Nursing Board Review: Community Health Nursing Practice Test

by · June 15, 2010

July 2010 Nursing Board Exam Review Questions on Community Health Nursing.

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Community Health Nursing

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Question 1

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 provides an opportunity to do first hand appraisal of the home situation.
D	It develops a family’s imitative in providing for health needs of its members.

Question 1 Explanation:

Option A is not correct since a home visit requires that the nurse spend so much time with the family. Option B is an advantage of a group conference. Option D is true of a clinic consultation.

Question 2

In the conduct of a census, the method of population assignment based on the usual place of residence of the people is termed:

A	De jure
B	De facto
C	De locus
D	De novo

Question 2 Explanation:

The other method of population assignment is De facto which is based on the actual physical location of the people.

Question 3

If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be?

A	6.9 per 1000 live births
B	7.8 per 1000 live births
C	0.16 per 1000 live births
D	0.0014 per 1000 live births

Question 3 Explanation:

When getting the infant mortality rate, we use this formula, deaths under 1 year of age ÷ number of live births x 1000.

Question 4

Which element of FOURmula one aims to ensure quality and affordability of health services?

A	Health financing
B	Health regulation
C	Health service delivery
D	Good governance

Question 4 Explanation:

Health regulation aims to ensure quality and affordability of health services. Health financing aims to sustain investments in health. Health service delivery aims to improve and ensure accessibility and availability of basic and essential health care. Good governance aims to enhance the performance of the health sector.

Question 5

Which herbal plant is given for fever, headache and cough?

A	Sambong
B	Tsaang gubat
C	Akapulko
D	Lagundi

Question 5 Explanation:

Lagundi is given for fever, headache and cough. Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea. Akapulko is used for its antifungal property.

Question 6

Pandemic occurrence of a disease means:

A	The intermittent occurrence of a few isolated and unrelated cases in a given locality.
B	The simultaneous occurrence of epidemic of the same disease in several countries.
C	The unusually large number of cases in a relatively short period of time.
D	The continuous occurrence throughout a period of time of the usual number of cases in a given locality.

Question 6 Explanation:

Option B pertains to pandemic occurrence of a disease. Option A refers to the sporadic occurrence. Option C pertains to the epidemic occurrence. Option D is the endemic occurrence of a disease.

Question 7

Newborn Screening act is:

A	R.A 8980
B	R.A 7610
C	R.A 7305
D	R.A 9288

Question 7 Explanation:

Option A is the early childhood care and development act of Philippine. Option B is the Child Abuse and Exploitation Act. Option C is the Magna Carta of the Public Health Workers.

Question 8

He defined public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort.

A	Winslow
B	Nightingale
C	Rosenstock
D	Maslow

Question 8 Explanation:

According to C. E Winslow, the goal of Public Health is for the people to attain their bright rights of health and longevity. Nightingale developed the environmental theory. Maslow developed the hierarchy of basic human needs. Rosenstock developed the health belief model.

Question 9

Mrs. Larazabal brought her 2 month old baby to the health center for immunization. On assessment, the infant’s temperature registered 38 degrees C. Which is the best action that you will take?

A	Give paracetamol and wait for his fever to subside.
B	Refer the infant to the physician for further evaluation.
C	Proceed with the infant’s immunization.
D	Tell the mother to bring her baby back at the health center when her baby is feeling well.

Question 9 Explanation:

IN the EPI, fever up to 38.5 degrees C is not a contraindication to immunization. Mild acute respiratory tract infection, simple diarrhea and malnutrition are not contraindication either.

Question 10

Pillars of primary health care include all of the following, except:

A	Active community participation
B	Provision of medical care and emergency treatment
C	Support mechanism made available
D	Use of appropriate technology

Question 10 Explanation:

There are four pillars of primary health care, these are the active community participation, support mechanism made available, use of appropriate technology and intro and intra-sectoral linkages.

Question 11

A 3 year old boy was classified to have severe pneumonia or very severe disease. The following symptoms are present, except:

A	Convulsions
B	Chest indrawing
C	Stridor
D	Fast breathing

Question 11 Explanation:

In IMCI, options A, B and C are all under the pink category. Option D is under the yellow category.

Question 12

A very important part of the community health nursing planning process includes:

A	Evaluation of structures and qualifications of health care team
B	The application of professional judgment in estimating importance of facts to family and community.
C	Carrying out nursing procedures as per plan of action.
D	Coordination with other sectors in relation to health concerns.

Question 12 Explanation:

Evaluation structures and qualifications of health care team is part of the community health nursing planning process. Option B is in included in the assessment process while option C and D are both part of the implementation process.

Question 13

In the Philippines, which condition is the most frequent cause of death associated with schistosomiasis?

A	Bladder cancer
B	Intestinal perforation
C	Liver cirrhosis
D	Liver cancer

Question 13 Explanation:

The etiologic agent for schistosomiasis in the Philippines is schistosoma japonicum, which affects the small intestine and the liver. Liver damage is consequence of fibrotic reactions to schistosoma eggs in the liver.

Question 14

A 5 year old child has given Retinol capsule every 6 months to prevent xerophthalmia. What is the dose given to preschoolers?

A	15,000 IU
B	200,000 IU
C	50,000 IU
D	100,000 IU

Question 14 Explanation:

Preschoolers are given Retinol 200,000 IU every 6 months. 100,000 IU is given once to infants aged 6 to 12 months. 10,000 IU is the dose for pregnant women.

Question 15

Dependency ratio is best described as:

A	Compares the number of economically dependent with the economically productive group in population.
B	Graphical representation of the age-sex composition of the population.
C	Compares the number of males to the number of females in the population.
D	Illustrates the proportion of the people living in urban compared to the rural areas.

Question 15 Explanation:

Dependency ratio compares the number of economically dependent with the economically productive group in population. Option B refers to population pyramid. Option C refers to sex ratio. Option D is under population distribution and it refers to the urban-rural distribution.

Question 16

Severe dehydration is classified when TWO of the following signs are present, except:

A	Drinks eagerly, thirsty
B	Sunken eyes
C	Skin pinch goes back very slowly
D	Abnormally sleepy or difficult to awaken

Question 16 Explanation:

Drinks eagerly, thirsty are signs that are classified under some dehydration. Options B, C and D are signs under severe dehydration.

Question 17

According to Maslow’s hierarchy of needs, developing one’s potential is included in which of the following:

A	Physiologic
B	Safety and Security
C	Love and Belonging
D	Self-actualization

Question 17 Explanation:

Other needs included in self-actualization are as follows: the need to learn a, create, understand, and comprehend the need for harmonious relationships, the need for beauty, the need for spiritual fulfillment.

Question 18

The different clients of the community health nurse include the following:

Individual
Family
Population group
Community

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

Question 18 Explanation:

There are different levels of clientele in community health nursing – the individual, family, population group and community.

Question 19

When is Rabies awareness month celebrated?

A	January
B	March
C	May
D	June

Question 19 Explanation:

The month of March is the Rabies awareness month, fire prevention and burn injury prevention month. January is cancer awareness month. May is natural family planning month. June is kidney month, no smoking month and also dengue awareness is also celebrated at this month.

Question 20

Which of the following is not a principle of community organizing?

A	Principle of Leadership
B	Principle of Evaluation
C	Principle of Structure
D	Principle of Attainment

Question 20 Explanation:

There are 6 principles of community organizing such as principle of leadership, principle of evaluation, principle of structure, principle of needs, principle of participation and principle of communication.

Question 21

Operation Timbang is in which level of prevention of health problem?

A	Primary
B	Secondary
C	Tertiary
D	Intermediate

Question 21 Explanation:

Primary prevention is directed to the healthy population, focusing on prevention of emergence of risk factors and removal of the risk factors or reduction of their levels. Operation Timbang is done to identify members of the susceptible population who are malnourished.

Question 22

Which method of family panning cannot be immediately used by a breastfeeding mother?