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PNLE: Community Health Nursing Exam 2

PNLE: Community Health


FOLLOW US
Nursing Exam 2
 

1. In which step are plans formulated for solving RELATED


community problems? POSTS

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A. Mobilization PNLE:
FON
B. Community organization
Practice
C. Follow-up/extension Exam
D. Core group formation for
History
,…
2. The public health nurse takes an active role in   0
community participation. What is the primary goal of
community organizing? PNLE II
for
Commu
A. To educate the people regarding community health Health
problems Nursing
and …
B. To mobilize the people to resolve community health
  0
problems
C. To maximize the community’s resources in dealing PNLE:
with health problems Commu
Health
D. To maximize the community’s resources in dealing Nursing
with health problems Exam 1
  0

3. An indicator of success in community organizing is PNLE:


when people are able to Commu
Health
Nursing
A. Participate in community activities for the solution Exam 5
of a community problem   0
B. Implement activities for the solution of the
community problem PNLE :
Medical
C. Plan activities for the solution of the community Surgical
problem Nursing
D. Identify the health problem as a common concern Exam 3
  0

4. Tertiary prevention is needed in which stage of the


natural history of disease?

A. Pre-pathogenesis
B. Pathogenesis
C. Prodromal
D. Terminal

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5. Isolation of a child with measles belongs to what level


of prevention?

A. Primary
B. Secondary
C. Intermediate
D. Tertiary

6. On the other hand, Operation Timbang is _____


prevention.

A. Primary
B. Secondary
C. Intermediate
D. Tertiary

7. Which type of family-nurse contact will provide you


with the best opportunity to observe family dynamics?

A. Clinic consultation
B. Group conference
C. Home visit
D. Written communication

8. The typology of family nursing problems is used in the


statement of nursing diagnosis in the care of families.
The youngest child of the de los Reyes family has been
diagnosed as mentally retarded. This is classified as a:

A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point

9. The de los Reyes couple have a 6-year old child


entering school for the first time. The de los Reyes family
has a:
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A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point

10. Which of the following is an advantage of a home


visit?

A. It allows the nurse to provide nursing care to a


greater number of people.
B. It provides an opportunity to do first hand appraisal
of the home situation.
C. It allows sharing of experiences among people with
similar health problems.
D. It develops the family’s initiative in providing for
health needs of its members.

11. Which is CONTRARY to the principles in planning a


home visit?

A. A home visit should have a purpose or objective.


B. The plan should revolve around family health needs.
C. A home visit should be conducted in the manner
prescribed by the RHU.
D. Planning of continuing care should involve a
responsible family member.

12. The PHN bag is an important tool in providing


nursing care during a home visit. The most important
principle of bag technique states that it

A. Should save time and effort.


B. Should minimize if not totally prevent the spread of
infection.
C. Should not overshadow concern for the patient and
his family.

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D. May be done in a variety of ways depending on the


home situation, etc.

13. To maintain the cleanliness of the bag and its


contents, which of the following must the nurse do?

A. Wash his/her hands before and after providing


nursing care to the family members.
B. In the care of family members, as much as possible,
use only articles taken from the bag.
C. Put on an apron to protect her uniform and fold it
with the right side out before putting it back into the
bag.
D. At the end of the visit, fold the lining on which the
bag was placed, ensuring that the contaminated side
is on the outside.

14. The public health nurse conducts a study on the


factors contributing to the high mortality rate due to
heart disease in the municipality where she works. Which
branch of epidemiology does the nurse practice in this
situation?

A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation

15. Which of the following is a function of epidemiology?

A. Identifying the disease condition based on


manifestations presented by a client
B. Determining factors that contributed to the
occurrence of pneumonia in a 3 year old
C. Determining the efficacy of the antibiotic used in the
treatment of the 3 year old client with pneumonia

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D. Evaluating the effectiveness of the implementation


of the Integrated Management of Childhood Illness

16. Which of the following is an epidemiologic function


of the nurse during an epidemic?

A. Conducting assessment of suspected cases to


detect the communicable disease
B. Monitoring the condition of the cases affected by
the communicable disease
C. Participating in the investigation to determine the
source of the epidemic
D. Teaching the community on preventive measures
against the disease

17. The primary purpose of conducting an epidemiologic


investigation is to

A. Delineate the etiology of the epidemic


B. Encourage cooperation and support of the
community
C. Identify groups who are at risk of contracting the
disease
D. Identify geographical location of cases of the
disease in the community

18. Which is a characteristic of person-to-person


propagated epidemics?

A. There are more cases of the disease than expected.


B. The disease must necessarily be transmitted
through a vector.
C. The spread of the disease can be attributed to a
common vehicle.
D. There is a gradual build up of cases before the
epidemic becomes easily noticeable.

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19. In the investigation of an epidemic, you compare the


present frequency of the disease with the usual
frequency at this time of the year in this community. This
is done during which stage of the investigation?

A. Establishing the epidemic


B. Testing the hypothesis
C. Formulation of the hypothesis
D. Appraisal of facts

20. The number of cases of Dengue fever usually


increases towards the end of the rainy season. This
pattern of occurrence of Dengue fever is best described
as

A. Epidemic occurrence
B. Cyclical variation
C. Sporadic occurrence
D. Secular variation

21. In the year 1980, the World Health Organization


declared the Philippines, together with some other
countries in the Western Pacific Region, “free” of which
disease?

A. Pneumonic plague
B. Poliomyelitis
C. Small pox
D. Anthrax

22. In the census of the Philippines in 1995, there were


about 35,299,000 males and about 34,968,000 females.
What is the sex ratio?

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

23. Primary health care is a total approach to community


development. Which of the following is an indicator of
success in the use of the primary health care approach?

A. Health services are provided free of charge to


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

24. Sputum examination is the major screening tool for


pulmonary tuberculosis. Clients would sometimes get
false negative results in this exam. This means that the
test is not perfect in terms of which characteristic of a
diagnostic examination?

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

25. Use of appropriate technology requires knowledge of


indigenous technology. Which medicinal herb is given for
fever, headache and cough?

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

26. What law created the Philippine Institute of


Traditional and Alternative Health Care?
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A. R.A. 8423
B. R.A. 4823
C. R.A. 2483
D. R.A. 3482

27. In traditional Chinese medicine, the yielding, negative


and feminine force is termed

A. Yin
B. Yang
C. Qi
D. Chai

28. What is the legal basis for Primary Health Care


approach in the Philippines?

A. Alma Ata Declaration on PHC


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

29. Which of the following demonstrates intersectoral


linkages?

A. Two-way referral system


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

30. The municipality assigned to you has a population of


about 20,000. Estimate the number of 1-4 year old
children who will be given Retinol capsule 200,000 I.U.
every 6 months.

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

Answers and Rationales

1. Answer: (B) Community organization. Community


organization is the step when community
assemblies take place. During the community
assembly, the people may opt to formalize the
community organization and make plans for
community action to resolve a community health
problem.
2. Answer: (D) To maximize the community’s resources
in dealing with health problems. Community
organizing is a developmental service, with the goal
of developing the people’s self-reliance in dealing
with community health problems. A, B and C are
objectives of contributory objectives to this goal.
3. Answer: (A) Participate in community activities for
the solution of a community problem. Participation
in community activities in resolving a community
problem may be in any of the processes mentioned
in the other choices.
4. Answer: (D) Terminal. Tertiary prevention involves
rehabilitation, prevention of permanent disability and
disability limitation appropriate for convalescents,
the disabled, complicated cases and the terminally ill
(those in the terminal stage of a disease)
5. Answer: (A) Primary. The purpose of isolating a
client with a communicable disease is to protect
those who are not sick (specific disease prevention).
6. Answer: (B) Secondary. Operation Timbang is done
to identify members of the susceptible population
who are malnourished. Its purpose is early diagnosis
and, subsequently, prompt treatment.
7. Answer: (C) Home visit. Dynamics of family
relationships can best be observed in the family’s
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natural environment, which is the home.


8. Answer: (B) Health deficit. Failure of a family
member to develop according to what is expected,
as in mental retardation, is a health deficit.
9. Answer: (C) Foreseeable crisis. Entry of the 6-year
old into school is an anticipated period of unusual
demand on the family.
10. Answer: (B) It provides an opportunity to do first
hand appraisal of the home situation.. Choice A is
not correct since a home visit requires that the nurse
spend so much time with the family. Choice C is an
advantage of a group conference, while choice D is
true of a clinic consultation.
11. Answer: (C) A home visit should be conducted in the
manner prescribed by the RHU.The home visit plan
should be flexible and practical, depending on
factors, such as the family’s needs and the
resources available to the nurse and the family.
12. Answer: (B) Should minimize if not totally prevent
the spread of infection. Bag technique is performed
before and after handling a client in the home to
prevent transmission of infection to and from the
client.
13. Answer: (A) Wash his/her hands before and after
providing nursing care to the family
members. Choice B goes against the idea of utilizing
the family’s resources, which is encouraged in CHN.
Choices C and D goes against the principle of
asepsis of confining the contaminated surface of
objects.
14. Answer: (B) Analytical. Analytical epidemiology is
the study of factors or determinants affecting the
patterns of occurrence and distribution of disease in
a community.
15. Answer: (D) Evaluating the effectiveness of the
implementation of the Integrated Management of
Childhood Illness. Epidemiology is used in the
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assessment of a community or evaluation of


interventions in community health practice.
16. Answer: (C) Participating in the investigation to
determine the source of the epidemic. Epidemiology
is the study of patterns of occurrence and
distribution of disease in the community, as well as
the factors that affect disease patterns. The purpose
of an epidemiologic investigation is to identify the
source of an epidemic, i.e., what brought about the
epidemic.
17. Answer: (A) Delineate the etiology of the
epidemic. Delineating the etiology of an epidemic is
identifying its source.
18. Answer: (D) There is a gradual build up of cases
before the epidemic becomes easily noticeable. A
gradual or insidious onset of the epidemic is usually
observable in person-to-person propagated
epidemics.
19. Answer: (A) Establishing the epidemic. Establishing
the epidemic is determining whether there is an
epidemic or not. This is done by comparing the
present number of cases with the usual number of
cases of the disease at the same time of the year, as
well as establishing the relatedness of the cases of
the disease.
20. Answer: (B) Cyclical variation. A cyclical variation is
a periodic fluctuation in the number of cases of a
disease in the community.
21. Answer: (C) Small pox. The last documented case of
Small pox was in 1977 at Somalia.
22. Answer: (B) 100.94:100. Sex ratio is the number of
males for every 100 females in the population.
23. Answer: (D) Health programs are sustained
according to the level of development of the
community. Primary health care is essential health
care that can be sustained in all stages of
development of the community.
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24. Answer: (D) Sensitivity. Sensitivity is the capacity of


a diagnostic examination to detect cases of the
disease. If a test is 100% sensitive, all the cases
tested will have a positive result, i.e., there will be no
false negative results.
25. Answer: (D) Lagundi. Sambong is used as a diuretic.
Tsaang gubat is used to relieve diarrhea. Akapulko is
used for its antifungal property.
26. Answer: (A) R.A. 8423
27. Answer: (A) Yin. Yang is the male dominating,
positive and masculine force.
28. Answer: (B) Letter of Instruction No. 949. Letter of
Instruction 949 was issued by then President
Ferdinand Marcos, directing the formerly called
Ministry of Health, now the Department of Health, to
utilize Primary Health Care approach in planning and
implementing health programs.
29. Answer: (D) Cooperation between the PHN and
public school teacher. Intersectoral linkages refer to
working relationships between the health sector and
other sectors involved in community development.
30. Answer: (D) 2,300. Based on the Philippine
population composition, to estimate the number of
1-4 year old children, multiply total population by
11.5%.

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