PNLE: Community Health Nursing Exam 1

1. Which is the primary goal of community health nursing?

1. To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness
2. To enhance the capacity of individuals, families and communities to cope with their health needs
3. To increase the productivity of the people by providing them with services that will increase their level of health
4. To contribute to national development through promotion of family welfare, focusing particularly on mothers and children.

2. CHN is a community-based practice. Which best explains this statement?

1. The service is provided in the natural environment of people.
2. The nurse has to conduct community diagnosis to determine nursing needs and problems.
3. The services are based on the available resources within the community.
4. Priority setting is based on the magnitude of the health problems identified.

3. Population-focused nursing practice requires which of the following processes?

1. Community organizing
2. Nursing process
3. Community diagnosis
4. Epidemiologic process

4. R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?

1. Type of occupation: agricultural, commercial, industrial
2. Location of the workplace in relation to health facilities
3. Classification of the business enterprise based on net profit
4. Sex and age composition of employees

5. A business firm must employ an occupational health nurse when it has at least how many employees?

1. 21
2. 101
3. 201
4. 301

6. When the occupational health nurse employs ergonomic principles, she is performing which of her roles?

1. Health care provider
2. Health educator
3. Health care coordinator
4. Environmental manager

7. A garment factory does not have an occupational nurse. Who shall provide the occupational health needs of the factory workers?

1. Occupational health nurse at the Provincial Health Office
2. Physician employed by the factory
3. Public health nurse of the RHU of their municipality
4. Rural sanitary inspector of the RHU of their municipality

8. “Public health services are given free of charge.” Is this statement true or false?

1. The statement is true; it is the responsibility of government to provide basic services.
2. The statement is false; people pay indirectly for public health services.
3. The statement may be true or false, depending on the specific service required.
4. The statement may be true or false, depending on policies of the government concerned.

9. According to C.E.Winslow, which of the following is the goal of Public Health?

1. For people to attain their birthrights of health and longevity
2. For promotion of health and prevention of disease
3. For people to have access to basic health services
4. For people to be organized in their health efforts

10. We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos. What other statistic may be used to determine attainment of longevity?

1. Age-specific mortality rate
2. Proportionate mortality rate
3. Swaroop’s index
4. Case fatality rate

11. Which of the following is the most prominent feature of public health nursing?

1. It involves providing home care to sick people who are not confined in the hospital.
2. Services are provided free of charge to people within the catchment area.
3. The public health nurse functions as part of a team providing a public health nursing services.
4. Public health nursing focuses on preventive, not curative, services.

12. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?

1. Health and longevity as birthrights
2. The mandate of the state to protect the birthrights of its citizens
3. Public health nursing as a specialized field of nursing
4. The worth and dignity of man

13. Which of the following is the mission of the Department of Health?

1. Health for all Filipinos
2. Ensure the accessibility and quality of health care
3. Improve the general health status of the population
4. Health in the hands of the Filipino people by the year 2020

14. Region IV Hospital is classified as what level of facility?

1. Primary
2. Secondary
3. Intermediate
4. Tertiary

15. Which is true of primary facilities?

1. They are usually government-run.
2. Their services are provided on an out-patient basis.
3. They are training facilities for health professionals.
4. A community hospital is an example of this level of health facilities.

16. Which is an example of the school nurse’s health care provider functions?

1. Requesting for BCG from the RHU for school entrant immunization
2. Conducting random classroom inspection during a measles epidemic
3. Taking remedial action on an accident hazard in the school playground
4. Observing places in the school where pupils spend their free time

17. When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating

1. Effectiveness
2. Efficiency
3. Adequacy
4. Appropriateness

18. You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you apply?

1. Department of Health
2. Provincial Health Office
3. Regional Health Office
4. Rural Health Unit

19. R.A. 7160 mandates devolution of basic services from the national government to local government units. Which of the following is the major goal of devolution?

1. To strengthen local government units
2. To allow greater autonomy to local government units
3. To empower the people and promote their self-reliance
4. To make basic services more accessible to the people

20. Who is the Chairman of the Municipal Health Board?

1. Mayor
2. Municipal Health Officer
3. Public Health Nurse
4. Any qualified physician

21. Which level of health facility is the usual point of entry of a client into the health care delivery system?

1. Primary
2. Secondary
3. Intermediate
4. Tertiary

22. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

1. Referring cases or patients to the midwife
2. Providing technical guidance to the midwife
3. Providing nursing care to cases referred by the midwife
4. Formulating and implementing training programs for midwives

23. One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the

1. Public Health Nurse
2. Rural Health Midwife
3. Municipal Health Officer
4. Any of these health professionals

24. You are the public health nurse in a municipality with a total population of about 20,000. There are 3 rural health midwives among the RHU personnel. How many more midwife items will the RHU need?

1. 1
2. 2
3. 3
4. The RHU does not need any more midwife item.

25. If the RHU needs additional midwife items, you will submit the request for additional midwife items for approval to the

1. Rural Health Unit
2. District Health Office
3. Provincial Health Office
4. Municipal Health Board

26. As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates reporting of cases of notifiable diseases?

1. Act 3573
2. R.A. 3753
3. R.A. 1054
4. R.A. 1082

27. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

1. The community health nurse continuously develops himself personally and professionally.
2. Health education and community organizing are necessary in providing community health services.
3. Community health nursing is intended primarily for health promotion and prevention and treatment of disease.
4. The goal of community health nursing is to provide nursing services to people in their own places of residence.

28. Which disease was declared through Presidential Proclamation No. 4 as a target for eradication in the Philippines?

1. Poliomyelitis
2. Measles
3. Rabies
4. Neonatal tetanus

29. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?

1. Line
2. Bar
3. Pie
4. Scatter diagram

30. Which step in community organizing involves training of potential leaders in the community?

1. Integration
2. Community organization
3. Community study
4. Core group formation

Answers and Rationales

1. Answer: (B) To enhance the capacity of individuals, families and communities to cope with their health needs
2. Answer: (B) The nurse has to conduct community diagnosis to determine nursing needs and problems.
3. Answer: (C) Community diagnosis. Population-focused nursing care means providing care based on the greater need of the majority of the population. The greater need is identified through community diagnosis.
4. Answer: (B) Location of the workplace in relation to health facilities. Based on R.A. 1054, an occupational nurse must be employed when there are 30 to 100 employees and the workplace is more than 1 km. away from the nearest health center.
5. Answer: (B) 101. Again, this is based on R.A. 1054.
6. Answer: (D) Environmental manager. Ergonomics is improving efficiency of workers by improving the worker’s environment through appropriately designed furniture, for example.
7. Answer: (C) Public health nurse of the RHU of their municipality. You’re right! This question is based on R.A.1054.
8. Answer: (B) The statement is false; people pay indirectly for public health services. Community health services, including public health services, are pre-paid services, though taxation, for example.
9. Answer: (A) For people to attain their birthrights of health and longevity. According to Winslow, all public health efforts are for people to realize their birthrights of health and longevity.
10. Answer: (C) Swaroop’s index. Swaroop’s index is the percentage of the deaths aged 50 years or older. Its inverse represents the percentage of untimely deaths (those who died younger than 50 years).
11. Answer: (D) Public health nursing focuses on preventive, not curative, services.The catchment area in PHN consists of a residential community, many of whom are well individuals who have greater need for preventive rather than curative services.
12. Answer: (D) The worth and dignity of man. This is a direct quote from Dr. Margaret Shetland’s statements on Public Health Nursing.
13. Answer: (B) Ensure the accessibility and quality of health care
14. Answer: (D) Tertiary. Regional hospitals are tertiary facilities because they serve as training hospitals for the region.
15. Answer: (B) Their services are provided on an out-patient basis. Primary facilities government and non-government facilities that provide basic out-patient services.
16. Answer: (B) Conducting random classroom inspection during a measles epidemic. Random classroom inspection is assessment of pupils/students and teachers for signs of a health problem prevalent in the community.
17. Answer: (B) Efficiency. Efficiency is determining whether the goals were attained at the least possible cost.
18. Answer: (D) Rural Health Unit. R.A. 7160 devolved basic health services to local government units (LGU’s ). The public health nurse is an employee of the LGU.
19. Answer: (C) To empower the people and promote their self-reliance. People empowerment is the basic motivation behind devolution of basic services to LGU’s.
20. Answer: (A) Mayor. The local executive serves as the chairman of the Municipal Health Board.
21. Answer: (A) Primary. The entry of a person into the health care delivery system is usually through a consultation in out-patient services.
22. Answer: (B) Providing technical guidance to the midwife. The nurse provides technical guidance to the midwife in the care of clients, particularly in the implementation of management guidelines, as in Integrated Management of Childhood Illness.
23. Answer: (C) Municipal Health Officer. A public health nurse and rural health midwife can provide care during normal childbirth. A physician should attend to a woman with a complication during labor.
24. Answer: (A) 1. Each rural health midwife is given a population assignment of about 5,000.
25. Answer: (D) Municipal Health Board. As mandated by R.A. 7160, basic health services have been devolved from the national government to local government units.
26. Answer: (A) Act 3573. Act 3573, the Law on Reporting of Communicable Diseases, enacted in 1929, mandated the reporting of diseases listed in the law to the nearest health station.
27. Answer: (B) Health education and community organizing are necessary in providing community health services. The community health nurse develops the health capability of people through health education and community organizing activities.
28. Answer: (B) Measles. Presidential Proclamation No. 4 is on the Ligtas Tigdas Program.
29. Answer: (B) Bar. A bar graph is used to present comparison of values, a line graph for trends over time or age, a pie graph for population composition or distribution, and a scatter diagram for correlation of two variables.
30. Answer: (D) Core group formation. In core group formation, the nurse is able to transfer the technology of community organizing to the potential or informal community leaders through a training program.