ARELLANO UNIVERSITY c.

The statement may be true or false, depending on the

Pasay City specific service required.
d. The statement may be true or false, depending on
PRELIMINARY EXAMINATION policies of the government concerned
HEALTH CARE II – LECTURE 8. A family is composed of two or more people who are
emotionally involved with each other and live in close
MULTIPLE CHOICE. CHOOSE THE BEST ANSWER BY SHADING geographical proximity. All but one are the characteristics
THE CORRESPONDING LETTER IN THE ANSWER SHEET. of a family:
a. basic unit of society
1. A service rendered by a professional nurse with the b. composed of two members sharing same
community, groups, families and individuals at home, in developmental stage
health centers, in clinics, in schools, and in places of work c. primary entity of health care or institution responsible
for the promotion of health, prevention of illness, care of for the physical , emotional and social support of its
the sick at home and rehabilitation. members
a. Community health nursing d. source of refuge for its members
b. Occupational health nursing 9. Which of the following is the most prominent feature of
c. School health nursing public health nursing?
d. Private duty nursing a. It involves providing home care to sick people who are
2. Which is the primary goal of community health nursing? not confined in the hospital
a. To support and supplement the efforts of the medical b. Services are provided free of charge to people within
profession in the promotion of health and prevention the catchment area.
of illness c. The public health nurse functions as part of a team is
b. To enhance the capacity of individuals, families and to provide public health nursing services.
communities to cope with their health needs d. Public health nursing focuses on preventive, not
c. To increase the productivity of the people by providing curative, services.
them with services that will increase their level of 10. Regional Hospital is classified as what level of facility?
health a. Intermediate
d. To contribute to national development through b. Primary
promotion of family welfare, focusing particularly on c. Secondary
mothers and children. d. Tertiary
3. CHN is based on recognized needs of communities, families, 11. Which is an example of the school nurse’s health care
groups and individuals. The Principles of CHN are the provider functions?
following EXCEPT: a. Requesting for BCG from the RHU for school entrant
a. Education as primary tool immunization
b. Made available to all b. Conducting random classroom inspection during a
c. People’s initiative measles epidemic
d. Organizing for health, with only the individual as the c. Taking remedial action on an accident hazard in the
unit of service school playground
4. The objectives of community health nursing include all of d. Observing places in the school where pupils spend
the following. Which is not included? their free time
a. To participate in the development of an overall health 12. You are a new B.S.N. graduate. You want to become a
plan for the community Public Health Nurse. Where will you apply?
b. To provide quality nursing services to individuals, a. Department of Health
families communities b. Provincial Health Office
c. To elevate the economic condition of the citizenry c. Regional Health Office
d. To coordinate nursing services with various members d. Municipal or City Health Office
of the health team, community leaders and significant 13. R.A. 7160 mandates devolution of basic services from the
others national government to local government units. Which of
5. Aside from number of employees, what other factor must the following is the major goal of devolution?
be considered in determining the occupational health a. To strengthen local government units
privileges to which the workers will be entitled? b. To allow greater autonomy to local government units
a. Type of occupation: agricultural, commercial, industrial c. To empower the people and promote their self-
b. Location of the workplace in relation to health reliance
facilities d. To make basic services more accessible to the people
c. Classification of the business enterprise based on net 14. Who is the Chairman of the Municipal Health Board?
profits a. Mayor
d. Sex and age composition of employees b. Municipal Health Officer
6. A garment factory does not have an occupational nurse. c. Public Health Nurse
Who shall provide the occupational health needs of the d. Any qualified physician
factory workers? 15. Which level of health facility is the usual point of entry of a
a. Occupational health nurse at the Provincial Health client into the health care delivery system?
Office a. Primary
b. Physician employed by the factory b. Secondary
c. Public health nurse of the RHU of their municipality c. Intermediate
d. Rural sanitary inspector of the RHU of their d. Tertiary
municipality 16. The public health nurse is the supervisor of rural health
7. “Public health services are given free of charge.” Is this midwives. Which of the following is a supervisory function
statement true or false? of the public health nurse?
a. The statement is true; it is the responsibility of a. Referring cases or patients to the midwife
government to provide basic services. b. Providing technical guidance to the midwife
b. The statement is false; people pay indirectly for c. Providing nursing care to cases referred by the midwife
public health services.
 d. Formulating and implementing training programs for d. Smoking during pregnancy increases the risks of
midwives stillbirth and miscarriage
17. The public health nurse takes an active role in community 25. Primary prevention strategies for a chronic illness such as
participation. What is the primary goal of community heart disease include:
organizing? a. Modifying risk factor such as obesity or high-fat diet
a. To educate the people regarding community health b. Implementing disease prevention strategies such as
problems regular aerobic exercise
b. To mobilize the people to resolve community health c. Teaching people about healthy diet and exercise
problems d. All of the above
c. To maximize the community’s resources in dealing 26. An effective tertiary prevention strategy for a client who
with health problems has undergone below the knee amputation would be:
d. To maximize the community’s resources in dealing a. Enrolling the client in a book group to avoid social
with environmental problems isolation
18. A healthy community has the following characteristics b. Teaching the client to use crutches
EXCEPT: c. Insisting the client to get a wheelchair
a. Conservation of natural resources d. Providing information on a company that makes lights
b. Awareness that we are “community” that flash when the telephone rings
c. Recognition of the existence of subgroups 27. Ruel and Aida have three children: Roy 6 years old, Steve 5
d. None of the above years old, and Necie 2 years old. They lived in the house of
19. On the other hand, Operation Timbang is on what level of Julia, Aida’s mother. This is an example of
prevention. a. Nuclear family
a. Primary b. Extended family
b. Secondary c. Patriarchal
c. Intermediate d. Matriarchal
d. Tertiary 28. Which of the following describes the population
20. Teaching elementary school children and their parents how aggregates?
media ads target young people and try to make smoking a. Group of people who share common characteristics
look “cool” is an example of a: b. Composed of two or more members who have
a. Intermediate prevention common health problems and concerns
b. Primary prevention c. People who consult the health center and receive
c. Secondary prevention health services
d. Tertiary prevention d. Both A and B
21. An example of secondary prevention strategy for chronic 29. Elderly as population aggregate have the following concern
illness would include which of the following: EXCEPT:
a. Showing a client who has had a stroke how to walk a. Access to health care
with cane b. Decrease or loss of income
b. Conducting blood pressure screenings at the local c. Emotional and social problems
mall d. Provision of nursing care to the sick, dependent and
c. Helping people with diabetes find a support group and disable member of the family
affordable monitoring supplies 30. All of the following are geographic dimensions of a
d. Immunizing a client against influenza community EXCEPT:
22. An example of primary prevention strategy for working a. Climate
with a person at risk for mental disorder would be b. Geographical features
a. Quickly identifying a person who has depression c. Placement of health center
b. Providing education on drug and alcohol abuse to a d. Socio-economic status
teenager whose family has a history of alcoholism 31. The age of dependent population refers to people aged
and depression a. 15 years old and below
c. Teaching daily living skills to a person who is suicidal b. 65 years old
d. Monitoring medication prescribed to alleviate severe c. 15 to 65 years old
anxiety d. Less than 14 and more than 65 years old
23. A nurse instructor asks a nursing student to identify 32. Which of the following is true about research in a
situations that indicate a secondary level of prevention in community health?
health care. Which situation if identified by the student a. Improve understanding of clients and their specific
would indicate a need for further study of the levels of content
prevention? b. Provide data needed for program and policy
a. Teaching a stroke patient how to use a walker development and evaluation
b. Encouraging a client to take antihypertensive c. Improve the delivery of health services and
medication as prescribed implementation of existing program
c. Screening for hypertension in a community d. All of the above
d. Encouraging a woman over 40 years of age to obtain 33. When the nurse is documenting she includes the following
periodic mammogram EXCEPT:
24. A school nurse provides several teaching sessions to a a. Outcome of intervention
group of high school students regarding the hazards of b. Client’s assessment and health identified needs
smoking. Which comment by a student indicates a need for c. Quality assurance
further teaching? d. Client’s response to intervention
a. Inhalation of tobacco smoke from active smoker and 34. Which type of family-nurse contact will provide you with
passive smoking inhaled from other people smoking the best opportunity to observe family dynamics?
are both public health issue a. Clinic consultation
b. Chewing tobacco is a safer method of than smoking b. Group conference
the tobacco c. Home visit
c. My health is at risk when my parents smoke d. Written communication
35. The process of collecting and processing data about the 44. Which is CONTRARY to the principles in planning a home
client refers to: visit?
a. Assessment a. A home visit should have a purpose or objective.
b. Diagnosis b. The plan should revolve around family’s health needs.
c. Planning c. A home visit should be conducted in the manner
d. Documentation prescribed by the RHU
36. Nurse Susan is conducting a health teaching to Agnes, 50 d. Planning of continuing care should involve a
year old breast cancer survivor needing rehabilitative responsible family member.
measures. She knows that health education is effective 45. Primary health care is a total approach to community
when development. Which of the following is an indicator of
a. Agnes recites the procedure and instructions perfectly success in the use of the primary health care approach?
b. Agnes gave feedback to Susan saying that she a. Health services are provided free of charge to
understood the instructions individuals and families.
c. Agnes behavior and outlook in life was changed b. Local officials are empowered as the major decision
positively makers in matters of health.
d. Agnes requested a written instruction from Susan c. Health workers are able to provide care based on
37. A community health nurse is working with food services in a identified health needs of the people.
rural school setting. A goal for the school dietary program d. Health programs are sustained according to the level
is to avoid nutritional deficiencies and enhance children’s of development of the community.
nutritional status through healthy dietary practices. In 46. What is the legal basis for Primary Health Care approach in
implementing interventions by levels of prevention, which the Philippines?
of the following would be a primary prevention a. Alma Ata Declaration on PHC
intervention that the nurse could use? b. Letter of Instruction No. 949
a. Case finding in the school to identify dietary practices c. Presidential Decree No. 147
b. School screening programs for early detection of d. Presidential Decree 996
children with poor eating habits 47. Which of the following demonstrates intersectoral
c. Providing education programs, literature, and posters linkages?
to promote awareness of healthy eating a. Two-way referral system
d. Conduct a community-wide dietary screening activity b. Team approach
to detect community dietary trends c. Endorsement done by a midwife to another midwife
38. As a public health nurse, what is your primary function or d. Cooperation between the PHN and public school
responsibility? teacher
a. Health promotion 48. School health nursing is primarily determined by the
b. Health restoration following EXCEPT:
c. Prevention of illness a. Characteristics of the clientele
d. Prevention of complications b. Policies of the Department of Education (DepEd)
39. Which of the following principles of community health c. Programs of the Department of Health (DOH)
nursing (CHN) is inaccurate? d. Benefits of Social Security System (SSS)
a. CHN is based on recognized needs of individuals, 49. The DOH provides health care services to the people in line
groups, families and communities with which of the following levels of prevention?
b. In CHN, the family is the unit of service a. Primary level
c. Health teaching is part and parcel of the responsibility b. Secondary level
of the public health nurse (PHN) c. Tertiary level
d. The PHN works alone even as she is a member of the d. All of the three levels of prevention
health team 50. Which is not considered a primary level of prevention?
40. The World Health Organization (WHO) held a meeting in a. Case finding, cataract screening, sputum microscopy
this place where primary health care was discussed. b. EPI, vitamin A supplementation
a. Alma Ata c. Stream clearing and stream seeding
b. Japan d. Regular exercise and balanced diet
c. Vienna 51. It is a process whereby knowledge, attitude and practice of
d. Geneva people are changed to improve individual, family and
41. Health problems beyond the capacity of primary health community health
care units are referred to the rural health units (RHU). The a. Health promotion
RHU team consists of all of the following but one: b. Health education
a. Physician c. Health awareness
b. Nurse d. Health concept
c. Midwife 52. The first step in health education is to create awareness.
d. City engineers The second step is
42. The components of primary health care (PHC) include a. Decision making action to practice health services
a. Immunization and control of communicable diseases b. Critical thinking analysis
b. Health education c. Motivation
c. Environmental sanitation d. Evaluation
d. All of the above 53. What is/are the element/s involve in health education?
43. Which of the following is an advantage of a home visit? a. Provision of knowledge
a. It allows the nurse to provide nursing care to a greater b. Exchange of information
number of people. c. Change in knowledge, attitude and skills
b. It provides an opportunity to do first hand appraisal d. All of the above
of the home situation. 54. One of the tasks of the public health nurse is to perform
c. It allows sharing of experiences among people with relevant diagnostic and therapeutic responsibilities. The
similar health problems. nurse’s role is
d. It develops the family’s initiative in providing for a. Facilitative
health needs of its members. b. Clinician
 c. Developmental d. Meaningful communication
d. Supportive 65. The family’s response to health and illness is reflected in
55. When establishing and maintaining a responsive referral a. Its utilization of existing health services
and support system for health related services, the nurse’s b. The type of illnesses and causes of death in the family
role is c. The number of vulnerable members of the family
a. Facilitative d. The degree of assistance given to family
b. Clinician 66. To effectively give nursing care to an indigenous family, the
c. Developmental nurse should first
d. Supportive a. understand their culture
56. The Community Health Nurse recognizes the necessity for b. assess health beliefs and practices
the people’s participation in c. work with their traditional healers
a. Identifying community health problems and needs d. share experiences in community health work
b. Prioritizing health problems and needs 67. To modify harmful practices among indigenous families, the
c. Developing plans for addressing health problems and most important factor is
needs a. ensure the change blend to their culture
d. All phases of decision-making process b. increase health knowledge of the family
57. The CHN services provided by the nurse are directed c. involve the family in bringing out change
toward the following: d. persuade family to change practices
1 – families in their homes 68. An indicator that behavior change is maintained and
2 – the school population sustained is
3 – workers of all occupations a. Change is incorporated to everyday life
4 – population groups b. Barrier to change has been removed
c. There is an awareness for need to change
a. 1 only d. Family verbalizes need for change
b. 1 and 4 only 69. The characteristics of an individual as a recipient of care are
c. 1, 2, and 3 the following EXCEPT:
d. All of the groups mentioned a. Unique individual
58. The Public Health Nurse plans and implements nursing care b. Replaceable
services in the light of the following concepts and c. A onetime being
objectives. Health is viewed today on a more individual d. The patient and the consumer
basis as 70. The family being the basic unit of society and primary entity
a. Absence of disease in an individual of health care is responsible for the following but one:
b. Psychosomatic well-being of a person a. Reproduction
c. Complete physical, mental and social well being b. Socialization
d. Each person’s maximum capacity to live happily and c. Gives members its status
productively d. None of the above
59. The level of community health is influenced by the 71. When the nurse initiates people’s participation, she is
following factors EXCEPT: performing the role of a
a. Political a. manager
b. Economic b. community organizer
c. Cultural c. supervisor
d. None of these d. health educator
60. In the community, a person’s psychosocial somatic well- 72. A is a group of people who share common characteristics,
being is influenced by which of the following factors? developmental stage or common exposure to particular
a. Heredity environmental factors, thus resulting in common health
b. Health care services problems
c. Heredity, person’s behavior, environmental a. individual
conditions b. family
d. Personal behavior c. community
61. The ultimate goal of community health nursing is d. population group
a. Accessible health care services 73. It is a group of people sharing common geographic
b. Health for all boundaries and/or common values and interests.
c. Health in the hands of the Filipino people a. individual
d. Raise the level of health of the citizenry b. family
62. The vital parts of CHN practice are c. community
a. Health education and counseling d. population group
b. Health and longevity 74. As a supervisor, the PHN does the following:
c. Health and development a. Provide nursing care to family with complicated
d. Health and social justice nursing problems
63. In dealing with values, customs and beliefs of people the b. Assess the effects of her nursing care provided to the
best action is family
a. Analyze the historical context of these values custom c. Assist the doctor in treatment of cases
and beliefs d. Review the management of patient done by the
b. Maintain a non-judgmental attitude midwife
c. Provide scientific explanation for these 75. As a supervisor, the PHN conducts periodic visit to the rural
d. Find entry point for changing these Health Midwives (RHM) in order to:
64. Nurse Janine has to deal with the indigenous people in the a. provide necessary assistance in carrying out her
area. When providing care to an indigenous family, the functions effectively
most important factor to consider is b. make sure that the RHM is in her station
a. Close association with nature and its elements c. know why RHM have not referred cases to the main
b. Health practices of the family health center
c. Family time orientation d. determine the RHM’s weakness
76. In the health project implementation, the public health 91. A major problem among poor older people is access to
nurse is being supervised by the health care. True
a. nurse supervisor
b. municipal mayor 91 TO 100 WRITE THE LETTER CORRESPONDING TO YOUR
c. physician ANSWER BESIDE THE NUMBER IN YOUR ANSWER SHEET
d. manager
77. Community Health Nursing is people oriented. There are A. BEGINNING FAMILY
different levels of clientele in CHN. In the provision of CHN B. CHILD-BEARING FAMILY
services, PH Nurse Patrice will provide care to the following C. FAMILY WITH PRE-SCHOOL CHILDREN
D. FAMILY WITH SCHOOL CHILDREN
1- a pregnant woman in the family E. FAMILY WITH TEENAGERS AND YOUNG ADULTS
2- dysfunctional family in a community F. POST PARENTAL FAMILY
3- young adults in the community G. AGING FAMILY
4- an ethnic community
92. Preparing for retirement - F
a. all of these 93. Balancing freedom and responsibility - E
b. 1, 2 & 3 94. Coping with parental loss and privacy - C
c. 1 &2 95. Renegotiating marital relationship - B
d. 1 only 96. Encouraging and supporting children’s educational
78. As a social organization, the community has a dynamic achievements – D
phenomenon within different statuses and roles in the 97. Maintaining ties with old and young adults - E
community. All of the following are elements of a 98. Adjusting for retirement - G
community EXCEPT: 99. Establishing a mutually satisfying marriage - A
a. A population or groups of people 100. Closing family house - G
b. An area or territory
c. Sharing of common ties or bonds
d. Sharing common economic level
79. In the care of population groups, the nurse must focus on
a. displaced families PREPARED BY: HEALTH CARE II LECTURERS
b. vulnerable groups
c. sick segments
d. healthy individuals
80. The context of care of the community is the
a. Emphasis of the local government
b. Current health and socio-economic conditions of the
people
c. The health problems and needs
d. Perceived needs and priorities of the people
81. An individual will take preventive health actions if he
believes
a. The disease/illness entails lot of expenses
b. He is susceptible to the disease
c. He may have a relapse of the disease
d. There is no cure for the disease

TRUE OR FALSE. SHADE LETTER A IF YOUR ANSWER IS TRUE

AND B IF FALSE
82. The community health nurse, by the nature of his/her work,
has the opportunity and responsibility for evaluating the
health status of people and groups and relating them to
practice. True
83. The ultimate goal of CHN is to raise the level of health of
the citizenry. True
84. Community health nursing practice is extended to benefit
only the individual. False – whole family and community
85. Opportunities for continuing staff education programs for
nurses must be provided by the CHN agency. True
86. The family is the unit of care and services. True
87. The primary focus of community health nursing practice is
on disease prevention. False – Promotion of health
88. The dynamic process of assessing, planning, implementing
and intervening, provide periodic measurements of
progress, evaluation and a continuum of the cycle until the
termination of nursing is implicit in the practice of
community health nursing. True
89. Community health nurses are specific in terms of their
practice through life’s continuum – its full range of health
problems and needs. False - generalists
90. Contact with the client and/or the family may continue over
a long period of time which includes all ages and all types of
health care. True