96. A mother brings her child to the Rural Health Unit (RHU) for consultation. Which of the following should the nurse do to the child with difficulty in breathing? A. Intervention C. Planning D. Evaluation 97. After training in the DOH program on how to assess children with respiratory problem, the nurse can use which chart? ‘A. IMCI protocol 8. ear of child with cough D. Ask, look, listen chart 98. If the child is in the “No Pneumonia” category, the nurse can advise mother to give home care like: A caring sco ey . letting the child sleep longer D. continuing the play therapy Situation 20 ~ Cholera (EI Tor) is an acute serious illness characterized by sudden onset of acute and profuse colorless diarrhea; an occasional epidemic form in the Philippines. 99. Which of the following Is the source of infection of cholera (El Tor) ‘A. Wet garbage from food establishments B. Dirty water from faucet C. Poor aac of fresh fruits and vegetables 100. Which of the following method of prevention of and control is the role of the nurse? ‘A. Seminar of food handlers ti pete siucton D. Proper handling of waste materials ~--End of ExaminationTOPE RANK REVIEW ACADEMY * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * FUNDAMENTALS OF NURSING Philippine Nursing Licensure Examination NAME: 1. The client's temperature at 8am using an oral electronic thermometer is 36.1 degree C (97.2 F). If the respiration, pulse and blood pressure were within normal range. What would the nurse do next? ‘A. Wait 15 minutes and retake it B. Check what the client’s temperature was the last time it was taken. C. Retake it using a different thermometer D. Chart the temperature as it is normal 2. When the nurse enters a client’s room to measure routine vital signs, the client is on the phone. What technique should the nurse use to determine the respiratory rate? ‘A. Count the respirations during conversational pauses. B, Ask the client to end the phone call now and resume it at a later time. C. Wait at the client's bedside until the phone call is completed and then count respirations. D. Since there is no evidence of distress or urgency, postpone the measurement until later. 3. For a client with a previous blood pressure of 138/74 mmHg and a pulse of 64bpm, approximately how long should the nurse take to release the blood pressure cuff in order to obtain an accurate reading? ‘A. 10-20 seconds B. 30 ~45 seconds C. 1-1.5minutes D. 3-3.5 minutes 4. An 85 year old client has had a stroke resulting in right sided facial drooping, difficulty swallowing and the inability to move self or maintain position unaided. The nurse determines that which site are most appropriate for taking the temperature? SATA - Oral Rectal Axillary Tympanic Temporal Artery A. 1,234 B. 3,4 C345 D. 23,4 Bee 5. When auscultating the blood pressure, the nurse hears: From 200 to 180 mmhg: silence; then a thumping sound continuing down to 150 mmHg;muffied sounds continuing down to 130 mmHg; soft thumping sounds continuing down to 105 mmHg; muffled sounds continuing down to 95mmHg; then silence. The nurse recods the blood pressure as : A. 180/95 B. 150/95 C. 180/105 D. 150/105 6. Which is a normal finding on auscultation of the lungs? A. tympany over the right upper lobe. B. Resonance over the left upper lobe. C. hyperresonance over the left lower lobe D, dullness above the left 10th intercostal space.D. “Give medications” Situation 18: AB, 32 years old, has returned from Hongkong and was admitted to a hospital with a tentative diagnosis of SARS. 89, AB Is expected to have which of the following symptoms? A Teer eae aeaa ean eee B. fever and dyspnea C. fever and reproductive cough D. fever and cyanosis 90. Jpcubatin gd of SARS: B. 5-11 days . 1-10 days D. 1-5 days 91. The following countries where SARS originated include the following, except: A. China B. Canada D. Hong Kong 92. Baise causetve agent of SARS? B. Retro virus C. Rhabdo virus D. Influenza virus 93. Which of the following is the most serious complication of SARS? ‘A. pulmonary congestion i atelectasis D. anaphylaxis Situation 19 - Acute respiratory infection remains to be the leading cause of illness and death among Filipinos especially children. 94. The nurse is able to identify factors that lead to respiratory problem. Primary function of the aul B. to mobilize field workers to meet parents. C. to refer severe cases to district hospitals. D. to teach the mother to recognize early signs and symptoms of pneumonia. 95. Which of the following is the primary focus of the Care of Acute Respiratory Infection (CARI) program of the Department of Health? ives to assess patients C. Enhancement of workers capabilities D. Teaching parents how and when to refer 481. Which of the following is the primary goal of maternal- child health nursing? ‘A. To promote the well being of potential mothers and fearn the right approach to family life and family planning. B. To consider that every child has love and security and has a better future. C. To avoid te children who are misdirected and became street children. 82. What is the objective of prenatal care? A. To avold complication of babies upon delivery, like fetal death In utero, €. To ensure that all pregnant women are given tetanus toxoid Immunization. D. To schedule at least 3 prenatal visits during the time of pregnancy. 83. What vitamins should a pregnant woman take to increase hemoglobin? ‘A. Minerals B. Vitamin A D. Vitamin c 84, When should the first prenatal be advised: 4 First sei C. First quicker D. First LMP Situation 17 ~ Nursing care in the home requires giving to the individual patient the care necessary to reach the level of functioning. 85. Which of the following is NOT a principle in Nursing Care in the home? ‘A. Giving opportunity to teach patient B. Utilizes medical and nursing care plans C. Give comfort and a 86. lation technique in the horne? B. Discharges from nose and throat should be discarded. C. Patient should refrain from talking to others. D. Discharges should be boiled before washing. 87. Tess, 52 yrs. old is known to have Diabetes mellitus. Which topic for health teaching is BEST for Tess? A. Fashion B._Groomint D. Cooking 88. Cynthia, 4 yrs. old has Asthma. Her mother brought her to the Rural Health Unit and ask the nurse how to prevent another attack in the home, What should the nurse tell Cynthia's mother? ‘A. “Bring to the doctor at once” 1370. mother of a 10 month old baby tells you that she feeds the baby lugaw, with lots of fluid in it 3x a day. The baby is still breastfed. The nurse would: A. congratulate the mother for doing giving correct feeding to the child B. tell the mother to increase frequency of solid foods to 5x a day C, tell the mother to decrease frequency of solid foods to 2x a dat 71. When assessing for feeding problems in a 36-month old client, you noted that the mother said that the baby eats family food 3X a day with 2 snacks specifically one between breakfast and lunch and one between lunch and dinner. This indicates? A. a feeding problem Ba ge ial eo problem D. a tendency for obesity Situation 15: The following situations would necessitate the application of your knowledge on the IMCI. 72. You are assessing a 7 month old’s development. During this time you noted that the baby didn’t have much things to stimulate development. The best advice to give the mother is: ‘A. to give child clean, safe household things to handle, bang and drop B. give household things to stack up or to put into a container C. help child count and name things D. provide an area where there lots of colorful things 73.A mother of an 18 month old baby tells you that she has already returned to work and have less time spent with her child, Which of the following would be the most appropriate advice to the mother? ‘A. ask a trusted person to spend more time with babj B. ‘Reece us the BABY Wille aeing ekcreaTh the ROWS . ask father to spend more time with baby D. give more toys to baby to play with such as stack up toys 74.As a nurse trained in IMCI, you know that if assessment findings needs emergency treatment and emergent hospital care, the box where you will look at to determine your actions will be? A. All the first box for whichever symptom Is concerned B. All the yellow box for whichever symptom is concerned c. All age boxes for SUES nate is concerned 75. You are assessing a 2 week old newborn. The chief complaint of the mother is that the child has been coughing for 3 days. The baby had no nasal flaring, no grunting and no chest in drawing. You noted that the RR was 55/min. Your next action is: . count the RR again D. Check for airway obstruction76. You are taking care of a 3 week old newborn brought by the mother because of persistent crying leading to a decrease in frequency of feeding. During your assessment, the only thing you noted is the presence of redness of the umbilicus up to the surrounding skin. You also noted that baby has less than 8 feedings in 24 hours. The next action of the nurse is: A. initiate measures in the yellow classification pertaining to localized infection B. initiate measures in the yellow classification feeding problem C. initiate measures in the pink classification possible serious bacterial infection and not able to feed--- possible serious bacterial infection 77.43 month old baby came in to your health center. She weighs 3 kgs. has a cough for 3 days and when you assessed, had an RR of 48/min, negative for chest in-drawing and stridor. The baby had no other problems. You assessed the baby’s nutritional status. You noted that she did not have palmar pallor nor did she have signs of visible wasting or edema. Her weight is just slightly below the lower cut-off for her age. Your assessment reveals: 8. patent an be classed ox very ow welt CC. patient can be classified as pneumonia D. patient can be classified as severe pneumonia; very severe disease 78. You are to assess a five month old baby boy in your barangay health center. The child is 5.5 kgs. The mother brought her for check-up because of a rash over the entire back. While assessing you noted that the patient had no general danger signs, no cough, no diarrhea, no fever, no ear problem and had no signs of anemia nor very low weight. What would be reflected on the IMCI form? ‘A. The IMCI form would be empty B. The form would reflect a classification of the patient as measles C. The form would reflect a classification of no anemia and not very low weight with ‘orresponding | lons written at 79. You are taking care of a 36 month old baby with complaints of an ear problem. Which ameng these will not be rete in your assessment? B. presence of pus draining from the ear . presence of tender swelling from the ear D. asking for presence of ear discharge Situation 16 ~ Mrs. Herrera is the nurse at the Mother and Child Health Nursing Unit of a health care facility which includes home visit in the homes of mother and child after delivery. 80. Which of the EE Is Mrs. Herrera's concern when she visits the mother and child? B. Make a schedule of the visit to the doctors office C. Determine family planning method for the mother D. Evaluate socio- economic status of the family 12c seedenete dysentery 58. In assessing for diarrhea, the IMCT trained nurse knows that a patient can have: A. one classification B. two classifications D. four classifications 59. You are taking care of an 8 month old infant taken to the health center because of diarrhea and fever. The mother reported that the baby had an episode of fever. The baby had no general danger signs. The baby had no cough. The mother reported that the baby had diarrhea for 15 days, with some tinge of blood. The baby was quite restless during the assessment. When offered milk, she drank eagerly and skin pinch went back briskly. When you took the temperature of the baby the temperature was 37.30C, They do not live in a malaria or dengue endemic area. The baby had no generalized rash. From your assessment, the nurse knows that A. the client has three classification for diarrhea and no other classification B. the client needs urgent referral with no additional interventions C. the client can be treated in the health center 60. Given the above client, the nurse would institute which of the following measures? A. measures under classification for dehydration B._measures under classification for pret diarrhea D. measures under classification for fever: no malaria 61. You are assessing for a 5 week old neonate for the chief complaint of diarrhea, There are no indications of a possible serious bacterial infection or a localized bacterial infection. While doing the assessment for diarrhea, you noted that the diarrhea has been for 2 days and there's a tinge of blood in the stool. The baby is moving his head around, not crying while cuddled by the mother. The eyes are sunken and skin pinch went back oo The nurse knows that: B. the baby can be treated at home . the baby can be treated at the heath center D. the baby can be classified as possible serious bacterial infection Situation 13: A mother brought her infant to the health center with a chief complaint of fever. As a public health nurse, apply your knowledge on IMCI to the following situations. 62.A mother comes with her 2 month old child with a chief complaint of fever. To assess for ge all of these questions EXCEPT? B. Is your child able to drink or breastfeed? . Has she vomited everything she ate? D. Has the child had convulsions? 63.A mother reported that her 4 month old baby is having fever for two days already. The baby’s temperature is 37.3 OC. The patient lives in San Andres Manila and has never traveled elsewhere. She did not have measles for the past 3 months and has notA. Nine units in nursing administration B. Masters sears In related fields D. Doctoral degree 43. The faculty of a college of nursing must have a master’s degree which is: ‘A. Psychology B. Nursing only c Be ic Health 44, Nurses in the nursing service must also be qualified. The nursing service director must have a ‘A. Masters degree in any field of nursing B. a case In ra sear D. Masters degree in education 45.To become a Board of Nursing member, which of the following is a requil ‘A. Masters in Public Administration B. Nine units of Masters degree in nursing C._ Nine uni Ss parecer and administration course at the graduate level Situation 10 — Immunization schedules is to be used in order to provide maximum immunity to the seven EPI diseases before the child reaches the first birthday. 46. Which of the following vaccines is given at birth for the protection of the newborn? D. DPT 47. How many doses of DPT should be given with an interval of 4 weeks? one B. eG D. agg OPT atone B. Birth C. 2 weeks D. 4 weeks 49. Protection against pollo is increased if given earlier. When is the right age? A. 4 weeks g 2 weeks D. Birth 50. If measles is given at 9 months, what is the percentage that measles can be prevented? A 80%Cc. 90%. D. 95%. Situation 14 — Nursing care right after delivery Is very crucial to both mother and baby. 51. Which of the following is NOT checked on the mother? A. Vital signs B. Contracted and hard uterus D. Expelled placenta and laceration 52. Which of the following should be observed on the baby? B. Birthmark and pigmentation c. Sucking D. Placenta 53. Registration of the baby must be done by a: A. nurse br saith worker D. trained hilot 54, The first postpartum visit in the home is ‘A. six weeks after delivery B. four weeks after delivery C. one week after delivery 55. An important function of the nurse is recording of disease cases. Where should the reports be submitted? A. Mayor office B. Provincial office C. Field health services information system Situation 12: The following questions pertain to Diarrhea and IMCI. 56. While assessing an 8 month old infant who has diarrhea, you noted that the diarrhea has, been for 2 days without presence of blood. The child kept playing with her rattle while sitting on her mother’s lap. The patient’s eyes were not sunken. When offered milk, the baby greedily drank from the feeding bottle. What other symptom will you look into before you classify the patient's diarrhea? A. capillary refill B, pel lor of pei D. dryness of mouth 57. You noted that when pinched, the above client's abdomen returned to previous contour slowly. What will be the classification of this baby's diarrhea? A. severe dehydration B. some dehydration, persistent diarrheadeveloped any generalized rash. The baby has a cough for 3 days already. What other information would be necessary before you decide on the patient's classification? ‘A. presence of pus draining from the eyes C. episodes of high grade fever D. episodes of diarrhea 64. In assessing for the presence of measles, the nurse would take note of all of the following EXCEPT? ‘A. generalized rash and redness of the . clouding of the cornea D. mouth sores 65. You have a 10 month old patient coming in with fever of 38 °C lasting for eight days. The patient lives in a malaria endemic area, manifests with runny nose and generalized rash with no signs of bleeding. What will be one of the actions of the nurse/ A, sat, the client CC. conduct tourniquet test D. refer immediately 66. You are to assess a 12-month old baby whose main symptom is cough and fever. You noted that the baby has had the cough for 5 days. You also noted that his respiratory rate is 50/min, there is no chest in drawing nor stridor, The nurse will classify this client as: ‘A. no pneumonia: cough or colds Baa cio Or vey cover aseara D. Very severe disease Situation 14: The IMCI also deals with ensuring that the child would get proper nutrition. 67. 1n teaching the mother of a 2 week old infant how to ensure proper attachment, the nurse would have the mother do all of the following EXCEPT: B. after stimulating infant, wait until infants mouth is wide open then move infant quickly to breast . aim the infants lower lip well below the nipple D. proper positioning technique is used 68.A mother comes in with her 3 week old infant. The nurse would know that part of basic assessment in TMCI would include: A. assessing for breast infection B, pareg dep aaee mother-father and child bonding D. assessing for uterine involution of the mother 69. You are to assess for breastfeeding of a 1 month old newborn brought to the health center. Which of the following is not included in checking for attachment? A. check if chin is oace breast CC. check if mouth wide open 10D. Nurse- patient ratio Situation 8 - Having a 2- year old child and not working, you were encouraged to turn your garage into a day care center catering to pre- school children. There are 6 children to start with, half of them are toddlers. 36. As 3- year olds, these children are usually least skilled in which of the following? ‘A. Tying shoe laces B. Throwing balls 5 us a Bint in 37. Which of the following people would most likely be their significant others? A. Peers B. Teachers c polcge 38. One of the children complained of pain in the abdomen. Which of the following pain assessment techniques would be LEAST effective for the nurse to use when caring for toddlers? A. Watch thelr faces for grimaces D. Listen to the nature of their crying 39. There was a sudden power failure one time when the children were in the day care center. One of the kids was observed to be unusually afraid. What concept in the preconceptual phase of cognitive development in Piaget's theory best explains fear of darkness among toddlers? ‘A. Conservation of nature B. Reversibility é oy ject permanence 40. In discussing the behavior of children among the parents, the nurse discovers that she Is less judgmental than her friends, She is most likely to be least judgmental because of Which of the following reasons? ‘A. Works gradually to change the detrimental values of others B. She can give up her values in an attempt to accept people as they are cS ama ‘overlook other reas values that are contrary to hers Situation 9 - The Nursing Act of 2002 or R.A. 9173 has a provision that the nurse must continue her education even after passing her licensure examination. 41. Which of the following is formal cont ‘A. Teleconferences wing education? C. Attendance in conferences D. Refresher courses 42. Which of the following is the required qualification of a dean?i role medeling 28. Forming linkages is an important action, wherein the community leaders relate with other agencies like the following, EXCEPT: A. Schools B. Red Cross C. World Health Organization D. Rotary Club 29. The use of appropriate technology could also mean the use of: ‘A. computers B._ medical ca ipment D. essential drugs 30. The primary role of the nurse in Primary Health Care is as B. teacher C. facilitator D. leader Situation 7 - Evaluation of care is an Integral part in the application of the nursing process. 31. Which is the appropriate term that describes the changes in the client’s health status as a result of nursing intervention? A. Healthy lifest ¢. Modified behavior D. Compliance with the regimen 32. Which of the following is the structural element from which nursing care is delivered? A. ces of care . Care regimen D. Modification of symptoms 33. Which of the following is the process element used as framework of nursing care? ‘A. Outcome changes B. Process goals c ar structure 34 bleh ofthe foteang is the ‘outcome element of nursing care? B. Budget and equipment €. Coordination of services D. Skill level of client 35. What is the measure Jj nursing effectiveness if quality assurance is recommended? B. Change in behavior of the client C. High cost of health care regimenA. Ask her to eat foods rich in Vitamin A. B. Limit use of her eyes D. Teach and enroll her on brall reading 13. When caring for older persons, what bioethical principle should you keep in mind? A. Autonomy B. Beneficence C. Justice D. Non-maleficence 14, Regardless of the social strata, character, or difficulties of the old person's personality and behavior, which should be accorded to the old person? A. Praise and well wishes B. Mano po gestures C. Gratitude and humble service 15. In the Philippines, our greatest asset in society is our love and connectedness with ‘A. land- jewelries CC. education- manners D. money- inheritance Situation 4 - Community health nursing utilizes the nursing process that leads to desired outcome of health status. 16. The assessment process involves participation of clients. Which step determines the health status of families regarding family dynamics and pattern of coping? fi poss of an C. Interpretation of data D. Presentation of data 17. To categorize family health problem, this condition leads to disease or injury ‘A. forseeable crisis C. health need D. health deficit 18. Which of the following is a health deficit? A. History of repeated infection B. Use of nuclear medicine D. Population is inadequately immunized 19. There are many ways of collecting data. This one is the face to face interaction of the researcher and the individual. A. Review of statistics B. Laboratory and scree c. cue 1g test20. The data collected is systematically recorded to facilitate ‘A. confidentiality B. correct and accurate records C. research Situation 5 - The Expanded Program on Immunization was launched in July 1976 by the DOH In cooperation with the WHO. 21. Which of the following is the general objective of EPI? ‘A. Reduce morbidity and mortality among people of all ages B. Reduce morbidity and mortality among urban poor children D. Reduce morbidity and mortality among pregnant women with high risk 22. What is the EPI based on? ‘A. Research studies on communicable diseases. CC. Report of basic health services D. Scenario of the community affected 23. Which age group is EPI compulsory as per PD # 996 of 19762 A. School entrants B. Children of all ages CC. Babies and infants 24.As a nurse, what Is your function in the implementation of EPI? ‘A. Target setting B. Gather children every Wednesday for Patak 5. management ot cold hain 25. Which vaccine is a requirement for school entrants regardless of the presence of BCG scar? A. DPT B. He D. Anti- tetanus Situation 6 - There are corner stones or pillars in Primary Health Care to achieve its, mission. 26. Which of the following is not a comer stone of Primary Health Care? ‘A. Intra and inter sectoral linkages ©. Rete orseretance "=e D. Active community participation 27. To encourage active participation of the community, what qualities should a nurse possess? A. intellectual capacities B. coach behaviorCRITICAL REVIEW II - Community Health Nursing NURSING PRACTICE II - CHN and CARE of the MOTHER and CHILD General Instructions 1, This test booklet contains 100 test questions. 2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet. 3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalidate your answer. 4. AVOID ERASURES INSTRUCTIONS: 1. Detach one (1) answer sheet from the bottom of your Examinee 1D/ Answer Sheet Set. 2, Write the subject title "Nursing Practice I” on the box provided, 3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set box "B" if your test booklet is Set B. Multiple Choice Situational Situation 1 - Environmental Sanitation is one of the main problems in the big cities of our country. Nurses can do something to make a difference. 1. Which of the following agencies is responsible for the promotion of healthy environmental conditions and prevention of environment-related diseases? A. Department of Health Field Units B. C. Department of Health Sanitation Services D. Urban Health and National Organization 2. Which of the following agencies has the authority to act on all issues concerning ironmental health? B. Waste Management and Disposal C. Environmental Sanitation Office D. Sanitation Code #856 3. Which among the following health problems is related to poor environmental conditions as its main cause? B. Dengue hemorrhagic fever C. Infectious hepatitis D. Parasitism 4, As a nurse, the main topic for health teachings in the prevention of environment-related illness would include: A. “linis bakuran” B. street cleaning c. eras liniD. Organization 17. What would you tell a mother who refuses to immunize her baby? ‘A. “Immunization is okay for your baby.” B. "Vaccines are expensive, you get it free.” "It’s up to you if your baby gets sick 18. Pregnant woman seeks help for a trained hilot. What are the reasons why they like hilot? B. Hilot renders holistic touch .Babaylan is better than none D. Faith healers are less expensive 19. Ifnurses are busy, hilots can really be of help. What cases should be assigned to A. Would dressing B. Respiratory infection D. Immunization 20. Which one of the following Acts means that “Health Workers” are all persons engaged in health- related work regardless of their employment status? B. Security of tenure of regular employees Discrimination Prohibition D. Code of ethical standards of Public Officials and employees 21. The Philippine Nursing Act of 1991, in Section 27 Scope of Nursing, describes the person practicing ‘Nursing when the person uses which one of the following scientific knowledge? B. Management skills Studies of nursing manpower needs D. Diagnostic procedures5. For hospital waste disposal, the recommendation Is using A. shredder B. incineration D. compost pit Situation 2 - Elizabeth, a lawyer's secretary, had an abrupt onset of fever, chilly sensation, aches and pains in her back and a feeling of prostration. This lasted for 5 days. 6. You are a friend of Elizabeth because you are boardmates and you are working in a nearby hospital. Which step would you do as your assessment of Elizabeth’s condition? A. Consult a doctor B. Check vital signs D. Advise for laboratory work 7. Elizabeth also has respiratory symptoms. Which one Is the most common symptom in viral influenza? A B. Fever C. Headache D. Pallor 8. As friends, you and Elizabeth sometimes borrow/ use each others personal things. Which item should not be used as a common belanging? B. Blouse and skirt C. Make-up kit D. Bandana and belt 9. At a rea is seat saat ns to Elizabeth. Which one below is most important? B. Stop office work C. Eat light D, Avoid exposure to Pneumonia 10. The mode of transmission of Influenza Virus which Elizabeth suffers from food intake through C. drinking water D. solled linen Situation 3 - ML, 81 years old, loves to walk. She has failing eyesight, wobbly legs, is stubborn and believes she can still manage. 11. What preventive measure will the nurse prescribe for her well being, that is, letting her walk as she likes, but at the an time saan her from ill events in life? B. Talk to her and warn her not to walk anymore because it is dangerous C. Suggest wheel chair ride at regular times during the day D. Give her the liberty to walk at her own risk 12. With her failing eyesight, you as a nurse should22, The nurse assigned in the Rural Health Unit as a beginning nurse practitioner is described as one of the following: A. Specialist 8. Mother-child nurse D. Home care nurse 23. In Rural Health Unit, which kinds of health services are available? A, Safe motherhood 8. Post hospitalization C.Home care 24. Which of these scientific processes is used by the nurse wherein biological and sociological sciences are utilized to obtain community resources? A. Nursing management 8. Nursing program C. Nursing networking 25. What is the legal basis of the implementation of PHC in conjunction with the First International Conference on Primary Health Care sponsored by the WHO? 8. Presidential Decree 996 C.R.A7305 0. RA 71646. The key strategy to obtain the mission of PHC is: ‘A Linkages with health organizations B. Requesting donations from NGO's D. Electing good people in government 7, Aim of PHC isto evolve a total community health care system integrated in people’s way of life. ‘What was done by the government? B. Soliciting from NGO's International acceptance D. Linkages with WHO 8, What factor contributes to the effectiveness of care to your clients as a Rural Unit nurse? A. Interpersonal relationship with barangay officials 8. Expertise in health education C. Knowledge of the objectives of health programs 9. Asa nurse, your organize community groups to participate in your program? ‘A Instruct them to agree with you B. Assign roles D. Conduct group work 10, Utilization of indigenous resources maximizes efforts of the Community Health Nurse. Which one of the following Department of Health programs could you apply this principle? A. Vegetable gardening Herbal medicine D. Nutrition of children 11. One important function and responsibility of the Regional Training Nurse is: ‘A. Designing training program for nurses and midwivesB._ Retinol 200,000 units once every 6 months C. Iodine 200 mg. capsule onee during the pregnancy D. Allof these may be given ‘92. Marie is instructed to offer her breasts to the baby for the first time win 30 minutes after delivery. What is the purpose for offering the breasts this early? A. Tofoswe early maternal bonding with the child B. All of these C. To lessen blood loss after delivery D. To stimulate milk produetion 93, After delivery and based on the recommended schedule in the Under Five Clinic Program, you will encourage Marie to bring her baby to the health center. ‘A. Whenever the baby has a health problem B. Regularly every 2 months C. Regularly every month D. Atthe time when the baby is seheduled for immunization 94, Mrs, Jose Cruz had @ home delivery under the care of a traditional bith attendant She was noted to have excessive vaginal bleeding. The traditional birth attendant will refer her to which of the following? A. Public health nurse B, Manicipal health officer ©. Rural health midwife D._ Private obstetrician 195, Which diarthea disease/s warrants the prescription of antibiotics? A. Gianliasis B. Bacillary dysentery C. Amocbiasis D. Allofthese Situation: Two other diseases endemic in certain parts of the Philippines are Malaria and Schistosomiasis. 96, The most common diagnostic test for Schistosomiasis is through a: A. Stool analysis B. Blood examination C. Urine examination 1D. Sputum examination 97. Sehistosomissis can be controlled by observing the following: 1. building of foot bridges ‘wearing of boots by farmers and fishermen using sanitary toilets clearing vegstation 1,2, 23, 1 1 4 endemic in the Following areas except: Qe. Palawan ©. Tawi-Twai D, Kalinga and Apayao 99, Toconfirm the presence of the disease in a vietim, she should be subjected to: AL urine exam B._ stool analysis CC. blood smear D, sputum mecioscopy 100, Part of Malarial control in an endemic area arc the following EXCEPT: A, Use of mosquito repellant at night B. Propagating “tilapia” in fish Foods CC. Planting Eucalyptus wees D, Destroy fishes in ponds. Organizing field trips to tertiary hospital D. Evaluating credentials of applicants 12. Perla is Elena’s co-worker asa Community Health Nurse. Which of the following is the general duty of Perla? B. Communicates to the health team €. Coordinates with municipal Health Officer D. Establishes rapport with clients 13. The Rural Health Midwife, Rosita, is under the Supervisor of the Public Health Nurse. In which of the following health care aspects should Rosita be assigned? ‘A. Reporting of disease incidence B. Coordinating with clients D. Monitoring use of equipment 14. Which factor influence OLOF? B. Environment . Health care delivery D. Behavior 15. What is the focus of secondary health care? A. Early malnutrition B. Early signs and symptoms D. Early detection 116. Each process has.a unique way on adaptation. Which aspect should man co-exist with? 8. Family Church1. Involvement is not only cleaning surroundings and toilet construction but also sharing responsibilities and participation in one of the following: A.Problem-solving seminars 8, Meetings with barangay officers . Social work about livelihood ‘D. Defining health needs 2.To encourage community participation, which of the following should a nurse do? A Invite people from civic organizations B. Refer to the doctor for prescriptions Encourage sponsorship to programs 3. Which of the following is appropriate for common ailments such as cough and fever? B. Medicine at Botika sa Baryo Project C. Medicine from other drugstores D. Medicine in the doctor's clinic 4. Which one of the following is NOT an essential element of Primary Health Care? A. Multi Sectoral Approach 8. Community involvement C. Appropriate technology 5. The mission of PHC must be embodied in the hearts of health care providers. Which mission strengthens the health care system? ‘A. Supporting conditions for healthy habits B. Increasing opportunities to be healthy D. Financing health care programs69. 10. n RB. m4, 75, 16, n 1B p. 80, D._ The patient will have local endemess at he site of injection of the 2" week, Which vaccines should not be stored in the freezer? A. DPT B. Tetanus toxoid vaccine C. All of these D. Hepatiis B According to Margaret Shetland, public health nursing is based on which philosophy? ‘A. Heath and longevity are birbrigits B. Man has worh and dignity C. Public health nursing functions as party of @ tow! public heath program. D. The public health nurse is responsible for developing the people's health capability Inthe health center, who is the supervisor of midwives? ‘A. Midwife supervisor B. Public health nurse C. Health center physician D. Obstewisian ‘AS an epidemiologist, the nuse is responsible for presentations of health statistics. Te compare the frequency of occurrence of ‘pneumonias and diseases ofthe heart, which graph will she prepare? A. Line B. Bar ©. Fie D. Scaterdiagran Which step in community organizing involves establishing a two-way communication system with the people? A. Community stdy B. Core group fomation C. Enuy/dategration D. Mobilization Yau are aware that you have to report notifiable diseases to the propst authorities. This is mandated by which law? AL RASS B. Act3573 C. RAST D. Acr3753 ‘Yas are newly appointed public health nurse, What is the first activity that you will be concemed with? A. Establisha working relationship with the people. B._ Study the set-up ofthe focal government system. C)_ Assess the health needs ofthe people by conducting a survey. D. Makea plan of care together with the doctor and midwives. Yau were designated to be the public health nurse in a doctor-ess municipality. Who will be the manager of the Rural Heath Unit? ‘A. Public health nurse B. Rural health midwifer C. Municipal health officer D.. Rural sanitary inspecto When the occupational heath nurse applies ergonomic principles, she i carrying out which af her fonctions? A. Health eure provider B._ Enviconmental manager C. Heath educawr D, Health evordinator Which erteria mast the nurse take into consideration when determining which of the identified health problems should be given priority after conducting community diagnosis? ‘A. Magnitude of the health problem B._ Nature of the problem presented C. Modifiability of the problem D._Allof these should be taken into consideration In assessing the family’s coping eapscity, you noted that the children have incomplete immunization. Under which area of assessment inthe family coping index will you include the observation’ ‘A. Application of principles of general hygiens B. Therapeutic competence C. Health attinsdes D. Family ving ‘Towhich level of prevention does sereening of potential blood donors belong? AL Primary B. Secondary58, To protect the other members of the household, which of the following is a priority objective int pulmonary tuberculosis? ‘A. To offer emetional support BB. Toassess the environment for standards of sanitation and provide needed heath teachings C. Toteach the patient about the nature of thedisease D. Tocoordinate with various agency services tha the patient requires ‘care ofa patient with active 59, Secondary prevention for malar A. Residual spraying ofinsectici B. Planting of neem or eucalyptus trees C._ Determining whether a place is endemic or not 1D. Growing larva-cating fish in mosquito breading places (60, Which isthe best preventive measure of schistosomiasis? ‘A. Destruction of snails B, Environmental sanitation C. Useofpprotedive footwear 1D. Lmigation of snail breeding places Situation: Nedi, 3 years old, was broupht by his mother tothe health center because of cough and colds 61. Which ofthe fllowing signs will indicate that Nedi is suffering fom severe pneumonia? A. Cyanosis B. Ches indrawing, C. Fast breathing D. Wheezing (62, While assessing Neel for the above sign, you have to make sure that he is ‘A. Notaware you are counting respiratory rate BL Noterying C Asleep D. Notphaying 63, Yeu decide that Nedi has pneumonia. What is the best management that you cun administer? ‘A. Prescribe an antibiti B._ Provide close follow-up of bis condition C. Allof these measures 1D. Give the mother instructions on how to take care af him at home, 64, If Nedi manifests wheezing, you will ‘A. Give hima bronchodiluar B. Diagnose him as having very sever disease, C Refer him to the nearest hospital D._ Prescribean antibictic and follow up closely. Situation: Asa public health nurse, you play an important role in the implementation of the Expanded Program on Immunization. 65, Maintenance of the cold chain is necessary to keep the vaccines and toxoids potent. Who is the cold chain officer in the Rural Health Unit? ‘A. Rural health michwite B. Public Health Nurse C. Munieipal Health officer D. Run sanitary inspector (66, What is the dose f hepatitis B vaccine in the EPP? A. OS ml B. 0.05mi. C. 0.1m. D. 1.0m 67, Which ofthe following isiare tric after giving BCG? ‘A. You must nat use alcohol on the site of injection. B. Allof theseare tue. CA wheal is fonned; # disappears after bout 30 mins. D. The child develops an abscess at the ste of injection. ‘68, What reactions is/are expected after giving DPT? A. Allofthese are expected BB. The paticat will have fever listing for 24 hrs, C. The patient will have a permanent sear atthe site of injection.46, a 48. 49. 50. 33. sa, 35, 56, 57. ‘You will know that you were successful in the social preparation of the community in relation to a community heath problem if the people participate in A. [dentify their common concerns and planning and implementing activities forthe solution af the community problem B._ Plaming activities to solve the health problem CC. Inpkmemting activites tosaive the health problem 1D. Idestifying the heals problem asa common cancer When the nurse collects information about 100% of the population, she is conducting wan? A. Community survey B, Epidemiological survey © Census D._ None of these is eorrect ‘The number of cases of influenza in the past month will be reflected in which record! report of the Rural Health Unit? A. Family health record B Client lis ©. Tally report D, Output report “The public health nurse mast be awae that erasures in the client's record must be avoided because the A. Record will look messy BR. Writing would be blurred and difficult to read. CC. Record isa statistical document D._ Record s a legal document, ‘What law requires the registry of birhs within 30 days fom its occurrence? A. Set3573 BRA 3753 ©. A375 D. PD.631 Which of te following professionals can sign the death certificate? A. Rural health midwife B, Municipal health officer C. Public health nurse 1D. any of these health professionals ‘Asa public health nurse, one ofthe furitions that you will perform is monitoring ofthe health tatus ofthe community. Weekly ‘monitoring will be accomplished for which disease? A. Severe acute disrthea B. Typhoid fever C. ail of these disease D. Pneumonia Which cases have fo be reported within 24 hours fom the time of diagnosis? A. Measles B. Acute polio bath of these D, none of there ‘Which of the flowing should be given priority in providing cae to pregnant and their families? A. Progaant women whose systolic and diastolic pressures have increased by 5-10 mmllg over her baseline systolic-disstalic pressures ‘A pregnant woman who weighs 110 tbs. ‘A pregnant woman with 2 history of hypertension ina previous pregnancy ‘A women pregnant for the third time andis 33 years okt ne ‘Which of the following statements is INCORRECT regarding measles control? A. Treating measles patients with high dase vitamin A significanly reduces mortality rae B._Allcases of measles should be reported, C. Asa routine, measles vaccine is given to infins between 9-1 months of age D._ Ther are specific contmindicatios for giving measles vaccine. For prevention of hepatitis A, you decided to conduct health education activities. Which ofthe following is IRRELEVANT? A. Safe food preparation and food handling by vendors B. Proper disposal of human exersta and personal hygiene C._ Use of stile syringes and necdles for injection D. Immediate reporting of water pipe leaks and illegal water connections Which of the following are strategies implemented by the Deparment of Health to prevent transmission of malas? A. Teaching people in endemic areas to use chemically treated mosquito nets B. Allof these strategies C.Chemoprophylatis of non immune personal going to endemic areas. 1D. Chemoprophylaxis of pregnant women in endemic areas13, 20. 21 22, Which DOES NOT describe primary health care? ‘A Itemphasizes partnership benveen healt care providers and the people B. It isa total approach to community development CC. Iams to provide free health servicesto the people. D._ Itstesses the use of appropriate technology When we determines whether the objectives of aprogram were attained or not, we are determining. A. Effectiveness B. Efficiency C. Adequacy D. Appropriateness Which is a mark of success in Primary Health Care? ‘A. The people utilize health services according to their nceds B. Heakh workers are able to provide efficient and acceptable services C._ The people are abl to attain the highest level of health through their own effons D. Barmgay officials participate actively in health related activities Accessibility of health services means all ofthe following EXCEPT ‘A. Health service providers are within 5 kilometers from most oftheir catchment population, B. Health services and the mannerof delivery of these services are acceptable to the people. C. The peaple and the government can afford the health services provided D. Government and non-government agencies participate in providing In the present health care delivery system, the public health nurse is a ‘A. Manager of the Rural Health Unit BL Primary health worker C. Grassoots health worker D. Socondary health wouker In a conference with midwives and the rural sanitary inspector, you reviewed the functions of the Rural Health Unit. You agreed that the RHU should function as a Heath are of the LGU Resource of the community All of these Municipal Clinic goR> Which herbal preparation may be recommensled for fever, cough and abdominal pain? A. Sambong. 1B. Tsang Gutat ©. Yerba Buena D. Bayabas Wh A B. c D. ch herbal preparation may be used to relieve pain due to arthritis? Laguna Herb Buene Both of these Nore of these ‘The Public Health Nurse in the Rural Health Unit is expected to participate in the planning of the total public health program for the munieipality, Her main contribution is 10 ‘A. Collect and callate community data B._ Prepare the nursing component of the plan C._ Implement the commusity health plan D. Assess the total health needs of the community Epidemiobgy is used for ‘A. Determining the factors that brought about occurrence of an epidemic B. Evaluating the effectiveness of the Under Five Clinie Program C. Determining the efficacy of garlic in preventing hypertension D. All ofthese programs Immunity by antibody fomation during the course ofa disease is Aqive natural Active artificial Presive natural Passive antficial pnp> ‘When a factor must necessarily be present for a disease to ocaur, iis deseribed ss A. Predictive B. Asweiaive C. Conribuery D. CausativeC. Intermediane D. Tertiary tuation: Rennie, 7 weeks old, was brought by his mother tothe health center because of diarrhea occurring 4 to $ times day. 81. Your assessment revealed that Bennie has sunken eyes and he is restless and irritable. What will be your diagnosis? A. No sgn of dehydration BL Some dehydration Severe dehydration 1D. You nced to assess him further to he able to make a diagnosis: 82, Based on your diagnosis, which ofthe following is the best that you can do for Bennic’? A. Accompany Bennic to the nearest facility where IV fluids can be given. B._ Give Bennie, 200 to400 mi, Oresol in 4hours, CC. Give Bennie’s mother instavetions on home management. 1D. Keep him in your health center for close observation, 83, Bennie’sassessment, what other problems do you have to consider? A. The presence of blood in his soaks B. Severe undermurition Cl. Fever or bypothernia D, Allofthese ‘84, Renaie'smother says Rennie has been having diarthea for 6 days now, You will decide that Bennie has A. Aaate diarthea B. You eannot he cerain CC. Cleonic diarrhea D. Sub-cute diachea 85. Aflr your management of Beanie’s condition, your assessment revealed that he has no more sigis of dehydration. What instructions will you give Bennie's mother? A. Continue bresstfeeding him frequently. B, Givehim Oresol, 50-100m! after every loose stool C._ Observe him for danger signs, D. Allofthese instructions. 86, Prismary health care iy # (otal appre 19 eomnunity development, Which of the Following isn indicator of suevess inthe use of the primasily healthcare approach? A. Heath services are affordable to individuals and families B. Health programs are sustained according to the level of development of the community ©. Allof these 1D. Heath workers wilize appropriate lechnology. 87, Towhich level ofhealth care delivery doss the Region I Provincial belong? A. Primary B. Secondary CC. Inwemediaw D. Tertiary RB, Which level of water apply is best in anurban setting? A. Pointsource BL Waterstandpost © Communal 1D. Waterworks system 89, ‘The Sentrong Sigla Movement has been Taunched to improve health service delivery. Which of the following is/are true of this movement?” All of these are wwe, ‘This isa joint project of the Department of Health and Local Govemment Units cain to promote availabilty of quality health servies. ‘The DOH provides grants and technical assistance to a Sentrong Sigh gap> Situa lari, 25 years old, GPO, cam to the center for her first prenatal cheek-up 90. When is the best time to stat preparing Marie forbreastfeeding? A. On the last month of pregnancy B. On the irs prenatal check-up C. Inthe second trimester D. Immediaw afte: delivery 91, During her pregnaney, Marie may NOT be given which supplement? A. Ferrous sullate 100 mg. OD fiom the fifth monthof pregnancy until 3 months after delivery3S. Which herbal preparation is specifically recommended for cough and colds by the DOH? A. Lagundi B. Yerba Buna C. Both of these D. None of these 36, Which of the following can give the mast accurat reflection of the health staus of community? A. 1-4 year oldage-specifie mortality rate BL Maternal mortality rate C. Infant morality mate D. Crude death rate 37, Ina community with insiicient war supply which type of ole will you recommend tobe constucted? seater sealed Aqua privy Coverad Pa paivy Overhung, pOE> Situation: You are assigned to a municipatity witha totl population of 25,000, 38, You work with two rural health midwives. How many more midwife items will you request? A B. c. D 39. ‘The request foraddit A. Rural Health Ui B. Municipal Health Board C. District Health Office D. Provincia! Health Office nal midwife items will be submitted For approval to the 40. In making the staff schedule, you will see to i that the rural health midi ‘A. Twice a week +s visit their Barangay assignments at Least B. Once a week C. Twicea month D. Once amonis AL. 1,350 persons died within the past year. 36 persons died due to pneumonia, $40 of those who died were aged 50 years and above ‘What isthe crude deuth rate? A. 52/1,000 442, What isthe Swaroops index of community? A. 30% B. 35% cat Dd. 45% 43, What numerator willbe used in computing neonatal mortaty rate? A. Number of deaths aged | week and below B. Number of deuths aged 1 month and below C_ Number of deaths aged 28 days and below D. Number ofdeaths aged 11 months and below 44, What denominator is used in computing general fertility rate? ‘A, Estimated midyear population BL Number of registered Eve births C. Number of pregnancies inthe year 1D. Number of females of reproductive age 45, In gathering dat about the community, which ofthese are important? ‘A. People's major concerns even if they are not health related B. Their occupation, geographic distribution and seasonal movement of the population C. Health status, nuttition, housing and sanitation D. All ofthese are importantTertiary level of disease prevention d. Heath promotion Management of epidemics -C Conducting sputum microscopy on TB suspects - B |. Establishing youth clubs and mother’s organization in the community - D . Assistance inthe physical herapy of trauma patient -C Conducting epidemiologic investigations to identify the extent of spread of infectious disease -C Promotion of condom use -D . Teaching self — injection insulin to diabetic - C Male circumcision - D . Sex education - D 3. Ball room dancing forthe middle — aged - D . Breastfeeding — D ‘Operation Timbang in Brgy. 645 - B Use of hard hats in construction sites - A ‘Surgical handwashing C Use of mosquito nets = A 110. 111.80t3 10. 1" 2, 3, 4 ‘The best time for disease prevention is during this phase of the disease process. a. Asymptomatic, © Symptomatic b. Propathogenic 3, Pathogenic Primary lavel disease prevention mathods are applied during this phase a. Asymptomatic © Symptomatic b. Propathogonic, . Pathogenic ‘Secondary level disease prevention methods are applied inthis phaso; a. Asymptomatic ¢. Symptomatic b. Prepathogenic Pathogenic Tartiary level of prevention is applied in this phase; a. Asymptomatic . Symptomatic b. Prepathogenic Pathogenic Aparlcular disease is far advanced ifit is at this phase: a. Asymptomatic b. Prepathogenic Symptomatic 4. Pathogenic Catheterization of a client to promote urinary elimination is an example of ‘a. Primary level disease prevention & Terlay level disease prevention b. Secondary level disease prevention d. Health promotion a. How could research data be utilized in the prevention of diseases? . In recording epidemics and communicable diseases ¢. In prescribing meds for communicable diseases 4. Inmonitoring primary health care effects €._In reporting case findings The folowing activities fall under secondary prevention except: ‘a. Pap smear b._ Self— breast examinaton The folowing activities are examples of health promation except: ‘a. Regular exercises b. Use of insect repellants ¢. Stress management . Maintenance of ideal body weight Dental prophylaxis ‘Chemotherapy 2. b. Situation: Disease prevention is an emphasis in community health work. Primary prevention methods wil best be exemplified by: ‘a, Screening tests . Avoidance of carcinogens/allergens b. Prompt treatment Contact tracing Disease prevention Is most effective if dane with partnership of the; a, Barangay officials ©. Local govemment b. People . Members of the heath team Alor pelvic surgery, the sign that would be indicative of a developing thrombophlebitis would be; ‘a. Pitting edema on the ankio ©. Areddened area in the ankle b. Prurluson the calf and thigh 4d. Atender, painful area on the leg Primary level prevention Is ilustrated by; Review forthe Philippine Nurses Licensure Examination (PLE) ~Intensive Dr] 15.COMMUNITY HEALTH NURSING INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only ane answer for each item by ‘making the box corresponding to the letter of your choice on the answer sheet provided. 1, Community Health Nursing is a service that is provided to an environment that is constantly changing. This implies that the community health nurse to be able to provide relevant service m A. involve other disciplines in carrying out health services in various settings B. provide aservice that is community based CC. provide a service that is integrated and camprchensive 1D. update her knowledge on the current and evolving characteristics of the health eare system, 2. The concept af community health nursing asa population-based service means that it should be provided to be: A. home only B. nursing community C. individuals only D._ individual and families 3, The goal of community health nursing is to: ‘A. lessen caseload of public health nurse 1B. provide clinic-nursing services to the populace CC. assist families to be self-reliant and be able to identify and solve own problem 1D. spread infomation about facilities of rural health units or centers 4, Apphase of the nursing process where the needs ofthe patient or Family are being observed ‘A. nursing diagnosis B. assessment C. evaluation D, intervention 3, Health services ware devolved to local goverment units (LGU"s) forthe following reasons EXCEPT A. to transform LGU's into self-reliant communities B._ to involve people in the development and progress of their communities CC. tocmpower local officials 1D. to provide people better access to decision-making 6, Which of the following public health program are devolved and are made more accessible to the people? A. Environmental bealth and communicable disease contol B. Matemal and Child Healin Program CC. Control of non-communicable diseases D. All these prograns 7. The Department of Health adopts measures to augment basic heakh serviees and facilites provided by LGU’s. Which of the following is NOT a priority area for the provision of assistance by the DOH? A. Areas where stdies/reseatch on health are conducted TB. Selected arans in the city C.Areas recommended by govemors and other lacal officials D. Deserving but less developed local govemment units 8, Which law mandates devolution of health services to LGU'S? A. R.A.T61D B. RATIO0 C. RA.6170 D. R.A.6710 9, According to C.B, Winslow, public health is directed towards assisting every citizen to A. Be free from illness B. Realize bis birth rights of health and longevity C. Getsocial services and weliare support 1D, Have medicine at an affordable 10, Which best demonstrate the concept that community health nursing is population-focused”? A. Theperformaice of community diagnosis B. The provision ofservices at an affordable cost CC. The provision of nursing care in the natural environment of people 1D, The coordination of services by different members ofthe heal team |. Which isthe primary goal of community health nursing? ‘To suppor: and supplement the efforts of the medical profession in the promotion of calth and prevention of illness Toenhance the capacity of individuals, families and communities to cope with their health needs Toincrease the productivity of the people ‘Tocontebuteto national development pomp24, The chief advantage in conducting a home visit is A. The nurseis able tosave time and effort B._ The nurse is able to provide service to many people's within a given period af time C._ The nurse is able to perform first hand appraisal ofthe home situation, D._Ttemphasizes the family initistive in health care 25, The school nurse provides direct nursing eate by ‘A. Guiding pupils in developing health habits B. Enhancing interpersonal relationships among pupils and the teaching staff C. Maintaining a healthy and safe physical environment forthe children D. Conducting annual physical exams to pupils 26, Primary level prevention is ilustated by: A. Teaching the mother ofa child with diarhea how to use Oresal B, Isolation ofa child with chickenpox C._ Conducting Operation Timbang, D._ Teaching a patient post mastectomy exercises 27, Which isa secondary level facility? A. San Juan Rural Health Unit B. acos Nose Provincial Hospital C. San Lazaro Hospital D. University of Sanco ‘Tomas Hospital Situation: From July to September, there were two outbreaks of typhoid fever in Santa Rosa, Laguna. Epidemiologic investigation was ‘undertaken by the Rural Health Unit team. 28. As a public health nurse, you know that typhoid fever & caused by: ‘A. Poor personal hygiane practices B. Intake of unsafe food andior water C. Inhalation ofcomaminated air D. Fomites 29. The primary purpose of conducting an epidemiologic investigation isto A. Identify groups who are at risk of contracting the disease B,_Delincate the etiology of te epidemic C. Encourage cooperation and support of the community D. 4.) ldentity geographical location of eases ofthe disease ia the community 30, To which step of epidemiologic investigation will ascemaining the number of cases of typhoid fever occurring in the community belong? ‘A. Establishing the epidemic B. Appnisal of facts C. Formulation of the hypothesis D._ Testing the hypothesis 31. AS an epidemiologist, among other living things, you are expected to ‘A. Institute appropriate control B, Check the presence of signs and symptoms in paticats according to the standard case definition ofthe disease CC. Monitor the occurrence of selected notifiable discases by weekly charting or graphing cases. D. Plan and socure necessary resources needed for disease control measures 32, In the Under Five Clinic, which of the following services can be competently provided by the public health nurse? ‘A. Assessment of the nutritional status of children B. Assessment of children's motor development CC. All ofthese services D. Treatment ofcommon childhood diseases 33, The expanded role ofthe public health nurse includes making a medival diagnosis when the physician is wot around. What is used «asa guide in performing this task? Management guidelines Diagnostic guidetines Assessment guidelines Standard ease definition pope 34, Which component of the Fick! Heath Services and Information System is most helpful in monitoring PTB cases enrolled in bots? ‘A. Individual health recon B. Ouput report © Tallyreport D. ClientLis57. 57. 58, 59, 60. 61 62 63, 67. b, Health promotion cc. Health promoton and disease prevention d._ Prevention and integration to development >. The following statements about primary health care are true, EXCEPT: ‘a. Primary heath care recognizes the health of the people as essential in socio-economic develapment. . Primary health care makes a distinction between the different classes of the people . The goal of primary health care is attained through the provision of adequate health services. d_ Primary heath cares the nucleus of the county's health c are system ‘The goal of primary health care are according to the WHO is health for all by the year 2000 and beyond. What makes this goal achievable? a. Agent-hostenvirornment ©. Evolutionary-based b._ Healthilness continuum d. High-level weliness, ‘The multi-sectoral approach, in PHC, recognizes intersectoral and intrasectoral linkages in health. This means that health workers should work closely with all ofthe following sectors, EXCEPT: a, Local govemments &. Agricuture b. Education: d. Philippine army Situation: Primary Health Caro is the core strategy in program thrusts of government in ail lovals ~ national, regional, provincial and community. In intrasectorel linkages, which ofthe folowing levels of Health Senices in the pyramidal organization focuses on the treatment of prevalent diseases in the community? ‘a. Rural ©. Regional be District National In intersectoral linkages, the purpose is to unity the effort of health sector and others concemed. Which ofthe folowing {development is expected from the Primary Health Care Approach? ‘a, Social and Economic ¢. Intellactual and E motional b._ Physical ond Social Spiral and Psychological ‘Towhich ofthe following healt care facilities are cases referred to beyond the capability ofthe Primary Health Care Units ‘and heath workers competence? ‘8, Community hospital ©. Intermediate b. Regional Peripheral Primary Health Care endorses the concepk of am work. Which of the folowing factors would make the health service ssseffective and efficient? ‘a. Team planning ©. Workshops Group work ¢. Teambuilding ‘The Community Health Nurses, as a health worker, must presenta positive attude for the Primary Health Care services to be effective, Which ofthe following shouki be done by the nurse? Refer fo polliciens the heath problems Discard traditional atttudes Lot people depend on the nurse Encourage bursaucratic set up Situation: The primary health care (PHC) approach The following statements pertaining to PHC are correct except ‘8. Ullimate goals se¥-reiance ©. Responds to immectately heath problems b._ Alternative health system 4d. Utiizes approach technology ‘The PHC is effective when CH nurses 2. Are models of health Lead people in communty mobitzation aoge Initiate mass actions ‘Trust people's capabilities |. The goad of PHC according to the DOH &; ‘Hoatth forall by year 2000 Health for all by 2000 and health in the hands of the people by 2020 Health forall 2000 and beyond Provide equty and quallly health car partnership wth pacple, LEVELS OF HEALTH CARE AND LEVELS OF DISEASE PREVENTION 5. Which of the following services fall under terliary level of health care services? a.City hospitals . Provincial hospitals b Regional medical centers d, Emergency hospitals . Heath problems beyond the capably of the vilage heath workers ar refered to an htermedate hel fciy, usually a ‘a, Dstethosptal 6. Specialty clinic b. Medical center d, Rural health unit This system is established so thal lower —level health facillies! services refer more serious and complicated cases to higher level faites. 2. Multiple referral system ¢. Two-way referral system b. One — way referral system 4. Muti level referral system Which of the folowing are intermediate level heath workers? Saniiary inspector Municipal heath offcer Nutitionist Vilage heatth worker Public healt nurse Midwife Review fr the Philippine Nurses Licensure Examination (PNLE)- Intensive Dil 13a. Allof these © 123and4 b. 12,5 and6 d. None ofthe above e. 1. Situation: Health Promotion 68, The goal of heath promotion fs to ‘a. Identity and minimize isk factors ©, Popularze heatthy habits b. Rehabitate sick individuals 4d. Incroase wollness lovel 70. Which of the folowing periars to health prometion? ‘a. Health prolecton marifesting behavior . Spocifc io a particular heath problem c. Approach activities to enhance health capabilities 4. Shorten the duration ofthe disease process 71, Individual wellness refers to, ‘&. The person's abilly to abide by the community norms . The person's maintenance of healthy lifestyle cc. The person's abilty to adapt to his external environment 4. The individuars formation of health belies are habits 72. In health promotion, community wellness is ensured through the promotion of ‘a. Healthy lifestyles ‘c. Healthy behavior and bolofs b. Healthy envronment 4. Healthy norms, 7S. Nutriton, a8 an Important mathod of health promotion Is ensured through ‘a, Growth monitoring ©. Tekh vitamins: b. Bdanced diet 4d. Micro-nuirient supplementation {. Situation: Phoebe becomes responsible in the health promotion program of the heatth unit. 74. Phoebe must understand that the goal of health promotion is centered on; ‘a. Decroasing risk factors that wil endangor heath . Diverting the occurrence of a disease condition or a heath problem, ‘¢. Enhancing tho level of wollness of the different clientolo. 4d. Health pratedtion against particular health problems. 75. A the level of individual weliness, the nurse ensures that an individual maintains; ‘a. Commitment to societal norms ‘c. Health behaviors and beliefs b. Healthy lifestyle 4. Health surroundings: 76. In health promotion, a most basic nursing intervention tobe prioritized is; ‘a, Client teaching ‘e. Primary heath care b. Community orgarizing 3. Rokapprasal 77. In health promotion, itis beleved that heath behaviors and beliefs are formed at the level of the; ‘a. Ingividual ‘Community b. Family Society 78, 78. Personal habits atfecting health are referred to as: Hygiene pracices Heath behavior Health living Lifestyle {._ Situation: Activities in health promotion and disease prevention 80, Establishing youth clubs and mother's organization in the community i; acse ‘a. Primary level disease prevention ¢.Tartiarylovel disease prevention b. Secondary level dsease prevertion d. Heath promotion 81. Assistance in physical therapy ofa trauma patent ‘a. Primary level disease prevention c. Tertiary level disoase prevention b. Secondary level dsease prevention ._ Health promotion 82. Conducting clinics in prisons to detormino tho extent of infectious dscasos is, ‘a. Primary level disease pravention ‘c._ Tertiary lovel disease prevention b. Secondary level disease prevention 4d. Health promotion 83. Giving lectures on sex education to high schoo! students is ‘8, Primary level disoase prevention ‘Tertiary love digoase prevention b. Secondary level dsease prevertion 4. Health promotion 84. Identifying sick ndividuals in the community for prompt treatments ‘a. Primary level disease prevention b. Secondary level disease prevention | Teriary level disease prevention Heath promotion 84, Specific protection against disease is an activity under a. Primary prevention ©. Tertiary prevention b._ Secondary prevention d. Noneofthe above £85. The following activites are examples of tertiary prevention except ‘a, Colostomy support group b. Proper transferring techniques Passive ROM exercises Crutch waking 86. a7. 88. SITUATION 2: Given the following activities, identify which level of disease prevention or health promotion would belong to ‘a. Primary level of disease prevention b. Secondary evel of disease prevention Review forthe Phippine Nurses Licensure Examination PNLE) ~ Intensive Drie! 144. Maximum productivity of the workers and labor harmony 30, In the schoo! setting, the nurse may facilitate drils as preparation for disasters. This is under the component of School Health Nursing called: ‘a, Heath instructon ‘¢. Healthful schoo! living b._ School heath services 6. Schookeommanity linkage 31. The schoo! nurse's responsibiltes in school health services wil include the following except; a, Maintaining a schoo! dinic b. Referrals and folow through ©. Isolation of communicable diseases Food santation of school canteen e f. ML, an elderly patient, 81 years old, love stubborn and believes she can still ma 32. What preventive measure will the nurse prescribe for her wel-being that is, letting her walk as she likes, but atthe ‘same time protecting her from ill events in life? ‘a. Ask her to have a companion whom she feels at ease with and to use a cane. b. Tak to her and warn her not to wak anymore because it's dangerous. ‘&. Suggest riding a wheelchair at regular times during the day. d._ Give her liberty walk but ather own tsk. 33. When caring for older persons, what bioethical principle should you keep in mind? ‘a. Autonomy . ustioe b. Beneficence d._Non-maleficence 34, Regardless of social stratum, character, or dificult of the old person's personality and behavior, which should be accorded to the old person? ‘a. Praise and wellwishes b. Mano po gestures ¢. Graiitide and humble service d._ Respect, coupled with care and utmost attention 35. 36. As included in the WHO's Health for All n the Philippines, the elderly people are properly cared for at home. 35. Which of the folowing needs, according to Maslow, apply to oid people? ‘a. Belongingness ©. Emotional b._ Economic 4. Spiritual 36. Humanitarian issues afect the care of the elderly. Filipino values are changing. Which one would you maintain inthe ‘care of the elderly? ‘a, Labor and management ¢, Educational and recreational b._ Income of elderly d. Security and protection 37. What would be the thrust of the program that you would make for the elderly? ‘a. Invoke elderly in a Volunteer work b. Educate the children to be responsible for their parents Provide information on physical and social processes d._ Build homes for the elderly 38. In our country, senior citizens are given the privilege when they purchase their medicines. How much isthe discount? a. 25% c. 15% b. 10% d. 20% ‘to walk. She has failing eyesight, wobbly legs, is {. Situation: The Community as aClient 9 39, Which among the folowing is NOT an aim of Community Health Nursing? ‘a. Relief and rehabilitation measures ¢. Management and treatment of diseases b. Health promotion d._ Diseaseprevention 440. Recogrition of the communty as having been made up of institutions organized into a social system is manifested in al ofthe folowing EXCEPT: ‘The midwife courses the information regarding a scheduled immunization in the barangay hall trough the head of the BHW. b. The community organizers condud an initial courtesy call with the barangay officials The implementation ofthe health programs is accomplished with the help of the members of the barangay youth club. 4. The public health nurse conducts home visits to provide nursing care to sick individuals. 41. Which of the folowing statements about a community is not true? ‘a. The dynamics in one community is the same as any other community in the country b. The communityis a group of people sharing common geographic boundaries, or common values and interests. c. Acommunity functions within a socio-cultural context in that the people share the same cultural heritage, ‘making ach community unique from another. 4. The physical characteristics of the environment vary and this affects the economic production of the = people. 43 HEALTH CARE DELIVERY SYSTEM 442, Which of the following contribules to poor health situation of the majority? 44. 1. High cost of health services 45. 2. Low priority for heath 46. 3. Crisis oriented concept of heath Review forthe Philippine Nurses Licensure Examination (PNLE)~ Intensive Oils 1ore ore 10. 11. 2 2B. 4, 15, 6. 47. 18. 19. 20. Looks diferent fom the rest aside rom having nique cute pracioes.D ii 22 2 23, 24, 26. 26 27. 28. 29, ‘The family theory that sees the person as fulfing roles within the social system: ‘a. Structuralfunctional theory ©. Developmental stage theory b. Crisis theory d. Inleractional theory This family theory states that the famy's major task is to create an environment, in which each family member can master the developmental tasks required of them to accomplish al each stage of development. ‘Structural-functional theory ¢. Developmental stage theory Crisis theory d__Interactional theory The birth of Joseph ur to the teenage daughter of the Santos couple compelled each family member to take turns in caring for him so that his mother would be able to go back to school. The family theory applicable to such as situation isthe ‘Siructura-funetional theory Developmental stage theory Grisis theory d.__Interactional theory Failure to attend to the family health tasks, as identifed by Freeman, constitutes a. Family crisis c. Faiyweaknesses b. Family nursing problems d. Family needs 4n 1983, Richard Kalish adapled Maslows Hierarchy of Needs to come up with a theory on the needs ofa family. \Which among the folowing needs listed below is unique to Kalish Hierarchy of Needs? a. Stimulation need ¢, Exploration needs b. Pain avoidance need d. Protection °. 1. For Numbers 20-25: Which of the folowing is characterized by the descriptions given below? ‘a. Developmental theory b. Structura-functional theory ©. Rae theory d. Crisis theory The empty nest stage is one of is sub-stages. A Itaddresses the membership of the family & the dyadic relationships among members. B Role strain occurs when individuals have diffulty meeting other expectations. C (One of the main functions of the family is to add and to socialize new members. B ‘The assumption is thatthe family is made up of members who may experience hazardous events in their life. D Each family member has roles that are specialized or shared depending on age, sex. status, and complementarty.C h._Sluation: The Population Group as a Ciient i. For Numbers 17-21: Choose the population group described in each number a. Children &. Women b._ Elderly d._ Indigenous groups Suffers from double burden. Afficled with protein-energy malnutrition and micronutrient deficiencies. A Suffers from decreased strength and sensory probiems. B Victims of male and clan authority. C ‘The constant presence of an etiological factor and a disease in a particular area is called a. Sporadic. ©. Epidemic b. Endemic , Pandemic Tocstablish new cases of disease by studying those exposed to a risk factor, the nurse must conduc this study; a. Case contral ©. Prospective b._ Cross-sectonal Experimental ‘The primary aim of occupational health nursing is; 3. Reduction of hazards in the work area b. Maintenance of a healthy work envionment ©. Promotion of optimum health and prevention of diseases and injuries, 4. Industrial peace among workers and management Workers may be exposed to different hazards of work ike biological hazards exemplified by a. Stross, tenure, salary . Heat, cold, humidity Dust, fumes, chemicals d. Fungi, virus, bacteria Toviced out drug users in the school the nurse sets up a drug watch commrunity. This is an activity under that component of school health nursing, ‘a. Schoo! health services b. Schoo! health nstrustion ©. Healthful schol living 4. School-community-linkage e. f.__Situation: Care of population groups led to the development of specialtzed field in CHN. ‘Community heath nursing emphasizes; a. Mental health promotion ©. Mental hygiene b._ Mental disease prevention d. Mental siress management In Occupational Health Nursing, the nurse may establish the possible sources of occupational health problems inthe work area, through conducting surveiiance, Such activity is a part of the methods of what level of disease prevention? Intermediate . Secondary bi Primary 3. Tortiary ‘The primary aim of the Occupational Heath Nurse is; ‘a. Reduction of risks in the work area b. Maintenance of a healthy work environment © Provertion of diseases and injuries and promotion of optimum in health Review for the Philippine Nurses Licensure Examination (PNLE)—Intensive Drills 1049, 47. 51, 53, 47. 4. Globalization a Tony © 1gand4 b. 42and3 4. Allof these The following statements describe the health human resources except a.Every year there is a marked increase in the number of health professionals b.Despite the increase in the number of health providers, there is sill an enormous need in the rural areas c.The growing number of health professionals contributes to their low salaries and lack of benefits diMigration to other countries is primarily an economic issue Despite the nature of disease pattems, hospitals have been developed and maintained as primary venues of health services because 45, 1. Some diseases are far advanced and require hospitalization 46, 2. Not all diseases can be prevented at the community level 47. 3. Hospitals are infrastructures that serve as proof of development 48. 4. Hospital practice is rooted in the colonial heath science education system a tand2 © 12and3 b. 23and4 d. 123and4 This process refers to the act by which the national government confers power and authority upon the various local government units to perform specific functions and responsibilities Globalization ¢. Devolution b.Privatization d. Lberalization Which ofthe following are the components of Health Sector Reform Agenda? 51. 1. Health financing reforms 52. 2. Local health system reforms 53. 3. Public health program reforms 54. 4! Hospital systems reforms 58. 5. Health regulatory reforms 56. 6. Publc investment reforns a. Allofthese © 23.4586 b. 123485 d. 23486 e PRIMARY HEALTH CARE AS A STRATEGY Primary health care, as a service delivery policy of the DOH, permeates all strategies and thrusts of government health programs at which lovels? 4) National level 2) Local govemment level 3) Community level 4) Private sector evel 5) Semiprivate sector level 6) Hospital evel a. Allofthese © 13,84 be 12,83 da 1,485 The cornersiones of primary heath care include all ofthe following, EXCEPT: a. Active community participation b. Use of latest technology ¢) Intracand inter-sedoral inkages d. Support mechanism made avaiable ‘As annurse in the Rural Health Unit, you plan with the midwife the family planning program of a mother. Who among of the following is involved in your plan’? ‘a Municipal health officer b.Nutrtionist .Doctor on duty d.Community health worker The elements of primary health care include which ofthe following? 4). Environmental sanitation 2) Control of communicable diseases 3) Adequate food and proper nutiton 4) Provision of essential drugs 5) Emergency treatment 6) Treatment of locally endemic diseases a. All of these © 12,384 be 1,2,5,86 d._ None ofthe above This refers to the smallest manageable health unit in areas that are small enough to be managed without being bogged down by much bureaucracy, yet large enough to make health care delivery feasible. a. Referral system . District health system b. Referral hospital d. Rural health unt ‘The first international conference on Primary Health Care was held at ‘a, Genova, Switzerland on 1978 %, Acapuco, Mexico in 1978 b. Washington, USA n 1973 d. Alma Ata, USSR in 1978, Torespond to prevailing health problems of the Filipino people, the emphasis of the health care system must be @._ Disease prevention Review for the Philippine Nurses Licensure Examination (PNLE) - Intensive Dri 12©. Spiritual Intellectual 98. 89. All ofthe following conditions are examples of the application of the atomistic approach, except: ‘a. Taking the temperature of the patient c. Assessing the type of family b. Testing visual acuity d._ Administering medications 400. Which ofthe following statements regarding holistic approach is correct? a. People in a homogenous community share the same health perceptions: b. Problems ofthe individual should be treated as separate from the problems of the family . An individual can perform various roles atthe same time 4, We cannot teach new ticks to"old dogs” 101. The following are evidence that human beings hold supremacy over allo fe forms EXCEPT: a. People are blessed with intellect and will b. Humans couldeither be male or female. The humans are capable of estabishing significant relations among others. d. Aniindividual believes in the virtues of hope, faith, and charity 102. 103. 104. 105. 4106. 107. 108. 109. 110. M1. 112, 113, 114, 115, 116. 417. 118. 119. Set2 120. 121. As.a.community health nurse, your clients are usually diverse. It is important that you should be aware of the needs of these clients according to their developmental stages. 1. Princess, 22 years old, has just been accepted in an ambulatory health clinic. She approached you to report an ‘outbreak of influenza in their neighborhood and has shared with you how she anxiously awaits her firstjob. The major development focus of Princess and her age group is: a. Rebeling against parental control in matters of dating and going out with fiends b. Deciding what worth can be shared by the next generation . Finding oneself and developing initial commitments, d._ Resolving how one will confront death 2. Ione of your cinics, you met Mrs. Baby, a 42-year-old woman, who began to feel anxious about her life. Her husband has been very busy, having been promoted as CEO of their company. Her oldest child is already working and the two younger ones are in school. She daydreams about having another baby. You would consider her situation as: a. Expecting midife disilusionment Serious developmental abnormality b. Healthy life expectation d._Outof control midife crisis 3. Mr. Melanio, 50 years ol, is known to be obsessed with his graying and balling hair. He makes frequent negative references to his body and energy level, and at one time, he told his wife to leave him for a younger man. His behavior probably indicates. - a. Mental or neurotic disorder Desire fo separate fromthe wife b. Loss of sexualiy d. Awareness of aging and mortality 4. Aling Melody, 75 years old, i very active in church activities. She is in good physical health but was brought to your dlnic by her oldest daughter. Her daughter is disturbed because Aling Melody always talks about “when she dies” ‘She has given away some of her possessions to friends and other close relatives. She also told her family about wanting to be cremated when the "time" comes. She says she is fine and just wants to be realistic and ready. Your ‘nursing interventions would most likely be to a. Explain that her behavior is developmentally normal b. Loss of sexuality . Desireto separate from the wife d. Awareness of aging and mortality 5. Mr. Valeros, 70 years old, came to the clinic complaining about muscle weakness. fatigue, and shortness of breath with his regular walking exercise in the morning. Upon examination, his BP is 136/86 and pulse rate is 70 beats/min. any medication. Your analysis with his: He said that after the shor rest, he feels fine again. He is not taki assessment would be most likely that he. Probably experiences signs ofnormal aging Needs to take preventive “antihypertensive” medication Has cardiac pathology and needs to be seen by the doctors None of the above e. f. Situation: The Family as a Client87. 58, 60. 61. @. 67. 65. 66. er. a. Ask for an apology for not participating and toll him that the poople can come to the health contor anytime they need their services. Verity frst ifthe candidate can gve you a substantial professiona fee. cc. Youlike him, no questions ask, go! {._Waitunti the rival candidate cares in and tha ane which you foe! must win ‘A woman went into the center for treatment of syphils. Your midwife shared the matter to mothers who were there during that time, What wil you do? ‘Confirm tho story to the mathor Explain to mothers that syphilis can be treated Ignore the inetiont Make a denial Situation: Community heath nursing practice will require the application of basic concepts that will enhance service provision to people. ‘Community participation is essential. Thisis made possible by, ‘a. Conducting consultation mestings with key leaders of the community. '. Ful parlicpation ofthe nurses in decison making. . Shared leadership in the comunity of the onset of the program. d. Provision of comprehensive and understandable information, Tooffectively provide nursing cara to the community, the nurses must fist; ‘a. Understand the community's cuture b. Review oxisting health records. Identity formal leaders. d. Assess the health boliefs of the people. ‘The minimum level of the people's participation is; ‘a. Consultation Information b. Citizen's control Partnership . In addressing the heath problems of the community, the nurses must ensure that; 2. People Identity and prioritize their own problems. . Health team members give their share of responsibityin health care. People aro passive recipients of sorvicas. d._ DOH programs are carried out People's partcipaton is made possible through; a. Primary health care b. Uso of mulicisptnary approach c. Community organizing ‘Local goverment code Situation: Community health nurses provide care to individuals who visit the health center. In conducting risk assessment, the nurse uliizes the princple that; ‘a. Each individual Is unique. © Anindividsal is partof tho family. b._ Clients trusts necessary. . Rapport must be established. In the health-bollof model, an incvidual wil take praventive health actions i he porcaives: 63.4. His susceptibility to disease 64. 2, Tha saverty af disease 65. 3, Benslits or elfidency of actions 66. 4, Tha nurse & tustworthy a. Alot theabove ©. fand 2 only b. 1,2and3 d. tonly In promoting the healthy itestye ofthe individual, the nurse must emphasize the individual's; ‘a. Solf-rosponsibility c. Saffrespect b. Setfavorth 4. Saltaignity . In dealing with the heath problem of an individual, the nurse looks into the different factors affecting health as reflected in this model; ‘a. Germ theory b. Epidemiciogical model ©. Welliess-alness continuum d. Multiple causation model Situation: As the new public health nurse of Baryo Kepos Bayan, Pia applies the key concepts and principles of Community Health Nursing. ‘Asa. Community Health Nurse, Pla's cancom will be the following population grou 9. 1. Families in their homes h 2. School population i 3. Workers in the factories i 4. Patients confined at CG Hospital a. Ald teabove c. Allexcept 3 b. Allexcopt 4 All oxcopt 2 ‘Among her efforts as a health nurse, Pia's concern willbe the following population group: ‘a. Provide services to al individuals in the community. b. Identity high risk population groups in the community. ©. Provido cara to families in the community, 4, Targel the general pubik: for community health service provsion. ‘The main focus of Pi efforts wil be on; ‘a. Provision of heath and ensuring peaceful death b. Health promotion and disease prevention | Ensuring the ght tohheath and longevity Review forthe Philippine Nursos Licensure Examination (PNLE)- Intensive Drills 6