?
A. To educate the people regarding community health problemsB. To mobilize the
people to resolve community health problems
C. To maximize the community's resources in dealing with health problems
33. An indicator of success in community organizing is when people areable to:
A. Participate in community activities for the solution of a community problem
B. Implement activities for the solution of the community problemC. Plan activities for
the solution of the community problemD. Identify the health problem as a common
concern
34. Tertiary prevention is needed in which stage of the natural history of disease?
community
54. Sputum examination is the major screening tool for
pulmonarytuberculosis. Clients would sometimes get false negative
results in thisexam. This means that the test is not perfect in terms
of whichcharacteristic of a diagnostic examination?
A. EffectivenessB. EfficacyC. Specificity
D. Sensitivity
55. Use of appropriate technology requires knowledge
of indigenoustechnology. Which medical herb is given for fever,
headache and cough?
A. SambongB. Tsaang gubatC. Akapulko
D. Lagundi
56. What law created the Philippine institute of Traditional
andAlternative Health Care?
A. RA 8483
B. RA4823C. RA 2483D. RA 3482
57. In traditional Chinese medicine, the yielding, negative and
feminineforce is termed:
A. Yin
B. YangC. QiD. Chai
58. What is the legal basis of Primary Health Care approach in
thePhilippines?
A. Alma Ata Declaration of PHC
B. Letter of Instruction No 949
C. Presidential Decree No. 147D. Presidential Decree 996
59. Which of the following demonstrates inter-sectoral linkages?
A. Two-way referral systemB. Team approachC. Endorsement done by a
midwife to another midwife
D. Cooperation between PHN and public school teacher
60. The municipality assigned to you has a population of about
20/000.Estimate the number of 1-4 year old children who be given
Retinolcapsule 200.000 every 6 months.
A. 1,500B. 1,800
C. 2,000
D. 2,300
61. Estimate the number of pregnant women who will be given
tetanustoxoid during an immunization outreach activity in
a barangay with apopulation of about 1,500.
A. 265
B. 300C. 375D. 400
62. To describe the sex composition of the population,
whichdemographic tool may be used?
A. Sex ratioB. Sex proportionC. Population pyramid
D. Any of these maybe used
63. Which of the following is a natality rate?
A. Crude birth rate
B. Neonatal mortality rateC. Infant mortality rateD. General fertility rate
64. You are computing the crude rate of your municipality, with a
totalpopulation o about 18,000 for last year. There were 94 deaths.
Amongthose who died, 20 died because of diseases of the heart and
32 wereaged 50 years or older. What is the crude death rate?
A. 4.1/1000
B. 5.2/1000
C. 6.3/1000D. 7.3/1000
65. Knowing that malnutrition is a frequent community health
problem,you decided to conduct nutritional assessment. What
population isparticularly susceptible to protein energy
malnutrition (PEM)?
A. Pregnant women and the elderlyB. Under 5 year old children
C. 1-4 year old children
D. School age children
66. Which statistic can give the most accurate reflection of the
healthstatus of a community?
A. 1-4 year old age-specific mortality rateB. Infant mortality rateC.
Swaroop's index
D. Crude death rate
67. In the past year, Barangay A had an average population of 1655.
46babies were born in that year, 2 of whom died less than 4 weeks
afterthey were born. They were 4 recorded stillbirths. What is the
neonatal
mortality rate?
A. 27.8/1000
B. 43.5/1000C. 86.9/1000D. 130.4/1000
68. Which statistic best reflects the nutritional status of a
population?
A. 1-4 year old age-specific mortality rate
B. Proportionate mortality rateC. Infant mortality rateD. Swaroop's index
69. What numerator is used in computing general fertility rate?
A. Estimated midyear population
B. Number of registered live births
C. Number of pregnancies in the yearD. Number of females of reproductive
age
70. You will gather data for nutritional assessment of a purok. You
willgather information only from families with members who belong
to thetarget population for PEM. What method of delta gathering is
best forthis purpose?
A. Census
B. Survey
C. Record ReviewD. Review of civil registry
71. In the conduct of a census, the method of population
assignmentbased on the actual physical location of the people is
termed;
A. De jureB. De locus
C. De facto
D. De novo
72. The Field Health Services and information System (FHSIS) is
therecording and reporting system in public health) care in the
Philippines.The monthly field health service activity report is a form
used in which of the components of the FHSIS?
A. Tally report
B. Output reportC. Target/client listD. Individual health record
73. To monitor clients registered in long-term regimens, such as
theMulti-Drug Therapy, which component will be most useful?
A. Tally reportB. Output report
C. Target/client list
D. Individual health record
B. 6 months
C. 1 yearD. 2 years
88. What is given to a woman within a month after the delivery of
ababy?
A. Malunggay capsuleB. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule
D. Potassium Iodate 200 mg, 1 capsule
89. Which biological used in EPI is stored in the freezer?
A. DPTB. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
90. Unused BCG should be discarded how many hours
afterreconstitution?
A. 2
B. 4
C. 6D. At the end of the day
91. In immunity school entrants with BCG, you not obliged to
secureparental consent. This is because of which legal document?
A. PD 996
B. RA 7864C. Presidential Proclamation No. 6D. Presidential Proclamation
No. 46
92. Which immunization produces a permanent scar?
A. DPT
B. BCG
C. Measles vaccinationD. Hepatitis B vaccination
93. A 4 week old baby was brought to the health center for his
firstimmunization. Which can be given to him?
A. DPT1B. OPV1
C. Infant BCG
D. Hepatitis B Vaccin
94. You will not give DPT 2 if the mother says that the infant had?
A. Seizures a day after DPT1
B. Fever for 3 days after DPT1C. Abscess formation after DPT1D. Local
tenderness for 3 days after DPT1
A. Bring the infant to the nearest facility where IV fluids can be given
B. Supervise the mother in giving 200 to 400ml of Oresol in 4 hours
C. Give the infant's mother instructions on home managementD. Keep the
infant in your health center for close observation
102. A mother is using Oresol' in the management of diarrhea of her
3-year old child. She asked you what to do if her child vomits. You
will tellher to:
A. Bring the child to the nearest hospital for further assessmentB. Bring the
child to the health center for IV therapyC. Bring the child to the health
center for assessment by the physician
D. Let the child rest for 10 minutes then continue giving Oresol more slowly
103. A 1 1/2 year old child was classified as having 3rd degree of
proteinenergy malnutrition, kwashjorkor. Which of the following
signs will bemost apparent in this child?
A. Voracious appetiteB. WastingC. Apathy
D. Edema
104. Assessment of a 2-year old child revealed "baggy pants". Using
theIMCI guidelines, how will you manage this child?
A. Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding
programC. Make a teaching plan for the mother, focusing on the menu
planning for herchildD. Assess and treat the child for health problems like
infections and intestinalparasitism
105. During the physical examination of a young child, what is
theearliest sign of xerophthalmia that may observe?
A. KeratomalaciaB. Corneal opacityC. Night blindness
D. Conjunctival xerosis
106. To prevent xerophthalmia, young children are given Retinol
capsuleevery 6 months. What is the dose given to preschoolers?
A. 10, 000 IUB. 20, 000 IUC. 100, 000 IU
D. 200, 000 IU
107. The major sign of iron deficiency anemia is pallor. What part is
bestexamined for pallor?
A. Palms
B. NailbedsC. Around the lipsD. Lower conjunctival sac
A. Inability to drink
B. High grade feverC. Signs of severe dehydrationD. Cough for more than
30 days
111. Management of a child with measles includes the
administration of which of the following?
A. Gentian violet on mouth lesionsB. Antibiotic to prevent pneumoniaC.
Tetracycline eye ointment for corneal opacity
D. Retinol capsule regardless of when the last dose was given
112. A mother brought her 10 month old infant for consultation
becauseof fever which started 4 days prior to consultation. To
determine malariarisk, what will you do?
A. Do a tourniquet test
B. Ask where the family resides
C. Get a specimen for blood smearD. Ask if the fever is present everyday
113. The following are strategies implemented by the DOH
to preventmosquito-borne diseases. Which of these is most effective
in the controlof Dengue fever?
A. Stream seeding with larva-eating fish
B. Destroying breeding places of mosquitoes
C. Chemoprophylaxis of non-immune persons going to endemic areasD.
Teaching people in endemic areas to use chemically treated mosquito nets
114. Secondary prevention for malaria includes?
A. Planting of neem or eucalyptus trees
B. 5C. 8D. 10
129. A 3-year old child was brought by his mother to the health
centerbecause of fever of 4-day duration. The child had a positive
tourniquettest result. In the absence of other signs, which of
the most appropriatemeasure that the PHN may carry out to prevent
Dengue shock syndrome?
A. Insert an NGT and give fluids per NGT
B. Instruct the mother to give the child Oresol
C. Start the patient on IV StatD. Refer the client to the physician for
appropriate management
130. The pathognomonic sign of measles is Koplik’s spot. You may
seeKoplik’s spot by inspecting the:
A. Nasal Mucosa
B. Buccal mucosa
C. Skin on the abdomenD. Skin on the antecubital surface
131. Among the following diseases, which is airborne?
A. Viral conjunctivitisB. Acute poliomyelitisC. Diptheria
D. Measles
132. Among children aged 2 months to 3 years, the most prevalent
formof meningitis is caused by which microorganism?
A. Hemophilus Influenzae
B. MorbillivirusC. Streptococcus PneumoniaeD. Neisseria meningitides
133. Human beings are the major reservoir of malaria. Which of
thefollowing strategies in malaria control is based on this fact?
A. Stream seedingB. Stream clearingC. Destruction of breeding places
D. Zooprophylaxis
134. The use of larvivorous fish in malaria control is the basis for
whichstrategy of malaria control?
A. Stream seeding
B. Stream clearingC. Destruction of breeding placesD. Zooprophylaxis .
135. Mosquito-borne diseases are prevented mostly with the use
of mosquito control measures. Which of the following is NOT
appropriatefor malaria control?