Community Health Nursing

Final Coaching Exam – Prof. Daclis

4. Which of the following steps is NOT

Situation – Carol is 15 months old, weighs included in the IMCI strategy?
8.5 kgs, is not eating well and is unable to
breastfeed. She is not vomiting, has no a. identify treatment
convulsion and not abnormally sleepy b. counsel and follow up
or difficult to awaken. Her temperature is c. referral
38.5 C. Use the Integrated Management of d. assess and classify
Childhood Illness or IMCI strategy.
5. Which of the following signs should NOT
1. If you were the nurse in charge of Carol, be included in deciding that “the child vomits
how will you classify her illness? everything”?

a. febrile with a general danger sign - IMCI a. child experience occasional vomiting
2014 b. when offered fluids, may not be able to
b. very severe febrile disease - malaria drink
c. severe pneumonia c. maybe too weak to drink and eat at all
d. very severe disease d. child is not able to keep anything down at
all (what goes down comes back)
2. Which of the following signs is considered
to be a general danger sign in Carol’s case? Situation: Applying IMCI as an approach to
the management of childhood illnesses
a. no vomiting improves nursing care of the child under
b. has no convulsion general conditions.
c. temperature of 38.5 C
d. unable to breastfeed 6. A 3 year old child (14 kg.) has anemia
with some palmar pallor and needs iron and
3. Which of the following signs is NOT mebendazole. The card shows he was not
included in the general danger sign? given mebendazole previously. As the nurse
you should give the child Iron Folate and
a. vomits everything Mebendazole in what dosage?
b. unable to drink or breast fed
c. has had convulsion a. 7.5 ml or tsp daily for 14 days and
d. not eating well mebendazole 500 mgs single dose
b. 10 cc or 2 tsp daily for 30 days and 9. The child’s symptoms are under the
mebendazole 500 mg single dose classification of severe dengue hemorrhagic
c. 10 cc or 2 tsp daily 30 days and fever of the IMCI strategy. Which of the
mebendazole 250 mg single dose following treatments should be done
d. 5 ml or 1 tsp daily for 14 days and IMMEDIATELY?
mebendazole 500 mgs single dose
a. observe the patient at the health center
Where do you check anemia? – PALM and refer urgently if the condition worsens
given IRON b. give fluids or ORS and refer urgently
● duration: 30 days to the hospital
● follow up: 14 days c. immunize the child before referral
Mebendazole – for bulate d. give the first dose of appropriate
antibiotics and refer urgently to the hospital
7. Vitamin A is given to a child with measles
because it: 10. A child needs urgent referral for
mastoiditis. The following is a list of
a. resists the viral infection in the eyes, treatments for all ear problems in IMCI
cell layers in the lungs gastrointestinal classification. Which among these
tract, mouth and throat pre-referral treatments should NOT be
b. reinforces the body’s immune response included:
c. is needed for supplementation
d. helps the immune system prevent other a. give the child the appropriate antibiotics
infections for 5 days
b. do not give any medications
Vitamin A - pampalakas ng eyes and mucus c. give the child the first dose of antibiotics
membranes d. give first dose of paracetamol for pain
● helps witth diarrhea
Situation– Management of resources and
8. In giving chloroquine you should: environment includes every potential and
existing resources which the nurse can utilize
a. heavily guard the patient to promote and maintain health, prevent
b.explain to the mother that she should illness, and assist in the task of cure and
watch her child carefully for 30 rehabilitation. The IMCI chart prescribed by
minutes after giving medicine the World Health Organization is one such
c. explain to the mother that it should be resource. The following questions apply.
given for 2 days only
d. instruct the mother to give the first dose 11. The Integrated Management of
at home Childhood Illness (IMCI) chart provides the
necessary procedure when identifying the
appropriate interventions to be done. 14. The following treatments are appropriate
However, the community health nurse should for Karina EXCEPT:
be aware that the following factor should be
considered in utilizing the case management a. follow up in 2 days - yes
chart: b. give oral anti malaria drugs
- Artemether Lumefantrine
a. age of the child c. advise when to return immediately
b. chief complaint d. give 1 dose of paracetamol for temp.
c. danger signs 37.5
d. problem of the child - only give paracetamol if high fever
>38.5
12. In the IMCI classification tables, color
yellow indicates that a: 15. A child should be checked for capillary
refill if:
a. child needs an appropriate antibiotic a. if the child has petechiae
or other treatment b. the child’s extremities feel warm
b. child does not need specific medical c. there is fever for more than 7 days
treatment d. if the extremities feel cold
c. referral or admission is needed
d. chief complaint that needs an urgent capillary refill - check sa nail beds
attention ● should go back within 3 sec
● slow: >3 sex → circulatory failure
Situation– Karina, 5 months old, weighs 5.2 ● used with dengue
kgs, temperature 38 C., is brought to the
center. Her mother says she is not eating 16. If the capillary refill takes more than 3
well, feels hot to touch, able to drink, no seconds it may mean that the child is in:
vomiting, no convulsions and not lethargic,
no cough. They live in a malaria risk area. a. severe febrile disease
Her fever started 2 days ago. She has no b. circulatory failure
signs of measles, no stiff neck or runny c. shock
nose. d. dehydrated state

13. How will you classify Karina’s illness? 17. A child living in a non-malaria risk area
who has stiff neck may be classified as
a. plain fever having:
b. malaria
c. severe febrile disease a. malaria
d. fever: no malaria b. R/O Malaria
c. severe febrile disease
d. fever: no malaria
21. Corazon brought her child to the clinic
18. After assessing Junjun, your nursing for palmar pallor suggestive of anemia. The
diagnosis is dehydration secondary to doctor prescribed iron medications and it
diarrhea. ORS was administered. Which was only the 3rd day of taking such
health instruction regarding ORS therapy will medication. Your next action would be to:
you give the mother once the diarrhea has
stopped? a. Give iron medication 3x a day
b. Give iron and return tomorrow
a. Increase the administration of ORS c. Instruct the mother to continue
b. Return to the clinic giving iron for 14 days
c. Stop the administration of ORS d. Refer the child immediately
d. Decrease the administration of ORS
Situation – the integrated Management of
19. Which of the following is NOT TRUE Childhoods illness of IMCI technology is a
about home care for all sick infants? World health organization strategy which
aims to curb the growing infant/child
a. Blood in the stool is a danger sign that mortality and morbidity concerns in many
needs to be reported countries especially the 3rd world economies
b. Bring the infant to the clinic if he/she like the Philippines. This program integrates
shows sign of difficulty of breathing many dependent health programs to singular
c. Breastfeed frequently, day and night approach. Safety and quality would be any
during sickness and health nurse’s focus. The following questions apply.
d. Make sure the young infant stays
cool at all times – should be kept warm 22. James is an 18 month old child who has
cough for 7 days with no general danger
20. Vitamins help fight various deficiencies signs with temperature 37.50 C and
which affect the eye. As a health care respiratory rate of 41 breaths/minute. How
provider, you are aware that ONE of the will you classify jame’s breathing?
following is a sign of Vitamin A deficiency:
A. Slow breathing
a. Corneal clouding B. Fast breathing
b. “halo signs” - glaucoma C. Normal breathing
c. Fatigue - anemia D. Very fast breathing
d. Opaque lens - cataract
23. James illness can be classified as:
Vitamin A problem → eyes → ang mata
namumuti A. Pneumonia
B. Very service disease
C. Severe pneumonia 26. A child was brought to you with
D. No pneumonia generalized rashes. In doing assessment you
classified the child as having measles. This
24. After 3 days, the nurse notes that james was arrived at since aside from having
has chest in drawing and stridor. His mother generalized rashes the child also has the
returned him to the health center following illness sign, EXCEPT:
immediately. The nurse should:
A. Pustules
A. Change the medicine to the second line B. Cough
antibiotics C. Runny nose
B. Advice mother to observe the child and D. Red Eyes
continue giving the antibiotics
C. Give first dose of antibiotics and 27. Joel, 3 years old, has had diarrhea for 5
refer urgently days and is irritable. He has sunken
D. Observe the child in the center eyeballs but has no blood in his stools. He
drinks eagerly when offered liquid. Skin
25. The nurse should consider the following pinch at the abdomen shows slow return.
assessing the child for chest in drawing Using Integrated Management of Childhood
EXCEPT: Illness (IMCI), Joel’s illness maybe classified
as:
A. Chest in drawing should be present at all
time A. No dehydration
B. The lower chest wall does not go in B. Some dehydration
when the breaths in C. Severe dehydration
C. The lower chest goes in when the child D. Persistent Diarrhea
breaths in
D. The child should be calm 28. Which of the following treatments should
be immediately considered in Joel’s case?
Situation – In the Philippines, the incidence
of communicable diseases seem to be A. Reassess the child after 4 hours and
cyclical. Notably some of these incidences classify his dehydration
are observable during the summer season. B. Give 900-1,400 ORS during the first
You are assigned in a health center in the four hours
city with 4,200 households and more or less C. Explain to the mother how to prepared
26,000 populations. The following illness ORS
situations and questions affecting children D. Continue feeding
apply:
29. Fely, 1 year old has had diarrhea for 2
days. She has sunken eyes, skin pinch goes
back very slowly and she is drinking poorly care delivery to all → Department of
and is irritable. There is no blood in the budget and management (DBM)
stool. How will you classify Fely’s illness? B. Lead in the formulation, monitoring and
evaluation of national health policies, plans
A. Severe dehydration and programs ✓
B. No dehydration C. Provide direct services for health concerns
C. Persistent diarrhea that require new complex technologies ✓
D. Some dehydration D. Create new strategies to improve
effectiveness of health programs and the
Situation: In the practice of Community attainment of quality health care ✓
Health Nursing it is essential to be aware of
programs being implemented by the 33. The devolution of health services to the
department of health and the legal bases for Local Government Units (LGUs) is mandated
such programs and health services. The in:
following questions apply.
A. RA 6170
31. In the devolution program of the B. RA 7610
government, the following public health C. RA 6710
programs are transferred to the local D. RA 7160
government to be more accessible to the
people EXCEPT: (-) 34. Which of the following is a sensitive
index of the health conditions in a
A. Maternal and Child Health Program community influenced primarily by
B. Environmental health and communicable environment rather than endogenous
disease control → sanitation factors?
C. Primary Health Care → not answering
the program, it is not a program – principles A. Crude death rate.
of treatment B. Infant Mortality Rate
D. Control of Non-communicable Disease C. Maternal Mortality Rate
D. Fetal Death Rate
Elements of Primary health care
35. Community health nursing primarily
aims to:
32. The Department of Health has the
following functions under the Executive A. Improve the capability of individual,
Order 102 EXCEPT: (-) families and communities to cope with
their health needs
A. Allocate personnel budget and B. Increase the productivity of the people
provide structures for cascading health
C. Contribute to national development by Advocacy
meeting millennium development goals - one way that the nurse can promote
D. Augment the work provided by the health active community participation
care professionals in the promotion of health - nurse helps people attain
and prevention of illness independence
1. inform people about the rightness
Goal of CHN → OLOF of the cause
Achieving optimum level of functioning 2. discuss alternatives
(High level wellness 3. support client’s informed decision
4. influence public opinion
Goal of PHC → Self Reliance in health
● needs active participation
● Empowerment Situation: – In community health work, you
arm yourself with Community Health Nursing
Situation: – For safety and quality purposes, Concepts and Principles. This serves as basis
it is equally important to be mindful of the for safe and quality care for individual,
roles and functions and the instituted families, population/vulnerable groups and
systems and procedures in relation to the communities. Consider these situations.
practices of Community Heath Nursing
(CHN). The following questions apply: 38. As a community health nurse covering a
cluster of Barangays, your population
36. The basic unit of care in CHN is: coverage include the following:

A. Community → Primary client 1. Families in their homes

B. Groups 2. School population
C. Family 3. workers in factories
D. Individual client 4. patients in hospital

37. The most important role of a community A. 1, 2, and 4

health nurse is in the area of: B. All except 3
C. 1, 2, 3, 4
A. Change agent - influence people D. All except 4
B. Health education
C. Advocacy - 39. You direct all your efforts toward
D. Care provider optimum health of the whole population in
the communities you serve. To ensure this
you are EXPECTED to
1. Receive the entry salary equivalent to 41. When you assess the needs and plans
Salary Grade 10 or according to your health interventions for a group of people in
position classification coordination with other health professionals,
you are demonstrating which of the
2. Provide health services to individuals following features of community health
in the communities you serve nursing?

3. Provide health services to families in 1. Community health nursing involves

the communities you serve interdisciplinary collaboration
2. Use of epidemiologic approach is
4. Provide health services to population part of nursing practice
especially vulnerable groups within the 3. Community health nursing helps
communities you serve ease health burdens of people at the
community level
A. 1 and 3 are correct 4. Health statistics is a good indicator
B. 2, 3, 4 are correct for health care performance among
C. 2 and 4 are correct community health nurses
D. 1 and 4 are correct
A. 1 and 3 are correct
40. Part of your routine function is to B. All are correct
conduct regular assessments of the C. 2 and 3 are correct
community’s status. The reasons for this are D. only 1 and 2 are correct
the following, EXCEPT: (-)
80% all of the above sa NP1
A. Conflicts in varying forms are almost
always present in the community which
affects the health of people Situation: You are assigned to a municipality
B. This is a requirement for with a total population of 25,000. Of this,
undertaking the DOH-led RN H.E.A.L.S 1,350 persons died within the past year.
Program Thirty-six of these deaths were due to
C. Community situations and problems are pneumonia while 540 of those who died are
reflections of social conditions affecting 50 and above.
individuals, families, vulnerable groups and
the entire community 42. What is the Swaroop’s index in the
D. Healthy community relationships are community?
proven to be precursors to health
development in any community A. 30%
B. 35%
C. 40%
D. 45% 2. Nurses
3. Midwives
total death 50 years old above / total 4. Cooks and assistant cooks in the hospital
death x 100% 5. Cashier and clerical staff
540 / 1350 x 100 = 40% 6. Janitor staff

A. 1, 2, 3, 4, 5 and 6
43. A Swaroop’s index of 20% implies that: B. 1, 2, 3 and 4
C. 1, 2 and 3 only
A. 20% die before the age of 50. → above D. 1, 2, 3, 4 and 5
B. 80% die before the age of 50
C. 20% of deaths are persons who are in the 45. Under Republic Act 9173 of 2002,
age of 50 years alone. → above AMENDED by Congressional Joint Resolution
D. 80% of deaths are persons who are in the of 2009 sets the entry level position for
age of 50 years alone. nurses at what salary grade?
A. Salary Grade 15 → 36, 000
Output → always refer to the numerator B. Salary Grade 24
C. Salary Grade 20
D. Salary Grade 10
B. FUNCTION OF CHNurse

46. Health education is the one of the most

Situation: Public health in the country has
significant functions of a nurse especially in
suffered a lot from the exodus if a large
the prevention and control of communicable
number of Filipino nurses and serving and
diseases. All EXCEPT ONE of the following
migrating to other countries. Access to
statements are TRUE description of health
timely and quality health services especially
education: (-)
by the poorer and poorest families has been
difficult to achieve. The following questions
A. Health education is an independent
apply
effort of all health personnel -
collaborative
B. Health education is integrated in the
44. To encourage more health workers to
planning, and implementation of all health
stay in government service, Republic Act
programs and services
7305 or Magna Carta of Public Health
C. Health education considers the health
workers was passed into law last 1991.
status of the people
“Public health workers” include all persons
D. Health education is a learning process
working in government health facilities such
whereby knowledge, attitudes and practices
as the:
of people are modified to help improve the
1. Physicians
life and social conditions of individuals,
families and groups towards development A. Trainer
B. Coordinator
47. As a Public health nurse, if you monitor C. Supervisor
and evaluate the performance of midwives, D. Manager
you are performing the role of:
50. As an advocate, Registry Nurse Dana
A. Manager places her client’s rights as priority. She is
B. Health provider aware that advocacy work involves which of
C. Preceptor the following?
D. Supervisor
A. Influencing public opinion
Situation - Nurse Jen Delos Santos, initiated B. Obtaining a general information about the
the organizing of the “Caring Frontiers community - assessment
Nursing Service Company” in Leyte. This was C. Coordination with the health team
envisioned to deliver health care and various D. Prioritizing health conditions and
nursing services through home health care problems - last step of community diagnosis
services well within the scope of nursing
practice. C. HEALTH CARE DELIVERY SYSTEM

48. Nurse Dana is one of their Registry Situation – You are active participant of
Officials and acts as a liaison (deliver) Project EntrepreNurse whose higher goals is
between families and communities served by to build Philippine Nursing’s economic milieu,
the company to actively engage on policy however this comes with realities embedded
and social change that will support and in the present Philippine Health Care
promote family health in their province. Delivery System (PHCDS).
Nurse Dana is performing what role?
51. Which of the following is TRUE of the
A. Care Provider - uses nursing skills Philippine Health Care System (PHCDS)?
C. Client Advocate
B. Counselor A. Health insurance companies dictate the
D. Facilitator current referral system in the country.
B. Health care delivery system in the country
49. Formulating and implementing a was specifically designed for the poor
supervisory plan, monitoring and evaluating congruent with the Primary health Care
beginning nurse practitioners’ performance concept. → for all dapat
in the implementation of public health C. The PHCDS is composed of a 3-tier
programs are what functions of a public referral system → Primary, secondary,
health nurse? tertiary
D. The Department of Interior and Local D. Doctors
Government is the country’s foremost health
coordinating agency because of the 55. A characteristics of healthy communities
implementation of devolution → DOH that is a shared vision of EntrepreNurse is
that it?
Other NP → pag ALL negative
pero sa NP1 → ALL → positive A. Has socially controlled sub groups that do
not influence community decisions.
B. Has a smoothly functioning government
52. The current frontline health care that requires minimal citizen participation
providers in the PHCDS are the: C. Makes systems and resources
available to all members of the
community.
A. Traditional healers/hilots D. Allows group in the community to resolve
B. Doctors conflict among themselves in their own way.
C. Barangay health workers
D. Rural health nurses 56. In-patient and diagnostic care
including surgery belongs to what level of
53. Which of the following is NOT a health care?
characteristic of the PHCDS?
A. Secondary level
A. Linkages with all societal sectors should B. Tertiary level
be initiated, maintained and enhanced. C. Primary level
B. PHCDS envisions serving the entire D. Specialized level
Filipino populace
C. PHCDS is a public health service that will 57. The function of the public health
benefit all Filipinos nurse in the current health care delivery
D. Local governments are in full control system an?
of health programs they want to A. Intermediate level health worker - tama
implement naman but does not answer the question
B. Liaison person of the community
54. Which of the following is NOT presently C. Low level health worker
a part of the PHCDS? D. manager of the RHU – physician is the
manager
A. Private – Community Nursing
Service Providers → beh wala naman
clinic nurse Levels of PHC workers
B. Health Maintenance organization 1. Barangay health workers / Grassroot
C. Rehabilitation Center - non-professional
 2. Intermediate A. 1, 2, and 3 are correct – X
- nurse B. Only 4 is correct
- medtech C. 1 and 3 are correct – X
- sanitary team D. 2 and 4 are correct
- doctor
Mayor – chairman of the primary
58. The composition of the basic primary - you can promote the program of the
health care team under the Restructured mayor
Health Care Delivery System include the
following EXCEPT: 60. When reviewing the function of the rural
health unit you can concur that the RHU
A. Public health nurse – intermediate should function as a:
B. Midwife – intermediate
C. Doctor – intermediate A. Health arm of the LGU
D. Barangay health worker – grassroot B. Central health resource for the
municipality
59. What is the specific function of a C. Community resource → general
community health nurse at the barangay D. Clinic for the municipality
level?

1. Supervision of the Rural Health Midwife

and Barangay Health Workers assigned in
specific barangays - ung letter s ung nag
papamali

2. Provide technical assistance to

health programs and services
implemented at the barangay level

3. Monitoring and evaluation of specific

health programs and services implemented
by the Health Department from the National
down to the Barangay level – X

4. Be the representative and promoter

of the Health Programs of the sitting D. HOME VISIT/ CLINIC VISIT/ HOME CARE
Mayor
61. When beginning a relationship with a D. Greet the patient/resident introduce
family on home visit, the community health self
nurse:
64. Which of the priority conditions will be
a. is accepting and listens carefully to determining factors on the frequency of
problem of all family members home health visits?
b. allows the discussion to be open and
non-directional A. Acceptance of the family of their
c. focuses on the problem of one of the health concerns and their coping
family member strategies
d. encourages others to speak for the main B. The need for health teachings and level of
client to get an unbiased view family understanding
C. The result of the studies conducted and
62. Ana has been caring for a child in the level of family understanding
home. She has a tracheostomy tube and is D. Administration of medication and the
oxygen dependent. Ana prefers to do the schedules set
care early in the morning due to a heavy
caseload. The family requests that care be Situation – One of your responsibilities as a
done when the child is awake by 10am. The community health nurse is to conduct home
BEST response by Ana would be: visits to evaluate the health condition of
families and communities
a. “I will see if I can find another nurse who
can meet your preferred schedule.” 65. In every home visit, you are not only
b. “If I give the care at 10am, other children concerned with the client but you should
needing my care may not be attended to.” also:
c. “I’m sorry, I wish I could, but I cannot do
so due to heavy workload.” A. Pay particular attention to the economic
d. “Let’s look at what time is in the status of the family
child’s best interest and then we can B. Observe the family and environment
work out a better schedule.” C. Put emphasis on the children’s education
D. Observe the family’s spiritual practices.
63. When you have already organized,
follow-up visits are likewise needed. Which 66. In your community home visits, you have
of the following should you do first? scheduled several cases. Who is your LAST
priority?
A. Explain the purpose of the visit
B. Wash your hands and perform the A. Family planning defaulters
necessary procedure → XD B. PTB case on D.O.T.S.
C. Do an environmental surveillance C. G4P3 3 day Post Partum
D. G3P2 36 weeks AOG b. Communicate the incident to the
Barangay Captain and get him/her to join
67. During a home visit, socialization is her in her next visit.
important in order to: c. Ignore the woman’s behavior, turn around
and simply leave her alone
A. Do procedures d. The feelings and behavior
B. Establish rapport and put the client manifested by the woman and get to
ease the root causes of such a behavior.
C. Identify the needs of the client
D. Evaluate the visit 70. A student nurse visits Dora who
immediately stated that she has “too much
68. To give clear and correct information to work to do and she has been visited and
the client, the nurse should consider the interviewed by student nurses almost daily.”
following EXCEPT: (-) After explaining the purpose of her visit, the
student’s APPROPRIATE action would be to:
A. Give several Instructions at one time
B. Listen to what the patient is saying a. Set an appointment at Dora’s
C. Do not use medical terms convenient time.
D. Repeat important information b. Select another family as a client.
c. Tell her clinical instructor about the
Situation – While working in the community, problem.
nurses observe various situations that d. Ask the barangay chairman for assistance.
require attention.
Situation: After 10 meaningful years of
69. Nurse Sussy was doing case finding in a professional practice and using her savings,
barangay in the rural communities of Cuilon. Nurse Trish decides to set up her proprietary
Her target is to identify undocumented home healthcare agency. This may be
Hansens Disease cases. Seeing her in regarded as another journey towards
uniform, a woman remarks. “You’re not a personal and professional development.
nursing student are you? I have may chores
to do today, please!” and ignores the nurse. 71. As owner of the agency, Nurse Trish
Sussy’s IMMEDIATE course of action would must be concerned about:
be to:
A. Making her agency yield reasonable
a. Visit the next house so as not to waste return of investments (ROI) for
the day’s activity and return to re-visit this viability and sustained business growth
home after a day or two. B. Finding out her agency can be exempt
from paying taxes
C. Looking for funding support from other C. A family with three (3) family members
business organizations who tested positive for tuberculosis and just
D. Knowing which government regulatory moved into a barangay
agencies she should report to D. A teenage drug abuser who has refused
medical treatment but is being seen by a
Business counselor at school – rehab
● Important is sustainability and ROI
74. A client who had open heart surgery 2
weeks ago and about to be discharged was
72. Nurse Trish hires registered nurses to referred to nurse Trish’s Home HealthCare
work with her as home healthcare nurses Agency for daily dressing changes, cardiac
whom she assigns to individuals and families rehabilitation and physical therapy. The
requiring nursing care in their homes. assigned home healthcare nurse should
One such case is a 60 year old client who
needs irrigation of his colostomy following A. Complete the necessary assessment on a
surgery for cancer. This case may not be weekly basis
qualify of Phil Health reimbursement B. Develop an individualized plan of
because the client: care
C. Directly supervise the physical therapy the
A. Qualifies as low-income client client receives
B. Is under home-based care D. Provide daily physical care for the client
C. Is under the age of 65
D. Is not considered handicapped 75. Nurse Trish plans to present t the local
city health board a “Stop Smoking”
73. Nurse Trish has a caseload of clients campaign to the community’s local public as
whom she needs to see on a regular basis. her social responsibility program. Trish
Which of the following clients may understands that if the proposal is accepted,
immediately be admitted as a matter of the funding would come from
PRIORITY to a private home healthcare
program? A. Philanthropic donations
B. Philhealth contributions
A. A woman who has delivered a normal C. Local community funds generated
healthy infant in a government-managed from taxes
birthing center D. The home Healthcare agency owned by
B. A client in the terminal stages of Nurse Trish
cancer at the hospital and will be
discharged for home care Situation - Home care started in the early
1800s as the primary source of care for
many years to come. Public health nursing
only began in 1893. Home health care nurse should explain that nurses in the
offered a more cost-effective way of meeting agency:
client needs but nurses in this practice A. Work with for an agency that is
requires a lot of critical thinking skills and governed by its own board
the ability to make decision independently. B. Are paid a salary exempt from income
The following conditions apply. taxes
C. Are concerned about earning money for
76. A meeting with clients for home care the stockholders of the home health care
(HC) is essential in order to explain the role corporation
of the nurse and the advantages of this D. May receive funding from various public
alternative health provision. Among or public donors agencies
important emphasis to be made is that HC
79. When planning the home care for a
A. Encourages a dependent relationship client who has returned home after suffering
between the nurse and the client from stroke, the home health nurse should
B. Provides a holistic view of the client plan to supervise which of the following?
that helps nurse to establish
appropriate goals and to plan A. The speech therapist who works with the
appropriate care client
C. Allows the nurse to have primary control B. The physical therapist who helps the
over the environment where the client will client regain mobility
recover C. The discharge planner who works with
D. Saves the client money because the care the client and family
is provided in a one-to-one situation D. The home care aide who assists the
client with personal cares
77. A public health nurse and a home health
care nurse are meeting to discuss their roles 80. During an initial home visit to assess
in the community. The home health care the client’s needs, the nurse should inform
nurse states that her role in home health the client:
care focuses on:
A. About the physician’s orders that mandate
A. Illness care in the home care
B. Health promotion in the home B. What must be paid by the client directly
C. Disease prevention in the home to the home health care agency
D. Rehabilitative care in the home C. About the client’s rights at the start
of care
78. When a client contacts an established D. That advanced medical directives do not
private home care agency in the community apply in the home setting
for provision on nursing care services, the
81. In evaluating the nursing care given,
which of the following vital statistics in the Total Live birth: 25
communities served will indicate BEST their
health status? Total Pregnant women: 77

A. 0 crude death rate for the year 2012 84. What is the Eligible Population for DPT
B. 90% (Swaroop’s ) index for the year immunization?
2011→ 90% ang namamatay 50 pataas
C. 7 infant mortality rate for the year 2011 A. 81
→ may 7 kasi B. 105
D. 0 crude birth rate for the year 2011 C. 270
D. 900
82. Sporadic is characterized by the
following: Eligible population:
Infant:
A. Epidemic terminates when supply of Total Population x 2.7%
susceptible person is exhausted. 3, 000 x 2.7% = 81
B. Simultaneous exposure of the susceptible
person
C. Cause originated from single event. 85. What is the Eligible Population for
D. Low number of susceptible Tetanus Toxoid?
persons/high number of immune
persons A. 105
B. 25
83. The lowest level of reporting unit of C. 77
Department of Health, where it is expected D. 90
to report health services provided to its
defined catchment area: Eligible population:
Pregnant:
a. Rural Health Unit Total Population x 3.5%
b. Main Health Center 3, 000 x 3.5% = 105
c. Barangay Health Stations
d. Regional Hospital 86. An Act regarding for the mandatory
Philhealth coverage for all?
Situation: Considering the following data
about Immunization Program in Barangay A. RA. 11228 – UHC – focus on PWD
Malayo. B. RA 7277
C. RA 7875
Total population: 3,000 D. RA 11223
 D. Treatment record
87. What is the difference of previous
Philhealth law and UHC (Universal Health 90. Climate Change Act of 2009 ensures that
Care law? sustainable development and environmental
protection are promulgated. To ensure
A. UHC guaranteed Philhealth effective implementation of the framework
membership for ALL citizens, while the strategy and program of climate change
previous Philhealth law covers multiple which government agency is involved in
membership schemes. reviewing international agreements related
B. UHC aims to strenghten health purchasing to climate change?
policies and practices in support of the
implementation of the Philhealth Law. A. DepEd
C. Philhealth Law presents health system B. DILG
reforms necessary to expand financial C. DPWH
protection and access to health services to D. DFA
ALL filipinos.
D. Under the Philhealth Law, all citizens are RA 9729 → Climate change act
automatically entitled to Philhealth benefits
while UHC aims to achieve membership
through a variety of subsidized and 91. Greenhouse gases refers to the
contributory schemes. constituents of the atmosphere that
contribute to the greenhouse effect. Which
88.Which among the following are DIRECT would include the following except:
CONTRIBUTORS of PHILHEALTH
A. Oxygen
A. Lifetime members → 10 years /120 B. Carbon dioxide – most abundant
months na nagbabayad greenhouse gas
B. 21 years old above without capacity to C. Water vapor
pay D. Methane
C. Indigents
D. Member of 4Ps Greenhouse gas
- blanket of our planet (gives our
89. These constitute the only mechanism planet warmth)
through which data are routinely transmitted
from one facility to another:
92. According to the goals of RH, all are true
except for: (-)
A. Output reports
B. Reporting forms
a. Every birth should be healthy
C. Target client list
b. Every pregnancy should be intended
c. Every sex should be free for coercion and ● NSVD at hosp → within 30 mninutes
infection ipagsama na agad mom and baby
d. Every women should be given a ● CS → within 4 hours
condom to protect herself from
pregnancy and other STD’s → couple will purpose of rooming in:
choose what kind of family planning they will - opportunity for breastfeeding
use - bonding

93. Which of the following are principles are EO 51 – Milk Code

part of proper care of vaccines EXCEPT:

A. “FIFO” principles is practiced to

assure that all vaccines are utilized 95. An Act establiahing a National Mental
before its expiry date. → FEFO Health Policy for the purpose of Enhancing
B. Vaccine temperature is monitored twice a the delivery of integrated mentalh health
day in all health facilities. services?
C. Cold chain equipment should be handled
with care to maintain potency of the A. RA 11036
vaccines. B. RA 11223
D. Cold chain equipment consists but not C. RA 10152
limited to ice packs, safety collector boxes. D. RA 11469

Situation: After passing the nurse licensure

FIFO: First in, first out examination, Michelle is accepted as a
- applicable to FOOD community health nurse in the rural health
FEFO: First expiry, first out unit of a municipality. The healthy personnel
- applicable for MEDS are known to her. She is aware that disease
prevention is one important goal in Public
94. This is also known as “Mandatory Infants Health Nursing.
and Children Health Immunization Act of
2011” 96. Michelle decides to make an ocular
survey of one of the barangays of the
A. PD 996 – 1976 municipality where she is assigned. Upon
B. RA 10152 – 2011 entrance to a barangays, Michelle should:
C. RA 7600 – rooming in act
D. EO 51 – milk code A. Conduct community assembly
B. Courtesy call to the Barangay
RA 7600 – rooming in Captain
● home → immediately C. Identify the presence of the community
D. Encourage community participation c. Validate the community health needs
identified earlier
97. In order to gain support from the d. Identify the community leaders that may
community, Michelle underscores the be tapped for organizing purposes
importance of community participation which
are the following EXCEPT: Deepening Social Investigation

A. It gives the feeling of ownership of the

community 100. Nurse Isabel is choosing an activity that
B. It encourage dependence on the will facilitate integration into the
health workers and representatives of community. The appropriate activity for this
other government agencies. is to:
C. It provides the community the opportunity
to assume responsibility and leadership a. Organize a mahjong session
D. It creates awareness of interests. b. Participate during harvesting
c. Encourage clinic visits to every people
98. Community development advocates the d. Act like a visitor
principles of self-help and the voluntary
participation of the people of community. 101. A step in organizing the community that
Community development rests upon certain Michelle will do in order to have an overview
assumptions, this does not include: of the demographic characteristics of the
community and community health related
a. Everyone has something to contribute to services is:
the community
b. People have limited ability to learn A. Core Group formation
c. Community development provides the B. Community profiling
opportunity by which the worth of an C. Integrate with the people
individualis revealed D. Area Selection
d. Worth and dignity of individual are the
basic values in a democratic society Demography
- study of population
99. Nurse Tekla is preparing for integration → PSA ang may hawak → responsible for
at her community. One of the purposes of conducting census – counting of all
integration in COPAR is to: population – done every 5 years

a. Gather data that is necessary in the

102. The CO should realize that the poor:
identification of community health problems
b. Understand deeply the culture and
A. Do not know what is the best health care
lifestyle in the community
delivery system for their community
B. Have the capability to change or 106. Data analysis invovles quantification,
bring about change description and classification of data which
C. Will eventually learn but it will take time would reveal community health problems.
D. Should be taken care of by the An analysis of the social, economic, and
government and the richer sections of political factors that influence health is
society categorized as:

103. Participatory action research in the A. Health resource problems

context of COPAR means that the B. Health status problems
community: C. Health related problems
D. Comprehensive problems
A. does not participates in collecting data
B. Will use the knowledge generated Three types of community problem
from research to improve their Health resource problems
condition - manpower, money, material
C. Should be the on to conceptualize how Health status problems
the research will be conducted - morbidity and mortality
D. Manages the research project Health related problems
- social, economic, political
104. Community participation is made
possible through:
107 With the stated problems, the nurse and
a. Shared leadership in the community the community prioritizes these using a set
at the onset of the program. of criteria. Which of the following criteria
b. Provision of comprehensive and refers to the probability of reducing,
understandable information. controlling, or eradicating the problem?
c. Full participation of nurses in
decision-making A. Modifiability of the problem
d. Conducting consultation meetings with B. Preventive potential
key leaders of the community. C. Magnitude of the problem
D. Nature of the problem
105. If a particular health service fails, the
most basic question is: B. Preventive potential - future re-
occurence
A. Is this what the people demanded? C. Magnitude of the problem - percentage
B. What went wrong? – Reflection of population affected
C. Is this what the people need? D. Nature of the problem - type of nursing
D. Who is responsible for the failure? — XD problem
108. In community meetings, Nurse Melissa
explains to the community the purpose of A. Extensive screening of diabetes patients
the research project to address the health B. Helping implement Republic Act
problem, and establishes rapport with the 8191-Natioanal Diabetes Act
people for cooperation in the research C. Establishing the support group for
process. The Nurse puts community diabetes patients
members as? D. Increasing the community
awareness of diabetes prevention
A. Assistants to the researcher
B. Merely providers of information 112. This is a learning process whereby
C. Organizers of meetings knowledge, attitudes and practice of people
D. Co-researchers are changed to improve the health status of
individuals, families or communities
109. A case fatality rate of 81% for Dengue
Hemorrhagic Fever indicates: A. Motivating
B. Counseling
A. a chronic disease condition C. Disease prevention
B. an acute disease condition D. Health education
C. A very fatal disease condition
D. A mild disease condition 113. The BEST strategies to addresses the
nutrition problems of Filipinos related to
110. In evaluating the longstanding Non-communicable diseases are the
number of cases of rabies in a municipality, following, EXCEPT: (-)
which statistical measure will you use?
A. Aim for ideal body weight
A. Incidence Rate B. Consider food preferences of family
B. Prevalence Rate - old and new members
C. Morbidity Rate C. Build healthy nutrition-related practices
D. Mortality Rate D. Choose food wisely

Incidence Rate – Acute (<6 months) 114. PRIMARY HEALTH CARE embraces all of
- total number of new cases the following concepts, EXCEPT:
Prevalence Rate – Chronic (>6 months)
- old and new cases A. People’s participation is essential
B. Community organizing as the core of PHC
C. Use of appropriate technology
111. Diabetes has become a major health D. It is an approach to provide the
problem. The nurses can help to reduce the basic needs of the community → sugar
incidence of diabetes by: daddy to hahh → we want self-reliance
 117. Which of the following is a mark of
Situation – In the practice of Community success in primary health care?
Health Nursing, the nurse utilizes specialized
knowledge and skills and collaboration with A. Barangay participate actively in
other governmental and non-governmental health-related activity
agencies. The concept of Primary Health B. the people are able to attain the highest
Care and Health Promotion are crucial in level of health through their own effort –
community health development. goal of CHN
C. The people utilize health service according
115. Which DOES NOT describe primary to their needs
health care? D. Health workers are able to provide
efficient and acceptable service
A. It stresses the use of appropriate
technology 118. Accessibility of health service implies
B. It emphasizes partnership between health that:
care providers and the people
C. It aims to provide free health service A. Health care providers maximize the
to the people → if free lahat people will be service of traditional healers whom the
dependent people commonly approach for health
D. It is a total approach to community problems
development B. The people and the government can
afford the health services being provided
116.Primary health care advocates for the C. Health service providers are within 5
use of appropriate technology in the delivery kilometers from most of the catchment
of health services. This is demonstrated by population → within 3-5 km
any of the following EXCEPT: (-) D. Health services are available in health
facilities on a round the clock basis
A. Teaching mothers how to prepare
low-cost, easily digestible and highly 119. A major lesson of the Alma-Ata and the
nutritious protein powders to feed children different charters of health promotion is that
with malnutrition
B. Use of komiks in information and A. health workers must be effective in
educational campaign against dengue advocacy and mediation to enable to people
C. Use of Bayabas / Guava for washing to gain control over their lives
wounds and for diarrhea B. Community participation is a
D. Use of portable x-ray machines in fundamental requirement to achieve
far-flung communities → Mahal health and sustainable development
C. creation of supportive environment is 2. Save on costs for utilities and
crucial to achieving health and sustainable personnel for a newborn nursery
development
D. meaningful improvements in the 3. Create an environment where basic
socioeconomic determinants of health are physical, emotional, and psychological needs
required to have significant improvements in of mothers and infants are fulfilled →
people’s health bonding

120. Ana’s functions include activities for 4. Teach the mother to take responsibility
secondary prevention. In a family, the for caring for her newborn right after her
health profile reveals diabetes in the father delivery
of the family. A classic demonstration of
secondary prevention would be: A. 2 and 3 are correct
B. 2 and 4 are correct
a. teaching the diabetic patient about foot C. 1 and 2 are correct
care – tertiary D. 1 and 3 are correct
b. assisting the diabetic patient in his daily
insulin injections – tertiary RA 10028 “Expanded breastfeeding
c. helping the patient obtain a Act)
glucometer for accurate monitoring of - no advertising of infant formula
blood sugar → screening - breastfeeding is exclusive for the
d. informing the client how to maintain first 6 months
HbA1C value at 5.5 or less – tertiary Lactation stations
(maintainance) - breastfeeding stations

Situation – Malou a nurse working in the OB

ward of one second level hospital in metro 122. Some after both mother and baby
cebu received a post normal delivery mother were settled in their hospital room, the
back in the ward with her healthy newborn pediatrician who is now in the hospital came
baby girl. Rooming- in is newly practiced in to see the baby. After reviewing the baby’s
this hospital condition immediately after delivery she asks
is there is standard milk formula the hospital
121. Malou is aware that in accordance prescribes or would want us to use? Nurse
with R.A 7600 of 1992, in the purpose of the malou was quick to respond I am sorry
“rooming in”national policy are two fold: doctor but shouldn’t we be adhering to the
national milk code Act of 2006 and the
1. Encourage protect and support the expanded breastfeeding Act of 2009? This
practice of breastfeeding b reflects the nurse’s role as:
A. Strong supporter of the bureau of food promote, protect, and support
and drug (FDA) in law enforcement breastfeeding and appropriate infant
B. Patient advocate and law abiding and young child feeding and that no
practicing health worker assistance, logistics or training from
C. Representative of the professional Milk Company is permitted.
regulation commission (PRC) enforcing C. Allows health workers to do public
standards endorsement for as long as it is outside of
D. Ordinary citizen exercising police power their duty. But accepting the offer would
create as CONFLICT IN PROFESSIONAL
123. Malou is very much aware that what INTEREST which will redound to “unethical
is necessary in the care of the newborn even conduct”,
within the first hour after the birth is: D. is actually silent about the matter.

A. Immediate initiation of breastfeeding with 125. Malou attended a meeting in the

complementary milk formula hospital representing her ward, where she
B. Immediate initiation of pushed for adherence to the “Expanded
breastfeeding continued without Breastfeeding promotion Act of 2009” R.A.
complementary formula 10028. She explained that this law basically
C. Actual initiation of breastfeeding strengthens E.O.51 (Milk Code) and R.A.
continued with complementary milk formula 7600 (Rooming-in and Breastfeeding Act)
within a menthe up in 3 years and beyond. this measure provides the 3rd vital
D. Initiation of breastfeeding but when not component of the Breastfeeding Law
possible introduction of complementary (PROVISION OF SUPPORT for the practice of
formula feeding. breastfeeding) by:

124. After her duty-hours a milk company A. Updating the penalty provisions of the
representative approached Malou offering former Aquino E/O. No. 51 and A.O. No.
her part-time job with them. Malou turned 2006-0012
down the offer because this is conflict with B. Mandating the provision of facilities
her desire to promote breastfeeding. In for breast milk collection and storage
addityion Section 32 of Administrative order e.g. milk banks and establishments of
2006 – 0012 as Implementing Rules and “lactation stations” with adequate
regulations to Executive order No. 51 (Milk support facilities, and providing
Code Policy): incentives and sanctions thereto:
C. Mandating the provision of facilities for
A. Provides that it is generally a choice for breast milk collection and storage e.g. milk
the health professional banks; establishment of “lactation stations”
B. Provide that is the primary with adequate facilities, and the integration
responsibility of the health workers to of breastfeeding education in the curricula.
D. Integrating the key provisions of E.O.51
and A.O. No. 2006-0012