Community Health Nursing Examination Part i Answer Key (1)

8/6/2019 Community Health Nursing Examination Part i Answer Key (1)

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COMMUNITY HEALTH NURSING EXAMINATION PART I Answer Key

COMMUNITY HEALTH NURSING EXAMINATION PART I

Outline :

I. Epidemiology

II. Vital Statistics

III. FHSIS

IV. COPAR

V. Health Education

SITUATION : Epidemiology and Vital statistics is a very important tool that a

nurse could use

in controlling the spread of disease in the community and at the same time,

surveying the

impact of the disease on the population and prevent its future occurrence.

1. It is concerned with the study of factors that influence the occurrence and

distribution of

diseases, defects, disability or death which occurs in groups or aggregation of

individuals.

A. Epidemiology

B. Demographics

C. Vital Statistics

D. Health Statistics

2. Which of the following is the backbone in disease prevention?

A. Epidemiology

B. Demographics

C. Vital Statistics


3. Which of the following type of research could show how community

expectations can

result in the actual provision of services?

A. Basic Research

B. Operational Research

C. Action Research

D. Applied Research

4. An outbreak of measles has been reported in Community A. As a nurse, whichof the

following is your first action for an Epidemiological investigation?

A. Classify if the outbreak of measles is epidemic or just sporadic

B. Report the incidence into the RHU

C. Determine the first day when the outbreak occurred

D. Identify if it is the disease which it i s reported to be

5. After the epidemiological investigation produced final conclusions, which of the

following

is your initial step in your operational procedure during disease outbreak?

A. Coordinate personnel from Municipal to the National level

B. Collect pertinent laboratory specimen to confirm disease causation

C. Immunize nearby communities with MeaslesD. Educate the community in future prevention of similar outbreaks

6. The main concern of a public health nurse is the prevention of disease,

prolonging of life

and promoting physical health and efficiency through which of the following?

A. Use of epidemiological tools and vital health statis tics

B. Determine the spread and occurrence of the disease

C. Political empowerment and Socio Economic Assistance

D. Organized Community Efforts

7. In order to control a disease effectively, which of the following must first be

known?

1. The conditions surrounding its occurrence

2. Factors that do not favor its development

3. The condition that do not surround its occurrence

4. Factors that favors its development

A. 1 and 3

B. 1 and 4

C. 2 and 3

D. 2 and 4

8. All of the following are uses of epidemiology except:

A. To study the history of health population and the rise and fall of disease

B. To diagnose the health of the community and the condition of the people

C. To provide summary data on health service delivery

D. To identify groups needing special attention

9. Before reporting the fact of presence of an epidemic, which of the following is

of most

importance to determine?

A. Are the facts complete?

B. Is the disease real?

C. Is the disease tangible?

D. Is it epidemic or endemic?

10. An unknown epidemic has just been reported in Barangay Dekbudekbu.

People said thataffected person demonstrates hemorrhagic type of fever. You

are designated now to plan forepidemiological investigation. Arrange the

sequence of events in accordance with the correctoutline plan for epidemiological

investigation.

1. Report the presence of dengue

2. Summarize data and conclude the final picture of epidemic

3. Relate the occurrence to the population group, facilities, food supply and

carriers

4. Determine if the disease is factual or real

5. Determine any unusual prevalence of the disease and its nature; is it

epidemic, sporadic,

endemic or pandemic?

6. Determine onset and the geographical limitation of the disease.

A. 4,1,3,5,2,6

B. 4,1,5,6,3,2

C. 5,4,6,2,1,3D. 5,4,6,1,2,3E. 1,2,3,4,5,6

11. In the occurrence of SARS and other pandemics, which of the following is the

most vital

role of a nurse in epidemiology?

A. Health promotion

B. Disease prevention

C. Surveillance

D. Casefinding

12. Measles outbreak has been reported in Barangay Bahay Toro, After

conducting anepidemiological investigation you have confirmed that the outbreak is factual.

You are

tasked to lead a team of medical workers for operational procedure in disease

outbreak.

Arrange the correct sequence of events that you must do to effectively contain

the disease

1. Create a final report and recommendation

2. Perform nasopharyngeal swabbing to infected individuals

3. Perform mass measles immunization to vulnerable groups

4. Perform an environmental sanitation survey on the immediate environment

5. Organize your team and Coordinate the personnels

6. Educate the community on disease transmissionA. 1,2,3,4,5,6B. 6,5,4,3,2,1C. 5,6,4,2,3,1

D. 5,2,3,4,6,1

13. All of the f ollowing are function of Nurse Budek in epidemiology except

A. Laboratory Diagnosis

B. Surveillance of disease occurrence

C. Follow up cases and contacts

D. Refer cases to hospitals if necessary

E. Isolate cases of communicable disease

14. All of the following are performed in team organization except

A. Orientation and demonstration of methodology to be employed

B. Area assignments of team members

C. Check teams equipments and paraphernalia

D. Active case finding and Surveillance

15. Which of the following is the final output of data reporting in epidemiological

operational

procedure?

A. Recommendation

B. Evaluation

C. Final Report

D. Preliminary report

16. The office in charge with registering vital facts in the Philippines is none other

than the


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A. PCSO

B PAGCOR

C. DOH

D. NSO

17. The following are possible sources of Data except:

A. Experience

B. Census

C. Surveys

D. Research

18. This refers to systematic study of vital events such as bir ths, illnesses,

marriages,

divorces and deaths

A. Epidemiology

B. Demographics

C. Vital Statistics


19. In case of clerical errors in your birth certificate, Where should you go to have

it

corrected?

A. NSO

B. Court of Appeals

C. Municipal Trial CourtD. Local Civil Registrar

20. Acasia just gave birth to Lestat, A healthy baby boy. Who are going to report

the birth of

Baby Lestat?

A. Nurse

B. Midwife

C. OB Gyne

D. Birth Attendant

21. In reporting the birth of Baby Lestat, where will he be registered?

A. At the Local Civil Registrar

B. In the National Statistics Office

C. In the City Health DepartmentD. In the Field Health Services and Information System Main Office

22. Deejay, The birth attendant noticed that Lestat has low set of ears,

Micrognathia,

Microcephaly and a typical cat l ike cry. What should Deejay do?

A. Bring Lestat immediately to the nearest hospital

B. Ask his assistant to call the nearby pediatrician

C. Bring Lestat to the nearest pediatric clinic

D. Call a Taxi and together with Acasia, Bring Lestat to the nearest hospital

23. Deejay would suspect which disorder?

A. Trisomy 21

B. Turners Syndrome

C. Cri Du ChatD. Klinefelters Syndrome

24. Deejay could expect which of the following congenital anomaly that would

accompany

this disorder?

A. AVSD

B. PDA

C. TOF

D. TOGV

26. Which presidential decree orders reporting of births within 30 days after its

occurrence?

A. 651

B. 541 C. 996 D. 825

25. These rates are referred to the total living population, It must be presumed

that the

total population was exposed to the risk of occurrence of the event.

A. Rate

B. Ratio

C. Crude/General Rates

D. Specific Rate

26. These are used to describe the relationship between two numerical quantities

or

measures of events without taking particular considerations to the time or place.

A. Rate

B. Ratios

C. Crude/General Rate

D. Specific Rate

27. This is the most sensitive index in determining the general health condition of

a

community since it reflects the changes in the environment and medical

conditions of a

community

A. Crude death rate

B. Infant mortality rate

C. Maternal mortality rate

D. Fetal death rate

28. According to the WHO, which of the following is the most f requent cause of

death in

children underfive worldwide in the 2003 WHO Survey?

A. Neonatal

B. Pneumonia

C. Diarrhea

D. HIV/AIDS

29. In the Philippines, what is the most common cause of death of infants

according to the

latest survey?

A. Pneumonia

B. Diarrhea

C. Other perinatal condition

D. Respiratory condition of fetus and newborn

30. The major cause of mortality from 1999 up to 2002 in the Philippines are

A. Diseases of the heart

B. Diseases of the vascular system

C. Pneumonias

D. Tuberculosis

31. Alicia, a 9 year old child asked you What is the common cause of death in

my agegroup here in the Philippines? The nurse is correct if he will answer

A. Pneumonia is the top leading cause of death in children age 5 to 9

B. Malignant neoplasm if common in your age group

C. Probability wise, You might die due to accidents

D. Diseases of the respiratory system is the most common cause of death in

children

32. In children 1 to 4 years old, which is the most common cause of death?

A. Diarrhea

B. Accidents

C. Pneumonia

D. Diseases of the heart

33. Working in the community as a PHN for almost 10 years, Aida knew thefluctuation in

vital statistics. She knew that the most common cause of morbidity among the

Filipinos is

A. Diseases of the heart

B. Diarrhea

C. Pneumonia

D. Vascular system diseases

34. Nurse Aida also knew that most maternal deaths are caused by

A. Hemorrhage

B. Other Complications related to pregnancy occurring in the course of

labor,

delivery and puerperium

C. Hypertension complicating pregnancy, childbirth and puerperium

D. Abortion

SITUATION : Barangay PinoyBSN has the following data in year 2006

1. July 1 population : 254,316

2. Livebirths : 2,289

3. Deaths from maternal cause : 15

4. Death from CVD : 3,029

5. Deaths under 1 year of age : 23

6. Fetal deaths : 8

7. Deaths under 28 days : 8


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8. Death due to rabies : 45

9. Registered cases of rabies : 45

10. People with pneumonia : 79

11. People exposed with pneumonia : 2,593

12. Total number of deaths from all causes : 10,998

The following questions refer to these data

35. What is the crude birth rate of Barangay PinoyBSN?

A. 90/100,000

B. 9/100

C. 90/1000

D. 9/1000

36. What is the cause specific death rate from cardiovascular diseases?

A. 27/100

B. 1191/100,000

C. 27/100,000

D. 1.1/1000

37. What is the Maternal Mortality rate of this barangay?

A. 6.55/1000

B. 5.89/1000 C. 1.36/1000 D. 3.67/1000

38. What is the fetal death rate?

A. 3.49/1000

B. 10.04/1000

C. 3.14/1000

D. 3.14/100,000

39. What is the attack rate of pneumonia?

A. 3.04/1000 B. 7.18/1000 C. 32.82/100

D. 3.04/100

40. Determine the Case fatality ratio of rabies in this Barangay

A. 1/100

B. 100%

C. 1%

D. 100/1000

41. The following are all functions of the nurse in vital statistics, which of the

following isnot?

A. Consolidate Data

B. Collects Data

C. Analyze Data

D. Tabulate Data

42. The following are Notifiable diseases that needs to have a tally sheet in data

reporting,

Which one is not?

A. Hypertension

B. Bronchiolitis

C. Chemical Poisoning

D. Accidents43. Which of the following requires reporting within 24 hours?

A. Neonatal tetanus

B. Measles

C. Hypertension

D. Tetanus

44. Which Act declared that all communicable disease be reported to the nearest

health

station?

A. 1082

B. 1891

C. 3573

D. 6675

45. In the RHU Team, Which professional is directly responsible in caring a sick

person who

is homebound?

A. Midwife

B. Nurse

C. BHW

D. Physician

46. During epidemics, which of the following epidemiological function will you

have to

perform first?

A. Teaching the community on disease prevention

B. Assessment on suspected cases

C. Monitor the condition of people affected

D. Determining the source and nature of the epidemic

47. Which of the following is a POINT SOURCE epidemic?

A. Dengue H.F

B. Malaria

C. Contaminated Water Source

D. Tuberculosis

48. All but one is a characteristic of a point source epidemic, which one is not?

A. The spread of the disease is caused by a common vehicle

B. The disease is usually caused by contaminated food

C. There is a gradual increase of cases

D. Epidemic is usually sudden

49. The only Microorganism monitored in cases of contaminated water is

A. Vibrio Cholera

B. Escherichia Coli

C. Entamoeba Histolytica

D. Coliform Test

50. Dengue increase in number during June, July and August. This pattern is called

A. Epidemic

B. EndemicC. Cyclical

D. Secular

SITUATION : Field health services and information system provides summary

data on health

service delivery and selected program from the barangay level up to the national

level. As a

nurse, you should know the process on how these information became

processed and

consolidated.

51. All of the f ollowing are objectives of FHSIS Except

A. To complete the clinical picture of chronic disease and describe their

naturalhistory

B. To provide standardized, facility level data base which can be accessed for

more in depth

studies

C. To minimize recording and reporting burden allowing more time for patient

care and

promotive activities

D. To ensure that data reported are useful and accurate and are disseminated in

a timely

and easy to use fashion

52. What is the fundamental block or foundation of the field health service

informationsystem?

A. Family treatment record

B. Target Client list C. Reporting forms D. Output record

53. What is the primary advantage of having a target client list?

A. Nurses need not to go back to FTR to monitor treatment and services to

beneficiaries thus saving time and effort

B. Help monitor service rendered to clients in general

C. Facilitate monitoring and supervision of services

D. Facilitates easier reporting

54. Which of the following is used to monitor particular groups that are qualified

as eligible

to a certain program of the DOH?


B. Target Client list

C. Reporting forms

D. Output record

55. In using the tally sheet, what is the recommended frequency in tallying

activities and

services?

A. Daily


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B. Weekly

C. Monthly

D. Quarterly

56. When is the counting of the tally sheet done?

A. At the end of the day

B. At the end of the week

C. At the end of the month

D. At the end of the year

57. Target client list will be transmitted to the next facility in the form of



C. Reporting forms

D. Output record

58. All but one of the following are eligible target client list

A. Leprosy cases

B. TB cases

C. Prenatal care

D. Diarrhea cases

59. This is the only mechanism through which data are routinely transmitted from

once

facility to another



C. Reporting forms

D. Output record

60. FHSIS/Q-3 Or the report for environmental health activities is prepared how

frequently?

A. Daily

B. Weekly

C. Quarterly

D. Yearly

61. Nurse Budek is preparing the reporting form for weekly notifiable diseases.

He knew

that he will code the report form asA. FHSIS/E-1 B. FHSIS/E-2 C. FHSIS/E-3

D. FHSIS/M-1

62. In preparing the maternal death report, which of the following correctly codes

this

occurrence?

A. FHSIS/E-1

B. FHSIS/E-2

C. FHSIS/E-3

D. FHSIS/M-1

63. Where should Nurse Budek bring the reporting forms if he is in the BHU

Facility?

A. Rural health officeB. FHSIS Main office

C. Provincial health office

D. Regional health office

64. After bringing the reporting forms in the right facili ty for processing, Nurse

Budek knew

that the output reports are solely produced by what office?

A. Rural health office

B. FHSIS Main office

C. Provincial health office

D. Regional health office

65. Mang Raul entered the health center complaining of fatigue and frequent

syncope. You

assessed Mang Raul and found out that he is severely malnourished and

anemic. What

record should you get first to document these findings?



66. The information about Mang Rauls address, full name, age, symptoms and

diagnosis is

recorded in



67. Another entry is to be made for Mang Raul because he is in the target clients

list, In

what TCL should Mang Rauls entry be documented?

A. TCL Eligible Population

B. TCL Family Planning

C. TCL Nutrition

D. TCL Pre Natal

68. The nurse uses the FHSIS Record system incorrectly when she found out that

A. She go to the individual or FTR for entry confirmation in the Tally/Report

Summary

B. She refer to other sources for completing monthly and quarterly reports

C. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1

D. She records a Child who have frequent diarrhea in TCL : Under Five

69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be

considered a

reporting unit if all of the following are met except

A. It renders service to 3 barangays

B. There is a midwife the regularly renders service to the area

C. The BHS Have no mother BHS

D. It should be a satellite BHS

70. Data submitted to the PHO is processed using what type of technology?

A. InternetB. Microcomputer

C. Supercomputer

D. Server Interlink Connections

SITUATION : Community organizing is a process by which people, health

services and

agencies of the community are brought together to act and solve their own

problems. 71. Mang ambo approaches you for counseling. You are an effective

counselor if you A. Give good advice to Mang Ambo

B. Identify Mang Ambos problems

C. Convince Mang Ambo to follow your advice

D. Help Mang Ambo identify his problems

72. As a newly appointed PHN instructed to organize Barangay Baritan, Which ofthe

following is your initial step in organizing the community for initial action?

A. Study the Barangay Health statistics and records

B. Make a courtesy call to the Barangay Captain

C. Meet with the Barangay Captain to make plans

D. Make a courtesy call to the Municipal Mayor

73. Preparatory phase is the first phase in organizing the community. Which of

the following

is the initial step in the preparatory phase?

A. Area selection

B. Community profiling

C. Entry in the communityD. Integration with the people

74. the most important factor in determining the proper area for community

organizing is

that this area should

A. Be already adopted by another organization

B. Be able to finance the projects

C. Have problems and needs assistance

D. Have people with expertise to be developed as leaders

75. Which of the following dwelling place should the Nurse choose when

integrating with the

people?

A. A simple house in the border of Barangay Baritan and San Pablo

B. A simple house with fencing and gate located in the center of Barangay

Baritan

C. A modest dwelling place where people will not hesitate to enter

D. A modest dwelling place where people will not hesitate to enter located

in the

center of the community

76. In choosing a leader in the community during the Organizational phase,

Which among

these people will you choose?


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A. Miguel Zobel, 50 years old, Rich and Famous

B. Rustom, 27 years old, Actor

C. Mang Ambo, 70, Willing to work for the desired change

D. Ricky, 30 years old, Influential and Willing to work for the desired

change

77. Which type of leadership style should the leaders of the community practice?

A. Autocratic

B. Democratic

C. Laissez Faire

D. Consultative

78. Setting up Committee on Education and Training is in what phase of

COPAR?

A. Preparatory

B. Organizational

C. Education and Training

D. Intersectoral Collaboration

E. Phase out

79. Community diagnosis is done to come up with a profile of local health

situation that will

serve as basis of health programs and services. This is done in what phase of

COPAR?

A. Preparatory

B. Organizational


D. Intersectoral Collaboration

E. Phase out

80. The people named the community health workers based on the collective

decision in

accordance with the set criteria. Before they can be trained by the Nurse, The

Nurse must

first

A. Make a lesson plan

B. Set learning goals and objective

C. Assess their learning needsD. Review materials needed for training

81. Nurse Budek wrote a letter to PCSO asking them for assistance in their

feeding

programs for the communitys nutrition and health projects. PCSO then approved

the

request and gave Budek 50,000 Pesos and a truckload of rice, fruits and

vegetables. Which

phase of COPAR did Budek utilized?

A. Preparatory

B. Organizational


D. Intersectoral CollaborationE. Phase out

82. Ideally, How many years should the Nurse stay in the community before he

can phase

out and be assured of a Self Reliant community?

A. 5 years

B. 10 years

C. 1 year

D. 6 months

83. Major discussion in community organization are made by

A. The nurse

B. The leaders of each committee

C. The entire group

D. Collaborating Agencies

84. The nurse should know that Organizational plan best succeeds when

1. People sees its values

2. People think its antagonistic professionally

3. It is incompatible with their personal beliefs

4. It is compatible with their personal beliefs

A. 1 and 3 B. 2 and 4 C. 1 and 2

D. 1 and 4

85. Nurse Budek made a proposal that people should turn their backyard into

small farming

lots to plant vegetables and fruits. He specified that the objective is to save

money in

buying vegetables and fruits that tend to have a fluctuating and cyclical price.

Which step in

Community organizing process did he utilized?

A. Fact finding

B. Determination of needs

C. Program formation

D. Education and Interpretation

86. One of the critical steps in COPAR is becoming one with the people and

understanding

their culture and lifestyle. Which critical step in COPAR will the Nurse try to

immerse himself

in the community?

A. Integration

B. Social Mobilization

C. Ground Work

D. Mobilization

87. The Actual exercise of people power occurs during when?

A. Integration

B. Social Mobilization

C. Ground WorkD. Mobilization

88. Which steps in COPAR trains indigenous and informal leaders?

A. Ground Work

B. Mobilization

C. Core Group formation

D. Integration

89. As a PHN, One of your role is to organize the community. Nurse Budek

knows that the

purposes of community organizing are

1. Move the community to act on their own problems

2. Make people aware of their own problems

3. Enable the nurse to solve the community problems4. Offer people means of solving their own problems

A. 1,2,3

B. 1,2,3,4

C. 1,2

D. 1,2,4

90. This is considered the first act of integrating with the people. This gives an in

depth

participation in community health problems and needs.

A. Residing in the area of assignment

B. Listing down the name of person to contact for courtesy call

C. Gathering initial information about the community

D. Preparing Agenda for the first meetingSITUATION : Health education is the process whereby knowledge, attitude and

practice of

people are changed to improve individual, family and community health.

91. Which of the following is the correct sequence in health education?

1. Information

2. Communication

3. Education

A. 1,2,3

B. 3,2,1

C. 1,3,2

D. 3,1,2

92. The health status of the people is greatly affected and determined by which

of the

following?

A. Behavioral factors

B. Socioeconomic factors

C. Political factors

D. Psychological factors

93. Nurse Budek is conducting a health teaching to Agnesia, 50 year old breast

cancer

survivor needing rehabilitative measures. He knows that health education is

effective when


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A. Agnesia recites the procedure and instructions perfectly

B. Agnesias behavior and outlook in life was changed positively

C. Agnesia gave feedback to Budek saying that she understood the instruction

D. Agnesia requested a written instruction from Budek

94. Which of the following is true about health education?

A. It helps people attain their health through the nurses sole efforts

B. It should not be flexible

C. It is a fast and mushroom like process

D. It is a slow and continuous process

95. Which of the following factors least influence the learning readiness of an

adult learner?

A. The individuals stage of development

B. Ability to concentrate on information to be learned

C. The individuals psychosocial adaptation to his illness

D. The internal impulses that drive the person to take action

96. Which of the following is the most important condition for diabetic patients to

learn how

to control their diet?

A. Use of pamphlets and other materials during instructions

B. Motivation to be symptom free

C. Ability of the patient to understand teaching instruction

D. Language used by the nurse

97. An important skill that a primigravida has to acquire is the ability to bathe her

newborn

baby and clean her breast if she decides to breastfeed her baby, Which of the

following

learning domain will you classify the above goals?

A. Psychomotor

B. Cognitive

C. Affective

D. Attitudinal

98. When you prepare your teaching plan for a group of hypertensive patients,

you first formulate your learning objectives. Which of the following steps in the

nursing process corresponds to the writing of the learning objectives?A. Planning

B. Implementing

C. Evaluation

C. Assessment

99. Rose, 50 years old and newly diagnosed diabetic patient must learn how to

inject

insulin. Which of the following physical attribute is not in anyway related to her

ability to

administer insulin?

A. Strength

B. Coordination

C. DexterityD. Muscle Built

100. Appearance and disposition of clients are best observed initially during

which of the

following situation?

A. Taking V/S

B. Interview

C. Implementation of the initial care

D. Actual Physical examination

95-100 are taken from actual board questions, However the answer key given in

the compilation are incorrect

Documents

Community Health Nursing Examination Part i Answer Key (1)