COMMUNITY HEALTH NURSING
Achievement of human potentials
SITUATION: Public Health Nursing refers to the
practice of nursing in local/national health
departments.
1. The community health nurse assumes different roles
while working with clients. As an educator assisting the
client and family with nutritional needs, the nurse
should:
a. Tell the client the best foods to buy
b. Purchase foods at the lowest cost for the client
c. Ask the client and family what they think they
should eat
d. Provide information on food sources and stores with
reasonable pricing
2. Public health systems are operating within a context
of ongoing changes. Which of the following exerts a
number of pressures on the public health system?
a. Shifts in demographic and epidemiological trends in
diseases.
b. Health reforms
c. New technologies
d. All of the above
3. In response to changing health care system, the
global community, represented by UN General
Assembly, decided to adopt a common vision
exemplified by the Millennium Development Goal that
includes:
1. Achieve universal primary education
2. Eradicate extreme poverty and hunger
3. Reduce child mortality
4. Promote gender equality
5. Combat HIV
6. Improve maternal health
7. Develop global partnership
8. Ensure environmental sustainability
a. 1, 2, 3, 4, 5 b. 5, 6, 7, 8
c. 1, 3, 4, 6, 8 d. All of the above
4. Which of the following situation correctly
demonstrates the practice of community health
nursing?
a. A nurse supervising the support group of obese
adolescents in Barangay Thaba
b. A nurse doing a home visit to change a client’s
wound dressing
c. A clinic nurse counseling a couple about family
planning
d. All of the above
5. When teaching a group of nursing students in
preparation for their duty in the Barangay Health
Center, the Clinical Instructor should put an emphasis
to the focus of community health nursing, which is:
a. Identification and assessment of health problem
b. Illness end of the wellness – illness continuum
c. The treatment of health problems
d. Preventing health problems and promoting optimum
health
6. “Community health nursing is the service rendered
by a professional nurse with communities, groups,
families individuals at home, clinic schools, health
centers and in places of work for the promotion of
health, prevention of illness, care of the sick at home
and rehabilitation.” This definition of CHN came from:
a. World Health Organization
b. Dr. C.E. Winslow
c. Dr. Margaret Shetland
d. Ruth B. Freeman
7. Public Health Nursing according to the World Health
Organization is a/an:
a. Assessment of client’s health needs
b.
c. Team work- based social & natural science
d. Special field in nursing that includes social
assistance
8. Nurse Hannah is providing health services based on
the DOH’s mission. Which is not part of the DOH’s
mission?
a. To provide sustainable health for all Filipinos
b. To establish performance standards for health care
system in the country
c. To guarantee quality health for all Filipinos
d. To provide health for the poor Filipinos only
9. To efficiently function as a public health nurse,
Nurse Isabel should:
a. Practice CHN that will benefit an individual first
before the community
b. Be a specialist in a particular field of nursing
c. Utilize the nursing process
d. Provide essential health service for free
10. The public health nurse cares for a bedridden client
in the community and applies sandbags against the
sole of the feet of the client. The intervention is an
example of which of the following levels of care?
a. Primary care b. Secondary care
c. Tertiary care d. Psychological care
11. Public health nurses are focus on rendering
primary care. Which of the following nursing
interventions are considered primary care?
1. Conducting mothers’ class on how to bathe
newborns
2. Conducting group classes on Lamaze technique to
couples
3. Conducting group classes to diabetic patients
4. Doing adolescent reproductive health counseling
5. Doing health education classes on how to stop
smoking
a. 1, 2, 4 and 5 b. 1, 2, 3 and 5
c. 2, 3, 4 and 5 d. 1, 2, 3 and 4
12. Miannie is a newly hired public health nurse. She is
oriented regarding the primary purpose of clients’ care.
Which of the following applies the principle of primary
care?
a. Screening patients for tuberculosis
b. Provision of direct nursing care to patients in the
ward
c. Counseling newly married couples on appropriate
family planning methods
d. Teaching diabetic patients how to self – inject
insulin
13. Public health nurses should be guided by the public
health core elements in an attempt to improve and
promote the health and welfare of their citizens. The
following are the core business of public health except:
a. Injury prevention b. Health education
c. Disease control d. Health protection
14. A client has a history of a gastrointestinal (GI)
disease with eight hospitalizations over the past 21-
year period. He eats a well-balanced diet that keeps
his GI symptoms suppressed. Which level of
prevention corresponds to his dietary management?
a. Primary prevention b. Secondary prevention
c. Tertiary prevention d. Health promotion
15. A client with chronic renal failure receives
peritoneal dialysis in his home. He is emotionally upset
because of the expenses of his therapy. Which of the
following statements from his public health nurse
reflects client advocacy in response to the client’s
concern?
a. “This peritoneal dialysis is less expensive than
hemodialysis in the hospital.”
b. “Have you considered a renal transplant?”
c. “You must feel awful about this situation, but this is
the best course of treatment for you.”
d. “Let’s call the regional dialysis center and explore
options for reducing the cost of your home dialysis.”
16. The law that provides the decentralization of the
entire government, hence, the health care delivery
system:
a. Republic Act 7160 b. Republic Act 7610
c. Republic Act 7164 d. Republic Act 7614
17. Devolution of health services transferred power &
authority to the local government units for self –
reliance. Who among the following appoints nursing
personnel in the municipalities?
a. Municipal mayor b. City Representative
c. City Health Officer d. SK chairman
18. It is defined by the WHO as essential health care
made universally accessible to individuals and families
in the community by means acceptable to them:
a. COPAR
b. Primary Health Care
c. FOURmula One for Health
d. Mandate of Devolution
19. In the conceptual framework of Primary Health
Care in the Philippine Health Care Delivery System, its
goal is embodied in which of the following statement of
objective?
a. Quality health for all Filipinos especially the poor
b. Community-based, accessible, acceptable and cost-
effective health care services
c. Providing free health care services to all Filipinos by
2020
d. Health for all Filipinos and Health in the hands of the
People by the year 2020
20. Under the restructured health care delivery
system, Rural Sanitary Inspector is classified as:
a. Frontliners b. Grassroot health workers c. Barangay
Health Workers d. Intermediate level health workers
21. The following are the elements or components of
primary health care, except:
a. Provision of Essential Drugs
b. Active community participation
c. Health education
d. Environmental sanitation
22. A public health nurse which involves the whole
community in managing and solving their problems is
using which approach?
a. Community Motivation
b. Primary health care
c. Community nursing process
d. Community diagnosis
23. In Public health nursing, the modern concept of
health refers to optimum level of functioning (OLOF).
The community program wish to address problems
under socioeconomic factors: This includes:
a. People empowerment b. Rural noise, pollution
c. Culture, habits d. Employment, educaton
24. Nurse Hannah is a newly hired public health
nurse. She will be deployed to the nearest Barangay
Health Station in her hometown. Which statement
about BHS is incorrect?
a. It is located beyond 3-5 kilometer-radius from the
main health center.
b. It serves a catchments area of 5000 populations
more or less.
c. It is staffed by rural health midwife whose services
are available 24 hours a day.
d. None of the above
25. RHU composes of different personnel who has own
duties and responsibilities. Who among the member of
the health team is administratively in-charge of RHU?
a. Rural health physician b. PHN
c. RHM d. Municipal health officer
26. Part of PHN’s responsibility is to prepare and
submit adequate, accurate and complete reports and
records. To whom will the PHN submit or report the
community’s health status?
a. Rural health physician b. DOH
c. RHM d. Municipal health officer
27. FHSIS aims to provide summary of data on health
services delivery and selected programs accomplished
indicators of the barangay, municipality, and district,
provincial, regional and national levels. Which of the
following is the fundamental block or foundation of
FHSIS?
a. Output reports b. Reporting forms
c. Target client list d. Treatment record
28. These constitute the only mechanism through
which data are routinely transmitted from one facility
to another:
a. Output reports b. Reporting forms
c. Target client list d. Treatment record
29. In FHSIS, it is defined as any DOH health care
facility that renders or delivers public-care related
services to targeted beneficiaries:
a. RHU b. FHSIS unit
c. Reporting unit d. BHC
30. Community assessments are important for the
nurse to understand and respond to the needs of the
population. In assessing the structure of the
community, the nurse will focus on:
a. Collecting demographic data on age distribution
b. Visiting neighborhood schools to review health
records
c. Interviewing clients to determine the cultural make-
up of the subgroups
d. Observing locations where services, such as water
sanitation, are provided
31. Nurse Ilaya plans to involve Mang Tibo together
with his other family members on the implementation
of the care plan. The main reason why Nurse Ilaya,
public health nurse, involves the client and the family
in the care provided is:
a. To delegate caring responsibility to the client and
family
b. To maximize health human resources
c. To motivate them to assume responsibility for their
care
d. To alleviate public nurses from further
responsibilities
32. Which evaluation process includes conformity with
accepted community and public health standards of
practice, advancement of nursing skills through
continued field experience and continuing education?
a. Evaluation based on professional practice
b. Evaluation of structure
c. Evaluation based on information gathered
d. Quality assurance evaluation
33. Which of the following statements best describe
the characteristic of community development?
a. Community development is concerned with a
particular group of people in the community
b. Community development is an ad hoc program
c. Community development program is based on the
consensus of the of the community
d. Community development is mostly concerned with
the agricultural aspect of the community
 c. Foreseeable crisis d. Stress point
34. Conducting a preliminary social investigation (PSI)
about the different barangays is part of which phase of 45. The nurse in the planning phase of the nursing
the COPAR process? process, should be able to establish which of the
a. Pre-entry phase following in order to proceed for developing an
b. Entry phase operational plan?
c. Community study/Diagnosis phase a. Rapport to the community people
d. Community organization and Capability building
phase b. Statistical records
c. Permission from higher authority
35. In the pre-entry phase, this is the activity of d. Setting up Priorities
gathering data or information about the potential site
for program: 46. In response to the need to maintain
a. Self-awareness leadership training communication among health care workers, nurses are
b. Preliminary social investigation expected to comply to this activity in the fulfillment of
c. Participatory Action Research (PAR) this objective and to ensure care continuity. This
d. Community assembly activity is:
a. Reporting b. Documentation
36. Nurse Daniel plans to organize an activity to c. Endorsement d. Orientation
determine the acceptability of the program to the
community. This can be done thru: 47. It is a professional face-to-face interaction made
a. Preliminary social investigation (PSI) by a nurse to the patient or family in the community in
order to provide the necessary nursing care and health
b. Baseline study related activities:
c. Community assembly a. Clinic visit b. Home visit
d. Spot mapping c. Initial interview d. Community organizing

37. Criteria for selecting potential site for the program

would include: 48. Nurse Daniel is preparing for the day’s home
a. Health services are inaccessible visitation. Which of the following statements regarding
b. Community is in poor health status home visit is inaccurate?
c. The area must have relative peace and order a. It should have a purpose or objective
d. All of the above b. Planning of continuing care should involve the
individual and the family
38. Integration is the process of establishing rapport c. It should make use of all available information about
with the people in the community, to facilitate the patient and family.
integration suggested activity would include: d. Physical assessment should begin with the sickest
a. Conversing with the people in corner stores member of the family before the fit members
b. Participating in mahjong session
c. Allowing them to treat you as a visitor 49. When performing home visit, the nurse must
d. Doing clinic visits always bring with her the public health bag to carry-
out nursing care. The following statements are some
39. This is the process of establishing rapport with the important points to consider when using the public
people in a continuing effort to imbibe community life health bag. Which is incorrect?
by living and the undergoing the same experiences, a. The bag and its contents should be well protected
sharing their hopes, aspirations, and hardships from contact with any article in the client’s home
towards building mutual trust and cooperation: b. The arrangement and contents of the bag should be
a. Participatory Action Research (PAR) the one most convenient to the user
b. Social investigation c. Place the bag on a table lined with clean paper,
c. Spot Mapping clean side out and the folded part touching the table
d. Integration d. The articles in the patient’s home are clean and the
sterile bag and its contents are dirty and contaminated
40. Activities during social investigation provide an
opportunity to: 50. To maintain the cleanliness of the public health bag
a. Identify potential leader and its contents, which of the following must be
b. Facilitate integration observed by the nurse?
c. A and B a. Wash hands before and after providing nursing care
d. None of the above to the family members
b. Place the bag on a table lined with clean paper,
41. It occurs when there is a gap between actual and clean side in and the folded part touching the table
achievable health status: c. Remove the apron folding it away from the person,
a. Heath deficit b. Health threat the soiled side out and the clean side in and place it in
c. Foreseeable crisis d. Health crisis the bag.
d. All of the above
42. The presence of pile of garbage and poor sanitation
is an example of a: 51. Which of the following is the backbone of disease
a. Heath deficit b. Health threat prevention?
c. Foreseeable crisis d. Stress point a. Demography b. Vital Statisticsc.
Epidemiology d. Health teaching
43. Mr. Tubol came to the health center clinic for
DOTS. His condition falls under which category? 52. This refers to the occurrence of an unusually large
a. Heath deficit b. Health threatc. number of cases in a given period of time:
Foreseeable crisis d. Stress point a. Endemic b. Epidemic
c. Pandemic d. Sporadic
44. These are conditions that promote disease or
injury and prevent people from realizing their health 53. Palawan until today is known as a Malaria zone,
potential: this is type of pattern of disease occurrence is known
a. Heath deficit b. Health threat as:
a. Epidemic b. Pandemic 65. Nurse Hannah is attending a patient preparing to
c. Endemic d. Sporadic deliver at her home. Nurse Hannah should observe the
3 “C’s” in home deliveries. Which is not included?
54. In case of epidemic, which factor is affected when a. Clean conscience b. Clean hands
the client’s complete blood test shows increasing c. Clean surface d. Clean cutting and care of the
number of pathologic microorganisms which cord
predispose the client to a disease?
a. Agent factor b. Host factor 66. To check the baby’s temperature, the nurse will
c. Environmental factor d. Reservoir factor use which route?
a. Axilla b. Rectal
55. Those numbers that is required in the planning, c. Mouth d. Tympanic
administration and evaluation of health programs
refers to which of the following? 67. After completing the home delivery, the nurse
a. Statistics b. Vital statistic should:
c. Descriptive statistic d. Health statistic a. Ask the parents what to do with the placenta
b. Sell the placenta to be used for skin products
56. The total number of people in a given community c. Ask the parents to bury it near the banana tree
counted at common periodic intervals including d. Donate it in a nursing school to be studied
information like size of population, age composition,
sex distribution, and birth registration refers to: 68. Nurse Isay is visiting a postpartum client. Part of
a. Family treatment record b. Population statistic her teaching will include the importance of
c. Mortality statistic d. Morbidity statistic breastfeeding. The 3 “E’s” of breastfeeding are:
a. Early as possible, exclusive for 12 months, extended
57. To measure the natural growth or increase in the up to 2 years.
population through births, Nurse Mian should use b. As early as possible, exclusive for 4-6 months,
which method? extended up to 2 years.
a. Fertility rate b. Crude birth rate c. Effective FP method, encourage breastfeeding, as
c. General fertility rate d. Population rate early as possible.
d. Enthusiastically promoting breastfeeding, eat or
58. Barangay Maligaya has 1000 registered births last drink differently, establishment of breastfeeding
2010 and the average population of the community in support.
a midyear was 15, 000. What is the natural growth of
the community? 69. The nurse provides teaching to breast feeding
a. 67 b. 77 mothers about diet and nutritional needs during
c. 150 d. 667 lactation period. Which of the following client
statements indicates a need for further additional
59. Barangay Maybunga has 5,000 registered live teaching?
births in the last year and it was recorded that death of a. “I need to increase my intake of vitamin D.”
infants due different causes was 2200. What is the b. “I should drink at least five glasses of fluid daily.”
infant mortality rate in barangay Maybunga? c. “I need to get an extra 500 calories per day.”
a. 536 b. 435 d. “I need to make sure I have enough calcium in my
c. 440 d. 400 diet.”

60. An increase in Swaroop’s index indicates: 70. A breast feeding primiparous client asks Nurse
a. Poor maternal and infant healthn status Chamito during home visit how breast milk differs from
b. Better health status cow’s milk. She respond correctly by saying that breast
c. Better maternal health programs milk is higher in:
d. Increased death rate of 50 years old and above a. Fat b.Iron
c. Sodium d. Calcium
61. Which of the following refers to the number of new
cases of a disease in a population over a period of 71. Nurse Daniel encourages a mother who delivered a
time? healthy looking infant 24 hours ago to have her infant
a. Prevalence rate b. Incidence rate screened for inheritable disorder. Which law requires a
c. Morbidity rate d. Attack rate newborn to undergo screening of inheritable disorder?
a. RA 9288 b. RA 9822
62. A pregnant client comes to the health center for a c. RA 7610 d. RA 6170
prenatal check up. Nurse Hannah would use which
record: 72. Mrs. Del Valle, a first time mother, asked the nurse
a. Pink card b. Prenatal record why newborn screening is important. She tells the
c. Mother’s book d. Home based mother’s record nurse that they do not have hereditary conditions in
the family that her baby might inherit. The best
63. The nurse should emphasize, during health response of the nurse is:
teaching, to a client planning to get pregnant the a. It is mandatory by law and she cannot be
importance of adequate prenatal care. First prenatal discharged if her baby is not screened.
check-up should be done: b. Most babies with disorders that can be detected by
a. As early as possible after the missed period newborn screening look normal at birth
b. Anytime between the first and second trimester c. If her history reveals that she has no hereditary
c. During the first trimester conditions in the family then her baby may not
d. During the third trimester undergo newborn screening
d. It is free so she has to take advantage of it
64. Nurse Isabel will include in her counseling the
importance of Tetanus vaccination to a pregnant 73. A client asks Nurse Nimfa about the disorders
woman. Which of the following dose of Tetanus Toxoid screened in the Newborn Screening Package. Which is
vaccination will render pregnant women 3 years not included?
protection from tetanus? a. Phenylketonuria
a. TT1 b. TT2 b. Congenital adrenal hyperplasia
c. TT3 d. TT4 c. Congenital hypothyroidism
d. Erythroblastosis fetalis
 c. Mayor’s office d. Public Health Nurse

74. Aling Turla has a carinderia near the University 86. The rights in food safety are the following, except:
Belt area. She strictly complies with the city a. Right source b. Right preparation
government’s food sanitation program. According to c. Right cooking d. Right food
the food sanitation program, all cooked foods should
only be left at room temperature for how long? 87. Which of the following is a rule in food safety?
a. Not more that 2 hours a. “First in, First out expiry”
b. Not more than 3 hours b. “When in doubt, throw it out”
c. Not more that 4 hours c. “Clean and safe sources”
d. Not more that 8 hours d. “Tapat mo, linis mo”

75. To ensure food safety food are stored under right 88. A child is said to be “Fully Immunized Child” when
storage temperature. Which of the following storage a child receives:
temperature bests ensure food safety? a. One dose of BCG, 3 doses of OPV, 3 doses of DPT, 2
a. 5 degrees centigrade in cold condition up to 30 doses of HB and one dose of measles before a child’s first
degrees centigrade in hot condition birthday
b. 5 degrees centigrade in cold condition up to 60 b. One dose of BCG, 3 doses of OPV, 3 doses of DPT, 3
degrees centigrade in hot condition doses of HB and one dose of measles before a child’s first
c. 15 degrees centigrade in cold condition up to 60 birthday.
degrees centigrade in hot condition c. One dose of BCG, 4 doses of OPV, 3 doses of DPT, 2
d. 10 degrees centigrade in cold condition up to 50 doses of HB and one dose of MMR before a child’s first
degrees centigrade in hot condition birthday
d. One dose of BCG, 3 doses of OPV, 3 doses of DPT, 3
76. The approved types of toilet facilities may need/not doses of HB and one dose of measles before five years
need water depending on the available space. Which old.
of the following type of toilets does not need any water
supply? 89. The Expanded Program on Immunization (EPI) is
a. Flush toilet b. Aqua privies formulated by virtue of:
c. Water sealed d. Pit latrines a. LOI 949 b. RA 6675
c. PPD 996 d. EO 51
77. As the community health nurse, what would you
advise to the family regarding the use of pit latrines? 90. To ensure potency and avoid spoilage, temperature
a. Cover b. Flush monitoring is done:
c. Use newspapers d. Put soil a. Twice a day; Early in the morning and at noon
b. Early in the morning before giving the vaccines
78. This type of water facility can cater to serve 15 to c. Twice in a day; Early in the morning and in the
25 household around it. This refers to what level of afternoon after going home
water supply facility? d. Every week; preferably every Wednesday
a. Level I b. Level II
c. Level III d. Level IV 91. Nurse Sarah concludes that the attendees
understand her teaching when they answer which of
79. What law mandates the Clean Air Act? the following when she asks for the minimum age
a. RA 9003 b. PD 856 require in administering the first dose of OPV?
c. RA 9275 d. RA 8749 a. Upon birth or anytime after birth of the infant
b. When the infant is 6 months old
80. What does waste management include? c. When the infant is 9 months old
a. Sewerage system d. When the infant is 6 weeks old
b. Rehabilitation of rivers
c. Sewage d. Hospital waste 92. The DOH has approved ten herbal medicines.
Sambong is used for which of the following symptoms?
81. Environmental sanitation is a health problem. a. Diarrhea b. Edema
Which law mandates the protection of the c. Cough d. Hypertension
environment?
a. RA 9211 b. PD 825 93. There are guidelines when using herbal
c. PD 1181 d. PD 856 preparations, which one is not included?
a. Use clay pot in preparing the herbal medicine and
82. Contaminated water supply is source of cover it while boiling
communicable diseases. Which condition is caused by b. Use the part of plant being advocated
old worn pipes? c. Follow accurate dose of suggested preparation
a. Intestinal pain b. Droplet infection d. Avoid the use of insecticides as it may leave poison
c. Diarrheal infection d. Nausea and vomiting on plants.

83. The nurse must be aware of government policies 94. Which of the following is not true about the use of
regarding water supply. What is a point source water bayabas?
supply? a. It is used for washing the wounds.
a. Level 1 b. Level 2 b. It can be used as a gargle to relieve toothache.
c. Level 3 d. Level 4 c. It has antiseptic effect.
d. It can be used also for stomachache.
84. Which of the following is unapproved water facility?
a. Open dug wells b. Developed spring 95. What would be the best action if signs and
c. Waterworks d. Communal faucets symptoms were not relieved after 2 or 3 doses of
herbal medication?
85. The barangay Masalimuot is constructing a well a. Consult the nurse for further assessment.
site to be used as water source for drinking. Prior to b. Continue the dose up to 5 doses since it is the
construction, the community should acquire approval manimum intake for herbal medicine to take effect.
from: c. No action is required because herbal medicine has
a. Secretary of Health b. Barangay Captain delayed effect.
d. Consult the doctor.

96. Nurse Hannah is conducting a seminar regarding

oral health. She counsels mother with children
between ages 12 to 71 months-old to subject their
child to have follow-up dental check up after the first
visit every:
a. 2 months b. 3 months
c. 6 months d. 12 months

97. What type of preventive interventions is upheld

when a nurse encourages everyone to maintain basic
personal measure such as oral prophylaxis, gum
massage and the use of mouthwashes?
a. Oral examination
b. Oral hygiene
c. Pit and fissure sealant program
d. Fluoride Utilization program

98. A client comes to the dental clinic for restoration of

her teeth. The dentist advises her to have permanent
filling. The client asks the nurse about the treatment,
she correctly replies:
a. “It is a treatment of deep seated tooth decay with
zinc oxide and eugenol”
b. “It is a deep scaling and root planning of affected
tooth or teeth for pregnant mothers”
c. “This is manual cleaning of dental cavities using
hand instruments and filling the cavities with fluoride”
d. “It is a restoration of savable teeth with amalgam,
composite or glass filling materials”

99. School nursing, which is a subspecialty of

community health nursing, engages in activities which
are focused on:
a. Health education in schools
b. Health services in schools
c. Health education and services in schools
d. Health education and services in schools and
occupational settings

100. The main goal of an occupational health nurse is:

a. To prevent job related accidents
b. To prevent illness
c. To promote and maintain optimal well-being and
health of the workers
d. To establish policies to promote the health of the
workers

PREPARED BY:

PRN INC

Approved by:

Ma. Cristina J. Estioco, RN., MAN

Dean, College of Nursing / VP for Tertiary

Education