Community Health Nursing Practice Test Part 1

The National Health Insurance Program (NHIP) supports the implementation of the health reform in terms of finances, governance and regulation but not the delivery of the heath services.

At the national level, the DOH is mandated as the lad agency. Under this health system is the specialty, regional and medical hospitals. Philippine General Hospital is also part of this sector.

In an Inter Local Health system (ILHS) the municipalities are clustered into Inter Local Health Zone (ILHZ). Each ILHZ has a defined population in a specific geographical area and is comprised of a central referral hospital and a number of primary level facilities (RHUs and barangay health stations).

A health threat is a condition that promotes disease or injury and prevents the people from realizing their health potential. Examples include, lack of immunization and inappropriate role assumption. Health deficits are gaps between actual and achievable health status such as no regular checkup and history of repeated infections. Foreseeable crises are stressful events such as death or illness of a family member. A health problem is a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures.

Act No 2156 is also known as the Fajardo Act. Jones Law is also known as the Philippine Autonomy Act. Act No. 2468 is the Philippine Health service. Rural Health Law is EO 102.

For the essential functions to be adequately delivered, implementations may be achieved through other governmental agencies and non-governmental organizations or private sectors. Governments do not necessarily have to implement or finance these functions themselves.

Health deficits are gaps between actual and achievable health status such as no regular checkup and history of repeated infections. A health threat is a condition that promotes disease or injury and prevents the people from realizing their health potential. Examples include, lack of immunization and inappropriate role assumption. Foreseeable crises are stressful events such as death or illness of a family member. A health problem is a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures.

The changes that cause pressures on the delivery of health services are shifts in demographic and epidemiologic trends in diseases (A), new technologies(B), globalization and health reforms(C). Customs and traditions are health determinant thus, D is the correct answer.

A. Science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment. – definition of Public Health by Dr. C.E. Winslow B. The art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest number. – by WHO C. A state of complete physical, mental and social well being and not merely the absence of disease or infirmity. – definition of health by WHO D. A service rendered by a professional nurse with communities, groups, families, individuals at home, in health centers, clinics, schools, places of work for promotion of health, prevention of illness and care of the sick at home and rehabilitation. – definition of community health nursing by Ruth Freeman

It is also known as the Rural Health Law. EO 288 is a reorganization act that created 8 regional health offices. E.O. 102 is the “Redirecting the functions and operations of the DOH” signed by President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code.

Millennium Development Goals (MDGs) are:  Eradicate extreme poverty and hunger  Achieve universal primary education  Promte gender equality and empower women  Reduce child mortality  Combat HIV/AIDS, malaria and other disease  Ensure environmental sustainability  Develop a global partnership for development Except for goals 2 and 3, all the MDGs are health or health related. Thus, B is the correct answer.

If there is an increase in the reduction of maternal mortality no health reform is needed because the mortality rates are decreasing at a faster phase, thus, B is the correct answer. A, C, and D are all negative statements in response to health among Filipinos that’s why a reform is needed.

A- A continuous collection and analysis of data of cases and death – Disease Surveillance B- An on-going interpersonal process in which the nurses and the clients are viewed as a system. – Nursing Process definition C- A declaration of purpose or intent that gives essential direction to an action. – Goal setting D- An estimate of the degree to which a family, group or community is achieving the level of health possible for them. – assessment

All of the given items in the options are goals in performing a bag technique however, the most important rationale of utilizing the bag technique is to prevent the spread of infection.

A, B, C are the roles of the DOH as the national authority. However, serving as an advocate in the adoption of health policies, plans and programs to address the national and sectoral concerns is an example of a leadership role thus, C is the best choice.

The nurse places the bag first on the table then asks for a basin of water for hand washing. The apron is then worn and the needed items are placed in a specific area. Before the nursing care and treatment is done, the bag should be closed first.

The factors affecting health according the WHO are: income and social status, education, physical environment, employment and working conditions, social support networks, culture, genetics, personal behavior and coping, health services and gender.

EO 288 is a reorganization act that created 8 regional health offices which is described as the “most sweeping” reorganization in the history of the department. E.O. 102 is the “Redirecting the functions and operations of the DOH” signed by President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code. EO 102 also known as the Rural Health Law.

Developing an operational plan is part of the planning phase not the data collection phase.

Sphygmomanometer and stethoscope are carried separately.

The core businesses of public health are disease control, injury prevention, health protection, health public policy and health promotion. B, C, and D are essential functions of Public Health.

A public health bag is an indispensible and essential equipment of a public health nurse which she has to carry along during her home visits.

Foreseeable crises are stressful events such as death or illness of a family member. Health deficits are gaps between actual and achievable health status such as no regular checkup and history of repeated infections. A health threat is a condition that promotes disease or injury and prevents the people from realizing their health potential. Examples include, lack of immunization and inappropriate role assumption. A health problem is a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures.

Using her skills to create a supportive environment through policies and devising ways to make the environment clean for a healthier population is demonstrating advocacy.

It is also known as the Rural Health Law. EO 288 is a reorganization act that created 8 regional health offices. E.O. 102 is the “Redirecting the functions and operations of the DOH” signed by President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code.