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Provide treatment to patients, community health nurses offer about maintaining their health so that they can decrease the occurrence of diseases and deaths.
Objectives of Primary Health Care are:
Coordination/dialogue/consultation with other community organizations & Self-awareness and Leadership Training (SALT) action planning are under:
This aims to awaken the sensitivity of the student nurses to the actual political, socio-economic, moral and spiritual realities and to enable them to respond to the health needs of the people, especially the poor.
What are the two major fields in Philippine nursing?
Common Cause of and Water Bone – Diseases A. Unsafe sources of drinking water B. Improper disposal of human waste C. Unhygienic practices like spitting anywhere, blowing or picking the nose D. Unsafe food handling and preparation practices i.e. street vended foods
The public health nurse conducts a study on the factors contributing to the high mortality rate due to heart disease in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation?
The first symptoms – fever, headache, and chills – may be mild and difficult to recognize as malaria. If not treated within 24 hours, P. falciparum can progress to severe illness, often leading to death
Refers to a collection of people who interact with one another and whose common interests or characteristics form the basis for a sense of unity or belonging.
When attending to patient who is about to deliver a baby, always remember to follow 3 CLEANs:
Population-focused nursing practice requires which of the following processes?
Permanent Family Planning method:
Provision of regular and quality maternal care service Regular and quality pre-natal care, except:
Statements for Level IV Student Immersion Program, except: a. Leaders in managing the activities in the community. b. Monitor and evaluate activities in the community. c. Invites speakers for the general assembly for referrals and linking or networking. d. Conduct health education and seminars for health workersThis aims to awaken the sensitivity of the student nurses to the actual political, socio-economic, moral and spiritual realities and to enable them to respond to the health needs of the people, especially the poor.
Basic Compulsory Immunization of All Children below 8 Years Old
The public health nurse takes an active role in community participation. What is the primary goal of community organizing?
Private Duty Nursing is a type of:
Holistic state of well-being which includes soundness of mind, body and spirit.
A group of people sharing common geographic boundaries with common values and interest
When will the expectant mother visit health center for pre-natal check-up?
All of the following are characteristics of Community Health Nursing, except: 1. Greater control for both the nurse and the client in decision making related to health care 2. Collaboration between the nurse and the client is heavier for nurses. 3. Recognition of the impact of different factors on health 4. Nurse’s awareness of their client’s lives and situations.
Which of the following is an advantage of a home visit?
Hepatitis A is a liver disease caused by the hepatitis A virus (HAV). The virus is primarily spread when an uninfected person ingests food or water that is contaminated with the faeces of an infected person.
They are trained in the process of research and are made aware to the needs of the people. They are link between the community and outside resources
We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos. What other statistic may be used to determine attainment of longevity?
Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes.
Just like a cistern flush toilet, the pour flush toilet has a water seal that prevents odors and flies from coming back up the pipe. Water is poured into the bowl to flush the toilet of excreta; approximately 2 to 3 L is usually sufficient.
In community health, the broad range of interacting needs that affect the collective health of the “client” as a larger system. It care encompasses the comprehensive and total care of the client in all areas, such as physical, emotional, social, spiritual, and economic
Low-grade afternoon fever; Night sweats; cough with mucopurulent sputum; dyspnea, chest tightness and chest pain with blood streak and Irritability; are signs and symptoms of:
R.A. 7160 mandates devolution of basic services from the national government to local government units. Which of the following is the major goal of devolution?
A group of people sharing common geographic boundaries and common values and interests. It functions within a particular sociocultural context which means no two communities are alike.
A garment factory does not have an occupational nurse. Who shall provide the occupational health needs of the factory workers?
The following are Bacterial infection, except:
Dengue virus rarely causes death. However, the infection can progress into a more serious condition known as severe dengue
The following are the clientele of a Community Health Nurse except:
They are allowed to attend to home deliveries only if there is no available licensed health personnel
Name 4 types of CHN.
R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?
Major field of Nursing. 2pts
Basic components of CHN. 2pts
These are Training and delineation of functions of the COPAR staff and faculty members, except:
In Health care Delivery System, surgery, medical services by specialist are under what health care:
Related Learning Experience in Level II Nursing students are the following, except:
In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?
What are the CHN level of prevention? 3pts
This assumes the following roles: 4pts
It also called whooping cough, produces an irritating cough that becomes paroxysmal and often ends in high pitched, inspiratory whoop.
This is the totality of all policies, equipment, products, human resources and services which address the health needs, problems, and concerns of the people. It is large, complex, multi-level, and multi-disciplinary
(House Bill 4110)
You are the public health nurse in a municipality with a total population of about 20,000. There are 3 rural health midwives among the RHU personnel. How many more midwife items will the RHU need?
Type of CHN. 7pts
The primary purpose of conducting an epidemiologic investigation is to
Attempts to reduce the extent and severity of a health problem to its lowest possible level, as to minimize disability and restore or preserve function.
Reproductive Health Bill
Constitutes a major part of community health practice. Prevention means anticipating and averting problems or discovering them as early as possible in order to minimize potential disability and impairment.
A system with a source, a reservoir, a piped distributor network and household taps. It is generally suited for densely populated urban areas.
Tertiary prevention is needed in which stage of the natural history of disease?
Provision of Safe-Delivery Care A. Ensure clean and safe deliveries at home or at the facilities B. High risk and at-risk pregnancy must be referred to a nearest health institution. C. “Trained Hilot” is allowed to attend to home deliveries only if there is no available licensed health personnel D. Attendants must observe for early signs and symptoms of complications
As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates reporting of cases of notifiable diseases?
This remains to be biggest health care provider. Today, only regional hospitals, medical centers and specialty hospital care are under this.
Health Care Delivery System. 3pts
Programs to promote health of the vulnerable sectors of the population. 4pts
Natural Family Planning (NFP)
Isolation of a child with measles belongs to what level of prevention?
According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?
An indicator of success in community organizing is when people are able to
The specialty practice that provides for and delivers health care services to workers and worker population.
This is a system of composed of a source a reservoir, piped distribution network and communal faucet. Generally suited for rural areas where houses are clustered
Emergency care was provided. In 1244, a group of monks in Florence, Italy, Misericordia provided first-aid care for accident victims on a 24-hour basis
According to C.E.Winslow, which of the following is the goal of Public Health?
Who are the clientele in Community Health Nursing (CHN)?
What are the levels of prevention CHN? PRIMARY PREVENTION
National Health Situation. 3pts
Write 3 settings in CHN
A health care provider, taking care of the sick people at home or at RHU
Which is an example of the school nurse’s health care provider functions?
Which is true of primary facilities?
This system is a basic form of a dry toilet whereby a bucket (pail) is used to collect excreta. Usually, feces and urine are collected together in the same bucket, leading to odor issues.
Among these Excreta – Transmitted Disease, which one is not infectious?
Malaria is caused by:
Group of people who share common characteristics, developmental stage and common exposure which result to common health problems
In the Pre-entry Phase of the COPAR Process, which of the following statement is incorrect.
Who is the Chairman of the Municipal Health Board?
The PHN bag is an important tool in providing nursing care during a home visit. The most important principle of bag technique states that it
This in community health means that the nurse ensures health services are provided not just to individuals and families, but also to groups and populations. Nursing service is still designed for the special needs of clients.
To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?
Which of the following is the most prominent feature of public health nursing?
Food illness caused by any infectious
The following are the Essential Elements of Primary Health Care, except:
The community health nurse provides service along the entire range of the health continuum, but especially emphasizes promotion of health and prevention of illness. The community health nurse identifies people, programs, and agencies interested in achieving a higher level of health, and works with them to accomplish that goal and to sustain the expected changed behaviour.
This is protected well or a developed spring with an outlet but without a distribution system, generally adaptable for rural areas where the house are thinly scattered.
It involves efforts to detect and treat existing health problems at the earliest possible stage, when disease or impairment is already present. Hypertension and cholesterol screening programs in many communities help to identify high-risk individuals and encourage early treatment to prevent heart attacks or stroke.
Low-grade afternoon fever; Night sweats; cough with mucopurulent sputum; yspnea, chest tightness and chest pain with blood streak and Irritability; are signs and symptoms of:
Obviates the occurrence of a health problem; it includes measures taken to keep illness or injuries from occurring
To identify the political, socio-economic. Moral, and spiritual factors affecting the health conditions of the people.
The goal of professional practice that is the promotion and preservation of health Populations:
Region IV Hospital is classified as what level of facility?
Water that is contaminated with the faeces of an infected person. The disease is closely associated with unsafe water or food, inadequate sanitation, poor personal hygiene and oral-anal sex.
The following are mode of transmission of Pulmonary Tuberculosis. A. TB is an airborne infection transmitted by droplet nuclei. B. Bacillus multiplies in bronchi or alveoli which results to pneumonitis C. May remain dormant but reactivates immediately.
Which of the following is an epidemiologic function of the nurse during an epidemic?
The following are concepts of Primary Health Care, except:
"Public health services are given free of charge.” Is this statement true or false?
The virus is primarily spread when an uninfected (and unvaccinated) person ingests food or water that is contaminated with the faeces of an infected person. The disease is closely associated with unsafe water or food, inadequate sanitation, poor personal hygiene and oral-anal sex.
According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?
This is infection with blood flukes of the genus Schistosoma, which are acquired transcutaneously by swimming or wading in contaminated freshwater. The organisms infect the vasculature of the gastrointestinal or genitourinary system.
Which step in community organizing involves training of potential leaders in the community?
Statements for Level IV Student Immersion Program, except:
Practical approach to the effective provision of health services that are community based, accessible, acceptable, and sustainable at a cost that the community and the government can afford
Which of the following is a function of epidemiology?
This is used to dispose of human excreta, dirty water, and general household waste such as kitchen refuse and sweepings.
The practice focuses on promotion, protection and restoration of worker’s health within the context of a safe and healthy work environment.
Community Health Nursing is one of the two major fields of nursing in the Philippines. The other one is:
A group of people who shares common characteristics, developmental stage or common exposure to particular environmental factors resulting to health problems.
The following are the major fields of Nursing in the Philippines.
Miscarriage, abortion, age, financial, resources, emotional readiness
Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected female mosquitoes
Emphasis on importance of empowerment to promote and sustain healthy environment and healthy lifestyles.
Improper Sewage are as follow, except:
Involves efforts to detect and treat existing health problems at the earliest possible stage, when disease or impairment is already present. Hypertension and cholesterol screening programs in many communities help to identify high-risk individuals and encourage early treatment to prevent heart attacks or stroke.
The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as
You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you apply?
Which level of health facility is the usual point of entry of a client into the health care delivery system?
These are symptoms of Pulmonary Tuberculosis. A. Progressive fatigue, nausea, anorexia, weight loss, low-grade afternoon fever. B. Cough with mucopurulent sputum, sometimes with blood streak, night sweats, Irritability
COPAR stands for:
One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the
Provision of Safe-Delivery Care includes 3 CLEANs: 3pts
The following are indicators of community is in poor health status, except:
These are Improper sewage, except:
Give 4 roles of Community Health nurse.
Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?
Health Indices, Health Care Delivery system, and Health Sector are:
Not an activity of Level III Nursing Students:
Every patient or client has the right to receive just, equal, and humane treatment. The role of the nurse includes client advocacy. The health care system is often characterized by fragmented and depersonalized services, and many clients
It is the totality of all policies, infrastructures, facilities, equipment, products, human resources, and services that all address the health needs, problems, and concerns of all people.
The characteristics of their clientele – their age, development stage and their common health problems and concerns. Other health problems are the result of economic and environmental factors.
It is defined as the identification of needs and the protection and improvement of collective health within a geographically defined area.
Organization and training of community health workers (CHWs), except:
The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the Delos Reyes family has been diagnosed as mentally retarded. This is classified as a:
Information dissemination on the primary health care programs and its activities and eliciting participation from community residents is an activity of the:
Immunization as to Hepatitis B in all Infants & Children below 8 years old
This is a parasitic disease caused by an infection with roundworms of the Filarioidea type. These are spread by blood-feeding insects such as black flies and mosquitoes. They belong to the group of diseases called helminthiases.
A. High malnutrition rate A. High infant mortality rate B. Lack of sanitary toilet C. High incidence of communicable diseases These statements are indicators of:
The World Health Organization (WHO) defines health as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”.
This is a system with a source, a reservoir, a piped distributor network and household taps. It is generally suited for densely populated urban areas.
Dengue virus rarely causes death. However, the infection can progress into a more serious condition known as severe dengue .
Attempts to reduce the extent and severity of a health problem to its lowest possible level, so as to minimize disability and restore or preserve function.
Which is the primary goal of community health nursing?
CHN is a community-based practice. Which best explains this statement?
PD 965 – requires all couple to undergo FP seminar on responsible parenthood
Which of the following is the mission of the Department of Health?
Is a group of illness caused by any non-infectious agents.
This attempts to reduce the extent and severity of a health problem to its lowest possible level, so as to minimize disability and restore or preserve function.
The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?
Assessing the Health Status of the Community
A business firm must employ an occupational health nurse when it has at least how many employees?
Emphasis on importance of empowerment to promote and sustain healthy environment and healthy lifestyles. A. Healthy diet and weight control; regular and appropriate exercises and activities; Food safety B. Stress management; control of tobacco and alcohol use
Which disease was declared through Presidential Proclamation No. 4 as a target for eradication in the Philippines?
Roles of CHN. 5pts
They shall comply with the requirements as to the issuance of health certificate which include monitoring the presence of intestinal parasite and bacterial infection
This pit is dug to a depth of four to six feet and large enough to take care of waste for several years about 50 cubic feet for family. Bamboo, wood, bricks, hollow blocks, and empty drums may be used to case the pit.
Different expertise are used in the role of the community health clinician. In the early years of community health nursing, emphasis was placed on physical care skills. With time, competence in observation, listening, communication, and counseling became integral to the clinician role as it grew to encompass psychological and socio-cultural factors.
COMMON CAUSE OF AND WATER BORNE- DISEASES
When the occupational health nurse employs ergonomic principles, she is performing which of her roles?
It assumes the following roles: A. Policy and Legislative Advocates C. Organizers, Human Rights Advocates B. Research and Documentation D. Relief and Disaster Management
Most cases of these virus are caused when a mosquito bites someone, but you can get the virus if you are exposed to infected blood.
On the other hand, Operation Timbang is _____ prevention
The following are symptoms of Dengue, except: A. Bleeding from your gums or nose B. Blood in your urine, stools or vomit C. Bleeding under the skin, which might look like bruising
Intervention schemes and community development projects & Initial identification and implementation of resource mobilization schemes
Which is CONTRARY to the principles in planning a home visit?
In which step are plans formulated for solving community problems?
This identifies the objectives of community organizing:
Which is a characteristic of person-to-person propagated epidemics?
This causative agent discovered by Koch in 1882
If the RHU needs additional midwife items, you will submit the request for additional midwife items for approval to the
The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?
This is chronic, sub-acute, or acute disease that most commonly affects the respiratory system, especially the lungs,
Obviates the occurrence of a health problem; it includes measures taken to keep illness or injuries from occurring. It is applied to a generally healthy population and precedes disease or dysfunction.
It has a platform with a hole in it and a lid to cover the hole when it is not in use. The platform can be made of wood, concrete, or logs covered with earth. Concrete platforms keep water out and last many years.
Health teaching, a widely recognized part of nursing practice, is legislated through nurse practice acts in a number of states and is one of the major functions of the community health nurse. The educator role has the potential for finding greater receptivity and providing higher-yield results.
Organization and training of community health workers (CHWs)
Factors Contributing to Pregnancy Related Illness and Death among Mothers and Infants A. Early pregnancy B. Twin pregnancy C. Pregnancy after age 35 years D. Pregnancy after 4th baby
Effective health services
Clientele of CHN. 4pts
Integration with community residents. Integration is the process of establishing rapport with the people in a continuing effort for a staff to be involved in community life, in building trust and cooperation.
Includes all efforts that seek to move people closer to optimal well-being or higher levels of wellness. Nursing, in particular, has a social mandate for engaging in this. Health promotion
The first symptoms – fever, headache, and chills – may be mild and difficult to recognize as malaria. If not treated within 24 hours, P. falciparum malaria can progress to severe illness, often leading to death
This is given 5th month of pregnancy to 2nd months postpartum
Cooks and cook helpers which include monitoring as to presence of intestinal parasites:
When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating
Community Health Nursing is best described as: 1. For the promotion and preservation of health of the population. 2. A response to the health needs of the people. 3. Advocates for the improvement in the conditions that adversely impact on people’s health. 4. Based on nursing theories and important concepts from science of health.
Involves efforts to detect and treat existing health problems at the earliest possible stage, when disease or impairment is already present. Hypertension and cholesterol screening programs in many communities help to identify high-risk individuals and encourage early treatment to prevent heart attacks.
The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a:
It obviates the occurrence of a health problem; it includes measures taken to keep illness or in-juries from occurring. It is applied to a generally healthy population and precedes disease or dysfunction.
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