NUR 099 (Nursing Seminar 1)

STUDENT ANSWER SHEET BS NURSING / FOURTH YEAR

Session # 14

LESSON TITLE: COMMUNITY HEALTH NURSING PART 3

LEARNING OUTCOMES: Materials:

Upon completion of this lesson, the nursing student can: Book, pen and notebook, index card/class list

1. Define the importance of Primary Health Care in the

Philippines;
2. Apply the various health status indicators of the community
(community diagnosis); References: Nursing Care of the Community by
3. Review the Department of Health (DOH) approved Zenaida U. Famorca, Mary A. Nies, and Melanie
traditional medicinal plants in the Philippines McEwen

LESSON PREVIEW/REVIEW (5 minutes)

MAIN LESSON (55 minutes)

I. Primary Health Care

a. Brief history of primary health care
b. Definition of primary health care
c. Key principles of primary health care
i. The 4 As of PHC
ii. Support mechanisms
iii. Multisectoral approach
iv. Community participation
v. Equitable distribution of health resources
vi. Appropriate technology
d. Primary health care versus primary care
II. Application of Epidemiology in Community Health
a. Assessment of the health status of the community (community diagnosis)
i. Morbidity indicators
ii. Mortality indicators
iii. Population indicators
iv. Sources of data for calculation of health indicators
v. Considerations in the analysis and interpretation of health indicators
III. Recommended medicinal plants by the Department of Health
a. Garlic
b. Sambong
c. Akapulko
d. Yerba Buena
e. Tsaang gubat
f. Ampalaya
g. Ulasimang bato
h. Bayabas
i. Niyug-niyogan
j. Lagundi

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CHECK FOR UNDERSTANDING (25 minutes)
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. You
are given 25 minutes for this activity:

MULTIPLE CHOICE

1. In the census of the Philippines in 1995, there were about 35,299,000 males and about 34,968,000 females. What
is the sex ratio?

A. 99.06:100
B. 100.94:100
C. 50.23%
D. 49.76%

ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. Primary health care is a total approach to community development. Which of the following is an indicator of
success in the use of the primary health care approach?

A. Health services are provided free of charge to individuals and families.

B. Local officials are empowered as the major decision makers in matters of health.
C. Health workers are able to provide care based on identified health needs of the people.
D. Health programs are sustained according to the level of development of the community.

ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would sometimes get false
negative results in this exam. This means that the test is not perfect in terms of which characteristic of a
diagnostic examination?

A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity

ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Use of appropriate technology requires knowledge of indigenous technology. Which medicinal herb is given for
fever, headache and cough?

A. Sambong
B. Tsaang gubat
C. Akapulko
D. Lagundi

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ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. What is the legal basis for Primary Health Care approach in the Philippines?

A. Alma Ata Declaration on PHC

B. Letter of Instruction No. 949
C. Presidential Decree No. 147
D. Presidential Decree 996

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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6. Which of the following demonstrates intersectoral linkages?

A. Two-way referral system

B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between the PHN and public-school teacher

ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. The municipality assigned to you has a population of about 20,000. Estimate the number of 1-4 year old children
who will be given Retinol capsule 200,000 I.U. every 6 months.

A. 1,500
B. 1,800
C. 2,000
D. 2,300

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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8. Estimate the number of pregnant women who will be given tetanus toxoid during an immunization outreach
activity in a barangay with a population of about 1,500.

A. 265
B. 300
C. 375
D. 400

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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 9. To describe the sex composition of the population, which demographic tool may be used?

A. Sex ratio
B. Sex proportion
C. Population pyramid
D. Any of these may be used.

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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10. Which of the following is a natality rate?

A. Crude birth rate

B. Neonatal mortality rate
C. Infant mortality rate
D. General fertility rate

ANSWER: ________
RATIO:___________________________________________________________________________________________
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11. You are computing the crude death rate of your municipality, with a total population of about 18,000, for last year.
There were 94 deaths. Among those who died, 20 died because of diseases of the heart and 32 were aged 50
years or older. What is the crude death rate?

A. 4.2/1,000
B. 5.2/1,000
C. 6.3/1,000
D. 7.3/1,000

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

12. Knowing that malnutrition is a frequent community health problem, you decided to conduct nutritional assessment.
What population is particularly susceptible to protein energy malnutrition (PEM)?

A. Pregnant women and the elderly

B. Under-5-year-old children
C. 1-4-year-old children
D. School age children

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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 13. In the past year, Barangay A had an average population of 1655. 46 babies were born in that year, 2 of whom
died less than 4 weeks after they were born. There were 4 recorded stillbirths. What is the neonatal mortality
rate?

A. 27.8/1,000
B. 43.5/1,000
C. 86.9/1,000
D. 130.4/1,000

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

14. Which statistic best reflects the nutritional status of a population?

A. 1-4-year-old age-specific mortality rate

B. Proportionate mortality rate
C. Infant mortality rate
D. Swaroop’s index

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

15. What numerator is used in computing general fertility rate?

A. Estimated midyear population

B. Number of registered live births
C. Number of pregnancies in the year
D. Number of females of reproductive age

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

16. You will gather data for nutritional assessment of a purok. You will gather information only from families with
members who belong to the target population for PEM. What method of data gathering is best for this purpose?

A. Census
B. Survey
C. Record review
D. Review of civil registry

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

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 17. In the conduct of a census, the method of population assignment based on the actual physical location of the
people is termed

A. De jure
B. De locus
C. De facto
D. De novo

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

18. The Field Health Services and Information System (FHSIS) is the recording and reporting system in public health
care in the Philippines. The Monthly Field Health Service Activity Report is a form used in which of the
components of the FHSIS?

A. Tally report
B. Output report
C. Target/client list
D. Individual health record

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

19. To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will be
most useful?

A. Tally report
B. Output report
C. Target/client list
D. Individual health record

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

20. Civil registries are important sources of data. Which law requires registration of births within 30 days from the
occurrence of the birth?

A. P.D. 651
B. Act 3573
C. R.A. 3753
D. R.A. 3375

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

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RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.
1. ANSWER: ________
RATIO:_______________________________________________________________________________________
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2. ANSWER: ________
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13. ANSWER: ________

RATIO:_______________________________________________________________________________________
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 RATIO:_______________________________________________________________________________________
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15. ANSWER: ________
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RATIO:_______________________________________________________________________________________
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20. ANSWER: ________
RATIO:_______________________________________________________________________________________
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LESSON WRAP-UP (10 minutes)

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL STRATEGY: CAT 3-2-1

As a summary you are going to record three things you learned from the lesson. Next, record two things that you found
interesting and that you like to learn more about or if you still have something to clarify or clarify about the topic. After
answering the question, I will be at the door to collect the paper as each of you depart from the room. I will respond to
your answer during the next class meeting or as soon as possible

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