CENTRAL LUZON COLLEGE OF SCIENCE & TECHNOLOGY (CELTECH COLLEGE) 1860 Rizal Avenue, East Bajac-Bajac, Olongapo City,

Philippines 2200 Tel Nos: (047) 224-8042 / (047) 224-1288* Telefax: (047) 223-5855 / (047)224-6996 Website: www.clcst.edu.ph Founded 1970

Preliminary Examination in Community Health nursing (CHN)

Name:__________________________________Placement:___________________________________ Date:___________________________________Score/Rating__________________________________ Test I. MULTIPLE CHOICE. Write the letter of the correct or best answer in your booklet. Situation: In order to fulfill roles and responsibilities efficiently, a community health nurse must be familiar with the concepts and principle of community health nursing practice. 1. Nurse Luzelle will be giving health education to a group of people in the community regarding sanitation, in doing so she will be considering the following except: a. Emotional c. Financial b. Maturational d. Educational 2. What is the sign that a client understand the health teaching? a. When the client practices the teachings given b. When the client keeps on asking c. When the client ignores everything d. When the client still doing the old ways 3. The aspect of health education are the following except: a. Information c. observation b. Education d. communication 4. When making a report, one must follow protocol, matrix or format of agency you represent. Report pertains to: a. Agency or department c. Community b. Individual d. School 5. An act of strengthening health and dental services in the rural area and providing funds therefore is? a. RA 1081 c. RA 1082 b. RA 7160 d. RA 7600 6. As a public health nurse, we must know the priority program of DOH, which is the? a. Communicable diseases c. Infrastructures b. Non-communicable Dis. d. Maternal and Child Health th nd 7. Iron with folic is to be given to pregnant women on the 5 month of pregnancy to 2 month postpartum. How many iron tablets does a pregnant woman will consume? a. 180 tabs c. 210 tabs b. 250 tabs d. 200 tabs 8. James L. Gordon Memorial Hospital is considered what level of Health care? a. Primary health care c. Emergency/District Hospital b. Regional/Tertiary Hosp. d. None of the above 9. For a Barangay Health Station to have a Rural Health Physician (RHP), what should be the population of the area? a. 5,000 c. 15,000 b. 10,000 d. 20,000 10. Each family has universal functions and one of them is for the replacement of the society otherwise known as: a. Social control c. Reproduction b. Socialization d. Status placement 11. A type of family according to structure in which the husband and wife living alone without children is? a. Dyad c. Foster b. No-kin d. Communal 12. A family composed of father, mother and children living together but apart from both sets of parents and relatives is? a. Blended c. Nuclear b. Extended d. Dyad 13. First milk after delivery which is very rich in immunoglobulin: a. Mature milk c. Fore milk b. Hind milk d. Colostrum

14. Expressed breastmilk for working mothers when refrigerated can still be consumed up to how many hours when to be given to a full term babies: a. 10 hrs. c. 4 hrs. b. 48 hrs. d. 24 hrs. 15. Rooming in and breast feeding act is? a. RA 7600 c. RA 7160 b. RA 1082 d. RA 8172 16. The ultimate goal of community health nursing is: a. Upholding the worth and dignity of man b. Raising the level of health of the citizenry c. Health promotion and disease prevention d. Enhancing health capabilities of the people 17. The focus of community health nursing is: a. Upholding the worth and dignity of a man b. Raising the level of health of the citizenry c. Health promotion and disease prevention d. Enhancing health capabilities of the people 18. The philosophy of the community health nursing is: a. Upholding the worth and dignity of man b. Raising the level of health of the citizenry c. Health promotion and disease prevention d. Enhancing health capabilities of the people 19. Which of the following factors affecting health has the power and authority to regulate the environment? a. Health care delivery system c. socio-economic influence b. Political jurisdiction d. environment influence Situation: Occupational and school health programs that the occupational health nursing practice in the Philippines. 20. The key elements of occupational health program that the occupational health nurse supervisor must perform are: 1. Health protection 3. rehabilitation 2. Emergency treatment 4. Health promotion a. 1, 2 and 3 c. 1, 2, and 4 b. 1 and 2 d. 1, 2, 3 and 4 21. Health protection activities of occupational health nursing include the following, except: a. Health hazard identification c. Health surveillance b. Monitor and record keeping d. Assistance program 22. Which of the following are the key elements of occupational health nursing? a. Health protection and promotion b. Disease protection and health promotion c. Health maintenance and monitoring d. Health promotion and disease prevention 23. School health nursing is primarily determined by the following, except: a. Characteristics of the clientele c. Program of the DOH b. Policies of the DOH d. Social security system 24. What is the aim of CHN? a. To serve all ages of the population c. Development of human being b. Promoting and preserving health d. Limitation of certain age only 25. Promotion of health is a major responsibility of the community health nurse. This refers to: a. Activities that seek to protect clients from potential or actual health threats and their harmful consequence b. Activities directed toward developing the resource of clients that maintain or enhance well-being c. Activities directed toward decreasing the probability of specific illness or dysfunctions in individuals d. Activities aimed to prevent the spread of microorganism to individual 26. The statement that Community Health Nursing is a practice that is continuing and comprehensive. Means the following except: a. Nursing service is provided only to sick member of the community considering all age group. b. This practice includes health education, maintenance and coordinator of activities c. Nursing service is carried through a multi-disciplinary approach d. Nursing include assessment of individuals group and community

Situation: Devolution of health service transferred power and authority to the local government units for self reliance. 27. Who among the following appoints nursing personnel in the municipalities? a. City mayor c. Municipal Mayor b. Congressman o the district d. Senator representing the district 28. Which of the following is the primary function of the community health nurse? a. Assisting special health services c. promotion of health and prevention b. Evaluation health program d. implementing program of the DOH 29. Which of the following concepts in CHN is used to work with clients? a. Knowledge of World Health Organization standards b. Primary prevention c. Extension of benefits to client d. Health promotion 30. Which of the following activities of CHN is directed towards optimum level of functioning? a. Secondary approach c. primarily prevention b. Eco-system approach d. tertiary prevention 31. When the public health nurse conducts pre-marriage counseling or responsibility, she performs. a. Role modeling c. health monitor b. Change agent d. counselor 32. When the nurse formulates the municipal health plan in a community, she is performing her roles as a. Community organization c. planner/programmer b. Health educator d. provider of nursing care 33. Jenna is Janica`s co worker as a community health nurse. Which of the following is the general duty of Jenna? a. Establishes rapport with clients b. Coordinates with the municipal health officer c. Communicates with members of the health team d. Provides nursing care to the community Situation: Ms Jenny A. is a newly appointed public health nurse for the newly created municipality of Cabalan. In lieu with her appointment, she decided to review the roles of the nurse in community health nursing practice. 34. The community health nurse as health educator/counselor. a. Detects deviation from health b. Provides technical and administrative supports to midwives c. Ensures continuity of care to clients/patient d. Participates in development and distribution of IEC materials 35. The community health nurse as a supervisor. a. Provides technical and administrative supports to midwives b. Ensures continuity of care to clients/patient c. Participates in development and distribution of IEC materials d. Detect deviation from health 36. The community health nurse as provider of care. a. Detects deviation from health b. Provides technical and administrative support to midwives c. Ensure continuity of care to clients/patient d. Participate in development and distribution of IEC materials 37. The community health nurse as health monitor. a. Detect deviations from health b. Provides technical and administrative support to midwives c. Ensures to continuity of care of clients/patient d. Participate in development and distribution of IEC materials 38. When the community health nurse initiates community participation, she is performing the role of a. a. Role model c. coordinator b. Change agent d. community health organizer 39. The series of steps that the Public health Nurse takes in the planning and giving care to a patient or family is. a. Scientific method c. primary health care approach b. Problem solving approach d. nursing process 40. Primary prevention methods will best exemplified by: a. Screening test c. avoidance of carcinogens/allergen b. Prompt treatment d. contact tracing

41. Disease prevention is most effective if done in partnership with the: a. Barangay officials c. local government b. People d. member of the health team 42. Which of the following statement is correct? a. Cognizant of the devolution of health service, decision-making on health affairs should be made by the office of the mayor at the municipal level. b. Given a community , the nurse can uplift the situation by herself c. Health and illness have the same meanings in a homogeneous community d. While health is a responsibility of the health department, it is much responsibility of the people themselves. 43. To facilitate implementation of a CHN project, the following are to be considered EXCEPT. a. Clear task and responsibilities of community members b. Limited involvement of community members c. Available materials and supplies d. Specific objectives with measurable output 44. When promoting the health of the individuals, family and community, the first step to take by the CH nurse is. a. Establish a registry of families c. do a health assessment b. Conduct a community census d. organize the community 45. The philosophy of CHN practice is based on the beliefs that the family is a smallest unit in a democratic society. Which age group should be the priority of the nurses in the community? a. Older person or terminally ill c. infant and children b. Adolescence and adults d. all ages regardless of status 46. In the care of the Reyes family, the family health nursing approach applied ideally. a. Focuses on the family as the unit of care b. Considered health of the family as goal c. Utilized nursing as medium of care d. All of the above 47. One of the unique function of a PHN in family health nursing is: a. Helping the families identify their own problems b. Teaching the families to be self reliant c. Teaching the families where to ask for help to solve their problem d. Helping the families to cope with their problem 48. Giving lectures in sex education to high school students is an example of: a. Primary level disease prevention c. Tertiary level disease prevention b. Secondary level disease prevention d. health promotion 49. It is an aggregate of people who share common characteristics, developmental stage or common exposure to particular environmental factors thus resulting in common helath problems. a. Community c. population group b. Family d. individual 50. A person, sick or well, regardless of age, gender, educational status, or role in the community. a. Community c. population group b. Family d. individual 51. A social group determined by geographical boundaries and/or common values and interests. a. Community c. population group b. Family d. individual 52. Community Health Nursing (CHN) refers to utilization of the nursing process in the different levels of clientele concerned with the promotion of health, prevention of disease and disability, and rehabilitation, this is defined by? a. Jacobson c. WHO Expert Committee on Nursing b. Maglaya d. Clark 53. CHN is a learned practice discipline with the ultimate goal of contributing as individuals and in collaboration with others to the promotion to the clients optimum level of functioning through teaching and delivery of care. a. Jacobson c. WHO Expert Committee on Nursing b. Maglaya d. Clark 54. This theorist explained the involvement of nurses initiative to configure environmental settings appropriate for the gradual restoration of the patients health. a. Orem c. Nightingale b. Roger d. Roy 55. The theorist states that an individual is self-caring if he/she can manage effectively. a. Orem c. Nightingale b. Roger d. Roy

Situation: Under the law enacting the Devolution of Health Services, all structures, personnel and budgetary allocations from provincial health level down to the barangays were devolved to the local government units to facilitate health service delivery. 56. Who among the following appoints nursing personnel in the municipalities< a. City mayor c. Municipal mayor b. Congressman of the district d. Senator representing the district 57. It is the law that enacted the devolution of health services. a. R.A. 7432 c. R.A. 7600 b. R.A. 7160 d. R.A. 9173 58. Which of the following is not managed by the city/municipal government with the devolution of health services? a. District hospitals c. Barangay health stations b. Health Centers d. Rural Health Unit 59. When was the devolution of health services enacted? a. 1988 c. 1990 b. 1989 d. 1991 60. All of the following are the objectives for local health systems, except: a. Dissuade participation of the private sector, non-government organization (NGO) and communities in local health system development. b. Exalt the health care management and service capabilities of local health facilities. c. Inaugurate local health system for effective and efficient delivery of health care services. d. Encourage inter-LGU linkages and cost sharing schemes including local health care financing system for better utilization of local resources Situation: The Department of Health is mandated as lead agency in health. As a nurse, one should be thoroughly acquainted with the basic concepts concerning DOH. 61. Which of the following is not one of the three specific roles of DOH in the health sector? a. Enabler and capacity builder c. Provider of quality health care system b. Leadership in health d. administrator of specific services 62. All of the following statements are goals of FOURmula ONE for Health but one. Which one is it? a. A more accessible health program c. More responsive health system b. Better health outcomes d. equitable health care financing 63. The Health Sector Reform Agenda (HSRA) has been implemented as the overriding goal of the DOH because all of the following conditions are still seen among the population. Which one is incorrect? a. Slowing down in the reduction of infant mortality rate. b. Low burden from infectious diseases c. Unattended emerging health risks from environmental and work-related factors d. Burden of diseases is heaviest on the poor 64. It is regarded as the roadmap for all stakeholders in health. a. FOURmula ONE for health c. National Objectives for Health 2005-2010 b. National Health insurance program d. Health sector reform agenda 65. Which of the following is not an element of the FOURmula ONE for health? a. Health financing c. health service delivery b. Health reorientation d. good governance Situation: Because of the ongoing change that exert a number of pressures on the public health system, the millennium Development Goal{MDGs} have been put forward by the global community represented by the United nations General Assembly. 66. At what year are the Millennium Development Goals {MDGs} projected to be achieved? a. 2010 c. 2015 b. 2012 d. 2020 67. The MILLENNIUM Development Goals are based on the fundamental values which include all of the following except: a. Equality c. solidarity b. Social awareness d. respect for nature 68. Which of the following Millennium Development Goals are not health or health-related? 1. Achieve universal primary education 3. Ensure environmental 2. Reduce child mortality 4. Promote gender equality a. 1 and 3 c. 2 and 3 b. 1 and 4 d. 2 and 4 69. In order for the MDGs to be achieve, what is primarily required? a. Proper budgeting and allocation of resources b. Hiring of skilled nurses that truly care for the public c. Participation of all member of the society

d. Strong and sustained support from the government and NGOs 70. In response to the changes in which public health systems operate the global community decided to adopt a common vision in September 2000. What was this vision? a. Poverty reduction and sustainable development b. Health promotion and disease prevention c. Fortification of health services and expansion of coverage d. Fostering more inter-linkages and acquisition of more substantial support

Test III. SCHEMATIC DIAGRAM: Answer as directed. 1. The diagram presented the roles and functions of the Public Health Nurse. a. Explain the diagram in five sentences. (5 points) b. Give one activity that the Public Health Nurse functions in each role. (10 points) . CHN as Provider Of Nursing Care CHN as Researcher CHN as Manager

CHN as Leader CHN as Coordinator of Services COMMUNITY CHN as Change Agent

CHN as Role Model Organizer

CHN

as

Community

CHN as Trainer and And Health Educator

CHN as Health Mentor

2. For a community to ne healthy must possess different characteristics. Discuss briefly a healthy community.

we make our own destiny; make yours.

Prepared by:

Ma. Rowena S. Dimapilis, RN (Instructor)