Republic of the Philippines

TARLAC STATE UNIVERSITY

COLLEGE OF NURSING
Lucinda Campus, Brgy. Ungot, Tarlac City Philippines 2300
Tel.no.: (045) 982-6062 Fax: (045) 982-0110 website: www.tsu.edu.ph

Name: __________________________________Year and Section: _____Date:______

The following are the things you should internalize and ought to do it wholeheartedly:

VISION
The College of Nursing pursues the Vision of the University which states: “The Tarlac State University shall be a strong
comprehensive institution of excellence in higher education for total human development”
MISSION
The College of Nursing pursues the Mission of the University which states: “The Tarlac State University is committed to
develop, promote and sustain the efficiency of quality and relevant programs in higher education for people
empowerment, professional, development and global competitiveness.”
GOAL
The goal of the college is on the development of the whole person in the service of man for the greater glory of God,
through creating a quality educational experience and environment that promotes values, professional competence,
leadership and social responsibility.
OBJECTIVES
To prepare graduates for the practice of nursing in various settings by providing a broad basic education necessary for the
proper understanding of principles and methods of modern scientific nursing.
To provide students the broadest possible background of cultural and professional knowledge and equip the students with
skills for future leadership position in nursing.
To provide students with theories, concepts, techniques and practices in the efficient and effective discharge of their
duties which should redound to an over-all increase in work efficiency and in production.
To provide nurses with the spirit of service, social insight, commitment and humanitarian
dedication in health care of the nation.
To contribute towards the regional, as well as national economic development and meaningful holistic social growth of the
people.

Direction/s: No erasures or superimpositions allowed. Choose the best answer.

1. During the prioritization of list of problems, which among the statements would
indicate that the student nurse needs further instructions regarding prioritization
of family health care problems?
A. Modifiability of the problem depends on the presence of available resources in
the community. This is used as the basis on the weight of each problem on the
scale of 0,1, and 2.
B. Preventive potential depends on the presence of available resources in the
community. This is used as the basis on the weight of each problem on the scale
of 1,2, and 3.
C. Salience depends on the presence of available resources in the community.
This is used as the basis on the weight of each problem on the scale of 0,1, and
2.
D. Nature of the problem depends on the presence of available resources in the
community. This is used as the basis on the weight of each problem on the scale
of 1,2,and 3.

2. The students were asked by their clinical instructor about the scale for ranking
health conditions and problems according to priorities. The CI would conclude
that the students understand the lecture by applying which of the following is
principle?
A. A condition or problem not needing immediate attention but is recognized by
the family is scored as 2.
B. A condition or problem not needing immediate attention but is recognized by
the family is scored as 1.
C. A condition or problem not needing immediate attention but is recognized by
the family is scored as 3.
D. A condition or problem not needing immediate attention but is recognized by
the family is scored as 0.

3. During the interview, the group of student nurses identified 10 family health
problems on their chosen family. One of them asked the difference between the
first level of assessment and second level of assessment. What is the least
expected answer among the group member?
A. The first level of assessment indicates the family nursing problems and the
etiology; while, the second level of assessment indicates the typology of nursing
problem in family nursing practice.
B. The second level of assessment indicates the family nursing problems and the
etiology; while, the first level of assessment indicates the presence of health
deficit, health threat, and foreseeable crisis.
C. The first and second level of assessment indicate the typology of nursing
problems in family nursing practice.
D. The typology of nursing problems in family nursing care plan should include
both the first and second level of assessment .

4. On the last day of community exposure, the group of TSU CON students
analyzed and synthesized all data gathered. As a conclusion, what criteria would
support the fact of selecting a community for community health nursing exposure
of the students?
A. DOPE (depressed, oppressed, poor, and exploited)
B. Verbalized need of the family
C. Household of more than 100
D. All of the above.

5. Nurse Elizalde noted that family John has history of hypertension. The further
assessment reflects that all family members are hypertensive. Which of the
following is the best nursing intervention that should be followed?
A. Advise the mother to avoid preparing foods that are high in cholesterol and
sodium.
B. Provide rest and sleep.
C. Reinforce a health lifestyle to all family members.
D. All of the above.

6. During home visits, you assessed that the family members of Walts have high
blood pressure for 3 consecutive readings. Which among the 10 herbal plants
will you use to patients with hypertension?
A. Bawang C. Lagundi
B. Oregano D. None of the above.

7. A mother of a 6-month- old- child told the nurse that her daughter is suffering
from asthma for 3 episodes every week. She asked what is the best thing to do.
The least nursing response is:
A. “ Schedule a regular check- up at the health center as soon as possible”
B. “ Your baby is sick. It is best to allow her walk around the house during the
day to be able to be exposed to clean air.”
C. “ Nebulize your child according to doctor’s advice.”
D. “ Avoid exposing your child to allergen like dust, pollen and fur.”

8. Upon home visit, you noticed that a 13 year old child is manifesting signs and
symptoms of seizure. As member of the medical team, the initial nursing
intervention to patient who is experiencing seizure is:
A. Provide safety.
B. Place a tongue depressor on the side.
C. Cover the patient with a blanket.
D. Let the patient drink small amount of water to stimulate consciousness.

9. Home visit is very important in Community health nursing and it should be

done properly. In assessing whether the student understand the lecture or not,
the first step in home visit is:
A. Greet the patient.
B. Sit with the patient.
C. Take the blood pressure of the patient and tell him the purpose of your visit.
D. Join the family in their hearty meal.
10. Home visit is one of the ingredients of community health nursing. As a nurse
in the rural health center, which of the following do you follow in rendering
interventions to patients?
A. Assessment, diagnosis, planning, implementation, evaluation.
B. Diagnosis, Assessment, planning, implementation, evaluation.
C. planning, implementation, evaluation, Assessment, diagnosis
D. Assessment, diagnosis, planning, evaluation ,implementation, evaluation.

11. As a public health nurse you must be aware of the different components and
characteristics of Primary Health Care. Which of the following characterize
Primary Health Care?
1. Essential health care accessible and acceptable to individual and families in
the community
2.The cost of care is affordable to community and country
3. The setting is in tertiary hospitals
4. Requires health personnel and specialized training

A. 1 & 4 C. 1 & 2
B. 3 & 4 D. 2 & 3

12. Nurses are the top paid professional abroad. Being a public health nurse,
one should take note that which of the following statements about the PHN’s role
in the community is/are correct?
1. The PHN will only enjoy her work if she accepts her role and is able to perform
that role
2. The PHN is a community health nurse if she is able to establish rapport with
the community officials and members
3. The PHN wish only gives bedside nursing care
4. The PHN can walkthrough mud, work under stress and eat with the people in
the barangayA.1 & 2 C. 2 & 3
B.3 & 4 D. 1, 2 & 4

13. The midwife refers to you a family who fails to take action regarding a sick
member of the family despite her suggestions. In helping the family decides on
what actions to take you will:
1. Explain the consequences of not taking appropriate action
2. Identify the courses of action open to the family and resources needed for
each
3. Discuss the consequences of each course of action available
4. Influence the family to act on what you think is best for the situation

A. 1 & 4 C. 2 & 3
B. 2, 3 & 1 D. 4 only

14. As a Public Health Nurse there are certain criteria to be followed in setting of
priorities. The following criteria in priority setting of health problems are not used
in community health care, except:
A. modifiability of the problem C. magnitude of the health
problem
B. nature of the problem presented D. preventive potential of health
problem

15. As student nurses experienced actual family- nurse contact, which among the
following will best provide them with the best opportunity to observe family
dynamics?
A. Clinic consultation C. Group conference
B. Home visit D. Written communication

16. The typology of family nursing problems is used in the statement of nursing
diagnosis in the care of families. The youngest child of Rivera’s family has been
diagnosed as mentally retarded. Madam Walts asked Elie to apply the lecture
that was discussed in the class. As a student nurse, the expected answer is:
A. it is classified as a Health threat C. it is classified as a Forseeable
Crisis
B. it is classified as a Health deficit D. it is classified as a Stress point

17. Ciarra identified list of problems during interview. On the second day of
visiting Family Joli, one of the problems is the entering school of a 6- year- old
child for the first time. As a health care member, this problem is a:
A. Health threat that poses possible problems
B. Health deficit that is an actual problem
C. Forseeable Crisis that can be a problem in the future
D. Stress point that should paid attention.

18. In Barangay Cantoxi there is a measles outbreak. The public health nurse
isolated some of the children who have this health deficit. This nursing action of
isolating the child with measles is based on what level of prevention?
A. Primary C. Intermediate
B. Secondary D. Tertiary

19. During the first home visit, Nurse Mara-rit applies the nursing process. In the
application of ADPIE, what level of assessment is used when the family nursing
problems are identified?
A. 1st level of assessment C. 2nd level of assessment
B. 3rd level of assessment D. 4th level of assessment

20. The Clinical Instructor is discussing the scaling and ranking of health
problems to the second year students. Considering the criteria in prioritizing a
problem which of the following should be the second criterion?

A. Preventive potential C. Nature of the problem.

B. Salience of the problem. D. Modifiability of the problem.

21. Dengue is transmitted by the bite of the aedes egypti mosquito carrying the
causative agent. Which of the following pathologic changes should be monitored
caused by dengue infection?
A. neutropenia that would pose the patient to avoid fresh flowers and fresh fruits.
B. hypertension that is reflected by headache, blurred vision, and nape pain.
C. decreased platelet agglutinability that makes the patient at risk of bleeding.
D. increased vascular permeability that leads to bleeding.

22. A clinical instructor asks the student about which of the following is a principle
in Nursing Care in the Home is the best answer?

A.” It is a principle of Department of Health”

B. “It is cost and effective and efficiently done”
C. “It is an opportunity for teaching patient and members of the family”
D. “The Nurse has the responsibility to assess the environment”

23. If you are a Community Health Nurse and you conducted health teaching,
which of the following will you include to help promote food sanitation?

A. Cooking demonstration in the family

B. Training a food handlers in the community
C. Health certificate of each member
D. Proper hand washing and techniques in food preservation

24. Measles vaccine is given at 9 months of age and during a measles epidemic.
An elementary school recorded an outbreak of measles and decided to provide
vaccines to students and staff members. The vaccine can be given safely to all
but one of the following people:
A. Mrs. Torres, a 4th grade teacher who gave birth to her 2nd child a month ago.

B. Mr. Jimenez, the school gardener who started treatment for PTB a week ago.
C. Emma, a 3rd grade student with a scabies infection.
D. Joey, A 1st grade student with asthma.

25. Madam Violeen is the new head nurse in Salapungan, Tarlac City. During
the preparation for first home visit, which of the following activity is a part of a
nurse’s preparation?
A. The nurse reviews records of the family in the clinic.
B. The nurse confers with the nurse/midwife regarding families to be home
visited.
C. Informs the family that she intends to visit through a cell phone call.
D. Makes plan with the family for the succeeding visits.

26. Chickenpox lesions erupt at different times creating a ‘’Clestial map’’ wherein
all stages of lesions are simultaneously present. As the clinical instructor, you
know that the student does not need further instruction when she says that a
lesion elevated above the skin with a diameter of about 3mm is:
A. considered a papule C. none other than a crust
B. obviously a macule D. considered a vesicle

27. On June 2010, the first community health nursing was documented by BSN
II-A. Which of the following should be the first step that a nurse must do when
conducting a home visit?
A. Place the PHN bag in a convenient place before doing bag technique.
B. Greet client or household member and introduce yourself.
C. Explain purpose of visit
D. Look into detailed aspects of the household.

28. Mumps or Epidemic Parotitis is a contagious disease transmitted by direct

contact with an infected person or articles contaminated with secretions from the
nasopharynx. The following are nursing diagnoses expected in a client with
mumps, except:
A. hyperthermia
B. risk for imbalanced Fluid volume
C. pain
D. imbalanced Nutriton: Less than Body Requirements

29. The nurse found out that the father of the family she home visited has a
history of repeated infection and the mother has two (2) miscarriages and has no
regular check up. What category of health care problem these situations
constitutes based on your analysis?

A. Health threat C. Foreseeable crisis

B. Health deficit D. Stress point

30. A 20-year old female patient was diagnosed with nasopharyngeal diphtheria.
A nurse would anticipate all of the following nursing problems, except:
A. Activity Intolerance
B. Ineffective Breathing Pattern
C. Nausea
D. Disturbed Body Image

31. A nurse at a hospital catering to patients with infectious diseases is assigned

to a patient with Pertussis. To care for this patient, which of the following items
should the nurse have immediately prepare?
A. scissors C. chest tube bottle
B. forceps D. suctioning equipment

32. During rounds, the patient tells the nurse, ‘’I hate being this tired all the time.
The itching drives me crazy. I don’t know want to do anymore!’’ Which of the
following be nurse Victoria’s most therapeutic response?
A. ‘’Don’t’ worry. By tomorrow, you will probably feel much better.’’
B. ‘’Okay.’’
C. ‘’I understand how your symptoms can be troubling to you.’’
D. (silence)

33. Improving nutritional status is one of the goals in the care of a patient with
Hepatitis A. Which of the following food should not be included in the preparation
of the diet?
A. skim milk C. bread rolls
B. cabbage D. bananas

34. A mother of 3 approaches the public health nurse asking for advice on how to
care for her 17-year old child who has influenza. Which of the following
statements will be excluded from the health teaching?
A. Give the patient tepid sponge baths
B. Encourage the patient to play with siblings to provide distraction
C. Give Paracetamol to relieve fever and headache
D. Promote increased fluid intake

35.The group of students is having their assessment at the house of Rodriguez’

family. Upon entering the house, they observed the family’s toilet and a student
nurse would distinguish which among these is approved by the Level 1 type of
toilet facility?

A. Water sealed C. Pit latrines

B. Flushed typed D. Water carriage type

36. After series of surveys, students become observers of facilities from their
adopted communities. Which of the following answer of the student is correct
when asked by the clinical instructor about what is a Level 1 approved type of
water facility?

A. Communal faucet and system or individual house connections

B. Point source

C. Water works system or individual house connections

D. Unapproved type of water facility

37. During the community exposure at Brgy. Cabuluan, a question was raised by
the clinical instructor on the distance of facility to the household. A point of
facility normally serves 15-25 households in the said Barangay, and a student
answers that its outreach must be how many meters from the farthest user?

A. it should be 500 meters C. it should be 250 meters

B. it should be 275 meters D. it should be 225 meters

38. Students were assigned at Brgy. Cabuluan and are tasked to chose their own
cases for a family case analysis. Students use their keen observations to apply
their knowledge. A student knows that an approved type of toilet facilities may
need water or not depending on the receiving space. Which of the following is a
correct answer of the student nurse when asked by the clinical instructor about
what type of toilet is without the need of water?
A. Pit latrines C. Flush toilet

B. Water sealed D. Aqua privies

39. In a community setting where resources are scarce, commercial soap is not
usually used due to lack of means to buy such. Families are focused to provide
for their basic needs thus they become resourceful. A student nurse will mostly
observe people in the community that they use substitutes and alternatives for
their needs. Which of the following herbal medicines is approved by the DOH
recommended for its known for its cleaning purposes as substitute for soap?

A. Guava leaves C. Papaya leaves

B. Banana peel D. Ashes

40. One of the assigned tasks of student nurses during their exposure at Brgy.
Cabuluan is to render health teaching to kindle sense of awareness and
consciousness to each family they encounter. Upon their discussion, they
stressed that the following are some preventive interventions of diarrhea that the
student nurse should discuss to the family. The following are found to be both
effective and affordable except:

A. Breastfeeding C. Minimizing use of water

B. Hand washing D. Measles immunization

41. Student nurse Jerry is assigned in a certain barrio and found out that there is
no available Botika sa Barangay. In the application of knowledge and skills
understanding of preventive measures, what will be the best health teachings
and recommendation of the student to a dehydrated infant who is having diarrhea
to prevent further dehydration?

A. Give “am” every hour C. Pounded guava leaves q 1hr

B. Give cola to drink D. Give milk as usual

42. With every family encountered in a community, we deal with every member of
various ages, from older adult, to adults, children and infants. In the care of the
older adult, the community health nurse recognizes that to promote good health,
the following are all accurate except:

A. Maintaining ideal body weight C. Eating proper diet

B. Performing regular physical exercises D. Regular health check ups

43. Student nurse Jerry gains awareness prior to his exposure to a community.
The said consciousness will help him become more determinant of various
factors that affect each and every individual. Among the following determinants of
health, which one affects a person the most?

A. Education C. Income and social status

B. Physical environment D. Culture

44. Student nurse Jerry knows that Community nursing is a field of nursing where
one can engage himself in the future. Community nursing as a whole is a service
rendered by professional nurse and he knows that this is accomplished through
the contact with:

A. Local and national government C. Communities and groups

B. Families and individuals D. Individuals

45. Jerry is a student affiliate assigned to handle family Castillo. It is clear to

Jerry’s understanding that as part of the family-nurse contact to assess home
and family situations is what type of procedure?

A. Bag technique C. Survey

B. Home visit D. Epidemiology

46. Nurse Jerry is engaged in community health nursing. Understanding the

principle of his endeavor, he considers that the principle in preparing for a home
visit at the house of his patient is:

A. Based on medical plan of care C. Teaching opportunity

B. Should have a purpose and objective D. Make use of available resources

47. Student nurse Jerry is preparing himself for an exposure at Brgy. Cabuluan,
where they are tasked by their instructor to go for home visit. He is aware that the
frequency of a home visit is based on:

A. Ability to recognize needs C. Needs of individual and family

B. Acceptance of services D. Agency policies

48. On a home visit by student nurse Jerry, he knows that he is on purpose to

render service and time to each and every family he might encounter on Brgy.
Cabuluan. In order to provide nursing care with ease and deftness, saving time
and effort, this student nurse makes use of:

A. Health education C. Nursing process

B. Bag technique D. Home visit

49. Student nurse Jerry is committed to go on home visit to Natividad’s family. He

brings his PHN bag and knows that this is an essential tool for each and every
community nurse. He is aware that the bag should be thoroughly disinfected
before keeping and after visiting:

A. malnourished client C. Prenatal patients

B. Post-op patients D. Communicable patients

50. Student nurse Jerry renders health teaching to the Romero’s family after
rendering physical assessment to each and every member of the said family.
Which of the following activities that student Jerry may teach the family to
promote healthy lifestyle?

A. Avoid violent and risk taking behaviors

B. Personal hygiene

C. Diet and nutrition

D. Compliance in social hygiene clinics

Situation: Betsy Bautista is a 15-year-old gravida 1 para 1 on her 6-week

postpartum, asks the nurse about family planning.

Questions 51 to 54 refer to this situation.

51. When the nurse helps Ms. Bautista decide on the ‘’correct’’ contraceptive
method, which of the following must she consider as the most important concern
for her patient?
A. Religion
B. Frequency of coitus
C. Comfort with the method
D. Number of sexual partners

52. In counseling Ms. Bautista about contraceptive methods, the nurse informs
her that the least effective method is the:
A. oral contraceptive.
B. intrauterine device (IUD).
C. spermicidal cream or jelly.
D. subdermal contraceptive implant (levonorgestrel).

53. Ms. Bautista’s decision to use a contraceptive method depends on many

factors. The nurse correctly understands that the factor that has the most
influence on a woman’s decision to use a birth control method effectively is:
A. cultural beliefs about childbearing and spacing children.
B. practices of friends and family members.
C. personal desire to prevent pregnancy.
D. health care trends.

54. Ms. Bautista is interested in douching as a method of contraception. Which

statement by the nurse would be most appropriate?
A. “Douching should be done immediately after sexual intercourse .”
B. “use a spermicide in the douching solution for maximum conception control”
C. “Douching is an excellent method depending on the type of solution used.”
D. This isn’t an effective birth control method and may facilitate conception.”

55. Although a chest x-ray confirms the diagnosis of pneumonia, it is still

important to obtain a sputum sample for analysis, smear, and culture. Which of
the following actions should be done when obtaining a sputum sample?
A. Collect the sample before the patient goes to sleep
B. Instruct the patient to brush his/her teeth before collecting the sample
C. Instruct the patient to cough three times and then breathe deeply to recover.
D. Encourage the patient to increase fluid intake before going to sleep

56. As partners in the delivery of health services, you will encourage the
community to participate in the following activities, except:
A. Evaluating the results of health activities provided
B. Organizing and mobilizing resources in the community for health activities
C. Defining the health and health related-related needs and problems
D. None of the above

57. In the lecture of Dr. Laya, types of prevention strategy were discussed.
During the actual nursing interventions, you should be guided that an example of
a secondary prevention strategy for chronic illness would include which of the
following?
A. Showing a client who has had a stroke how to walk with a cane
B. Conducting blood pressure screenings at the local mall
C. Helping people with diabetes find a support group and affordable monitoring
supplies
D. Immunizing a client against influenza

58. An approved type of toilet facilities may need water or not depending on
receiving space. Which of the following is a best answer of the student nurse
when asked by the clinical instructor, what type of toilet is without need of water?
A. Pit latrines C. Flush toilet
B. Water sealed D. Aqua privies

59. In the community setting where commercial soap is not usually used, an
observant nurse will mostly observe people use which of the following below as a
substitute for soap for cleaning purposes?
A. Guava leaves C. Papaya leaves
B. Banana peel D. Ashes

60. The following are some preventive interventions of diarrhea that the student
nurse should be discusses to the family. All of these are found to be both
effective and affordable except:
A. Breastfeeding C. Minimizing use of water
B. Hand washing D. Measles immunization

61. The nurse is assigned in a certain barrio where there is no available Botika
sa Barangay. What will you give to a dehydrated infant who is having diarrhea to
prevent further dehydration?
A. Give “am” every hour C. Pounded guava leaves q 1hr
B. Give cola to drink D. Give milk as usual

62. In the care of the older adult, the community health nurse recognizes that to
promote good health all are accurate except:
A. Maintaining ideal body weight C. Eating proper diet
B. Performing regular physical exercises D. Regular health check ups

63. Which of the following is the most important procedure of the Public Health
Nurse, during a home visit, that should be followed?
A. Arrange the content of the Public Health Nurse’s bag
B. Clean the bag – the bag and its contents should be cleared very often, the
supplies replaced and ready for used any time
C. Hand wash – most convenient to the user to facilitate efficiency and avoid
confusion
D. Protect the Public Health Nurse’s bag – bag and its contents should be well
protected from contact with any articles in the patient’s home
64. In the local review for licensure exam, numerous of terms were defined. On
a group activity, you were asked to dramatize a concept. After a fishbowl draw,
your group was asked to identify the term that best fits the statement, “ This
involves a set of actions by which the nurse measures the status of the family as
a client, its ability to maintain itself as a system and functioning unit.” Which
among the following concept would you dramatize?
A. a Community Health Nursing Practice
B. a Family Health Nursing Practice
C. a Nursing Assessment
D. a Primary Health Care

65. The PHN bag is an important tool in providing nursing care during a home
visit. There are important principles of bag technique. In the application of these
principles, which among the items below should you follow?
A. Save time and effort.
B. Minimize if not totally prevent the spread of infection.
C. Do not overshadow concern for the patient and his family.
D. Perform bag techniques in a variety of ways depending on the home situation,
etc.

66. A student asked the nurse about the benefits of community organization.
Which among the responses indicates the best response?
A. “It contributes to the establishment of an environment with different community
resources and can function with maximum effectiveness”
B. “Planning groups needs to represent all people concerned”
C. “Functions of an agencies and members must be defined”
D. “Major discussion should be made by the entire group”

67. Documentation is an integral function of the PHN. Things that are

documented are the provision of care, health problems, and wellness state. In
documenting the procedure that was done to patient suffering from cough and
colds, you are guided with the fact that:
A. Nurses document provision of care as evidence of care
B. Nurses document because it serves as a communication system
C. Nurses document care since it may serve as a basis of revisions that were
made in the plan of care
D. Nurses document care because it is needed to ensure continuity

68. In every nursing procedure, nurses combine learning experiences with each
intervention to facilitate voluntary adoptions of behavior. This practice is under
which pillars of programs of the Department of Health?
A. It is Health education C. It is a Lifestyle
B. It is Health promotion D. It is Research

69. In performing assessment to patients in the community, a very important part

of the process that one should include is:
A. Carry out nursing procedures as per plan of action
B. Coordinate with other sectors in relation to health concerns
C. Evaluate structures and classifications of health center team
D. Apply professional judgment in estimating importance of facts to family and
community

70. In the provision of community service, which of the following is should be the
initial focus of our services as nurses?
A. The individual members of the family C. The community
B. The extended members of the family D. The family

Sunshine Concepcion applies concepts of family health nursing in the care of the
Baluyut family. Dan and Aida Baluyut have 3 children. Mayo 16 years old, Joben
13 years, and Judge 8 years old. They live in the house of Lola, Aida’s mother.
71. This is an example if a family that is
A. nuclear and patriarchal
B. matriarchal and nuclear
C. patriarchal and extended
D. matriarchal and extended

72. Which of the following will be the top priority problem of the Baluyut family?
A. Unemployment of Dan
B. Family size beyond what family resources can provide
C. Congestion
D. Ascariasis of Judge

73. The family’s response to health and illness is reflected in

A. It’s utilization of existing health services
B. The type of illnesses and causes of death in the family
C. The number of vulnerable members of the family
D. The degree of assistance given to family

74. Lola had a stroke and died. The death of a family member is considered a:
A. health threat
B. health deficit
C. Stress point
D. B and C

75.The nurse performs systematic process to determine the

familyproblems/needs. Which of the following should a nurse follow initially?
A. Family health care plan information
B. Goal setting with the family
C. Assessment of the family
D. Evaluation of nursing interventions and the family

76. The family presents several problems. Which of the following criteria should
you consider in determining the priority health problem?
A. Involve the members of the family in the problem
B. Cooperate and support of the family
C. Prevent potential of the problem
D. Expect consequences of the problem

77. An important factor that you will consider when you prepare the family health
care plan is:
A. gather data from the health center
B. Identify deeds and problems as seen and accepted by the family
C. Identify needs and problems gathered and recognized by the nurse herself
D. Identify needs as expressed by the midwife assigned in the area where the
family resides.

78. One of the requirements of a second year student is to formulate their own
FNCP. When the group started, they based their work on the fact that the family
health care plan should include the following components listed in sequence:
A. objectives, statement of problems, intervention and evaluation
B. evaluation, statement of problems, objectives and intervention
C. statements of problems, objectives, intervention and evaluation
D. objectives, intervention, evaluation and statement of problems

79. A group of student nurses debated on the practices and habits affecting
health. The best response is that these both refer to
A. Health behavior and beliefs
B. Hygienic practices
C. Knowledge perception of health
D. Lifestyle
Family health nursing focuses on the promotion of health of the family. Given: the
Pontanos family of Barangay Moncada Tarlac.

80. In the assessment phase of the family’s health status, an indicator which you
will use to determine the prioritization of family health problems is:
A. use Salience
B. base it on the nature of the problem
C. depend it on the modifiability
D. use preventive potential

81. In the prioritization of identified problems, which of the following will be top
priority problem of the Pontanos family that will be the bulk of your family care
plan?
A. Unemployment of Jun-jun, the head of the family
B. Scabies of Tina, the eldest daughter
C. Mild anemia in pregnancy of Jenny, the mother
D. Poor home environment

82. The clinical instructor assesses that the members of the group understand
the nature of the problems identified if they verbalize that unemployment is:
A. considered a Heath threat
B. considered a Stress point
C. considered a Health Deficit
D. A and B

83. The family’s value placed on prevention is exercised through:

1-updating immunization schedule
2-compliance behavior
3-family’s definition of prevention
4-eating habits

A. 1 only
B. 1 and 2
C. 1,2, and 3
D. 1,2,3, and 4

84. Among the waste disposal system, the safest system at household level that
is being practiced in the barangay Bulo is:
A. Open dumping
B. Composting
C. Open burning
D. Incineration

85. The people must be informed that in order to prevent contamination of

drinking water:
A. the source must be how many meters away from washing and bathing areas
10 m to keep it safe.
B. the source must be how many meters away from washing and bathing areas
15 m to keep it safe.
C. the source must be how many meters away from washing and bathing areas
20 m to keep it safe.
D. the source must be how many meters away from washing and bathing areas
30 m to keep it safe.

86. You made a home visit to Mr. Pontanos who consulted for an on and off
diarrhea. Meanwhile that bacteriological examination of water has not been done
yet, the best advice you can give the family is:
A. Let the water stand for one hour before pouring into the drinking container
B. Go on with the usual procedure, anyway, the patient can tolerate diarrhea
C. Aeration of water
D. Boil water for drinking
87. Malou, one of the postpartum cases who delivered 2 weeks ago in a hospital
was referred to you. Her other children are ages 2, 4 and 6 years. Which is the
best nursing intervention?
A. You prepare a plan for your first home visit. The objective of this visit it to:
B. Give instructions on how to care for the cord stump
C. Instruct her on the right kinds and amount of food to take as a postpartum
mother
D. Teach Malou how to bathe her baby

Assess specific needs of Malou and her family.

88. Her 4-year old child has pneumonia. This problem is categorized as:
A. Health deficit
B. Health threat
C. Foreseeable crisis
D. Stress point

89. An additional family member is categorized as a:

A. Health deficit
B. Health threat
C. Foreseeable crisis
D. Stress point

90. In the community, families from the lower income groups are the ones mostly
served by the public health services and by the community health nurses
because:
A. They have proportionally greater number of illness and problems
B. Those from the higher income groups do not trust the government services
C. The poor people have no choice but to go to the public health services where
services are free
D. Those from the higher income groups do not get sick.

91. One of the several factors in the eco-system which affect level of functioning
that includes oppression, people empowerment, increase of crimes and lack of
safety in streets and even in the home, which are major concerns of society is:
A. Socio-economic C. Heredity
B. Environment D. Political

92. The initial nursing intervention in caring for a client suffering from asthma
attack is:
A. rush to the nearest health center.
B. nebulize with prescribed medication.
C. provide safety.
D. count and recount the respiratory rate of the patient.

93. Community health nurses in Atok, benguet experienced all the possible
problems in the community. In listing the various emerging and pressing health
problems being seen in the communities, among the higher economic status
groups are the:
A. the prevalence of Communicable diseases
B. incidence of Sexually Transmitted diseases
C. cases of Drug abuse and lifestyle diseases
D. numbers of Inherited diseases

94. The diseases today are largely man-made. Poor sanitation, poor garbage
collection, air pollution, smoking and utilization of chemicals and pesticides refer
to:
A. Socio-economic problem C. Heredity aspect
B. Environment problem D. Political aspect

95. As a nurse, which of the following criteria in prioritizing health problems is

considered the most important especially when formulating nursing care plan?
A. Nature of the problem
B. Modifiability of the problem
C. Preventive Potential
D. Salience of the problem

96. In the community, families from the lower income groups are the ones mostly
served by the public health services and by the community health nurses
because:
A. They have proportionally greater number of illness and problems
B. Those from the higher income groups do not trust the government services
C. The poor people have no choice but to go to the public health services where
services are free
D. Those from the higher income groups do not get sick.

97. On the first day of community exposure, Nurse JanJan noticed that his
groupmate has identified himself to the patient during home visit. The best
nursing intervention is:
A. Report the case to the clinical instructor as soon as possible

B. Confront her groupmate

C. Confront the patient

D. Remind her groupmate that it home visit is a professional face-to-face contact

made by a nurse to the patient/ family.

98. When caring for a community, which of the following statement is NOT
correct:
A. If people are not attending the services offered, the team must re-assess the
needs of the people
B. In participatory approach, the nurse must devotedly adhere to what people
want
C. In a peasant community where people are fighting for land ownership, the
nurse
must not participate as this is not a health concern
D. Nurses should not join protest actions as nurses must be neutral at all times

99. Myra E, a 35-year-old client in barangay Bitamina, verbalizes that the

existing problems in their family include: lack of education, immunization,
sanitation, and unemployment. As a nurse, one should prioritize these problems
according to:
A. Family’s prioritization of needs
B. Nurse’s discretion of these needs
C. Identified problems of both the nurse and the community
D. All of the above

100. The clinical instructor asked the student nurse about the factors that would
slow the process of wound healing. Which of the following statement of the
student would indicate need for further instruction:
A. Obesity
B. Smoking for 10 years
C. Lack of vitamins and minerals
D. Sexual dysfunction

Prepared by:

Ma. Cecilia P. Blanco,RN

Joanne Irish Daphne M. Lagascca, RN
Abilain Tuazon, RN
Kathleen Ocampo, RN, MSN
Karen U. Fernandez,RN, MAN
Roberto Duaqui, RN, MSN
Flordeliza Villaroman, RN, MSN
Glenda Navaro, RN
Mina Tablizo,RN
Genalyn B. Cireneo, RN, MSN

Clinical Instructors

Noted by:

Mary Jane N. Rigor, RN, MSN

Coordinator, Community Health Nursing

Approved by:

Apollo G. Facun, RN, MSN

RLE, Chairman
 TABLE OF SPECIFICATION
(Community Health Nursing)

Application analysis synthesis Evaluation

Assessment 21, 59, 71, 74, 28, 29, 42, 39, 47, 53, 2, 19, 26, , 35,36,
43, 91, 94, 83, 93, 95, 38, 52, 58, 66, 73,
79, 82, 84, 85, 88,
89, 90, 100
Planning 6, 8, 13, 15, 20, 14, 51, 86, 37, 55, 64, 5, 41, 44, 54, 57,
23, 25, 27, 31, 99, 70, 80, 81, 62, 87,
33, 46, 50, 61,
63, 65, 69, 72,
75, 76, 77, 78,
92,
Implementati 9, 10, 97, 11, 18, 24, 45, 67, 4, 32, 56, 60, 68,
on 40, 49, 98,
evaluation 7, 12, 16, 17, 48, 1, 22, 30, 96, 3, 34,
TOTAL