WorksheetsCommunity Health Nursing II Major Examination (Finals)
Total questions: 65
Worksheet time: 2hrs 38mins
Which of the following women should be considered as special targets for family planning?
Those who have two children or more
Those with medical conditions such as anemia
Those who just had a delivery within the past 15 month
Those younger than 20 years and older than 35 years
Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
Adequate information for couples regarding the different methods
Information dissemination about the need for family planning
Support of research and development in family planning methods
Encouragement of couples to take family planning as a joint responsibility
A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?
Tetanus toxoid
Retinol 200,000 IU
Ferrous sulfate 200 mg
Potassium iodate 200 mg. capsule
In immunizing school entrants with BCG, you are not obliged to secure parental consent. This is because of which legal document?
R.A. 7846
Presidential Proclamation No. 6
Presidential Proclamation No. 46
P.D. 996
A 2-month old infant was brought to the health center for immunization. During assessment, the infant’s temperature registered at 38.1°C. Which is the best course of action that you will take?
Go on with the infant’s immunizations.
Give Paracetamol and wait for his fever to subside.
Refer the infant to the physician for further assessment.
Advise the infant’s mother to bring him back for immunization when he is well
Food fortification is one of the strategies to prevent micronutrient deficiency conditions. R.A. 8976 mandates fortification of certain food items. Which of the following is among these food items?
Bread
Margarine
Sugar
Filled milk
What is the best course of action when there is a measles epidemic in a nearby municipality?
Give babies aged 6 to 11 months one dose of 100,000 I.U. of Retinol
Give measles vaccine to babies aged 6 to 8 months.
Instruct mothers to keep their babies at home to prevent disease transmission.
Instruct mothers to feed their babies adequately to enhance their babies’ resistance.
The following are strategies implemented by the Department of Health to prevent mosquito-borne diseases. Which of these is most effective in the control of Dengue fever?
Stream seeding with larva-eating fish
Chemoprophylaxis of non-immune persons going to endemic areas
Teaching people in endemic areas to use chemically treated mosquito nets
Destroying breeding places of mosquitoes
Which of the following signs indicates the need for sputum examination for AFB?
Hematemesis
Fever for 1 week
Cough for 3 weeks
Chest pain for 1 week
Which clients are considered targets for DOTS Category I?
Clients diagnosed for the first time through a positive sputum exam
Sputum negative cavitary cases
Clients returning after a default
Relapses and failures of previous PTB treatment regimens
To determine possible sources of sexually transmitted infections, which is the BEST method that may be undertaken by the public health nurse?
Community survey
Mass screening tests
Interview of suspects
Contact tracing
Antiretroviral agents, such as AZT, are used in the management of AIDS. Which of the following is NOT an action expected of these drugs?
They prolong the life of the client with AIDS.
They are able to bring about a cure of the disease condition.
They reduce the risk of opportunistic infections
They shorten the period of communicability of the disease.
You are the PHN in the city health center. A client underwent screening for AIDS using ELISA. His result was positive. What is the best course of action that you may take?
Get a thorough history of the client, focusing on the practice of high risk behaviors.
Ask the client to be accompanied by a significant person before revealing the result.
Refer the client for a supplementary test, such as Western blot, since the ELISA result may be false.
Refer the client to the physician since he is the best person to reveal the result to the client.
Which is the BEST control measure for AIDS?
Using a condom during each sexual contact
Avoiding sexual contact with commercial sex workers
Making sure that one’s sexual partner does not have signs of AIDS
Being faithful to a single sexual partner
Which biological product used in the Expanded Program on Immunization (EPI) should NOT be stored in the freezer?
Oral polio vaccine
Measles vaccine
DPT
MMR
A 33-year old female client came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on her history, which disease condition will you suspect?
Hepatitis A
Leptospirosis
Hepatitis B
Tetanus
The most basic type of health promotion program of the Department of Health is/are:
Primary Health Care
Control of AIDS
Health Information Dissemination
Expanded Immunization Program
The major goal of health promotion and disease prevention is which of the following?
Reduction of risk factors
Betterment of quality of life
Positive habits for enhancing health
Identified as a key concept in understanding Filipino personality, the author describes it as a painful emotion arising from a relationship with an authority figure or with society, inhibiting self-assertion in a situation which is perceived as dangerous to one's ego.
Pagka-api
Dalahmati
Hiya
Lungkot
Except for one in the list below are disparaging descriptions of Filipino motivational characteristics:
Bahala na
Diskarte
Ningas kogon
Manana habit
In the community setting, which of the following objectives of assessment by the public health nurse is NOT included?
Identify specific risk factors related to health and health problems.
Define the nature of the health status and health related problems.
Determine who should be referred to different health care facilities.
Identify clients who should be given priority for care.
With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling, or eradicating the problem?
Preventive potential
Modifiability of the problem
Magnitude of the problem
Nature of the problem
Data analysis involves quantification, description and classification of data which would reveal community health problems. An analysis of the social, economic, and political factors that influence health is categorized as:
Health Resource problems
Health status problems
Comprehensive problems
Health related problems
Conducting a community assessment leads to a community diagnosis, its product consists of a profile of the community's state of health. As a process, the public health nurse actively participates in community diagnosis. The MOST COMMON method of data collection that is accurate and provides the biggest bulk of community data is the _______.
Observation
Community census
Interview
Record review
The World Health Organization stated that occupational health services, provided at the workplace to address the health care needs of working populations, have been identified as an important component of the public health strategy. Occupational health services can make a significant contribution to government initiative. These include the following, in reducing:
Health insurance
Health inequalities
Social exclusion
Sickness absence
Overall burden of ill health
A community has rising cases of measles among under-five children. The barangay captain requests interventions. All actions below are appropriate, but which is the BEST based on DOH program alignment and population impact?
Conduct a house-to-house survey to assess immunization status of each child.
Provide health teaching to mothers about measles and its prevention.
Strengthen routine immunization services in the Barangay Health Station per NIP guidelines.
Refer incomplete children to the RHU for catch-up immunization.
During community diagnosis, you find: • 38% of homes use unprotected water sources • 25% of children under-five had diarrhea in the last month • 12% of households have toilets Which problem should be prioritized FIRST in the CNCP?
High incidence of diarrhea among under-five children
Low sanitation coverage among households
Use of unsafe water sources
Poor environmental hygiene practices
A CHN nurse must create a CNCP for high hypertension rates. Before planning interventions, what is the FIRST action?
Prepare a lifestyle modification teaching plan
Request DOH medicine supply
Organize a community physical activity group
Assess BP of adults to establish baseline prevalence
A mother asks how to prevent pneumonia in her infant. What is the BEST primary prevention effort?
Identify early signs of respiratory distress
Provide ORS for dehydration
Keep infant away from cigarette smoke
Complete immunization schedule
You suspect leptospirosis after heavy flooding. What's the BEST DOH-aligned action?
Educate community on avoiding floodwaters
Refer symptomatic residents for immediate treatment
Coordinate with DOH for prophylaxis
Conduct home visits for monitoring
A community nurse in a geographically isolated barangay observes rising cases of teenage pregnancy, low contraceptive use, and poor knowledge of reproductive health among out-of-school youth. All the following are appropriate DOH-linked interventions. Which is the BEST initial CHN action?
Conduct a community needs assessment focusing on adolescent reproductive health indicators.
Coordinate with the Adolescent Health and Development Program for youth-friendly health services.
Provide comprehensive sexuality education using age-appropriate, culturally sensitive IEC materials.
Establish a peer educator network to reinforce healthy behaviors among youth.
During barangay diagnosis, the CHN identifies high under-5 diarrhea cases, unsafe water sources, and low ORS use. Which shows the BEST CNCP statement of the problem for community-level planning?
Increased risk for dehydration among under-5 children related to recurrent diarrheal episodes.
High incidence of diarrhea among children under 5 related to unsafe water sources as evidenced by 38% diarrhea consultations in the past 3 months
A nurse implementing the National TB Control Program (NTP) receives four simultaneous demands. All are legitimate parts of DOTS. Which is the BEST priority based on program protocol?
Conducting contact tracing within households of smear-positive patients.
Ensuring directly observed intake of TB medications for all enrolled patients.
Updating the standardized TB recording and reporting forms.
Arranging community-based IEC sessions on early TB warning signs.
A nurse must decide how to integrate E-health to strengthen NCD surveillance in a large urban population. All approaches below reflect PH E-health principles. Which offers the greatest system-wide impact?
Synchronizing RHU NCD registry with the Health Information Exchange (HIE).
Using EMR dashboards to identify uncontrolled hypertensive patients.
Implementing teleconsult follow-ups for elderly hypertensive clients.
Training staff on proper encoding of BP measurements into iClinicSys.
A nurse prepares an intervention plan for a barangay hit with dengue incidence. Using DOH’s 4S strategy, all of the following are valid actions. Which demonstrates the highest level of primary prevention?
Support fogging operations during clustering of cases.
Search and destroy mosquito breeding sites through weekly community clean-up.
Encourage early consultation during febrile illness.
Educate households on proper use of mosquito repellents.
A remote municipality wants to expand specialist access using telemedicine. All below are correct roles of telehealth in the PH. Which is most aligned with the national eHealth strategy?
Use synchronous teleconsultations between RHU and specialists in tertiary hospitals.
Employ mobile-phone-based messaging for patient reminders.
Conduct asynchronous store-and-forward referrals for dermatology cases.
Use electronic prescriptions for chronic disease medications.
During community assessment, a nurse notes the following: overcrowding, low immunization rates, limited health manpower, and poor housing ventilation. All are true problems. Which should the nurse prioritize first using CHN criteria (magnitude, seriousness, feasibility, DOH priority)?
Overcrowding in multi-family households.
Poor housing ventilation affecting elderly residents.
Shortage of health manpower in the barangay.
Low immunization rates in infants.
A nurse reviews EMR trends showing high missed follow-ups for diabetes patients. All interventions below are correct. Which demonstrates the BEST integration of E-health + NCD program implementation?
Use EMR automatic reminders for scheduled patient checkups.
Conduct a telehealth diabetes education class monthly.
Send SMS reminders to increase patient adherence to medications.
Utilize EMR analytics to identify uncontrolled diabetics and schedule targeted interventions.
A CHN must develop a problem statement for hypertension in adults. Which BEST meets CNCP standards?
Poor dietary habits contribute to increased hypertension risk among adults.
Risk for stroke among hypertensive adults related to non-adherence.
High prevalence of uncontrolled hypertension related to poor diet as evidenced by BP screening results.
Adult residents have unhealthy dietary practices leading to hypertension.
In implementing MNCHN, the nurse must choose the most program-aligned priority. Which is the BEST immediate action for reducing neonatal deaths?
Intensify breastfeeding promotion activities in the community.
Provide micronutrient supplementation to mothers.
Strengthen essential newborn care practices during deliveries.
Improve family planning counseling to reduce teen pregnancies.
A nurse ensures TB DOTS services continue despite staff shortage. All are acceptable measures. Which preserves the core integrity of DOTS?
Asking families to remind patients to take medications.
Delegating DOT observation to trained barangay health workers.
Allowing patients to self-report adherence weekly.
Using EMR-based self-tracking forms for patient monitoring.
A barangay health worker asks the PHN to define a common vital statistic. Which of the following is the correct standard definition of crude death rate (CDR) used in vital statistics?
Community morbidity and mortality records.
Household survey interviews.
Disease trend graphs extracted from FHSIS.
Barangay rapid assessment findings.
For a CNO or PHN in children, all objectives below are valid. Which is the BEST SMART objective?
Reduce ARI cases through health education and home visits.
Within 6 months, reduce ARI incidence in 0–5-year-olds from 38% to 20% based on DHS data.
Improve family ventilation practices within the community.
Increase ENC awareness in households.
A nurse chooses between multiple DOH programs to address rising HIV cases. All are beneficial. Which aligns most directly with DOH mandates?
Promote condom distribution through barangay stations.
Conduct community-based rapid testing for at-risk groups.
Integrate HIV health education in schools.
Strengthen ART treatment adherence counseling.
A community nurse is newly assigned to a far-flung barangay where 78 TB cases have doubled in the last year. The RHU has incomplete manpower, intermittent sputum transport, and several patients defaulting treatment due to farm work. The nurse must redesign the TB service delivery plan. All actions below are correct. Which is the BEST intervention to FIRST stabilize the TB program?
Organize the training of BHWs as treatment partners and directly observe therapy supervision.
Strengthen sputum collection days and coordinate transport to the nearest GeneXpert site.
Conduct barangay-wide IEC on early TB symptoms and treatment adherence.
Update TB masterlist, defaulter tracking, and reporting tools in compliance with NTP.
A barangay reported a 300% increase in dengue cases after a prolonged rainy season. The CHN leads a rapid response. What is the FIRST step in outbreak investigation?
Conduct case finding and verify diagnosis.
Mobilize barangay health emergency response teams.
Initiate vector control measures in affected areas.
Disseminate health advisories to all households.
An RHU wants to reduce uncontrolled hypertension cases. EMR data show high missed follow-up rates, poor medication continuity, and erratic BP recordings. All interventions are valid. Which demonstrates the HIGHEST LEVEL of eHealth utilization to improve NCD outcomes?
Using EMR analytics to generate a list of high-risk hypertensives for targeted interventions.
Conducting telemedicine consults between RHU physicians and hypertensive elders.
Sending automated SMS reminders for medication pick-ups.
Training nurses on accurate EMR BP documentations.
During community diagnosis, the nurse notes: 40% of households rely on open dug wells, diarrhea cases increased 45% in the last 6 months, and water sampling shows E. coli contamination. All problem statements are valid. Which is the BEST CNCP statement?
High incidence of diarrhea among households using open dug wells as evidenced by 45% diarrhea cases in the last 6 months.
Use of unsafe water sources contributes to increased risk for diarrhea.
Potential for waterborne disease outbreak due to contaminated water.
Unsanitary water practices increase diarrheal disease vulnerability.
In a municipality with recurring neonatal deaths, the CHN finds delays in drying newborns, lack of immediate breastfeeding, and poor cord care practices. All interventions below are aligned with MNCHN. Which should be prioritized FIRST for greatest impact?
Full implementation of Essential Newborn Care (ENC) steps during delivery.
Conduct community breastfeeding support groups.
Improve prenatal counseling sessions.
Increase maternal nutrition programs.
HIV cases among young MSM increase significantly in an urban barangay. All actions help reduce incidence. Which intervention most directly aligns with DOH HIV Program core strategies?
Conduct HIV community-based rapid testing (CBRT) in hotspots.
Promote condom use through barangay kiosks.
Improve ART adherence counseling for PLHIV.
Coordinate with LGU for school-based HIV IEC.
A nurse is working with a local school to address rising childhood obesity rates in the community. After assessing the school environment, the nurse develops a care plan. Which of the following interventions is most appropriate for addressing the environmental factors contributing to childhood obesity?
Promoting healthier food choices in the school cafeteria
Providing nutrition education to parents and children
Encouraging children to exercise more during physical education classes
Recommending that children engage in at least one hour of physical activity daily
A nurse is designing a community care plan to address the high rate of smoking in a local population. Which of the following interventions would most effectively reduce smoking prevalence in the community?
Instructing the community on the dangers of smoking during health education classes
Distributing anti-smoking brochures in community centers
Offering smoking cessation programs and nicotine replacement therapy
Increasing the price of cigarettes in the local stores
A community health nurse is evaluating the effectiveness of a smoking cessation program in a community with a high rate of smoking. Which of the following indicators would be the most appropriate to measure the success of the program?
The number of community members who attend smoking cessation workshops
The reduction in the incidence of smoking-related diseases in the community
The percentage of participants who successfully quit smoking for at least six months
The increase in the number of people who report attempting to quit smoking
A nurse has implemented a hypertension management program in a community. Six months later, the nurse evaluates the program’s effectiveness. Which outcome would best indicate that the program has been successful?
Improvement in blood pressure readings in participants
Increased attendance at monthly health education workshops
Increased community awareness of hypertension risks
Higher enrollment in the community’s hypertension treatment programs
During a community assessment in a rural area, the nurse finds that there is a high rate of depression, but limited access to mental health services. What is the most effective way to address this issue in the short term?
Encourage residents to seek mental health services in urban areas
Provide telemedicine mental health consultations to rural residents
Establish a local mental health support group
Promote mental health education through community workshops
A nurse is evaluating the effectiveness of a community health program that uses a mobile health app to monitor blood pressure in hypertensive patients. Data collected via the app is uploaded to a centralized server, which can be accessed by healthcare providers. What is the most significant potential risk associated with this system?
Increased patient satisfaction with remote monitoring
Potential breach of patient confidentiality and data security
Reduction in healthcare costs due to less frequent in-person visits
Improved compliance with treatment protocols
A community health nurse is analyzing the effectiveness of an eHealth intervention aimed at reducing childhood obesity. The program provides virtual nutrition counseling, fitness tracking, and educational resources through an online platform. The nurse notices high levels of initial engagement but a sharp decline in participation after the first month. Which factor is most likely contributing to this decline?
The program’s content may not be engaging or tailored to the needs of participants
The program may lack proper integration with local healthcare providers
Participants may have reached their health goals too quickly and lost interest
There may be a technological barrier, such as insufficient access to devices or internet
In a community health program, a nurse utilizes an eHealth platform to track vaccination rates across a region. The nurse notices discrepancies in the data, with some regions reporting different rates than expected. What is a possible reason for these discrepancies?
Data entry errors
Uniform reporting standards
Consistent internet connectivity
Accurate population estimates
Lower vaccination rates than expected. What is the nurse's first step in addressing this issue?
Provide additional vaccination education to underserved regions
Increase outreach efforts to encourage vaccination in lower-performing regions
Collaborate with local clinics to ensure accurate reporting of vaccination rates
Review the data collection process to identify potential errors
A nurse is assessing the impact of an eHealth program that provides remote monitoring of blood glucose levels for diabetics in a rural community. She then observes that some participants consistently fail to upload their data. What is the most appropriate action for the nurse to take?
Investigate potential barriers to participation, such as technological limitations or lack of motivation
Increase the frequency of reminders to upload data through automated messages
Offer incentives for regular data uploads
Expand the program to include more remote locations with higher rates of participation
A community health nurse is implementing an eHealth intervention to monitor patients' weight loss progress using a mobile app. The app provides automatic reminders and allows patients to track their progress. However, the nurse notices that despite initial enthusiasm, many patients stop using the app after a few weeks. Which strategy is most likely to improve long-term engagement?
Provide more frequent notifications to encourage app usage
Incorporate peer support or social features into the app
Implement financial incentives for continued use of the app
Offer in-person follow-up sessions to complement the app-based intervention
A 4-month-old infant presents with a persistent cough and difficulty breathing. What is the most appropriate initial action for the nurse?
Provide reassurance to the parents and monitor.
Administer a bronchodilator immediately.
Assess the infant's respiratory rate and oxygen saturation.
Refer the infant to a pediatric specialist.
Which of the following community interventions is most effective in reducing the incidence of tuberculosis?
Distributing pamphlets about TB symptoms.
Implementing a community-wide DOTS program.
Encouraging residents to seek treatment for coughs.
Providing free chest X-rays to all residents.
A public health nurse is evaluating the effectiveness of a new health education program on diabetes management. Which method would provide the most reliable data?
Collecting anecdotal feedback from participants.
Observing participants during the program.
Conducting a survey before and after the program.
Reviewing attendance records of the program.
Which of the following is a common side effect of antiretroviral therapy in patients with HIV?
Weight gain
Increased appetite
Improved vision
Nausea and vomiting
