COMMUNITY HEALTH NURSING EXAMINATION PART I Answer Key vital role of a nurse in epidemiology?

COMMUNITY HEALTH NURSING EXAMINATION PART I A. Health promotion

By : Budek B. Disease prevention
http://pinoybsn.blogspot.com C. Surveillance
D. Casefinding
Outline :
12. Measles outbreak has been reported in Barangay Bahay Toro, After conducting an
I. Epidemiology epidemiological investigation you have confirmed that the outbreak is factual. You are
II. Vital Statistics tasked to lead a team of medical workers for operational procedure in disease outbreak.
III. FHSIS Arrange the correct sequence of events that you must do to effectively contain the disease
IV. COPAR
V. Health Education 1. Create a final report and recommendation
2. Perform nasopharyngeal swabbing to infected individuals
SITUATION : Epidemiology and Vital statistics is a very important tool that a nurse 3. Perform mass measles immunization to vulnerable groups
could use in controlling the spread of disease in the community and at the same time, 4. Perform an environmental sanitation survey on the immediate environment
surveying the impact of the disease on the population and prevent it’s future occurrence. 5. Organize your team and Coordinate the personnels
6. Educate the community on disease transmission
1. It is concerned with the study of factors that influence the occurrence and distribution
of diseases, defects, disability or death which occurs in groups or aggregation of A. 1,2,3,4,5,6
individuals. B. 6,5,4,3,2,1
C. 5,6,4,2,3,1
A. Epidemiology D. 5,2,3,4,6,1
B. Demographics
C. Vital Statistics 13. All of the following are function of Nurse Budek in epidemiology except
D. Health Statistics
A. Laboratory Diagnosis
2. Which of the following is the backbone in disease prevention? B. Surveillance of disease occurrence
C. Follow up cases and contacts
A. Epidemiology D. Refer cases to hospitals if necessary
B. Demographics E. Isolate cases of communicable disease
C. Vital Statistics
D. Health Statistics 14. All of the following are performed in team organization except

3. Which of the following type of research could show how community expectations can A. Orientation and demonstration of methodology to be employed
result in the actual provision of services? B. Area assignments of team members
C. Check team’s equipments and paraphernalia
A. Basic Research D. Active case finding and Surveillance
B. Operational Research
C. Action Research 15. Which of the following is the final output of data reporting in epidemiological
D. Applied Research operational procedure?

4. An outbreak of measles has been reported in Community A. As a nurse, which of the A. Recommendation
following is your first action for an Epidemiological investigation? B. Evaluation
C. Final Report
A. Classify if the outbreak of measles is epidemic or just sporadic D. Preliminary report
B. Report the incidence into the RHU
C. Determine the first day when the outbreak occurred 16. The office in charge with registering vital facts in the Philippines is none other than
D. Identify if it is the disease which it is reported to be the

5. After the epidemiological investigation produced final conclusions, which of the A. PCSO
following is your initial step in your operational procedure during disease outbreak? B PAGCOR
C. DOH
A. Coordinate personnel from Municipal to the National level D. NSO
B. Collect pertinent laboratory specimen to confirm disease causation
C. Immunize nearby communities with Measles 17. The following are possible sources of Data except:
D. Educate the community in future prevention of similar outbreaks
A. Experience
6. The main concern of a public health nurse is the prevention of disease, prolonging of B. Census
life and promoting physical health and efficiency through which of the following? C. Surveys
D. Research
A. Use of epidemiological tools and vital health statistics
B. Determine the spread and occurrence of the disease 18. This refers to systematic study of vital events such as births, illnesses, marriages,
C. Political empowerment and Socio Economic Assistance divorces and deaths
D. Organized Community Efforts
A. Epidemiology
7. In order to control a disease effectively, which of the following must first be known? B. Demographics
C. Vital Statistics
1. The conditions surrounding its occurrence D. Health Statistics
2. Factors that do not favor its development
3. The condition that do not surround its occurrence 19. In case of clerical errors in your birth certificate, Where should you go to have it
4. Factors that favors its development corrected?

A. 1 and 3 A. NSO
B. 1 and 4 B. Court of Appeals
C. 2 and 3 C. Municipal Trial Court
D. 2 and 4 D. Local Civil Registrar

8. All of the following are uses of epidemiology except: 20. Acasia just gave birth to Lestat, A healthy baby boy. Who are going to report the birth
of Baby Lestat?
A. To study the history of health population and the rise and fall of disease
B. To diagnose the health of the community and the condition of the people A. Nurse
C. To provide summary data on health service delivery B. Midwife
D. To identify groups needing special attention C. OB Gyne
D. Birth Attendant
9. Before reporting the fact of presence of an epidemic, which of the following is of most
importance to determine? 21. In reporting the birth of Baby Lestat, where will he be registered?

A. Are the facts complete? A. At the Local Civil Registrar

B. Is the disease real? B. In the National Statistics Office
C. Is the disease tangible? C. In the City Health Department
D. Is it epidemic or endemic? D. In the Field Health Services and Information System Main Office

10. An unknown epidemic has just been reported in Barangay Dekbudekbu. People said 22. Deejay, The birth attendant noticed that Lestat has low set of ears, Micrognathia,
that affected person demonstrates hemorrhagic type of fever. You are designated now to Microcephaly and a typical cat like cry. What should Deejay do?
plan for epidemiological investigation. Arrange the sequence of events in accordance
with the correct outline plan for epidemiological investigation. A. Bring Lestat immediately to the nearest hospital
B. Ask his assistant to call the nearby pediatrician
1. Report the presence of dengue C. Bring Lestat to the nearest pediatric clinic
2. Summarize data and conclude the final picture of epidemic D. Call a Taxi and together with Acasia, Bring Lestat to the nearest hospital
3. Relate the occurrence to the population group, facilities, food supply and carriers
4. Determine if the disease is factual or real 23. Deejay would suspect which disorder?
5. Determine any unusual prevalence of the disease and its nature; is it epidemic,
sporadic, endemic or pandemic? A. Trisomy 21
6. Determine onset and the geographical limitation of the disease. B. Turners Syndrome
C. Cri Du Chat
A. 4,1,3,5,2,6 D. Klinefelters Syndrome
B. 4,1,5,6,3,2
C. 5,4,6,2,1,3 24. Deejay could expect which of the following congenital anomaly that would
D. 5,4,6,1,2,3 accompany this disorder?
E. 1,2,3,4,5,6
A. AVSD
11. In the occurrence of SARS and other pandemics, which of the following is the most B. PDA
C. TOF
D. TOGV 36. What is the cause specific death rate from cardiovascular diseases?

26. Which presidential decree orders reporting of births within 30 days after its A. 27/100
occurrence? B. 1191/100,000
C. 27/100,000
A. 651 D. 1.1/1000
B. 541
C. 996 37. What is the Maternal Mortality rate of this barangay?
D. 825
A. 6.55/1000
25. These rates are referred to the total living population, It must be presumed that the B. 5.89/1000
total population was exposed to the risk of occurrence of the event. C. 1.36/1000
D. 3.67/1000
A. Rate
B. Ratio 38. What is the fetal death rate?
C. Crude/General Rates
D. Specific Rate A. 3.49/1000
B. 10.04/1000
26. These are used to describe the relationship between two numerical quantities or C. 3.14/1000
measures of events without taking particular considerations to the time or place. D. 3.14/100,000

A. Rate 39. What is the attack rate of pneumonia?

B. Ratios
C. Crude/General Rate A. 3.04/1000
D. Specific Rate B. 7.18/1000
C. 32.82/100
27. This is the most sensitive index in determining the general health condition of a D. 3.04/100
community since it reflects the changes in the environment and medical conditions of a
community 40. Determine the Case fatality ratio of rabies in this Barangay

A. Crude death rate A. 1/100

B. Infant mortality rate B. 100%
C. Maternal mortality rate C. 1%
D. Fetal death rate D. 100/1000

28. According to the WHO, which of the following is the most frequent cause of death in 41. The following are all functions of the nurse in vital statistics, which of the following
children underfive worldwide in the 2003 WHO Survey? is not?

A. Neonatal A. Consolidate Data

B. Pneumonia B. Collects Data
C. Diarrhea C. Analyze Data
D. HIV/AIDS D. Tabulate Data

29. In the Philippines, what is the most common cause of death of infants according to 42. The following are Notifiable diseases that needs to have a tally sheet in data
the latest survey? reporting, Which one is not?

A. Pneumonia A. Hypertension
B. Diarrhea B. Bronchiolitis
C. Other perinatal condition C. Chemical Poisoning
D. Respiratory condition of fetus and newborn D. Accidents

30. The major cause of mortality from 1999 up to 2002 in the Philippines are 43. Which of the following requires reporting within 24 hours?

A. Diseases of the heart A. Neonatal tetanus

B. Diseases of the vascular system B. Measles
C. Pneumonias C. Hypertension
D. Tuberculosis D. Tetanus

31. Alicia, a 9 year old child asked you “ What is the common cause of death in my age 44. Which Act declared that all communicable disease be reported to the nearest health
group here in the Philippines? “ The nurse is correct if he will answer station?

A. Pneumonia is the top leading cause of death in children age 5 to 9 A. 1082

B. Malignant neoplasm if common in your age group B. 1891
C. Probability wise, You might die due to accidents C. 3573
D. Diseases of the respiratory system is the most common cause of death in children D. 6675

32. In children 1 to 4 years old, which is the most common cause of death? 45. In the RHU Team, Which professional is directly responsible in caring a sick person
who is homebound?
A. Diarrhea
B. Accidents A. Midwife
C. Pneumonia B. Nurse
D. Diseases of the heart C. BHW
D. Physician
33. Working in the community as a PHN for almost 10 years, Aida knew the fluctuation
in vital statistics. She knew that the most common cause of morbidity among the 46. During epidemics, which of the following epidemiological function will you have to
Filipinos is perform first?

A. Diseases of the heart A. Teaching the community on disease prevention

B. Diarrhea B. Assessment on suspected cases
C. Pneumonia C. Monitor the condition of people affected
D. Vascular system diseases D. Determining the source and nature of the epidemic

34. Nurse Aida also knew that most maternal deaths are caused by 47. Which of the following is a POINT SOURCE epidemic?

A. Hemorrhage A. Dengue H.F

B. Other Complications related to pregnancy occurring in the course of labor, B. Malaria
delivery and puerperium C. Contaminated Water Source
C. Hypertension complicating pregnancy, childbirth and puerperium D. Tuberculosis
D. Abortion
48. All but one is a characteristic of a point source epidemic, which one is not?
SITUATION : Barangay PinoyBSN has the following data in year 2006
A. The spread of the disease is caused by a common vehicle
1. July 1 population : 254,316 B. The disease is usually caused by contaminated food
2. Livebirths : 2,289 C. There is a gradual increase of cases
3. Deaths from maternal cause : 15 D. Epidemic is usually sudden
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23 49. The only Microorganism monitored in cases of contaminated water is
6. Fetal deaths : 8
7. Deaths under 28 days : 8 A. Vibrio Cholera
8. Death due to rabies : 45 B. Escherichia Coli
9. Registered cases of rabies : 45 C. Entamoeba Histolytica
10. People with pneumonia : 79 D. Coliform Test
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998 50. Dengue increase in number during June, July and August. This pattern is called

The following questions refer to these data A. Epidemic

B. Endemic
35. What is the crude birth rate of Barangay PinoyBSN? C. Cyclical
D. Secular
A. 90/100,000
B. 9/100 SITUATION : Field health services and information system provides summary data on
C. 90/1000 health service delivery and selected program from the barangay level up to the national
D. 9/1000 level. As a nurse, you should know the process on how these information became
processed and consolidated. You assessed Mang Raul and found out that he is severely malnourished and anemic.
What record should you get first to document these findings?
51. All of the following are objectives of FHSIS Except
A. Family treatment record
A. To complete the clinical picture of chronic disease and describe their natural B. Target Client list
history C. Reporting forms
B. To provide standardized, facility level data base which can be accessed for more in D. Output record
depth studies
C. To minimize recording and reporting burden allowing more time for patient care and 66. The information about Mang Raul’s address, full name, age, symptoms and diagnosis
promotive activities is recorded in
D. To ensure that data reported are useful and accurate and are disseminated in a timely
and easy to use fashion A. Family treatment record
B. Target Client list
52. What is the fundamental block or foundation of the field health service information C. Reporting forms
system? D. Output record

A. Family treatment record 67. Another entry is to be made for Mang Raul because he is in the target client’s list, In
B. Target Client list what TCL should Mang Raul’s entry be documented?
C. Reporting forms
D. Output record A. TCL Eligible Population
B. TCL Family Planning
53. What is the primary advantage of having a target client list? C. TCL Nutrition
D. TCL Pre Natal
A. Nurses need not to go back to FTR to monitor treatment and services to
beneficiaries thus saving time and effort 68. The nurse uses the FHSIS Record system incorrectly when she found out that
B. Help monitor service rendered to clients in general
C. Facilitate monitoring and supervision of services A. She go to the individual or FTR for entry confirmation in the Tally/Report Summary
D. Facilitates easier reporting B. She refer to other sources for completing monthly and quarterly reports
C. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1
54. Which of the following is used to monitor particular groups that are qualified as D. She records a Child who have frequent diarrhea in TCL : Under Five
eligible to a certain program of the DOH?
69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be considered a
A. Family treatment record reporting unit if all of the following are met except
B. Target Client list
C. Reporting forms A. It renders service to 3 barangays
D. Output record B. There is a midwife the regularly renders service to the area
C. The BHS Have no mother BHS
55. In using the tally sheet, what is the recommended frequency in tallying activities and D. It should be a satellite BHS
services?
70. Data submitted to the PHO is processed using what type of technology?
A. Daily
B. Weekly A. Internet
C. Monthly B. Microcomputer
D. Quarterly C. Supercomputer
D. Server Interlink Connections
56. When is the counting of the tally sheet done?
SITUATION : Community organizing is a process by which people, health services and
A. At the end of the day agencies of the community are brought together to act and solve their own problems.
B. At the end of the week
C. At the end of the month 71. Mang ambo approaches you for counseling. You are an effective counselor if you
D. At the end of the year
A. Give good advice to Mang Ambo
57. Target client list will be transmitted to the next facility in the form of B. Identify Mang Ambo’s problems
C. Convince Mang Ambo to follow your advice
A. Family treatment record D. Help Mang Ambo identify his problems
B. Target Client list
C. Reporting forms 72. As a newly appointed PHN instructed to organize Barangay Baritan, Which of the
D. Output record following is your initial step in organizing the community for initial action?

58. All but one of the following are eligible target client list A. Study the Barangay Health statistics and records
B. Make a courtesy call to the Barangay Captain
A. Leprosy cases C. Meet with the Barangay Captain to make plans
B. TB cases D. Make a courtesy call to the Municipal Mayor
C. Prenatal care
D. Diarrhea cases 73. Preparatory phase is the first phase in organizing the community. Which of the
following is the initial step in the preparatory phase?
59. This is the only mechanism through which data are routinely transmitted from once
facility to another A. Area selection
B. Community profiling
A. Family treatment record C. Entry in the community
B. Target Client list D. Integration with the people
C. Reporting forms
D. Output record 74. the most important factor in determining the proper area for community organizing is
that this area should
60. FHSIS/Q-3 Or the report for environmental health activities is prepared how
frequently? A. Be already adopted by another organization
B. Be able to finance the projects
A. Daily C. Have problems and needs assistance
B. Weekly D. Have people with expertise to be developed as leaders
C. Quarterly
D. Yearly 75. Which of the following dwelling place should the Nurse choose when integrating
with the people?
61. Nurse Budek is preparing the reporting form for weekly notifiable diseases. He knew
that he will code the report form as A. A simple house in the border of Barangay Baritan and San Pablo
B. A simple house with fencing and gate located in the center of Barangay Baritan
A. FHSIS/E-1 C. A modest dwelling place where people will not hesitate to enter
B. FHSIS/E-2 D. A modest dwelling place where people will not hesitate to enter located in the
C. FHSIS/E-3 center of the community
D. FHSIS/M-1
76. In choosing a leader in the community during the Organizational phase, Which
62. In preparing the maternal death report, which of the following correctly codes this among these people will you choose?
occurrence?
A. Miguel Zobel, 50 years old, Rich and Famous
A. FHSIS/E-1 B. Rustom, 27 years old, Actor
B. FHSIS/E-2 C. Mang Ambo, 70, Willing to work for the desired change
C. FHSIS/E-3 D. Ricky, 30 years old, Influential and Willing to work for the desired change
D. FHSIS/M-1
77. Which type of leadership style should the leaders of the community practice?
63. Where should Nurse Budek bring the reporting forms if he is in the BHU Facility?
A. Autocratic
A. Rural health office B. Democratic
B. FHSIS Main office C. Laissez Faire
C. Provincial health office D. Consultative
D. Regional health office
78. Setting up Committee on Education and Training is in what phase of COPAR?
64. After bringing the reporting forms in the right facility for processing, Nurse Budek
knew that the output reports are solely produced by what office? A. Preparatory
B. Organizational
A. Rural health office C. Education and Training
B. FHSIS Main office D. Intersectoral Collaboration
C. Provincial health office E. Phase out
D. Regional health office
79. Community diagnosis is done to come up with a profile of local health situation that
65. Mang Raul entered the health center complaining of fatigue and frequent syncope. will serve as basis of health programs and services. This is done in what phase of
COPAR? 1. Information
2. Communication
A. Preparatory 3. Education
B. Organizational
C. Education and Training A. 1,2,3
D. Intersectoral Collaboration B. 3,2,1
E. Phase out C. 1,3,2
D. 3,1,2
80. The people named the community health workers based on the collective decision in
accordance with the set criteria. Before they can be trained by the Nurse, The Nurse must 92. The health status of the people is greatly affected and determined by which of the
first following?

A. Make a lesson plan A. Behavioral factors

B. Set learning goals and objective B. Socioeconomic factors
C. Assess their learning needs C. Political factors
D. Review materials needed for training D. Psychological factors

81. Nurse Budek wrote a letter to PCSO asking them for assistance in their feeding 93. Nurse Budek is conducting a health teaching to Agnesia, 50 year old breast cancer
programs for the community’s nutrition and health projects. PCSO then approved the survivor needing rehabilitative measures. He knows that health education is effective
request and gave Budek 50,000 Pesos and a truckload of rice, fruits and vegetables. when
Which phase of COPAR did Budek utilized?
A. Agnesia recites the procedure and instructions perfectly
A. Preparatory B. Agnesia’s behavior and outlook in life was changed positively
B. Organizational C. Agnesia gave feedback to Budek saying that she understood the instruction
C. Education and Training D. Agnesia requested a written instruction from Budek
D. Intersectoral Collaboration
E. Phase out 94. Which of the following is true about health education?

82. Ideally, How many years should the Nurse stay in the community before he can phase A. It helps people attain their health through the nurse’s sole efforts
out and be assured of a Self Reliant community? B. It should not be flexible
C. It is a fast and mushroom like process
A. 5 years D. It is a slow and continuous process
B. 10 years
C. 1 year 95. Which of the following factors least influence the learning readiness of an adult
D. 6 months learner?

83. Major discussion in community organization are made by A. The individuals stage of development
B. Ability to concentrate on information to be learned
A. The nurse C. The individual’s psychosocial adaptation to his illness
B. The leaders of each committee D. The internal impulses that drive the person to take action
C. The entire group
D. Collaborating Agencies 96. Which of the following is the most important condition for diabetic patients to learn
how to control their diet?
84. The nurse should know that Organizational plan best succeeds when
A. Use of pamphlets and other materials during instructions
1. People sees its values B. Motivation to be symptom free
2. People think its antagonistic professionally C. Ability of the patient to understand teaching instruction
3. It is incompatible with their personal beliefs D. Language used by the nurse
4. It is compatible with their personal beliefs
97. An important skill that a primigravida has to acquire is the ability to bathe her
A. 1 and 3 newborn baby and clean her breast if she decides to breastfeed her baby, Which of the
B. 2 and 4 following learning domain will you classify the above goals?
C. 1 and 2
D. 1 and 4 A. Psychomotor
B. Cognitive
85. Nurse Budek made a proposal that people should turn their backyard into small C. Affective
farming lots to plant vegetables and fruits. He specified that the objective is to save D. Attitudinal
money in buying vegetables and fruits that tend to have a fluctuating and cyclical price.
Which step in Community organizing process did he utilized? 98. When you prepare your teaching plan for a group of hypertensive patients, you first
formulate your learning objectives. Which of the following steps in the nursing process
A. Fact finding corresponds to the writing of the learning objectives?
B. Determination of needs
C. Program formation A. Planning
D. Education and Interpretation B. Implementing
C. Evaluation
86. One of the critical steps in COPAR is becoming one with the people and C. Assessment
understanding their culture and lifestyle. Which critical step in COPAR will the Nurse try
to immerse himself in the community? 99. Rose, 50 years old and newly diagnosed diabetic patient must learn how to inject
insulin. Which of the following physical attribute is not in anyway related to her ability to
A. Integration administer insulin?
B. Social Mobilization
C. Ground Work A. Strength
D. Mobilization B. Coordination
C. Dexterity
87. The Actual exercise of people power occurs during when? D. Muscle Built

A. Integration 100. Appearance and disposition of clients are best observed initially during which of the
B. Social Mobilization following situation?
C. Ground Work
D. Mobilization A. Taking V/S
B. Interview
88. Which steps in COPAR trains indigenous and informal leaders? C. Implementation of the initial care
D. Actual Physical examination
A. Ground Work
B. Mobilization
C. Core Group formation
D. Integration

89. As a PHN, One of your role is to organize the community. Nurse Budek knows that
the purposes of community organizing are

1. Move the community to act on their own problems

2. Make people aware of their own problems
3. Enable the nurse to solve the community problems
4. Offer people means of solving their own problems

A. 1,2,3
B. 1,2,3,4
C. 1,2
D. 1,2,4

90. This is considered the first act of integrating with the people. This gives an in depth
participation in community health problems and needs.

A. Residing in the area of assignment

B. Listing down the name of person to contact for courtesy call
C. Gathering initial information about the community
D. Preparing Agenda for the first meeting

SITUATION : Health education is the process whereby knowledge, attitude and practice
of people are changed to improve individual, family and community health.

91. Which of the following is the correct sequence in health education?