Content text FC CHN - DACLIS (SC).pdf
FINAL COACHING COOMUNITY HEALTH NURSING Prepared by: Mr. Jessi Daclis, RN, USRN Nov 2024 Philippine Nurse Licensure Examination Review NAME: DATE: SCORE: _____ “FIRST TAKER AKO, AT LAST TAKE KO NA ‘TO! 1. What is the primary purpose of the Field Health Services Information System (FHSIS)? A. To track patient records at a national level B. To monitor the health status and performance of local health services C. To provide guidelines for private hospitals in reporting data D. To manage the financial aspects of health services 2. Which of the following is NOT a component of the FHSIS? A. Target Client List B. Monthly Consolidation Report C. Annual Administrative Report D. Family Folder 3. Which of the following is the focus of SDG 3? A. Gender equality B. Clean water and sanitation C. Good health and well-being D. Quality education 4. What is the target year to achieve the Sustainable Development Goals? A. 2020 B. 2030 C. 2025 D. 2040 5. Which SDG aims to “end poverty in all its forms everywhere”? A. SDG 1 B. SDG 2 C. SDG 3 D. SDG 4 6. Which of the following is a key indicator for SDG 6 (Clean Water and Sanitation)? A. Access to affordable housing B. Proportion of population using safely managed drinking water services C. Enrollment rate in primary education D. Employment rate in the informal sector 7. The “Zero Hunger” goal falls under which SDG? A. SDG 1 B. SDG 2 C. SDG 3 D. SDG 5 8. Which type of epidemiology focuses on describing the distribution of diseases by time, place, and person? A. Analytical epidemiology B. Descriptive epidemiology C. Experimental epidemiology D. Clinical epidemiology 9. Which of the following is the main goal of analytical epidemiology? A. To determine the cause of a disease B. To describe the occurrence of diseases C. To develop new treatments D. To monitor the health status of populations 10. What type of epidemiology involves the use of interventions to test hypotheses? A. Descriptive epidemiology B. Analytical epidemiology C. Experimental epidemiology D. Environmental epidemiology 11. Which epidemiological method is used to evaluate the effectiveness of a new public health intervention? A. Cross-sectional study B. Cohort study C. Case-control study D. Randomized controlled trial 12. Which of the following is a characteristic of descriptive epidemiology? A. Identifies risk factors for diseases B. Describes patterns of disease occurrence C. Tests the effectiveness of interventions D. Evaluates the impact of health policies 13. What type of epidemic is characterized by a rapid increase in cases followed by a rapid decline, often associated with a single source of exposure? A. Propagated epidemic B. Common-source epidemic C. Point-source epidemic D. Mixed epidemic 14. Which of the following best describes a propagated epidemic? A. A continuous exposure to a single source B. A series of person-to-person transmissions over time C. A sudden onset of cases from a contaminated food supply D. A simultaneous increase in cases across multiple regions 15. An epidemic where cases continue to occur over an extended period, often due to repeated or continuous exposure to a source, is known as: A. Point-source epidemic B. Propagated epidemic C. Continuous common-source epidemic D. Intermittent common-source epidemic 16. During an outbreak investigation, you find that the epidemic curve has multiple peaks with gaps in between. What type of epidemic does this pattern most likely represent? A. Point-source epidemic B. Propagated epidemic C. Continuous common-source epidemic D. Intermittent common-source epidemic 17. Which type of epidemic is characterized by a gradual increase in the number of cases, with each new case being a source of infection for others? A. Point-source epidemic B. Mixed epidemic C. Propagated epidemic D. Continuous common-source epidemic 18. Which demographic indicator is used to measure the average number of children a woman is expected to have during her reproductive years in a given population? 1 | Page
A. Crude birth rate B. Total fertility rate C. Age-specific fertility rate D. Net reproduction rate 19. The dependency ratio in demography is used to assess: A. The proportion of elderly individuals in a population B. The ratio of economically active individuals to those who are dependent C. The number of people who are employed versus those who are unemployed D. The number of dependents living in a household 20. Which of the following is NOT a component of population growth? A. Birth rate B. Death rate C. Immigration D. Literacy rate 21. What does a population pyramid with a wide base and a narrow top indicate? A. High birth rate and high mortality rate B. Low birth rate and low mortality rate C. High birth rate and low mortality rate D. Low birth rate and high mortality rate 22. Which demographic measure is used to estimate the average number of years a person can expect to live, given current mortality rates? A. Mortality rate B. Life expectancy C. Infant mortality rate D. Crude death rate 23. Which of the following characteristics is typically represented by the shape of a population pyramid? • A. Economic status of a country B. Age and sex distribution of a population C. Literacy rate and employment levels D. Birth and death rates only 24. A population pyramid with a narrow base and a wider top suggests which of the following population trends? • A. High fertility rate B. Aging population with low birth rate C. High infant mortality rate D. Rapid population growth 25. Which type of population pyramid is often associated with a high proportion of young people and rapid population growth? • A. Expansive pyramid B. Constrictive pyramid C. Stationary pyramid D. Irregular pyramid 26. According to the latest data from the Philippines Statistics Authority (PSA), which sector contributes the most to the country’s Gross Domestic Product (GDP)? A. Agriculture B. Industry C. Services D. Manufacturing 27. What is the significance of the Philippines’ poverty incidence data reported by the PSA? A. It indicates the number of people below the age of 18. B. It measures the proportion of families or individuals whose income falls below the poverty threshold. C. It shows the percentage of unemployed individuals in urban areas. D. It estimates the number of children not attending school. 28. Based on the most recent PSA report, what is the primary driver of population growth in the Philippines? A. High fertility rates B. High immigration rates C. Low mortality rates D. Decreased emigration 29. According to PSA data, what is the current trend in the unemployment rate in the Philippines? A. Rapidly increasing due to economic downturn B. Decreasing due to improved job opportunities and economic recovery C. Stable, with no significant changes over the past decade D. Increasing due to a rise in the working-age population 30. What is the primary goal of Basic Emergency Obstetric and Newborn Care (BEmONC) services in the Philippines? A. To provide comprehensive surgical procedures for high-risk pregnancies B. To manage normal deliveries and provide basic emergency interventions for maternal and newborn complications C. To offer advanced neonatal care and surgical interventions for newborns 31. Which of the following services is NOT typically included in Comprehensive Emergency Obstetric and Newborn Care (CEmONC)? A. Cesarean section B. Blood transfusion C. Management of severe pre-eclampsia and eclampsia D. Routine antenatal care for low-risk pregnancies 32. What distinguishes CEmONC facilities from BEmONC facilities? A. CEmONC facilities can perform surgical procedures and manage severe complications, while BEmONC facilities handle normal deliveries and basic emergencies. B. CEmONC facilities provide only family planning services, while BEmONC facilities focus on obstetric care. C. CEmONC facilities are located in rural areas, while BEmONC facilities are in urban settings. D. CEmONC facilities handle only pediatric cases, while BEmONC facilities focus on maternal health. 33. Which of the following is a function of a BEmONC facility in the Philippines? A. Perform vacuum extraction for obstructed labor B. Provide blood transfusion for hemorrhage C. Conduct cesarean deliveries D. Administer general anesthesia for surgical procedures 34. Which of the following is the most prevalent form of malnutrition among children under 5 years old in the Philippines according to the latest data? A. Overweight B. Underweight C. Stunting D. Wasting 35. What macronutrient deficiency is primarily associated with marasmus, a severe form of malnutrition observed in some Filipino children? A. Protein B. Carbohydrates C. Fat D. Vitamins 36. Which government program is specifically aimed at addressing protein-energy malnutrition (PEM) in the Philippines? A. Pantawid Pamilyang Pilipino Program (4Ps) B. Garantisadong Pambata Program C. Supplementary Feeding Program D. National Immunization Program 37. According to the National Nutrition Survey, which macronutrient deficiency is linked to high rates of undernutrition in Filipino pregnant women? A. Protein B. Fat 2 | Page
C. Carbohydrates D. Fiber 38. Which of the following is a common consequence of protein-energy malnutrition (PEM) in children that can have long-term effects on growth and development? A. Hypertension B. Cognitive impairment C. Diabetes D. Cardiovascular disease 39. What dietary strategy is recommended by the National Nutrition Council to combat macronutrient deficiencies in the Philippines? A. Exclusive breastfeeding for the first 2 months B. Introduction of high-protein complementary foods at 6 months C. Providing multivitamins instead of balanced meals D. Restricting carbohydrate intake in children under 5 years old 40. Which micronutrient deficiency is the leading cause of preventable childhood blindness in the Philippines? A. Iron B. Iodine C. Vitamin A D. Zinc 41. According to the National Nutrition Survey, which age group in the Philippines is most affected by iron-deficiency anemia? A. Infants 6-11 months old B. Children 1-5 years old C. Adolescents 13-19 years old D. Elderly over 60 years old 42. Which government program aims to address iodine deficiency disorders in the Philippines? A. National Supplementary Feeding Program B. National Salt Iodization Program C. Micronutrient Supplementation Program D. Garantisadong Pambata Program 43. Zinc deficiency in children is commonly associated with which health condition that is prevalent in the Philippines? A. Respiratory infections B. Acute diarrhea C. Hypertension D. Malaria 44. What is the primary strategy implemented by the National Nutrition Council to combat vitamin A deficiency among preschool-aged children? A. Universal salt iodization B. Biannual vitamin A supplementation C. Provision of iron-folic acid supplements D. Fortification of staple foods with vitamin A 45. What is the primary purpose of Community Organizing Participatory Action Research (COPAR) in community health nursing? A. To implement healthcare programs without community involvement B. To enable communities to develop their capacities to identify, address, and solve their health problems C. To create comprehensive health policies at the national level D. To collect statistical data on the prevalence of diseases 46. Which of the following is the first phase in the COPAR process? A. Mobilization B. Organization and Building C. Integration D. Community Entry 47. During the Community Integration phase of COPAR, what is the main focus of the nurse-community organizer? A. Conducting health education sessions B. Establishing rapport and building trust with community members C. Implementing community health programs D. Gathering statistical data on community health issues 48. Which activity is conducted during the Social Investigation phase of COPAR? A. Conducting a community assembly to introduce the program B. Mapping out the community’s physical and social resources C. Implementing health interventions based on research findings D. Writing a comprehensive report of the program’s impact 49. In the COPAR process, what is the purpose of the Organization and Building phase? A. To train community leaders and establish community organizations B. To conduct in-depth research on community health problems C. To evaluate the impact of community health programs D. To implement public health laws and regulations 50. Which of the following principles is a cornerstone of COPAR? A. Top-down decision-making B. Community empowerment and participation C. Centralized planning and execution D. Passive involvement of community members 51. What role does Participatory Action Research play in the COPAR framework? A. It is used to control community actions and enforce regulations. B. It involves community members in the research process to identify and address their own health issues. C. It focuses solely on academic research without involving community members. D. It is a formalized structure that limits community engagement. 52. Which of the following is a key outcome of a successful COPAR process? A. Dependence on external agencies for health solutions B. Increased health literacy and self-reliance among community members C. Reduced involvement of community members in health decision-making D. Fragmented and uncoordinated health interventions 53. The Department of Health has the following functions under the Executive Order 102 EXCEPT: A. Allocate personnel budget and provide structures for cascading health care delivery to all B. Lead in the formulation, monitoring and evaluation of national health policies, plans and programs C. Provide direct services for health concerns that require new complex technologies D. Create new strategies to improve effectiveness of health programs and the attainment of quality health care 54. The devolution of health services to the Local Government Units (LGUs) is mandated in: A. RA 6170 B. RA 7610 C. RA 6710 D. RA 7160 55. The frameworks that operationalize the Health Sector Reform Agenda of the Department of Health is the: A. Primary Health Care Approach B. Sentrong Sigla Movement C. Sustainable Development Goals D. FOURmula One for Health Plus 3 | Page
Situation: – 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: 56. The basic unit of care in CHN is: A. Community B. Groups C. Family D. Individual client 57. 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 Situation: – 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. 58. As a community health nurse covering a cluster of Barangays, your population coverage include the following: 1. Families in their homes 3. workers in factories 2. School population 4. patients in hospital A. 1, 2, and 3 C. 1, 2, 3, 4 B. All except 3 D. All except 2 59. You direct all your efforts toward optimum health of the whole population in the communities you serve. To ensure this you are EXPECTED to 1. Receive the entry salary equivalent to Salary Grade 10 or according to your position classification 2. Provide health services to individuals in the communities you serve 3. Provide health services to families in the communities you serve 4. Provide health services to population especially vulnerable groups within the communities you serve A. 1 and 3 are correct C. 2 and 4 are correct B. 2, 3, 4 are correct D. 1 and 4 are correct 60. When you assess the needs and plans health interventions for a group of people in coordination with other health professionals, you are demonstrating which of the following features of community health nursing? 1. Community health nursing involves interdisciplinary collaboration 2. Use of epidemiologic approach is part of nursing practice 3. Community health nursing helps ease health burdens of people at the community level 4. Health statistics is a good indicator for health care performance among community health nurses A. 1 and 3 are correct C. 2 and 3 are correct B. All are correct D. only 1 and 2 are correct 61. Under Republic Act 9173 of 2002, AMENDED by BC No. 2021-2 effective June 1, 2021 sets the Nurse V position for nurses at what salary grade? A. Salary Grade 15 C. Salary Grade 10 B. Salary Grade 24 D. Salary Grade 20 62. Health education is the one of the most significant functions of a nurse especially in the prevention and control of communicable diseases. All EXCEPT ONE of the following statements are TRUE description of health education: A. Health education is an independent effort of all health personnel B. Health education is integrated in the planning, and implementation of all health programs and services C. Health education considers the health status of the people D. Health education is a learning process whereby knowledge, attitudes and practices of people are modified to help improve the life and social conditions of individuals, families and groups towards development 63. This personnel is in charge of the overall activities in the health center? A. Manager C. Preceptor B. Health provider D. Supervisor Situation - Nurse Jen Delos Santos, initiated the organizing of the “Caring Frontiers Nursing Service Company” in Leyte. This was envisioned to deliver health care and various nursing services through home health care services well within the scope of nursing practice. 64. Nurse Dana is one of their Registry Officials and acts as a liaison between families and communities served by the company to actively engage on policy and social change that will support and promote family health in their province. Nurse Dana is performing what role? A. Care Provider C. Counselor B. Client Advocate D. Facilitator 65. Formulating and implementing a supervisory plan, monitoring and evaluating beginning nurse practitioners’ performance in the implementation of public health programs are what functions of a public health nurse? A. Trainer B. Coordinator C. Supervisor D. Manager 66. As an advocate, Registry Nurse Dana places her client’s rights as priority. She is aware that advocacy work involves which of the following? A. Influencing public opinion B. Obtaining a general information about the community C. Coordination with the health team D. Prioritizing health conditions and problems Situation – You are active participant of Project EntrepreNurse 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). 67. 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-tier referral system D. The Department of Interior and Local Government is the country’s foremost health coordinating agency because of the implementation of devolution 68. 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 thatwill benefit all Filipinos D. Local governments are in full control of health programs they want to implement 4 | Page