CHN LEC - SITUATIONAL

A community health nurse visits a household with a TB patient who frequently misses medication. What is the most appropriate action based on the NTP strategy?

Enroll the patient in DOTS for supervised treatment.

During a health seminar, a nurse emphasizes the need for PPM collaboration in TB control. Which example best demonstrates this?

Partnership with a local NGO providing TB treatment support

A regional CHD team is preparing TB data reports. What mandate of NTP does this fulfill?

Manage data and inform programs

A nurse assigned in jail is tasked to monitor inmates with TB. What kind of facility is this according to the NTP?

DOTS facility

A nurse is educating a barangay with leprosy stigma. Which approach best promotes inclusion?

Promote employment and support for affected individuals

A child is diagnosed with Grade 2 Disability due to leprosy. What does this indicate?

There’s visible disability due to late diagnosis

In a hyperendemic municipality, what strategy supports early case detection of leprosy?

Active case finding and contact tracing

A farmer reports itching and rash after wading in rice fields. What disease should be suspected?

Schistosomiasis

In endemic areas, how should the nurse prevent schistosomiasis transmission?

Conduct preventive chemotherapy and health education

A health officer leads synchronized community deworming. What program goal is being implemented?

Schistosomiasis control

A nurse visits Oriental Mindoro and sees enlarged limbs in residents. What action is most appropriate?

Provide supportive care and report to DOH

During MDA, a nurse administers Ivermectin, Diethylcarbamazine, and Albendazole. What is the nurse doing?

Administering IDA for Filariasis prevention

province reports no new filariasis cases after 5 years. What step follows?

Declare elimination

A traveler from Palawan has fever and chills. The nurse suspects malaria. What diagnostic action is best?

Blood smear test

Which health system-based intervention best supports malaria elimination?

Universal diagnostic and treatment access

A 7-year-old has high fever, rashes, and eye pain. What should a nurse suspect?

Dengue

In a dengue hotspot, what is the correct Enhanced 4S strategy action?

Spray fogging for 2 weeks

A barangay health worker reminds families to remove stagnant water. Which "S" is this in 4S?

Search and destroy

A child bitten by a dog is rushed to the clinic. What is the first line of prevention?

PEP vaccination

A nurse gives rabies vaccine to a veterinarian before any exposure. What kind of prophylaxis is this?

Pre-exposure

What should be emphasized during Rabies Awareness Month?

Mass dog vaccination and education

A young adult shows signs of genital discharge and pain. The nurse suspects:

STI

A client tests positive for syphilis. What should the nurse do next?

Report and begin contact tracing

A client with HIV is counseled on consistent condom use. What is the purpose?

Prevent further transmission

A mother with HIV asks if she can breastfeed. What should the nurse advise?

It is risky; alternatives are preferred

A nurse sees stigma against an HIV-positive teen. What is the correct response?

Support peer education

A nurse discusses NASPCP goals. Which of the following is NOT one of them?

Zero condom distribution

A barangay reported Mpox symptoms. The nurse should:

Report and isolate suspected cases

A man develops fever after foreign travel. The nurse suspects:

An emerging infectious disease

A nurse educates seniors on COVID-19. What should be emphasized?

Vaccine and early consultation

A nurse working in a private hospital is asked to report TB cases to DOH. What framework justifies this collaboration?

Public-Private Mix (PPM) DOTS

A nurse encounters a barangay with lingering leprosy stigma. Which community-based approach would best address this?

Educate on leprosy transmission and support affected individuals

During a visit to Sultan Kudarat, a nurse reviews vector-control programs. Which disease is most likely being monitored?

Filariasis

After completing 5 years of Mass Drug Administration (MDA), what step is essential to confirm elimination of Filariasis?

Conduct Transmission Assessment Survey (TAS)

A nurse explains to parents that fever and rigors, especially after outdoor exposure, could indicate malaria. What is the next best step?

Refer for rapid diagnostic test

In a barangay with high dengue cases, what community action aligns best with the Enhanced 4S strategy?

Clean water containers and cover them

A nurse receives a report of chikungunya in a neighboring town. What primary vector should be targeted?

Aedes aegypti

After a dog bite, a nurse administers the first dose of PEP. What should be done next?

Complete the full vaccination schedule

A student reports being licked on a broken skin by a stray dog. What is the most appropriate intervention?

PEP administration

During a barangay health day, the nurse reminds pet owners to have their dogs vaccinated. Why is this essential

Mass dog vaccination is the most effective rabies control measure

A pregnant woman is diagnosed with syphilis. What is the nurse’s top priority?

Refer her for immediate antibiotic therapy

An HIV-positive client is asymptomatic. The nurse emphasizes which preventive action to avoid transmission?

Consistent condom use and ART adherence

A teenager seeks HIV testing. What principle should guide the nurse’s care?

Provide confidential, youth-friendly testing and counseling

A nurse explains that some STIs, like gonorrhea, are becoming harder to treat. Why?

Antimicrobial resistance

A nurse is asked why COVID-19 became a global pandemic. Which reason is correct?

High transmissibility and global travel

A local health unit develops a COVID-19 isolation area. This is part of:

Emergency response plan

During an outbreak of Mpox, what is the most effective prevention strategy?

Isolate confirmed cases and educate community

A barangay requests support for COVID-19 vaccination. Which group should be prioritized?

Frontline health workers and elderly

What is the main goal of the Emerging and Re-emerging Infectious Diseases Program?

Prevent new and recurring outbreaks through rapid response and surveillance