ANSWER KEY

EXAM DRILL 1 – Community Health Nursing

NURSING PRACTICE II - CHN and CARE of the MOTHER and CHILD

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

INSTRUCTIONS:
1. Detach one (1) answer sheet from the bottom of your Examinee ID/ Answer Sheet Set.
2. Write the subject title “Nursing Practice I” on the box provided.
3. 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.

Multiple Choice
Situational

Situation 1: The Community Health Nurse conducts home visits to families in the community.

1. Planning for home visits is an essential tool in achieving best results in health care. The following
BUT ONE are the principles.
a. Home visits should have a purpose.
b. Plans are based on available information including those from other agencies that may have
rendered services to the family.
c. Planning of continuing care must be developed by the nurse.
d. Planning should be flexible and practical.

2. A significant factor in determining the frequency of the home visit is the

a. continuing care involving individual and family

b. policy of the local government
c. acceptance of the family of the services offered
d. purpose of the visit

3. The following are steps in home visit

1 – wash hands
2 – explain purpose of visit
3 – place bag in convenient place
4 – introduce self
a. 1, 4, 2, 3 c. 1, 2, 3, 4
b. 4, 2, 3, 1 d. 4, 3, 2, 1

4. In view of rendering effective nursing care, the nurse can perform nursing procedures with ease
and deftness and save time and effort by:

a. developing a health care plan with the family

b. making a personal account of the family’s health situation
c. assessing family situation through initial data base
d. promoting health in the family
 5. In view of rendering effective nursing care, the nurse can perform nursing procedures with ease
and deftness and save time and effort by:
a. applying the nursing process d. prioritizing family health nursing
b. performing bag technique problems
c. developing a family care plan

Situation 2: The Community Health nurse does health promotion at the community level.

6. The basic aim of the CH nurse in health promotion is

a. health protection of each and every c. enabling people to assume usual
individual in the community functions in the soonest possible time
b. physical and mental health of families in d. increasing the level of wellness to the
the community optimum

7. In promoting the health of the population groups, the CH nurse embarks on the following
activities EXCEPT:
a. Sex education among high school c. Strengthening support networks for
students women
b. Giving advice on balanced diet to d. Immediate referral of drug dependents
adolescents in the community

8. Which of the following is a health promotion activity?

a. use of alternative treatment modalities like phranic healing and acupressure
b. administration of chemoprophylaxis
c. growth monitoring and promotion of other components of the under-fives care program
d. selective periodic examination

9. An example of self-care activity in health promotion is:

a. self-injection of insulin c. self-learning
b. self-dressing d. breast self-examination

10. In propagating individual wellness in the community, the CH nurse promotes:

a. immunization c. personal hygiene
b. healthy norms d. healthy lifestyle

Situation 3: The Sentrong Sigla Movement (SSM) promotes availability of quality health services in
health centers and hospitals to make these services accessible to every Filipino.

11. The SSM is in accordance with the mission statement of the Department of Health which is
a. Health for all Filipinos
b. Health for all in 2000 and health which is in the people in 2020
c. Health for all in 2000 and beyond
d. in partnership with the people, provision of accessible, equitable, and quality health services to
the marginalized segments of the population

12. SSM is done in collaboration between the DOH and the:

a. Local government units
b. NGO’s
c. People
d. Private sector

13. The promotion of the concept of health as personal responsibility is an element of this SSM pillar:
a. Quality Assurance b. Grants and technical assistance
 c. Health promotion d. Award

14. Program categories of the SSM include the following EXCEPT:

a. STD/AIDS Prevention and Control c. Family Planning Program
b. Cancer Control Program d. Voluntary Blood Donation Program

15. The expected results of SSM is empowering individuals to:

a. demand for quality health services c. develop a system for surveillance
b. develop quality services for health merits
providers d. advocate for laws that promote health

Situation 4: The CH nurse must be adept with the concepts and principles of CHN.

16. The ultimate goal of CHN is

a. health promotion and disease
prevention
b. upholding the worth and dignity of man
17. The primary goal of CHN is
a. health promotion and disease
prevention
b. upholding the worth and dignity of man
18. The focus of CHN is
a. health promotion and disease
prevention
b. upholding the worth and dignity of man
19. The philosophy of CHN is
a. health promotion and disease
prevention
b. upholding the worth and dignity of man
c. enhancing health capabilities of the
people towards self-reliance in health
c. enhancing health capabilities of the
people towards self-reliance in health
d. raising the level of health of the
citizenry
c. enhancing health capabilities of the
people towards self-reliance in health
d. Raising the level of health of the
citizenry
c. enhancing health capabilities of the
people towards self-reliance in health
d. raising the level of health of the
citizenry
d. raising the level of health of the
citizenry

20. The theoretical bases of Community Health Nursing practice are theories and principles of
a. Nursing c. Community Development
b. Public health d. Nursing and Public Health

Situation 5: The context of Community Health Nursing services is the health situation of community.

21. The health situation typifies the national health profile. This pertains to the following EXCEPT:
a. communicable and preventable disease dominating the morbidity and mortality patterns
b. high infant mortality rate and controlled maternal mortality rate
c. a young population
d. short life expectancy at birth

22. The underlying cause of the above health situation is:

a. lopsided priorities of the government c. underdevelopment of the country
b. graft and corruption d. backward culture of the Filipino people

23. To elicit improvement in the health situation, a CH nurse must adhere to the concepts that:
a. nurses must commit themselves towards serving the people
b. health teams must work hand-in-hand with the people
c. improvements in quality of life are possible through people’s participation
d. leaders must love people so they can save them from the bondage of poverty
 24. As a step, people must be made aware of the relationship of their private concerns to societal
health promotion. This is done through
a. Health education c. Concretization
b. Community organizing d. Social dynamics

25. Concretely, people participation in health affairs is optimized through the establishment of
a. people’s organization c. NGOs
b. community-based health program d. Community health center

Situation 6: There are various theories and concepts governing Community Health Nursing PRACTICE.

26. The modern concept of health recognizes the following factors to be affecting the optimum level
of functioning
1-political
2-environment
3-behavior
4-heredity
5-socioeconomic
a. 1, 3, 5 c. 2, 4, 5
b. all except 4 d. all of the above

27. The client/patient in community health nursing is the

a. individual identified as a bio-psychosocial and spiritual being
b. family as the basic social unit undergoing different stages of development
c. population aggregates requiring specialized care
d. group of people sharing common characteristics and interests in a particular area

28. The focus of Care in CHN is the

a. individual c. population group
b. family d. community

29. Considering the family as the clientele in CHN, the focus of health promotion will be of healthy
a. Lifestyle c. behaviors and belief
b. Norms d. habits

30. In the mental health promotion among young adults, the following can be established by the CH
nurse EXCEPT:
a. setting a community-based theater c. installation of a watch committee for
group users
b. facilitating a sports festival for the d. initiating the formation of youth clubs in
youth the community

31. In conducting a health promotion campaign to reach out to the members of the community living
in farther areas, the best method is
a. television plugging c. radio blitz and sports
b. community newsletter d. community assembly

Situation 7: The primary health care (PHC) approach is implemented to ensure people’s optimum health.

32. Full participation of the people is made possible through the application of community-organizing
process in health. The ultimate goal is to:
a. promote people’s health c. develop community health programs
b. transfer responsibility over health into d. improve availability and accessibility of
the hands of the people health services
 33. Health personnel must integrate with the people in the community. The best method of
community integration is:
a. conducting home visits c. joining people in their sad and happy
b. meeting people in place where they are moments
usually found d. participating in the production
processes of the community
34. Appropriate technology is applied through the utilization of herbal medicine. The following
statements are correct EXCEPT:
a. that bitter-tasting plants have c. that volatile oils are effective for
anesthetic and analgesic effects treatment of itching and gas pain
b. that tannin and pectin in plants have d. that high-potassium content of the
antiseptic effects. grass family is effective for diarrhea

35. The nurse in PHC initiates participation of the people in health affairs. This responsibility pertains
to her role as:
a. community organizer c. health motivator
b. health leader d. client advocate

36. There is a need for phase-out from the community once the community-based health program is
functional. The reason for is to:
a. start a new project in other depressed c. provide opportunity for the community
communities to stand on their own
b. test the viability of the new health d. indicate termination of community-
program organizing process
Situation 8: The primary health Care (PHC) approach is being utilized in the Community Health Nursing
Practice.

37. The goal of the PHC program of the Department of Health is:
a. Health for all Filipinos
b. Health for all in 2000 and health in the hands of the people in 2020
c. Health for all in 2000 and beyond
d. In partnership with the people, provision of accessible, equitable, and quality health services to
the marginalized segments of the population

38. The cornerstones of the pillars of PHC are

1 – active community participation
2 – multisectoral approach
3 – use of appropriate technology
4 – all of the above
a. all of the above c. 1, 2, and 3
b. 1 and 3 d. 1 and 2

39. In the levels of PHC workers, the barangay health workers are at the
a. grassroots level c. primary level
b. intermediate d. frontline

40. The following are strategies of PHC

a. effective preparation and enabling c. increasing opportunities for community
process for health action participation
b. development and utilization of d. all of these
appropriate technology

Situation 9: The effectiveness of Herbal Medicine is recognized in CHN.

41. For asthma, cough, fever, dysentery one may use

a. Lagundi b. Sambong
 c. Yerba Buena d. Tsaang Gubat

42. For diarrhea and stomach ache, we can use the leaves of
a. Lagundi c. Yerba Buena
b. Sambong d. Tsaang Gubat

43. For urolithiasis, edema, and diuresis, make a decoction of

a. Lagundi c. Yerba Buena
b. Sambong d. Tsaang Gubat

44. For rheumatism, headache, coughs and colds, toothache with swollen gums, use the leaves of
a. Lagundi c. Yerba Buena
b. Sambong d. Tsaang Gubat

45. For Tinea flava, athlete’s foot, and scabies, the medical plant of choice is
a. Kalachuchi c. Bayabas
b. Sambong d. Akapulko

Situation 10: Acupressure is one of the many non-pharmacological treatment modalities used in the
community.

46. Illness is present when there is

a. a depleted qi or life force c. blocked meridians
b. an imbalance between yin and yang d. absence of qi in a person

47. Acupressure should be used with caution among

a. hypertensives c. pregnant women
b. obese individuals d. diabetics

48. In locating pressure points, the nurse uses body inch called
a. ashi c. meridians
b. tsun d. moxa

49. Pressure is applied on the points using small circular motion at/by
a. 2–3 cycles per second c. 15 minutes per point
b. 600 to 3000 seconds d. Heavy strokes to cause pain

Situation 11: Health promotion is a major concern of the community health nurse.

50. The primary intention of health promotion is to

a. prevent occurrence of diseases c. protect the health of the people
b. strengthen health capabilities of the d. all of the above
people

51. Health promotion at the level of the individual employs

a. healthy lifestyle and behavior c. active formulation of basic needs,
b. equilibrium, harmony, and balance with human social wellness, worth, and
the environment dignity
d. satisfaction of basic needs, human
worth, and dignity
52. Practices and habits affecting health refer to
a. health behavior and beliefs c. knowledge perception of health
b. hygienic practices d. lifestyle
 53. The following activities pertain to health promotion EXCEPT
a. proper nutrition c. personal hygiene
b. chemoprophylaxis d. healthy, living environment

54. Societal wellness is defined in terms of the

a. satisfaction of basic needs of individual c. recognition of their contribution to
members society
b. protection of their worth, rights, and d. all of the above
dignity

Situation 13: Communicable Disease Control Program is one component of the CHN services. The nurse
utilizes her concepts of disease prevention.

55. The best strategy in the prevention of communicable diseases is:

a. immunization/chemoprophylaxis c. correct diagnosis and treatment
b. screening d. health education

56. For tuberculosis, screening is appropriately done through

a. mass screening c. contact diagnosis and treatment
b. case finding d. health education

57. In HIV infection, the ELISA test is NOT a confirmatory test because it has
a. high sensitivity and low specificity c. high sensitivity and high specificity
b. low sensitivity and high specificity d. low sensitivity and low specificity

58. Primary level of prevention of ascariasis pertain to the following EXCEPT:

a. septic tank installation d. intake of mebendazole as
b. food sanitation chemoprophylaxis
c. handwashing

59. Tertiary level prevention measures in leprosy pertain to the following activities EXCEPT:
a. monitoring of lepromatous reaction c. compliance to Dapsone regimen
b. submission to slit skin smear d. occupational therapy

Situation 14: Reproductive health has been one of the foci of health promotion.

60. The goals of Reproductive Health promotion include

a. achievement of healthy sexual c. education on sexuality and reproduction
development and maturation d. all of these
b. achievement of reproductive intention

61. The focus of the International Reproductive Health Framework is

a. women’s health c. men’s health
b. family planning d. infertility

62. The local focus of reproductive health is

a. women c. men
b. young adult d. women and men

63. The elements of Reproductive Health include the following EXCEPT

a. violence against women c. family planning
b. adolescent reproductive health d. none of these

64. Reproductive Health address the following issues:

1 – restricted social mobility of women
2 - domestic violence
 3 - economic dependence of women
4 - husbands providing guidance to wives
a. 1 and 2 c. 2 and 3
b. 3 and 4 d. all of these

Situation 15: Immunization is one of the basic health services available in the community.

65. The original objective of the Expanded Program on Immunization (EPI) is

a. to reduce morbidity and mortality c. to eradicate epidemiological situations
among infants in the country
b. to control six immunizable diseases in d. reduce mortality and morbidity among
children pregnant women

66. The target of EPI is

a. the entire community c. individuals
b. attendees d. mothers

67. BCG is given to school entrants at

a. 0.05 ml ID c. 0.5 ml ID
b. 0.1 ml ID d. 0.5 ml IM

68. The most serious side effect of DPT is/are

a. fever c. abscess at site of injection
b. an inflamed site d. convulsive episodes

69. Of the immunizable diseases, eradication campaign is focused on

a. diphtheria c. tetanus
b. measles d. poliomyelitis

Situation 16: Vital statistics provide an illustration of the health status of the community.

70. The following are examples of specific mortality rate EXCEPT

a. infant mortality rate c. maternal mortality rate
b. neonatal mortality rate d. incidence rate

71. The relative importance of a cause as a killer is computed by this rate:

a. case fatality c. cause-of-death
b. proportionate mortality d. crude death

72. The relative decrease in population due to deaths is referred to by this rate:
a. case fatality rate c. cause-of-death
b. proportionate mortality d. Specific mortality rate

73. In identifying the leading causes of mortality, this formula is used:

a. case fatality rate c. cause-of-death rate
b. proportionate mortality d. specific mortality rate

74. The killing power of a disease as compared to others can be illustrated by computing for
a. case fatality rate c. cause-of-death
b. proportionate mortality d. Specific mortality rate

Situation 18: CHN as a comprehensive and integrated approach enables health care providers to cater to
the health needs of the target population.
 75. Alten is 2 months and diagnosed with pneumonia. In the CARI program, the following are true
EXCEPT:
a. that his respiratory rate is about c. that fever and wheezing must be
60/minute treated before referral is done
b. that Cotrimoxazole may be given d. that cases must be immediately
referred.
76. Dina had 5–10 bouts of watery stool in a day. Nursing interventions will include
a. provision of rehydration via ORS
b. referral for intravenous infusion d. Explanation to mother of the
implications of her child’s (++) skin fold
c. giving ORS and assessment 4-6 hours test
after

77. For deep abscess of DPT site, the intervention is

a. Warm compress c. Incision and drainage then local
b. Incision drainage plus powdered INH antiseptic
d. Postpone next DPT

78. Children with kwashiorkor have the following manifestation EXCEPT:

a. moonface c. stunted growth
b. anxious to eat d. skin sores

79. The main aim of the Family Planning Program is

a. family health solidarity c. maternal and child health
b. fertility regulation d. responsible parenthood

80. Mang Karyo complained of severe abdominal pain. As a nurse, one will do the following EXCEPT:
a. Making a nursing history c. Refer to a hospital if necessary
b. Conduct PE: inspect, palpate, percuss, d. None of the above
asucultate

81. The following statements pertain to Community Organizing EXCEPT:

a. that its goal is community development c. that it can be applied for increasing
b. that it is a never-ending process once awareness
started d. that it is a process for increasing
organization and initiating responsible
action
82. The impact indicators for phasing-out are any of the following EXCEPT:
a. results of the community diagnosis c. basic health indicators
b. training outcome d. vital statistics

83. Support mechanism of CO in health is ensured through the establishment of

a. people’s organization c. Core-group formation
b. CHW’s organization d. All of these

84. The basic approach in paying CO in Health is

a. primary health care c. community development
b. community-oriented organizing d. public health

Situation 19: The nurse assumes a variety of roles in the community.

85. The CH nurse as health monitor

a. participates in development and c. ensures continuity of care to
distribution of IEC materials clients/patients
b. provides technical and administrative d. detects deviations from health
support to midwives
 86. The CH nurse as health educator and counselor
a. participates in development and
distribution of IEC materials
b. provides technical and administrative
support to midwives
c. ensures continuity of care to
clients/patients
d. detects deviations from health

87. The CH nurse as supervisor

a. participates in development and c. ensures continuity of care to
distribution of IEC materials clients/patients
b. provides technical and administrative d. detects deviations from health
support to midwives

88. The CH nurse as provider of care

a. participates in development and c. ensures continuity of care to
distribution of IEC materials clients/patients
b. provides technical and administrative d. detects deviations from health
support to midwives

89. When the CH nurse initiates community participation, she is performing her role as
a. model c. coordinator of services
b. change agent d. community health organizer

Situation 20: Patrice is the new Public Health nurse of Pasong Tala. To prepare for her work, she must be
adept with the concepts of Community Health Nursing (CHN).

90. The community is an integral part of any given society. This means all of the following EXCEPT:
a. that societal problems will affect the very lives of people in the community
b. that community problems are dynamic outcomes of familial and individual problems
c. that no community can become self-reliant unless the society is self-reliant
d. that through understanding of processes in the community, the society provides set solutions to
particular problems

91. The community is always is a state of continuous movement and change. This means
a. that the condition in the community is static
b. that contradictions bring about changes in the community
c. that regular assessment of community’s situation is better than continuous appraisal
d. that accumulated experiences will enable the nurse to readily address any given problem

92. If the condition in the community is always changing, it is to

a. utilize existing community resources d. identify health action capability of the
b. draw lessons from previous experiences people
c. conduct regular assessment of
community’s situation
93. The CH nurse recognizes the necessity for people’s participation in
a. identifying community health problems c. developing plans for addressing health
and needs problem and needs
b. prioritizing health problems and needs d. all phases of the decision-making
process

94. The CHN services provided by the nurse are directed towards the following:
1 – Families in their homes
2 – The school population
3 – Workers of all occupation
4 – Population groups
a. 1 only b. 1 and 4
 c. 1, 2 and 3 d. all

Situation 23: The Public Health Nurse must uphold the following CHN principles.

95. The vital parts of CHN practice are

a. Health education and counseling
b. Health and longevity
c. Health and development
d. Health and social justice

96. To ensure competent practice and quality care, nurses must

a. Conduct and/or participate in research
b. Attend seminars, symposia, and forums
c. Take up a Master’s Degree in nursing
d. Provide care to individuals, families, and groups in the community

97. In the application of the nursing process in the care of different levels of clientele in CHN, the
nurse performs her role as
a. Health monitor
b. Health educator-counselor
c. Provider of care
d. Community health organizer

98. Indigenous community resources, which the CHN nurse can utilize, are the following:
1 – herbal medicine
2 – finger pressure
3 – barangay health workers
4 – community members
a. 1 only c. 1, 2, & 3
b. 1 & 2 d. All of these

99. In dealing with values, customs, and beliefs of people the best action is to:
a. Analyze the historical context of these c. Provide scientific explanation for these
values, customs, and beliefs d. Find entry point for changing these
b. Maintain a non-judgmental attitude

Situation 24: Patrice has to deal with the indigenous people in the area.

100. When providing care to an indigenous family, the most important factor to consider is
a. Close association with nature and its elements
b. Health practices of the family
c. Family-time orientation
d. Meaningful communication

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