Community Health Nursing Diagnostic Exam Answer Key PDF

POWER DEVELOPMENT CENTER FOR TRAINING STUDY REVIEW, INC. PRE-INTENSIVE REVIEW 2022 COMMUNITY HEALTH NURSING (DIAGNOSTIC EXAM) SI...

POWER DEVELOPMENT CENTER FOR TRAINING STUDY REVIEW, INC. PRE-INTENSIVE REVIEW 2022 COMMUNITY HEALTH NURSING (DIAGNOSTIC EXAM) SITUATION 1: The health policy directions of the current administration must address the inequities in access and utilization of health services especially by the poor and poorest people. 1. The most critical element for the realization of Universal Health Care is the role of the Community Health Nurse in: A. Soliciting funds for community health projects B. Raising the health awareness of the people C. Establishing rapport with the officials of Local Government Units D. Proper referral of patients to health facilities 2. The current Comprehensive Health Reform of the Department of Health is: A. Health Sector Reform Agenda B. Fourmula One for Health C. Universal Health Care D. Primary Health Care 3. To attain Sustainable Development Goal #3, the Community Health Nurse must actively support programs that contain/eliminate the following public health diseases: A. HIV, TB, & Malaria B. Communicable Diseases only C. Non-communicable Diseases only D. Both NCDs and Communicable Diseases 4. Under the amended Republic Act 7875, the following are included for mandatory enrolment in Philhealth: A. The poorest of the poor B. The people with disability C. The informal sector D. Both A and C 5. To ensure the smooth implementation of public health programs, which of the following formations must exist? A. Local Development Council B. Women’s Health Organizations C. Community Health Teams D. Youth Leaders SITUATION 2: The World Health Organization (WHO) endorsed in 2008 the framework of a “People-Centered Health Care” to bring primary health care (PHC) closer to the people. It is a reaffirmation of the PHC strategy agreed during the Alma Ata Conference in 1978. 6. The “People-Centered Health Care” framework aims to empower the people in the communities to take care of their health before they become patients. Which of the following situations best described people’s active participation? A. Soliciting donations for elderly people B. Undertaking feeding programs for malnourished children C. Organizing free medical missions for the people D. Community mobilization for drafting a disaster and health emergency plan 7. All these indicators best describe the success of a community health nurse in building the capacity of the people to make informed health decisions EXCEPT for: A. Participation in community meetings B. Self-medication C. Increased health-seeking behavior D. Ability to articulate fears on some health interventions 8. Provision of quality health services must address the health needs of the most vulnerable sectors of the communities which include the following: 1. children of poor families 2. women of reproductive age 3. people with disabilities 4. elderly people  5. people with low level of literacy 6. international refugees A. 1, 2, 3, 4, 5, and 6 B. All except 6 C. 1 and 2 only D. 1, 2, and 3 9. A community health nurse who respects the right and duty of people to participate in decision-making processes must do the following action: A. Treat wounded patients in calamity-affected communities B. Organize community health leaders C. Counsel victims of sexually transmitted diseases D. Negotiate with the Provincial Governor for increase health budget 10. Which of the following principles are essential in ensuring people-centered health care? 1. Equitable health care 2. People empowerment 3. Gender-responsive health care 4. Evidence-based and ethical health care 5. Participation of all stakeholders 6. Culture-sensitivity A. 2 and 3 only B. All except 4 C. 1, 2, 3, 4, 5, and 6 D. 2, 3, and 6 11. “Better health outcomes” is reflected in which of the following key health indicators? 1. Reduction of Total Fertility Rate 2. Reduction in maternal deaths 3. Longer life expectancy of the people 4. Significant decrease in infant mortality rate 5. Significant decrease in child mortality rate A. 3 only B. 1, 2, 3, 4 and 5 C. all except 1 D. 2, 4 and 5 12. Registered nurses are morally obliged to know and follow “The Code of Ethics for Nurses” because: A. It is a binding oath, which tells nurses how to make ethical decisions B. It clarifies all duties and responsibilities of a Nurse C. It respects the human dignity of all persons D. It assists the nurse in formulating a personal belief system 13. Under RA 8504 or the Philippine AIDS Prevention and Control Act of 1998, HIV testing shall not be imposed as a precondition for the following: A. Employment B. Admission to University C. Right to travel D. Any of the above 14. The Public Health Nurse must integrate the following preventive oral interventions during health teachings in the communities: A. Regular and proper way of toothbrushing B. Eating foods rich in calcium like vegetables C. Oral prophylaxis D. All of these 15. The basic principles of Expanded Program of Immunization (EPI) are the following EXCEPT: A. Case findings and treatment on site B. Integration of EPI in basic health services in health centers C. Mass approach rather than individual approach D. Planning based on epidemiological situation 16. Which of the following vaccines should be discarded six (6) hours after reconstitution or at the end of the immunization session, whichever comes sooner? A. AMV and DPT B. DPT and OPV C. BCG and AMV D. AMV and OPV 17. Some “wastage” is unavoidable in providing immunization services. Causes of unavoidable loss of vaccine include the following EXCEPT: A. Cold chain failure B. It is impossible to get all vaccine out of a multi-dose vial. C. Fewer eligible people may arrive at the immunization than expected. D. None of these 18. Determine the Annual Vaccine Doses required for BCG if the total population of the Municipality is 10,400: A. 780 -> 702 B. 1560 C. 312 D. 624 19. What is the eligible population for Tetanus Toxoid vaccines if the total population of a barangay is 7,890? A. 789 B. 276 C. 126 D. 237 20. A Family Planning (FP) Counselor is any individual who is responsible for helping a client make an informed, voluntary, and a well-considered decision about fertility and contraception. This is a reflection of what FP pillar? A. Responsible Parenthood B. Child Spacing C. Respect for Life D. Informed Choice 21. The process of counseling in FP is consists of six steps. Arrange the following steps chronologically: i. Ask clients about themselves ii. Greet clients iii. Explain fully how to use the chosen method iv. Tell clients about choices v. Help clients make informed and voluntary choices vi. Return visits should be welcomed A. i, ii, iv, iii, v, and vi B. ii, i, iv, v, iii, and vi C. i, ii, iii, iv, v, and vi D. ii, iv, iii, I, vi, and v 22. The following Family Planning methods work by suppressing ovulation and mainly thickens the cervical mucus to inhibit sperm penetration EXCEPT: A. Low-dose combined oral contraceptives (COCs) B. Progestin-Only injectables C. Intrauterine Devices (IUDs) D. Subdermal Implants 23. A vasectomized man is assured 99.9% that sperm is absent in the seminal fluid as a result of blocking the vas deferens only: A. Three months after vasectomy B. Four months after vasectomy C. A month after vasectomy D. When combined with the use of condom 24. The most common causes of dropping out or non-acceptance of family planning methods are rumors and misconceptions. Which one of these is not considered rumor and misconception? A. HIV-positive women cannot practice LAM or at risk for breastfeeding their babies B. Pills causes abortion C. Vasectomy diminishes sexual desire and affect his sexual enjoyment D. BTL makes a woman fat  25. Many adolescents are hesitant to seek medical care and undergo counseling on RH problems because: A. They lack life skills B. They lack access to adolescent-friendly & non-judgmental attitudes of service providers C. Misinformation D. Any / All of the above 26. World Health Organization defined adolescents as those who are: A. 10 – 19 years old B. 15 -24 years old C. 10 – 24 years old D. 13 – 19 years old 27. Common reproductive health problems of Filipino adolescents are influenced by the following factors except: A. Deteriorating family values B. New technologies in communication and information C. Climate change D. Peer pressure 28. Violence against women and children (VAWC) is a serious public health problem yet victims nurtured “culture of silence” because: A. Domestic violence is perceived as private and personal B. Women and children are afraid of the violent threats C. Perceived public apathy on the problem D. Any one of these 29. The health care provider can help a battered woman who wants to end violence but still chooses to stay with the batterer. Which of these statements of the health care provider would be therapeutic? A. “The violence will get worse unless you teach him a lesson.” B. “I am afraid for your safety and the safety of your children. Leave him now.” C. “If you sense that the violence might escalate, what is your plan? D. “Put him to jail before he can kill you.” 30. Community organizing is essential in addressing VAWC problems in the communities. The Public Health Nurse must facilitate community mobilization in order to achieve these objectives EXCEPT: A. Raise public awareness on VAWC B. Establish community support system C. Promote gender inequality to empower women D. Challenge public attitudes and perceptions to avoid victim-blaming 31. What legislation provides protection to women and children who are victims of abuse and violence? A. Republic Act 8504 B. Republic Act 7160 C. Republic Act 9262 D. Republic Act 8976 SITUATION 3: Sustainable Development Goal # 3 aims to promote good health and well-being for all at all ages. Public health programs to address SDG # 3 entails massive health education in the communities. 32. Malaria, schistosomiasis, and filariasis are the most common diseases in the Philippines known to be: A. Endemic B. Epidemic C. Pandemic D. Sporadic 33. These mosquitoes causing malaria usually bite at night. The time that they bite is: A. 7pm – 2am B. 6pm – 1am C. 9pm – 4am D. 9pm – 3am 34. These are all the medications / drugs use to treat Malaria EXCEPT: A. sulfadoxine pyrimethamine – 50/25mg B. quinidine – sulfate 200mg C. choloroquine – phosphate 250mg D. azidothymidine 35. The concept that CHN is carried through a multidisciplinary approach implies that CHN is: A. Provided not only in the homes but also in the hospitals  B. Ecologically-oriented approach C. Community-based D. Comprehensive and integrated healthcare 36. The core clienteles of a Public Health nurse are the: A. Individuals B. Families C. Communities D. all of the above 37. Our nursing responsibilities related to Communicable Disease control include the following EXCEPT: A. Reporting to proper authority existence of communicable disease B. Hospitalization of the affected members C. Assisting families in seeking prompt medical supervision D. Teaching, demonstrating, and supervising nursing care 38. The conduct of focus group discussion among men in the communities on gender-sensitivity is a typical example of: A. Primary level of prevention B. Secondary level of prevention C. Tertiary level of prevention D. A, B, and C 39. Which disease is aimed to be eradicated by the DOH? A. AIDS B. Measles C. Dengue D. Poliomyelitis 40. What specific sustainable development goal (SDG) is being addressed by the integrated management of childhood illnesses (IMCI)? A. SDG 3 B. SDG 4 C. SDG 5 D. SDG 6 41. Intrinsic host factors that affect occurrence of diseases include the following EXCEPT: A. age and sex B. nationality C. habits and practices D. genetic traits 42. The EPI is based on 3 principles. Which one is pro-people: A. Case findings and treatment on site B. A basic health service C. Based on epidemiological situation D. Mass approach rather than individual 43. Which one is primary element of EPI: A. Logistic management B. Target setting C. Information campaign D. Surveillance and research 44. After administering the first dose of DPT, the nurse instructs the mother to come back for the second dose of DPT after: A. 2 weeks B. 1 month C. 1 ½ months D. 2 months 45. The expected reactions to BCG include: 1. A reaction at the injection leading to a superficial abscess formation beginning on the second week 2. Permanent scarring at the site observed at about the 12th week 3. Fever 4. Koch’s phenomenon A. 1 & 2 B. 1, 2, & 3  C. 2, 3, & 4 D. 1, 2, 3, & 4 46. The process of gathering potential leaders, credible and influential community members who are willing to participate in community activities, is known as: A. small group assembly B. core group formation C. community organization D. mobilization SITUATION 4: Rosie dela Cruz, a trainee in the RN Heals (Registered Nurses for Health Enhancement and Local Services) is now ready to implement concrete health programs in respond to the health needs identified in the Participatory Action Research (PAR) conducted by the community. 47. Activities undertaken by the community or the People’s Organization to solve problems confronting the community by collectively undertaking people’s power is called: A. Ground working B. Confrontation C. Mobilization D. Community assembly 48. Consolidating a visible People’s Organization is an important goal during the implementation stage of community organizing. Which of the following statement best describes an effective People’s Organization: A. It has an external structure to help people participate and deliberate and provides for a system of checks and balances. B. It acts as an issue that will help in the popularity of the image of its leadership. C. It conducts meetings when there are organizational problems. D. It initiates projects even when there’s no prior consultation with the members. 49. The process of discovering by the people where they discuss what they have accomplished, what has been left, and what remains to be done in order to pursue their common goals in a particular period of time is called: A. Organizational development B. Reflection C. Planning and strategizing D. Evaluation 50. Presence of strong and functional People’s Organizations (POs), establishment of community-based health referral system, and strengthening capacities of POs are activities under what stage of Community Organizing? A. Entry B. Planning C. Exit D. Implementation 51. The following refers to a program implementation EXCEPT: A. Actual carrying out of a plan B. Mobilization of resources C. Active participation of people D. Tactical planning 52. The periodic process of tracking the results and effectivity of programs implementation is called: A. Assessment B. Monitoring C. Evaluation D. Feedbacking 53. A health care strategy endorsed by the World Health Organization (WHO) to ensure “health in the hands of the people” is known as: A. Community development B. Health resource management C. Primary health care D. Health education 54. The WHO recommended that the allocation of health budget should be at least how much percentage of a nation’s gross national product? A. 10% B. 2% C. 5% D. 15% 55. The process of going over recorded information is: A. Reviewing secondary data B. Observing the people in places where they usually gather C. Conversing with people D. Conducting house-to-house visits 56. Which of the following basic qualities of a community organizer (CO) reflects the capability of a CO to provide direction in leading People’s Organization and community residents? A. Critical thinking B. Flexibility C. Resourcefulness D. Visionary 57. Rosie assisted the staff of the RHU in the implementation of IMCI. Among the common severe childhood illnesses in the said communities are: A. Persistent Diarrhea B. Mastoiditis C. Pneumonia D. Low weight for age 58. Pregnant mothers were advised by Rosie to have a minimum of four antenatal visits where the first visit should be: A. Between 6th and 7th month of pregnancy B. 8th month of pregnancy C. 9th month of pregnancy D. As early as 1st trimester 59. Based on the Emergency Obstetric Care (EmOC) approach, Rosie knew that all pregnant women: A. Must receive Vitamin A supplementation of 10,000 IU 1 tablet twice a week for 6 months B. Must receive a minimum of 3 Tetanus Toxoid vaccines C. Must be considered at risk of possible complications at birth D. Must receive anti-retro vaccine (ARV) 60. Part of the 12 key Family Health Practices in IMCI that Rosie discussed to all families during home visits are the following EXCEPT for: A. Breastfeeding B. Compliance to schedule of infants for immunization C. Early toilet training among children D. Newborn screening 61. A two-year-old child with dysentery must receive this antibiotic 2 times daily for 3 days: A. Amoxicillin B. Co-trimoxazole C. Ciprofloxacin D. Tetracycline 62. The advice for the mother to continue breastfeeding her dehydrated child would mean: A. Longer time for breastfeeding B. More frequent breastfeeding C. Longer and frequent breastfeeding D. None of these 63. When should a child be returned immediately to the health facility by her mother? A. If the child is vomiting everything s/he eats B. If the child has 14 days of diarrhea C. If the child has pus drainage in the ears D. If the child’s weight is very low for his/her age 64. The important pre-referral treatment for a child who has fast breathing is: A. First dose of antibiotic B. Administration of intravenous fluid C. Bronchodilator D. All of these 65. Children with edema in both feet and body wasting is classified as: A. Severe dehydration B. Severe malnutrition C. Severe pneumonia  D. Severe dengue hemorrhagic fever 66. How much oral rehydration solution (ORS) must Rosie give every hour to a child with some dehydration whose weight is 6 kg. while being observed in the RHU? A. 120 ml B. 50 ml C. 250 ml D. 100 ml 67. Which of the following signs will indicate severe jaundice condition of a child? A. Jaundice appears after 24 hours of age B. Jaundice appears less than 24 hours of age C. Jaundice appears between 2 -3 days of age D. Jaundice appears 1 week of age 68. If the child is confirmed to be jaundiced, the mother must be advised to: A. Return immediately if palms and soles appear yellow. B. Treat with glucose water. C. Refer immediately to the hospital. D. Give oral antibiotics at home. 69. If the infant is returned in the RHU and there is no longer low weight for age, Rosie must: A. Counsel the mother about vitamin supplementation. B. Praise the mother and encourage her to continue breastfeeding. C. Check the infant for oral thrush D. Teach the mother how to prepare ORS at home 70. For very young children who are sick, the following must be validated with their mothers: A. Immunization given to the children B. Breastfeeding C. Educational level of children D. All except C 71. What practical food tips must be taught by the nurse to mothers with children 6 months of age? A. Introduce complementary foods one at a time B. Give plenty of variety foods C. Feed them as tolerable D. Make a menu plan for infants SITUATION 5: As Community Health Nurse Carmina has become cognizant of the healing effects of herbs and plants 72. Which Philippine law created the Philippine Institute of Traditional and Alternative Health Care? A. LOI 949 B. RA 8423 C. RA 1611 D. LOI 8342 73. Carmina taught the mothers, the preparation of herbal plants. Which common method of preparing herbal medicine requires soaking the plant material in hot water? A. Decoction B. Infusion C. Poultice D. Tincture 74. Which herbal plant is used as poultice for fungal infection? A. Sambong B. Bayabas C. Akapulko D. Ulasimang Bato 75. Which herbal plant is recommended to lower blood cholesterol levels and hypertension? A. Ampalaya B. Lagundi  C. Yerba Beuna D. Bawang 76. Which of the following is a form of alternative medicine that uses the application of pressure on specific areas of the body? A. Acupressure B. Acupuncture C. Chiropractic D. Aroma Therapy SITUATION 6: Maternal, Newborn, and Child Health & Nutrition (MNCHN) Strategy is aimed at rapid reduction of maternal deaths and mortalities among newborn and children to achieve SDG 3 by 2030. 77. By 2030, the maternal deaths in the Philippines must be reduced to less than 70 per 100,000 live births. Hence, the paradigm shift in maternal health is from risk approach to a new approach called: A. Emergency Obstetric Care Approach (EmOC) B. Community-based Maternal Care C. Facility-based Delivery D. Gender-responsive Approach 78. In MNCHN, all pregnant women are assisted by the Health Team to: A. Deliver at home B. Deliver in health facility C. Deliver in a place preferred by the pregnant woman D. Any of the above 79. The community-managed maternal and newborn care (CMMNC) is a direct intervention in MNCHN to prevent maternal and perinatal/neonatal deaths, illness, and disabilities. The following are features existing in a CMMNC: A. Community education and mobilization B. Established or strengthened referral system C. Availability of MCH services in the context of primary health care D. All of the above. 80. If Bernadeth, a PHN in the Rural Health Unit (RHU), has a pregnant client suffering from pre-eclampsia, then it is appropriate that Bernadeth refers her to a government secondary level of health facility which is the: A. Barangay Health Station B. Provincial Hospital C. Municipal Hospital D. Regional Hospital 81. To ensure effective and efficient health referral system, some municipalities are clustered into convergence sites where there is coordination and networking among the municipal/district hospitals, RHUs and the BHSs. This mechanism of sharing resources including personnel is known as: A. Teamwork B. Resource mapping C. Two-way referral system D. Inter-local health zone (ILHZ) 82. During a home visit, Aling Maria, a trained Barangay Health Worker, encouraged a pregnant mother to deliver in the health facility. Which of the following are useful to ask by Aling Maria in order to assist the pregnant mother in preparing a birth plan? A. “In what specific health facility will you deliver? What vehicle will you use to reach that health facility?” B. “How much will it cost you to deliver in that health facility? Where will you get your money for the said cost?” C. “Who will go with you and support you during labor and delivery?” D. All of the above. 83. For routine antenatal visit, a pregnant woman must be advised to go to the preferred health facility on the suggested schedule for a minimum of: A. Five B. Four (latest update: 8x) C. Three D. Two 84. Included in the essential antenatal services are the following EXCEPT: A. Family Planning  B. STI/HIV/AIDS screening C. Vitamin A supplementation D. Newborn screening 85. Pregnant women positive with HIV are given what vaccines to delay its progress to full-blown AIDS? A. MMR B. Tetanus Toxoid C. Anti-retro vaccine D. All of the above 86. The most common cause of maternal deaths due to abortion complications is: A. Absence of prenatal check-up B. Unwanted and/or unplanned pregnancies C. Severe anemia D. Infection 87. The government advocates for child spacing to ensure total readiness of the family to have another child. This means that a woman must be pregnant after: A. 1 year interval from last pregnancy B. 2 years interval from last pregnancy C. 3 years interval from last pregnancy D. 4 years interval from last pregnancy 88. Infant and Young Child Feeding (IYCF) is part of essential newborn care to saves thousands of newborn from dying. This intervention means: A. Exclusive breastfeeding up to 6 months of life B. Continue breastfeeding up to two years of life C. No other food on the 1st 6 months of life except breastmilk D. A, B and C 89. Republic Act 7600 mandates all hospitals, public and private, to promote breastfeeding and rooming-in after delivery. The condition that may prohibit a woman to breastfeed is: A. Positive HIV/AIDS mother B. Mother with twin babies C. Mother who delivers by caesarian section D. Psychologically depressed mothers 90. A working mother can continue breastfeeding by: A. Storing expressed milk in refrigerator B. Making arrangement with wet nursing mother C. Bringing her newborn with her if the workplace is safe for the newborn D. Any of the above 91. The most efficient alternative to incubators for low birthweight babies is the adoption of: A. Surrogate mothers B. Child-minding centers C. Kangaroo-Mother-Care D. Unang Yakap 92. The first component of Essential Newborn Care is the immediate and thorough drying of newborn to avoid: A. Hypothermia in newborn B. Anemia in newborn C. Distress among newborn D. Newborn complications 93. The World Health Organization (WHO) and DOH mandated all hospitals to delay bathing of newborn for at least: A. 3 hours from delivery B. 4 hours from delivery C. 5 hours from delivery D. 6 hours from delivery 94. The best time for a PHN to counsel pregnant mothers on IYCF and family planning is during: A. Immediately after delivery B. 1st Postpartum visit C. Antenatal visit D. During labor  95. One out of ten Filipino mothers die every day from complications related to pregnancy and childbirth. Among the most commonly observed factors for a pregnant woman’s delay in deciding to seek medical care are the following EXCEPT: A. Lack of money to pay for medical expenses and cost of transportation B. Lack of emergency transportation whether by land or water C. No available person to take care of the children, the home and livestock D. Failure to recognize danger signs 96. In the Three Delays Model behind maternal deaths, the following refer to commonly observed factors behind the “Delay in Receiving Appropriate and Adequate Care at the Health Facility” EXCEPT: A. Shortages of supplies e.g., emergency medicines or blood B. Lack of health care personnel C. Poor skills of health care providers D. Lack of awareness of existing health facilities 97. If the nurse will request Vitamin A for pregnant women in a barangay with a total population of 8,000, the total number of Vitamin A capsules/tablets of 10,000 IU that she should request would be: A. 10,080 B. 13,440 C. 20,160 D. 40,120 98. Newborn screening has been mandated by Republic Act 9288 to be carried out in: A. All government hospitals B. Private Hospitals C. Primary health facilities D. In all the mentioned health facilities 99. The DOH has been campaigning for the withdrawal of mercury-based health equipment because of its neurotoxins that can cause the following manifestations of mercury poisoning: i. Growth disorder ii. Disfigurement iii. Successive loss of motor control iv, Insanity v. Death A. ii, iii and iv B. v only C. i, ii, iii, iv and v D. i, ii and iii 100. Gradual phase-out of mercury in the Philippine Health Care is known as: A. DOH AO 2008 - 0021 B. DOH AO 2009 - 0021 C. DOH AO 2010 - 0021 D. Republic Act 0021