community health nursing

Community Health Nursing

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Community Health Nursing For CEBU BRANCH

Review of attempt 1

Bottom of FormStarted on Monday, 25 April 2011, 07:02 PM

Completed on Monday, 25 April 2011, 08:36 PMTime taken 1 hour 33 mins

Grade 44.9 out of a maximum of 100 (45%)Question 1 Marks: 1/1

SITUATION: The rapid change in the eating habits of the Filipinos in fast food establishments particularly those in the urban center increases the risk of the segment of population to food-borne infection due to unsanitary handling of preparation of food.

The Rights in Food Safety includes the following EXCEPT:

Choose one answer.

a. Right Cooking

b. Right Storage

c. Right Time

d. Right Source

Right Time is not included in the four (4) Rights in Food Safety such as Right Source, Right Preparation, Right Cooking and Right Storage.

Reference: Cuevas, Frances P., et. al. (2007) DOH’s Public Health Nursing in the Philippines. 10th edition, page 316

CorrectMarks for this submission: 1/1.Question 2 Marks: 1/1

Determinants of Health are factors or things that make people healthy or not. World Health Organization included this factor which refers to safe water and clean air, healthy workplaces, safe house, communities and roads all contribute to good health as:

Choose one answer.

a. Personal behavior

b. Health Services

c. Social support networks

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d. Physical environment

Physical Environment pertains to safe water and clean air, healthy workplaces, safe house, communities and roads all contribute to good health.

The following are the Determinants of Health listed by World Health Organization such as: Income and social status; Education; Physical Environment; Employment and Working conditions; Social support networks; Culture; Genetics; Personal behavior and coping skills; Health services; Gender.

Health Services – defined as access and use of services that prevent and treat disease influence health.

Social Support networks – pertain to families, friends and communities

Personal behavior – refers to balanced eating, keeping active, smoking, drinking, and how we deal with life’s stresses and challenges all affect health.



SITUATION: Environmental Health and Sanitation is still a health problem in the country.

What is the Code of Sanitation?

Choose one answer.

a. PD 965

b. PD 148

c. PD 856

d. PD 825

Your answer is incorrect. Please select another option.

IncorrectMarks for this submission: 0/1.Question 4 Marks: 1/1

SITUATION: Mang Pedro is one of the regular clients of the health center where Ms. Aquino is assigned. For more than 2 weeks now, Mang Pedro has been suffering from on and off afternoon fever, cough which is non-productive, and anorexia.

Mang Pedro’s son is 7 years old, this child shall be clinically diagnosed or confirmed of having TB if he has any of the following conditions EXCEPT:

Choose one answer.

a. Positive history of exposure to an adult/adolescent TB case

b. Positive Tuberculin Test

c. Positive for Purified Protein Derivative

d. Abnormal chest radiograph suggestive of TB

Other options are conditions to be clinically diagnosed or confirmed of having TB. A child shall be at least have of the three (3) following conditions:

1) Positive history of exposure to an adult/adolescent TB case

2) Presence of signs and symptoms suggestive of TB

3) Positive Tuberculin Test

4) Abnormal Chest radiograph suggestive of Tb

5) Bacteriological demonstration of TB bacilli in the smear/culture makes a diagnosis of TB in children

PPD – is not used as bases for TB diagnosis.




When cooked foods left at room temperature, these foods shall not be more than how many hours to prevent multiplication of bacteria?

Choose one answer.

a. 15 minutes

b. 30 minutes

c. 2 hours

d. 1 hour

Your answer is incorrect. Please select another option. IncorrectMarks for this submission: 0/1.Question 6 Marks: 1/1

RATIONALE: Community Organizing Participatory Action Research (COPAR) is a strategy used in implementing the delivery of Primary Health Care (PHC) in depressed and underserved communities to become self-reliant

The community health nurse is gathering data about the different barangays in Cavite as a potential site of the program. In selecting a potential site, the nurse should bear in mind the following criteria, except:

Choose one answer.

a. It should have relative peace and order

b. It should have poor health status

c. It should be currently served by similar agencies

d. It should be economically depressed

To be able to select the potential site for the program, the following criteria should be considered: 1) the site should be economically depressed and underserved with majority of the population belonging to the poor sector, 2)the health services in the community are inaccessible or inadequate to meet the health needs of the community, 3)the community has a poor health status, 4) the community should have relative peace and order to safeguard the welfare of the researchers, staff, etc. who will be involved in the program, 5) acceptance of the program by the community and, 6) the area is not currently served by similar agencies/groups.

Reference: Jimenez, C. (2005) Community Organizing Participatory Action Research for Community Health Development. 5th edition. Manila. Syneraide Publishing


SITUATION: The CHN is expected to be well versed in the Field Health Services and Information System (FHSIS) for proper monitoring and recording.

This is the fundamental building block or foundation of the Field Health Services Information System.

Choose one answer.

a. Treatment Record

b. Output Reports

c. Reporting Forms

d. Target Client List

Treatment Record is the fundamental building block or foundation of the Field Health Services Information System.




The Components of FHSIS are EXCEPT:

Choose one answer.

a. Target Client List

b. Geographic Coding

c. Family Treatment Record

d. Output Reports



This approved type of water supply facility is a protected well or a developed spring on an outlet but without a distribution system. The yield or discharge is generally from 40 to 140 liters per minute.

Choose one answer.

a. Waterworks System

b. Communal Faucet System

c. Individual House Connections

d. Point Source


The level of health care and referral system that is given by physicians with basic health training and capable of performing minor surgeries and perform some simple laboratory examinations:

Choose one answer.

a. Secondary level of care

b. Tertiary level of care

c. Prevention level of care

d. Primary level of care

Secondary care is given by physicians with basic health training. This is usually given in health facilities either privately owned or government operated such as infirmaries, municipal and district hospitals and OPD of provincial hospital.

Primary level of care - is usually the first contact between the community members and the other levels of health facility.

Tertiary level of care - is rendered by specialists in health facilities including medical centers and specialized hospital such as the Philippine Heart Center.

Reference: Cuevas, Frances P., et. al. (2007) DOH’s Public Health Nursing in the Philippines. 10th edition, page 32-33


The Public Health Bag:

Choose one answer.

a. Contains basic medications and articles used by the nurse.

b. Is a tool used by the CHN in rendering effective nursing procedures during a home visit.

c. Saves time and effort in the performance of nursing procedures

d. Is an essential and indispensable equipment of the public health nurse.



The following are the principles behind Community Organizing Participatory Action Research (COPAR). Which is not included?

Choose one answer.

a. All of the above

b. It should be based on the interests of the poorest sectors of society

c. People, especially the most oppressed, exploited and deprived sectors are open to change, have the capacity to change and are able to bring

about change.

d. It should lead to a self reliant community and society


IncorrectMarks for this submission: 0/1.

Question 13 Marks: 0/1

SITUATION: Mrs. Ramos is a new PHN. Before she starts her work, Mrs. Ramos was given an orientation on Community Health Nursing Process: Mrs. Ramos conducted a survey of Barangay 9, which she serves. She gathered the following data:

Midyear Population: 12,500 Total Deaths: 100

Total Births: 100 Infants Deaths: 3

It is a number of new cases of disease developing from a period of time over a population at risk of developing the disease.

Choose one answer.

a. Attack Rate

b. Morbidity Rate

c. Prevalence Rate

d. Incidence Rate



SITUATION: Thousands of Filipino dies every year from organ failure and the lack of organ donors. Many lives can be saved if more Filipinos will donate a part of themselves. The survival rate of organ transplants is quite encouraging. New drugs, improved surgical techniques and a deep commitment of today’s team of health care professionals help make transplants safe and more successful.

Date gathered by the National Kidney and Transplant Institute (NKTI) show that the survival rates for kidney transplants during the first year were registered at what percentage of successful rate for living related donors:

Choose one answer.

a. 80-85%

b. 85-90%

c. 75-80%

d. 90-95%


The most common cause of visual impairment in the country is:

Choose one answer.

a. Errors of Refraction

b. Cataract

c. Astigmatism

d. Glaucoma


What category in identifying the Community Health Nursing Problems pertain to existence of social, economic, environmental and political factors that aggravate the illness-inducing situations in the community.

Choose one answer.

a. Health Threat

b. Health-Related Problems

c. Health Resources Problems

d. Health Status Problems


SITUATION: The Department of Health institutionalized the Health Emergency Preparedness and Response Program within the Department. This program is designed to a comprehensive, integrated and responsive emergency, disaster related service and research oriented program.

Oil spill from an oil tank during transportation is a sample of what type of risks:

Choose one answer.

a. Epidemics

b. Technological

c. Natural

d. Societal



Enrollees for the DOTS and MDT programs are recorded in what book?

Choose one answer.

a. Reporting Forms

b. Treatment Record

c. Target Client List

d. Output Reports


SITUATION: Pregnancy care is an important service that helps protect the mother, fetus and newborn. Nena is in 19 weeks AOG and visited the Brgy. A health center.

Vitamin A dosage to be given to the mother at least twice a week is.

Choose one answer.

a. 15,000 IU

b. 5,000 IU

c. 10,000 IU

d. 20,000 IU

Vitamin A dosage to be given to the mother at least twice a week is 10,000 IU starting on the 4th month of pregnancy.


CorrectMarks for this submission: 1/1.History of Responses:

# Action Response Time Raw score Grade

1 Grade 10,000 IU 19:13:33 on 25/04/11 1 1

2 Close&Grade 10,000 IU 20:36:16 on 25/04/11 1 1


The pillars in Primary Health Care include:

1. Intra and inter-sectoral linkages

2. Support mechanism made available

3. Use of appropriate technology

4. Active community participation

5. Available health manpower resources

Choose one answer.

a. 1, 2, 3, 4, and 5

b. 1, 3, 4, and 5

c. 1, 3, and 5

d. 1, 2, 3, and 4

Options 1, 2, 3, and 4 are the Four Cornerstones/Pillars in Primary Health Care.



Evaluation of Care and Services provided as one of the Community Health Nursing Process has three classic frameworks or elements. Family health data base, performing physical examination, and making a nursing diagnosis includes in what element:

Choose one answer.

a. Process elements

b. Outcome elements

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c. Quality elements

d. Structural elements

Process elements can be examined by focusing on the actions and decisions of the public health nurse in providing care such as nursing process itsel.

Structural elements – include the physical setting, instrumentalities and conditions through which nursing care is given such as philosophy, objectives, building organizational structure, financial resources such as budget, equipment, and staff.

Outcome elements – are changes in the client’s health status that result from nursing intervention. These changes include modification of symptom, signs, knowledge, attitudes, satisfaction, skill level, and compliance with treatment regimen.



After the problems have been identified, the next task for the nurse and the community is to prioritize which health problems can be attended to considering the resources available at the moment. The criteria in priority-setting which refers to the probability of reducing, controlling, or eradicating the problem;

Choose one answer.

a. Modifiability of the Problem

b. Magnitude of the Problem

c. Preventive Potential

d. Nature of the problem presented


The essential health care package for adolescent and youth includes:

1) Mental health

2) Dental care

3) Management of illness

4) Family planning

5) Disability prevention

Choose one answer.

a. 1, 2, 3, and 5

b. 1, 2, 3, and 4

c. 1, and 4

d. 1, 2, and 3


SITUATION: As part of primary health care, and because of the increasing cost of drugs, the use of locally available medicinal plants has been advocated by the DOH.

Malnutrition continues to be the public health concerns in the country. The common nutritional deficiencies are the following except:

Choose one answer.

a. Iron

b. Vitamin A

c. Vitamin C

d. Iodine


SITUATION: The DOH embarked on a Quality Assurance Program (QAP) with the goal of making DOH and LGUs active partners in providing quality health services. QAP was renamed as Sentrong Sigla Movement (SSM):

The SS Certification Validity of certification is every:

Choose one answer.

a. Two years

b. Three years

c. Five years

d. Four years


The function of the public health nurse where he/she performs disease surveillance.

Choose one answer.

a. Management function

b. Supervisory function

c. Nursing care function

d. Research function

One of the areas where a PHN functions is disease surveillance. Disease surveillance is a research activity of the nurses. It is a continuous collection and analysis of data of cases and deaths. The purposes of disease surveillance are (1) to measure the magnitude of the problem and (2) to measure the effect of the control program. The data collected can be used to improve strategies and thus prevent diseases from occurring.




Which of the following barangays does not fall within the COPAR criteria of site selection?

Choose one answer.

a. Baranggay Y, with lack of income opportunities for the residents

b. Baranggay Z, with a high crime rate

c. Baranggay W, with no barangay health station

d. Baranggay X, with a high malnutrition rate

As what was mentioned above, options A, B and C falls within the criteria of site selection. Option D is the correct answer because an area should have relative peace and order to safeguard the welfare of the researchers, staff, students, teachers, etc. who will be involved in the program.






The Infant Mortality Rate (IMR) of the community is:

Choose one answer.

a. 30/1000 live births

b. 0.3/1000 live births

c. 3/1000 population

d. 0.03/1000 live births

Infant Mortality Rate = Total number of death under 1 year of age registered in a year x 1000

Total number of registered live births of the same year

IMR = 3 x 1000 / 100

IMR measures the risk of dying the 1st year of life. It is a good index of the general health condition of a community since it reflects the changes in the environment and medical condition of a community.


Reference: Maglaya, Araceli S. (2004). Nursing Practice in the Community. 4th ed. Page 176



According to Yalom, the major stages of group development are the following, except:

Choose one answer.

a. Stage of Orientation

b. Stage of Cohesiveness

c. Stage of Argument

d. Stage of Conflict


It is the overriding goal of the Department of Health:

Choose one answer.

a. Health sector reform

b. Health education

c. Health states of Filipinos

d. Health for all Filipinos

Health Sector Reform is the overriding goal of the DOH. Support mechanisms will be through sound organizational development, strong policies, systems and procedures, capable human resources and adequate financial resources.






What is the good index of the general health condition of Barangay or a community:

Choose one answer.

a. Crude Birth Rate (CBR)

b. General Fertility Rate

c. Infant Mortality Rate (IMR)

d. Crude Death Rate

IMR measures the risk of dying the 1st year of life. It is a good index of the general health condition of a community since it reflects the changes in the environment and medical condition of a community.




Mental Health problems have four facets as a public health burden. This refers to the stigma and violence of human rights:

Choose one answer.

a. Defined burden

b. Hidden burden

c. Undefined burden

d. Future burden


A Public Health Nurse asks: “Are data available from records of agencies? Or from people themselves? In what step of Conducting Community Diagnosis these statements belong?

Choose one answer.

a. Developing the Instrument

b. Determining the Data to be collected

c. Collecting the Data

d. Defining the Study Population


SITUATION: The Department of Health (DOH) has formulated programs in answer to the health problems of the country.

RA 8976 or the Food Fortification Law or An Act Establishing the Philippine Food Fortification Program declares as a policy that food fortification is vital in the promotion of optimum health and to compensate for the loss of nutrients due to processing and / or storage of food. It requires a mandatory food fortification of staple foods such as:

1. Rice

2. Sugar

3. Edible oil

4. Flour

Choose one answer.

a. all of the above

b. 1, 2, and 3

c. 1 and 2

d. 1, 2, and 4

Options 1, 2, 3, and 4 are all included in RA 8976.




The objectives of FHSIS are the following EXCEPT:

1) To provide summary of data on health services delivery and selected program

2) To provide data which when combined with data from other sources, can be used for program monitoring and evaluation purposes.

3) To minimize the recording and reporting burden at the service delivery in order to allow more time for patient care and promotive activities

4) To provide a standardized, facility level data base which can be accessed for a more in-depth studies.

Choose one answer.

a. 1 and 2

b. 3 only

c. 2 and 3

d. none


The new Vision of the Department of Health is:

Choose one answer.

a. Guarantee equitable, sustainable and quality health for all Filipinos, especially the poor and shall lead the quest for excellence in health.

b. Ensure accessibility and quality of health care

c. Health for all Filipinos in 2015

d. A leader, staunch, advocate and model in promoting health for all in the Phil


The 2000 Philippine Health Statistics revealed that the leading cause of all maternal deaths is due to:

Choose one answer.

a. Pregnancy with diabetes mellitus

b. Postpartum hemorrhage

c. Pregnancy with abortive outcomes

d. Hypertension



This refers to seminars and group meetings that aim to find out the people’s acceptability and willingness to offer support and participation in the program.

Choose one answer.

a. Community Diagnosis

b. Community Assembly

c. Health Education

d. Community Organizing

Conducting a community assembly is part of the pre-entry phase. This involves having seminars and group meetings that aim to find out the people’s acceptability and willingness to offer support and participation in the program.




The different factors in environmental sanitation are the following, except:

1) Insect vector and rodent control

2) Housing

3) Noise

4) Radiological Protection

Choose one answer.

a. 2 only

b. none

c. 1 and 2

d. 2 and 3


One of the elements of Philippine Reproductive Health Program of the DOH that is the foremost interventions in attaining reproductive health is:

Choose one answer.

a. Adolescent Reproductive Health

b. Prevention and Management of Reproductive Tract Infections including STI’s

c. Maternal and Child Health Nutrition

d. Family Planning


Conditions preventing from donating blood are EXCEPT:

1) diabetes

2) cancer

3) hyperthyroidism

4) severe psychiatric disorder

5) epilepsy / convulsions

6) severe bronchitis and other lung disorders

7) malaria

8) use of prohibited drugs

Choose one answer.

a. 4 and 5

b. 1, and 4

c. none

d. 6 and 8


Hepatitis B is injected to the:

Choose one answer.

a. Deltoid region of the upper arm

b. Upper outer portion of the thigh

c. Outer part of the upper arm

d. Right deltoid region of the arm




This creates the Philippine Institute of Traditional and Alternative Health Care:

Choose one answer.

a. RA 8749

b. RA 7160

c. RA 1082

d. RA 8423

Your answer is incorrect. Please select another option. IncorrectMarks for this submission: 0/1.History of Responses:

# Action Response Time Raw score Grade

1 Grade RA 7160 19:45:17 on 25/04/11 0 0

3 Close&Grade RA 1082 20:36:16 on 25/04/11 0 0


SITUATION: Mrs. Santos, 35 years old, is a government employee. She is now a widow. Her 2 children are aged 2 and 4 years. She is at present 8 months pregnant.

The bag technique should be done in the home visit of Mrs. Santos. The proper sequence should be:

Choose one answer.

a. Wash hands, put on apron, get articles

b. Put out the articles, wash hands, put apron

c. Get articles, wash hands, put on apron

d. Put on apron, wash hands, get articles

Wash hands using soap and water. Wipe to dry to prevent infection from the care provider to the client. Take out the apron from the bag and put it on with the right side out. Put out all the necessary articles needed for the specific care to have them readily accessible.



In the non-communicable disease prevention and control, this is one of the roles of a public health nurse to motivate the people to make choices and decision about habits and practices detrimental to health, he/she is:

Choose one answer.

a. Health advocate

b. Health care provider

c. Community organizer

d. Health educator


Among the 12 stress management techniques, which one increases sensitivity to the inner self and relationship with the world around?

Choose one answer.

a. Spirituality

b. Self-awareness


c. Scheduling

d. Sensation techniques

Self-awareness means knowing one’s self, getting in touch with one’s feelings or being open to experience. It increases sensitivity to the inner self and relationship with the world around.

Spirituality – is a state or quality of being spiritual. It is pure, holy, relating to matters of sacred nature, not worldly, ecclesiastical, possessing the nature of qualities of a spirit.

Scheduling – or a time management. Time is a resource and tool that can be drawn upon to help accomplish results.

Sensation techniques – is a powerful and highly sensitive form of communication. It is natural reaction to reach out and touch whether to feel the shape or texture of something.



The objective of surveillance in public health nursing is:

Choose one answer.

a. To provide program managers

b. To provide early warning on occurrences of outbreak

c. To measure the magnitude of the problem

d. To establish a case definition

The two (2) objectives of surveillance are: 1) To measure the magnitude of the problem and 2) To measure the effect of the control program.




This level of water supply can normally serve around 15 to 25 households and its outreach must not be more than 250 meters from the farthest user.

Choose one answer.

a. Individual House Connections

b. Point Source

c. Waterworks System

d. Communal Faucet System

Point Source c can normally serve around 15 to 25 households and its outreach must not be more than 250 meters from the farthest user.

Communal Faucet System – is composed of a source a reservoir, a piped distribution

Level III type is Option c and d.



The child is to be fully immunized child (FIC) when a child receives:

Choose one answer.

a. 1 dose of BCG, 3 doses OPV, 3 doses HB, and 1 dose of measles after child’s first birthday

b. 1 dose of BCG, 3 doses of OPV, 4 doses DPT, 3 doses HB and 2 doses of measles before a child’s birthday

c. 1 dose of BCG, 3 doses of OPV, 3 doses DPT, 3 doses HB, and 1 dose of measles before first child’s birthday

d. 2 doses of BCG, 3 doses of OPV, 3 doses DPT, 3 doses HB, and 1 dose of measles before child’s first birthday

A child is said to be “Fully Immunized Child” when a child receives 1 dose of BCG, 3 doses of OPV, 3 doses DPT, 3 doses HB, and 1 dose of measles before first child’s birthday.



The principles involved in preparing for a home visit is/are:

Choose one answer.

a. Make use of all available information about the client

b. Give nursing care to the sick

c. Assess living condition of the client

d. Give health teachings regarding prevention and control of diseases

Your answer is incorrect. Please select another option. IncorrectMarks for this submission: 0/1.Question 51 Marks: 0.9/1

The number one of the 10 leading causes of older person mortality is:

Choose one answer.

a. COPD

b. Diabetes Mellitus

c. Tuberculosis

d. Cardiovascular

The 10 leading causes for all ages, significantly most of this is COPD, fall on older persons at 70% among all age groups.

Cardiovascular – 66.13%

Tuberculosis – 51%

Diabetes Mellitus – 52%


CorrectMarks for this submission: 1/1. With previous penalties this gives 0.9/1.History of Responses:# Action Response Time Raw score Grade

1 Grade Cardiovascular 19:54:15 on 25/04/11 0 0

2 Close&Grade COPD 20:36:16 on 25/04/11 1 0.9


Vaccines are very sensitive at various temperature, OPV & measles vaccine is stored in:

Choose one answer.

a. – 25 to – 35 degree Celsius at the freezer

b. + 2 to + 8 degree Celsius in refrigerator

c. – 15 to -25 degree Celsius at the freezer

d. -10 to – 15 degree Celsius at the freezer

OPV (live attenuated) and Measles (freeze dried) storage temperature is -15 to – 25 degree Celsius at the freezer. + 2 to + 8 degree Celsius in refrigerator is for DPT/Hep B, BCG (freeze dried) and Tetanus Toxoid




Mrs. Santos did not consult at the health center for her pre-natal check-up. This constitutes a:

Choose one answer.

a. Forseeable crisis

b. Health deficit

c. Stress point

d. Health threat


What day is designated as Immunization Day in the barangay health centers?

Choose one answer.

a. Wednesday

b. Tuesday

c. Thursday

d. Monday


Every Wednesday is designated as Immunization Day and is adopted in all parts of the country.



SITUATION: COPAR is an important tool for community development and people empowerment as this helps the community health workers to generate community participation in development activites.

Spotting and developing potential leaders are vital in forming the core group. He/she must be but NOT NECESSARILY:

Choose one answer.

a. Can articulate well the problems of the community

b. Willing to take part with the changes to happen

c. Influential and came from an affluent family

d. Understand the hardships of everyone

It is of his advantage that the leader is influential but coming from a wealthy family is not necessary. What is important is that he/she can understand and take part effectively in providing solution with the problems of the community.

Reference: Jimenez, C. (2005) Community Organizing Participatory Action Research for Community Health Development. 5 th edition. Manila. Syneraide Publishing



The Republic Act 9288 or Newborn Screening aims to detect early the 5 congenital diseases EXCEPT:

1. Congenital Adrenal Hyperplasia

2. Congenital Adrenal Hypoplasia

3. Galactosemia

4. Glucose-6-Phosphate Dehydrogenase Deficiency

5. Congenital Hypothyroidism

6. Congenital Hyperthyroidism

7. Phenylketonuria

Choose one answer.

a. 1 and 6

b. 2 and 5

c. 2 and 6

d. 1 and 4

e. 6 and 7

The five early newborn defect or abnormality screened in RA 9288 are options 1, 3, 4, 5 and 7.

Reference: Newborn Screening Center, National Institute of Health, University of the Philippines Manila.



Sambong is a plant that reaches 1 ½ to 3 meters in height with rough hairy leaves. It is indicated for the following conditions, except:

Choose one answer.

a. Kidney infection

b. Anti-edema

c. Anti-urolithiasis

d. Diuretic

Other options are correct. Sambong is not a medicine for kidney infection.



In order to address the problem in the Philippine Health care system, the delivery areas that needed to be reformed are:

1. Health financing

2. Health regulation

3. Public Health programs

4. Hospital systems

5. Political systems

6. Local health systems

Choose one answer.

a. 2, 3, and 4

b. 1, 2, and 6

c. 1, 2, 3, and 5

d. 1, 2, 3, 4 and 6

Option 1, 2, 3, 4 and 6 has the complete lists of five areas (5) which need to be reformed.




In the FHSIS, reports are prepared and submitted by the unit/person responsible for the service/activity being provided and sent directly to the Provincial Health Office. What are the following incidence need to report upon occurrence of Events, these are the following EXCEPT:

Choose one answer.

a. Notification of Death Form

b. Perinatal Death Report

c. Maternal Death Report

d. Mortality Report



The process of site selection belongs to what phase in COPAR?

Choose one answer.

a. Working

b. Pre-entry

c. Phase-out

d. Entry

The pre-entry phase involves all the activities done before going to the community. This includes formulating the goals and objectives of the program, conduct of preliminary investigation and potential site for the program, making courtesy call to the local government officials, conducting ocular surveys, developing the survey tools, community assembly and baseline study.




Vitamin A supplements is not given to a pregnant woman before _____month because it may cause congenital problems:

Choose one answer.

a. Two

b. Three

c. One

d. Fourth



The Generic Act was passed in order to ensure that adequate supply of drugs is made available to all Filipinos. This is otherwise known as:

Choose one answer.

a. RA 7305

b. RA 6675

c. RA 3573

d. RA 4073

RA 6675 is the Generic Act of 1988 which promotes, requires and ensures the production of an adequate supply, distribution, use and acceptance of drugs and medicines identified by their generics name.

RA 4073 – Liberalized the treatment of leprosy. Except when the patient requires institution treatment, no person afflicted with leprosy shall be confined in a leprosarium. They shall be treated in a government skin clinic, rural health unit, or by a duly licensed physician on domiciliary basis.

RA 3573 – declares that all communicable diseases should be reported to the nearest health station.

RA 7305 – is known as Magna Carta for Public Health Workers. This act aims to promote and improve the social and economic well-being of health workers.




Nena’s BMI falls under <19.8. According to Weight Gain Subcommittee of the Institute of Medicine recommends using prepregnancy body mass index (BMI), in what category will Nena fall under?

Choose one answer.

a. Underweight

b. Obese

c. Overweight

d. Normal weight


The charter for a health promotion which focuses in the process of enabling people to increase control over and to improve their health.

Choose one answer.

a. Ottawa charter

b. Canada charter

c. Okinawa charter

d. Yokohama charter

Ottawa charter defines health promotion broadly as “the process of enabling people to increase control over and to improve their health.”



The elements of the Department of Health (DOH)’s Philippine Reproductive Health Program are the following EXCEPT:

1) Family Planning

2) Maternal and Child Health Nutrition

3) Prevention and Management of Abortion and its Complication

4) Violence Against Men

5) Adolescent Reproductive Health (ARH)

Choose one answer.

a. 2 and 3

b. 2 only

c. 3, 4, and 5

d. 1, 2, and 3






It is one of the most commonly used graphs in presenting data which shows peaks, valleys and seasonal trends. It also used to show the trends of birth and death rates over a period of time. It shows trend data or changes with time or age with respect to some other variable.

Choose one answer.

a. Pie Charts

b. Area Diagram

c. Line or curved graphs

d. Bar Graphs



The distribution of Vitamin A capsules through the “Araw ng Sangkap Pinoy” (ASAP), known as Garantisadong Pambata (GP) or Child Health Week is the approach adopted to provide micronutrient supplements to 6-71 months old preschoolers on a nationwide scale. It is held how many times in a year:

Choose one answer.

a. Twice a year

b. Four times a year

c. Three times a year

d. Once a year

The twice-a-year distribution of Vitamin A capsules through the “Araw ng Sangkap Pinoy” (ASAP), known as Garantisadong Pambata (GP) or Child Health Week is the approach adopted to provide micronutrient supplements to 6-71 months old preschoolrs on a nationwide scale.



The essential functions of public health is/are:

1. health situation monitoring

2. disease control

3. health protection

4. strategies management of health system

5. human resources development

Choose one answer.

a. 2, 3, 4, 5

b. 2, 3, and 4

c. 1, 2, and 3

d. 1, 4, and 5



Mrs. Santos’ husband died 4 months ago. For the family, this is a:

Choose one answer.

a. Stress point

b. Wellness Condition

c. Health Deficits

d. Health Threats


The following are the elements or components of primary health care, except:

Choose one answer.

a. Provision of Essential Drugs

b. Active community participation

c. Environmental sanitation

d. Health education



The nurse instructed Nena to comeback to the health center for her 3 rd prenatal visit. Mrs. Corte is expected be on her what period of pregnancy on this visit:

Choose one answer.

a. Second trimester

b. Fourth trimester

c. First trimester

d. Third trimester



The organ donor card can be accomplished through which of the following except?

Choose one answer.

a. Sign your name even without the presence of witnesses.

b. Through all driver’s licenses which states that the driver has the intention to become an organ and tissue donor in the event of his/her death

c. Can be accomplished even you are under 18 only if a parent or legal guardian gives consent.

d. Indicate whether you want to donate all organs or tissues or only those organs or tissues you have listed

Your answer is incorrect. Please select another option. IncorrectMarks for this submission: 0/1.Question 73

Marks: 1/1


Which of the following activities is done during Sustenance and Strengthening Phase?

Choose one answer.

a. Preliminary social investigation

b. Selection of research team

c. Development of criteria for site selection

d. Formalizing and institutionalization of linkages, networks and referral systems

Development of criteria for site selection and Preliminary social investigation are activities under pre-entry phase

Selection of research team is activity done during community diagnosis



SITUATION: The Department of Health institutionalized the Health Emergency Preparedness and Response Program within the Department. This program is designed to a comprehensive, integrated and responsive emergency, disaster related service and research oriented program.

The following statements are the purpose of the Disaster Plan, except:

Choose one answer.

a. Every hospital should have a regularly updated disaster plan.

b. Identify hospital capability to handle mass casualty.

c. To provide policy for effective response to both internal and external disaster situations that can create impact to the operation of the

hospital.

d. Identify responsibilities of individuals and departments in the event of a disaster situation.

Every hospital should have a regularly updated disaster plan is one of the principles in Emergency Preparedness.




As a nurse of Nena, you will screen her for any danger signs such as EXCEPT:

Choose one answer.

a. Pallor

b. Weight

c. Bleeding

d. Abdominal pain

Weight per se is not a danger sign unless indicated it is underweight, overweight or obese. Pregnant women in 17-28 weeks or Second trimester of pregnancy shall be screen for any danger signs such as pallor, bleeding and abdominal pain.

Reference: Maglaya, Araceli S. (2004). Nursing Practice in the Community. 4th ed. Page 259-261



RA ____ provides rehabilitation, self-development and self-reliance of a disable person:

Choose one answer.

a. RA 8749

b. RA 7277

c. RA 6713

d. RA 8976





Inter-Local Health System is being espoused by the Department of Health (DOH) in order to ensure quality of health care service at the local level. According to WHO, the ideal health district would have a population size of:

Choose one answer.

a. 50,000 and 100,000

b. 100,000 and 50,000

c. 500,000 and 1,000,000

d. 20,000 and 40,000


The goals of Millennium Development is/are:

1. Eradicate extreme poverty and hunger

2. Achieve universal primary education

3. Promote gender quality and empower women

4. Health for all Filipinos 2025

5. Improve maternal health

Choose one answer.

a. 2, 3, 4 and 5

b. 1 and 4 only

c. 1, 2, 3 and 4

d. 1, 2, 3 and 5

Options 1, 2, 3, and 5 are included in eight (8) Millenium Development Goals. The other goals are: Reduce child mortality; Combat HIV/ AIDS, malaria and other diseases; Ensure environmental sustainability; and Develop a global partnership for development.



The absolute contraindications to immunizations are EXCEPT:

1) Infants / children with uncontrolled epilepsy

2) Infants / children with leukemia

3) Infants / children with malnutrition

4) Infants / children with mild-grade fever and mild respiratory infections

5) Infants / children with diarrhea and vomiting

6) Infants / children with convulsions

Choose one answer.

a. 1, 2, and 3

b. 3, 4, and 5

c. 2, 3, and 4

d. 4, 5, and 6

Your answer is incorrect. Please select another option. IncorrectMarks for this submission: 0/1.Question 80

Marks: 0/1

The goals of FOURmula ONE for health is/are:

1. Good governance

2. Better Health outcomes

3. More responsive health systems

4. Equitable health care financing

Choose one answer.

a. 1, 2, and 3

b. 1 and 2

c. 2, 3, and 4

d. 1, 3, and 4





The Crude Birth Rate (CBR) of the community is:

Choose one answer.

a. 8 / 1000 pop

b. 80 / 1000 pop

c. 0.8 / 1000 pop

d. 800 / 1000 pop





It is a strategy, which focuses on responsibility for health on the individual, his family and the community.

Choose one answer.

a. Primary health care

b. Primary level of care

c. Community health nursing

d. Public health nursing




Tuberculosis as a health problem is classified as:

Choose one answer.

a. Health threat

b. Health deficit

c. Foreseeble crisis

d. Stress point

Health Deficits - are instances of failure in health maintenance.

Health Threats - are conditions that are conducive to disease and accident, or may result to maintain wellness or realize health potential.

Stress Points / Foreseeable crisis situations - are anticipated periods of unusual demand on the individual or family in terms of adjustment / family resources.




The following statements are the principles of Community Organizing Participatory Action Research (COPAR). Which is not included?

Choose one answer.

a. COPAR minimizes community participation and involvement

b. COPAR should lead to a self-reliant community and society

c. COPAR should be based on the interest of the poorest sector of the community.

d. People especially the most oppressed, exploited and deprived sectors are open to change, have the capacity to change and are able to bring

about change.

Other options are the principles of Community Organizing Participatory Action Research (COPAR). Option d should be: COPAR maximizes community participation and involvement.



In the stages of community organizing this is when the organization and program is gaining acceptance in the community:

Choose one answer.

a. Implementation

b. Program maintenance

c. Community analysis

d. Design and initiation


It is defined by WHO as the “art of applying science in the context of politics so as to reduce in equalities in health while ensuring the best health for the greatest number.”

Choose one answer.

a. Community Organizing

b. Health Care Delivery System

c. Public Health

d. Community Health Nursing

In a recent three-country study on essential public health functions in the Western Pacific Region, public health is defined by WHO as the “art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest number.” It points to the fact that public health is a core element of governments’ attempt to improve and promote the health and welfare of their citizens.



The categories of workplace hazards which include inadequate work-station and tool design is known:

Choose one answer.

a. Mechanical hazards

b. Physical hazards

c. Biological hazards

d. Chemical hazards

Your answer is incorrect. Please select another option. Incorrect

Marks for this submission: 0/1.Question 88 Marks: 1/1

It is one of the steps in community analysis which determine the geographic boundaries of the target community. This is usually done in consultation with representatives of the various sectors.

Choose one answer.

a. Defining the community

b. Assessing readiness for change

c. Assessing community capacity

d. Collection of data

Defining the Community is one of the steps in Community Analysis which determine the geographic boundaries of the target community. This is usually done in consultation with representatives of the various sectors. Option a, c, and d are other steps in community analysis.




Carmona retusa as one of the herbal medicines advocated by DOH is also known as:

Choose one answer.

a. Lagundi

b. Tsaang Gubat

c. Ulasimang Bato

d. Yerba Buena

Carmona retusa is the scientific name of Tsaang Gubat.

Yerba Buena is also known as Mentha cordifelia

Lagundi is also known as Vitex negundo

Ulasimang Bato is also known as Peperonica pellucida



After reconstituting this vaccine, wrap the vial in foil to protect from sunlight. This vaccine is:

Choose one answer.

a. Measles vaccine

b. Tetanus toxoid vaccine

c. Hepatitis vaccine

d. BCG vaccine

Protect Measles vaccine vial from sunlight. Wrap vial in foil.




The Primary Diagnostic Tool in the National Tuberculosis Control Program (NTP) is:

Choose one answer.

a. DSSM

b. PPD

c. MDRT

d. DOTS



Be sure to store food under right storage temperature. How many degrees centigrade in cold conditions and in what degrees centigrade in hot conditions?

Choose one answer.

a. 5 degrees centigrade in cold condition up to 60 degrees centigrade in hot condition

b. 10 degrees centigrade in cold condition up to 50 degrees centigrade in hot condition

c. 5 degrees centigrade in cold condition up to 30 degrees centigrade in hot condition

d. 15 degrees centigrade in cold condition up to 60 degrees centigrade in hot condition


The aims of Family Health are the following:

1) Reduce morbidity and mortality for children 0-9 years old

2) Reduce mortality from preventable cause among adolescent and young people

3) Improve the survival, health, and well being of mothers and the unborn through a package of services for the pre-pregnancy, natal and postnatal stages.

4) To assess the living condition of the clients and his family and health practices

Choose one answer.

a. 1, 2, and 3

b. 2, 3, and 4

c. 4 only

d. 1, 3, and 4



Republic Act 7719 is otherwise known as the “National Blood Services Act of 1994”. To ensure the safety of blood, donors must meet certain requirements before donating. The following statements are true to be eligible as a blood donor EXCEPT:

Choose one answer.

a. Weigh more than 45 kilogram (100 lbs) for 450 ml of donated blood.

b. Have hemoglobin at least 125 g/l (12.5 g/d)

c. Be aged 16-65 years of age (for ages 16 & 17, parental consent is needed)

d. Have blood pressure in safe range of Systolic BP of 90-160 mmHg and Diastolic BP of 60-100 mmHg


The patient visits the Health Center / clinic to avail of the services thereto offered by the facility primarily for consultation on matters that ailed them physically. Nowadays, patients are becoming aware of the other services. Standards procedures performed during clinic visits are:

1. Registration / Admission

2. Waiting Time

3. Triaging

4. Laboratory and other diagnostic exams

5. Prescription / Dispensing

6. Health Education

Choose one answer.

a. 1, 3, 4, 5

b. 1, 2, 3, 4

c. all of the above

d. none of the above

e. 1, 3, 5, 6



In the standards of Public Health Nursing in the Philippine 2005. Public Health Nurses (PHNs) refer to:

Choose one answer.

a. Nurses in private schools

b. Nurses in the local/national health departments

c. Nurses working as NGO’s

d. Nurses working in hospitals

Public Health Nurses (PHNs) refer to the nurses in the local/national health departments or public schools.



What roles and functions of DOH in which they administer health emergency response services, including referral and networking system for trauma, injuries and catastrophic events, in cases of epidemic and other widespread public danger, upon the direction of the President and in consultation with concerned LGU.

Choose one answer.

a. Serve as advocate in health policies

b. Leadership in health

c. Administrator of Specific Services

d. Enabler and capacity Builder


SITUATION: The DOH embarked on a Quality Assurance Program (QAP) with the goal of making DOH and LGUs active partners in providing quality health services. QAP was renamed as Sentrong Sigla Movement (SSM):

Which of the following is not a Core Public Health Programs of the SSM?

Choose one answer.

a. Child Care

b. Promotion of Healthy Lifestyle

c. Safe Motherhood and Family Planning

d. Elderly Care

The Core Public Health Programs are includes option a, b, and c.


Correct

Marks for this submission: 1/1.Question 99 Marks: 1/1


In what stage of group development there is an increase of morale and mutual trust as members feel group belongingness. Consequently members are willing to share more about themselves to others.

Choose one answer.

a. Stage of Argument

b. Stage of Conflict

c. Stage of Orientation

d. Stage of Cohesiveness

Stage of Cohesiveness is a stage where there is an increase of morale and mutual trust as members feel group belongingness.

Stage of Orientation – as an initial stage, there are 2 tasks need to accomplish. First, this is the stage where they must determine a way of achieving their primary tasks and Second, they must find a place for themselves in the group.

Stage of Conflict – where each member tries to establish for himself his preferred amount initiative and power, and gradually a control hierarchy within the group is established.

Reference: Maglaya, Araceli S. (2004). Nursing Practice in the Community. 4th ed. Page 364-368


In Primary Health Care, these are workers who are trained community health workers or health auxiliary volunteer or a traditional birth attendant or healer.

Choose one answer.

a. Intermediate Health Workers

b. Village Health Workers

c. Public Health Workers

d. Primary Health Workers


IncorrectMarks for this submission: 0/1.

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