Title EVAL EXAM - CHN (KEY) .docx.pdf ✅

REFRESHER PHASE EVALUATIVE EXAMINATION COMMUNITY HEALTH NURSING NOVEMBER 2024 Philippine Nurse Licensure Examination Review 1. The lowest level of reporting unit of Department of Health, where it isexpected to report health servicesprovided to its defined catchment area: A. Rural Health Unit B. Main Health Center C. Barangay Health Stations D. Regional Hospital 2. Ron, a school nurse, has informed their barangay chairman about the stores that are sellingcigarettes near her school. She understands that according to Tobacco Regulations Act in 2003, there should be no selling of cigarettes within how many meters inschool? A. 25 meters B. 35 meters C. 50 meters D. 100 meters 3. Which of the following DOH programs was previously known as Quality Assurance Program (QAP) with the goalof making DOH and Local Government Units (LGUs) active partners in providing quality services? A. "Sobrang Gana" B. "Sentrong Sigla" C. FOURmula ONE for health D. Garatisadong Pambata 4. Nurse Hannah is facilitating the construction of approved type of water facility in the community in accordance with the comprehensive Sanitation Code of the Philippines. This is known as: A. PD 586 B. RA 6969 C. PD 856 D. RA 8749 5. Delivery of essential basic health services tothe community may be done through: A. Referral to primary hospital B. Physical assessment in the clinic C. Conducting leadership training seminar D. BP taking during house to house visitations 6. In educating a patient about food storage, the nurse should instruct the client to: A. Store foods in cold condition with a temperature of less than 20 deg C B. Store foods in a hot condition with atemperature of more than 60 deg C C. Avoid leaving foods in room temperature formore than 6 hours D. All of the above 7. When a patient comes to the health center,Nruse Aliya should inform the students toperform which action first? A. Greeting the client B. Hand hygiene C. Asking for the client’s record D. Assessing the chief complaint Situation 1: Health education and Health Promotion is an important part of nursing responsibility in the community. Immunization is a form of health promotion that aims at preventing the common childhood illnesses. 8. In correcting misconception and myths about certain diseases and their management, the health worker should first: A. Identify the myths and misconceptions prevailing in the community B. Identify the source of these myths and misconceptions C. Explain how and why these myths came about D. Select the appropriate IEC strategies to correct them. 9. How many percent of measles are prevented by immunization at 9 months age? A. 85% B. 90% C. 99 % D. 95 % Situation 2: – In community health work, you arm yourself with Community Health Nursing Concepts and Principles. This serves as basis for safe and quality care for individual, families, population/vulnerable groups and communities. Consider these situations. 10. As a community health nurse covering a cluster of Barangays, your population coverageinclude the following: 1. Families in their homes 3. workers in factories 2. School population 4. patients in hospital A. 1, 2, and 3 B. All except 3 C. 1, 2, 3, 4 D. All except 2 11. The emphasis of community health nursing is on: 1. The assessment and identification of health situations and problems affecting individuals, families, population groups and communities 2. Promotion of health and prevention of occurrences of potential and further health problems and situations which would affect people 3. Treatment of actual and potential community health problems 4. Empowerment of the communities through health education A. 1 and 2 are correct B. 1, 2 and 3 are all correct C. only 4 is correct D. 2 and 3 are correct 12. Which of the following is NOT a characteristic of the PHCDS? A. Linkages with all societal sectors should be initiated, maintained and enhanced. B. PHCDS envisions serving the entire Filipino populace C. PHCDS is a public health service that will benefit all Filipinos D. Local governments are in full control of health programs they want to implement 13. Collecting data and monitoring the healthstatus of the population defines which of thecore public health functions? A. Assessment B. Prevention C. Assurance (availability of services) D. Policy development 14. This type of evaluation includes cost-benefit-ration, qualifications and number of members of the health care team: A. Evaluation based on professional practice B. Evaluation of structure C. Evaluation based on information gathered D. Quality assurance evaluation TOP RANK REVIEW ACADEMY, INC. Page 1 | 4
15. A client is admitted to a hospital for secondary health care services. An example of secondary health care services would be the client who: A. goes to the public health clinic for family planning services. B. requires physical therapy to regain function after experiencing a stroke. C. undergoes an appendectomy for a ruptured appendix. D. attends a support group for smoking cessation. 16. In reviewing the guiding principles in health promotion, the community health nurse should look into the: A. World Health Organization B. Ottawa charter C. Charter Change D. Department of Health 17. This is the result of good group processbased on trust, respect, and openness: A. Community feedback B. Positive organizational culture C. Established recruitment plan D. Integrated intervention Situation 3– You are active participant of Project Entrepre Nurse whose higher goals is to build Philippine Nursing’s economic milieu, however this comes with realities embedded in the present Philippine Health Care Delivery System (PHCDS). 18. Which of the following is TRUE of the Philippine Health Care System (PHCDS)? A. Health insurance companies dictate the current referral system in the country. B. Health care delivery system in the country was specifically designed for the poor congruent with the Primary health Care concept. C. The PHCDS is composed of a 3-tierreferral system D. The Department of Interior and Local Government is the country’s foremost health coordinating agency because of the implementation of devolution 19. The current frontline health care providers in the PHCDS are the: A. Traditional healers/helots B. Doctors C. Barangay health workers D. Rural health nurses 20. When beginning a relationship with a familyon home visit, the community health nurse: A. is accepting and listens carefully toproblem of all family members B. allows the discussion to be open and non-directional C. focuses on the problem of one of the family members D. encourages others to speak for the main client to get an unbiased view 21. Ana has been caring for a child in the home. She has a tracheostomy tube and is oxygen dependent. Ana prefers to do the care early in the morning due to a heavy caseload. The family requests that care be done when thechild is awake by 10am. The BEST response by Ana would be: A. “I will see if I can find another nurse who can meet your preferred schedule.” B. “If I give the care at 10am, other children needing my care may not be attended to.” C. “I’m sorry, I wish I could, but I cannot do so due to heavy workload.” D. “Let’s look at what time is in the child’s best interest and then we can workout a better schedule.” 22. Community health nurses practice in the community whether or not they have had preparation in public health nursing. All of the following are examples of a community health nurse except: A. School nurse B. Nurse in a clinic C. Nurse who makes home visits to provide tertiary care D. Director of nursing at a rehabilitation center 23. Mona should not include which data? A. Health threat B. Decision’s made about the problem C. Actions taken and results D. Family’s perception of the problem Situation 4: – For safety and quality purposes, it is equally important to be mindful of the roles and functions and the instituted systems and procedures in relation to the practices of Community Heath Nursing (CHN). The following questions apply: 24. The basic unit of care in CHN is: A. Community B. Groups C. Family D. Individual client 25. The most important role of a community health nurse is in the area of: A. Change agent B. Health education C. Advocacy D. Care provider 26. A public health nurse provides a clinic for HIV-positive citizens in the community. This Isan example of: A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Policy making 27. In the Health Belief Model, the nurserecognizes that the focus is placed on the: A. Basic human needs for survival B. Functioning of the individual in all dimensions C. Relation of perceptions and compliance with therapy D. Multidimensional nature of clients and theirinteraction with the environment 28. Nurse Miriam is an advocate of the reproductive health. She develops a program for her community based on the four priority elements of reproductive health program. Which is not included? A. Prevention and treatment of Infertility B. Family planning C. Maternal and Child Health and Nutrition D. Prevention and management of Reproductive Tract Infections Situation 5– A Parish in Catbalogan took the initiative of shaping a 5-Year Community Health and Development Plan. A community diagnosis serves as a vital tool for the Parish to prepare this plan. Important collaboration begins by inviting volunteer nurses and affiliating nursing colleges to draw support for this project. 29. You volunteered and were taken in as project lead. Working closely with other RN volunteers and affiliates you will assess not only relevant data on community characteristics but also environmental characteristics. Which of the following pertains to environmental characteristics? 1. Language, religion, political orientation 2. Occupation, unemployment status, poverty level 3. Water and noise pollution 4. Vegetation and sanitation A. 1 and 2 B. 1 and 4 C. 3 and 4 D. 2 and 3 30. There is a process in the development Community Health Plan. Which steps actually identify specific health problems, health treats and health deficits prevailing and how the community is able to cope? A. Plan Formulation B. Evaluation C. Plan implementation D. Assessment 31. As community health nurse engaged in the process community empowerment, it is essential that you: A. Gather data from the community TOP RANK REVIEW ACADEMY, INC. Page 2 | 4
B. Make decisions for people in the community C. Form partnerships with people in the community D. Accepts responsibility for people’s action 32. You understand that one characteristics of a community that is described as having community competencies is that which has the ability to: A. Identify their needs, achieve consensus, and plan and implement goals B. Delegate any community processes to an outside expert such as the community health nurse C. Perform their own cross-sectional epidemiological studies D. Predict morbidity and mortality rates in the population or geographic area 33. Hannah, a school nurse, has informed their barangay chairman about the stores that are selling cigarettes near her school. She understands that according to Tobacco Regulations Act in 2003, there should be no selling of cigarettes within how many meters in school? A. 25 meters B. 35 meters C. 100 meters D. 70 meters 34. The agency in charge with registering vital records in the Philippines is/are: A. Local civil registry B. National Statistics Office (NSO) C. PSA D. Barangay Health Centers Situation 6: Assessment at the community level of care is a multidisciplinary undertaking that involves the members of the health team. The public health nurse uses data that have already been collected and are available and or gathers primary data for community diagnosis. 35. Assessment is the first step in the nursing process. In the community setting, which of the following objectives of assessment by the public health nurse is NOT included? A. Identify specific risk factors related to health and health problems. B. Define the nature of the health status and health related problems. C. Identify clients who should be given priority for care. D. Determine who should be referred to different health care facilities. 36. Conducting a community assessment leads to a community diagnosis, its product consists of a profile of the community’s state of health. Asa process, the public health nurse actively participates in community diagnosis. The MOST COMMON method of data collection that is accurate and provides the biggest bulk of community data is the _______. A. Observation B. Community census C. Interview D. Records Review 37. The data on health and disease can be gathered from different sources/ Which of the following sources provide a MOST accurate setoff data? A. Population health profile from school and factory clinics. B. Births and deaths from city/municipality registrar C. Morbidity data from field personnel D. Mortality cases from medical death certificates. 38. Data analysis involves quantification, description and classification of data which would reveal community health problems. An analysis of the social, economic, and political factors that influence health is categorized as: A. Health resource problems B. Health status problems C. Health related problems D. Comprehensive problems 39. With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling, or eradicating the problem? A. Modifiability of the problem B. Preventive potential C. Magnitude of the problem D. Nature of the problem 40. One of the cornerstones of PHC is the use of appropriate technology. In Selecting appropriate technology, the following criteria could be used. Which is not included? A. It should be free B. It should produce no harm C. It should serve a variety of purposes D. It should be compatible with local conditions 41. The agency in charge with registering vitalrecords in the Philippines is/are: A. PSA B. National Statistics Office (NSO) C. Barangay Health Centers D. Local civil registry 42. In a remote area of the province, a mother had given birth to a healthy neonate. Who has the responsibility of reporting the birth of the infant? A. The OB-Gyne B. The birth attendant C. The midwife D. The PHN Situation 7– Nowadays, traditional medicine is being recognized by medical practitioners as an alternative treatment to illness conditions affecting individuals and families. While complimentary health care is universally accepted it is still professionally sound to be SAFE and LEGALLY cautious. The following questions apply: 43. A traditional plant used to lower uric-acid is used by Rosario, a 55 old client with rheumatism. This herbal plat called “ulasimangbato”. How is it commonly known? A. Lagundi B. Pancitpacitan C. Bayabas D. Sambong 44. Nurse Roger has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following BEST describes the purpose of this meeting? To ____. A. Enhance communication among agencies in the community B. Increase stability in the community C. Manage response to disasters in the community D. Improve overall community functioning 45. Nurse Roger adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk ensuing a disaster, which of the following is the MOST appropriate approach? A. “I am with you. It is good you are trying to release your distress by crying.It will make you feel better.” B. “What you need to do now is to wait for instructions and services to be provided.” C. “Don’t feel bad. Others are in the same situation as yours.” D. “You need not cry. You need to move on and build your life again.” 46. As he passed by a road going to an evacuation center, Nurse Roger encountered a flash flood. A flash flood ___________. A. Occurs suddenly and for a short duration. B. Is caused by the blocking of drains C. Is caused by heavy rains D. Occurs in urban areas. Situation 8: Primary Health Care (PHC) is defined by the WHO as essential health care made universally accessible to individuals, families and communities. 47. The WHO held a meeting in this place wherePrimary health Care was discussed. What is this province? A. Alma Ata B. Russia C. Vienna D. Geneva TOP RANK REVIEW ACADEMY, INC. Page 3 | 4
48. major lesson of the Alma-Ata and the different charters of health promotion is that A. health workers must be effective in advocacy and mediation to enable to people to gain control over their lives B. Community participation is a fundamental requirement to achieve health and sustainable development C. creation of supportive environment is crucial to achieving health and sustainable development D. meaningful improvements in the socioeconomic determinants of health are required to have significant improvements in people’s health 49. The focus of activities in specific protection is a level of prevention classified is: A. Secondary intervention B. Intervention prevention C. Tertiary prevention D. Primary prevention 50. According to the World Health Organization (WHO), one of the leading causes of mortality in the Philippines is which of the following? A. Leukemia B. Heart Disease C. Malignant Neoplasm D. Lower respiratory tract infections TOP RANK REVIEW ACADEMY, INC. Page 4 | 4