A1 PASSERS TRAINING, RESEARCH, REVIEW AND DEVELOPMENT COMPANY

2nd Floor Sommerset Bldg., Lopez Jaena St. Jaro, Iloilo City
Tel No.: (033) 320-2728;09106547262
Email Address: [email protected]
MID COMPREHENSIVE EXAMINATIONS
NURSING PRACTICE III- COMMUNITY HEALTH NURSING
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet.
3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalidate
your answer.
4. AVOID ERASURES.
1.
2.
3.

INSTRUCTIONS:
Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
Write the subject title Nursing Practice I on the box provided.
Shade Set Box A on your answer sheet if your test booklet is Set A; Set Box B if your test booklet is Set B.
______________________________________________________________________________________
SITUATION 1 Mr. E is a clinical instructor, begins his lecture with the basic concepts in CHN. The
following are the important points that she discussed with her students.
1

2
3

7
8

In Community Health Nursing, despite the availability and use of many equipment and devices to facilitate
the job of the community health nurse, the best tool any nurse should be well prepared to apply is a
scientific approach. This approach ensures quality of care even at the community setting. This in nursing
parlance is nothing less than the:
A Nursing diagnosis
CNursing research
B Nursing protocol
DNursing process
The term Public Health Nursing was coined by:
A Florence Nightingale
CDorothea Orem
B Lilian Wald
DAnnie Sand
To be able to work as a public health nurse, the minimum requirement that should be met is:
A BSN, RN
CBSN, RN, 1 year experience
B BSN, RN, MAN
DBSN,RN,21 years old,1 year experience
A nurse working in the community assumes different roles. When the nurse acts as community organizer,
she does which of the following functions:
A Motivate and enhance community participation when planning and implementing health programs and
services
B Develops familys capability to take care of a sick member
CIdentifies needs, priorities, and problems of individuals, families and community
DCoordinates with government and nongovernment organization in the implementation of research and
studies
A garment factory does not have an occupational nurse. Who shall provide the occupational health needs
of the factory workers?
A Occupational health nurse at the Provincial Health Office
B Physician employed by the factory
CPublic health nurse of the RHU of their municipality
DRural sanitary inspector of the RHU of their municipality
The WHO defines public health nursing as one of the following?
A Teamwork based in social and natural
CAchievement of human potentials
science
DSpecial field in nursing including social
B Assessment of clients health needs
assistance
In terms of CHN practice, the nurse in the community is trained as:
A Nurse-midwife
CNurse Generalist
B Practical nurse
DSpecialist in CHN
The rural health midwife is supervised by the:
A Rural health nurse
CBarangay Captain
B Municipal mayor
DRural health physician
9
10
1

11 In the Philippine Primary Health Care Delivery System, the secondary level of health service is provided by
the:
A Regional Hospitals
CProvincial Hospitals
B Rural Health Units
DPuericulture Centers
12 When a traditional birth attendants and midwifes attend to home delivery the care provided for is classified
as:
A Primary level of care
CTertiary level of care
B Secondary level of care
DFolk healing practice
13 If the condition in the community is always changing, it is necessary to:
A Isolate community problems from societal problems
B Develop a community health plan
CIdentify sources of conflicts in the community
DContinuously monitor community situation
14 The nurse is practicing CHN when she:
A Visited an old woman in her home to change her post-surgical dressing
B Instructs a couple on newborn care
CSets up a support program for teen-aged pregnant women
DDoes any of these
15 The devolution of health services to the local government unit was mandated by:
A RA 7160
CRA 6713
B PD 856
DRA 8749
16 The Republic Act that refers to the Magna Carta of Public Health Workers:
A RA 2382
CRA 7305
B RA 1082
DRA 6425
17 At all times, the community health nurse must provide quality nursing services based on:
A Standards of practice
CNursing goals and objectives
B CHN principle and philosophy
DConcepts and theories of CHN
18
19 SITUATION 2 One important tool a community health nurse uses in the conduct of his/her
activities is the CHN BAG.
20
21 The Community/Public Health Bag is:
A As essential and indispensable equipment of the community health nurse
B A tool used by the Community health nurse in rendering the effective nursing procedures during a
home visit
CContains basic medications and articles used by the community health nurse
DA requirement for home visits
22 Which of the following is the content of a bag?
A Tissue paper
CBlood pressure apparatus
B Benedicts solution
DPrescription paper
23 How many scissors are in the public health bag?
A1
C3
B2
D5
24 What is the rationale for the use of bag technique during home visits?
A It should minimize or prevent the spread of infection from individuals to families
B It saves time and effort of the nurse in the performance of nursing procedure
CIt helps render effective nursing care to clients or other members of the family
DIt should not overshadow concerns for the patient
25 Which among the following is important in the use of the bag technique during home visit?
A Minimize if not totally prevent the spread of infection
B Arrangement of the bags contents must be convenient to the nurse
CBe sure to thoroughly clean your bag especially when exposed to communicable cases
DThe bag should contain all necessary supplies and equipment ready for use
26 Which one of the following is the basic procedure a nurse must do before and after nursing care or
treatment?
A Wash hands with soap and water
B Protect bag from contamination
CRender comfort measure to clients
DProtect caregiver always
27 In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is
considered clean to make a non-contaminated work area?
A The upper tip
CThe inside surface
B The outer surface
DThe lower tip
28
29
30
2

31
32 SITUATION 3 Nurse Anna is a new BSN graduate and has just passed her Licensure Examination
for Nurses in the Philippines. She has likewise been hired as a new Community Health Nurse in one
of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS
applied to Community Health Nursing Practice.
33
34 Which of the following is the primary focus of community health nursing practice?
A Prevention of illness
CRehabilitation back to health
B Cure of illnesses
DPromotion of health
35 In community health nursing, which of the following is our unit of service as nurses?
A The community
CThe individual members of the Barangay
B The family
DThe extended members of every family
36 A very important part of the Community Health Nursing Assessment Process includes:
A Evaluation structures and qualifications of health center team
B Carrying out nursing procedures as per plan of Action
CThe application of professional judgment in estimating importance of facts to family and community
DCoordination with other sectors in relation to health concerns
37 The initial step in Planning process in order to engage in any project or activities at the community level
involves:
A Evaluation of data
CGoal-setting
B Monitoring
DProvision of data
38 In community health nursing, it is important to take into account the family health data coupled with the
equally important need to perform ocular inspection of the area as activities which are powerful elements
of:
A Assessment phase
CImplementation phase
B Planning phase
DEvaluation phase
39 When the nurse refers an indigent patient to the Red Cross to obtain blood, she is at what phase of the
nursing process?
A Assessment phase
CImplementation phase
B Planning phase
DEvaluation phase
40 When the RHU nurse provides health teaching to individual or families, this process is:
A Intervention
CAssessment
B Planning
DEvaluation
41
42 SITUATION 4 The accepted definition of Primary Heath Care (PHC) is that of the World Health
Organization (WHO).
43
44 Which of the following is the definition of WHO?
A Strategy which focuses responsibility for health in the individuals towards development of self-reliant
people
B Essential health care done universally accessible to individuals and families by means acceptable to
them through their participation
CCare characterized by partnership and empowerment of people that permits care strategy
DHealth care system that increases opportunities and conditions wherein people will manage their own
health
45 The four cornerstones of Primary Health Care are here below but which one is NOT?
A Use of appropriate technology
CAdequate supplies from donors
B Intra and intersectoral linkages
DActive community participation
46 Which of the following is the vital strategy of PHC?
A Immunization and control of communicable diseases
B The orientation and reorganization of National Health Care System
CProvision of medical care and emergency families
DProvision of essential drugs and treatment
47 Intersectoral linkages refers to:
A Coordination among government and nongovernment agencies in providing health services to the
people
B Effective referral system among the different units of DOH
CDiscouraging outside help to encourage self reliance among the community members
DLinking people to the services provided by the government
48 The goal of primary health care in the Philippine framework is:
A Health is wealth
B Health in the Hands of the People by Year 2020
CPartnership and empowerment of the People by Year 2000
DQuality Health Care for All
49
3

50 In 1978, the International Conference of Primary Health Care was in Alma Ata. What is the legal basis of
PHC in the Philippine?
A UNICEF in 1978
CLOI 949 of Pres. Marcos
B Presidential E.O. 949
DWHO in 1978
51
52 SITUATION 5 Primary Health Care is the premiere approach of the DOH in implementing the
national health plan of our country.
53
54 The mission of PHC must be embodied in the hearts of health care providers. Which one strengthens the
health care system?
A Supporting conditions for healthy habits
CLetting the people manage their own
B Increasing opportunities to be healthy
health care
DFinancing health program
55 The first international conference on Primary Health Care was held in:
A Switzerland
CUSA
B Paris
DUSSR
56 Primary Heath Care is effective when nurses:
A Provide support program for organizing
CLaunch community mobilization
work
DExercise correct leadership in the
B Develop mutual trust with the people
community
57 Which of the following is NOT included in the components of the Primary Health Care?
A Environmental Sanitation
CImmunization
B Support mechanism
DControl of communicable diseases
58 Which of the following Primary Health strategies refers to cooperation with local officials?
A Devolved authority due to Code 1991
B Referral to local government units
CIncreased community participation
DIncreased linkages with local health sectors
59
60 SITUATION 6 Health Care services are classified into categories. Nurses should be cognizant of
these categories to be able to render appropriate nursing intervention.
61
62 Which of the following interventions are classified as primary care?
A Screening patients for tuberculosis
B Provision of direct nursing care to patients in the ward
CCounseling newly married couples on the appropriate family planning method
DTeaching diabetic patients how to self-inject
63 Which of the following can be classified under secondary level of prevention?
1 Assisting in open heart surgery
2 Implementing Direct Observed Therapy (DOT) in the control of Tuberculosis
3 Attending to the delivery of G2P1 mother
4 Participating in immunization campaign against policy
5 Doing active and passive exercise with a CVA patient after a bed bath
A 2,3 and 4
C1,4 and 5
B 3,4 and 5
D1,2 and 3
64 The provision of health information in the rural areas nationwide through television and radio programs and
video conferencing is referred to as:
A Global Health and Wellness Program
CTelehealth Program
B Wellness Program
DTechnological Advancement Program
65 The top ten morbidity rates in the Philippines include tuberculosis, diarrhea among children to name a few.
Many of these conditions are preventable and have implications in the development of which nursing
competencies?
A Execution of nursing procedures and
CTherapeutic use of self
techniques
DAdministration of treatment and
B Health education
medication
66 Nurse Bea is providing tertiary prevention of Mrs. De Villa. An example of tertiary prevention is:
A Poison control
CSelf examination of breast cancer
B Identifying complication of diabetes
DMarriage counselling
67 Mrs. Ostrea has a schedule for Pap smear. She has a strong history of cervical cancer. This is an example
of:
A Primary prevention
CTertiary prevention
B Secondary prevention
DHealth screening
68 At present, government hospitals are expected to offer comprehensive health service to include illness
prevention and health promotion. In which of the following unit or services are these services integrated?
A Rehabilitation Center
CNewborn Screening Center
B Intensive Care Center
DWellness Center
4

69 Wellness clinics and health education activities have been integrated in the government hospitals to render
appropriate services. Which of the following purposes LEAST helps clients in cases of these health
promotions activities?
A Reduce the cost of health care
CIdentify disease symptoms
B Maintain maximum functions
DPromotes health habits
70 Tertiary care by the home health nurse is directed toward children with:
A Problems in mobility
CMinor problems
B Short-term needs
DClinically apparent disease
71
72 SITUATION 7 The community nurse orients the staff to community development work and basic
principles of CHN.
73
74 While community health nurses focus on the individual or the family, which of the following do they also
have as their final objective?
A The well-being of the chronically ill
CThe well-being of the extended family
B The financial well-being of the family
DThe well-being of the community
75 To which level of care should the community health worker refer the cases beyond Primary Health Care
units?
76 A. Provincial Hospital
78 C. Regional Hospital
77 B. Rural Health Unit
79 D. District Hospital
80
81 The Community Health Nurse spends long periods of time with the family as a client. What kind of health
care service is provided to members of families?
A Referrals only
CAll types
B Selected problem
DPriority cases
82 Steven is a trained community worker in the community. Steven is identified at what level of primary health
care worker?
A Intermediate level health worker
CTrained hilot
B BHW
DVolunteer
83 What is the basic purpose of research in CHN?
A Sources of future and other resources
CImprovement of health care
B Nurse protection
DProof of competence
84
85 SITUATION 8 As a nurse you are aware of the health statistic of the Philippines as published by
the Department of Health.
86
87 Which of the following is the FIRST leading cause of morbidity in our country since 1998?
A Pneumonia
CDiarrhea
B Bronchitis
DInfluenza
88 Which of the following is the FIRST leading cause of mortality?
A Tuberculosis
CCancer
B Pneumonia
DHeart diseases
89 First among the ten leading causes of infant mortality in the Philippine is:
A Congenital anomalies
CBirth injury
B Diarrheal diseases
DPneumonia
90 First among the TEN leading causes of maternal mortality in our country is:
A Postpartum hemorrhage
B Complication related to pregnancy occurring in labor, delivery and puerperium
CDeath related to abortive outcomes
DHypertension as complication of pregnancy child birth and puerperium
91 Which of the following is the top leading cause of mortality among the older persons?
A Tuberculosis in all forms
CMalignancies
B Disease of the heart
DDiabetes mellitus
92
93 SITUATION 9 A community health nurse must be knowledgeable on the vital statistics of the
community she is serving.
94
95 Which of the following refers to the systematic study of vital events in a certain community?
A Epidemiology
CCommunity statistics
B Population census
DVital statistics
96 Major factors affecting population include the following, EXCEPT:
A Births
CMigration
B Deaths
DMorbidity
97 Which of the following patterns is intermittent and confined to certain geographical area or locality?
A Sporadic
CEpidemic
B Endemic
DPandemic
5

98 Seasonal
A Common
fluctuation
source
ofepidemic
diseases is considered:
CSecular variation
B Cyclic variation
DEndemic
99 A sensitive index of the health conditions obtained in the community which is influenced more by
environmental rather than endogenous factors is the:
A Crude death rate
CFetal death rate
B Infant mortality rate
DMaternal mortality rate
100
The crude birth rate of Community Kwenek is 30. This means:
A 30 births in every 100 population
B 30 births in every 1000 population
C30 births in 100 population of woman 15-49 years old
D30 births in 1000 population of woman 15-49 years old
101
Barrio Aragon has an estimated population of 750 persons as of July 2009. On the last month of
2009, there were 70 infants born but 5 of them did not survive upon birth as was surveyed January of the
same year. What is the crude birth rate of Barrio Aragon?
A 93.33
C88.66
B 86.67
D71.43
102
On the same year, it was recorded that among the registered live births, 5 neonates had died of
different causes about a month after birth. What is the Neonatal Death Rate of Barrio Aragon?
A 76.29
C76.92
B 71.43
D6.67
103
104
While giving birth, 2 mothers who gave birth through the traditional birth attendants at home died due
to profuse bleeding. What is the Maternal Mortality Rate of Barrio Aragon?
A 2.67
C30.77
B 30.67
D28.57
105
106
SITUATION 10 Home Visit is a family-nurse contact which allows the health worker to assess
the home and family situations in order to provide necessary nursing care.
107
108
When the nurse reviews records of the family in the clinic, in what phase of the visit is this?
A Preparatory phase
CPost visit phase
B Home visit phase
DRecording phase
109
The nurse records the home visit and makes referral during what phase of the visit?
a Before conducting the visit
c While doing the home visit phase
b In the preparatory phase
d Post visit phase
110 Which of the following is an advantage of a home visit?
A It allows the nurse to provide nursing care to a greater number of people.
B It provides an opportunity to do first hand appraisal of the home situation.
CIt allows sharing of experiences among people with similar health problems.
DIt develops the familys initiative in providing for health needs of its members.
111Which of the following is the first step that nurse Febe must do when conducting home visit?
a Place the PHN Bag in convenient place before doing bag technique?
b Greet client or household member and introduce yourself
c Explain the purpose of visit
d Look into detailed aspects of the household
112 Which of the following is a professional priority factor to determine the frequency of home visit?
113a. Acceptance of the family
115c .Available information
114b. Flexible and practical
116d. Policy of the department of health
117When working with family, nurse Febe must remember that the most important principle in goal setting is
that:
a The goal targets the most serious problem of the family
b The goal is within the budget of the family
c The goal would be involve interventions that the nurse is capable of doing
d The goal is approved by the family
118In performing home visit, it is important that the nurse should accomplish which of the following to meet the
needs of the clients and achieve the best results of desired outcome?
A Develop family nursing care plan
CPerforming bag technique
B Apply the nursing process and prioritize
DFormulate plan of visit
needs of the client
119Upon arriving at a clients home, which of the following will the community health nurse do as first step in
performing a nursing procedure?
A Place the bag outside of work area
B Open bag, take the linen, spread over work field area
CPlace the bag on the table or any flat surface lined with paper lining
DPut on apron right side out and wrong side with crease touching the body
6

120
Planning for a home visit is an essential tool in achieving best results in health care. The following are
principles in a home visit except:
A Planning should be flexible and practical
B Home visit should have a purpose
CPlans are based in available information including those from other agencies that may rendered
services to the family
DPlanning of continuing care must be developed by the nurse
121
122
SITUATION 11 The application of CHN concepts and processes.
123
124
Which of the following statements is NOT correct?
A As part of participation to policy formulation, the nurse plays an active role in lobbying for
amendments to the nursing law
B In the community, the nurse raises the level of awareness of the people to identify existing problems
and potentiate to address such problems
CIf the people in the community wants free medicines, the nurse complies as the basis of services
should be on what people demands
DIf many of the trained community health workers resigned, the nurse has to start all over again and
never gives up
125
If a particular health service fails, the most basic question is:
A Is this what people demanded?
CIs this what the people need?
B What went wrong?
DWho is responsible for the failure?
126
127
The primary goal of CHN is to:
A Support and supplement the efforts of the medical professions in the promotion of health and
prevention of illness
B Enhance the capacity of individuals, families, and communities to cope with their health needs
CIncrease the productivity of the people
DContribute to national development
128
The nurse actively participates in the development of the community health plan in order to:
A Represent the community in the health team
B Impress the other members of the planning phase of the nursing process
CEnsure that there is a nursing component in any health undertaking
DSee to it that the steps in planning phase are carried out
129
130
SITUATION 12 The context of CHN is an instrument to community development.
131
132
In addressing the health problems of the community, community health nurse ensures:
A People identify and prioritize their own problems
B Each health team member provides his/her share in health care
CPeople act as recipients of services
DDOH programs are being carried out
133
The aim of partnership and collaboration with the people is to:
A Get people to work together to address concerns that affect them
B Give people an opportunity to learn skills in intrapersonal relations
CBar people in decision-making process
DExpect people to participate in the context of autocratic leadership
134
The basic reasons why community organizers need to phase out from the community is to enable:
A Nurse to open CO work in other depressed communities
B People to exercise self-reliance
CThe peoples organization to expand their coverage
DPeople to test their unity and strength
135
The important foundation in community organization is to bring together several indigenous leaders.
This is:
A Integration
CRepresentation
B Core group formation
DMobilization
136
What is the method of establishing rapport with the people and exercising effort to imbibe community
lifestyle with them?
A Integration
CRepresentation
B Core group formation
DSocialization
137
The nurse and other members of the health team provide training on basic health care and other
concerns to organized group leaders. Which of the following phases of the COPAR process is the training
done?
A Sustenance and strengthening phase
CPre-entry phase
B Organization-building phase
DEntry
138
7

139
140SITUATION 13 Health and Wellness concepts.
141
142The modern concept of health refers to:
A How individuals can be called disease-free
B How individuals can avail their immune system
C How individuals maintain maximum level of wellness
D How individuals avoid diseases
143The factor in ecosystem affecting the individuals health that is involved in the menance of population, basically
man-made is:
A Behavioral
C Environmental influences
B Socio-economic
D Political
144The factor in the ecosystem affecting the individuals health that is involved in the provision of essential health
services whether community based, accessible, sustainable, and affordable is the:
A Socio-economic
C Behavioral
B Health Care Delivery System
D Political
145Which is not an example of behavioral influences in OLOF on health status?
A Cigarette smoking and alcohol drinking
B A grandmother with an adult-onset diabetes
C Sedentary lifestyle of an office worker
D Exposure to toxic substances in the workplace
146The level of health of an individual, family, group, population, or community is called:
147
a.Health assets
149
c. Health problem
148
b. Health status
150
d. Health needs
151In the health care delivery system, ideally, rehabilitation services begin:
A Upon admission of clients in the health care system
B Upon discharge of clients from health care system
C After the clients physical condition stabilizes
D Soon after the client has requested for rehab services
152
153SITUATION 14 Family Health Nursing Practice is a subset of CHN which utilizes the nursing process in
applying nursing procedures that facilitate welfare of the community.
154
155Family health nursing assessment is the most crucial phase in the nursing process in family health nursing
practice. It involves how many levels of assessment?
A1
C3
B2
D As many as 4
156First-level assessment is a process whereby existing and potential health problems of the family are determined,
which are further categorized according to be nature of the problem. The typology of family nursing problems is
used in the statement of nursing diagnosis in the care of families. The youngest child of the de los Reyes family
has been diagnosed as mentally retarded. This is classified as a:
A Health threat
C Foreseeable crisis
B Health deficit
D Stress point
157 The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has
a:
A. Health threat
C. Health dependent
B. Health deficit
D. Foreseeable crisis
158It refers to the blueprint of the care that the nurse designs to systematically minimize or eliminate the identified
health and family nursing problems through explicitly formulated outcomes of care and deliberately chosen set
of interventions, resources and evaluation criteria, standards, methods, and tools.
A Nursing diagnosis
C Tender-loving-care
B Family nursing care plan
D NANDA
159
160SITUATION 15 Field health services and information system provides summary data on health service
delivery and selected program from the barangay level up to the national level. As a nurse, you should
know the process on how these information became processed and consolidated.
161
162. All of the following are objectives of FHSIS EXCEPT:
A To complete the clinical picture of chronic disease and describe their natural history
B To provide standardized, facility level data base which can be accessed for more in depth studies
C To minimize recording and reporting burden allowing more time for patient care and promotive activities
D To ensure that data reported are useful and accurate and are disseminated in a timely and easy to use
fashion
163 What is the fundamental block or foundation of the field health service information system?
A Family treatment record
C Reporting forms
B Target Client list
D Output record
164Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of
the DOH?
A Family treatment record
B Target Client list
8

C Reporting forms

D Output record

165