Situation 1: Community Health Nursing 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.
1. The context of Community Health Nursing is based on the nurse's evaluation about the:
a. Existing health problems and needs of the people
b. Current health status of the people
c. Department of Heath (DOH) goals
d. Devolution of health
2. The primary goal of Community Health Nursing is to:
a. Support and supplement the efforts of the medical professions in the promotion of health and prevention of illness
b. Enhance the capacity of individuals, families and communities to cope with their heath needs
c. Increase the productivity of the people
d. Raise the level of health of the citizenry
3. Community Health Nursing is a specialized field of nursing that follows the basic principles in Community Development work. Which of the following statements best described Community Development as a process of empowering people in the community?
a. Community development may allow women to discover and strengthen their innate capabilities to enjoy and utilize equal opportunities in all aspects of development work
b. Sustainability aspects of development strategies can be taken into consideration
c. Community development is solely confined to the meeting of the day to day survival of the people
d. Community development is a learning process where both women and men participate to improve their lives
4. Which of the following statement is correct?
a. If people are not attending to the services offered by the health staff, the team must reassess the needs of the people
b. In participatory approach, the nurse must devotedly adhere to what the people want
c. In a peasant community where people are fighting for land ownership, the nurse must not participate as this is not a health concern
d. Nurses must not join protest actions as nurses should always be neutral at all times
5. If a particular health service fails, the most basic question is:
a. Is this what the people demanded?
b. What went wrong?
c. Is this what the people need?
d. Who is responsible for the failure?
Situation 2: There are several factors in the ecosystem which affect the optimum level of functioning (OLOF) of individuals, families and communities. The nurse must be knowledgeable on this.
6. The modern concept of health refers to:
a. How individuals can be called disease-free
b. How individuals can avail of their immune system
c. How individuals maintain a maximum level of wellness
d. How individuals avoid diseases
7. The factor in the ecosystem affecting the individual's health that is involved in the menace of pollution, basically man-made, is:
a. Behavioral
b. Socio-economic
c. Environmental influences
d. Health Care Delivery System
8. The factor in the ecosystem affecting the individuals health that is involved in the provision of essential health services whether community-based, accessible, sustainable and affordable is the:
a. Socio-economic influences
b. Health Care Delivery System
c. Behavioral
d. Political
9. Which is not an example of behavioral influences in OLOF on health status?
a. Cigarette smoking and alcohol drinking
b. A grandmother with an adult-onset diabetes
c. Sedentary lifestyle of an office worker
d. Exposure to toxic substances in the workplace
10. In the Health Care Delivery System, ideally, rehabilitation services begin:
a. Upon admission of the client in the health care system
b. Upon discharge of the client from the health care system
c. After the client's physical condition stabilizes
d. Soon after the client had requested for rehabilitation services
Situation 3: One of the national objectives of the Department of Health (DOH) is to improve the general health status of the population.
11. Filipino people are characterized by the following descriptions, except:
a. The top leading cause of mortality is due to cardiovascular diseases
b. Life expectancy of females has always been higher than males
c. Productive age group belongs to 15 to 59 years old
d. Accident is the leading cause of death among newborns and children aged below 5 years old; pneumonia among older children aged 5 to 9 years old
12. Which one is correct regarding the health status of the population?
a. The leading cause of disease among younger people is influenza
b. The leading cause of morbidity among the elderly population is infectious in nature
c. Cataract is the leading cause of visual impairment while errors of refraction is the leading cause of blindness
d. Enuresis is the leading cause of mental illness among adult Filipinos
13. Which among the following is incorrect about the health status of the Filipino people?
a. Hypertension is the leading cause of maternal death
b. The fertility rate is 3.5 children per woman wherein women aged 15-24 years are the age group with the lowest unmet need for family planning services
c. There are lesser adult women who die due to accidents and injuries compared to adult males
d. Among adolescent aged 19, there are about 12% of the young people who are already sexually active
14. The most widely used summary measure of the burden of diseases which combines the number of years of healthy life lost to premature death with time spent in less than full health is known as:
a. Activities of Daily Living (ADL)
b. Swaroop's index
c. Disability Adjusted Life Year (DALY)
d. Human development index
15. The process of aging brings out myriad of health problems that are degenerative. The life expectancy of Filipinos is set at what age?
a. 66.74 years c. 69.6 years
b. 72.61 years d. 100 years
Situation 4: Clinic Visit is done at the health center or health station so that the community health nurse can provide the necessary health care services to the people in the community.
16. Arrange the following standard check-up procedures in proper sequence of doing the clinic visit:
1. Diagnostics 5. Prescription
2. Registration 6. Triaging
3. Referral 7. Health Education
4. Waiting 8. Clinical Evaluation
a. 4, 2, 6, 1, 8, 5, 7, 3 c. 2, 4, 6, 8, 1, 3, 5, 7
b. 2, 1, 4, 6, 8, 3, 5, 7 d. 6, 1, 4, 2, 8, 5, 7, 3
17. Which among the following activities is done during pre-consultation conference?
a. Pre-clinic lecture
b. First come, first served queuing
c. Record preparation
d. One-on-one counseling
18. Certain DOH programs utilizes an acceptable decision to which the nurse has to follow. What should the public health nurse do to a program-based case?
a. Manage the case
b. Refer to the physician
c. Provide first aid treatment
d. Refer the case to the next level of care
19. Clinic visit is being executed by a health team. Who acts as a leader in planning the clinical activities?
a. Barangay Health Worker
b. Public Health Nurse
c. Physician-in-Charge
d. Rural Health Midwife
20. Jessica, a pregnant woman, went to the center during prenatal clinic for treatment of syphilis. Your midwife, Felly, shared the matter to the other mothers who were there at that time. As the Public Health Nurse who is higher in rank than the Rural Health Midwife, what will you do?
a. Confirm the story to the other mothers
b. Confront the midwife immediately to correct her behavior
c. Explain to the other mothers that syphilis can be treated
d. Deny the gossip when the midwife is not around to avoid conflict with her
Situation 5: Home visit is a family-nurse contact which allows the health worker to assess the home and family situations in order to provide necessary nursing care.
21. The following best describes a home visit, except:
a. A professional contact made by the nurse
b. Extension of the services of the health center
c. May or may not be recorded
d. Should have an objective
22. The following are the steps in a home visit. Arrange them in proper sequence:
1. Determine health needs
2. Explain purpose of visit
3. Place the bag in a convenient place
4. Introduce self
5. Perform nursing care
6. Greet the client
7. Health teaching
8. Make a return appointment
9. Do the recording
10. Observe the client
a. 6, 4, 2, 1, 3, 5, 7, 9, 8, 10
b. 6, 4, 2, 10, 1, 3, 5, 7, 9, 8
c. 6, 4, 2, 3, 10, 5, 1, 7, 9, 8
d. 6, 4, 2, 1, 3, 5, 10, 7, 8, 9
23. When the nurse reviews the records of the family in the clinic, in what phase of the visit is this?
a. Preparatory phase c. Post visit phase
b. Home visit phase d. Recording phase
24. In performing home visit, it is important that nurse should accomplish which of the following to meet the needs of clients and achieve the best results of desired outcome?
a. Develop a family nursing care plan
b. Apply the nursing process and prioritize needs of the client
c. Perform bag technique
d. Formulate plan of visit
25. Planning for a home visit is an essential tool in achieving best results in health care. The following are principles in a home visit, except:
a. Planning should be flexible and practical
b. Home visit should have a purpose
c. Plans are based in available information including those from other agencies that may have rendered services to the family
d. Planning of continuing care must be developed by the nurse
Situation 6: The following procedures are very important to the public health nurse in rendering effective nursing care to clients in varied settings.
26. Nurse Jenn should understand which rationale when performing the bag technique?
a. It should save time and effort when performing nursing procedures
b. It should minimize or prevent the spread of infection
c. It should not overshadow the concerns for the client
d. It should render effective nursing care to clients or other family members
27. Nurse Mayk utilizes three different agents when wiping the thermometer after use. Arrange them according to sequence:
a. 3x soap, 3x water, 3x alcohol
b. 1x soap, 1x water, 1x alcohol
c. 3x soap, 3x water, 1x alcohol
d. 1x soap, 1x water, 3x alcohol
28. A yellow result of a Benedict's test should be interpreted by Nurse Glendon as to which extent of glucosuria?
a. (-) b. + c. ++ d. +++
29. If the result of a Heat and Acetic acid test is clear, Nurse Geri knows that:
a. There is no albumin in the urine
b. Protein is traced in the urine
c. This is a positive result of protein leak
d. Albuminuria is abnormal
30. Tourniquet test or Rumpel-Lead's test is used as screening for dengue. If Nurse Darelle counted 10 petechial spots in the imaginary one square inch just below the BP cuff or in the antecubital fossa, this should be interpreted as:
a. Positive c. Alarming
b. Negative d. Warning
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