COMMUNITY HEALTH NURSING

1.The increasing number of people who must learn to live with chronic illness in the community implies the
need for the PHN to plan and implement a program on:

a. communicable disease control

b. health education

c. child survival

d. environmental education

2. In order to improve the health of a community, the PHN needs to develop their skill on:

1. informational gathering

2. social communication

3. environmental improvement

4. management

a) 1 and 2
b) 1,2,3, and 4
c) 2 and 3
d) 3 and 4

3. Illness prevention activities are directed toward helping the client and family reduce:

1. morbidity

2. mortality

3. risk factors

a. 1 and 2

b. 3 only

c. 1 only

d. 2 only
4. You followed-up Mrs. Luy, G5P4. Her eldest son is underweight and her youngest daughter looks thin
and pale. Mrs. Luy's present pregnancy would mean another additional member of the family. This can be
considered as:

a. health deficit

b. health deficit and health threat

c. health threat

d. foreseeable crisis

5. Tertiary prevention would best be described as:

a. recovery from physical limitation and psychological regression

b. health teaching and immunization

c. rehabilitation of alcoholic and drug dependent

d. preventing disability and maximum use of remaining capacity

6. In order to facilitate the planning and implementation of an income-generating project in a barangay,

the Public Health Nurse can do the following except:

a. form working groups or committees

b. enlist the help of technical professionals training and guiding the people

c. form a core group to coordinate the various project

d. give the people all the freedom to do what they want

7. In formulating an objective of a community care plan, she expected results and people taking part in
the activities should be clearly defined. This refers to an objective which is;

a. time bounded

b. specific

c. resource oriented

d. measurable
8. As a supervisor you plan to conduct a seminar in response to the midwife's training need for skills in
community diagnosis. Which is an appropriate method to use to enable midwives to apply knowledge they
will gain the actual practice?

a. lecture

b. problem solving

c. group discussion

d. nominal group technique

9. You were requested to visit a child fever. Upon assessment, you found out that the child is suffering from
acute respiratory infection. What nursing intervention(s) would be appropriate in this case?

a. relieve the child's sore throat and cough with safe remedies

b. all of these

c. advise the mother to watch the signs of pneumonia

d.feed the child to avoid weight loss

10. Environmental sanitation is the primary problem in community. Y, as a stranger of the health unit, one
of the major strategies in your plan is the improvement of the environmental health conditions of the
community. So you first intend to create public awareness and support. To indicate this, which of the
following would you do:

1. meet with youth officials and parents group leaders

2. meet with your religious and educational leaders

3. request mayors to create task force help implement your project

4. tip local announcers to disseminate the what and why of your project

a. 1 and 4 only

b. 3 only

c. 1,2,3, and 4

d. 1 and 3 only
11. Building a healthy community are based on the following basic principles except:

a. concreteness and reasoning to understand and solve problems

b. human beings do not functions independently but as group

c. target of change is not individual, nor family but community

d. environmental factors are more basic than institutional factors

12. In planning for the nursing care of the sick person in the home the major point that the nurse must keep
in mind is:

a. who will be responsible for the patient during the nurse's absence from the home

b. economic level of the family

c. the availability of the nearest hospital

d. whether or not the patient is under a private physician

13. Iwa, two years old was brought to the health center because of diarrhea for 4 days. Assessment
revealed that Iwa has under-nutrition. Which of the following actions will you take?

1. advise the mother to give milk and juices between meals at home

2. give nutritious food available at home

3. refer to the hospital for proper management

4. provide mother with ORS solution and show her how to give the solution

a. 2 and 4

b. 3 and 4

c. 1 and 2

d. all except number 3

14. Which of the following statements can be used to motivate a couple to practice family planning?

a. family planning helps families improve their standard of living

b. family planning reduces/eliminates fear of unwanted pregnancies

c. family planning affords family members time to study or pursue occupational interests

d. all of the above

15. In evaluating your client level of wellness, which of the following indicators can you see?

1. appropriate nutritional level

2. sense of personal security

3. acceptance of oneself and one's limitation

4. maladaptations to one's environment

a. 1, 2, and 4

b. 2 and 3

c. 1, 2, and 3

d. 2 and 4

16. The following statements pertain to the devolution as mandate by the local government code,

Which of these is not correct?

a. people can participate in policy making relative to health care delivery

b. devolution will enhance the quality of community life

c. the barangay shall set criteria as who shall be given priority in the delivery of health care

services

d. the DOH shall transfer regulatory function of inspecting food establishments to local

government units

17. Which of the following is designed to help clients reduce risk to illness and maintain

maximum level of function

a. illness prevention

b. crisis intervention
c. rehabilitation

d. health promotion

18. You are the new PHN in barangay Masinag. In order to get a picture of the health and social status
of the community, it is necessary that you conduct a:

a. mass information campaign

b. home visit

c. community assembly

d. community health survey

19. Which of the following statements is correct regarding community health nursing?

a. evaluation of the health status of individuals and families should be done in consultation with

them

b. the PHN who work with communication for 6 can solely determine the needs of the

community

c. provision of PHN care is not in any way affected by policies of the agency where the nurse

works

d. professional growth and development of the PHN is the responsibility of DOH

20. In combating myths and misconceptions about family planning in the community, the first thing that you
should do as health educator is to:

a. identify the influential leaders of the community

b. select an approach to be used in correcting myths and misconception

c. decide as to who will be involved in the conference

d. identify myths and misconceptions prevailing in the community of their sources

21. To individualize care for a client and ensure him maximum participation in that care, which should the
nurse consider as the most important factor in planning the said care?
a. environment

b. educational attainment

c. health benefits and practices

d. health status

22. The midwife refers you to a family who fails to take action during a sick member of the family despite
her suggestions. In helping the family decide on what actions to take, you will:

1. explain the consequences of inaction

2. identify the courses of action open to family and the resources needed for each

3. discuss the consequences of each course of action available

4. influence the family to act on what you think is best for the situation

a. 2 and 3

b. 4 only

c. 1 and 4

d. 1, 2, and 3

23. Being the immediate supervisor of the Rural Health Midwives, the PHN prepares a supervisory plan.
Which of the following would be the PHN's activity?

a. perform needs assessment

b. list supervisory activities

c. identifying the training needs

d. formulate objectives for supervision

24. Which of the following phare/s characterize/s the 2 to 3 year old children?

1. prefers to feed themselves

2. eats very small nutritious meals a day rather than 3 large meals

3. can speak in longer sentences

4. can use toothbrush properly

a. 2 and 3

b. 1 and 2

c. 1 and 4

d. 2 and 4

25. As of 2oo2, the following data were obtained from municipality X

No. of live birth - 750

No. of infant deaths - 10

No. of maternal deaths - 6

Total population - 25,000

The 2002 maternal mortality rate of municipality X

a. 15/1000 live births

b. 12.5/1000 live births

c. 6/1000 live births

d. 8/1000 live births

26. Being a community Health Nurse, you are change agent. Which of the following roles must you play to
be able to succeed as a change agent?

1. information provider

2. information seeker

3. motivator

4. leader

a. 1 and 3 only

b. 1,2,3 and 4

c. 1 and 4 only
d. all except 2

27. Epidemiology is directly concerned with which of the following?

a. factors influencing occurrence and distribution of diseases, defects, disability of death of groups of
individuals

b. vital health statistics

c. environmental sanitation

d. treatment of a communicable

28. Under the local government code, health service must be developed to the local governments. This
means that local health agencies such as health centers/rural health centers must be under the:

a. municipal government office

b. barangay health councils

c. district health office

d. provincial health office

29. An example of secondary prevention strategy would be:

a screening of breast cancer in women who have no symptoms

b. using pain control medications for termina; cancer patients

c. educating teenagers about using condoms to prevent of STD

d. none of the above

30. A key component of primary prevention strategies is:

a. aggressive interventions

b. detection

c. culture

d. education

31. An example of he continuum health model of health and wellness would be:
a. a person is either well or not, and the emphasis is on continuously and aggressively treating people who
are ill

b. predicting that a person will most likely continue good health practices, based on her or his health
practices in the past, such as getting flue shots

c. using acupuncture and therapeutic touch to cure disease instead of traditional medical therapies

d. none of the above

32. Integrative models of human health see health factors as:

a. derived solely from physical phenomena

b. intertwined and interactive, with multiple components such as physical, psychological, and social

c. generally being attributable to psychosocial problems in individuals

d. effective only when combined and integrated with alternative therapies

33. Healthy people project is designed:

a. track health care trends so that the insurance liabilities can be anticipated, especially for poor and
urban populations

b. show that social factors have little or no impact on individual and community health

c. follow health indicators such as activity, substabnce use, mental health, and environmental issues

d. show the access to health care in the United States is adequate for all populations

34. Which of the following behaviors are influenced by cultural expectations?

a. talking openly about the details of the illness

b. deciding whether to "feed a cold" or "starve a fever"

c. taking herbal supplements to boost the immune system

d. all of the above

35. The health behavior choices that are essential to promoting health and preventing diseases are:

a. getting the right kind of food, adequate sleep, physical stress, and effectively handling stress
b. stopping smoking and taking vacations

c. making sure that all prescription mediations are taken properly and at the right time

d. avoiding crowds during flu season

36. Health status is influenced by which of the following:

a. lifestyle choices and community resources

b. availability of health technology such as diagnostic machines

c. presence of toxic environmental conditions

d. all of the above

37. Health activities are designed to:

a. prevent people from exposure to germs

b. ignore spiritual factors because they can confuse medical issues

c. increase communities' control over their health and well-being

d. make sure the community health nurse is in charge of health programs

38. An example of individual influences on health status would be:

a. cigarette smoking

b. a parent with adult-onset diabetes

c. exposure to toxic substance in workplace

d. all of the above

39. Community health nurses help influence the health communities through which of the following questions?

a. legislative health behavior

b. recording health status of individuals in similar geographic region

c. influencing health status of behavior and engaging in health population

d. none of the above

40. In which of the following settings would a community health nurse less likely to be involved?

a. neighborhood or community clinic or senior center

b. physician's office with focus on individual client care

c. home-based care

d. neighborhood planning board

41. Which of the following is a contribution of community health nurses to the community's health?

a. providing health education to vulnerable populations

b. coordinating access to integrated care of population

c. developing comprehensive systems of health care in a variety of settings

d. all of the above

42. A nurse activity designed to diagnose and treat a disease or condition in its earliest stages, before it
comes full-blown, would be classified as:

a. primary prevention

b. secondary prevention

c. tertiary prevention

d. health education

43. A community that uses the resources of neighborhood church to provide a latchkey's children program,
to sponsor prayer/support groups for people who are ill, and to grow a community health garden that
sends vegetables to elderly shut-ins are engaged in what kind of activity?

a. disease prevention

b. health protection

c. risk management

d. health balance

44. A community health action that focuses on reducing frequency and severity of asthma in inner-city
children by requiring a local incinerator to install particulate filters is an example of:
a. downstream thinking

b. risk management

c. primary prevention

d. upstream thinking

45. A person with no known illness whose daily routine consists of walking and following a healthy diet
would be best characterized as engaging which kind of activities?

a. health balance

b. disease prevention

c. health promotion

d. self-fulfillment

46. As community health nurses engage in the process of community empowerment, it is essential that they:

a. gather data for the community

b. form partnerships with people in the community

c. make decisions for the people in the community

d. accept responsibility for people's action

47. For which type of clients is the community health nurse primarily responsible?

a. individuals

b. populations

c. families

d. class E citizens

48. The milk code aims to make sure that:

1. public gets correct information about breastmilk and breastfeeding

2. health workers should not give examples of infant formula to pregnant women or mothers of

infants
3. companies always acknowledge the superiority of breastmilk

4. health workers should not accept any incentives from milk companies

a. 1 and 2 only

b. 3 only

c. 1,2,3, and 4

d. all except 3

49. The following are classified as essential health services except:

a. provision of eye glasses and dentures for the elderly

b. maternal and child care

c. basic sanitation and prevention and control of locally endemic diseases

d. promotion of proper nutrition adequate supply of safe water and health education

50. In providing comprehensive family health care, the nurse utilizes four (4) basic processes. These are
listed in the order in which they are carried out as follow:

a. assessment, planning, intervention, and evaluation

b. assessment, intervention, planning, and evaluation

c. planning, assessment, intervention, and evaluation

d. planning, intervention, evaluation and assessment

51. Which of the following measures the frequency of occurrence of the phenomenon during a given
period of time and which deals with only new cases?

a. prevalence rate

b. proportionate mortality rate

c. case fatality rate

d. incidence rate
52. As a community organization, the PHN facilitates the planning and implementation of program subjects
in the community. In the light of PHC approach these programs/projects should be characterized but the
following except:

a. managed by the community leaders/members

b. managed by non-government organizations for the people to ensure success

c. compatible with available resources

d. developmental in nature

53. The PHN needs to be adept in the following to be able to succeed in her health education program:

a. teaching-learning strategies

b. giving accurate information

c. communication in exchange of ideas

d. all of these

54. Magna Carta of Public Health Workers aim to:

a. develop skills and capabilities of health workers to deliver health projects/programs

b. all of these

c. encourages those with proper qualifications to remain in government service

d. promote social and economic well-being of health workers

55. Mark, 9 months old is given oral rehydration solution because of diarrhea with some dehydration. In
your follow-up visit, you observed that Mark's eye become puffy. Which one of the following would you
do/advice Mark's mother

a. continue giving ORS but more slowly

b. show mother how much solution to give

c. stop ORS and give plain water or milk

d. reassess patient to determine how much ORS to give

56. Which of the statements about breastfeeding is/are correct?

1. breastfeeding within 30 minutes after birth can stimulate breastmilk production

2. breastmilk should be started 24 hours after delivery

3. breastmilk given exclusively for the first 4 to 6 months of life helps avoid introduction of

infection

4. breastfeeding should be done as often as the baby want

a. 2 and 3 only

b. 1 and 4 only

c. 1, 3, and 4 only

d. 1, 2, 3, and 4

57. A family planning method which is not advisable for women with extreme irregular menstrual periods:

a. oral contraceptives

b. diaphragm

c. natural family planning

d. vaginal contraceptives

58. You attended a home delivery with the Rural Health midwife. The newborn is a premature. Which of
the following should premature infant care be at home?

a. establishing and maintaining good respiration

b. proper management of feeding

c. minimum handling of the baby

d. regulation of body temperature

59. BCG vaccine is supplied in:

1. freeze dried form in a sealed glass ampule

2. liquid form in a sealed glass ampule

3. liquid form in vial

a. 2 only

b. 3 only

c. 1 only

d. 2 and 3

60. In order to be effective as an occupational health nurse you should be equipped with the knowledge
and skills in which of the following:

1. public health science

2. research process

3. interviewing and counseling

4. oral and written communication

a. 1 and 2 only

b. 3 and 4 only

c. 1, 3 and 4

d. 1, 2, 3, 4

Situation: Health statistics will provide the nurse vital information which she can use for good decision-
making in relation to which specific health promotion/prevention activities will be needed by which group
of people in the community.

61. In 1996, there were 15 cases of Acute Respiratory Infection (ARI) in Barangay B, while Barangay C
had 20 cases. A total number of children who have ARI is:

a. higher in barangay C than in barangay B

b. not comparable in Barangay B and C

c. higher in barangay B than in barangay C

d. data given is insufficient

62. From January 1 to 15, 1996, there were 8 cases of Tetanus neonatorum in San Lazaro Hospital. There
were two deaths. What is the case fatality ratio of this disease?
a. 20%

b. 30%

c. 28%

d. 25%

63. The infant rate is the number of children?

a. dying for every thousand of the population

b. dying from 0-5 year old in every thousand population

c. dying in the first 4 weeks in every thousand children born alive that year

d. during before 1 year old in every thousand children born alive that year

64. Which of the following measures of the proportion of population which exhibits a particular disease at
a particular time and deals in both new and old cases:

a. proportionate morbidity rate

b. case fatality rate

c. incidence ratio

d. prevalence ratio

65. Which of the following measures that risk of dying from causes related to pregnancy, childbirth and
puerperium:

a. maternal mortality

b. neonatal death rate

c. fetal death rate

d. infant mortality rate

Situation: The Occupational Health Nurse is aware of the basic concept of occupational health nursing and
is responsible in preparing and implementing the occupational health program.

66. The following statement describes specifically occupational health nursing

a. this involves prevention, recognition and treatment of injury and illness

b. all of these

c. the application of nursing principles in conserving the health of workers in all occupation

d. this requires special skills in the field of health, education and counseling

67. The occupational health nursing is concerned of the following except:

a. educating workers about health

b. immediate diagnosis of illness prevailing in work field

c. appropriate and effective ways of promoting health

d. planning of administering health services

68. The nurse understands that the primary goal of the occupational health program is :

a. curative care of workers/employees

b. birth and death rates

c. disease trends

d. social environmental conditions

69. In order to establish priorities in planning and implementing the occupational health program, the nurse
will need which of the following data:

a. disease trends, birth and death rates and social environmental conditions

b. birth and death rates

c. disease trends

d. social environmental conditions

70. In the provision of preventing care to workers, the nurse must be aware of biological hazards which
are harmful to workers and their families such as:

a. bacteria, fungi and insects

b. noise
c. toxic metals, poisonous gas fumes and dust

d. stress

Situation: The following are questions that relates to Community Health Nursing

71. A nurse is practicing community health nursing when

a. she leads a support group for obese adolescents

b. she visits an old women in her condominium to change her postsurgical dressing

c. she is in a clinic instructing a couple about newborn care

d. she is performing any of these activities

72. A public health nurse can say that she is beginning to achieve her goal of more optimal health for her
community when:

a. people learn self-care

b. people become involved in determining health care policy

c. all these indicators are present

d. people assumes responsibility for their own health

73. The emphasis of community health nursing is on:

a. treatment of health problems

b. preventing problems and promoting optimum health

c. identification and assessment of health problems

d. illness end of the wellness-illness continuum

74. When the Public Health Nurse assess needs and plan health interventions for a group of people in
coordination with other health professionals, she is demonstrating which of the following features of
community health nursing:

a. CHN involves interdisciplinary collaboration

b. use of epidemiologic approach is an essential par of the nurse practice

c. CHN is oriented to populations

d. CHN promotes client's participation in determining their own health

75. Which of the following statement about CHN is wrong

a. CHN synthesizes public health with nursing

b. CHN emphasizes health

c. promoting clients autonomy is a responsibility of public nursing

d. CHN make it unique contribution to health care not by the natures of its practice but where it is
practiced

Situation: Family planning is one of the health care services provided by nurse in the health centers,
hospitals and private clinics

76. The Philippine Family Program seeks to improve and maintain the following life-saving measures.

1. proper spacing of pregnancies

2. proper timing of pregnancies

3. fewer pregnancies

4. give special concern to mothers with lingering maternal illness

a. 1 and 3

b. 3 and 4

c. 1 and 4

d. 1,2,3,4

77. The major target of the Philippine Family Program are women belonging to the high risk group which is
or are the following:

a. Women under 20 or over 35 years old

b. women suffering from certain medical conditions that contradict pregnancy

c. all these groups

d. women who have least 4 deliveries

78. Which of the following statements is not correct regarding family planning:

a. family planning is services should be made available to those who need them

b. it is the responsibility of every parent to determine whether to have children when or how many

c. family planning is geared towards individual and family welfare

d. the ultimate goal of family planning is to prevent pregnancies

79. In the implementation of the national family planning program, the government assumes the role of a:

a. decision-maker in the practice of family planning methods

b. regulator

c. facilitator

d. dictator

Situation: Being the public health nurse, you provide community health nursing to the family.

81. The nurse performs the following to determine the family nursing problems/needs

a. goal setting

b. family health care plan formulation

c. assessment

d. evaluation

82. The sources of information about the family is or are the following:

a. interview results with members of the family

b. family folder

c. actual observation of the family situation

d. all these sources of information

83. The family presents several problems. Which of the following criteria is considered in determining the
priority health problem:
a. expected consequence of the problem

b. cooperation and support of the family

c. involvement of the members of the family in the problem

d. modifiability of the problem

84. The following is an important basis in preparing the family health care plan:

a. needs and problems gathered and recognized by the nurse herself

b. data gathered from the health center

c. needs and problems as seen and accepted by the family

d. needs as expected by the midwife assigned in the area where the family resides

85. The family health care plan includes the following listed in sequence

a. objective, statement of the problem, intervention and evaluation

b. objectives, intervention, evaluation and statement of the problem

c. evaluation, statement of the problems, objectives and interventions

d. statement of the problems, objectives, intervention and evaluation

Situation: In the municipality where you are assigned, the people have poor hygiene practices, poor
environmental sanitation, and poor nutrition. Their educational levels are low, Infant mortality rate (IMR) is
low compared to the national IMR

86. In this municipality, the nursing health care plan should be focused on:

a. rehabilitative services

b. all these services

c. health promotion and disease prevention

d. curative services

87. In order to determine what specific health teaching should be appropriate for the people of this
municipality, which of the following is the best methods to use:
a. interview of midwives

b. review records and reports

c. study knowledge, attitudes and practices of the people

d. review of the health statistics

88. For Barangay Mabulaklak, in this municipality has poor hygienic practices and poor environmental
condition. These are contributing factors to which of the following disease conditions:

a. influenza

b. hepatitis B

c. parasitism

d. measles

89. For Barangay Mabulaklak, you therefore intend to conduct health education sessions for a group of
mothers. Which of the following topics for discussion will be given least priority?

a. proper selection and preparation of food

b. handwashing before preparing food

c. cutting children's fingernails short

d. overcrowding and its effect

90. You assisted the midwife in formulating the objectives of the plan of care for Barangay Mabulaklak.
Which of the following is a well-stated objective:

a. to reduce the number of children with ascariasis by the end of two years

b. to protect the water sources from pollution

c. to conduct health teachings on proper nutrition

d. to reduce the number of underweight children by 10%

91. The delivery of basic health services was developed to the local government units. The legal basis for
this is embodied in:

a. RA 7035
a. EO 119

c. RA 7160

d. PD 999

92. Local health boards were established at the provincial, city, and municipal levels. At the municipal
level, the chairman of the board is the:

a. rural health physician

b. public health nurse

c. municipal mayor

d. chairman of the committee on health

93. Certain health policies/strategies serve as guidelines in the delivery of services. Which of these is
incorrect:

a. growth monitoring chart is a tool recommended for the assessment and recording of the child's health
condition

b. voluntary blood donation shall be promoted through organization of walking blood banks in rural

c. public sectors is encouraged to work separately from the private sector for effective utilization of
resources

d. traditional birth attendants are trained and allowed to provide prenatal care to mothers

94. Under the present system, the local government unit shall be responsible for which of the following:

a. operation and maintenance of health facilities

b. all of these activities

c. implementation of health programs/projects

d. delivery of health services

95. With the present system, family planning program at the municipal barangay levels are managed by:

a. non-government organization

b. LGU's
c. all these units/organizations are managing family planning program

d. other government organizations

96. In the preparation of your health education plan, the first thing to do is:

a. assess community needs for health education

b. identify the subjects for health teaching

c. specify your goals and objectives

d. identify who will provide support and type of support to be provided

97. You are an effective educator if you can:

a. listen to people's problems and then decide approach for meeting their needs

b. select the best strategy for health action for the people to implement

c. direct the people's effort to implement community-based projects

d. just tell your clients what to do for their problems/needs

98. In teaching a responsible member of the family to perform a certain procedure of the patient, what is
the best thing to do:

a. do all these steps

b. arrange for the practice of the procedure

c. describe the procedure

d. demonstrate the procedure

Situation: Mrs. Amy Madril, a clinical instructress, begins her lecture in CHN with the history of nursing in the
Philippines. The following are the important points that she discussed with her students.

101. The first Filipino nurse supervisor that worked in the Bureau of Health was appointed to office in
1919. This nurse is no other than:

a) Ms. Carmen del Rosario

b) Mrs. Genara de Guzman

c) Mrs. Annie Sand

d) Mrs. Anastacio Giron-Tupas

Mrs. Genara de Guzman was the first Chief of the Division of Nursing when the government offices were
reorganized in October 7, 1947. Mrs. Annie Sand was the founder and the president of the National League
of Nurses. Mrs. Anastacia Giron-Tupas was the first Filipino nurse to hold the position of Chief Nurse
Superintendent.

102. The earliest school of nursing in the country is the:

a) Ilo-Ilo Mission Hospital School of Nursing

b) St. Paul's Hospital School of Nursing

c) University of Sto. Tomas College of Nursing

d) Manila Central University

Ilo-Ilo Mission Hospital School of Nursing, founded in 1906, was the first nursing school in the country.
University of Sto. Tomas College of Nursing was the first College of Nursing in the country.

103. The organization of nurses employed in the DOH is the:

a) Philippine Nurses Association

b) National League of Nurses

c) Catholic Nurses Guild of the Philippines

d) MCNAP

Philippine Nurses Association is the organization of Filipino nurses accredited by the PRC. Catholic Nurses
Guild of the Philippines is an association of Catholic Nurses. MCNAP is an association of nurses involved in the
practice of maternal and child health nursing.

104. To be able to work as a public health nurse, the minimum requirement that should be met is:

a) BSN

b) BSN, RN
c) BSN, RN, 1 year experience

d) BSN, RN, 25 years old, 1 year experience

to be able to work as a Public Health (Nurse II and II), one must be a holder of a degree in Bachelor of
Science in Nursing and a registered nurse in the Philippines.

105. A nurse working in the community assumes different roles. When the nurse acts as a community
organizer, she does which of the following functions?

i. motivate and enhance community participation when planning and implementing health programs and
services

ii. develops family's capability to take care of a sick member

iii. identifies needs, priorities and problems of individuals, families and community

iv. participates in community development activities

v. coordinates with government and nongovernment organization in the implementation of research and
studies

106. In terms of CHN practice, the nurse in the community is trained as:

a) nurse-midwife

b) practice nursing

c) generalist in nursing

d) midwife

community health nurses are generalist as they provide a wide range of nursing responsibilities to different
types of patients.

Situation: Mrs. Fuentes, a nurse who has been with the DOH for more than twelve years already, was
promoted as a Nurse Supervisor.

107. The following are the qualifications of Nurse Supervisor at the provincial level except:

a) BSN, RN

b) at least 3 yrs. experience

c) Master's in public health at least 5 yrs experience in public health

BSN RN master's degree in nursing or public health five years experience as public health nurse

108. The following are functions of the Provincial Nurse Supervisor except:

a) interprets policies, guidelines, and SDP to nursing and midwifery staff of province

b) assesses training needs and plans for staff development program for nursing and midwifery staff

c) participates in planning, developing and evaluating OJT for nurses and midwives conducted by the
department

d) collects, consolidates, analyzes and interprets health record and reports and makes recommendation as
needed

Other functions of a Nurse Supervisor at provincial and city level are:

assesses needs for Community Health Nursing Services at the provincial/city level

• participates in the formulation of the provincial/city health plan with the medical, technical and
administrative staff

• develops nursing components of the provincial/city health plan

• organizes and directs implementation of Community Health Nursing services and other health program

• supervises monitors and evaluates implementation of health programs/projects

• conducts training for nursing and midwifery staff and participates in the training and

evaluation of other health workers of the province/city

• establishes linkages with government and nongovernment organizations for effective health

care delivery in Rural Health Units (RHUs) Health Centers

• supervises Public Health Nurses and one or more Midwife Supervisors at the Provincial

Office/City Domiciliary Obstetrical Service (DOS)

• participates in the recruitment and selection of new nursing and midwifery staff

• coordinates with provincial/city health officer and staff as well as the representatives of
health and other health related agencies (GOs and NGOs)

• conducts, participates in studies and researches on nursing and related fields

• attends meetings, seminars, workshops, conferences and updates on nursing and related fields Letter C is a
function of a Nurse Instructor II

109. The following are requirements and qualifications of regional nurse supervisor

1) BSN, RN

2) with at least 5 years experience in CHN

3) with MAN major in CHN

4) with 2 years experience in supervisory position

a) 1 & 2

b) 2 & 4

c) 1,2,3

d) 1,2,3,4

The qualifications of a Regional Nurse Supervisor are:

• BSN

• RN

• five years experience in community health nursing with 2 years in supervisory position

• Master's degree in public or Master of Arts in Nursing major in Community Health Nursing Administration
and Supervision

110. A colleague who is interested in the position of a chief nurse in a city health office asked Mrs. Fuentes
about the qualifications she must meet. Mrs. Fuentes correctly answers that the following are qualifications
of chief nurse in city health departments and health offices:

1) master's degree in public health major in community health nursing administration

2) doctorate degree in public health

3) 3 years in supervisor position

4) 2 yrs. in the Asst. Chief Nurse position

a) 1 & 3

b) 2 & 4

c) 1,2,3

d) 1,2,3,4

The qualifications of Chief Nurse in a city health departments and health offices:

• BSN

• RN

• Master's Degree in Nursing Major in Community Health Nursing or Master's Degree in

Public Health Major in Community Health Nursing Administration

• five years experience in community health nursing, 3 years of which have either been in

supervisory position or Assistant Chief Nurse position

• with demonstrated leadership ability

111. Considering her qualifications, Mrs. Fuentes told her colleague that she is qualified to take the
position of Assistant Chief Nurse, a position responsible for the following tasks:

1) assesses needs for community health services as part of total health program

2) evaluates the quality and efectivity of nursing services in relation to the total health program

3) coordinates community health services with other health and socio-economic progress

4) supervises, coordinates and evaluate the performance of the District Nurse Supervisors and

assists them in the evaluation of Community Health Nurses

a) 1 & 3

b) 2 & 4

c) 1,2,3
d) 4 only

The qualifications of Assistant Chief Nurse are:

• BSN

• RN

• Master's Degree in Nursing Major in Community Health Nursing or Master's Degree in Public Health Nursing
Administration

• five years experience in community health nursing, 2 years of which have been in supervisory position

• with demonstrated leadership ability

Other Functions of Assistant Chief Nurse

• participates with the Chief Nurse in the assessment of nursing needs

• participates in planning, organizing and directing the implementation of Community Health nursing Services

• Participates in the recruitment and selection of nursing personnel and in the orientation of new community
health nurses

• analyzes potentials of Nurse Supervisors for professional growth and recommends deserving nurses for
study grants

• participates in the planning and conduct of staff development programs for nurses

• works with professional organizations and other socio-civic groups (GOs and NGOs) to improve nursing
services

• acts as resource person in seminars and meetings on nursing, community development and related matters

• participates/conducts studies/researches in the community/health nursing to improve service

• performs the functions of the Chief Nurse in his or her absence

• attends meetings, seminars, workshops on nursing and related

112. In terms of CHN practice, the nurse in the community is trained as:

a) nurse-midwife

b) generalist in nursing
c) practice nursing

d) midwife

Community health nurses are generalist as they provide a wide range of nursing responsibilities to different
types of patients

113. Which one below should the CHN utilize to reach more people in the community for health promotion?

a) home visit fo the control

b) radio announcement

c) announcement in public market

d) community assembles like mother class

radio announcement will reach a wider range of coverage reaching people at work, at home, at school and
public places

114. When the PHN conducts pre-marriage counseling or responsibility, she performs:

a) role modeling

b) change agent role

c) health monitoring role

d) counselor

115. As a public health nurse, what is your primary function or responsibility?

a) health promotion

b) health restoration

c) prevention of illness

d) prevention of complication

116. Which of the following principles of CHN is inaccurate?

a) CHN is based on recognized needs of individuals, groups, families, and communities

b) In CHN, the family is the unit of the service

c) health teaching is part and parcel of the responsibility of the community health nurse

d) the community health nurse works alone even as she is a member of the health team

117. the ultimate goal of the community health services being provided by the government is to:

a) help communities cope up with health threats and discontinue of life

b) promote reciprocally supportive relationship between people and environment

c) increase level of awareness for the level of wellness

d) raise the level of health of the citizenry

118. the primary focus of the community health nursing is:

a) health promotion

b) health education

c) delivery of basic nursing services

d) maternal and child services

Situation: Primary Health Care (PHC) is defined by the WHO as essential health care made universally
accessible to individuals and families in the community by means acceptable to them, through their full
participation and at a cost that the community and country can afford at every stage of development.

119. The WHO held a meeting in this place where primary health care was discussed. What is this place?

a) alma ata

b) Russia

c) Vienna

d) Geneva

The first international conference of PHC was held in Alma Ata, USSR on September 6-12, 1978. It was
sponsored by the World Health Organization.

120. Health problems beyond the capacity of PHC units are referred to the RHU. The RHU team consist of
all except:

a) physician
b) nurse

c) midwife

d) city engineers

121. The primary components of the PHC include:

a) immunization and Control Communicable Diseases

b) health education

c) environmental sanitation

d) all of the above

The elements or components of PHC include:

• environmental sanitation

• control of communicable diseases

• immunization

• health education

• maternal and child health and family planning

• adequate food and proper nutrition

• provision of medical care and emergency treatment

• treatment of locally endemic diseases

• provision of essential drugs

122. The legal basis for the PHC is the:

a) LOI 949

b) RA 7164

c) PD No. 773

d) PD 996
Letter of instruction 949 signed into law by President Ferdinand Marcos on October 19, 1979 legalized the
implementation of Primary Health Care in the Philippines.

123. The key strategy to obtain the mission of PHC is:

a) partnership with people

b) organizations of communities arising from their expressed needs

c) development of inter-sectioned linkages

d) mobilization of people

The core strategy of PHC is partnership with the people and empowerment of the people which means that the
people are not merely recipients of health care services. PHC aims to develop self-reliant people who
participate fully and actively in achieving an acceptable level of health and well being.

124. Steven is a trained community worker in the community. Steven is identified at what level of primary
health care worker?

a) intermediate level health care

b) BHW's

c) trained hilot

d) volunteer

The Two Levels of Primary Health Care in the Community are:

• Village or Barangay Health Workers who are the trained community health workers, health

auxiliary volunteer, traditional birth attendants (TBAs) and trained healers

• Intermediate Level Health Workers who are the professional health workers such as the

general medical practitioners, public health nurse, rural sanitary inspector and midwife.

The PHC team consists of:

• physician

• nurses

• midwives
• nurse auxiliaries

• locally trained community health workers

• traditional birth attendants

• healers

Situation: A strategy of the DOH to achieve health goals is increasing investments for primary health care.

125. There are 4 cornerstones/pillars in PHC. Of the following which is not included?

a) active community participation

b) intra and intersectoral linkages

c) use of appropriate technology

d) government funds

The cornerstones/pillars of PHC are:

• active community participation

• intra and intersectoral linkages

• use of appropriate technology

• support mechanism made available

126. The following are elements of PHC except:

a) environmental sanitation

b) control of CD

c) FHSIS

d) provision of essential drugs

The elements or components ofPHC are the:

• environmental sanitation
• locally endemic diseases treatment

• health education

• maternal and child health and family planning

• essential drugs made available

• proper nutrition and adequate food

• emergency treatment and provision of medical care

• immunization

FHSIS is the recording and reporting system used by the DOH

127. The legal basis of PHC is:

a) LOI 949

b) RA 7305

c) EO 51

d) RA 3573

LOI 949 was signed into law by Pres. Ferdinand Marcos on October 19, 1979, a year after the first
International Conference of PHC in Alma Ata in USSR held on September 6-12, 1978 and sponsored by
WHO and UNICEF.

128. Which of the following is the mission of PHC?

a) health for all Filipinos and health in the hands of the people by year 2020

b) strengthening the health care system by increasing opportunities wherein people will manage their own
health care

c) partnership and empowerment of the people

d) community based

The goal of PHC is Health for all Filipinos and Health in the Hands of the People by year 2020.

129. It is defined by WHO as essential health care made universally accessible to individuals and families
in the community by means acceptable to them:
a) PHC

b) primary health service

c) UNICEF

d) ANSAP

WHO defines by PHC as "essential health care made universally accessible to individuals and families in the
community by means acceptable to them through their full participation and at a cost that the community and
country can afford at every stage of development."

Situation: The modern concept of health refers to optimum level of functioning of individual, groups,
families, and communities. There are several factors in the eco-system which affect this level of functioning.

130. The following are mission of the DOH except?

a) ensure accessibility

b) quality of health care

c) health of all Filipinos

d) quality of life of all Filipinos

The mission of the DOH is "Ensure accessibility and quality of health care to improve the

quality of life of all Filipinos, especially the poor."

131. The vision of DOH is:

a) health for all Filipinos

b) health for all Filipinos in the year 2004

c) health in the hands of the people

d) health care that is globally competitive

132. Eco-system influences an optimum level of functioning (OLOF). Which of the following

factors refers to safety, oppression, people and employment?

a) behavior
b) heredity

c) political

d) health care delivery system

behavioral factors include culture, habits, morals and ethnic customs.

Heredity factors include genetic endowment that can cause inborn defects, strengths, risks, familial and racial
tendencies

Health care delivery system refers to promotive, preventive, curative and rehabilitative activities/services

Environment factors include air, food, water, waste, noise, radiation, pollution, urban or rural setting

Socio-economic factors include employment, education and housing

133. According to the WHO, health is?

a) a state of complete, physical, mental and social well being not merely the absence of disease

b) a science and art of preventing disease and prolonging life

c) a science dedicated to the common attainment of the highest level of physical, mental and social well
being

d) a learned process of well being with the ultimate goal of wellness, as individual and in collaboration
with others

According to the WHO, health is a state of complete physical, mental and social well being

not merely the absence of disease

Situation: The WHO expert committee of nursing defines public health nursing as a special field of nursing
that combines the special skills of nursing, public health and some phases of social assistant and functions as
part of the total health program for the promotion of health, improvement of conditions in the social and
physical environment, rehabilitation of illness and disability.

134. In case of complication to improper use of technology, to whom should cases be preferred to:

a) rural physician
b) city health office

c) midwife

d) district hospital

Cases which involve improper use of technology should be referred to the rural physician

135. As an occupational health nurse in the industry, you are primarily responsible to:

a) institute health precautionary measure preventing accidents (helmets, gloves, mask)

b) assess each employee for possible respiratory infections

c) follow-up existing medical problems an appropriate medical referral

d) health education and awareness dissemination regarding communicable disease

The primary responsibility of the OHN is to institute health precautionary measure

preventing accidents (helmets, gloves, mask)