NURS 473 POPULATION HEALTH AND COMMUNITY NURSING EXAM QTNS AND ANS ,CHN theories and major concepts
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Course
POPULATION HEALTH AND COMMUNITY NURSING
Institution
POPULATION HEALTH AND COMMUNITY NURSING
Situation: CHN theories and major concepts
1. Obstacles to Winslow’s birth rights of health and longevity are the following except;
a. Mispriorities of the government
b. Globalization
c. Primary health care
d. Privatization
2. The main concept of Hanlon is total development which pert...
A1 PASSERS TRAINING, RESEARCH, REVIEW AND DEVELOPMENT COMPANY
COMMUNITY HEALTH NURSING
SET 1
PRINCIPLES AND STANDARDS OF CHN
Situation: CHN theories and major concepts
1. Obstacles to Winslow’s birth rights of health and longevity are the following except;
a. Mispriorities of the government c. Primary health care
b. Globalization d. Privatization
2. The main concept of Hanlon is total development which pertains to;
a. Amorphism c. Dualism
b. Essentialism d. Holism
3. Purlom’s concept of public health practice pertains to these phrases of human development;
a. Infancy and childhood c. Mid and late adulthood
b. Adolescence and young adulthood d. All phases of development
4. The highest of Freeman’s definition of CHN is;
a. Developing a social machinery c. Organized communities
b. Enhancing capabilities of people d. Singly as individual group
5. Most implicit in CHN is the application of this process;
a. Nursing process c. Problem-solving process
b. Research process d. Community organizing process
Situation: CHN Principles
6. Considered as vital parts of CHN practice includes;
a. Health education and counseling c. Health and longevity
b. Social mobilization and justice d. Struggle against poverty
7. To ensure competent practice and quality care, nurses must;
a. Attend seminars, symposia and fora c. Conduct/participate in research
b. Go on graduate studies d. Practice nursing
8. In collaborate relations among the members of the health team, the nurse usually performs this role;
a. Secretary of the team c. Organizer of socials
b. Property custodian d. Coordinator of services
9. Indigenous community resources while the CH nurse can utilize are the following except;
a. Ventusa or dry cupping c. Traditional hilots
b. Microsoft word d. Herbal medicine
10. Respecting values, customs, and beliefs of people require which of the following actions?
a. Awareness training c. Discouraging harmful practices
b. Income-generating projects d. Collaborative practices
Situation: The application of CHN concepts and processes.
11. 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
potentials to address such problems.
c. If the people of the community want free medicines, the nurse complies as the basis of services should
be on the people’s needs.
d. If may of the trained community health workers resigned, the nurse has to start all over again and never gives
up.
12. Which of the following statement is correct?
a. If people are not attending to the services offered by the health staff, the team must re-assess the
needs of the people.
b. In participatory approach, the nurse must devotedly adhere to what people want.
c. In a pleasant community where the people are fighting for land ownership, the nurse must not participate as
this is not a health concern.
d. Nurses must not join protect actions as nurses must be neutral at all times.
13. People have the potential for changing their behavior. This means;
a. One cannot teach old dogs new tricks.
b. Apathy and passivity cannot be addressed as these are defense mechanisms developed by people
themselves.
c. Education and training are meant to increase awareness towards responsible action.
d. Social offenders must always be watched out as they have the tendency to revert to their former selves.
14. If a particular health service falls, the most basic situation is;
a. Is this what the people demanded? c. Is this what people need?
b. What went wrong? d. Who is responsible for the failure?
15. In a meeting with the people’s organization in the community, the nurse was asked regarding her position on gambling and
usury. The most appropriate response is;
a. As long as people do not harm others, it is okay
b. Gambling and usury are part of Filipino culture so let them be
c. Gambling, yes, usury, no
d. Consider other forms of recreation and economic resources
, c. Define the needs and problems of those who come.
d. Ensure that CH services are comprehensive.
17. Which of the following statements is correct?
a. Cognizant of the devolution of health services, decision-making on health affairs should be made by the office
of the mayor at the municipal level.
b. Given the community, the nurse can uplift the situation by herself.
c. Health illness have the same meanings in a homogenous community
d. While health is the responsibility of the health department, it is as much as the responsibility of the
people, as well
18. To facilitate implementation of a CHN project, the following are to be considered except;
a. Clear tasks and responsibilities c. Specific objectives with measurable output
b. Limited involvement of community d. Available materials and supply
members
19. When promoting the health of an individual, family and community, the first step to take by the CH nurse is to;
a. Establish a registry of families c. Do a health assessment
b. Conduct a community census d. Organize the community
20. The nurse makes a continuous appraisal for the care she provides for the community in relation to the objectives of care and
response of the community. This process is called community health
a. Assessment
b. Diagnosis
c. Participation
d. Evaluation
SITUATION: Nurse Joy is the new PHN in her municipality. She just had her license and is very excited about her
new job.
21. As a nurse, Joy knows very well that she can perform all of the following except:
a. Conduct lectures on the importance of prenatal visits to all pregnant women.
b. Perform Leopold’s maneuver in the home setting.
c. Assist in home deliveries
d.Suture 2nd degree lacerations during home deliveries
22. As a PHN, Joy knows that one of the following statements is not true. Which one is it?
a. All public health nurses are employed by the government
b.All community health nurses are employed by the government
c. All community health nurses provide care in the community setting
d. All public health nurses provide care in public health settings
23. When asked, nurse Joy identified the following as the patient of the community nurse:
a. Individual c. Population group
b. Family d. Community
24. Nurse Joy quoted C.E. Winslow when she said that her job also deals with applying her knowledge of the “Science
and art of preventing disease, prolonging life, promoting health to enable every citizen to realize his birthright to health
and longevity.” This statement is C.E.Winslow’s definition of ______________
a. Public health c. Community health
b. Public health nursing d. Community health nursing
25. Nurse Joy knows that only one of the following statements is correct. Which is it?
a. In CHN, the client is considered as passive recipient of care, not an active partner.
b. The goal of CHN is achieved through sectoral efforts
c. CHN practice is affected by developmental in health technology, in particular and changes in
society in general.
d. CHN is independent from the health care system and the larger human services system
SITUATION: Simonette is the PHN in the municipality of Rizal. As a PHN, she assumes different roles, depending
on the client needs. In the month of August, she noticed that there has been a rising incidence of diarrhea for a
month in the young children in her municipality. The situation called for her to control the spread of the health
problem.
26. Simonette conducts a mother’s class to discuss the importance of boiling water to make it safe for drinking. Which
among the following role is she performing?
a. Clinician c. Leader
b. Health educator d. Researcher
27. Simonette organized a group of young adults and teenagers to help clean up the garbage near the community’s water
source. Which among the following is she performing?
a. Clinician c. Leader
b. Health educator d. Researcher
28. When Simonette instructed the community people and the health workers to continuously report the cases of diarrhea
and the midwives to properly document the cases, she was performing her role as a?
a. Clinician c. Leader
b. Health educator d. Researcher
29. During the home visits, Simonette identified cases of severe dehydration among children and immediately referred
them to the district hospital. Which among of the following roles is she performing?
a. Clinician c. Leader
b. Health educator d. Researcher
30. Which among the following roles transcends all dimensions of nursing?
,SITUATION: Kris, Kath, Karen and Kelly are new community health nurses.
31. Kris is responsible for providing immunization to factory workers in a factory for canned foods. What field of CHN is
Kris in?
a. Community Mental Health Nursing c. School Health nursing
b. Occupational Health Nursing d. None of the above
32. Kath organized health education classes on human sexuality among the first year high school students in her
workplace. What field of CHN is Kath in?
a. Community Mental Health Nursing c. School Health Nursing
b. Occupational Health Nursing d. None of the above
33. Konnie recommended to the administration that the employees be provided with personal protective equipments.
What field of CHN is Konnie in?
a. Community Mental Health Nursing c. School Health Nursing
b. Occupational Health Nursing d. None of the above
34. Karen organized a lecture discussion on the prevention of substance abuse among the out of school youth in her
workplace. What field of CHN is Karen in?
a. Community Mental Health Nursing c. School Health Nursing
b. Occupational Health Nursing d. None of the above
35. Kelly organized the clean – up of stagnant canals and disposal of uncovered water receptacles in the school to
prevent dengue. What field of CHN is Kelly in?
a. Community Mental Health Nursing c. School Health Nursing
b. Occupational Health Nursing d. None of the above
Situation: You are assigned as a PHN in the RHU I of the Municipality of Liwayway.
36. Your responsibilities include the following except:
a. Participate in the implementation and evaluation of the municipal health plan for the year 2012
b. Participate in the anti – insurgency drive of the military in your municipality
c. Organize trainings on the standards for hypertension detection and BP taking for midwives
d. Organize anti – rabies immunizations for the dogs in the municipality
37. Your roles include the following except;
a. Care provider c. Epidemiologist
b. Collaborator d. Budget officer
38. Related to patient care, your tasks include the following except:
a. Administer streptomycin (IM) to category II PTB patients
b. Insert the NGT since it is available in the home setting and provide ORS to a severely dehydrated
child before referral
c. Close a 4 inch cut by suturing it after local infiltration with anesthesia
d. Cleanse a stage 2 decubitus ulcer in a bedridden patient in the home setting
39. You know very well that you should organize activities in the areas of ________.
a. Health promotion c. Rehabilitation
b. Disease prevention d. All of the above
40. In terms of educational preparation, a PHN should have __________.
a. A BS Nursing degree
b. A BS nursing degree and must be a registered nurse
c. A BS Nursing Degree, be a registered nurse and masteral units
d. A BS Nursing Degree, be a registered nurse, and masteral degree.
Situation: The community health nurse must be adept with the concepts of Community Health Nursing.
41. The community is an integral part of any given society. This means the following except:
a. Community problems are often reflections of society problems.
b. Culture shapes peoples as people shapes culture.
c. A community can become self-reliant while an adjacent one is not.
d. Societal factors may have direct effects on the community situation.
42. The community is always in a state of continuous movement and change. This means that;
a. Change in the community is inherent.
b. After a particular period of time, a community’s situation becomes predictable.
c. The condition in the community is static.
d. Traditional interventions are always applicable at any given time and situation.
43. 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.
c. Identify sources of conflicts in the community.
d. Continuously assess community situations.
44. The Community Health Nurse recognizes the role of community leaders because:
a. The nurse as a leader can dictate the people.
b. Leadership is born out of love for people.
c. Community members are dependent on their leaders.
d. Community participation must be upheld at all times.
45. The Community Health services provided by the nurse must be based on:
a. Needs and problems identified by the nurse
b. The identified needs on community diagnosis
, a. Represent the community in the health team
b. Impress the other members of the planning phase of the nursing process
c. Ensure that there is a nursing component in any health undertaking
d. See to it that the steps in the planning phase are carried out
47. What is the basic purpose of research in CHN?
a. Sources of funds and other resources c. Improvement of health care
b. Media projection d. Proof of competence
48. The nurse is practicing CHN if she
a. Visits an old woman in her home to change her post-surgical dressing
b. Instructs a couple on newborn care
c. Sets up a support program for teenage pregnant woman
d. Does any of these
49. At all times, the community health nurse must provide quality nursing services based on;
a. Standards of practice c. Nursing philosophy
b. Principles d. Concepts and objectives of CHN
50. The context of CHN practice is;
a. Existing health problems and needs of c. DOH goals
the people d. Devolution of team
b. Current health status of the people
Situation: Tessie is a new community health nurse assigned in a rural community.
51. She noticed that Nay Lorta, the local herbolaria is snubbing her. The best thing for her to do is to
a. Snub her as well and pretend she does not exist
b. Ask the midwife to fetch her and have a meeting with her at the health center to clarify matters
c. Make a courtesy call by visiting her at where she lives
d. Send an invitation for a training of community health workers
52. She made a home visit to Marylin and Jose to give pre-natal instructions. She noticed that the two are having a quarrel.
What will she say?
a. “Why are you quarreling? Tell me so I can judge who is at fault.”
b. “Can you stop quarreling? We will be talking about more important things.”
c. “Stop it Jose. You are doing harm to the baby.”
d. “Is it alright if I just come back some other time?”
53. In a health workers’ training, you found out that the participants toll along their small children. Anticipating confusion during
the training, the best action is to;
a. Put all children in another room and have someone look after them.
b. Tell the participants to go home and have someone take care of their children.
c. Let the children be, anyway, the participants have to take care of their young.
d. Postpone the training for a day when participants can come by themselves alone.
54. It was election time and a candidate comes to you and requests you in a free clinic which is part of his campaign. What will
you do?
a. Ask for an apology for not participating and tell him that the people can come to the health center
anytime they need their services.
b. Verify first if the candidate can give you a substantial professional fee.
c. You like him, no questions ask, go!
d. Wait until the rival candidate comes in and the one which you feel must win.
55. A woman went into the center for treatment of syphilis. Your midwife shared the matter to mothers who were there during
that time. What will you do?
a. Confirm the story to the mother
b. Explain to mothers that syphilis can be treated
c. Ignore the incident
d. Make a denial
Situation: Community health nursing practice will require the application of basic concepts that will enhance service
provision to people.
56. Community participation is essential. This is made possible by;
a. Conducting consultation meetings with key leaders of the community.
b. Full participation of the nurses in decision making.
c. Shared leadership in the community of the onset of the program.
d. Provision of comprehensive and understandable information.
57. To effectively provide nursing care to the community, the nurses must first;
a. Understand the community’s culture.
b. Review existing health records.
c. Identify formal leaders.
d. Assess the health beliefs of the people.
58. The minimum level of the people’s participation is;
a. Consultation c. Information
b. Citizen’s control d. Partnership
59. In addressing the health problems of the community, the nurses must ensure that;
a. People identify and prioritize their own problems.
b. Health team members give their share of responsibility in health care.
c. People are passive recipients of services.
d. DOH programs are carried out.
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