1.Elena brought her 3 month old child to your clinic because of cough and colds.

Which of the following is your primary action? A. Give Co-trimoxazole tablet or syrup B. Assess the patient using the chart on management of children with cough C. Refer to the Doctor D. Teach the mother how to count her childs breathing

1.Elena brought her 3 month old child to your clinic because of cough and colds. Which of the following is your primary action? A. Give Co-trimoxazole tablet or syrup B. Assess the patient using the chart on management of children with cough C. Refer to the Doctor D. Teach the mother how to count her childs breathing

2. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially if the child manifests which of the following? A. Wheezing B. Fast breathing C. Difficulty to awaken D. Stopped feeding well

3. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe diseases? A. Provision of Careful Assessment B. Giving of antibiotics C. Taking of the temperature of the sick child D. Weighing of the sick child

4. Nurse Geron identifies factors that lead to respiratory problems in the community where your health facility serves. Your primary role therefore in order to reduce morbidity due to pneumonia is to: A. Make home visits to sick children B. Refer cases to hospitals C. Seek assistance and mobilize the BHWs to have a meeting with mothers D. Teach mothers how to recognize early signs and symptoms of pneumonia

5. Myra assessed a child with visible severe wasting. He has: A. Edema B. Marasmus C. Kwashiorkor D. LBM

5. Myra assessed a child with visible severe wasting. He has: A. Edema B. Marasmus C. Kwashiorkor D. LBM

6. A child with visible severe wasting or severe palmar pallor may be classified as: A. Severe malnutrition / anemia B. Moderate malnutrition / anemia C. Not very low weight / no anemia D. Anemia / very low weight

Classify NUTRITIONAL STATUS

Visible severe wasting or Edema of both feet or Severe palmar pallor
SEVERE MALNUTRITION OR SEVERE ANEMIA

- Give vitamin A. - Refer URGENTLY to hospital

Some palmar pallor or Very low weight for age

ANEMIA OR VERY LOW WEIGHT

- Assess the childs feeding and counsel the the mother on feeding according to the FOOD box on the counsel the mother chart. If feeding problem, follow up in 5 days. -If some pallor: give iron give mebendazole if the child is 12 months or older, and has not had a dose in the previous six months. follow up in 14 days.

Not very low weight for age, and no other signs of malnutrition

NO ANEMIA AND NOT VERY LOW WEIGHT

- If child less than 2 years old , assess feeding and counsel the mother on feeding. if feeding problem, follow up in 5 days..

6. A child with visible severe wasting or severe palmar pallor may be classified as: A. Severe malnutrition / anemia B. Moderate malnutrition / anemia C. Not very low weight / no anemia D. Anemia / very low weight

7. A child who has some palmar pallor can be classified as: A. Moderate anemia / normal weight B. Severe malnutrition / anemia C. Anemia / very low weight D. Not very low weight / no anemia

Classify NUTRITIONAL STATUS

Visible severe wasting or Edema of both feet or Severe palmar pallor
SEVERE MALNUTRITION OR SEVERE ANEMIA

- Give vitamin A. - Refer URGENTLY to hospital

Some palmar pallor or Very low weight for age

ANEMIA OR VERY LOW WEIGHT

- Assess the childs feeding and counsel the the mother on feeding according to the FOOD box on the counsel the mother chart. If feeding problem, follow up in 5 days. -If some pallor: give iron give mebendazole if the child is 12 months or older, and has not had a dose in the previous six months. follow up in 14 days.

Not very low weight for age, and no other signs of malnutrition

NO ANEMIA AND NOT VERY LOW WEIGHT

- If child less than 2 years old , assess feeding and counsel the mother on feeding. if feeding problem, follow up in 5 days..

7. A child who has some palmar pallor can be classified as: A. Moderate anemia / normal weight B. Severe malnutrition / anemia C. Anemia / very low weight D. Not very low weight / no anemia

8. A child with ear problem should be assessed for the following, EXCEPT: A. If discharge is present for how long? B. Ear pain C. Is there any fever? D. Ear discharge

8. A child with ear problem should be assessed for the following, EXCEPT: A. If discharge is present for how long? B. Ear pain C. Is there any fever? D. Ear discharge

9. If the child does not have ear problem, using IMCI, what should you as the nurse do? A. Check for ear discharge B. Check for tender swellings, behind the ear C. Check for ear pain D. Go to the next question, check malnutrition

9. If the child does not have ear problem, using IMCI, what should you as the nurse do? A. Check for ear discharge B. Check for tender swellings, behind the ear C. Check for ear pain D. Go to the next question, check malnutrition

10. An ear discharge that has been present for more than 14 days can be classified as: A. Complicated ear infection B. Chronic ear infection C. Acute ear infection D. Mastoiditis

Classify Ear Problem

Tender swelling behind the ear MASTOIDITIS - Give first dose of an appropriate antibiotic. - Give first dose of paracetamol for pain. - Refer URGENTLY to hospital.

A. Chronic ear infection B. Mastoiditis C. Acute ear infection D. Complicated ear infection

Ear pain Pus is seen draining from the ear, and discharge is reported for less than 14 days. Pus is seen draining from the ear, and discharge is reported for 14 days or more.

ACUTE EAR INFECTION

CHRONIC EAR INFECTION

Give an antibiotic for 5 days. Give paracetamol for pain. Dry the ear by wicking Follow up in 5 days. Advise the mother when to return immediately - Dry the ear by wicking - Follow up in 5 days. - Advise the mother when to return immediately. - No additional treatment - Advise the mother when to return immediately.

No ear pain, and No pus is seen draining from the ear

NO EAR INFECTION

10. An ear discharge that has been present for more than 14 days can be classified as: A. Complicated ear infection B. Chronic ear infection C. Acute ear infection D. Mastoiditis

11. An ear discharge that has been present for less than 14 days can be classified as: A. Chronic ear infection B. Mastoiditis C. Acute ear infection D. Complicated ear infection

Classify Ear Problem

Tender swelling behind the ear MASTOIDITIS - Give first dose of an appropriate antibiotic. - Give first dose of paracetamol for pain. - Refer URGENTLY to hospital.

A. Chronic ear infection B. Mastoiditis C. Acute ear infection D. Complicated ear infection

Ear pain Pus is seen draining from the ear, and discharge is reported for less than 14 days. Pus is seen draining from the ear, and discharge is reported for 14 days or more.

ACUTE EAR INFECTION

CHRONIC EAR INFECTION

Give an antibiotic for 5 days. Give paracetamol for pain. Dry the ear by wicking Follow up in 5 days. Advise the mother when to return immediately - Dry the ear by wicking - Follow up in 5 days. - Advise the mother when to return immediately. - No additional treatment - Advise the mother when to return immediately.

No ear pain, and No pus is seen draining from the ear

NO EAR INFECTION

11. An ear discharge that has been present for less than 14 days can be classified as: A. Chronic ear infection B. Mastoiditis C. Acute ear infection D. Complicated ear infection

12. If the child has severe classification because of ear problem, what would be the best thing that you as the nurse can do? A. Instruct mother when to return immediately B. Give an antibiotic for 5 days C. Refer Urgently D. Dry the ear by wicking

13. If a child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI chart. We can classify the patient as: A. Moderate dehydration B. Some dehydration C. No dehydration D. Severe dehydration

Rationale
If the child manifests only one sign from the PINK row and only one sign from the YELLOW row, classify the child as having SOME DEHYDRATION

14. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home treatment in this case: A. Continue feeding the child B.Give the child extra fluids C. Know when to return to the health center D. Give Oresol every 4 hours

For DEHYDRATION

Not enough signs to classify as some or severe dehydration

NO DEHYDRATION

Give fluid and food to treat diarrhea at home. Give zinc supplements. Advise mother when to return immediately. Follow up in 5 days if not improving.

14. The child with no dehydration needs home treatment. Which of the following is not included in the rules for home treatment in this case: A. Continue feeding the child B.Give the child extra fluids C. Know when to return to the health center D. Give Oresol every 4 hours

15. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as: A. Severe persistent diarrhea B. Dysentery C. Severe dysentery D. Persistent diarrhea

and if diarrhea for 14 days or more

SEVERE PERSISTENT DIARRHEA - Treat dehydration before referral unless the child has another severe classification. - Give vitamin A. - Refer to hospital. - Advise the mother on feeding a child who has persistent diarrhea. -Give vitamin A. - Follow up in 5 days. - Advise mother when to return immediately.

Dehydration present

No dehydration

PERSISTENT DIARRHEA

15. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as: A. Severe persistent diarrhea B. Dysentery C. Severe dysentery D. Persistent diarrhea

16. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be: A. No dehydration B. Moderate dehydration C. Some dehydration D. Severe dehydration

For DEHYDRATION

Two of the following signs: Restless, irritable Sunken eyes Drinks eagerly, thirsty Skin pinch goes back very slowly

SOME DEHYDRATION

- Give fluid and food for some dehydration - If the child has another severe classification: Refer URGENTLY to hospital, with mother giving frequent sips of ORS on the way. Advice mother to continue breastfeeding. - Advise mother when to return immediately. - Follow up in 5 days if not improving

16. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be: A. No dehydration B. Moderate dehydration C. Some dehydration D. Severe dehydration

17. Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes are sunken. The nurse offers fluid to Carlo and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly. How will you classify Carlos illness? A. Severe dehydration B. No dehydration C. Some dehydration D. Moderate dehydration

For DEHYDRATION

Two of the following signs: Restless, irritable Sunken eyes Drinks eagerly, thirsty Skin pinch goes back very slowly

SOME DEHYDRATION

- Give fluid and food for some dehydration - If the child has another severe classification: Refer URGENTLY to hospital, with mother giving frequent sips of ORS on the way. Advice mother to continue breastfeeding. - Advise mother when to return immediately. - Follow up in 5 days if not improving

17. Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes are sunken. The nurse offers fluid to Carlo and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly. How will you classify Carlos illness? A. Severe dehydration B. No dehydration C. Some dehydration D. Moderate dehydration

18. Two children were brought to a barangay health center; one with diarrhea and the other with chest chest indrawing. Using the Integrated Management for Childhood Illness (IMCI) approach , how will you classify the second child? a. No Pneumonia cough or cold b. Pneumonia c. Severe Pneumonia d. Severe dehydration

19. The second child is 3 months old has fast breathing using IMCI parameters he has: a. 45 breaths b. 40 breaths c. 50 breaths per minute or more d. 40 breaths per minute or more

20. Mario the first child is very irritable , drinks eagerly and when the skin was pinch it goes back slowly. How would you classify Mario? a. No Dehydration b. Severe Dehydration c. Some Dehydration d. Dysentery

21. Jane travelled a malaria risk area. She developed fever and stiff neck was present. There was no vomiting, no rashes and no runny nose. Jane can be classified as a. Malaria b. Very Severe Febrile Disease/Malaria c. None of these d. Fever: Malaria Unlikely

22. You assessed a child to have an ear discharge for more than 14 days. Treatment was done and you advised the mother to return for follow up check up after how many days? a. 5 days b. 7 days c. 4 days d. 1 day

23. A group of nurses were able to identify the leaders of the particular community and observed the manner of speech, behaviour and lifestyle of the resident. Identify the phase of COPAR Process involved. a. Pre entry b. Entry phase c. Organization Building Phase d. Sustenance and Strengthening Phase

ENTRY/SOCIAL PREPARATION PHASE Signals the actual entry of the community worker/ organizer in the community

Guidelines: - Recognize the role of the local authorities by paying them visits to inform them of their presence & activities - Appearance, speech, behavior, lifestyle should be in keeping those of residents - Adopt a low key profile

Activities: InISIP na Health Activities

Integration Conduct of Information Campaign Conduct of deepening Social Investigation Identification of Potential leaders Provision of HEALTH SERVICES

INTEGRATION
- Establish rapport and building mutual trust and cooperation

SOCIAL INVESTIGATION/COMMUNITY STUDY

Systematic and scientific process of collecting, collating and analyzing data to draw picture f the community

IDENTIFICATION OF POTENTIAL LEADERS

- CORE group formation phase - CORE GROUP 8 10 residents who possess leadership potentials formed into a cohesive working unit

23. A group of nurses were able to identify the leaders of the particular community and observed the manner of speech, behaviour and lifestyle of the resident. Identify the phase of COPAR Process involved. a. Pre entry b. Entry phase c. Organization Building Phase d. Sustenance and Strengthening Phase

27. The following are activities being undertaken in the preparatory phase of Community Organizing except: a. Core group formation b. Community Profiling c. Area Selection d. Integration

Preparatory Phase
a. AREA SELECTION Is the community needs assistance? b. COMMUNITY PROFILING - Identify potential leaders - Community profile c. INEGRATION

27. The following are activities being undertaken in the preparatory phase of Community Organizing except: a. Core group formation b. Community Profiling c. Area Selection d. Integration

ORGANIZATIONAL PHASE
A. social preparation B. spotting and developing potential leaders C. core group formation D. setting up the community organization

28. Education and training, network and linkages, community mobilization on health and development is what phase of COPAR? a. Pre entry Phase b. Entry Phase c. Organization Building Phase d. Sustenance and Strengthening Phase

SUSTENANCE AND STRENGTHENING PHASE

- Community organization has been already been established and the members participate in community wide activities

Strategies
Education and training Network and linkages Community mobilization on health and development concerns Development of second leaders

28. Education and training, network and linkages, community mobilization on health and development is what phase of COPAR? a. Pre entry Phase b. Entry Phase c. Organization Building Phase d. Sustenance and Strengthening Phase

29. Which of the following is the correct sequence of Community Organizing? a. Preparatory Phase, Intersectoral Collaboration Phase, Education and Training Phase, Organizational Phase, Phase Out b. Preparatory Phase, Organizational Phase, Education and Training Phase, Intersectoral Collaboration Phase, Phase Out c. Preparatory Phase, Education and Training Phase, Organizational Phase, Intersectoral Collaboration Phase, Phase Out d. Preparatory Phase, Phase Out, Education and Training Phase, Organizational Phase, Intersectoral Collaboration Phase

30. Participatory Research is an approach that encourages community involvement in planning, implementation and evaluation of community diagnosis. All but one is the principle of Participatory research: a. The research is based on the system of active discussion, investigation and analysis. b. The members have the chance to articulate their concerns and workout for its solutions. c. Its central element is dependence and reliance. d. It is an alternative social research approach in the context of development.

PAR
An approach in community diagnosis Actively involving the community in planning, implementation, evaluation of community diagnosis

Principles
It is an alternative social research approach in the context of development Its central element is active community participation The research is based on a system of active discussion, investigation and analysis The expected beneficiaries of the research the community people- researchers themselves Collective consciousness of the people is part and parcel of PAR The community members have the chance to articulate their problems and workout solutions

30. Participatory Research is an approach that encourages community involvement in planning, implementation and evaluation of community diagnosis. All but one is the principle of Participatory research: a. The research is based on the system of active discussion, investigation and analysis. b. The members have the chance to articulate their concerns and workout for its solutions. c. Its central element is dependence and reliance. d. It is an alternative social research approach in the context of development.

31. Which of the following activities will least likely promote integration? a. house to house visits b. attending birthday parties and fiestas c. helping out household chores d. participating in cockfighting and gambling

Methods of Integration
Participation in economic production activities of the people Conduct of house to house visits Participation of social activities Conversing with the people where they usually gather eg stores Helping out with household chores

31. Which of the following activities will least likely promote integration? a. house to house visits b. attending birthday parties and fiestas c. helping out household chores d. participating in cockfighting and gambling

32. The following criteria should be considered in selecting a community except a. Low maternal and infant mortality rate b. Health services are accessible and adequate to all the people c. It is located away from the business districts of the city d. Income opportunities in the community is inadequate

Site Selection
Site must be a depressed rural community Health services are inadequate or inaccessible Community has poor health status Area has no serious peace and order problem for the safety of the program - Area relatively free of similar programs to avoid duplication of services

32. The following criteria should be considered in selecting a community except a. Low maternal and infant mortality rate b. Health services are accessible and adequate to all the people c. It is located away from the business districts of the city d. Income opportunities in the community is inadequate

33. Participatory Research is different from the traditional research in such a way that PAR: a. Researcher has preconceived theoretical frameworks and biases b. People are objects of the research c. Researcher is an outsider d. Researcher comes up with the genuine desire, aspirations and problems of the community

PAR

Traditional Research

People are researchers and active collaborators of change and development Veers away from dependence on outside researcher PAR tries to come up with the real desire , aspirations and problems of the community

People as object of researcher

Researcher is an outsider Researcher has preconceived theoretical frameworks and biases

33. Participatory Research is different from the traditional research in such a way that PAR: a. Researcher has preconceived theoretical frameworks and biases b. People are objects of the research c. Researcher is an outsider d. Researcher comes up with the genuine desire, aspirations and problems of the community

34. The following statements are true about COPAR except: a. COPAR lead to the development of a self reliant community and society b. COPAR is based on the interest of the higher and lower hierarchy of the society c. It offers alternative solutions to health problems that may not require modern medical interventions d. It maximizes community participation andinvolvement.

35. This refers to the overview of the demographic characteristics of the existing community and provides as a basis for planning and organizing activities: a. Community diagnosis b. Community organizing c. Community Profile d. Family Nursing Care Plan

 Community Dx- done to cope up with a profile of the local health situation that will serve as a basis for the health programs and services that will be delivered to community Community Organizing process of developing the capability to assess the communitys health needs and problems

35. This refers to the overview of the demographic characteristics of the existing community and provides as a basis for planning and organizing activities: a. Community diagnosis b. Community organizing c. Community Profile d. Family Nursing Care Plan

36. Methods COPAR will least likely to utilize: a. Participatory and Mass based b. Consciousness Raising c. Leader oriented d. Action Reflection- Action Sessions

METHODS OF COPAR
Progressive cycle of action-reflection-action session (ARAS) begins with small, local issues identified by people , evaluated and refelcted by them Consciousness Raising Participatory and Mass Based Group Centered and Not Leader Oriented

36. Methods COPAR will least likely to utilize: a. Participatory and Mass based b. Consciousness Raising c. Leader oriented d. Action Reflection- Action Sessions

37. This phase includes training community health workers in Primary Health Care, its concept, principles, strategies and approaches a. Pre entry phase b. Entry phase c. Organization building phase d. Sustenance and strengthening phase

38. Which of the following critical activities in COPAR that focuses in the actual experience of the people? a. Mobilization b. Groundwork c. Reflection d. Tentative Program Planning

Critical Activities in COPAR

1. Integration 2. Social Investigation 3. Tentative Program Planning choose 1 issue to work on in order to begin organizing the people 4. Groundwork going around and motivating the people 5. Meeting 6. Role Play acting out the meeting 7. Mobilization or action 8. Evaluation 9. Reflection 10. Organization

38. Which of the following critical activities in COPAR that focuses in the actual experience of the people? a. Mobilization b. Groundwork c. Reflection d. Tentative Program Planning

39. Three main goals of community development include the enhancement of the following except? a. peoples well being b. peoples knowledge c. peoples capability d. peoples participation

40. All but one are critical activities under COPAR: a. Meetings b. Role Play c. Forum d. Organization

41. The following are the training programs a community health organization member should undergo except a. Self awareness leadership training b. Basic health skills training c. Basic nursing skills d. Advance health skills training