COMMUNITY HEALTH NURSING SET III Situation: Children need adequate intake of vitamin C and calcium.

The nurse must emphasize this in the health teaching sessions to the mothers. 1. Why should Vitamin C and calcium rich foods occupy a greater part of the childs daily menu? a. Readily available and affordable over the counter b. Many pharmaceuticals supply samples c. Because these prevent conditions like carries and bone breakage d. They act like natural vaccines 2. If a child has dental carries, he will also be prone to have a. Flu c. Fractures b. Baldness d. Wounds 3. For vitamin C to be easily absorbed by the childs gut, what form of presentation is recommended by the nurse? a. Tablets c. Chewable b. Liquids d. Injectable 4. In an array of food spread out in the table, the child by nature will have servings of a. Only pick-a-pick choices b. Necessary nutrients c. Nonsense food groups d. Sweets and junks food 5. If research is to be made on eating preferences of preschoolers what design of study will you use? a. Analytical c. Experimental b. Descriptive d. Case-control Situation 2: Environmental Sanitation is one of the main problems in the big cities of our country. What can a nurse do to make a difference. 6. Which of the following agencies is responsible for the promotion of health environmental condition and prevention of environmental related diseases? a. Department of Health Field Units b. Environmental Health Service c. Department of Health Sanitation Services d. Urban Health and National Organization 7. Which of the following agencies has the authority to act on all issues concerning environmental health? a. Environmental Health Services b. Waste management and disposal c. Environmental Sanitation Office d. Sanitation Code # 856

8. Which among the following health problems is related to poor environmental condition as its MAIN cause? a. Diarrhea c. Infectious hepatitis b. Dengue Hemorrhagic Fever d. Parasitism

9. As a nurse the main topic for health teaching in the prevention of environmental related illness would include a. Linis Bakuran c. Operation Illness b. Street Cleaning d. Proper Waste Disposal 10. For hospitals waste disposal, the recommendation is using a. Shredder c. Land Fill b. Incineration d. Compost pit Situation 3: Elizabeth a lawyers secretary, had an abrupt onset of fever, chilly sensation, aches and pain in her back and feeling prostration. This lasted for 5 days. 11. You are a friend of Elizabeth because you are board mates and you are working in nearby hospital. Which step would you do as your assessment of Elizabeths condition? a. Consult a Doctor c. Take History b. Check vital signs d. Advise for laboratory 12. Elizabeth also has respiratory symptoms. Which one is the most common symptoms of viral influenza? a. Cough c. Headache b. Fever d. Pallor 13. As friends, you and Elizabeth sometimes borrow/ use each others personal things. Which item should NOT be used as common belonging? a. Drinking glass c. Make up kit b. Blouse and Skirt d. Bandana and belt 14. At bedtime, you do health teaching to Elizabeth. Which one below is most important? a. Keep warm and free from draft b. Stop office work c. Eat light food d. Avoid exposure to pneumonia 15. Mode of transmission of influenza virus which Elizabeth suffers is through a. Food intake c. Drinking water b. Droplet d. Soiled linen Situation 4. Community Health Nursing utilizes the nursing process that leads to desires outcome of health status. 16. Assessment process involves participation of clients. Which step determines the health status of families regarding family dynamics and patterns of coping? a. Analysis of Data c. Interpretation of Data b. Collection of data d. Presentation of Data 17. To categorize health problem, this condition leads to disease or injury. a. Foreseeable crisis c. Health need b. Health threat d. Health deficit 18. Which of the following is health deficit? a. History of repeated infection b. Use of nuclear medicine c. Death or illness in the family d. Population is inadequately immunized

19. There are many ways to collect data. This one is face to face interaction of the researcher and the individual a. Review of Statistics c. Survey b. Laboratory and screening test d. Interview 20. The data collected is systematically recorded to facilitate a. Confidentiality c. Research b. Correct and accurate records d. Retrieval

Situation 5. The Expanded Program of Immunization was launched in July,1976 by the DOH and in cooperation with the WHO 21. Which of the following is the general objective of EPI? a. Reduce morbidity and mortality among people of all ages b. Reduce morbidity and mortality among urban poor children c. Reduce morbidity and mortality among infants and children caused by communicable diseases d. Reduce morbidity and mortality among pregnant women with high risk 22. What is EPI based on? a. Research studies on communicable diseases b. Epidemiological situation c. Surveillance studies and research d. Scenario of the community affected 23. Which age group is EPI compulsory as per PD#996 of 1976? a. School entrants c. Babies and infants b. Children of all ages d. Below 8 years old 24. As a nurse, what is your role in the implementation of EPI? a. Target setting b. Gather children every Wednesday for Patak c. Surveillance studies and research d. Management of cold chain 25. Which vaccine is a requirement for school entrants regardless of the presence of BCG scar? a. DPT b. Hepa B c. BCG d. Anti tetanus Situation 6: There are corner stones or pillars in Primary Health Care to achieve its mission 26. Which of the following is NOT a corner stone of Primary Health Care? a. Intra and inter linkages b. Use of technology and support mechanism c. Activities for self reliance d. Active community participation 27. To encourage active participation of the community what qualities should a nurse possess? a. Intellectual capacities c. Role modeling b. Coach behavior d. Leadership

28. Linkages is an important action, wherein the community leaders relate with other agencies like the following, EXCEPT: a. Schools c. W.H.O b. Red Cross d. Rotary club 29. The use of appropriate technology could also mean? a. Computers c. Herbal plants b. Medical Equip d. Essential drug 30. The primary role of a nurse in Primary Health Care is as? a. Organizer c. Facilitator b. Teacher d. Leader Situation 7. Evaluation of care is an integral part in the application of nursing process. 31. What are the changes in the clients health status which is the result of the nursing intervention? a. Healthy lifestyle b. Desires Outcome c. Modified Behavior d. Compliance with regime 32. Which of the following is the structural element from which nursing care is delivered? a. Philosophy of care c. Regimen b. Health team d. Modification of symptoms 33. Which of the following is the process element as framework of nursing care? a. Outcome changes b. Determining nursing goals c. Organizational structure d. Nursing objectives 34. Which is the following is the outcome element of nursing care? a. Success of nursing action b. Budget and equipment c. Coordination of services d. Skill level of the client 35. What is the measure of nursing effectiveness if quality assurance is recommended? a. Standard of practice b. Changes in behavior of the client c. High cost of health care regimen d. Nurse patient ratio Situation 8: Immunization schedules are to be used in order to provide maximal immunity to the seven EPI diseases before the child reaches the first birthday 36. Which of the following vaccines is given at birth for the protection as part on testing from other members of the family? a. OPV b. Measles c. BCG d. DPT 37. How many doses of DPT should be given with an interval of 4 weeks?

a. 4 b. 3 c. 5 d. 6 38. At what age is DPT given? a. 6 weeks b. Birth c. 2 weeks d. 4 week 39. Protection against polio is increased if given earlier. When is the right age? a. 4 weeks b. 2 weeks c. 6 weeks d. Birth 40. Measles is given subcutaneously at a dose of .5ml. At what age is this done? a. 9 months c. 6 months b. One and half year d. one year Situation 9: Nursing care after delivery is very crucial to both mother and baby. 41. Which of the following is NOT checked on the mother? a. Vital signs b. Contracted and hard uterus c. Going home dress d. Expelled placenta and laceration 42. Which of the following should be watched on the baby? a. APGAR score and congenital defects b. Birthmark and pigmentation c. Foot and Hand mark d. Measure of length 43. Registration of baby must be done by a a. Nurse b. Community Volunteer Health Worker c. Midwife d. Trained Hilot 44. The first postpartum visit in the home is a. 6 weeks after delivery c. 1 week after delivery b. 4 weeks after delivery d. Within 24 hours 45. An important function of the nurse is recording . Where are the reports submitted? a. Mayors Office c. FHSIS b. Provincial Office d. Rural Health Unit Situation 10. Mrs. Herera is the nurse at the mother and child health nursing unit of a health care facility, which includes home visit in the home of the mother and child? 46. Which of the following is Mrs. Hereras concern when she visits the mother and child? a. Post natal care and lactation of the mother and newborn care b. Make a schedule of the visit to the doctors office c. Determine family planning method for the mother d. Evaluate socio-economic status of the family 47. Which of the following is the primary goal of maternal child health nursing? a. To promote the well being of potential mothers and learn the right approach to family life and family planning b. To consider that every child has love and security and has a better future c. To insure that every expectant mother maintains good health, learns the art of child care, has a normal delivery and have healthy children

d. To avoid having children who are misdirected and became street children 48. What is the objective of prenatal care? a. To avoid complication of babies upon delivery like fetal death in utero b. To reach all pregnant women to give sufficient care and ensure healthy pregnancies and full term birth of healthy babies c. To ensure that all pregnant women are given tetanus toxoid immunization d. To schedule at least 3 prenatal visits during the time of pregnancy 49. t vitamins should a pregnant woman take to increase hemoglobin? a. Minerals c. Ferrous sulfate b. Vitamin A d. vitamin C 50. When should the first prenatal be advised? a. First month c. First quickening b. First trimester d. First LMP Situation 11: Application of CHN concepts and processes 51. Which of the following statements is NOT correct? a. As part of participation to policy formulation, the nurse plays an active role in lobbying for amendments to the nursing law b. In the community, the nurse raises the level of awareness for the people to identify existing problems and potentials and address such problem c. If the people in the community wants free medicines, the nurse complies as the basis of services should be on what people demands d. If many of the trained CVHW resigned, the nurse has to start all over again and never give up. 52. Which of the following statement is correct? a. If people are not attending to the services of the health staff, the team must reassess the needs of the people b. In participatory approach, the nurse devotedly adhere to what the people want c. In a pleasant community, where people are fighting for land ownership, the nurse must not participate as this is not a health problem d. Nurse must not join protest actions as nurses should always be at neutral times.

53. People have the potential for changing behavior this means: a. One cannot teach old dogs new tricks b. Apathy and passive cannot be addressed as these are defense mechanism development by people themselves c. Education and training are meant to increase awareness toward responsible action d. Social offenders must always be watched out as they have the tendency to revert to their former selves

54. If a particular health service fails, the most basic question is? a. Is this what wrong? b. What went wrong? c. Is this what the people need? d. Who is responsible for the failure?

55. In a meeting with the peoples organization in the community, the nurse was asked regarding her position on gambling and usury? Most appropriate response is? a. As long as people do not harm others, its ok. b. Gambling and usury are part of Filipino culture so let them be c. Gambling, Yes! Usury, No! d. Consider other forms of recreation and economic source Situation 12: Tessie is a new community health nurse assigned in rural community. 56. She notices that Nay Lolita, the local herbolaria is snubbing her. The best thing for her to do is: a. Snub her as well and pretend she does not exist b. Ask the midwife and fetch her and have a meeting with her at the health center to clarify c. Make a courtesy call by visiting her where she lives d. Send an invitation for a training of community health workers

57. She made a home visit to Marlyn and Jose to give prenatal instructions. She noticed that the two are having quarrel. What will she say? a. Why are you quarreling? Tell me so I can judge who is at fault. b. Can you stop quarreling? We will be talking more important thing. c. Stop it Jose. You are doing harm in the baby. d. Is it alright, if I will just come back some other time? 58. In a health workers training, you found out that the participants took along their small children. Anticipating confusion during the training, the best action is: a. Put all the children in another room and have someone take care of them. b. Tell the participants to go home and have someone take care of them. c. Let the children be, anyway, the participants have to take care of their young d. Postpone the training for a day, when the participants can come of themselves alone 59. It was election time and a candidate comes to you and request you to participate in a free clinic which is part of the campaign. What will you do? a. Ask an apology for not participating and tell him that people can come to the health center anytime they need the service b. Verify first if the candidate can give you substantial professional fee c. You liked him and no questions asked and GO! d. Wait until the rival candidate comes in and join the one which you feel must win

60. A woman went to the center fro treatment of syphilis. Your midwife shared the matter to mothers who were there during that time. What will you do? a. Confirm the story to the mother b. Explain to mothers that syphilis can be treated c. Ignore the incident d. Make a denial

Situation 13: As a community health nurse, Agnes is very competent in assessment of congenital health disease

61. Which of the following is the main cause of congenital disease when a mother takes substances or drugs during pregnancy? a. Social c. Genetic b. Environmental d. Maternal

62. Which of the following is the main cause of congenital heart disease when the mother has diabetes mellitus during pregnancy? a. Maternal c. Genetics b. Environmental d. Social

63. Which of the following is the cause of congenital heart disease when there is trisomy? a. Environmental c. Maternal b. Genetics d. Social

64. Congenital Heart Disease may arise when there is familial clustering like this situation a. environmental c. Blood relatives b. Lifestyle of parents d. Maternal infection

65. Nurse Agnes role in the cases of congenbital heart diseases is health teaching on a. Sex, love and marriage b. Rest, diet and physical exertion c. Travel limitation d. Fluid and electrolyte balance Situation 14: Cardiovascular Diseases have become the greatest threat of the well being of the Filipino today. ( DOH 2000 ) 66. Which of the following is NOT considered a cause of cardiovascular diseases? a. Inherited or acquired b. Environmental and constitutional c. Infectious diseases d. Calm outlook of life 67. Congenital Heart disease can rise due to the following 3 but 1 is NOT a. Drug intake c. Congenital b. Accident d. Maternal Diseases 68. Rheumatic Heart Disease can rise due to a. Frequent sore throat c. Viral infection b. Genetic causes d. Depression 69. Hypertension is associated with a. Stressful work world c. Lovers rejection b. Family conflict d. High salt diet 70. Coronary Artery Disease is associated with a. Fitness regimen c. Sedentary lifestyle

b. Night out activities d. Sexual overuse Situation 15: Community Organization is a process wherein people in the community, health care providers and agencies in the community are brought together. 71. Which one of the following is NOT an objective of community organization? a. Learn about common problems b. Plan the kind of action needed to solve problems c. Never to act on issues presented d. Identify problems as their own 72. Which of the following is the primary principle involved in the community organization? a. Planning group needs b. Assembly of community leaders c. Technique in asking questions d. Defined functions in each group

73. Which basic method can determine the extent to which the basic needs are met for the health workers to bring about the adjustment between need and resources? a. Education and Interpretation b. Determination of needs c. Program instruction d. Fact Finding

74. As a nurse you have gained entry in the community. Which initial step is done? a. List names of persons to contact b. Gather information from persons and records c. Arrange the first meeting d. Prepare the agenda

75. Which of the following should a nurse do if the purpose in community organizing is to integrate with the people? a. Be punctual in reporting at the RHU b. Live with the people c. Assign community officers d. Reside in the home of the Municipal Health officer Situation 16. Nursing process is a hierarchy of steps in managing patient care 76. Assessment is the first step of the nursing process. Which is the following is the lowest priority in addressing patients needs after a thorough assessment? a. The client social and belonging needs b. Needs of family members and friends who are involved in patient care c. Safety related needs d. Clients needs for referral to appropriate agency 77. A 70 year old patient is on absolute bed rest. The priority assessment by the nurse is that this client is at greatest risk for which of the following? a. Decubitus ulcer affecting the heels

b. Interrupted sleeping pattern c. Venous thrombosis d. Decreased appetite 78. A 10 year old child is brought to the ER for burns affecting the chest and the upper extremities. Which of the following is the first nursing priority in taking care of the patients? a. Inserting an IV c. Inserting a foley catheter b. Comforting the child d. Maintaining patient airway 79. A 12 year old child was admitted in Baguio General Hospital for suspected meningococcemia. Which of the following measures should you take in order to assess for meningeal irritation? a. Evaluate papillary reaction to light b. Evaluate for the presence of photophobia c. Evaluate the strength of clients extremities d. Evaluate the level of consciousness 80. Which of the following is an appropriate nursing intervention following a lumbar puncture? a. Helping the client to maintain a flexed position b. A pressure dressing at the site c. Maintaining bed rest d. Monitoring the client for headache

Situation 17: The Filipino people has varied menus and ingredients. Nurses should know what to advise nursing mothers on what foods to eat that will benefit their motherhood status and the baby 81. Which of the following sets of foods should be encouraged to be specifically eaten by nursing mothers? a. Proteins, fats, carbohydrates, minerals b. Beans, ham, jollibee chain of foods, pizza and pasta c. Cereals, cheese, carrots, enriched bread and steak d. Leafy green and yellow vegetables, milk, fish and fruits

82. What can a working mother who is lactating do to fulfill her duty of working in the office and at the same time breast milk her baby? a. Excuse herself from the office on scheduled feeding time b. Bring the baby in the cradle to the office for feeding time c. Rent an apartment near office to facilitate going home d. Squeeze periodically milk from breast and put in the bottle, ref 83. Cuddling and caressing and carrying of the baby during infancy should be maximized because this contribute greatly to the babys a. Parental bonding c. Intelligent capabilities b. Emotional quotient d. Social graces 84. What is ensured in the mothers milk anytime she breast feeds her baby? a. improving suckling reflex of the baby b. Sufficient amount of milk c. Rest time of mother from office work d. Right temperature at all times

85. Breast milk is also good medicine to treat acne vulgaris among young people. What component of mothers milk resolves acne problem? a. Moisturizer c. Proteins b. Astringent d. Fats Situation 18: Community Diagnosis 86. The most common method for community diagnosis that accounts for the bulk of data is a. Census c. Records review b. Interview d. Sample survey 87. The following are the steps in processing the data. 1. Data analysis 3. Data presentation 2. Data collection 4. Data collation a. 2,4,1, and 3 c. 2,4,3 and 1 b. 2,3,4 and 1 d. 2,3,1 and 4 88. Major factors affecting population includes the following EXCEPT: a. Births b. Death c. Migration d. Morbidity 89. A population pyramid with triangular shape and broad base indicates the following except: a. High death rates c. Young population b. Death d. Morbidity 90. The sampling method used for a reliable community diagnosis is: a. Simple random c. Cluster b. Multi stage d. Systematic Random Situation 19. Vital Statistics 91. The crude birth rate of X community is 30.5. This means; a. 30.5 birth in every 1000 population b. 31 births in every 1000 population c. 30 births in every 1000 population d. 30 births in every 1000 population of women 15 to 44 years 92. Infant mortality rate refers to deaths in every 100 births belong to: a. 0-28 days c.0-1 week b. 0-1 month d. 0-12 months 93. There were 20 cases of measles in a community and 5 died. What is the CFR of measles? a. .025 b. 2.5 c.25% d. 250 94. The relative importance of a cause of death is computed as a. CFR c. PMR b. Cause of Death Rate d. Incidence Rate 95. In estimating the rank of cause as a common illness, the nurse makes use of: a. Incidence rate c. Swaroops Index b. Prevalence Rate d. Attack rate

Situation 20: In the prevention of the disease the use of the epidemiological approach is an essential skill 96. Epidemiology pertains to the study of the a. Causes of the health and disease in the family b. Occurrence and distribution of health and disease in a population c. Factors that influence the causation of the disease in man d. Ten leading causes of morbidity and mortality

97. This is the objective in the use of the epidemiological approach in the practice of nursing: a. to obtain baseline data for evaluating a preventive program b. To help in the formulation of nursing diagnosis c. To identify the agent-host-environment factors of a specific disease d. To increase skill in the control of a specific disease

98. The natural history of any disease in man centers on the following concept: a. The disease process is affected by various factors b. Illness is caused mostly by environmental factors c. Illness and culture are associated d. Agent host environment factors interrelated to cause a disease 99. When is an epidemiology investigation indicated? a. When the secretary of health orders it. b. When the Municipal Health Officer request c. When the disease is a reportable case d. When there is an epidemic 100. Epidemiological reports emphasize a. Control measures instituted b. Isolation of cases c. Education of the public d. Immunization of all those susceptible