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4 | Page A. The evolution of lesions progresses through four stages. B. People with multiple sexual partners are at higher risk of acquiring MPOX. C. Administering systemic antibiotics as a prophylactic measure for all patients is approved. D. During pregnancy or birth, the virus may be passed to the baby. PHC SITUATION:  Primary Health Care was declared during the First International Conference on Primary Health Care held in Alma Ata, USSR on September 6-12, 1978 by WHO. The following questions are related to PHC.  53. All of the following are true about PHC except: A. WHO defines PHC as essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation. B. The concept of PHC is characterized by partnership and empowerment of the people. C. The goal of PHC was "Health in the Hands of the People by 2020." D. It is a strategy, which focuses responsibility for health on the individual, his family and the community. 54. After the first international conference on PHC was held, late President Marcos adopted it in the Philippines. This was signed in his: A. LOI 949 B. EO 51 C. PD 856 D. PD 825 55. There are three levels of health care and referral system. Which of the following belongs to the secondary level of health care? A. Barangay Health Unit B. Rural Health Unit C. Provincial Hospital D. District Hospital 56. This level of care is described as the entry point and the contact between the community and other levels of health facility.  A. Primary B. Secondary C. Tertiary D. Community 57. Out patient departments of Provincial Hospitals is categorised as: A. Primary B. Secondary C. Tertiary D. Community 58. There are 4 Cornerstones in PHC. Which one does not belong? A. Active Community Participation B. Intra and Inter-Sectoral Linkages C. Use of Appropriate Technology D. Health Education COMMUNITY HEALTH NURSING PROCESS SITUATION: Community health purposes and goals are realized through the application of a series of steps that lead to desired results. As a CH Nurse, Ally applies the nursing process.  59. Health Assessment is the first step to the Nursing Process. How should Nurse Ally classify Mrs. San Juan’s repeated miscarriages?  A. Health Deficit B. Health Need C. Health Threat D. Stress Point 60. Documentation is an important function of the public health nurse. Which of the following is not true about documentation? A. They are not considered as legal records. B. They provide data for research and education. C. This provides data which is needed to plan the client's care and ensure its continuity D. Serves as an important communication tool for various team members 61. There are three classic frameworks used in evaluating care and services. Which of those describes the changes in the client's health status that result from nursing intervention? A. Structural Elements B. Process Elements C. Outcome Elements D. NOTA 62. What element does the budget belong to?  A. Structural Elements B. Process Elements C. Outcome Elements D. NOTA HOME VISIT SITUATION: Nurse Eron decides to do a home visit to provide nursing care to a postpartum mother who just gave birth to a healthy baby girl.  63. Nurse Eron knows that in home visit, the first step is to: A. Record all important data B. Greet the patient C. State the purpose of the visit D. Make appointment for return visit 64. Which of the following is not considered in determining the frequency of a home visit?  A. Policy of specific agency B. Acceptance of the family to the services rendered C. Physical needs of the individual and family D. Avalability of the healthcare worker 65. All of the following are purposes of home visit, except:  A. Give health teachings regarding the prevention and control of diseases B. Make use of the inter-referral system and to promote the utilization of community service. C. Establish a relationship between the health agencies and the public for the promotion of health. D. Planning and delivery of care should involve the individual and family. 66. It is a tool by which the nurse, during her visit will enable her to perform a nursing procedure. A. Public Health Bag B. Bag Technique C. Both A and B D. NOTA EPIDEMIOLOGY & VITAL STATISTICS SITUATION: As an Epidemiologist, Nurse Cheska’s role involves studying the distribution of disease and search for health determinants.  67. Environment is one element in the Epidemiologic Triad. What component of the environment does geophysical conditions of climate belong to? A. Physical B. Biological C. Socio-economical D. NOTA 68. Schistosomiasis is endemic in some provinces like Leyte and Samar. Which of the following correctly defines endemic occurrence? A. Intermittent occurrence of a few isolated and unrelated cases in a given locality. B. Continuous occurrence throughout a period of time, of the usual number of cases in a given locality. C. Unusually large number of cases in a relatively short period of time. D. Simultaneous occurrence of epidemic of the same disease in several countries 69. This statistic measures the pregnancy wastage. A. Neonatal Death Rate B. Fetal Death Rate C. Crude Death Rate D. Infant Mortality Rate

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