COMMUNITY HEALTH NURSING II QUESTIONS:

SITUATION: Nurse Dang Castillo initiated the organizing of the “Caring Frontiers Nursing Service
Company” in Leyte. This was envisioned to deliver health care and various nursing services through
home care services well within the scope of nursing practice.

1. Nurse Lanie is one of their Registry Officials and in their Province: Nurse Dang Castillo is
performing what role?
A. Care Provider B. Counselor C. Client advocate D. Facilitator

2. Formulating and implementing a supervisory plan; monitoring and evaluating beginning nurse
practitioners’ performance in the implementation of public health programs and what functions of a
public health nurse?
A. Trainer B. Coordinator C. Supervisor D. Manager

3. As an advocate, Registry Nurse Lanie places her client’s rights as priority. She is aware that
advocacy work involves which of the following?
A. Influencing public opinion
B. Obtaining a general information about the community
C. Coordination with the health team
D. Prioritizing health conditions and problems

4. According to the World Health Organization (W.H.O.), one of the leading cause of mortality in the
Philippines is which of the following?
A. Leukemia C. Malignant Neoplasm
B. Heart Disease D. Lower Respiratory Tract Infections

5. Registry Nurse Lanie is conducting a community diagnosis composed of Demographic variables, socio-
economic variables, health and illness patterns, health resources and political/leadership patterns. What type of
community diagnosis is Nurse Lanie conducting?
A. Individual Nursing Diagnosis C. Comprehensive Community Diagnosis
B. Population Focused Diagnosis D. Problem Oriented Community Diagnosis
SITUATION: A nurse is assigned to a community health center where the variety of experiences and the “culture” of
the community influences the care she gives to the clients.

6. While in the community health center, you note various practices among the families you serve. Which of the
following situations will be OF CONCERN to you as the nurse?
A. Mang Tomas wears a copper bracelet for his rheumatoid arthritis.
B. MangAndoy gives his son various herbs every day.
C. Aling Pat applies Vicks VapoRub to the chest and back of her grandson with colds.
D. Aling Mika uses Atis seeds on the hair of her granddaughter to treat lice.

7. Mr. Cruz, diagnosed with Alzheimer’s disease, is brought to the center by his daughter to seek help regarding
home care. In planning the care of Mr. Cruz priority should focus on
A. Providing food rich in fiber to prevent constipation
B. Protecting the client from possible injury in his environment
C. Assisting the client to perform activities of daily living
D. Assisting all family members deal with the challenges of long term care of his client
8. You are following up a client who has cataract. The most important nursing action/instruction to implement
would be to
A. Advise the client to wear dark glasses indoors and outdoors to guard vs. sun glare
B. Provide adequate lighting at home at all times
C. Instruct family not to change furniture arrangement at home
D. Advise the client to have the cataracts removed

9. While on duty at the community health center, some clients are brought for consultation. Based on your
assessment, the FIRST client to attend to would be
A. Aling Juana, with Dementia, who wanders in the streets every morning.
B. MangSixto, 65 year old with congestive heart failure and 3+ pitting edema
C. Aling Maria, 56 years old, terminal client with weight loss (15 lbs.) last month
D. Mang Ramon, 70 year old, with Parkinson’s disease and started hallucinating

10. You are visiting a newly discharge cardiovascular accident (CVA) client currently confined to a wheelchair for
long periods of time. Your most appropriate PRIORITY intervention would be to
A. Ask the client to move his buttocks every two hours to increase blood circulation to the area.
B. Prevent skin breakdown by putting a pressure relieving cushion in the seat of the wheelchair
C. Refer to physical therapist to teach client to transfer from bed to wheelchair
D. instruct family to feed client high protein diet for better skin integrity

SITUATION: The Philippines witnessed the rise in the incidences of DENGUE in various parts of the country
starting 2009. The following situations affecting children apply

11. In a Barangay in Iloilo where there were high incidences of malaria, a child was brought by her mother with on
and off feeling of dryness and warm skin, temperature reached 37.5⁰C and above, the child has no general
danger signs, with stiff neck, no runny nose, no measles, and no other obvious causes of fever. The child may
be classified as having
A. Malaria C. Fever; malaria unlikely
B. Fever; no malaria D. Severe febrile disease/malaria

12. It is understood that if a child were living in a “no malaria risk area” but has presenting signs of stiff neck. The
child may be classified as having
A. Severe febrile disease C. Malaria
B. Fever; no malaria D. Severe malaria

13. You attended to a 3 year old child with measles and with eye complications. This child should be treated with
the following EXCEPT:
A. Apply gentian violet C. Give vitamin A
B. Apply tetracycline ointment D. Follow up in two days

14. In classifying dengue cases, which of the following is NOT possible classification of dengue hemorrhagic fever?
A. None of these C. Dengue hemorrhagic fever unlikely
B. Severe dengue hemorrhagic fever D. Dengue hemorrhagic fever

15. You are attending to 5 cases of dengue in 2 clusters of Barangays assigned to you. Which of the following
treatment modalities SHOULD not be considered if the children you are attendingto has severe dengue
hemorrhagic fever?
A. Give aspirin
B. Give ORS if there is skin petechiae
C. Apply alternative plan if there is bleeding fro the nose or gums
D. Prevent low blood sugar
SITUATION: The nurse is involved in community organizing activities of Barangay Malusog. The following
questions pertain to this situation.

16. The nurse makes an ocular survey of Barangay Malusog. Upon reaching the barangay, it is appropriate for her
to
A. Pay a visit to the barangay captain
B. Encourage community involvement
C. Introduce self to the community
D. Assemble community members for a meeting

17. Carrying out the planned activities involving maximum community participation is referred to as
A. Mobilization C. Community organization
B. Integration D. Community assembly

18. To ensure collective participation of the people, community organization should be formed through a
community assembly. The purpose of having community assembly are the following EXCEPT:
A. Gain cooperation, pledge support and work together on their own
B. Help people identify their own problem
C. Plan for the solution of identified problem/s.
D. Undertake measures to solve existing problems of the community

19. Which of the following approaches is the BEST in applying community organization in Community Health?
A. Primary Health Care
B. Universal Health Care
C. Community-Oriented Organization
D. Community Development

20. Community organizing ends when the community is already self-reliant. This signals that the community
organizers are now ready to pull out of the community because
A. Organizers can expand to other poor communities
B. It can evaluate the outcomes of the programs
C. It indicates that community organization is finished
D. It will prevent dependency of the community

SITUATION: The family is the basic unit of Public Health Nursing. In the care of families, the CHN utilizes the
Nursing Process

21. The most important step in assessment in order to identify nursing problems in the family is:
A. Prioritization C. Interpretation of Data
B. Analysis of Data D. Collection of Data

22. The CHN identifies nursing needs of the family through the
A. Nature of the Problems C. Typology of Nursing Problems
B. Coping Index D. All of the above

SITUATION: As a PHN, Miss Madrigal realizes the needs to organize community for health action

23. A step in organizing which consist of gathering and analyzing data on the characteristics of the community is
A. Core group information C. Gaining entry
B. Community diagnosis D. Integration
24. Community organization involves different steps in order to be successful. The following sequence of steps is
to be observed:
I. Core group formation
II. Gaining entry
III. Community Diagnosis
IV. Integration

A. I, II, II and IV C. II, IV, III, I

B. II, III, I, IV D. II, IV, I, III

25. This phase of community organization involves establishment of rapport with people in a continuing effort to
imbibe community life by living with them and undergoing the same experiences towards building mutual trust
and cooperation
A. Gaining Entry
B. Social mobilization
C. Core group formation
D. Integration

SITUATION: Miss Marvaroza is a PHN in her care of the families in the community, she utilizes the nursing
process.

26. The first step of the Nursing Process is the establishment of a good working relationship with the community.
This can be achieved through:
A. Development of communication C. Initiating contact
B. Showing sincerity and concern D. All of the above

Miss Marvaroza has identified the following problems in the family of MangPorfing:

I. Norberto, 2 years old is having ARI

II. MangPorfing is jobless
III. Aling Nery is pregnant but have no prenatal check-up

27. Which of the following conditions is considered as a health threat?

A. I only C. III only
B. II only D. Both II and III

28. Considering the nature of the problem, which should be given the first priority of care
A. I only C. III only
B. II only D. Both II and III

29. Health education is one of the most important activities needed in meeting the problems of this family. This falls
under what level of prevention?
A. Secondary level C. Specialized level
B. Primary level D. Tertiary level

30. The function of CHN in the care of this family is to:

A. Assist the family to cope with health problems
B. Implement multi-disciplinary team plans
C. Assess family health needs
D. All of the above
SITUATION: You are the newly appointed Public Health Nurse at the Municipality of Sulu.

31. You have decided that health education is a major activity in your plan of care for this community. The purpose
of this is to:
A. Inform the public of the available services and programs that they can avail.
B. Find out the people’s reaction to health services currently provided.
C. Facilitate a change in behaviour and attitude towards health
D. All of the above

32. Which of the following activities will you do in order to define potential problems of Sulu?
A. House to house visits and interviewing.
B. Community survey, mapping, and recording.
C. Observation and interview of community leaders
D. Data gathering, nursing, and record keeping

33. You are concerned with this mortality measure because it indicates the number of children who die before they
reach the age of one year;
A. Infant Mortality Rate C. Neonatal Mortality Rate
B. Crude Birth Rate D. Maternal Mortality Rate

34. You will evaluate your health plan by the end of the year. Which will serve as basis of this evaluation?
A. Assessment result D. Defined health community problems and
B. Statement of objectives needs
C. List of quantifiable activities

35. Assisting the family to cope effectively means harnessing the family’s:
A. Potential to get higher income
B. Ability to perform certain health tasks
C. Capacity to engage in social interaction.
D. Knowledge of as many referral agencies as possible.

SITUATION: An understanding of the factors influencing the health care delivery system will enable nurses to
adjust to change, create better ways of providing nursing care and develop new nursing ideas.

36. Wellness clinics and health education activities have been integrated in government hospital and render
appropriate services. Which of the following purposes least help clients in cases of these health promotion
activities.
A. Promote health habits C. Reduce the costs of health care
B. Identify disease symptoms D. Maintain maximum function

37. With regards to illness prevention activities as part of nursing care, which of the following will help clients most?
A. Manage stress C. Maintain maximum function
B. Reduce risk factor D. Promote habits related to health care

38. Which of the following health care agencies usually family-centered, relatively recent in popularity and often
times focused on maintenance of comfort and satisfactory lifestyle of clients in the terminal phase of illness.
A. Hospice C. Non-government organization
B. Support group D. Community health center

39. Which of the following is NOT a legally binding document but nonetheless very important in the care of all
patients in any setting?
A. Bill of Rights as provided in the Philippine Constitution
B. Board of Nursing Resolution Adopting the Code of Ethics
C. Scope of Nursing Practice as defined in R.A. 7164
D. Patient’s Bill of Rights
40. By experience, which of the following are the most common services overlooked by nurses and other members
of the hospital team in the care of their clients?
A. Illness prevention B. Health promotion C. Rehabilitation of patients D. Diagnosis and treatment

41. E.O 51 or the milk code aims to make sure that:

A. Health workers should recommend breastfeeding to pregnant women or mothers of infants
B. Correct information dissemination to the public about breastfeeding and breast milk
C. Milk manufacturers should acknowledge the superiority of breast milk
D. All of the above

42. Which of the following is the ultimate goal of Philippine Reproductive Health
A. Better quality life among Filipinos through universal access to quality RH care
B. Increase access to reproductive health information and services
C. Reduce maternal mortality rate
D. Reversing the spread of STDs

43. Which of the following statements is correct about the home visit is false?
A. The frequency of home visit depends on the willingness and interest of the family to cooperate
B. The contents of home visit should include what the family wants and needs to know during the visit
C. The contents of home visit to a family is always based on a pre-set plan made by the nurse
D. Planning a continuing care should involve the member of the family

44. What sectors composed the Philippine health care delivery system?
A. Public and private sector C. Elite and public sector
B. None of the above D. DOH and Local Government Unit

45. What is the newest vision of DOH?

A. The DOH as a leader, staunch advocate and model in promoting health for all in the Philippines
B. The DOH will guarantee equitable, sustainable and quality health for all Filipinos, especially the poor
and shall lead his quest for excellence in health
C. None of the above
D. The DOH is the master, staunch advocate and model in promoting HEALTH for all in the country

46. What is the framework for the implementation of Health Sector Reform Agenda?
A. FOURmula ONE for health D. Health financing, Health regulation and
B. FOURMULA ONE for health health service delivery
C. None of the above

47. What are the goals of the above framework?

A. Good governance
B. Health financing and health regulation
C. Better health outcomes, more responsive health systems and equitable health care financing
D. None of the above

48. What are the four elements of the said strategy?

A. Health financing, Health regulation, Health service delivery and good governance
B. Health financing, Health monitoring, Improved health status of Filipino people
C. None of the above
D. Good governance, Health monitoring, Improved health status of Filipino people

49. What is the key feature of the said strategy?

A. Engagement of the National Health C. Engagement of the private and non-
Insurance Program private sector
B. Engagement of the PhilHealth D. None of the above
50. When and where was the Primary Health Care declared?
A. During the first international conference on primary health care held in Geneva, Switzerland on
September 6-12, 1976
B. During the first international conference on primary health care held in Alma-ata, USSR on September
6-12, 1978
C. None of the above
D. During the first international conference on primary health care held in Stockholm, Sweden on
September 6-12, 1978

51. Primary Health Care was adopted in the Philippines through:

A. LOI 969 signed by President Cory Aquino
B. LOI 949 signed by President Marcos on September 20, 1979
C. LOI 949 signed by President Marcos on October 19, 1979
D. LOI 696 signed by President Cory Aquino on October 19, 1979

52. The following are element/ components of Primary Health Care, EXCEPT:
A. Environmental sanitation C. None of the above
B. Control of communicable disease D. Treatment of Pandemic disease

53. The following are strategies of primary health care, EXCEPT:

A. Reorientation and reorganization of the health care systems with the establishment of functional
support mechanism in support of the mandate of devolution under the local government code of 1991
B. Effective preparation and enabling process for health actin at all levels
C. Mobilization of the people to know their communities and identifying their basic health needs with the
end in view of providing appropriate solutions leading too self-reliance and self-determination
D. None of the above

54. The following are four cornerstones/pillars in primary health care, EXCEPT:
A. Active community participations C. None of the above
B. Intra and inter-sectoral linkages D. Use of sophisticated technology

55. Under the two levels of health care workers, which one refers to trained community health workers or health
auxiliary volunteer or a traditional birth attendant and healer?
A. Barangay health worker C. None of the above
B. Intermediate level health workers D. Rural health workers

56. Nurse Diana is discussing about categorisog health problems in relation to family health. Which one pertains to
condition that promotes diseases or injury and prevents people from realizing their health potential?
A. Health deficits B. Health Threats C. None of the above D. Health problem

57. Which of the following is the planning phase of community health nursing?
A. Goal setting C. None of the above
B. Constructing a Plan of Action D. Developing an operational plan

58. This is the family-nurse contact which allows the health worker to assess the home and family situation in order
to provide the necessary nursing care and health activities. What type of visit is this?
A. Clinic visit B. House visit C. Home visit D. Community visit

59. All of the following are principles involved in the said type of visit. Which one is not included/
A. It must have a purpose or objective C. Planning and delivery of care should
B. In planning for visit, we should consider involve the individual and family
and give priority to the essential needs of D. None of the above
the individual and his family
60. Nurse Jane joins the seminar with regards to cancer awareness. Basing on levels of prevention, what level
does this belong?
A. Primary B. Secondary C. Tertiary D. None of the above

61. The following are principles of health promotion cited by WHO, EXCEPT;
A. It involves the population as a whole in the context of their everyday life, rather than focusing on people
at risk from specific disease.
B. It is directed towards action on the determinants or cause health
C. It combines diverse, but complementary methods or approaches, including communication, education,
legislation, fiscal development and spontaneous local activities against health hazards
D. None of the above

62. Nurse Sakura is giving a talk about patterns of occurrence and distribution of disease. Which one best
describes Sporadic occurrence?
A. It is the continuous occurrence throughout a period of time, of the usual number of cases in a given
locality
B. Unusually large number of cases in a relatively short period of time
C. Intermittent occurrence of a few isolated and unrelated cases in given locality.
D. None of the above

63. It is an on-going systematic collection, analysis, interpretation and dissemination of health data. What is this?
A. Private health surveillance B. None of the above C. Surveillance D. Public Health Surveillance

64. Which of the following is a statistical tool that measures the killing power of the disease?
A. Crude death rate B. Proportionate mortality rate C. Case fatality rate D. Attack rate

65. Which of the following measures the number of deaths registered for a particular disease?
A. Crude death rate B. Specific death rate C. Case fatality rate D. Attack rate

66. Which of the following is/are not a measure of morbidity?

A. Incidence rate B. Prevalence rate C. Attack rate D. Case fatality rate

67. The concept of the three levels of prevention refers to the care that may be described as;
A. Preventive B. Curative C. Rehabilitative D. All of the above

68. General guidelines in the use of medical plants, EXCEPT:

A. Be sure that the right kind of plants is used according to the inherited purpose
B. Can use any plant parts
C. Stop the use of the plant if there is any untoward reaction
D. If there is no signs of improvement after two there administration of plants consult a physician
69. This herbal plant is used for pains of the body
A. Yerba Buena B. Sambong C. Niyug-niyogan D. Bayabas
70. An epidemiological study validates that occurrence and distribution of disease. Among the uses are:
A. Understand disease causation C. Explain the treatment modalities available
B. Explain local disease pattern D. All of the above

SITUATION: Health Care Delivery System affects the health status of every Filipino. As a nurse, knowledge of this
is expected to ensure quality of life.

71. When reviewing the function of the rural health unit, you concur that the RHU should function as a;
A. Clinic for the municipality D. Central health resource of the
B. Health arm of the LGU municipality
C. Community resource
72. Which of the following controls the operations of health centers?
A. Provincial governments
B. City/ Municipal governments
C. Department of Health
D. Central health resource of the municipality

73. Health problems beyond the capacity of PHC units are referred to the RHU. The intermediate health care
workers of the following except:
A. BHW C. Midwife E. None of the above
B. Nurse D. Sanitary inspectors

74. The number of midwives needed in a community with a population of 35, 000 is?
A. 3 B. 5 C. 6 D. 7

75. The ratio of public health nurse to community population is:

A. 1:5,000 B. 1:10,000 C. 1:15,000 D. 1:20,000

SITUATION: The Public Health Nurse plays a vital role for meeting the goal of primary health care which calls for
continuing partnership among the communities, private and government agencies in health development.

76. Which primary health nurse function is evident when she uses her skills in advocacy for the creation of
supportive environment through policies and reengineering of the physical environment for healthier actions/
A. Managing function C. Health promotion and education function
B. Supervisory function D. Research function

77. A public health nursing actions should contribute to the maintenance of the client’s integrity. Which best
illustrates this concept?
A. Providing prepaid services
B. Treating the family as the basic unit of service
C. Caring for people regardless of socio economic status
D. Making public health plans according to the client’s needs

78. The public health nurse participates in providing social assistance to needy members of public health nurse
carries out in relation to this service include which of the following?
A. Coordinating the different social agencies in the community
B. Identifying members of the community in need of social assistance
C. Looking for government and non-government sources of social assistance
D. Determining how much of the RHU resources may be used for social assistance

79. The following are outcomes of community health nursing efforts. Which is the best indicator of success in
developing the client’s health capability.
A. The mother attends mother classes at the health center
B. The family is able to utilize community resources as necessary
C. The community meets in an assembly to discuss the common problems
D. The mother brings her infant to health center for immunization as scheduled

80. PHC is a total approach to community development. The indicator of success in the use of the primary health
care approach is;
A. Health services are provided free of charge to individuals and families.
B. Local officials are empowered as the major decision makers in matters of health.
C. Health workers are able to provide care based on identified health needs of the people.
D. Health programs are sustained according to the level of development of the community.
SITUATION: the newly hired nurse is about to conduct home visit to Ibarra Family. The following questions apply:

81. A family is very important social institution with the following task EXCEPT:
A. Assess health needs, plan, implement and evaluate health services
B. Recognize interruption of health development
C. Maintain a conducive home environment
D. Provide nursing care

82. When beginning a relationship with a family on home visit, the community health nurse;
A. Is accepting and listens carefully to problem of all family members
B. Allows the discussion to be open and non-directional
C. Focuses on the problem of one of the family member
D. Encourages other to speak for the main client to get an unbiased view

83. The following applies to family care plan EXCEPT:

A. Focuses on action which are designed to solve existing problem
B. A product of deliberative systematic process
C. Based upon identified health problem
D. None of the above

84. Cory Kong has a 6 year old child who is about to enter school for the first time. The nurse knows that Kong’s
family has a:
A. Health threat B. Health deficit C. Foreseeable crisis D. Stress point

85. The scale use in salience criteria are the following EXCEPT:
A. Conditions not perceived as a problem D. Problems not needing immediate
B. Problems that are partially modifiable attention
C. Problems that needing immediate
attention
SITUATION: Candy is 15 months old, weighs 6.5 kg, is not eating well and is unable to breast feed. She is not
vomiting, no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 39.5 deg. C. Use the
integrated management of childhood illness or IMCI therapy

86. If you are the nurse in charge of Candy, how will you classify her illness?
A. A child with general danger sign C. Severe pneumonia
B. Very severe febrile disease D. Severe malnutrition

87. Which of the following signs is not included in the danger sign in Candy’s case
A. No vomiting B. Has no convulsions C. Temperature of 38.5⁰C D. Unable to breastfeed

88. Which of the following signs is not included in the general danger sign?
A. Vomits everything B. Unable to drink or breastfeed C. Has had no convulsions D. Fast Breathing

89. Which of the following steps is not included in the IMCI strategy?
A. Identify treatment B. Counsel and follow-up C. Referral D. Assess and classify

90. Which of the following signs should not be included in deciding that “the child vomits everything”?
A. Child experience occasional vomiting
B. When offered fluids, may not be able to the drink
C. Maybe too weak to drink and eat at all
D. Child is not able to keep anything down at all
SITUATION: The following are principles applied to Community Health Nursing Practice.

91. In health promotion, the most basic nursing intervention to be prioritized is;
A. Risk appraisal B. Primary health care C. Community organizing D. Client teaching

92. In health promotion, health behaviors and beliefs are formed at the level of:
A. Individual B. Family C. Community D. Society

93. Health education is most needed when:

A. Persons are still healthy C. People are sick
B. People at early stages of illness D. Individuals at rehabilitation phase

94. The goal of health education is;

A. Health promotion B. Disease prevention C. Behavioral change D. Risk appraisal

95. The primary group focus of community health nursing practice especially in terms of maintaining the people’s
A. Health promotion C. Reduction of lifestyle diseases
B. Prevention of communicable disease D. Rehabilitation

SITUATION: Community Organizing and Participatory Research (COPAR) may be seen as an important tool in
moves towards “quality improvement” at the community level.

96. Which of the following statement about the Community Health Organization (CHO) is true?
A. The leader of the CHO should emanate from the core group formed
B. The CHO structure may take various forms and shape depending on the conditions prevailing in the
community
C. The CHO should develop a monitoring scheme on the community projects implemented
D. The building foundation of the CHO is the core group formed by the nurse mainly composed of well-
educated individuals

97. Which of the following approaches is BEST in applying community organization in Community Health?
A. Community-Oriented Organization C. Community Development
B. Primary Health Care D. Universal Health Care
98. Carrying out the planned activities involving maximum community participation is referred to as:
A. Community assembly C. Community organization
B. Mobilization D. Integration

99. Community organizing ends when the community is already self-reliant. This signals that the community
organizers are now ready to pull out community because:
A. It indicates that community organization is finished
B. It can evaluate the outcomes of the programs
C. It will prevent dependency of the community
D. Organizers can expand to other poor communities

100. Community development advocates the principles of self-help and the voluntary participation of the people
of community. Community development rests upon certain assumptions, this does not include:
A. Everyone has something to contribute to the community
B. People have limited ability to learn
C. Community development provides the opportunity by which the worth of an individual is revealed
D. Worth and dignity of individuals are the basic virtues in a democratic society