Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

COMMUNITY HEALTH NURSING I (INDIVIDUAL AND FAMILY)

MIDTERM EXAMINATION

Name: ________________________________________Score: ______________

Year and Section: _______________________________Date and Time taken: ___________

TEST I. MULTIPLE CHOICE:

INSTRUCTIONS: Select the correct answer for each of the following questions.

1. Concepts on public health and community health are sometimes used interchangeably. Which among
the following is the utilization of the nursing process in the different levels of clientele?
A. Public health
B. Community health nursing
C. Public health nursing
D. Community health

Answer: (B) Community health nursing

2. What is the basic principle in CHN?

A. To teach and guide the community on how to solve their problem
B. To be able to lead the community towards improvement
C. To promote self-reliant community
D. To tell community what their problem is

Answer: (C) To promote self-reliant community

3. Which is the primary goal of community health nursing?

A. To increase the productivity of the people by providing them with services that will increase
their level of health
B. To contribute to national development through promotion of family welfare, focusing particu-
larly on mothers and children.
C. To enhance the capacity of individuals, families and communities to cope with their health
needs
D. To support and supplement the efforts of the medical profession in the promotion of health and
prevention of illness

Answer: (C) To enhance the capacity of individuals, families and communities to cope with their
health needs

4. Which of the following is the most prominent feature of public health nursing?

A. It involves providing home care to sick people who are not confined in the hospital.
B. Public health nursing focuses on preventive, not curative, services.
C. Services are provided free of charge to people within the catchment area.
D. The public health nurse functions as part of a team providing a public health nursing service.

Answer: (B) Public health nursing focuses on preventive, not curative, services.
The catchment area in PHN consists of a residential community, many of whom are well individu-
als who have greater need for preventive rather than curative services.

5. According to Dr. Charles Edward Winslow, Public Health is a science & art of 3 P’s, Except?

A. Prolonging life
B. Promotion of health and efficiency through organized community effort for
C. Provide nursing services to people in their own places of residence.
D. Prevention of Disease

Answer: (C) Provide nursing services to people in their own places of residence.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

6. R.A. 7160 mandates devolution of basic services from the national government to local government
units. Which of the following is the major goal of devolution?

A. To strengthen local government units

B. To empower the people and promote their self-reliance
C. To allow greater autonomy to local government units
D. To make basic services more accessible to the people

Answer: (B) To empower the people and promote their self-reliance

People empowerment is the basic motivation behind devolution of basic services to LGU’s.

7. Which of the following is the vision of the Department of Health?

A. Health for all Filipinos

B. Filipinos among the healthiest in the Southeast Asia by 2022 and Asia by 2040
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020

Answer: (B) The DOH envisions Filipinos as among the healthiest in the Southeast Asia by
2022 and Asia by 2040

8. Who is the Chairman of the Municipal Health Board?

A. Public Health Nurse

B. Municipal Health Officer
C. Mayor
D. Any qualified physician

Answer: (C) Mayor

The local executive serves as the chairman of the Municipal Health Board.

9. You are the public health nurse in a municipality with a total population of about 20,000. There are 2
rural health midwives among the RHU personnel. How many more midwife items will the RHU need?

A. 1
B. 2
C. 3
D. The RHU does not need any more midwife item.

Answer: (B) 2
Each rural health midwife is given a population assignment of about 5,000.

10. The following are the roles and functions of the Public Health Nurse (PHN) Except?

A. Supervise and guides all RHMs in the municipality.

B. Prepares the FHIS (Field Health Service Information System) quarterly and annual reports of
the municipality for submission to the Provincial Health Office.
C. Conduct Medico Legal and epidemiological studies
D. Utilize the nursing process in responding to health care needs, including needs for health ed -
ucation and promotion of individuals, families and catchment community.

Answer: (C) Conduct Medico Legal and epidemiological studies

11. Which level of health facility offers provides long-term care, including basic services like food and
shelter, to patients with chronic conditions requiring ongoing health and nursing care due to impairment
and a reduced degree of independence in activities of daily living, and patients in need of rehabilitation.

A. Specialized outpatient facility

B. Primary Health Care Facility
C. Custodial Care Facility
D. Diagnostic/Therapeutic Facility
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

Answer: (C) Custodial Care Facility

12. What is the legal basis for Primary Health Care approach in the Philippines?

A. Alma Ata Declaration on PHC

B. Letter of Instruction No. 949
C. Presidential Decree No. 147
D. Presidential Decree 996

Answer: (B) Letter of Instruction No. 949

Letter of Instruction 949 was issued by then President Ferdinand Marcos, directing the formerly called
Ministry of Health, now the Department of Health, to utilize Primary Health Care approach in planning and
implementing health programs.

13.Which is a mark of success in Primary Health Care?

A. The people utilize health services according to their needs

B. Health workers are able to provide efficient and acceptable services
C. The people are able to attain the highest level of health through their own efforts
D. Barangay officials participate actively in health related activities

Answer: (C) The people are able to attain the highest level of health through their own efforts

14. Use of appropriate technology requires knowledge of indigenous technology. Which medicinal herb is
given for Headache, stomachache, Cough and colds Rheumatism.?

A. Sambong
B. Tsaang gubat
C. Yerba Buena
D. Lagundi

Answer: (C) Yerba Buena

15. Universal Health Coverage means that all individuals and communities receive the health services
they need without suffering financial hardship. Such services include;
1. Health Promotion
2. Disease Prevention
3. Rehabilitation
4. Curative and Palliative Care

A. 1,3, and 4
B. 1, and 4
C. 1,2,3, and 4
D. 1,2, and 3

16.When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is
evaluating
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness

Answer: (B) Efficiency

Efficiency is determining whether the goals were attained at the least possible cost. It is the relationship of
resources used to attain the desired outcomes.

17. Which type of family-nurse contact will provide you with the best opportunity to observe family
dynamics?

A. Home visit
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

B. Clinic consultation
C. Group conference
D. Written communication

Answer: (A) Home visit. Dynamics of family relationships can best be observed in the family’s
natural environment, which is the home.

18. 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 allows sharing of experiences among people with similar health problems.
C. It develops the family’s initiative in providing for health needs of its members.
D. It provides an opportunity to do first hand appraisal of the home situation

Answer: (D) It provides an opportunity to do first hand appraisal of the home situation.
Choice A is not correct since a home visit requires that the nurse spend so much time with the family.
Choice C is an advantage of a group conference, while choice D is true of a clinic consultation.

19. The typology of family nursing problems is used in the statement of nursing diagnosis in the care of
families. The youngest child of the Garcia family has been diagnosed as mentally retarded. This is
classified as a

A. Health threat
B. Foreseeable crisis
C. Stress point
D. Health deficit

Answer: (D) Health deficit Failure of a family member to develop according to what is expected,
as in mental retardation, is a health deficit.

20. The Garcia couple have a 7-year old child entering school for the first time. The Garcia family has a

A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point

Answer: (C) Foreseeable crisis

Part II. IDENTIFICATION

______________ 1. The current framework used by the DOH in implementing health reforms for the
country is which of the following?
______________ 2. It consists of all organizations, people and actions whose primary intent is to
promote, restore, or maintain health.
______________ 3. The blueprint to achieve a better and more sustainable future for all. They address
the global challenges we face, including poverty, inequality, climate change, environmental degradation,
peace and justice.
______________ 4. The provision to every Filipino of the highest possible quality of health care that is ac-
cessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an
informed and empowered public.
______________ 5. This refers to trained community health workers or health auxiliary volunteer or a tra-
ditional birth attendant.
______________ 6. Defined as the essential care made universally accessible to individuals and families
in the community through their full participation and at a cost that the community can afford to maintain at
every stage of their development in the spirit of self-reliance and self-determination (WHO,2008).
______________ 7. It is considered as the “natural” and fundamental unit of society.
______________ 8. A systematic approach which helps family to develop and strengthen its capacity to
meet its health needs and solve health problems.

_______________ 9. Tool that helps the nurse outline the family’s structure. It is a way to diagram the
family. Generally, three generations of family members are included in a family tree, with symbols denot-
ing genealogy.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

________________10. This provides a mechanism for recording the family’s medical and health histo-
ries. This is used in planning positive familial influences on risk factors such as diet, exercise, coping with
stress or pressure. Can be also utilized to plan family intervention to improve family’s health.

1. Fourmula One Plus

2. Health System
3. Sustainable Developmental Goals
4. Universal Health Care (UHC), Kalusugan Pangkalahatan (KP)”
5. Village Barangay Health Workers
6. Primary Health Care
7. Family
8. Family Nursing Process
9. Genogram
10. Family Health Tree

PART III- ENUMERATION

1-2– Vision and Mission of CSPC😊

3-5 – GOALS of FOURmula ONE Plus for Health
6-10 – Strategic thrust / Pillars of FOURmula One Plus
11-14 – Give at least 4 Core Values of Primary Health Care
15-20 – Give at least 6 areas of assessment of the Family Coping Index

1. Vision: Polytechnic education at its best for the Bicolanos.

2. Mission: Transforming lives to be free of poverty by creating a better future through world class
polytechnic education and technological information.
3. Better Health Outcomes.
4. A more responsive health system.
5. A more equitable healthcare financing.
6. Financing
7. Service Delivery
8. Regulation
9. Governance
10. Performance Accountability
11. Social Justice
12. Equity
13. Respect for Human Dignity and Human Rights
14. Solidarity
And or: Self-Reliance
15. Physical Independence
16. Therapeutic Competence
17. Knowledge of Health Condition
18. Application of principles of personal and general hygiene
19. Health Care Attitudes
20. Emotional Competence
And or any of the following: Family living patterns; Physical Environment; Use of community facilities