CHN Review 2020-2021 for Final Examination (Part 1)

A law is passed which imposes higher taxes on tobacco products and alcoholic beverages, to keep people, especially the youth, from developing smoking and drinking habits. The enactment of laws preventing unhealthy habits among the people is an application of which theory or model?

A. Health Belief Model

B. PRECEDE-PROCEED Model

C. Nola Pender's Health Promotion Model

D. Milio's Framework for Prevention

D. Milio's Framework for Prevention

A group of nursing students is conducting a study on the correlation of mothers' level of knowledge about the immunization program for infants and their compliance to the schedule of immunization. Which theory is best suited to serve as the framework for this study?

A. Health Belief Model

B. PRECEDE-PROCEED Model

C. Milio's Framework for Prevention

D. Nola Pender's Health Promotion Model

A. Health Belief Model

In a mothers' class, the nurse gives instructions on the immunization program. Some mothers remark that the immunization schedule at the health center conflicts with their working hours. Based on the Health Belief Model, the nurse recognizes that the mothers' statement indicates:

A. Cues to Action

B. Perceived Barriers

C. Perceived Severity

D. Perceived Susceptibility

B. Perceived Barriers

In the Philippines, advertisements of milk formulas for infants and young children are followed by the reminder "Breastfeeding is best for babies up to two years". In the Health Belief Model, this reminder is an example of

A. Self-Efficacy

B. Cues To Action

C. Perceived Benefits

D. Perceived Severity

B. Cues To Action

The Health Belief Model is directed towards modifying individual health behavior by modifying health beliefs through health education. On the other hand, Milio's framework for prevention is focused on

A. Reforming the health care delivery system to provide equitable health services.

B. Developing health resources that are accessible to majority of the members of the community

C. Bringing about changes in a society's capacity to provide an environment supportive of healthy choices of individuals

D. Providing adequate and accessible health services to the population in response to conditions prevalent in the

Community

C. Bringing about changes in a society's capacity to provide an environment supportive of healthy choices of individuals

Milio's framework for prevention relates individual health behavior with conditions in society influencing health behavior. Which of the following is an assumption in Milio's framework?

A. Health action is frequently a result of the decision of the individual or family.

B. People tend to choose the most convenient course of health action in a given situation.

C. Knowledge about benefits of a health action will make a person carry out the health action.

D. Performance of health action is more greatly influenced by individual characteristics rather than by the social

environment.

B. People tend to choose the most convenient course of health action in a given situation.

In the Health Promotion Model, Pender takes into consideration various biospsychosocial variables. What is the goal or desired outcome of the Health Promotion Model?

A. Perceived self-efficacy

B. Health-promoting behavior

C. Positive activity-related affect

D. Commitment to a plan of action

B. Health-promoting behavior

In the Health Promotion Model, behavior-specific cognitions and affect refer to variables that significantly influence behavior modification. Which of the following belong to this group of variables?

1. Situational influences

2. Perceived self-efficacy

3. Perceived barriers to action

4. Perceived benefits of action

A. 1, 2, and 3

B. 1, 2, and 4

C. 2, 3, and 4

D. All of these

D. All of these

Marie, 28 years old, has just been told by the office physician that she is obese and needs to lose weight. In Pender's Health Promotion Model, Marie's belief in her capacity to follow a weight-reducing diet and an exercise program is an example of

A. Perceived self-efficacy.

B. Interpersonal influences.

C. Perceived benefits of action.

D. Commitment to a plan of action.

A. Perceived self-efficacy.

The PRECEDE-PROCEED Model is used as a basis for educational diagnosis and health education planning for a community. Which of the following is considered an enabling factor in this model?

A. The members of the community have expressed their support for the mothers' classes.

B. Mothers' classes are held in the barangay hall, which is easily accessible to the clients.

C. The mothers believe that attending the mothers' classes will improve the care they give to their children.

D. The nurse motivates the mothers by showing them their performance in the post tests for various topics.

B. Mothers' classes are held in the barangay hall, which is easily accessible to the clients.

The nurse analyzes the illness patterns of the young children in the community. Based on the PRECEDE-PROCEED Model, the nurse is performing which level of diagnosis?

A. Social

B. Behavioral

C. Administrative

D. Epidemiological

D. Epidemiological

It is defined as the process that seeks to instill and reinforce the people's self-confidence in their own collective strengths and capabilities.

A. Primary Health Care

B. Community Development

C. Community Organizing

D. Community Participation

C. Community Organizing

Which is statement is not true regarding the emphasis of community organizing in PHC?

A. People in the community working together

B. PHC is a social movement

C. Health reforms along with community development

D. Community organization as a requirement for health projects

D. Community organization as a requirement for health projects

Community organizing is based on three core values, one of which seeks equitable access to opportunities to meet people's basic needs and dignity. This best describes the core value of:

A. Human Rights

B. Social Justice

C. Social Responsibility

D. Accessibility

B. Social Justice

Which statement best defines the democratic principle of community organizing (CO)?

A. Community empowerment in both the process and the outcome of CO

B. Community participation in the entire process

C. CO is achieved through a process

D. CO reflects the decisions and will of the community as a whole

D. CO reflects the decisions and will of the community as a whole

Community Organizing is directed toward changing the current undesirable conditions of the people. This means that

A. CO is people-centered

B. CO is participative

C. CO is developmental

D. CO is process-oriented

C. CO is developmental

Which of these is not an overall goal of community organizing?

A. People's Empowerment

B. Building people's organization

C. Accomplishing community projects

D. Improving the quality of life

Which phase of CO requires both the preparation of community organizer and the selection of the community?

A. Pre-Entry Phase

B. Entry Phase

C. Integration Phase

D. Organizing Phase

A. Pre-Entry Phase

Which of the following is not among the criteria of choosing a community for the purpose of CO?

A. Willingness of the community to participate in the process

B. Area is economically depressed and underserved

C. Convenience of the community organizer and institution

D. Safety of the organizers

C. Convenience of the community organizer and institution

Which phase of CO requires the gathering, collating and analysis of data to gain understanding of community conditions?

A. Entry Phase

B. Social Analysis Phases

C. Identifying Potential Leaders

D. Core Group Formation

B. Social Analysis Phases

All of these are considered as desirable qualities of a potential leader except:

A. They adequately represent the target group or community

B. They enjoy the trust and confidence of the community

C. They are the most educated in the community

D. They have the desire for change and action

C. They are the most educated in the community

This is the initial group, usually comprising of the identified potential leaders, which serves as the foundation of the community organization.

A. Core group

B. Committee

C. Executive Board

D. General Assembly

A. Core group

It is the initial phase of the organizing process where the community organizer looks for communities to serve and help.

A. Entry Phase

B. Pre-Entry Phase

C. Organizational-Building

D. Sustenance and Strengthening Phase

B. Pre-Entry Phase

It is the type of evaluation done during the process of implantation to allow for revisions or modifications in the project.

A. Formative evaluation

B. Summative evaluation

C. Program-based evaluation

D. Organization evaluation

A. Formative evaluation

An evaluation done after project implementation.

A. Formative evaluation

B. Summative evaluation

C. Program-based evaluation

D. Organization evaluation

B. Summative evaluation

An evaluation area concerned with analyzing whether the goals and objectives of the projects were met or not.

A. Program-based evaluation

B. Organizational evaluation

C. People-based evaluation

D. Structural evaluation

A. Program-based evaluation

Entails the formation of more formal structure and the inclusion of more formal procedure of planning, implementing, and evaluating community-wise activities. It is at this phase where the organized leaders or groups are being given training (formal, informal, OJT) to develop their style in managing their own concerns/programs.

A. Pre-Entry Phase

B. Entry Phase

C. Sustenance and Strengthening Phase

D. Organizational-Building

D. Organizational-Building

It is a community development approach that allows the community to systematically analyze their conditions, plan solutions, implement and evaluate projects while utilizing the community development process.

A. COPAR

B. PAR

C. PHC

D. Community Organization

A. COPAR

COPAR is different from traditional research in some aspects. If traditional research output puts emphasis on the data and its analysis, COPAR's emphasis is on:

A. the statistics

B. the presentation

C. the research process

D. the conclusion

C. the research process

Which among the following if not true for COPAR?

A. The nurse is the main researcher

B. Tools and methodologies are identified by the community

C. It is a bottom up process

D. Data analysis is done by the community

A. The nurse is the main researcher

It is a participatory data-gathering method where the community may be asked to focus on relationships within the community and the groups outside the community.

A. Transect walk

B. Venn Diagram

C. Mapping

D. Interview

B. Venn Diagram

The community health nurse frequently engages in health promotion and health protection. Among the following, which activities are categorized as health promotion?

1. Organizing an aerobics class for office employees

2. Advocating for breastfeeding among working pregnant women

3. Instructing pregnant women on the benefits of newborn screening

4. Teaching mothers how to prepare solid foods for their young children

A. 1, 2, and 3

B. 1, 2, and 4

C. 2, 3, and 4

D. All of these

B. 1, 2, and 4

A risk factor is an exposure associated with a particular disease. Studies show that alcohol intake is associated with breast cancer. Which of the following statements is true of the relationship between alcohol intake and breast cancer?

A. Women who have breast cancer tend to engage in drinking alcohol.

B. Most women who take alcoholic beverages eventually develop breast cancer.

C. Some men develop breast cancer because more men indulge in drinking alcohol.

D. The risk of having breast cancer gets higher as the amount of alcohol intake increases.

D. The risk of having breast cancer gets higher as the amount of alcohol intake increases.

Determining the effects of air pollution on the respiratory condition of young children in the catchment area is undertaken by the public health nurse. What is the best term that can be applied to the nurse's action?

A. Nursing process

B. Risk assessment

C. Nursing research

D. Environmental scanning

B. Risk assessment

35.1 The Department of Health issued a warning on the potential hazards of artificial formula feeding for infants through multimedia. What is the best term that can be applied to the action of the DOH?

A. Risk reduction

B. Health education

C. Health information

D. Risk communication

35.2 Diet is an important topic for health promotion. Many mothers send their children to school with easily prepared foods, such as hotdogs and fried eggs, for lunch, In a mothers' class on food preparation, what specific message should be emphasized regarding this practice?

A. Add milk to the children's daily diet to ensure adequate intake of calcium.

B. A balanced diet is better achieved through a variety in the foods that we eat every day.

C. Sending the children to school with lunch prepared at home helps ensure food hygiene.

D. A daily serving of foods cooked in cooking oil helps ensure that the children get adequate energy.

35.1 D. Risk communication

35.2 C. Sending the children to school with lunch prepared at home helps ensure food hygiene.

To promote good dietary habits among Filipinos, the Food and Nutrition Research Institute suggests the use of guides in menu planning. Which of the following tools can be used as a guide for menu planning for adolescent family members?

A. Food Composition Table

B. Nutritional Guidelines for Filipinos

C. Recommended Energy and Nutrient Intakes

D. Daily Nutritional Guide Pyramid (Food Pyramid)

D. Daily Nutritional Guide Pyramid (Food Pyramid)

Physical activity is another modifiable health factor. Based on evidence, which of the following variables must the nurse take into consideration when advocating for physical activity among adult clients?

1. Age

2. Occupation

3. Socioeconomic status

4. Educational attainment

A. 1, 2, and 3

B. 1, 2, and 4

C. 2, 3, and 4

D. All of these

D. All of these

38. The environment is an important factor influencing the amount of physical activity of individuals. Criteria to determine the walkability of a community have been developed. Which of the following conditions is considered NOT conducive to walking?

A. Availability of crossings

B. Conflict over walking paths

C. Availability of walking paths

D. A high degree of crossing safety

B. Conflict over walking paths

A mother tells the nurse that her 10-month old baby seems to be sleepy most of the time, sleeping three to four times for about 1 hour during the daytime, even after a good night's sleep. Which of the following responses of the nurse is most appropriate?

A. "You have nothing to worry about. This is normal for his age".

B. "He is abnormally sleepy. I think we should refer your baby to the doctor".

C. "Some medications cause problems like this. Is he on any medication at this time?"

D. "Is it possible that your baby does not sleep well at night? Are there disturbances at night in your home or neighborhood?

A. "You have nothing to worry about. This is normal for his age".

Celia, a 40-year old bank employee, tells you of her inability to achieve optimum sleep at night. Which of the following factors should be included in your interview with Celia?

1. Celia's sleep environment

2. Alcohol intake close to bedtime

3. Regularity of arising in the morning

4. Exposure to nicotine, as in cigarettes

A. 1, 2, and 3

B. 1, 2, and 4

C. 2, 3, and 4

D. All of these

D. All of these

Smoking cessation is an important step in risk reduction against many chronic diseases. In giving health information, which diseases does the nurse emphasize as strongly associated with cigarette smoking?

1. Heart disease

2. Diabetes mellitus

3. Cerebrovascular disease (stroke)

4. Kidney diseases, such as nephritis

A. 1, 2, and 3

B. 1, 3, and 4

C. 2, 3, and 4

D. All of these

D. All of these

Withdrawal symptoms and other undesirable effects occur with smoking cessation. A client who has quit smoking tells the nurse of these undesirable effects. Which of the following is NOT attributed to smoking cessation and indicates the need for further management?

A. Irritability

B. Depression

C. Increased appetite and weight gain

D. Craving to smoke 2 years after cessation

B. Depression

Because smoking is clearly linked with many chronic diseases, Congress passed a law in R.A.9211 in 2003. What are the important provisions of this law?

1. Prohibits smoking in public places

2. Requires a printed warning on in cigarette packages

3. Prohibits all forms of advertising for tobacco products

4. Prohibits sale of cigarettes and tobacco products to minors

A. 1, 2, and 3

B. 1, 2, and 4

C. 2, 3, and 4

D. All of these

D. All of these

The MPOWER strategy of the World Health Organization includes the following EXCEPT

A. Monitor tobacco use and prevention policies.

B. Prohibit smoking in public places.

C. Offer help to quit tobacco use.

D. Warn about the dangers of tobacco.

B. Prohibit smoking in public places.

Individuals who take alcoholic beverages are reminded to "drink moderately". According to health authorities,

moderate drinking is taking not more than

A. 100 ml of whiskey

B. 1 glass (360 ml) of wine

C. 1/2 glass (180 ml) of gin

D. 720 ml or 2 bottles of beer

D. 720 ml or 2 bottles of beer

Excessive drinking is a health hazard. A man takes 6 drinks occasionally. What is the term for this practice?

A. Alcoholism

B. Binge drinking

C. Heavy drinking

D. Habitual drinking

B. Binge drinking

The nurse is conducting health education classes for workers in a construction firm. One of the workers asked her what particular conditions are definitely linked with excessive alcohol intake. Which of the following conditions are associated with heavy alcohol intake?

1. Hypertension

2. Liver cirrhosis

3. Depression and anxiety

4. Cancer of the mouth, throat and liver

A. 1 and 2

B. 3 and 4

C. 1, 2, and 3

D. All of these

D. All of these

The Ottawa Charter for Health Promotion lists down fundamental conditions and resources for health. Which of the following is NOT in this list?

A. Shelter

B. College education

C. Sustainable resources

D. Social justice and equity

B. College education

The nurse conducts a nutrition class for mothers in a barangay. One of the class activities is a contest on a 24-hour menu planning. What principle is the nurse applying in this activity?

A. Format

B. Message

C. Experience

D. Environment

C. Experience

The nurse, together with the other members of the health team, conducts a barangay health workers training class. Which of the following competencies is NOT an appropriate target for this class?

A. Interpersonal skills

B. Recognizing common illnesses in the community

C. Health assessment, such as vital signs and physical examination

D. Dispensing over-the-counter medications, such as pain relievers

D. Dispensing over-the-counter medications, such as pain relievers

Rather than focusing health resources on management of malnutrition in the community, the health team decided to have an intensive health education campaign on breastfeeding and application of nutritional guidelines for Filipinos. What principle of community health nursing is applied in this situation?

A. Promote optimum use of resources.

B. Promote a healthful physical and psychosocial environment.

C. In selecting appropriate activities, focus on primary prevention.

D. Work with the community as an equal partner of the health team.

C. In selecting appropriate activities, focus on primary prevention.

Case finding is frequently undertaken in community health nursing. What principle is demonstrated in this practice?

A. Give priority to community needs.

B. Focus on the community as the unit of care.

C. Collaborate with others working in the community.

D. Reach out to all who may benefit from a specific service.

D. Reach out to all who may benefit from a specific service.

The health center team plans to have an outreach activity in a barangay with more than the national average number of under- 5-year-old children. Which community characteristics have been taken into consideration in this situation?

A. People

B. Location

C. Social system

D. All of the above

A. People

A major area of concern in rural areas is the low population density in a wide land area, resulting in inadequate manpower. Which community characteristics have contributed to this concern?

A. People

B. Location

C. Social system

D. All of the above

D. All of the above

During a Pulong-pulong sa Barangay, the members of the community make plans to raise funds for the repair of the Barangay Health Station, which was damaged by a recent typhoon. This is an example of which characteristic of a healthy community?

A. A shared sense of being a community based on history and values

B. Open channels of communication and cooperation among the members of the community

C. Equitable and efficient use of community resources, with the view towards sustaining natural resources.

D. Existing structures that allow subgroups within the community to participate in decision making in community matters

B. Open channels of communication and cooperation among the members of the community

The people in a particular barangay take pride in their capacity to work together to overcome community problems. Which particular characteristic of a healthy community is manifested in this situation?

A. A shared sense of being a community based on history and values

B. Open channels of communication and cooperation among the members of the community

C. A general feeling of empowerment and control over matters that affect the community as a whole

D. Existing structures that allow subgroups within the community to participate in decisionmaking in community matters

C. A general feeling of empowerment and control over matters that affect the community as a whole

The nurse conducts a nutrition survey in a barangay with more than the national average number of under-5 year old children. What type of community diagnosis is the nurse undertaking?

A. Comprehensive

B. Problem-oriented

C. Community-oriented

D. Non comprehensive

B. Problem-oriented

Data about the community may be collected using different sources and methods. Which of the following is a frequently used secondary method/source of community information?

A. Ocular survey

B. NSO census data

C. Community forum

D. Interview of community members

B. NSO census data

A group of nursing students are having their Related Learning Experience in the community. For systematic data gathering about the community, which of the following methods will the students first perform?

A. Review of records

B. Community forum

C. Community survey

D. Observation through an ocular survey

D. Observation through an ocular survey

Act 3753 requires that birth, death and other civil registries be maintained by the Local Civil Registrar. The nurse who attends a delivery also takes responsibility for the baby's birth registration. Who signs the baby's birth certificate in this situation?

A. The community midwife

B. The health center physician

C. The baby's mother or father

D. The nurse who attended the delivery

D. The nurse who attended the delivery

The Field Health Service Information System is the recording and reporting tool used for public health purposes. Which recording tool serves as its first building block?

A. Summary Table

B. Target Client List

C. Individual Treatment Record

D. Monthly Consolidation Table

C. Individual Treatment Record

62. FHSIS reporting forms contain data on overall health status and health service delivery of a catchment area. Which of the following are characteristics of the Quarterly Report Form?

1. It covers a 3-month period.

2. It is accomplished by the Midwife..

3. It is submitted to the Provincial Health Office.

4. One form is submitted for the whole municipality.

A. 1, 2, and 3

B. 1, 3, and 4

C. 2, 3, and 4

D. All of these

B. 1, 3, and 4

The National Statistics Office is responsible for conducting a national census of population every ten years. Population assignment for the census is based on the usual place of residence of persons. This method of population assignment is known as

A. de facto

B. de jure

C. Population control

D. Population checking

B. de jure

Understanding of data is facilitated with the use of graphs. During a barangay assembly, the nurse wants to present a graph showing the trend of the frequency of occurrence of Dengue fever in the barangay. Which graph is most appropriate for this purpose?

A. Pie

B. Bar

C. Line

D. Scatter

C. Line

The nurse makes a community diagnosis stated as "Pregnant women working in a food factory prefer artificial formula feeding over breastfeeding related to inadequate information on benefits of breastfeeding and perceived difficulty in maintain lactation after their maternity leave". Based on Shuster and Goeppinger's format, "prefer artificial formula feeding over breastfeeding" is the

A. Health risk.

B. Specific aggregate with whom the nurse will work.

C. Related factor that influences the aggregate's response to the health risk.

D. Health condition.

A. Health risk.

The Omaha system is a framework in the care of clients by various health professionals. Based on its problem classification scheme, pregnant women's preference for artificial formula feeding over breastfeeding is under which of the following categories?

A. Environmental

B. Psychosocial

C. Physiological

D. Health-related behaviors

A. Environmental

Priority setting of identified community health problems is done using criteria set by the World Health Organization. The presence of records, such as those in the FHSIS, increases the rating for

A. Ability to reduce risk.

B. Community awareness.

C. Availability of resources.

D. Ability to identify target population.

D. Ability to identify target population.

Shuster and Goeppinger's process of priority setting uses the nominal group technique. The nurse has to ensure that the community is appropriately represented in the group. What is the major strength of this process?

A. This process allows various ideas to be taken up by the group.

B. The health professional members of the group can guide the others in decision-making.

C. The group members who represent the community are given an equal voice in decision making.

D. The community representatives are made to feel they are making a major contribution in decision-making.

C. The group members who represent the community are given an equal voice in decision making.

Evaluation may be done using different approaches. When the evaluation is done to look into the manner by which the health interventions were carried out, the approach is based on

A. Process.

B. Structure.

C. Outcome.

D. Evaluation

A. Process.

A good evaluation of community health interventions guides the people concerned in decision making with regard to the next course of action. Which criterion refers to consideration given to ethical and legal aspects of the evaluation plan?

A. Utility

B. Propriety

C. Accuracy

D. Feasibility

B. Propriety

The term "distribution" in the definition of Epidemiology refers to magnitude of disease frequency according to:

A. Person characteristics (age, sex, occupation, behaviors, etc.)

B. Place characteristics (urban-rural, upland-lowland, etc.

C. Time of occurrence (seasons of the year, trends over the years, etc.)

D. All of the above

D. All of the above

The following are person characteristics except:

A. Race

B. Religion

C. Socioeconomic status

D. None of the above

D. None of the above

Which of the following can be considered as biological "determinants" of disease?

A. Lifestyle

B. Virus

C. Climate

D. Environmental conditions

B. Virus

A public health nurse can apply the principles of Epidemiology for:

A. Diagnosing the health status of the community

B. Identifying risk factors of a disease

C. Monitoring and evaluation of health interventions

D. All of the above

D. All of the above

The following are examples of morbidity indicators except:

A. Incidence density rate

B. Case fatality rate

C. Cumulative incidence

D. Prevalence proportion

B. Case fatality rate

The health indicator that measures the percentage of both old and new cases of a disease over the number of people examined at one point in time is:

A. Incidence density rate

B. Case fatality rate

C. Cumulative incidence

D. Prevalence proportion

D. Prevalence proportion

The mortality indicator which measures the risk of dying among persons with a particular disease is:

A. Case fatality rate

B. Cause of death rate

C. Infant mortality rate

D. Neonatal mortality rate

A. Case fatality rate

Which among the following is/are true about the population pyramid?

A. High fertility and high mortality among the elderly is depicted by a triangular-shaped pyramid

B. A rectangular shape depicts high mortality in the younger age groups

C. It shows the distribution of the population by age and health status

D. None of the above

A. High fertility and high mortality among the elderly is depicted by a triangular-shaped pyramid

Which of the following cannot be a source of health statistics?

A. Municipal health offices

B. Health insurance companies

C. Internet

D. None of the above

D. None of the above

Who is/are mandated by Republic Act No. 3573 to report notifiable diseases to local and national health authorities except:

A. Barangay Captain

B. Public school teachers

C. A and B

D. None of the above

D. None of the above

Which of the following is false about the public health surveillance system?

A. It serves as an early warning system of an impending epidemic

B. It may also monitor the risk factors of diseases that are deemed to be of public health importance

C. It covers all diseases, whether communicable or non-communicable

D. None of the above

C. It covers all diseases, whether communicable or non-communicable

The epidemiologic model of disease causation that depicts the relationship of the human host, the infectious agent and the environment is:

A. Epidemiologic triad

B. Wheel model

C. Web model

D. None of the above

A. Epidemiologic triad

The morbidity indicator that can be derived from a cross-sectional study is:

A. Cumulative incidence

B. Incidence density rate

C. Prevalence proportion

D. All of the above

C. Prevalence proportion

The type of observational study that best elucidates the natural history of disease.

A. Case series

B. Survey

C. Prospective cohort study

D. None of the above

C. Prospective cohort study

The "agent" in the wheel model of disease causation refers to:

A. Microbes

B. Nutritive factors

C. Chemical/physical factors

D. All of the above

D. All of the above

The following can be considered as occurrence of a disease outbreak except:

A. A single case of smallpox detected in a research institute

B. 30 cases of malaria over the past 20 years in an endemic barangay of Palawan

C. 20 cases of food poisoning among those who attended a company party

D. 2 cases of severe acute respiratory syndrome (SARS) among passengers of an airplane flight

B. 30 cases of malaria over the past 20 years in an endemic barangay of Palawan

What is the first step that an epidemiologist should do in investigating an outbreak?

A. Verify whether there really has been an outbreak

B. Gather relevant information from the patients and the environment

C. Establish the operational definition of a case

D. Inform the media about the outbreak that will be investigated

C. Establish the operational definition of a case

Which is true about monitoring of health interventions?

A. It is a continuous activity undertaken throughout implementation of the program

B. It determines whether the objectives of the program are achieved

C. It is intended to inform policymakers and planners about the efficacy of the intervention

D. All of the above

A. It is a continuous activity undertaken throughout implementation of the program

Evaluation of health intervention involves:

A. Identifying problems and taking corrective actions during program implementation

B. Quality assurance throughout the program implementation

C. Providing feedback on the results and impact of the project/program

D. All of the above

C. Providing feedback on the results and impact of the project/program

The main role of epidemiology in health policy formulation is:

A. Analyze the contents of the policy

B. Provide evidence why the policy should be formulated

C. "Lobby" to legislators for support to the policy

D. All of the above

B. Provide evidence why the policy should be formulated

Utilizes data to predict future phenomenon and modify interventions.

A. Advocate

B. Collaborator

C. Clinician

D. Researcher

D. Researcher

Brings together strengths and weaknesses of people involved toward a common goal

A. Advocate

B. Collaborator

C. Clinician

D. Researcher

B. Collaborator

You are caring for a high risk pregnant client who is in a life threatening situation. The fetus is also at high risk for death. Clinical decisions are being made that concern you because some of these treatments and life saving measures promote the pregnant woman's life at the same time that they significantly jeopardize the fetus' life and viability and other decisions can preserve the fetus's life at the expense of the pregnant woman's life. Which role of the nurse is the priority at this time?

A. Case manager

B. Collaborator

C. Coordinator of care

D. Advocacy

D. Advocacy

You assess your family as having a deficit in terms of their instrumental activities of daily living (ADLs). Which healthcare professional would you most likely refer this family to in order to address this deficit?

A. A social worker

B. A physical therapist

C. An occupational therapist

D. A speech therapist

C. An occupational therapist

Which of the following approaches is likely to be most effective for a school nurse to use in working with families in a respectful and nondiscriminatory manner?

A. Being professional and sensitive to factors related to socioeconomic, ethnic, and cultural backgrounds

B. Attempting to discover pertinent characteristics of families' backgrounds before meeting with them

C. Acknowledging obvious differences in background right away and using humor to put families at ease

D. Remaining friendly and curious while asking specific questions about families' backgrounds and living situations

A. Being professional and sensitive to factors related to socioeconomic, ethnic, and cultural backgrounds

Which is the primary goal of community health nursing?

A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness

B. To enhance the capacity of individuals, families and communities to cope with their health needs

C. To increase the productivity of the people by providing them with services that will increase their level of health.

D. To contribute to national development through promotion of family welfare, focusing particularly on mothers and

children.

B. To enhance the capacity of individuals, families and communities to cope with their health needs

A disease that is constantly or consistently present in a specific location or community is best described as:

A. Endemic

B. Sporadic

C. Epidemic

D. Pandemic

A. Endemic

The school nurse would like to collaborate with the student's middle school teachers in managing his health-care needs. Which of the following strategies is the most appropriate way of involving teachers in a health care plan for this student?

A. Suggesting to teachers that they buy and store healthful snacks in the classroom in case of an acidosis or hypoglycemic reaction

B. Increasing teachers' understanding of diabetes, signs of early insulin reaction, and what to do if symptoms appear

C. Asking teachers to designate a private corner or place in the classroom where the student can test and record his blood levels

D. Developing a protocol and training course for teacher administration of medication in emergencies

B. Increasing teachers' understanding of diabetes, signs of early insulin reaction, and what to do if symptoms appear

What kind of role thus the community health nurse do when she that promotes self-care and self-determination?

A. Advocate

B. Collaborator

C. Clinician

D. Researcher

A. Advocate

In the town of Valencia, Bukidnon there were 5,457 births. The total population was 168,492. The CBR is

A. 37.83

B. 42.89

C. 32.38

D. 46.93

C. 32.38