COMMUNITY HEALTH NURSING 7.

When community health nurse coordinates with

NLE NOVEMBER 2019 – POST TEST I private sectors involved, you are performing what
principle of CHN?
SITUATION1: You are a novice nurse assigned in a. CHN is a field of nursing practice.
community health setting. You review the following b. CHN is a unique function of the nurse.
principles in the practice of community health nursing. c. CHN as an expanded role for nurses.
1. You understand that one of your roles in d. CHN is a developmental approach to health.
Community Health Nursing is to provide an 8. In conducting epidemiological investigation, you
accurate recording of the morbidity and mortality are performing what specific function of a
cases. Which among the following vital health community health nurse?
statistical measurement will be utilized to assess a. As a recorder
the susceptibility of the entire community in b. As a coordinator
developing infection most affected by external c. As a programmer
factors? d. As a researcher
a. Infant Mortality Rates (IMR) 9. If you are able to perform your role as a health care
b. Crude Death Rate (CDR) provider in community health setting, which among
c. Proportionate Mortality Rate by Cause the following should be done?
d. Proportionate Mortality Rate by Age a. Participating in community organizing
2. What data below will you collect in identifying the activities.
ATTACK RATE of a certain epidemic found in your b. Accomplishing the FHSIS report forms.
catchment area? c. Providing appropriate referral of children with
a. The percentage of the total number of death diarrhea.
over the total number of reported cases. d. Administering intravenous fluid to children
b. The number of immune over the number of who are severely dehydrated.
susceptible. 10. Innovation in health care services are of paramount
c. The total number of affected over the total to identify alternative means of treatment in the
number of exposed. community health level. Which among the
d. The percentage of the total number of death following best explains this statement?
over the total number of exposed. a. Referral of cases to higher levels of facilities is
3. In data recording and documentation, you are able no longer appropriate.
to apportion the percentage of the etiologic factors b. The CHN is maximizing the use of already
that lead to mortality cases. Which type of data available resources in the community.
presentation will you most likely be utilizing? c. The management of recording and appropriate
a. Bar Graph documentation will evaluate what are the
b. Tables and Figures alternative treatments found to be effective.
c. Pie Diagram d. The CHN will able to help in the development
d. Frequency Distribution of a marginalized and poor sector of the
4. To compute for the morbidity rates of the newly community.
identified cases in the community, you will be Situation 3: You are now in the entry phase of community
utilizing what vital statistical measurement? organizing process after establishing rapport with the
a. Prevalence rate people of Barangay Kawanihan.
b. Neonatal mortality rate
c. Incidence rate 11. With the community health activities started
d. New cases morbidity rate during the entry phase, which of these activities
5. The biostatistical measurement that you are going should not be included?
to utilize to assess the overall health status of the a. Core group formation
community would be ____________. b. Project management
a. Maternal Mortality Rate (MMR) c. Conduct of deepening social investigation
b. Crude Death Rate (CDR) d. Information campaign on health programs
c. 1-5-year old Mortality Rate 12. Identification of potential leaders is crucial during
d. Infant Mortality Rate the entry phase: Which of the characteristics may
not be necessary to an efficient and effective
SITUATION 2: You are caring for different levels of community leader?
clientele in public health settings. The following questions a. Must have relatively good communication
are related to this statement. b. Responsive and willing to work for change
6. As a community health nurse, you understand that c. A college graduate with management skills
your primary subject is the: d. A respected member of the community
a. Entire members of the family 13. The best techniques in identifying potential leaders
b. Individuals presented with the same health risk in the community proven to be effective is to
factors a. Ask community, residents to directly name persons
c. Entire community whom they consider as community leaders
d. Families who are receives programs rendered b. Ask volunteers who are willing to become
by the government community leaders
c. Review family background, properties and
 academic records of community residents problems exist
d. Observe people who are active in small c. Assisting the community, to identify health
mobilization activities that motivate resident to situations that need change.
start working d. Providing immediate solution to identified
14. The core group is composed of individuals in the health problems
community who possess the leadership potentials 19. The community health nurse noticed that there are
organized into a cohesive working unit. The core many out of school teenagers in the neighborhood
group works with the team in who use drugs, smoke and drink alcohol. Their
a. Setting up community organization that will parents are working overseas and these teenagers
serve the interest of a sector in the community live with their aging grandparents who have
b. Mobilizing the community to act on their most difficulty controlling them. Before arriving at a
immediate felt needs and participate in the social diagnosis, the nurse should
delivery of essential health services 1. Determine if this situation results in breakdown of
c. Monitoring the performance of the barangay families
d. Selecting community activities according to 2. Explore to what extent the situation affects the life
their preferences in the neighborhood
15. The nurse, as a community health practitioner 3. Determine what policies should be enacted to
functions as a community. promote lifestyle changes
a. Evaluator c. Leader 4. Assess how the educational level of the community
b. Planner d. Facilitator affects its ability to cope with the problem
a. 1 and 3 c. 2 and 4
Situation 4: While working in the community, nurses b. 1 and 2 d. 3 and 4
observe various situations that require attention. 20. Inspired by the singing jail inmates, the nurse
suggests to the barangay chairman that the out of
16. Nurse Nikki was doing case finding in a barangay in school teenagers may be encouraged to stay out of
the rural communities of Lagonoy, Camarines Sur. "trouble" "by organizing activities that will occupy
Her target is to identify undocumented Hansen's their time, use up their energy and unify them. To
disease cases. Seeing her in uniform, a woman, realize such goals/objectives, the nurse's and
remarks, "You're not a nursing student, are you? I community's actions should proceed in which
have many chores today. Please!" and ignores the order?
nurse. Nikki's immediate course of action would be 1. Identify what manpower and money resources
to: are needed to implement the program
a. Visit the next house so as not to waste the 2. Design the program that will meet
day's activity and return to re visit this goals/objectives
home after a day or two 3. Identify support activities that will sustain the
b. Communicate the incident to the barangay programs
captain and gut him/her to join her in her 4. Determine the program’s programs on the
next visit target group.
c. Ignore the woman's behavior, turn around
and simply leave her home a. 1, 2, 3, 4 c. 2, 1, 3, 4
d. The feelings and behaviors manifested by b. 3, 2, 1, 4 d. 4, 3, 2, 1
the woman and get to the root causes of c.
such behavior Situation 5: Community empowerment is an important
17. A student nurse visits Aling Mercy who aspect of a community health nurse.
immediately slated that she has "too much work to
do and she has been visited and interviewed by 21. To empower community members, the community
student nurses almost daily." After explaining the nurse performs which activity?
purpose of her visit the student's appropriate a. Do all the activities for community
action would be to: members
a. Sat an appointment at Aling Mercy's b. Step back at the beginning and giving little
convenient time input
b. Tell her clinical instructor about the c. Define the community needs for the
problem members
c. Select another family as a client d. Give ownership and leadership to the
d. Ask the barangay chairman for assistance community
18. Nurse Rina intends to get maximum participation 22. Descriptors of a community include:
from the community members to get an accurate a. A community, where the members are
assessment of their health needs. To do this, nurse disease free
Rina collaborates with the community to do a b. Seeking to make all the resources available
situational analysis. This process entails the to all members
following except: c. Keeping the subgroups informed of
a. Allowing people to freely express what changes whenever necessary
they consider their health problem d. The leaders making decision for the
b. Asking people why they think the health community members
 c. Teaching first aid for insect bites
23. When a community health nurse works as a client d. Educating .parents on the signs of lead
advocate, the nurse poisoning
a. Uses a passive approach in solving 29. Anna finds that a toddler has some developmental
identified problem delays during a home visit. When looking for a
b. Attempts to smooth problems over to keep cause of contributing factor, which of the following
the community calm environmental factors would she consider most
c. Is assertive in speaking and acting on important to assess?
behalf of the client a. Dust mites in child's toys
d. Is aggressive in pursuing the achievement b. House pets
of the client's goals c. Lead paint in the crib
24. The community health nurse leads a class on d. Presence, of asbestos in the home
breastfeeding with1 a group of prenatal parents. 30. Anna's functions include activities for secondary
The nurse allows the participants to ask questions, prevention. In a family, the health profile reveals
make comments, and reason out loud as feedback diabetes in the father of the family. A classic
is given. Which of the following techniques is the demonstration of secondary prevention would be
nurse using? a. Teaching the diabetic client about foot care
a. Lecture c. Role playing b. Assisting the diabetic client in his daily
b. Demonstration d. Discussion insulin injections
25. When beginning a relationship with a family on c. Helping the client obtain a glucometer for
home visit the community health nurse accurate monitoring of blood sugar
a. Is accepting and listens carefully to the d. Informing the client how to maintain Hb
problems of all family members A1c value at 5.5 or less
b. Allows the discussion to be open and non
directional SITUATION 7: The following conditions are related to the
c. Focuses on the problem of one of the diseases in IMCI.
family members 31. A 3 year old child weighing; 14 kgs has anemia with
d. Encourages others to speak for the main some pallor and needs iron and mebendazole
client to get an unbiased view previously. As the nurse you should give the child
Situation 6: Family/Home Health Nursing has currently iron folate and mebendazole in what dosage?
become a significant area of nursing. Community health a. 7.5 ml or 1 tsp daily for 14 days and
mebendazole 500 mg single dose
nurse Anna is taking care of different clients in her
b. 10 cc or 2 tsp daily for 30 days and
caseload. mebendazole 500 mg single dose
c. 10cc or 2 tsp daily for 30 days and
26. Anna has been caring for a child in the home. She
mebendazole 250 mg single dose
has a tracheostomy tube and is oxygen dependent. d. 5 ml or .1 tsp daily for 14 days and
Anna prefers to do the care early in the morning mebendazole 500 mg single dose
due to a heavy caseload. The family requests that 32. Vitamin A is given to the child with measles
care be done when the child is awake by 10 am. because it
The best response by Anna would be a. Resists the viral infection in the eyes, cell
a. "I will see if I. can find another nurse who layers in the lungs, gastrointestinal tract,
can meet your preferred schedule." mouth and throat
b. "I'll give care at 10 am, other children b. Reinforces the body's immune system
needing my care may not be attended to. c. x
c. "I'm sorry I wish I could, but I cannot do so d. Helps the immune system prevent other
due to heavy workload” infections
d. “Let's, look at what time is in the child's 33. In giving chloroquine you should:
best interest and then we can work out a a. Heavily guard the client
better schedule.” b. Explain to the mother that she should
27. Anna best exemplifies primary prevention by which watch her child carefully for 30 minutes
of the following activities? after giving the medicine
a. Teaching new mothers infant care c. Explain to the mother that it should be
b. Oxygen humidification given for 2 days only
c. Infant phototherapy d. Instruct the mother to give the first dose at
d. Tracheostomy care home
28. Which of Anna's teaching, activities would be 34. The child's symptoms are under the classification of
considered primary prevention when caring for severe dengue hemorrhagic fever of the IMCI
clients in her case load? strategy. Which of the following treatments should
a. Providing families with her telephone do done immediately?
number for any home emergencies a. Observe the client at the health center and
b. Educating parents on the importance of refer urgently if the condition worsens
routine immunization b. Give fluids or ORS and refer urgently to the
hospital
 c. Immunize the child before referral c. Malaria
d. Give the first dose of the appropriate d. Fever, no malaria
antibiotics and refer urgently to the 42. The following treatments are appropriate for Marie
hospital except
35. A child needs urgent referral for mastoiditis. The a. Follow up in 3 days
following is a list of treatments for all ear problems b. Advise when to return immediately
in IMCI classification. Which among these pro c. Give oral anti malaria drugs
referral treatments should not be included? d. Give 1 dose of paracetamol for
a. Give the child appropriate antibiotics for 5 temperature of 37.5˚C
days 43. A child should be checked for capillary refill if
b. Do not give any medications a. The child has petechiae
c. Give the child first dose of antibiotics b. c. There is fever for more than 7 days
d. Give the first dose of paracetamol for pain c. The child’s extremities feel warm
Situation 8: Management of resources and environment d. The extremity feels cold
includes every potential and existing resources which the 44. If the capillary refill takes more than 3 seconds, it
nurse can utilize to promote and maintain health, prevent may mean that the child is in
a. Severe febrile disease c. Shock
illness, and assist in the task of cure and rehabilitation.
b. Circulatory failure d. Dehydrated state
The IMCI chart prescribed by the World Health 45. A child Irving in a non malaria risk area who has
Organization is one such resource. stiff neck may be classified as having
a. Malaria c. R/O Malaria
36. The IMCI chart provides the necessary procedure b. Severe febrile disease d. Fever,no malaria
when identifying, the appropriate interventions to
be done. However, the community health nurse Situation 16: Community health nurses take care of clients
should be aware that the following factor should
with varying health conditions.
be considered in utilizing the case management
chart: 46. A population group that should be given attention
a. Age of the child c. Chief complaint by the community health nurse is obese women
b. Danger signs d. Problem of the who become pregnant Obesity is responsible for
child what complications during pregnancy?
37. In the lMCI classification tables, the color yellow a. Prematurity c. Gestational diabetes
indicates that a b. Anemia d. Spontaneous abortion
a. Child needs an appropriate antibiotic or 47. A community health nurse visits a child with
other treatment exacerbation of asthma. The nurse would most
b. Child does not need specific medical likely assess for which one of the following in
treatment determining what exacerbates the child's asthma?
c. Referral or admission is needed a. The educational level of the child's
d. Chief complains needs an urgent attention caregiver
38. Upon assessment, the nurse notes that a child has b. The child's height and weight
fever. In the presence of mosquito bites, the nurse c. The amount of exclusion the child is
would suspect the following illnesses except experiencing
a. Measles c. Hemorrhagic fever d. Air pollution and second hand cigarette
b. Malaria d. DHF smoke
39. All of the following illnesses are caused by a virus 48. Which of the following best describes an advanced
except: practice nurse?
a. Chikungunya c. H fever a. An RN who assists the physician during a
b. Malaria d. Parotitis epidemic cesarian section delivery
40. Which of the following laboratory tests would b. An RN who works in the high risk newborn
classify the presence of fever as positive for nursery
malaria? c. A master's prepared RN who is a manager
a. Tourniquet c. CBC of a large labor and delivery unit
b. Occult blood d. Blood swear d. A certified RN who provides primary care
Situation 9: Marie, 5 months old, weighs 5.2 kilograms as to low risk client’s in a community health
a temperature of 38°C. She is brought to the health center
center. Her mother says she is not eating well, feels hot to 49. The four major change agents that impact the
touch, able to drink, not vomiting, no convulsions and not future of community health care for children and
lethargic, and not soughing. They live in a malaria risk families are demographics, science and:
area. Her fever started 2 days ago. She has no signs of a. The amount of Influence the public has on
legislator and the political party, in power
measles, no stiff neck or runny nose.
b. The stock market and recession periods
41. How will you classify Marie’s illness c. Hospital administrative policies and health
a. Pain fever care reimbursement
b. Severe febrile disease d. Market driven economic policy and
technology
 50. A home health nurse is made aware that a client 57. Which biological used in Expanded Program on
and family are about to lose their home due to Immunization (EPI) is stored in the freezer?
foreclosure. The nurse contacts the social service A. DPT
department of the home health care agency for B. Tetanus toxoid
assistance in finding housing for the family. The C. Measles vaccine
actions taken by the nurse best exemplifies D. Hepatitis B vaccine
following roles of the community health care 58. Unused BCG should be discarded how many hours
nurse? after reconstitution?
a. Clinician c. Advocate A. 2
b. Consultant d. Researcher B. 4
SITUATION 11: The following questions pertains to C. 6
miscellaneous situations found in community health D. At the end of the day
settings. 59. In immunizing school entrants with BCG, you are
51. Which level of health facility is the usual point of not obliged to secure parental consent. This is
entry of a client into the health care delivery because of which legal document?
system? A. P.D. 996
A. Primary B. R.A. 7846
B. Secondary C. Presidential Proclamation No. 6
C. Intermediate D. Presidential Proclamation No. 46
D. Tertiary 60. A 4-week old baby was brought to the health
52. The public health nurse is the supervisor of rural center for his first immunization. Which can be
health midwives. Which of the following is a given to him?
supervisory function of the public health nurse? A. DPT1
A. Referring cases or patients to the midwife B. OPV1
B. Providing technical guidance to the midwife C. Infant BCG
C. Providing nursing care to cases referred by the D. Hepatitis B vaccine 1
midwife 61. You will not give DPT 2 if the mother says that the
D. Formulating and implementing training infant had:
programs for midwives A. Seizures a day after DPT 1.
53. One of the participants in a hilot training class B. Fever for 3 days after DPT 1.
asked you to whom she should refer a patient in C. Abscess formation after DPT 1.
labor who develops a complication. You will answer, D. Local tenderness for 3 days after DPT 1
to the 62. A 2-month old infant was brought to the health
A. Public Health Nurse center for immunization. During assessment, the
B. Rural Health Midwife infant’s temperature registered at 38.1°C. Which is
C. Municipal Health Officer the best course of action that you will take?
D. Any of these health professionals. A. Go on with the infant’s immunizations.
54. If the RHU needs additional midwife items, you will B. Give Paracetamol and wait for his fever to
submit the request for additional midwife items for subside.
approval to the C. Refer the infant to the physician for further
A. Rural Health Unit assessment.
B. District Health Office D.  Advise the infant’s mother to bring him back for
C. Provincial Health Office immunization when he is well.
D. Municipal Health Board 63. A pregnant woman had just received her 4th dose
55. As an epidemiologist, the nurse is responsible for of tetanus toxoid. Subsequently, her baby will have
reporting cases of notifiable diseases. What law protection against tetanus for how long?
mandates reporting of cases of notifiable diseases? A. 1 year
A. Act 3573 B. 3 years
B. R.A. 3753 C. 10 years
C. R.A. 1054 D. Lifetime
D. R.A. 1082 64. A 4-month old infant was brought to the health
56. According to Freeman and Heinrich, community center because of cough. Her respiratory rate is
health nursing is a developmental service. Which of 42/minute. Using the Integrated Management of
the following best illustrates this statement? Child Illness (IMCI) guidelines of assessment, her
A. The community health nurse continuously breathing is considered
develops himself personally and professionally. A. Fast
B. Health education and community organizing are B. Slow
necessary in providing community health services. C. Normal
C. Community health nursing is intended primarily D. Insignificant
for health promotion and prevention and 65. The following are strategies implemented by the
treatment of disease. Department of Health to prevent mosquito-borne
D. The goal of community health nursing is to diseases. Which of these is most effective in the
provide nursing services to people in their own control of Dengue fever?
places of residence. A. Stream seeding with larva-eating fish
 B. Destroying breeding places of mosquitoes A. Mastoiditis
C. Chemoprophylaxis of non-immune persons going B. Severe dehydration
to endemic areas C. Severe pneumonia
D. Teaching people in endemic areas to use D. Severe febrile disease
chemically treated mosquito nets 74. A client was diagnosed as having Dengue fever. You
66. Secondary prevention for malaria includes will say that there is slow capillary refill when the
A. Planting of neem or eucalyptus trees color of the nail bed that you pressed does not
B. Residual spraying of insecticides at night return within how many seconds?
C. Determining whether a place is endemic or not A. 3
D. Growing larva-eating fish in mosquito breeding B. 5
places C. 8
67. Scotch tape swab is done to check for which D. 10
116. Which of the following signs indicates the 75. A 3-year old child was brought by his mother to the
need for sputum examination for AFB? health center because of fever of 4-day duration.
A. Hematemesis The child had a positive tourniquet test result. In
B. Fever for 1 week the absence of other signs, which is the most
C. Cough for 3 weeks appropriate measure that the PHN may carry out to
D. Chest pain for 1 week prevent Dengue shock syndrome?
68. To improve compliance to treatment, what A. Insert an NGT and give fluids per NGT.
innovation is being implemented in DOTS? B. Instruct the mother to give the child Oresol.
A. Having the health worker follow up the client at C. Start the patient on intravenous fluids STAT.
home D. Refer the client to the physician for appropriate
B. Having the health worker or a responsible family management.
member monitor drug intake 76. The pathognomonic sign of measles is Koplik’s spot.
C. Having the patient come to the health center You may see Koplik’s spot by inspecting the _____.
every month to get his medications A. Nasal mucosa
D. Having a target list to check on whether the B. Buccal mucosa
patient has collected his monthly supply of drugs C. Skin on the abdomen
69. Diagnosis of leprosy is highly dependent on D. Skin on the antecubital surface
recognition of symptoms. Which of the following is 77. Among the following diseases, which is airborne?
an early sign of leprosy? A. Viral conjunctivitis
A. Macular lesions B. Acute poliomyelitis
B. Inability to close eyelids C. Diphtheria
C. Thickened painful nerves D. Measles
D. Sinking of the nose bridge 78. Among children aged 2 months to 3 years, the
70. For prevention of hepatitis A, you decided to most prevalent form of meningitis is caused by
conduct health education activities. Which of the which microorganism?
following is IRRELEVANT? A. Hemophilus influenzae
A. Use of sterile syringes and needles B. Morbillivirus
B. Safe food preparation and food handling by C. Steptococcus pneumoniae
vendors D. Neisseria meningitides
C. Proper disposal of human excreta and personal 79. Human beings are the major reservoir of malaria.
hygiene Which of the following strategies in malaria control
D. Immediate reporting of water pipe leaks and is based on this fact?
illegal water connections A. Stream seeding
71. Which biological used in Expanded Program on B. Stream clearing
Immunization (EPI) should NOT be stored in the C. Destruction of breeding places
freezer? D. Zooprophylaxis
A. DPT 80. The use of larvivorous fish in malaria control is the
B. Oral polio vaccine basis for which strategy of malaria control?
C. Measles vaccine A. Stream seeding
D. MMR B. Stream clearing
72. You will conduct outreach immunization in a C. Destruction of breeding places
barangay with a population of about 1500. Estimate D. Zooprophylaxis
the number of infants in the barangay. 81. Mosquito-borne diseases are prevented mostly
A. 45 with the use of mosquito control measures. Which
B. 50 of the following is NOT appropriate for malaria
C. 55 control?
D. 60 A. Use of chemically treated mosquito nets
73. In Integrated Management of Childhood Illness, B. Seeding of breeding places with larva-eating fish
severe conditions generally require urgent referral C. Destruction of breeding places of the mosquito
to a hospital. Which of the following severe vector
conditions DOES NOT always require urgent referral D. Use of mosquito-repelling soaps, such as those
to a hospital? with basil or citronella
82. A 4-year old client was brought to the health center
with the chief complaint of severe diarrhea and the A. Contact tracing
passage of “rice water” stools. The client is most B. Community survey
probably suffering from which condition? C. Mass screening tests
A. Giardiasis D. Interview of suspects
B. Cholera 90. Antiretroviral agents, such as AZT, are used in the
C. Amebiasis management of AIDS. Which of the following is
D. Dysentery NOT an action expected of these drugs.
83. In the Philippines, which specie of schistosoma is A. They prolong the life of the client with AIDS.
endemic in certain regions? B. They reduce the risk of opportunistic infections
A. S. mansoni C. They shorten the period of communicability of
B. S. japonicum the disease.
C. S. malayensis D. They are able to bring about a cure of the
D. S. haematobium disease condition.
84. A 32-year old client came for consultation at the 91. A barangay had an outbreak of German measles.
health center with the chief complaint of fever for a To prevent congenital rubella, what is the BEST
week. Accompanying symptoms were muscle pains advice that you can give to women in the first
and body malaise. A week after the start of fever, trimester of pregnancy in the barangay?
the client noted yellowish discoloration of his A.  Advice them on the signs of German measles.
sclera. History showed that he waded in flood B. Avoid crowded places, such as markets and
waters about 2 weeks before the onset of moviehouses.
symptoms. Based on his history, which disease C. Consult at the health center where rubella
condition will you suspect? vaccine may be given.
A. Hepatitis A D. Consult a physician who may give them rubella
B. Hepatitis B immunoglobulin.
C. Tetanus 92. You were invited to be the resource person in a
D. Leptospirosis training class for food handlers. Which of the
85. MWSS provides water to Manila and other cities in following would you emphasize regarding
Metro Manila. This is an example of which level of prevention of staphylococcal food poisoning?
water facility? A. All cooking and eating utensils must be
A. I thoroughly washed.
B. II B. Food must be cooked properly to destroy
C. III staphylococcal microorganisms.
D. IV C. Food handlers and food servers must have a
86. You are the PHN in the city health center. A client negative stool examination result.
underwent screening for AIDS using ELISA. His D. Proper handwashing during food preparation is
result was positive. What is the best course of the best way of preventing the condition.
action that you may take? 93. 148. In a mothers’ class, you discussed childhood
A. Get a thorough history of the client, focusing on diseases such as chicken pox. Which of the
the practice of high risk behaviors. following statements about chicken pox is correct?
B. Ask the client to be accompanied by a significant A. The older one gets, the more susceptible he
person before revealing the result. becomes to the complications of chicken pox.
C. Refer the client to the physician since he is the B. A single attack of chicken pox will prevent future
best person to reveal the result to the client. episodes, including conditions such as shingles.
D. Refer the client for a supplementary test, such as C. To prevent an outbreak in the community,
Western blot, since the ELISA result may be false. quarantine may be imposed by health authorities.
87. Which is the BEST control measure for AIDS? D. Chicken pox vaccine is best given when there is
A. Being faithful to a single sexual partner an impending outbreak in the community.
B. Using a condom during each sexual contact 94. Complications to infectious parotitis (mumps) may
C. Avoiding sexual contact with commercial sex be serious in which type of clients?
workers A. Pregnant women
D. Making sure that one’s sexual partner does not B. Elderly clients
have signs of AIDS C. Young adult males
88. The most frequent causes of death among clients D. Young infants
with AIDS are opportunistic diseases. Which of the Situation: Community health nursing is a combined field
following opportunistic infections is characterized of public health and nursing profession. Principles of CHN
by tonsillopharyngitis? must be understood by nurses to provide continuity of
A. Respiratory candidiasis
care.
B. Infectious mononucleosis
95. Which among the following is not a correct
C. Cytomegalovirus disease
D. Pneumocystis carinii pneumonia principle underlying community health nursing
89. To determine possible sources of sexually practice?
transmitted infections, which is the BEST method a. Emphasis is placed on promoting health and
that may be undertaken by the public health nurse? access to care by addressing the health-care needs
 of people where they live and work. c. 1BCG;1HEPB;3PENTA;3OPV;2MMR;3PCV;2ROTATE
b. Health care in the context of the community Q
represents an alternative mode of health-care d. 1-BCG;1HEPA
delivery.
B;3PENTA;3OPV;1AMV;2MMR;3PCV;2ROTATEQ
c. Community health care providers should only be
comprised of professional health care providers
with proper training and education
d. Non-professional health care providers are not a
part of community health care provider
e. Option C and D are incorrect
96. Care demands leading to the development of cost-
effective, high-quality and innovative systems of
community health care that are accessible to all
citizens. It means that:
A. Community resources are maximized and active
participation among people is required
B. Poor and rich citizens are treated equally
C. Community health services are affordable
D. Alternative treatments are considered to ensure
quality to all levels of client regardless of socio-
economic status
97. In most developing countries, the community health-
care system represents at least five layers of care that
respond to the comprehensive health care demands of
its people. The five layers are, except:
A. individual self-care
B. family care, and support among neighbours and
groups in the community
C. care and support given by health-care providers and
healers
D. None of these
E. welfare and support provided by community allies
such as the local administrative government
98. Which of the following is not a characteristic of
community health nursing?
A. Curative-focused
B. population-focused
C. community-oriented
D. prevention of disease, disability and premature
death in a population
99. CHN is a unique approach to health. Which of the
following principles make it unique compared to other
fields of specialization in nursing?
A. Basic health services are offered.
B. Complex and comprehensive nursing care plans are
established and made.
C. Community health nurses are able to learn and
develop partnership skills with all stakeholders and key
actors in their communities.
D. The dynamic, complex and emerging environment of
health care presents complex healthcare demands of
the community that require different capabilities in
today’s community health nurses and health-care
professionals.
100. With the answer to the above question, a
Filipino child can be cosidered aa FULLY
IMMUNIZED (FIC) if the following number of doses
of vaccine has been given. Which one is correct?
a. 1BCG;1HEPAB;3PENTA;3OPV;2MMR;3PCV;3ROTAT
EQ
b. 1BCG;1HEPAB;3PENTA;3OPV;1AMV;2MMR;3PCV;3
ROTATEQ