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2 | Page 15. Community Health Nurses need to gradually withdraw in order to: A. Move into new regions B. Allow health workers to become self-sufficient C. Ensure the health program’s sustainability D. None of the above Situation: In advancing the community's health, Nurse Julia will utilize principles related to health and illness. 16. A model that describes health status as ranging from optimal wellness to death is known as: A. Health belief model B. Health-illness continuum model C. Epidemiologic model D. Health promotion model 17. The model that defines health as a social phenomenon is: A. Health-illness continuum B. WHO definition C. Health promotion D. Evolutionary-based 18. According to the health belief model, people are likely to take preventive actions if the following conditions are met, EXCEPT: A. Presence of a fear factor B. The complications are severe or life-threatening C. The action is affordable yet effective D. The chance of becoming ill 19. The idea that illness and death serve to eliminate the weakest links is based on which model? A. Evolutionary-based B. Wellness-illness continuum C. Epidemiological D. WHO definition 20. The main objective of the health promotion model is to: A. Enhance the overall human species B. Raise the level of wellness C. Define health as a social concept D. Foster self-sufficiency in health Situation: Nurse Polly deals with everyday challenges in healthcare.   21. Nowadays, health is considered on an individual level as: A. The absence of illness in a person B. The mental and physical well-being of an individual C. A state of complete physical, mental, and social well- being D. An individual's optimal ability to live joyfully and productively 22. The fundamental aim of research in Community Health Nursing (CHN) is to A. Evaluate CHN theories B. Create new CHN theories C. Enhance healthcare services D. Strengthen the theoretical basis of CHN 23. The Community Health Nurse establishes a support program for pregnant teenagers in her role as: A. A care provider B. A health educator and counselor C. A health overseer D. A program coordinator 24. The Community Health Nurse takes advantage of every chance to influence behavior towards a healthy lifestyle in this role: A. Health promoter B. Health educator and counselor C. Health advocate D. Health overseer 25. The nurse guarantees that people are actively and fully involved in decision-making. In this capacity, the nurse is performing which role? A. Community health organizer B. Health educator and counselor C. Health advocate D. Health overseer Situation: Nurse Bean, who has been employed as a Community Health Nurse, is studying the principles of Community Health Nursing. 26. When defining the community as a patient/client in Community Health Nursing (CHN), the following definitions apply EXCEPT: A. A group of individuals with shared traits and interests residing in a specific area B. People whose lifestyle is significantly affected by the predominant mode of production C. Beyond the scope of purely medical institutions D. Focused on the marginalized, disadvantaged, and struggling segments of society  27. The main objective of Community Health Nursing (CHN) is: A. Shifting health responsibilities to the community B. Improving the overall health of individuals C. Enhancing health and preventing illness among people D. Safeguarding the value and dignity of individuals 28. In a community setting, health can be defined as: 1.   A balance between hot and cold 2.   A social phenomenon 3.   The absence of disease 4.  A reward or punishment from God Which of the following combinations are accurate definitions? A. 2 and 3 B. 1, 2, and 3 C. 2, 3, and 4 D. All of these 29. The goals of Public Health practice encompass the following EXCEPT: A. Enhancing overall wellness B. Preventing health issues C. Providing care tailored to individuals D. Managing determinants of health 30. The theoretical foundations of Community Health Nursing (CHN) are based on theories and principles from: A. Community health B. Nursing C. Public health D. Both public health and nursing Situation: Community Health Nurse Lassie applies various definitions of Public Health. 31. Dr. C. Winslow describes public health as focused on: A. Enhancing access to healthcare services B. Offering services to advance health and prevent illness C. Establishing a system to improve overall health status D. Ensuring people achieve their inherent right to health and longevity 32. Halon's concept of Public Health centers on: A. Education and provision of healthcare B. Ensuring the survival of the human species C. Improving people’s health capabilities D. A comprehensive approach to health 33. Purdoin asserts that public health practice must guarantee: A. Education and provision of healthcare B. The continuation of the human species C. The improvement of individuals' health capabilities D. Comprehensive development 34. The key aspect of Ruth Freeman's definition of Community Health Nursing (CHN) is: A. There are four tiers of clients B. It includes the use of Nursing and Public Health theories C. CHN practice can be started by either the community or an organization D. Improving people’s health abilities

4 | Page A. Health education helps individuals understand their health and manage their environment to maintain it at the primary level of disease prevention. B. At the secondary prevention level, health education helps people understand the importance of screening methods and participate in them. C. Health education is most challenging at the tertiary level of disease prevention. D. Teaching sex education to high school students is an example of health education in health promotion. 51. During a home visit, Nurse Kiffy finds that postpartum client Marianne, who has had four pregnancies, has not bathed for three weeks. What approach should the nurse take to encourage her to bathe? A. Prepare an aromatic bath using a mixture of boiled plants with essential oils B. Explain the significance of personal hygiene C. Honor her choice to abstain from bathing D. Provide a sponge bath 52. A person is likely to engage in preventive health actions if they believe A. The disease or illness will result in significant expenses B. They are at risk of contracting the disease C. They might experience a recurrence of the disease D. There is no available cure for the disease 53. Shane reports experiencing severe abdominal pain. As a nurse, which of the following actions should you not take? A. Take a detailed nursing history B. Perform a physical examination, including inspection, auscultation, percussion, and palpation. C. Refer him to a hospital if needed D. All of the above actions are appropriate 54. Cielo wants to have an HIV antibody test. Which of the following actions should the nurse not take? A. Conduct the test at the center while maintaining anonymity and confidentiality B. Perform an initial risk assessment to evaluate possible exposure and infection C. Explain the window period of the infection D. Refer Cielo to the appropriate health facility 55. Nicale is five months pregnant. While assessing her nutritional-metabolic pattern in the nursing history, which of the following questions should not be asked? A. Her eating habits and food preferences B. Her fluid intake C. Her wound healing patterns D. Any issues with bowel elimination Situation: Community Health Nurse Neggy utilizes family health nursing principles while caring for the Tart family. Jack and Jill Tart have three children: Nancy, aged 6, Binay, aged 4, and Tarantula, aged 2. They reside in Juliana's house, who is Jack’s mother. 56. This family situation exemplifies a family type that is: A. Patriarchal and extended B. Nuclear and patriarchal C. Matriarchal and nuclear D. Matriarchal and extended 57. What is the most urgent issue facing the Tart family? A. Jack’s unemployment B. Family size exceeding available resources C. Overcrowding D. Nancy’s ascariasis 58. With the passing of Mommy Juliana due to a stroke, the loss of a family member represents a: A. Health threat B. Health deficit C. Stress point D. Both B and C 59. Jill commented on Nancy’s ascariasis by saying, "It's just natural for children..." indicating that this condition is common among kids. The importance of this problem is: A. Serious but not needing urgent attention B. Moderate importance C. Low importance D. Insufficient data 60. Tarantula, the youngest child, is suffering from marasmus. The effectiveness of the intervention is evaluated by measuring weight gain. If the objective shows a weight gain of 2 pounds, this is referred to as: A. Criterion B. Standard C. Anthropometric data D. Vital signs of malnutrition Situation: Nurse Ariel applies the nursing process in the care of the community.   61. When a Public Health Nurse collaborates with members of the health team, it signifies that: A. Community Health Nursing (CHN) requires collaboration across various disciplines. B. Applying an epidemiologic approach is a crucial aspect of nursing practice. C. CHN focuses on groups rather than individuals. D. CHN encourages clients to be actively involved in managing their health. 62. Which of these statements about Community Health Nursing (CHN) is incorrect? A. CHN integrates public health principles with nursing practices. B. CHN focuses on promoting health. C. Encouraging client independence is a duty of Public Health Nursing. D. The uniqueness of CHN’s contribution to healthcare is not defined by the nature of its practice. 63. When the nurse determines that nutrition education is the most urgent need for the family, which phase of the nursing process does this decision represent? A. Assessment B. Intervention C. Planning D. Evaluation 64. The nurse continuously reviews the care provided to a family, focusing on how well the care meets objectives and the family's response or progress. This process is known as: A. Implementation B. Nursing diagnosis C. Evaluation D. Assessment 65. A community health care plan should be developed based on the health needs identified by the: A. Barangay health workers B. Midwife assigned to the barangay C. Public health nurse D. Community Situation: Community Health Nurse Therese will carry out a Community Diagnosis to assess and determine the current health status of the community. 66. What type of research does a community diagnosis represent? 1 - Descriptive 2 - Experimental 3 - Quantitative 4 - Qualitative A. 1 & 3 B. 1 & 4 C. 2 & 3 D. 2 & 4 67. Which of the following represent direct health indicators? A. Topography, climate, location B. Fertility, mortality, and morbidity rates C. Median age, population density, sex ratio D. Political structures, primary sources of income

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