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3 | Page opinions, attitudes, and practices regarding a specific set of concepts. Which method is most appropriate? A. Focus Group Discussion B. Individual Interview C. Observation D. Records Review 26. After completing a community diagnosis, Nurse Dexter plans a health program that promotes community involvement and addresses root causes of health issues. Which of the following statements about participatory planning is incorrect? A. It empowers the community to address their own health needs. B. It ensures sustainability when combined with integrated, individual based and comprehensive approaches. C. It promotes people’s participation in the development of programs and services D. It aligns with the Primary Health Care approach by treating the community as equal partners. Situation: As a newly licensed nurse preparing to work in the community, Nurse Jannah studies laws relevant to her role, including the Magna Carta for Public Health Workers. 27. Among the following staff, which group should NOT be classified under the legal definition of "health workers" according to Section 3 of the law? A. Barangay Health Workers performing immunization and maternal care duties B. A janitor assigned to the rural health unit on a job order contract C. A licensed physician volunteering part-time at a private diagnostic clinic D. A medical technologist with casual employment status in a government hospital 28. Under the law, when is a nurse entitled to a night-shift differential pay of 10% of their regular wage for each hour of work performed? A. When rendering service any time after their shift ends. B. When rendering service from 6:00 PM to 12:00 midnight. C. When on-call status is assigned during night hours. D. When working between 10:00 PM and 6:00 AM. 29. A public health worker was unjustly dismissed from service. Upon review, the Civil Service Commission ruled in favor of the employee and ordered reinstatement. According to the Magna Carta for Public Health Workers, what rate of legal interest should be applied to back wages from the time compensation was unjustly withheld until reinstatement? A. 6% B. 10% C. 12% D. 15% 30. Nurse Jannah was required to be on duty within the facility’s premises to render continuous service. According to the Magna Carta for Public Health Workers, what benefit is she entitled to for meals while on duty? A. Daily meal allowance equivalent to the local minimum wage B. Full subsistence allowance of three meals per day C. Transportation and food allowance based on hours worked D. Fixed monthly cash incentive regardless of hours rendered 31. A health administrator was found guilty of repeatedly coercing and in accordance with prevailing circumstances as determined by the Secretary of Health. threatening public health workers who attempted to assert their rights under R.A. 7305. Based on Section 39 of the law, which of the following reflects the correct legal implication of this violation? A. The administrator may be subjected to a fine of not less than ₱10,000 and mandatory administrative suspension. B. The violator may face both imprisonment of up to one year or a fine between ₱20,000 and ₱40,000, depending on the court’s discretion. C. The penalty includes imprisonment of at least two years and permanent disqualification from public service. D. The violator is only liable if the coercion caused physical harm to the health worker. Situation: Nurse Zamora, a public health nurse, explains the importance of epidemiology in disease prevention during a community orientation. 32. Which of the following best reflects the primary purpose of epidemiology in public health nursing? A. It focuses mainly on treating patients with communicable diseases in the community. B. It emphasizes the clinical diagnosis of diseases based on observed signs and symptoms. C. It investigates the distribution and determinants of health and disease to guide preventive measures. D. It aims to estimate the number of patients who will recover from illness in hospital settings. 33. These epidemiologic variables are essential for identifying populations at risk and determining potential sources of an outbreak. Which set is part of the epidemiological variables? A. Time, person, place B. Host, agent, environment C. Agent, person, place D. Environment, time, host 34. Which of the following refers to the ongoing systematic collection, analysis, interpretation, and dissemination of health data? A. Epidemiology B. Public Health Surveillance C. Surveillance System D. Epidemics 35. Nurse Zamora is analyzing the vital health statistics of Barangay Malusog. She notes that the barangay has a population of 10,000, and 240 births were recorded in the past year. Using this data, how will the nurse compute the Crude Birth Rate (CBR)? A. (240 ÷ 10,000) × 100 B. (240 ÷ 1,000) × 100 C. (240 ÷ 10,000) × 1,000 D. (240 ÷ 100) × 10,000 36. Nurse Zamora is preparing a community health report. As part of his presentation, he wants to show the trends in birth and death rates over the last five years. He also plans to highlight the leading causes of illness and illustrate the proportion of the health budget allocated to various programs. Which type of chart or graph should he use to appropriately present each of these data sets? A. Line graph for illness causes, bar graph for birth/death trends, pie chart for budget distribution B. Bar graph for illness causes, line graph for birth/death trends, pie chart for budget distribution C. Pie chart for illness causes, bar graph for trends, line graph for budget usage D. Area diagram for trends, bar graph for budget, pie chart for illness causes Situation: To complete their CHN requirements, student nurses from St. Dominic’s University chose to conduct their immersion in Barangay Naiilang. Student nurse Yumeko is assigned to provide care for the Domingo Family. Before the visit, she reviews the family’s health records, prepares her home visit bag and teaching materials, and ensures the family is involved in planning the care to be given.
4 | Page 37. As Yumeko prepares her PHN bag, she knows what solution to bring to check for the presence of glucose in a urine sample? A. Acetic acid B. Zephiran solution C. Gentian violet D. Benedict’s solution 38. Nurse Yumeko checks her public health bag before a home visit. Which of the following items should be included? A. Dry cotton balls only B. Baby’s scale C. Disposable syringes with gauge 25 and 26 D. Sphygmomanometer 39. Yumeko understands that the schedule of home visits depends on the needs of the client. Which of the following is the least likely to affect the frequency of visits? A. The family’s physical and psychological needs B. Acceptance and cooperation of the family C. Knowledge of the nurse about the available resources D. health agencies and the number of health personnel already involved in the care of the family 40. Nurse Yumeko is well-prepared for her first home visit. After assessing the family, she learns that one member is taking maintenance medication for hypertension. She proceeds to check the client’s blood pressure. Which of the following guidelines should she follow during this initial visit? A. Take the average of two readings taken at least 5 minutes apart and consider this as the client’s blood pressure. B. If the first two readings differ by 5 mmHg or more, take a third reading and include it in the average. C. Repeat the procedure using the other arm, and use the arm with the lower BP reading for future measurements. D. Record the first clear tapping sound (Korotkoff Phase I) as the diastolic blood pressure. 41. Nurse Yumeko notices that the family has a 6-month- old baby. Upon checking the baby’s health records, she finds that the immunizations are incomplete. This situation is best classified under which family health typology? A. Wellness condition B. Health threat C. Health deficit D. Foreseeable crisis Situation: Nurse Zoey is working at the bite treatment center in Barangay Huntrix. She encounters various situations involving different types of animal exposures, wound severities, and vaccination histories, requiring her to apply knowledge, skills, and critical thinking to deliver safe and appropriate care. 42. A concerned parent asks Nurse Zoey which animal is most often responsible for rabies transmission in the Philippines. As a competent nurse, Nurse Zoey educates the parents. Which animal is the most common cause of rabies transmission in the Philippines? A. Cats B. Bats C. Dogs D. Rats 43. A 9-year-old boy was treated for a bite from a stray animal. Nurse Zoey then educated the parents on the importance of vaccinating their domestic pets to prevent the transmission of rabies from other animals. She remembered that the government agency responsible in leading a mass dog vaccination is the: A. Department of Health B. Department of Agriculture C. Department of Education D. LGU 44. Government agency that provides Post-Exposure Treatment at the minimum expense to individuals bitten by animals suspected of being rabid which will consist of the initial vaccine and immunoglobulin dose. A. Department of Health B. Department of Agriculture C. Department of Education D. LGU 45. It's their responsibility to ensure that all dogs are properly immunized, registered and issued a corresponding dog tag for every immunized and registered dog. A. Department of Health B. Department of Agriculture C. Department of Education D. LGU 46. They are responsible for assisting in the Dog mass immunization campaigns in the community. A. Department of Health B. Department of Agriculture C. Department of Education D. LGU 47. A 12-year-old child was brought to the bite treatment center. On assessment, Nurse Zoey noted that there's a minor abrasion on the forehead without bleeding. This is a category ___ rabies exposure. A. Category I B. Category II C. Category III D. Category IV 48. A 35-year-old hiker was brought to the bite treatment center. He said that a bat landed on him and scratched his arm. There were no traces of bleeding. Nurse Zoey categories this as: A. Category I B. Category II C. Category III D. Category IV Situation: Dengue fever continues to pose a major challenge within the Philippine healthcare system, necessitating that nurses maintain a thorough understanding of the disease's pathophysiology, clinical manifestations, and management. The following questions pertain to this issue. 49. According to the Department of Health, which of the following statements best describes the risk of developing severe dengue? A. Severe dengue commonly occurs during the first infection with any dengue serotype. B. All four dengue serotypes cause severe symptoms upon initial infection. C. The second infection with a different dengue serotype increases the risk of severe dengue. D. Dengue infections are always asymptomatic, regardless of the serotype and times of infection. 50. Knowing the epidemiology of dengue in the Philippines, how many distinct serotypes of the dengue virus should the healthcare team consider when evaluating the risk for antibody-dependent enhancement? A. 3 B. 4 C. 5 D. 6 51. Student Nurse Eric, previously healthy, develops an acute febrile illness lasting approximately six days after his clinical duty. Based on this presentation, how can he be classified as a person with suspected dengue? A. He has a positive Dengue NS1 antigen test or dengue IgM antibody test. B. He presents with persistent abdominal pain or tenderness, persistent vomiting, and mucosal bleeding. C. He experiences retro-orbital pain, myalgia, flushed skin, and rash (Hermann’s sign). D. He has a positive result from viral culture and/or Polymerase Chain Reaction (PCR) 52. After undergoing diagnostic tests, Eris is confirmed to have a dengue infection. Although he has a history of

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