1 - Community Health Nursing Practice Questions with Rationales

What is the primary goal of community health nursing?

To enhance the capacity of individuals, families, and communities to cope with their health needs. Rationale: CHN aims to empower people to manage and improve their health.

CHN is a community-based practice. Which best explains this statement?

The service is provided in the natural environment of people. Rationale: Community-based nursing provides care in homes, schools, workplaces, and other natural settings.

Population-focused nursing practice requires which process?

Community diagnosis. Rationale: Community diagnosis identifies the health needs and problems of the majority population.

R.A. 1054 (Occupational Health Act) considers what factor aside from number of employees in determining occupational health privileges?

Location of the workplace in relation to health facilities. Rationale: An occupational nurse is required when there are 30–100 employees and the workplace is more than 1 km away from the nearest health center.

A business firm must employ an occupational health nurse when it has at least how many employees?

101 employees. Rationale: Based on R.A. 1054 requirements.

When an occupational health nurse uses ergonomic principles, what role is being performed?

Environmental manager. Rationale: Ergonomics improves worker efficiency by improving the work environment.

A garment factory has no occupational nurse. Who provides occupational health needs of workers?

Public health nurse of the RHU of their municipality. Rationale: Under R.A. 1054, PHNs provide services when no occupational nurse is available.

“Public health services are given free of charge.” Is this true or false?

False. People indirectly pay through taxes and other government resources; public health services are prepaid services.

According to C.E. Winslow, what is the goal of public health?

For people to attain their birthrights of health and longevity. Rationale: Public health efforts aim to achieve health and longer life expectancy.

What statistic determines attainment of longevity?

Swaroop’s index. Rationale: It measures the percentage of deaths among people aged 50 years and above.

What is the most prominent feature of public health nursing?

Public health nursing focuses on preventive, not curative, services. Rationale: PHN emphasizes health promotion and disease prevention.

According to Margaret Shetland, public health nursing philosophy is based on what?

The worth and dignity of man.

What is the mission of the Department of Health?

Ensure the accessibility and quality of health care.

Region IV Hospital is classified as what level of facility?

Tertiary facility. Rationale: Regional hospitals serve as training hospitals and provide specialized services.

Which is true of primary health facilities?

Their services are provided on an outpatient basis. Rationale: Primary facilities provide basic outpatient services.

Which is an example of the school nurse’s health care provider function?

Conducting random classroom inspection during a measles epidemic.

When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating what?

Efficiency. Rationale: Efficiency determines if goals were achieved using the least possible resources.

Where should a new BSN graduate apply to become a Public Health Nurse?

Rural Health Unit (RHU). Rationale: Basic health services were devolved to LGUs under R.A. 7160.

What is the major goal of devolution under R.A. 7160?

To empower the people and promote self-reliance.

Who is the Chairman of the Municipal Health Board?

Mayor. Rationale: The local executive serves as chairman.

Which level of health facility is the usual entry point into the healthcare delivery system?

Primary level. Rationale: Clients usually enter through outpatient services.

What is a supervisory function of the public health nurse over rural health midwives?

Providing technical guidance to the midwife.

A patient in labor develops complications. To whom should the patient be referred?

Municipal Health Officer. Rationale: Complicated labor requires physician management.

A municipality has a population of 20,000 with 3 rural health midwives. How many additional midwives are needed?

One additional midwife. Rationale: One midwife is assigned per 5,000 population.

Requests for additional midwife items should be submitted to whom?

Municipal Health Board.

What law mandates reporting of notifiable diseases?

Act 3573. Rationale: It requires reporting of communicable diseases.

Community health nursing is a developmental service because?

Health education and community organizing are necessary in providing community health services.

Which disease was targeted for eradication under Presidential Proclamation No. 4?

Measles. Rationale: It established the Ligtas Tigdas Program.

Which graph is used to compare leading causes of mortality?

Bar graph. Rationale: Bar graphs compare frequencies or values.

Which step in community organizing involves training potential leaders?

Core group formation.

During which step are plans formulated for solving community problems?

Community organization.

What is the primary goal of community organizing?

To maximize the community’s resources in dealing with health problems.

An indicator of success in community organizing is when people are able to?

Participate in community activities for solving community problems.

Tertiary prevention is needed in what stage of disease?

Terminal stage. Rationale: It focuses on rehabilitation and prevention of disability.

Isolation of a child with measles belongs to what level of prevention?

Primary prevention. Rationale: It prevents transmission to healthy individuals.

Operation Timbang is what level of prevention?

Secondary prevention. Rationale: It involves early detection of malnutrition.

Which family-nurse contact best observes family dynamics?

Home visit. Rationale: The home is the natural environment where family relationships are observed.

A child diagnosed with mental retardation is classified as what family nursing problem?

Health deficit. Rationale: It involves failure to achieve expected development.

A 6-year-old child entering school for the first time is what family nursing problem?

Foreseeable crisis.

What is an advantage of a home visit?

It provides an opportunity for firsthand appraisal of the home situation.

Which is contrary to principles in planning a home visit?

A home visit should be conducted in the manner prescribed by the RHU. Rationale: Plans should be flexible based on family needs.

What is the most important principle of PHN bag technique?

It should minimize or prevent the spread of infection.

How does the nurse maintain cleanliness of the PHN bag and contents?

Wash hands before and after providing nursing care.

A nurse studies factors contributing to high mortality from heart disease. What branch of epidemiology is used?

Analytical epidemiology.

Which is a function of epidemiology?

Evaluating the effectiveness of health interventions.

During an epidemic, what is an epidemiologic function of the nurse?

Participating in investigation to determine the source of the epidemic.

The primary purpose of conducting an epidemiologic investigation is to?

Delineate the etiology of the epidemic.

What is a characteristic of person-to-person propagated epidemics?

There is a gradual build-up of cases before the epidemic becomes noticeable.

Comparing present disease frequency with usual frequency is done during what stage of epidemic investigation?

Establishing the epidemic.

An increase in Dengue cases at the end of rainy season is an example of?

Cyclical variation.