Tiêu đề WORKBOOK - CHN (KEY) ✅

COMPREHENSIVE PHASE WORKBOOK COMMUNITY HEALTH NURSING NOVEMBER 2025 Philippine Nurse Licensure Examination Review Situation 1 (4) . Being the Public Health Nurse you perform your roles as a health educator in the provision of community health care. 1. (35) In the preparation of your health education plan, what is the first thing the nurse must do? A. Assess community needs for health education B. Identify the subjects for health teaching C. Specify your goals and objectives D. Identify who will provide support and the type of support to be provided 2. (38) You are an effective health educator if you can? A. Listen to people’s problems and let them decide on the approach for meeting their needs B. Select the best strategy for health for health action for the people to implement C. Direct the people’s efforts to implement community-based projects D. Just tell clients what to do for their problems/ needs 3. (36) In teaching a responsible member of the family to perform a certain procedure for the patient, what is the best thing that you have to do? A. Demonstrate the procedure B. Arrange for the practice of the procedure C. Describe the procedure D. Do all these steps 4. (39) Proper attitudes of barangay health workers toward disease prevention can be developed by using which of these teaching methods? A. Providing a very reliable information up to date examples, experience B. None of these C. Conducting discussion that the RHU nurse identify D. Providing hand outs and journal 5. (37) In Order to determine the success of your health education plan and have some basis for modification you should have: A. Measurable outcome criteria B. A written community diagnosis C. Written community diagnosis D. Written assessment of community needs Situation 2 (8) : The Levels of Health Care 6. (65) The management of health problems at the barangay level is done through activities under: A. primary health care B. secondary health care C. tertiary health care D. all of these 7. (68) Immunization program is provided at the level of: A. primary health care B. secondary health care C. tertiary health care D. all of these 8. (66) Management of AIDS patients is a service of: A. primary health care B. secondary health care C. tertiary health care D. all of these 9. (64) The ultimate level in a referral system that provides specialized and complicated health services is: A. primary health care B. secondary health care C. tertiary health care D. all of these 10. (67) Complicated and complex procedures are being handled at the level of: A. primary health care B. secondary health care C. tertiary health care D. all of these Situation 3 (2) : Environmental Sanitation 11. (25 ) Environmental sanitation refers to: I. A means for prevention and control of diseases II. Eliminates or controls environmental factors that form links in disease transmission III. Needs participation and involvement level disease prevention IV. A set of methods under primary level disease prevention A. 1 only B. 1 and 2 C. 1,2 and 3 D. All of these 12. (27) The protected well must be at least how many meters far from any toilet, garbage dump, poultry, hogs or animal pens: A. 10 B. 15 C. 20 D. 30 13. (26) Water-borne diseases are exemplified by the following EXCEPT: A. Cholera B. Hepatitis B C. Amoebiasis D. Shigellosis 14. (29) In areas with very limited water source, the most practical type of toilet is: A. septic tank B. pour-flush C. with treatment facility D. with a facility that will convert it to organic fertilizers 15. (28) Pit Latrine and bucket latrine is under the Level: A. I B. II C. III D. Any Level Situation 4 (7) : Family Planning Program 16. (59) The goal of family planning program is: A. Responsible parenthood B. To prevent Communicable Diseases C. To prevent all infections D. To prevent all diseases 17. (61) When teaching the client with diabetes concerning the use of birth control methods, the nurse should encourage the client to use: A. Oral contraceptives B. Condoms C. Contraceptive patches D. IUD TOP RANK REVIEW ACADEMY, INC. Page 1 | 6
18. (60) A scientific natural contraceptive method is: A. Calendar B. Rhythm C. withdrawal D. Sympto-thermal 19. (63) Nympha participates in occasional sex. The best method for her partner is: A. pills B. IUD C. condom D. cervical cap 20. (62) A vasectomized male will NO longer experience: A. having erections B. ejaculations C. having semen D. passing of sperms out of the penis Situation 5 (5) : Immunization 21. (42) The goal of immunization program is: A. Mortality reduction of immunizable disease B. Morbidity and mortality reduction of all diseases C. Mortality and morbidity reduction of immunizable diseases D. Mortality and morbidity reduction of communicable diseases 22. (40) Tetanus toxoid 2 is preferably given during the time of pregnancy: A. 1 year after the 1st dose B. 5 years after the 1st dose C. 6 months after the 1st dose D. one month after the 1st dose 23. (43) Pepe has completed his OPV vaccination. How many drops of OPV did he get in the ENTIRE immunization? A. 2 B. 4 C. 6 D. 8 24. (41)Which of the following is a normal side effect of BCG? A. Koch’s phenomenon B. deep abscess C. enlargement of the arm D. indolent ulceration and gangrenous arm 25. (44) Aling Tessie complained of mild rashes and fever of her child after vaccination. Most probably her child received this vaccine: A. BCG B. DPT C. OPV D. AMV Situation 6 (10) : Situation: Primary Health Care was established to reach all communities to receive all health services and to learn the three core concept of PHC which are empowerment, self-reliance and partnership. 26. (98) The underlying theme of Primary Health Care is/ are: A. Health in the hands of the people by the year 2020 B. Strengthening the health care system by increasing opportunities wherein people will manage their own health care C. Partnership to people D. Active community participation E. All of the above 27. (95) The following are pillars or cornerstone of Primary Health Care except: A. Support mechanism made available B. Active community participation C. Health education D. Intra and inter linkages E. Use of Appropriate technology 28. (99) The WHO held a meeting in this place where Primary health Care was discussed. When this event held? A. October 19, 1979 B. September 6-16, 1978 C. September 6-12, 1979 D. September 6-8, 1978 E. September 6-12, 1978 29. (97) Primary Health Care permeates as core strategy the thrusts of the government health programs. What do you expect from the members of the community? A. Donation of materials for the project B. Preparation of IEC materials C. Voluntary time without pay D. Active community participation E. Distribution of materials and ocular inspection with the community leaders 30. (96) What is the legal basis of the implementation of PHC in conjunction to the First International Conference on the Primary Health Care sponsored by the World Health Organization? A. Letter of Instruction 949 B. Presidential Decree 996 C. Presidential decree 1566 D. Republic Act 8423 E. Republic Act 7160 Situation 7 (6) : The following questions pertain to the nurse duties and responsibilities of a PHN. 31. (46) Concerned with the care of school children the nurse does the following except: A. Provides for a safe environment B. Detects, diagnose and treats children with health problems C. Identifies and refers children with eye problems D. sets up drug watch committee in school 32. (45) The school nurse contributes to the health care and education of the school population through which of the following: A. Health assessment measures B. Managing school health services C. Health counseling and coordination with the community D. All of these 33. (48) In the provision of care to a family the nurse needs the following as a tool in determining the family’s general and health condition: A. Initial data base B. family folder C. Family envelope D. family health paper 34. (47) An important reason why erasure in the patient’s charts should be avoided is: A. Chart would look dirty reflects the nurse personality B. Recordings maybe illegible C. Chart is a legal document D. Charting are essential for endorsement, follow-up and evaluation of care. 35. (49) The nurse documents all nursing care provided to the patient or family for the following reason(s). the document: A. Is a tool for the assessment of the patient’s/ family’s condition B. Describes the nursing problem of the patient or family C. Provides a record of the medications and procedures done D. All these reasons Situation 8 (1): The following are questions that relates to Community Health Nursing. 36. (1) A nurse is practicing community health nursing when A. She teaches and supports only mothers and children B. She only stays in the health center and wait for the people to come and have check-ups C. She Leads and supports individuals and people in the community D. None of these 37. (3)A public health nurse can say that she is beginning to achieve her goal more optimal health for her community when: A. People learn self-care B. People become more involved in determining health care policy C. All these indicators are present TOP RANK REVIEW ACADEMY, INC. Page 2 | 6
D. People assume responsibility for their own health 38. (2) The emphasis of the community health nursing is on: A. Treatment of health problems B. Preventing health problems and promoting optimum health C. Identification and assessment of health problem D. Illness and of the wellness-illness continuum 39. (4) When the PHN assesses needs and plan health interventions for a group of people in coordination with other health professionals, she is demonstrating which of the following features of CHN. A. CHN involves interdisciplinary collaboration B. Use of epidemiologic approach is an essential part of the nurse practice C. CHN is oriented to populations D. CHN promotes clients participation in determining their own health 40. (5) Which of the following statement about CHN is wrong? A. CHN synthesizes public health with nursing B. CHN emphasizes health C. Promoting client’s autonomy is a responsibility of the Public Nursing D. CHN promotes clients participation to health care not by the nature of its practice but its setting only 41. (7) During an initial contact with the family, which show you give priority? A. Take family members names and ages B. Observe home environmental situation C. Determine economic level of the family D. Ask what illness the children had 42. (8) In preparing the plan for supervisory which of the following should be done first by the PHN? A. Formulate objectives for the supervision B. Prepare monthly schedule of activities C. List supervisory activities D. Schedule supervisory visits to the RHM’s 43. (9) To encourage community participation, which of the following should a nurse do? A. Invite people from civic organization B. refer to the doctor for prescription C. Encourage sponsorship to programs D. Listen when people relate their problems 44. (10) Which of the following is not an essential element of Primary Health Care? A. Multi sectoral approach B. Community involvement C. Appropriate Technology D. Qualification of health providers 45. (6) As part of Primary Health Care, Immunization is part of the element of EPI, how many vaccine/s should be given at one month intervals? A. DPT, BCG, and tetanus toxoid B. DPT and OPV C. BCG, DPT and Hepa B D. Measles, DPT and Hepa B Situation 9 (3) : Marco, a 54-year old street vendor, went to the RHU with complains of fatigue, cough, anorexia, low-grade fever and weight loss. Physical assessment and tests were done. The diagnosis was PTB. 46.(30) Marco has a positive reaction to Mantoux Test. The nurse correctly interprets this that the client has: A. Developed resistance to tubercle bacilli. B. Developed immunity against PTB C. Had contact with Mycobacterium Tuberculosis D. Resistance against PTB 47. (33) The nurse determines that if the Mantoux Test result is positive, it should be followed up by another test to most accurately diagnose PTB. The nurse plans to consult with the physician to follow-up the skin test with a: A. Chest X-ray B. CT scan of the chest C. BCG vaccination D. Sputum culture 48. (31) After the treatment regimen was started, Marco reported to the nurse that he is experiencing orange discoloration of the urine. What statement of the nurse would be most therapeutic? A. “OMG, are you sure? I need to report this to the doctor.” B. “As a competent nurse, I need to perform further assessment first. Do you also experience prupitus, podagra, optic neuritis, paresthesia or opisthotonus? Tell me more.” C. “Isoniazid is causing this so you need to stop it at once.” D. “This is expected if you are taking Rifampicin.” 49. (34) Marco is asking about the period of communicability of his condition once the anti-TB drugs are started to be given. The nurse should explain that the patient is still communicable: A. When the client is still experiencing fever. B. During the entire course of the treatment. C. As long as the sputum is positive with TB bacilli. D. For about 6 months after starting treatment. 50. (32) In TB control program, the primary preventive method is focused on children. This is: A. Sputum culture B. Tuberculin skin test. C. BCG vaccination. D. Maternal healthcare. Situation 10 (9) : The following situations pertains to different concept in CHN 51. (69) Population-focused nursing practice requires which of the following processes A. Community organizing B. Nursing process C. Community diagnosis D. Epidemiologic process 52. (76) The increasing number of people who must learn to live with chronic illness in the community implies that need for CHN to plan and implementation a program on: A. Communicable disease control B. Health Education C. Child survival D. Environmental sanitation 53. (70) Which of the following is designed to help client reduce risk to illness and maintain maximum level of functioning? A. Research B. Crises intervention C. Rehabilitation D. Health Promotion 54. (72) Which of the following is NOT an essential element/part of Primary Health Care? A. Multi-sectoral approach B. Community involvement C. Appropriate technology D. Qualification of the health care providers 55. (74) The mission of PHC must be embodied in the hearts of the health care providers. Which mission strengths health care systems? A. Supporting conditions for healthy habits B. Increasing opportunities to be healthy C. Letting people manage their own health D. Financing health care program 56. (71) The newly graduate nurse assigned in the rural health unit as a nurse practitioner is described as one of the following: A. Specialist B. Mother-child nurse C. Generalist D. Home-Care Nurse 57. (75) Lavinia recently passed the board exam and now has her license to practice. She wants to become a Public Health Nurse. Where will she apply? A. Department of Health B. Provincial Health Office C. Regional Health Office TOP RANK REVIEW ACADEMY, INC. Page 3 | 6
D. Rural Health Unit 58. (73) All statements are true, except: A. CHN nurse are specialist in terms of their service B. There should be accurate reporting in CHN C. The nurse works as a member of the health team D. CHN must be available to all 59. (77) PHC aims to strengthen the health care system by increasing opportunities and supporting the conditions wherein people will manage their own health care. As a strategy, what is its main focus? A. Creating multi-sectoral linkages B. Responsibility for health on the individual, his family and community C. Support for frontline health workers D. Assurance for increasing investment for health services 60. (100) Health should be explained by the nurse as: A. absence of disease in an individual B. psychosomatic characteristics of a person C. complete physical, mental and social well-being D. each person’s maximum capacity to live happily and productively 61. (20) The level of community health is influenced by the following factors except: A. political factors B. physical and biological factors C. none of these D. social, cultural, economic factors 62. (50) The focal point of the primary health care is the following execpt A. Individual B. Family C. Community D. Healthcare institutions 63. (22) The objectives of community health nursing includes 1. Health promotion and disease prevention 2. Early diagnosis & preventive treatment 3. Disability prevention & rehabilitation A. 1 & 2 B. 1,2 &3 C. 1 & 3 D. 2 & 3 64. (78) In the community a person’s psychosocial somatic well-being as influenced by which of the following factors? A. Heredity B. Health care services C. Hereditary behavior, environment & health services D. Person’s behavior 65. (51) Community Health nursing is population focus. This means: A. Services are directed to the health of all population B. Services are focused only to the high-risk members of the community C. Unit of care is the individual, patient or family D. Services provided are ecologically oriented 66. (21) In community health nursing, the unit of concern includes I. Community members who are in need of care II. Community members who don’t seek care III. Segment of the community who don’t receive care A. I & II only B. I & III C. all of the above D. I & III only 67. (79) Carrying out the planned activities involving maximum community participation is referred to as: A. Community Organization B. Community assembly C. Mobilization D. Integration 68. (81) Minority groups in the Philippines are an underprivileged sector where health services are generally inadequate. You are community health nurse volunteer and you join a health team in Zambales. What is the most important factor considered providing nursing care to minority families? A. Family time orientation B. Meaningful communication C. Close family ties D. control of communicable disease 69. (23) To effectively give nursing care to your minority family, what is the first thing that you have to do? A. Assess the health belief & practices B. Work with folk healers C. Share health experiences D. Understand the culture of the group 70. (82) Case finding is classified under which of the following levels of prevention? I - Primary prevention II - Secondary prevention III - Tertiary prevention A. All of the above B. II only C. none except no.I D. III is the correct answer 71. (52) The type(s) of health services that should be provided to the community would depend on: A. Laboratory facilities B. Services at the health center C. Facilities at the health center D. Needs of the community 72. (24) Government facilities which are responsible for the delivery of basic health services to communities: A. Barangay health station B. Emergency hospitals C. District hospitals D. City hospitals 73. (80) Steps in health education except: A. Creating awareness B. Let them aware of their situation C. Decision-making action D. None of the above 74. (58)) Social mobilization strategies includes, except: A. Collaboration between Government and NGO’s B. Reorientation of health professional in PHC C. Multi-sectoral and interdisciplinary linkages D. Establishment of an effective health referral system 75. (83) A health service at this level is offered to individuals in fair health and to clients with diseases in the early symptomatic stages: A. Secondary B. Primary C. Tertiary D. all of the above 76. (53) Composed of institution contributing to health with the ultimate goal of improving the health status and quality of life of the people: A. Health sector B. Public health sector C. Private health sector D. Health care delivery system 77. (88) A health service at this level is offered to individuals with symptomatic stages of the diseases: A. Primary B. Secondary C. Tertiary D. All of the above 78. (87) Network Facilities and personnel which carry out the task rendering health care to the people: A. Health sectors B. Government sub-sector C. Health care facilities D. Health care delivery system 79. (92) Provision of quality, basic and essential health services can be attained through I. Training design & curriculum based on community needs & priorities II. Attitudes, knowledge & skills developed are promotive, preventive, curative & rehabilitative health care III. Regular monitoring & periodic evaluation of community health worker performance by the community health staff IV. Advocacy for political will & support from the national TOP RANK REVIEW ACADEMY, INC. Page 4 | 6