問題一覧
1
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
According to the Philippines Nurses Association's Code of Ethics (2004), community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing:
sociocultural issues.
2
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
Community health focuses on disease prevention activities
that protect people from disease and the effects of disease.
An example of primary disease prevention is:
administering vaccines to children before kindergarten.
3
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
A variety of health indicators are used by health providers,
policy makers, and community health nurses to measure the
health of the community. Indicators that illustrate the health
status of a community and may be useful in analyzing health
patterns over time include: Select all that apply.
1. morbidity.
2. mortality.
3. birth rates.
4. life expectancy.
5. incidence rates.
All except 3
4
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
Jennifer correctly identifies which of the following is an
example of "community health nursing" rather than
"community-based nursing"?
An RN reviewing school clinic records to determine which students are not up to date on their immunizations
5
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
The local level of the health care system provides direct
services to community members through community and
personal health services. An example of a health service that
targets the larger community, rather than individuals, is:
Select all that apply.
1. providing well-infant care.
2. a mobile immunization clinic.
3. encouraging family planning.
4. airing a weekly public service announcement to remind
women to do breast self-examination.
2 and 4
6
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
A risk factor refers to a(n):
exposure that is associated with a disease.
7
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
Which of the following is an example of a modifiable risk
factor? Select all that apply.
1. Cigarette smoking 3. Sexual practices
2. Gender 4. Diet
All except 2
8
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
Which of the following "determinants of health" would
include predisposition to prostate cancer and a history of
depression?
Biology
9
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
This determinant of health refers to factors that are
experienced with the senses-things that can be seen,
touched, heard, and smelled?
Physical environment
10
Receiving immunizations, regular health screenings, and
physical exams is an example of:
health protection.
11
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
One dimension of a community, which looks at personal
characteristics and risks of a group, is called:
aggregate of people.
12
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
Which of the following groups is an example of a community
of solution? A group:
concerned with reducing teenage suicides.
13
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
One of the first steps in community assessment may involve
the community health nurse driving or walking through an
area and making observations about such things as
environmental layout and location of agencies, hospitals,
industries, and so forth. This is called a(n):
windshield survey.
14
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
This source of information about a community's health would
give the community health nurse information about births,
deaths, and marriages and aid in providing indicators of
population growth or reduction.
Vital statistics
15
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
Identify the etiologic or causal statement component of the
following community diagnosis: "There is an increased risk
for undetected testicular cancer among young men related
to insufficient knowledge about the disease and the methods
for preventing and detecting it at an early stage as
demonstrated by high rates of late initiation of treatment."
Insufficient knowledge about the disease and methods of prevention
16
The application of the nursing process is rational method of planning and providing nursing care. As basic tool in professional nursing practice, its utilization ensures competent and safe practice. It is a
scientific tool that is utilized also in Community Health Nursing.
Which of the following is Community Health Nursing Assessment?
Intensive fact-finding
17
The application of the nursing process is rational method of planning and providing nursing care. As basic tool in professional nursing practice, its utilization ensures competent and safe practice. It is a
scientific tool that is utilized also in Community Health Nursing.
When the nurse invites other members of the nursing team
to develop evaluation parameters, this process is called:
Planning nursing action
18
The application of the nursing process is rational method of planning and providing nursing care. As basic tool in professional nursing practice, its utilization ensures competent and safe practice. It is a
scientific tool that is utilized also in Community Health Nursing.
When the nurse performs appraisals, this process is called:
Evaluation
19
Once the nurse initiates contact with a client, asking
questions to gather data, this process is called:
Assessment
20
When the RHU nurse provides health teaching to individuals
or families, this process is called:
Intervention
21
The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.
The standard routine immunization schedule for infants is adopted to provide maximum immunity against the seven vaccine preventable diseases before a child’s first birthday. In the implementation of the schedule in the far flung areas, which of the following is TRUE
In areas distant from established barangay health stations, immunization is done quarterly.
22
Among the vaccines given in a health center, which of the
following does the nurse identify as prepared in a clear,
pinkish liquid form?
OPV
23
A nurse is assigned to manage the cold chain logistics. What
particular step made by the nurse “breaks” the cold chain?
Reconstituting the freeze, dried vaccine with diluents from non-frozen vaccines
24
The health center nurse informs a student that the “first
expiry and first out” vaccine protocol is followed to:
Demonstrate efficiency in using the supplies
25
Unused BCG should be discarded how many hours after
reconstitution?
4 hours
26
As per DOH advisory, Wednesday is Immunization Day.
A mother brings her 6-month-old child to the health center for vaccination and asks the nurse why she needs to have her child vaccinated. The nurse appropriately tells the mother that vaccination provides the child with what type of immunity against infections?
Acquired-active immunity
27
The nurse knows that all immunizations are safe and effective
when administered simultaneously within the same immunization session. The recommended sequence of the coadministration of vaccines is:
OPV first then followed by the Rotavirus vaccine.
28
If a child had a previous reaction after taking neomycin,
which vaccine should the nurse NOT administer?
IPV
29
During the morning of the immunization day, an anxious
woman is reluctant to have her 6-month old infant immunized
with the second dose of DPT after her child experienced fever.
What statement of the nurse can best convince the mother to
continue with the succeeding immunizations for DPT?
“Sometimes children have reactions to vaccines and these are expected to go away with supportive measures.”
30
After receiving BCG, the child manifests an acute inflammatory reaction called Koch’s phenomenon. The nurse is aware that this signifies that the child is/was:
previously exposed to Mycobacterium.
31
In a barangay health center, a group of student nurses is rendering their community health nursing experience. Their learning task is to administer immunizations and provide health teachings among the
parents of the children about immunization.
A parent approaches one of the student nurses about his
son’s immunization status. Due to the nature of his work, his
family needed to move from one place to another making the
parent neglect the child’s immunization. The parent asks that
if his son was unable to complete a series of vaccines, what is
supposed to be done in the health center?
Obtain a record of the child in the previous health center.
32
A pregnant woman had just received her 4th dose of tetanus
toxoid. Subsequently, she will have protection against tetanus
for how long?
10 years
33
A student nurse is identifying vaccines included in the
pentavalent vaccine. The clinical instructor praises the
student nurse if she was able to mention which of the
following? (Select all the apply)
1. Diphtheria vaccine 3. Hepatitis B vaccine
2. Polio vaccine 4. Hib vaccine
1, 3, & 4 only
34
While a student nurse was giving oral polio vaccine, the baby
spits out the vaccine. What should the student nurse do?
Give another dose using a medicine dropper.
35
At the RHU, the students are taught by the public health
nurse on preparing vaccine requirements and overseeing
vaccine allocation. As an example, the public health nurse
asked the students to determine the OPV requirements for
their municipality of 15,000 people. If there are 20 doses per
bottle, a correct answer is given by the student if the student
mentions how many bottles of OPV?
102 bottles per year or 9 bottles per month
36
Working with families has never been more complex or rewarding than now. Nurses understand the actual and potential impact that families have in changing the health status of Filipinos.
Which of the following descriptions does NOT reflect a
current definition of family?
Two or more persons living together who share common interests
37
Working with families has never been more complex or rewarding than now. Nurses understand the actual and potential impact that families have in changing the health status of Filipinos.
The community health nurse interacts with the community
made up of different types of families. Which of the following
family structures is also called “empty nesters?”
Dyad family
38
A community health nurse is working with a single parent
with a special needs child and a child with asthma. The
maternal grandmother lives with the family and was recently
diagnosed with diabetes. The nurse understands the
importance of including the grandmother in her assessment
and interventions because families are:
involved in the health care of their members.
39
Family interviewing requires the community health nurse to understand or develop specific skills. All of the following demonstrate appropriate family interviewing skills or techniques except:
establishing the nursing goals based exclusively on the physician's orders.
40
When the community health nurse displays pertinent family
information in a family tree format, the family can see the
family structure, its members and their relationships over at
least three generations and provides a visual source for
planning family interventions. This approach also assists the
nurse in making clinical judgments relevant to family
structure and history. This type of family assessment
instrument is referred to as:
genogram
41
When a community health nurse interacts with the community, she acknowledges the existence of multiple types of families.
A “common-law wife” is the proper term for woman who is:
cohabiting but is unmarried to the father of her children.
42
The family fulfills two important purposes. Which of the
following DOES NOT fulfill its purpose to meet the needs of
the society?
welfare and protection of an individual
43
The community health nurse understands that events such
as divorce, remarriage, or separation of parents have the
potential to affect the family and individuals within the
family. This demonstrates the nurse's understanding of
which family theory?
Developmental theory
44
Which of the following characteristics is demonstrated by
healthy or energized families?
1. Communication is appropriate and clear.
2. Support and respect are evident and appreciated.
3. Roles are static and change only in times of crisis.
4. Common beliefs and values are shared.
5. Members play and share leisure time appropriately.
1, 2, 4, & 5 only
45
During a home visit, a nurse teaches a husband who is
recovering from a stroke and his wife how to modify their
home environment to prevent falls. This education
represents:
Tertiary prevention.
46
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. On the other hand, 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.
During clinic visit, which among the following activities is
done during pre-consultation conference?
Pre-clinic lecture
47
Certain DOH programs utilize an acceptable decision to which
the nurse has to follow. What should the public health nurse
do to a program-based case?
Manage the case
48
Clinic visit is being executed by a health team. Who acts as a
leader in planning the clinical activities?
Physician-in-Charge
49
The following best describes a home visit, except:
May or may not be recorded
50
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:
Planning of continuing care must be developed by the nurse
51
Home visits allow a more accurate assessment of the family structure, the natural or home environment, and behavior in that environment than do clinic visits.
The following are advantages of the home visit, EXCEPT:
Assurance of safety of the nurses
52
Home visits allow a more accurate assessment of the family structure, the natural or home environment, and behavior in that environment than do clinic visits.
A nurse contacts a family to arrange an initial home visit. The
nurse explains the source of the referral and the purpose of the
visit. The husband expresses his concerns about the need for a
home visit but agrees to a date and time for the home visit. The
nurse reviews the agency's family record and the referral. The
nurse has completed which phase(s) of the home visit?
Initiation & previsit phase.
53
Home visits allow a more accurate assessment of the family structure, the natural or home environment, and behavior in that environment than do clinic visits.
Which of the following activities is/are done during the in-
home phase of the home visit? Select all that apply.
1. Introduce self and professional identity.
2. Interact socially to establish rapport.
3. Establish nurse–client relationship.
4. Implement nursing process.
1, 2, 3 & 4
54
During the home visit, the mother of the household asks the
nurse if she can leave her personal number so that she can
be contacted by the mother just in case she wants to ask
something. The nurse should:
decline and give the mother the health center’s telephone number instead.
55
Much priority is given to this activity during the post-visit
phase as it promotes continuity of care in the community.
Reporting by documentation
56
The following procedures are very important to the public health nurse in rendering effective nursing care to clients in varied settings.
The nurse should understand which rationale when performing the bag technique?
It should minimize or prevent the spread of infection
57
Tourniquet test or Rumpel-Lead's test is used as screening
for dengue. If the nurse counted 10 petechial spots in the
one square inch just below the BP cuff or in the antecubital
fossa, this should be interpreted as:
Negative
58
The nurse utilizes three different agents when wiping the
thermometer after use. Arrange them according to
sequence:
3x soap, 3x water, 1x alcohol
59
An orange result of a Benedict's test should be interpreted
by the nurse as to which extent of glucosuria?
+++
60
If the result of a Heat and Acetic acid test is clear, the
nurse knows that:
There is no albumin in the urine
61
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
Different institutions may have different criteria for site
selection of communities. However, there are some basic
criteria that must be kept in mind in choosing a community.
Select from the following options these basic criteria.
1. Geographical isolation
2. Signs of willingness to the organizer
3. Perception of need for assistance
4. Non-existence of threat to organizer’s safety
1, 2, 3, & 4
62
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
Another criteria for selection of the site is the community’s
poor health status. The nurse knows that all are indicators
of a poor health status except:
Lack of a primary or secondary hospital
63
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
Part of the pre-entry phase of COPAR is to develop a community profile from secondary data. To accomplish this, the nursing students can help gather data by interview and observation. Which of the following actions of the nursing students least contribute to the completion of the said task for the barangay?
Analyzing the potential for economic growth
64
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
With the help of the barangay captain, the nursing students
together with their instructors held a community assembly
with the heads of the households. What is the main purpose
of this activity?
To find out the program’s acceptability and the community’s willingness to offer support and participation
65
Once the people are amenable to the program, the nursing
students can begin conducting a baseline study of the
barangay. What tool will they need to locate the people
inside the barangay?
Spot map
66
The second phase of the COPAR process is called the Entry Phase. The following questions apply.
A primary activity during the entry phase is integration. A community health nurse should know that all of the following are true about the concept of integration except:
It is letting the community do things on their own.
67
Which of the following is a suggested activity in facilitating
integration?
Participation in harvesting and fishing
68
This is the systematic process of collecting, synthesizing and
analyzing data to draw a clear picture of the community.
Social investigation
69
The nurse facilitators are about to select the members of the
core group. Of the following choices, which one is least
required as qualification?
Must be a graduate of tertiary level education
70
To discover opportunities for growth and development, a
nurse conducts a Self-Awareness Leadership Training among
the members of the core group. In this seminar, the following
concepts are discussed except:
Microeconomics
71
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
A student asks her nurse instructor for the objectives of PAR.
The nurse instructor correctly replies to this query with all the
following statements except:
To promote health via the use of vital statistics
72
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
What is the essential element of PAR?
Participation
73
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
In PAR, a nurse can fulfill the role of a professional, who, through immersion and integration in the community, becomes a committed participant and learner in the community. This role is:
Outside researcher
74
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
In comparison with the research process, the nurse should
know that PAR’s main purpose leans towards:
The need for social transformation
75
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
An important of the PAR process is data collection and the
student nurses are asking the nurse instructor what are the
determinants of methodology in PAR. The nurse instructor
answers with:
Local culture and innovativeness of the people
76
Nurse Purita, a community health nurse, is facilitating a seminar concerning the use of herbal plants for medicinal and therapeutic purposes for the members of Barangay San Pedro.
An effective medicinal plant for alleviating symptoms of gout is ulasimang bato. Nurse Purita should know that this plant is more popularly known as
Pansit-pansitan
77
One member of the barangay told Nurse Purita that he saw
Manny Pacquiao in a TV commercial advertising a
medication for toothache. He then asks what herbal
medicine can be an alternative for the said drug. Nurse
Purita recommends:
Bawang
78
During the seminar, a mother asks Nurse Purita on how to
use akapulko leaves as an anti-fungal. Nurse Purita
correctly instructs the mother by saying:
“Pound the leaves and rub gently like soap to the affected area .”
79
Medicinal plants like lagundi and ampalaya have been sold
as active ingredients in labelled medications. The nurse
knows that this alternative health care modality is called:
phytomedicine
80
Which of the following are considered alternative health
care modalities according to the Republic Act no. 8423?
(Select all that apply)
1. Reflexology 3. Chiropractic
2. Acupuncture 4. Nutritional therapy
1, 2, 3 & 4
81
The practice of occupational health nursing requires a broad base of knowledge in nursing, public health and human relations.
Republic Act 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?
Location of the workplace in relation to health facilities
82
A business firm must employ an occupational health nurse
when it has at least how many employees?
101
83
When the occupational health nurse employs ergonomic
principles, she is performing which of her roles?
Environmental manager
84
A garment factory does not have an occupational nurse. Who
shall provide the occupational health needs of the factory
workers?
Public health nurse of the RHU of their municipality
85
As an occupational health nurse, one of your tasks is to
coordinate with other professionals in the field. With regards
to the properties and hazards of the chemical agents in a
factory, which professional does the nurse consult?
Toxicologists
86
The management of environmental healthin the Philippines has went through several importantchanges.
Environmental Health mainly focuses on preventing
diseases. In cognizant of this fact, what should be the
priority nursing action of the public health nurse?
Health education
87
Hospitals are required to match the color of the plastic bag to
the color of the storage receptacle to facilitate efficient
collection. The nurse throws the maternal placenta in which
waste bag?
Yellow bag
88
Solid wastes can be divided into several components under
two broad categories. The following are biodegradable waste,
except:
Cullet
89
Which of the following interventions would be the most
appropriate to implement for a community that has a high
risk for environmental health hazards?
Involve citizens in decision-making processes about proposed activities that could pose an environmental threat.
90
A public health nurse is surveying a population of coal miners.
Which of the following questions would elicit information
about related risk to a miner's children?
"How close do you live to your workplace?"
91
Of all the major factors that lead to thedestruction of the environment and development of noncommunicable diseases, smoking is the most common and poses significant danger to the health of most
people. The DOH is keen on controlling smoking in the Philippines.
Which of the following is NOT TRUE regarding the risks brought about by smoking?
The younger one smoked, the lesser the risk.
92
Cigarette smoke contains compounds that separate into gas
and particulate. Which compound/chemical is responsible for
many cancers and lung diseases?
Tar
93
Realizing that health workers in most communities in the
Philippines do not have time nor resources, the World Health
Organization has a simplified recommendation in helping
smokers to quit their habit. The four As of helping smokers to
quit include all of the following EXCEPT:
Advise use of pharmacological treatment.
94
The World Health Organization also established four pillars for
successful anti-tobacco programs. These four pillars can be
summarized into two simple words:
Education and Legislation
95
Being a role model is one way of helping the campaign
against the smoking. Who of the following if seen smoking in
public by many people especially children will be most
detrimental to the anti-smoking campaign in the country?
The president
96
Community assessment through vital statistics and epidemiology creates a number of advantages for the public health nurse
Major factors affecting population include all, except:
Morbidity
97
The town of Bagong Pag-asa has a population of 100,000 as
of July 1, 2008 (midyear) as per calendar year 2008 (January
to December) 2,000 died. Which formula below should be
used to compute the crude death rate?
2,000 / 100,000 x 1,000
98
Incidence rate means new cases as percent of population and
prevalence rate means cases in a given period of time as percent
of population. Which formula below is a prevalence rate?
Total number of cases of a disease (old + new) at a given time / Estimated population at the time x 100
99
The following are steps in data processing. As a nurse, you
should know its proper sequencing:
1. Data analysis 3. Data presentation
2. Data collection 4. Data collation
2, 4, 3 and 1
100
Which of the following patterns is intermittent and
confined to a certain geographical area or locality?
Sporadic
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12問 • 1年前問題一覧
1
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
According to the Philippines Nurses Association's Code of Ethics (2004), community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing:
sociocultural issues.
2
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
Community health focuses on disease prevention activities
that protect people from disease and the effects of disease.
An example of primary disease prevention is:
administering vaccines to children before kindergarten.
3
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
A variety of health indicators are used by health providers,
policy makers, and community health nurses to measure the
health of the community. Indicators that illustrate the health
status of a community and may be useful in analyzing health
patterns over time include: Select all that apply.
1. morbidity.
2. mortality.
3. birth rates.
4. life expectancy.
5. incidence rates.
All except 3
4
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
Jennifer correctly identifies which of the following is an
example of "community health nursing" rather than
"community-based nursing"?
An RN reviewing school clinic records to determine which students are not up to date on their immunizations
5
Jennifer recently passed the Nurses’ Licensure Examination. She is now planning to work as a community health nurse in a large metropolitan area. As such, she familiarizes herself in basic concepts of community health.
The local level of the health care system provides direct
services to community members through community and
personal health services. An example of a health service that
targets the larger community, rather than individuals, is:
Select all that apply.
1. providing well-infant care.
2. a mobile immunization clinic.
3. encouraging family planning.
4. airing a weekly public service announcement to remind
women to do breast self-examination.
2 and 4
6
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
A risk factor refers to a(n):
exposure that is associated with a disease.
7
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
Which of the following is an example of a modifiable risk
factor? Select all that apply.
1. Cigarette smoking 3. Sexual practices
2. Gender 4. Diet
All except 2
8
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
Which of the following "determinants of health" would
include predisposition to prostate cancer and a history of
depression?
Biology
9
Consideration of health risks guides us to think upstream—to identify risks that could be prevented to make and keep people healthy.
This determinant of health refers to factors that are
experienced with the senses-things that can be seen,
touched, heard, and smelled?
Physical environment
10
Receiving immunizations, regular health screenings, and
physical exams is an example of:
health protection.
11
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
One dimension of a community, which looks at personal
characteristics and risks of a group, is called:
aggregate of people.
12
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
Which of the following groups is an example of a community
of solution? A group:
concerned with reducing teenage suicides.
13
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
One of the first steps in community assessment may involve
the community health nurse driving or walking through an
area and making observations about such things as
environmental layout and location of agencies, hospitals,
industries, and so forth. This is called a(n):
windshield survey.
14
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
This source of information about a community's health would
give the community health nurse information about births,
deaths, and marriages and aid in providing indicators of
population growth or reduction.
Vital statistics
15
The nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment—one of the core functions—which involves getting to know the community.
Identify the etiologic or causal statement component of the
following community diagnosis: "There is an increased risk
for undetected testicular cancer among young men related
to insufficient knowledge about the disease and the methods
for preventing and detecting it at an early stage as
demonstrated by high rates of late initiation of treatment."
Insufficient knowledge about the disease and methods of prevention
16
The application of the nursing process is rational method of planning and providing nursing care. As basic tool in professional nursing practice, its utilization ensures competent and safe practice. It is a
scientific tool that is utilized also in Community Health Nursing.
Which of the following is Community Health Nursing Assessment?
Intensive fact-finding
17
The application of the nursing process is rational method of planning and providing nursing care. As basic tool in professional nursing practice, its utilization ensures competent and safe practice. It is a
scientific tool that is utilized also in Community Health Nursing.
When the nurse invites other members of the nursing team
to develop evaluation parameters, this process is called:
Planning nursing action
18
The application of the nursing process is rational method of planning and providing nursing care. As basic tool in professional nursing practice, its utilization ensures competent and safe practice. It is a
scientific tool that is utilized also in Community Health Nursing.
When the nurse performs appraisals, this process is called:
Evaluation
19
Once the nurse initiates contact with a client, asking
questions to gather data, this process is called:
Assessment
20
When the RHU nurse provides health teaching to individuals
or families, this process is called:
Intervention
21
The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.
The standard routine immunization schedule for infants is adopted to provide maximum immunity against the seven vaccine preventable diseases before a child’s first birthday. In the implementation of the schedule in the far flung areas, which of the following is TRUE
In areas distant from established barangay health stations, immunization is done quarterly.
22
Among the vaccines given in a health center, which of the
following does the nurse identify as prepared in a clear,
pinkish liquid form?
OPV
23
A nurse is assigned to manage the cold chain logistics. What
particular step made by the nurse “breaks” the cold chain?
Reconstituting the freeze, dried vaccine with diluents from non-frozen vaccines
24
The health center nurse informs a student that the “first
expiry and first out” vaccine protocol is followed to:
Demonstrate efficiency in using the supplies
25
Unused BCG should be discarded how many hours after
reconstitution?
4 hours
26
As per DOH advisory, Wednesday is Immunization Day.
A mother brings her 6-month-old child to the health center for vaccination and asks the nurse why she needs to have her child vaccinated. The nurse appropriately tells the mother that vaccination provides the child with what type of immunity against infections?
Acquired-active immunity
27
The nurse knows that all immunizations are safe and effective
when administered simultaneously within the same immunization session. The recommended sequence of the coadministration of vaccines is:
OPV first then followed by the Rotavirus vaccine.
28
If a child had a previous reaction after taking neomycin,
which vaccine should the nurse NOT administer?
IPV
29
During the morning of the immunization day, an anxious
woman is reluctant to have her 6-month old infant immunized
with the second dose of DPT after her child experienced fever.
What statement of the nurse can best convince the mother to
continue with the succeeding immunizations for DPT?
“Sometimes children have reactions to vaccines and these are expected to go away with supportive measures.”
30
After receiving BCG, the child manifests an acute inflammatory reaction called Koch’s phenomenon. The nurse is aware that this signifies that the child is/was:
previously exposed to Mycobacterium.
31
In a barangay health center, a group of student nurses is rendering their community health nursing experience. Their learning task is to administer immunizations and provide health teachings among the
parents of the children about immunization.
A parent approaches one of the student nurses about his
son’s immunization status. Due to the nature of his work, his
family needed to move from one place to another making the
parent neglect the child’s immunization. The parent asks that
if his son was unable to complete a series of vaccines, what is
supposed to be done in the health center?
Obtain a record of the child in the previous health center.
32
A pregnant woman had just received her 4th dose of tetanus
toxoid. Subsequently, she will have protection against tetanus
for how long?
10 years
33
A student nurse is identifying vaccines included in the
pentavalent vaccine. The clinical instructor praises the
student nurse if she was able to mention which of the
following? (Select all the apply)
1. Diphtheria vaccine 3. Hepatitis B vaccine
2. Polio vaccine 4. Hib vaccine
1, 3, & 4 only
34
While a student nurse was giving oral polio vaccine, the baby
spits out the vaccine. What should the student nurse do?
Give another dose using a medicine dropper.
35
At the RHU, the students are taught by the public health
nurse on preparing vaccine requirements and overseeing
vaccine allocation. As an example, the public health nurse
asked the students to determine the OPV requirements for
their municipality of 15,000 people. If there are 20 doses per
bottle, a correct answer is given by the student if the student
mentions how many bottles of OPV?
102 bottles per year or 9 bottles per month
36
Working with families has never been more complex or rewarding than now. Nurses understand the actual and potential impact that families have in changing the health status of Filipinos.
Which of the following descriptions does NOT reflect a
current definition of family?
Two or more persons living together who share common interests
37
Working with families has never been more complex or rewarding than now. Nurses understand the actual and potential impact that families have in changing the health status of Filipinos.
The community health nurse interacts with the community
made up of different types of families. Which of the following
family structures is also called “empty nesters?”
Dyad family
38
A community health nurse is working with a single parent
with a special needs child and a child with asthma. The
maternal grandmother lives with the family and was recently
diagnosed with diabetes. The nurse understands the
importance of including the grandmother in her assessment
and interventions because families are:
involved in the health care of their members.
39
Family interviewing requires the community health nurse to understand or develop specific skills. All of the following demonstrate appropriate family interviewing skills or techniques except:
establishing the nursing goals based exclusively on the physician's orders.
40
When the community health nurse displays pertinent family
information in a family tree format, the family can see the
family structure, its members and their relationships over at
least three generations and provides a visual source for
planning family interventions. This approach also assists the
nurse in making clinical judgments relevant to family
structure and history. This type of family assessment
instrument is referred to as:
genogram
41
When a community health nurse interacts with the community, she acknowledges the existence of multiple types of families.
A “common-law wife” is the proper term for woman who is:
cohabiting but is unmarried to the father of her children.
42
The family fulfills two important purposes. Which of the
following DOES NOT fulfill its purpose to meet the needs of
the society?
welfare and protection of an individual
43
The community health nurse understands that events such
as divorce, remarriage, or separation of parents have the
potential to affect the family and individuals within the
family. This demonstrates the nurse's understanding of
which family theory?
Developmental theory
44
Which of the following characteristics is demonstrated by
healthy or energized families?
1. Communication is appropriate and clear.
2. Support and respect are evident and appreciated.
3. Roles are static and change only in times of crisis.
4. Common beliefs and values are shared.
5. Members play and share leisure time appropriately.
1, 2, 4, & 5 only
45
During a home visit, a nurse teaches a husband who is
recovering from a stroke and his wife how to modify their
home environment to prevent falls. This education
represents:
Tertiary prevention.
46
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. On the other hand, 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.
During clinic visit, which among the following activities is
done during pre-consultation conference?
Pre-clinic lecture
47
Certain DOH programs utilize an acceptable decision to which
the nurse has to follow. What should the public health nurse
do to a program-based case?
Manage the case
48
Clinic visit is being executed by a health team. Who acts as a
leader in planning the clinical activities?
Physician-in-Charge
49
The following best describes a home visit, except:
May or may not be recorded
50
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:
Planning of continuing care must be developed by the nurse
51
Home visits allow a more accurate assessment of the family structure, the natural or home environment, and behavior in that environment than do clinic visits.
The following are advantages of the home visit, EXCEPT:
Assurance of safety of the nurses
52
Home visits allow a more accurate assessment of the family structure, the natural or home environment, and behavior in that environment than do clinic visits.
A nurse contacts a family to arrange an initial home visit. The
nurse explains the source of the referral and the purpose of the
visit. The husband expresses his concerns about the need for a
home visit but agrees to a date and time for the home visit. The
nurse reviews the agency's family record and the referral. The
nurse has completed which phase(s) of the home visit?
Initiation & previsit phase.
53
Home visits allow a more accurate assessment of the family structure, the natural or home environment, and behavior in that environment than do clinic visits.
Which of the following activities is/are done during the in-
home phase of the home visit? Select all that apply.
1. Introduce self and professional identity.
2. Interact socially to establish rapport.
3. Establish nurse–client relationship.
4. Implement nursing process.
1, 2, 3 & 4
54
During the home visit, the mother of the household asks the
nurse if she can leave her personal number so that she can
be contacted by the mother just in case she wants to ask
something. The nurse should:
decline and give the mother the health center’s telephone number instead.
55
Much priority is given to this activity during the post-visit
phase as it promotes continuity of care in the community.
Reporting by documentation
56
The following procedures are very important to the public health nurse in rendering effective nursing care to clients in varied settings.
The nurse should understand which rationale when performing the bag technique?
It should minimize or prevent the spread of infection
57
Tourniquet test or Rumpel-Lead's test is used as screening
for dengue. If the nurse counted 10 petechial spots in the
one square inch just below the BP cuff or in the antecubital
fossa, this should be interpreted as:
Negative
58
The nurse utilizes three different agents when wiping the
thermometer after use. Arrange them according to
sequence:
3x soap, 3x water, 1x alcohol
59
An orange result of a Benedict's test should be interpreted
by the nurse as to which extent of glucosuria?
+++
60
If the result of a Heat and Acetic acid test is clear, the
nurse knows that:
There is no albumin in the urine
61
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
Different institutions may have different criteria for site
selection of communities. However, there are some basic
criteria that must be kept in mind in choosing a community.
Select from the following options these basic criteria.
1. Geographical isolation
2. Signs of willingness to the organizer
3. Perception of need for assistance
4. Non-existence of threat to organizer’s safety
1, 2, 3, & 4
62
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
Another criteria for selection of the site is the community’s
poor health status. The nurse knows that all are indicators
of a poor health status except:
Lack of a primary or secondary hospital
63
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
Part of the pre-entry phase of COPAR is to develop a community profile from secondary data. To accomplish this, the nursing students can help gather data by interview and observation. Which of the following actions of the nursing students least contribute to the completion of the said task for the barangay?
Analyzing the potential for economic growth
64
A group of nursing students and community organizers from San Simon College of Nursing are currently on the Pre-Entry Phase of the Community Organizing – Participatory Action Research (COPAR).
With the help of the barangay captain, the nursing students
together with their instructors held a community assembly
with the heads of the households. What is the main purpose
of this activity?
To find out the program’s acceptability and the community’s willingness to offer support and participation
65
Once the people are amenable to the program, the nursing
students can begin conducting a baseline study of the
barangay. What tool will they need to locate the people
inside the barangay?
Spot map
66
The second phase of the COPAR process is called the Entry Phase. The following questions apply.
A primary activity during the entry phase is integration. A community health nurse should know that all of the following are true about the concept of integration except:
It is letting the community do things on their own.
67
Which of the following is a suggested activity in facilitating
integration?
Participation in harvesting and fishing
68
This is the systematic process of collecting, synthesizing and
analyzing data to draw a clear picture of the community.
Social investigation
69
The nurse facilitators are about to select the members of the
core group. Of the following choices, which one is least
required as qualification?
Must be a graduate of tertiary level education
70
To discover opportunities for growth and development, a
nurse conducts a Self-Awareness Leadership Training among
the members of the core group. In this seminar, the following
concepts are discussed except:
Microeconomics
71
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
A student asks her nurse instructor for the objectives of PAR.
The nurse instructor correctly replies to this query with all the
following statements except:
To promote health via the use of vital statistics
72
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
What is the essential element of PAR?
Participation
73
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
In PAR, a nurse can fulfill the role of a professional, who, through immersion and integration in the community, becomes a committed participant and learner in the community. This role is:
Outside researcher
74
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
In comparison with the research process, the nurse should
know that PAR’s main purpose leans towards:
The need for social transformation
75
Participatory Action Research (PAR) involves investigation of problems and issues concerning the life and environment of the underprivileged, by way of research collaboration with the underprivileged themselves.
An important of the PAR process is data collection and the
student nurses are asking the nurse instructor what are the
determinants of methodology in PAR. The nurse instructor
answers with:
Local culture and innovativeness of the people
76
Nurse Purita, a community health nurse, is facilitating a seminar concerning the use of herbal plants for medicinal and therapeutic purposes for the members of Barangay San Pedro.
An effective medicinal plant for alleviating symptoms of gout is ulasimang bato. Nurse Purita should know that this plant is more popularly known as
Pansit-pansitan
77
One member of the barangay told Nurse Purita that he saw
Manny Pacquiao in a TV commercial advertising a
medication for toothache. He then asks what herbal
medicine can be an alternative for the said drug. Nurse
Purita recommends:
Bawang
78
During the seminar, a mother asks Nurse Purita on how to
use akapulko leaves as an anti-fungal. Nurse Purita
correctly instructs the mother by saying:
“Pound the leaves and rub gently like soap to the affected area .”
79
Medicinal plants like lagundi and ampalaya have been sold
as active ingredients in labelled medications. The nurse
knows that this alternative health care modality is called:
phytomedicine
80
Which of the following are considered alternative health
care modalities according to the Republic Act no. 8423?
(Select all that apply)
1. Reflexology 3. Chiropractic
2. Acupuncture 4. Nutritional therapy
1, 2, 3 & 4
81
The practice of occupational health nursing requires a broad base of knowledge in nursing, public health and human relations.
Republic Act 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?
Location of the workplace in relation to health facilities
82
A business firm must employ an occupational health nurse
when it has at least how many employees?
101
83
When the occupational health nurse employs ergonomic
principles, she is performing which of her roles?
Environmental manager
84
A garment factory does not have an occupational nurse. Who
shall provide the occupational health needs of the factory
workers?
Public health nurse of the RHU of their municipality
85
As an occupational health nurse, one of your tasks is to
coordinate with other professionals in the field. With regards
to the properties and hazards of the chemical agents in a
factory, which professional does the nurse consult?
Toxicologists
86
The management of environmental healthin the Philippines has went through several importantchanges.
Environmental Health mainly focuses on preventing
diseases. In cognizant of this fact, what should be the
priority nursing action of the public health nurse?
Health education
87
Hospitals are required to match the color of the plastic bag to
the color of the storage receptacle to facilitate efficient
collection. The nurse throws the maternal placenta in which
waste bag?
Yellow bag
88
Solid wastes can be divided into several components under
two broad categories. The following are biodegradable waste,
except:
Cullet
89
Which of the following interventions would be the most
appropriate to implement for a community that has a high
risk for environmental health hazards?
Involve citizens in decision-making processes about proposed activities that could pose an environmental threat.
90
A public health nurse is surveying a population of coal miners.
Which of the following questions would elicit information
about related risk to a miner's children?
"How close do you live to your workplace?"
91
Of all the major factors that lead to thedestruction of the environment and development of noncommunicable diseases, smoking is the most common and poses significant danger to the health of most
people. The DOH is keen on controlling smoking in the Philippines.
Which of the following is NOT TRUE regarding the risks brought about by smoking?
The younger one smoked, the lesser the risk.
92
Cigarette smoke contains compounds that separate into gas
and particulate. Which compound/chemical is responsible for
many cancers and lung diseases?
Tar
93
Realizing that health workers in most communities in the
Philippines do not have time nor resources, the World Health
Organization has a simplified recommendation in helping
smokers to quit their habit. The four As of helping smokers to
quit include all of the following EXCEPT:
Advise use of pharmacological treatment.
94
The World Health Organization also established four pillars for
successful anti-tobacco programs. These four pillars can be
summarized into two simple words:
Education and Legislation
95
Being a role model is one way of helping the campaign
against the smoking. Who of the following if seen smoking in
public by many people especially children will be most
detrimental to the anti-smoking campaign in the country?
The president
96
Community assessment through vital statistics and epidemiology creates a number of advantages for the public health nurse
Major factors affecting population include all, except:
Morbidity
97
The town of Bagong Pag-asa has a population of 100,000 as
of July 1, 2008 (midyear) as per calendar year 2008 (January
to December) 2,000 died. Which formula below should be
used to compute the crude death rate?
2,000 / 100,000 x 1,000
98
Incidence rate means new cases as percent of population and
prevalence rate means cases in a given period of time as percent
of population. Which formula below is a prevalence rate?
Total number of cases of a disease (old + new) at a given time / Estimated population at the time x 100
99
The following are steps in data processing. As a nurse, you
should know its proper sequencing:
1. Data analysis 3. Data presentation
2. Data collection 4. Data collation
2, 4, 3 and 1
100
Which of the following patterns is intermittent and
confined to a certain geographical area or locality?
Sporadic