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Community Health Nursing Exam 145 Questions and answers well illustrated., Exams of Nursing

Rasmussen College - IllinoisNursing

Community Health Nursing Exam 145 Questions and answers well illustrated.

Typology: Exams

2024/2025

Available from 07/03/2025

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Community Health Nursing Exam 145
Questions and answers well illustrated.
1. Which is the primary goal of community health nursing?
A. To support and supplement the efforts of the medical profession in the promotion of
health and prevention of
B. To enhance the capacity of individuals, families and communities to cope with their
health needs
C. To increase the productivity of the people by providing them with services that will
increase their level of health
D. To contribute to national development through promotion of family welfare, focusing
particularly on mothers and children - correct answers.Answer: (B) To enhance the
capacity of individuals, families and communities to cope with their health needs.
FB: To contribute to national development through promotion of family welfare, focusing
particularly on mothers and children.
2. CHN is a community-based practice. Which best explains this statement?
A. The service is provided in the natural environment of people
B. The nurse has to conduct community diagnosis to determine nursing needs and
problems
C. The service are based on the available resources within the community
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Partial preview of the text

Download Community Health Nursing Exam 145 Questions and answers well illustrated. and more Exams Nursing in PDF only on Docsity!

Community Health Nursing Exam 145

Questions and answers well illustrated.

  1. Which is the primary goal of community health nursing? A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of B. To enhance the capacity of individuals, families and communities to cope with their health needs C. To increase the productivity of the people by providing them with services that will increase their level of health D. To contribute to national development through promotion of family welfare, focusing particularly on mothers and children - correct answers.Answer: (B) To enhance the capacity of individuals, families and communities to cope with their health needs. FB: To contribute to national development through promotion of family welfare, focusing particularly on mothers and children.
  2. CHN is a community-based practice. Which best explains this statement? A. The service is provided in the natural environment of people B. The nurse has to conduct community diagnosis to determine nursing needs and problems C. The service are based on the available resources within the community

D. Priority setting is based on the magnitude of the health problems identified - correct answers.Answer: (B) The nurse has to conduct community diagnosis to determine nursing needs and problems. Community-based practice means providing care to people in their own natural environments: the home, school and workplace, for example.

  1. Population- focused nursing practice requires which of the following processes? A. Community organizing B. Nursing, process C. Community diagnosis D. Epidemiologic process - correct answers.3. Answer: (C) Community diagnosis FB:Population-focused nursing care means providing care based on the greater need of the majority of the population. The greater need is identified through community diagnosis.
  2. RA 1054 is also known as the Occupational Health Act. Aside from the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled? A. Type of occupation,: agriculture, commercial, industrial B. Location of the workplace in relation to health facilities C. Classification of the business enterprise based on net profit D. Sex and age composition of employees - correct answers.B. Location of the workplace in relation to health facilities FB: Based on R.A. 1054, an occupational nurse must be employed when there are 30 to 100 employees and the workplace is more than 1 km. away from the nearest health center.
  3. A business firm must employ an occupational health nurse when it has at least how many employees. A. 21 B. 101 C. 201 D. 301 - correct answers.B. 101

D. For people to be organized in their health efforts - correct answers.A. For people to attain their birthrights and longevity

  1. We say that a Filipino has attained longevity when he is able to reach the average life span of Filipinos. What other statistic may be used to determine attainment of longevity? A. Age-specific mortality rate B. Proportionate mortality rate C. Swaroop's index D. Case fatality rate - correct answers.C. Swaroop's index Swaroop's index is the percentage of the deaths aged 50 years or older. Its inverse represents the percentage of untimely deaths (those who died younger than 50 years).
  2. Which of the following is the most prominent feature of public health nursing? A. It involves providing home care to sick people who are not confined in the hospital B. Services are provided free of charge to people within the catchment area C. The public health nurse functions as part of a team providing a public health nursing service D. Public health nursing focuses on preventive, not curative services - correct answers.D. Public health nursing focuses on preventive, not curative services The catchment area in PHN consists of a residential community, many of whom are well individuals who have greater need for preventive rather than curative services.
  3. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following? A. Health and longevity as birthrights B. The mandate of the state to protect the birthrights of its citizens C. Public health nursing as a specialized field of nursing D. The worth and dignity of man - correct answers.D. The worth and dignity of man
  4. Which of the following is the mission of the Department of Health?

A. Health for all Filipinos B. Ensure the accessibility and quality of health C. Improve the general health status of the population D. Health in the hands of the Filipino people by the year 2020 - correct answers.B. Ensure the accessibility and quality of health care

  1. Region IV Hospital is classified as what level of facility? A. Primary B. Secondary C. Intermediate D. Tertiary - correct answers.D. Tertiary Regional hospitals are tertiary facilities because they serve as training hospitals for the region.
  2. What is true of primary facilities? A. They are usually government-run B. Their services are provided on an out-patient basis C. They are training facilities for health professionals D. A community hospital is an example of this level of health facilities - correct answers.B. Their services are provided on an out-patient basis Primary facilities government and non-government facilities that provide basic out- patient services.
  3. Which is an example of the school nurse's health care provider function? A. Requesting for BCG from the RHU for school entrance immunization B. Conducting random classroom inspection during measles epidemic C. Taking remedial action on an accident hazard in the school playground D. Observing places in the school where pupils spend their free times - correct answers.B. Conducting random classroom inspection during measles epidemic

C. Public Health Nurse D. Any qualified physician - correct answers.A. Mayor The local executive serves as the chairman of the Municipal Health Board.

  1. Which level of health facility is the usual point of entry of a client into the health care delivery system? A. Primary B. Secondary C. Intermediate D. Tertiary - correct answers.A. Primary The entry of a person into the health care delivery system is usually through a consultation in out-patient services.
  2. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the pubic health nurse? A. Referring cases or patients to the midwife B. Providing technical guidance to the midwife C. Proving nursing care to cases referred by the midwife D. Formulating and implementing training programs for midwives - correct answers.B. Providing technical guidance to the midwife The nurse provides technical guidance to the midwife in the care of clients, particularly in the implementation of management guidelines, as in Integrated Management of Childhood Illness.
  3. One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the; A. Public health nurse B. Rural health midwife C. Municipal health officer D. Any of these health professionals - correct answers.C. Municipal health officer A public health nurse and rural health midwife can provide care during normal childbirth. A physician should attend to a woman with a complication during labor.
  1. You are the public health nurse in a municipality with a total population of about 20,000. There are 3 health midwives among the RHU personnel. How many more midwife items will the RHU need? A. 1 B. 2 C. 3 D. 4 - correct answers.A. 1 Each rural health midwife is given a population assignment of about 5,000.
  2. If the RHU needs additional midwife items, you will submit the request for additional midwife items for approval to the: A. Rural Health Unit B. District Health Office C. Provincial Health Office D. Municipal Health Board - correct answers.D. Municipal Health Board As mandated by R.A. 7160, basic health services have been devolved from the national government to local government units.
  3. As an epidemiologist, the nurse is responsible for reporting cases or notifiable diseases. What law mandates reporting cases of notifiable diseases? A. Act 3573 B. RA. C. RA 1054 D. RA 1082 - correct answers.A. Act 3573 Act 3573, the Law on Reporting of Communicable Diseases, enacted in 1929, mandated the reporting of diseases listed in the law to the nearest health station.
  4. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement? A. The community health nurse continuously develops himself personally and professionally B. Health education and community organizing are necessary in providing community health services C. Community health nursing in intended primarily for health promotion and prevention and treatment of disease. D. The goal of community health nursing is to provide nursing services to people in their own place of .residence - correct answers.B. Health education and community organizing are necessary in providing community health services

Community organization is the step when community assemblies take place. During the community assembly, the people may opt to formalize the community organization and make plans for community action to resolve a community health problem.

  1. The public health nurse takes an active role in community participation. What is the primary goal of community organizing? A. To educate the people regarding community health problems B. To mobilize the people to resolve community health problems C. To maximize the community's resources in dealing with health problems - correct answers.C. To maximize the community's resources in dealing with health problems Community organizing is a developmental service, with the goal of developing the people's self-reliance in dealing with community health problems. A, B and C are objectives of contributory objectives to this goal.
  2. An indicator of success in community organizing is when people are able to: A. Participate in community activities for the solution of a community problem B. Implement activities for the solution of the community problem C. Plan activities for the solution of the community problem D. Identify the health problem as a common concern - correct answers.A. Participate in community activities for the solution of a community problem Participation in community activities in resolving a community problem may be in any of the processes mentioned in the other choices.
  3. Tertiary prevention is needed in which stage of the natural history of disease? A. Pre-pathogenesis B. Pathogenesis C. Predromal D. Terminal - correct answers.D. Terminal Tertiary prevention involves rehabilitation, prevention of permanent disability and disability limitation appropriate for convalescents, the disabled, complicated cases and the terminally ill (those in the terminal stage of a disease)
  4. Isolation of a child with measles belongs to what level of prevention? A. Primary B. Secondary C. Intermediate

D. Tertiary - correct answers.A. Primary The purpose of isolating a client with a communicable disease is to protect those who are not sick (specific disease prevention).

  1. On the other hand, Operation Timbang is_____ prevention? A. Primary B. Secondary C. Intermediate D. Tertiary - correct answers.B. Secondary Operation Timbang is done to identify members of the susceptible population who are malnourished. Its purpose is early diagnosis and, subsequently, prompt treatment.
  2. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics? A. Clinic consultation B. Group conferences C. Home visit D. Written communication - correct answers.C. Home visit Dynamics of family relationships can best be observed in the family's natural environment, which is the home.
  3. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the delos Reyes family has been diagnosed as mentally retarded. This is classified as: A. Health threat B. Health deficit C. Foreseeable crisis D. Stress point - correct answers.B. Health deficit Failure of a family member to develop according to what is expected, as in mental retardation, is a health deficit.
  4. The delos Reyes couple have 6-year old child entering school for the first time. The delos Reyes family has a: A. Health threat B. Health deficit C. Foreseeable crisis D. Stress point - correct answers.C. Foreseeable crisis
  1. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do? A. Wash his/her hands before and after providing nursing care to the family members B. In the care of family member's, as much as possible, use only articles taken from the bag C. Put on an apron to protect her uniform and fold it with the right side out before putting it back into the bag. D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on the outside. - correct answers.A. Wash his/her hands before and after providing nursing care to the family members Choice B goes against the idea of utilizing the family's resources, which is encouraged in CHN. Choices C and D goes against the principle of asepsis of confining the contaminated surface of objects.
  2. The public health conducts a study on the factors contributing to the high morality rate due to heart diseases in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation? A. Descriptive B. Analytical C. Therapeutic D. Evaluation - correct answers.B. Analytical Analytical epidemiology is the study of factors or determinants affecting the patterns of occurrence and distribution of disease in a community.
  3. Which of the following is a function of epidemiology? A. Identifying the disease condition based on manifestations presented by a client B. Determining factors that contributed to the occurrence of pneumonia in a 3 year old C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with pneumonia D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness - correct answers.D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness Epidemiology is used in the assessment of a community or evaluation of interventions in community health practice.
  1. Which of the following is an epidemiologic function of the nurse during an epidemic? A Conducting assessment of suspected cases to detect the communicable diseases B. Monitoring the condition of the cases affected by the communicable disease C. Participating in the investigation to determine the source of epidemic D. Teaching the community on preventive measures against the disease - correct answers.C. Participating in the investigation to determine the source of epidemic Epidemiology is the study of patterns of occurrence and distribution of disease in the community, as well as the factors that affect disease patterns. The purpose of an epidemiologic investigation is to identify the source of an epidemic, i.e., what brought about the epidemic.
  2. The primary purpose of conducting an epidemiologic investigation is to; A. Delineate the etiology of the epidemic B. Encourage cooperation and support of the community C. Identify groups who are at risk of contracting the disease D. Identify geographical location of cases of the disease in the community - correct answers.A. Delineate the etiology of the epidemic Delineating the etiology of an epidemic is identifying its source.
  3. Which is a characteristic of person-to-person propagated epidemic? A. There are more cases of the disease than expected B. The disease must necessarily be transmitted through a vector C. The spread of the disease can be attributed to a common vehicle D. There is gradual build up of cases before we epidemic becomes easily noticeable - correct answers.A. There is a gradual build up of cases before the epidemic becomes easily noticeable. A gradual or insidious onset of the epidemic is usually observable in person-to-person propagated epidemics.

B. 100.94:

C. 50.23%

D. 49.76% - correct answers.B. 100.94: Sex ratio is the number of males for every 100 females in the population.

  1. Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of the primary health care approach? A. Health services are provided free of charge to individuals and families B. Local officials are empowered as the major decision makers in matters of health C. Health workers are able too provide care based on identified health needs of the people D. Health programs are sustained according to the level of development of the community - correct answers.D. Health programs are sustained according to the level of development of the community. Primary health care is essential health care that can be sustained in all stages of development of the community.
  2. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would sometimes get false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination? A. Effectiveness B. Efficacy C. Specificity D. Sensitivity - correct answers.D. Sensitivity Sensitivity is the capacity of a diagnostic examination to detect cases of the disease. If a test is 100% sensitive, all the cases tested will have a positive result, i.e., there will be no false negative results.
  3. Use of appropriate technology requires knowledge of indigenous technology. Which medical herb is given for fever, headache and cough? A. Sambong B. Tsaang gubat C. Akapulko D. Lagundi - correct answers.D. Lagundi

Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea. Akapulko is used for its antifungal property.

  1. What law created the Philippine institute of Traditional and Alternative Health Care? A. RA 8483 B. RA C. RA 2483 D. RA 3482 - correct answers.A. RA 8483 "AN ACT CREATING THE PHILIPPINE INSTITUTE OF TRADITIONAL AND ALTERNATIVE HEALTH CARE (PITAHC) TO ACCELERATE THE DEVELOPMENT OF TRADITIONAL AND ALTERNATIVE HEALTH CARE IN THE PHILIPPINES, PROVIDING FOR A TRADITIONAL AND ALTERNATIVE HEALTH CARE DEVELOPMENT FUND AND FOR OTHER PURPOSES" signed to a law on December 9, 1997.
  2. In traditional Chinese medicine, the yielding, negative and feminine force is termed: A. Yin B. Yang C. Qi D. Chai - correct answers.A. Yin Yang is the male dominating, positive and masculine force.
  3. What is the legal basis of Primary Health Care approach in the Philippines? A. Alma Ata Declaration of PHC B. Letter of Instruction No 949 C. Presidential Decree No. 147 D. Presidential Decree 996 - correct answers.B. Letter of Instruction No 949 Letter of Instruction 949 was issued by then President Ferdinand Marcos, directing the formerly called Ministry of Health, now the Department of Health, to utilize Primary Health Care approach in planning and implementing health programs.
  4. Which of the following demonstrates inter-sectoral linkages? A. Two-way referral system B. Team approach C. Endorsement done by a midwife to another midwife D. Cooperation between PHN and public school teacher - correct answers.D. Cooperation between PHN and public school teacher

A. 4.1/

B. 5.2/

C. 6.3/

D. 7.3/1000 - correct answers.B. 5.2/ SOL'N: 94 DEATHS divide by 18,000= 0.00522 x 1,000= 5.

  1. Knowing that malnutrition is a frequent community health problem, you decided to conduct nutritional assessment. What population is particularly susceptible to protein energy malnutrition (PEM)? A. Pregnant women and the elderly B. Under 5 year old children C. 1-4 year old children D. School age children - correct answers.C. 1-4 year old children Preschoolers are the most susceptible to PEM because they have generally been weaned. Also, this is the population who, unable to feed themselves, are often the victims of poor intrafamilial food distribution.
  2. Which statistic can give the most accurate reflection of the health status of a community? A. 1-4 year old age-specific mortality rate B. Infant mortality rate C. Swaroop's index D. Crude death rate - correct answers.C. Swaroop's index Swaroop's index is the proportion of deaths aged 50 years and above. The higher the Swaroop's index of a population, the greater the proportion of the deaths who were able to reach the age of at least 50 years, i.e., more people grew old before they died.
  3. In the past year, Barangay A had an average population of 1655. 46 babies were born in that year, 2 of whom died less than 4 weeks after they were born. They were 4 recorded stillbirths. What is the neonatal mortality rate? A. 27.8/ 1000

B. 43.5/

C. 86.9/

D. 130.4/1000 - correct answers.B. 43.5/ SOL'N: 2 DEAD divide by 46 BABIES= 0.04347 x 1000= 43.

  1. Which statistic best reflects the nutritional status of a population? A. 1-4 year old age-specific mortality rate B. Proportionate mortality rate C. Infant mortality rate D. Swaroop's index - correct answers.A. 1-4 year old age-specific mortality rate Since preschoolers are the most susceptible to the effects of malnutrition, a population with poor nutritional status will most likely have a high 1-4 year old age-specific mortality rate, also known as child mortality rate.
  2. What numerator is used in computing general fertility rate? A. Estimated midyear population B. Number of registered live births C. Number of pregnancies in the year D. Number of females of reproductive age - correct answers.B. Number of registered live births To compute for general or total fertility rate, divide the number of registered live births by the number of females of reproductive age ( 15 - 45 years), then multiply by 1,000.
  3. You will gather data for nutritional assessment of a purok. You will gather information only from families with members who belong to the target population for PEM. What method of delta gathering is best for this purpose? A. Census B. Survey C. Record Review D. Review of civil registry - correct answers.B. Survey A survey, also called sample survey, is data gathering about a sample of the population.