Community Health Nursing Practices, Cheat Sheet of Science education

Download Community Health Nursing Practices and more Cheat Sheet Science education in PDF only on Docsity!

Situation: After passing the nurse licensure examination, Bianca is accepted as a community health nurse in the rural health unit of a municipality. The healthy personnel are known to her. She is aware that disease prevention is one important goal in PH Nursing.

1. Bianca decides to make an ocular survey of one of the barangays of the municipality where she is assigned. Upon entrance to a barangays, Bianca should: A. Conduct community assembly B. Courtesy call to the Barangay Captain C. Identify the presence of the community D. Encourage community participation 2. In order to gain support from the community, Bianca underscores the importance of community participation which are the following EXCEPT: A. It gives the feeling of ownership of the community B. It encourages dependence on the health workers and representatives of other government agencies. C. It provides the community the opportunity to assume responsibility and leadership D. It creates awareness of interests. 3. Community development advocates the principles of self-help and the voluntary participation of the people of community. Community development rests upon certain assumptions, this does not include: A. Everyone has something to contribute to the community B. People have limited ability to learn C. Community development provides the opportunity by which the worth of an individual is revealed D. Worth and dignity of individual are the basic values in a democratic society 4. Nurse Bianca is preparing for integration at her community. One of the purposes of integration in COPAR is to: A. Gather data that is necessary in the identification of community health problems B. Understand deeply the culture and lifestyle in the community C. Validate the community health needs identified earlier D. Identify the community leaders that may be tapped for organizing purposes 5. Nurse Bianca is choosing an activity that will facilitate integration into the community. The appropriate activity for this is to: A. Organize a mahjong session B. Participate during harvesting C. Encourage clinic visits to every people D. Act like a visitor 6. A step in organizing the community that Bianca will do in order to have an overview of the demographic characteristics of the community and community health related services is: A. Core Group formation C. Integrate with the people B. Community profiling D. Area Selection 7. The CO should realize that the poor: A. Do not know what is the best health care delivery system for their community B. Have the capability to change or bring about change C. Will eventually learn but it will take time D. Should be taken care of by the government and the richer sections of society 8. Participatory action research in the context of COPAR means that the community: A. Participates in collecting data B. Will use the knowledge generated from research to improve their condition C. Should be the on to conceptualize how the research will be conducted D. Manages the research project 9. Community participation is made possible through: A. Shared leadership in the community at the onset of the program. B. Provision of comprehensive and understandable information. C. Full participation of nurses in decision-making D. Conducting consultation meetings with key leaders of the community. 10. Pre-entry Phase is the most complex phase in terms of actual outputs, activities, strategies, and time spent for it. Which of the following is not included in the pre-entry phase? A. Laying out the site criteria B. Statement of objectives, and realization of CIP or COPAR guidelines C. Courtesy call to the barangay level D. General Assembly 11. Also called the social preparation phase. The activities are done in this phase includes the sensitization of the people on the critical events in their life, motivating them to share their dreams and ideas on how to manage their concerns and eventually mobilizing them to take collective action. A. Pre-entry phase C. Organization-building phase B. Entry phase D. Sustenance & strengthening phase 12. With the community health activities started during the ENTRY phase, which of these activities should not be included? A. Core group formation B. Conduct of deepening social investigation C. Project management D. Information campaign on health programs 13. Identification of potential leaders is crucial during the entry phase. Which of the characteristics may NOT be necessary to an efficient and effective community leader? A. Must have relatively good communication skill B. A college graduate with management skills C. Responsive and willing to work for change D. Respected members of the community 14. The BEST technique in identifying potential leaders in the community proven to be effective is to: A. Ask community residents to directly name person whom they consider as community leaders B. Ask volunteers who are willing to become community leaders C. Review family background, properties and academic records of community residents D. Observe people who are active in small mobilization activities that motivate residents to start working. 15. The core group is composed of individuals in the community who possess leadership potentials organized into cohesive working unit. The core group works with the team in: A. Setting-up community organization that will serve the interest of a sector in the community. B. Mobilizing the community to act on their most immediate felt needs and participate in the deliver of essential health services. C. Monitoring the performance of the barangay officials D. Selecting community activities according to their preferences. 16. A key component in the CHN process when increasing the wellness of the client in the community is that people involved are able to: A. Access private health insurance to cover their medical expenses B. Stop activities such as smoking or alcohol consumptions that are harmful to health C. Recognize their health needs, help develop strategies to improve their own health D. Depend on the community health nurse and always follow given instructrion 17. This phase entails the formation of more formal structures in the community: A. Pre-entry phase B. Organizational building phase C. Entry phase D. Sustenance and strengthening phase 18. In a meeting with the people’s organization in the community, the nurse was asked regarding her position on gambling and betting. Most appropriate response is: A. As long as people do not harm others, it is okay B. Gambling and betting are part of Filipino culture so let them be C. Betting, yes! Gambling, no! D. Consider other forms of recreation and economic sources

19. When an elected barangay health worker is consistently performing poorly. What is the best recommended action? A. Recommend her expulsion B. Give another chance C. Have a heart-to-heart talk to her D. Raise the matter to other barangay health workers 20. Nurse Tess intends to get maximum participation from the community members to get an accurate assessment of their health needs. To do this, nurse Tess collaborates with the community to do a situational analysis. The process entails the following EXCEPT: A. Allowing people to freely express what they consider their health problem B. Asking people why they think the health problems exist. C. Assisting the community to identify health situations that need change. D. Providing immediate solution to identified health problems. 21. Which statement best describes mobilization? A. To go around and motivate people on a one-to-one basis to do something on community issues. B. An activity that will make leaders become aware of their progress in terms of knowledge, attitudes and skills. Strengths and weaknesses are likewise checked. C. The actual exercise of people’s power D. Analyzation of the finished mass action, its good and weak points identified. 22. The nurse working as an organizer in the community is already on the sustenance and strengthening phase of the COPAR process. Which of the following activities are expected tasks for her to do along with the people?

1. _Identification and development of secondary leaders
2. Organization and training of community health workers
3. Continuing education and upgrading of community leaders,_ _BHW’s and CHO members
4. Teambuilding of officers
5. Development of medium and long-term goals
6. PIME (Program Implementation Monitoring and Evaluation) of_ health services. A. 1, 3, 5 C. 1,3,5, B. 1, 2, 3, 4, 5 D. All of the above 23. The research team after collecting and collation of data is now ready to present the results of the community diagnosis to the people, One the members of the research team asks the nurse organizer, what type of graph would they utilized in presenting the salary of males in comparison to females. The nurse responds: A. Since you are going to show breakdown of a group where the number of categories is not too many, it is best that you use a pie chart. B. You better utilize Scatterplot diagram in showing correlation between two quantitative variables C. You better use of histogram will easily compare the salary of both genders. D. Line diagram is best, trust me, I’m a statistician 24. The basic reason why community organizers need to phase out from the community is to enable: A. Nurse to open CO work in other depressed community B. People to exercise self-reliance C. The people’s organization to expand their coverage D. People test their unity and strength Situation: The San Antonio Health Station in Barangay 33-A is about to conduct community health services and the Community Health nurse is in charge of this activity. The following questions apply. 25. Considering cultural diversities, Nurse Venezza and her team considered which of the following as NOT included in variables that could potentially make for population groupings within the community? A. Concepts about health and illness B. Cultural beliefs and practices that affect health C. Ethnicity, social class, religion, race, language, political orientation D. Lifestyle, norms and practices 26. Nurse Venezza, and nursing team involved in conducting community surveys, are aware that to effectively provide appropriate intervention after completing the necessary Community Survey they must come up with a comprehensive community diagnosis. Which of the following has the correct step by step process? A. Define study population, determine objective, determine data to be collected, develop instruments, collect data, actual data gathering, data analysis, community health nursing problem, priority setting, data presentation, determine data to be collected, B. Determine objective, define study population, actual data gathering, data presentation, develop instruments, data analysis, data presentation, priority setting, identify community C. Determine objective, define study population, determine data to be collected, actual data gathering, data presentation, develop instruments, data analysis, data presentation, priority setting, identify community D. A combination of two approximates the best procedure to be adopted by the community health nurse 27. While Nurse Venezza and her team start to deliberate on their approaches to the delivery of community health services, other nurses want to find out which sex groups need immediate and continued attention. In this case, which formula is best to be applied? A. Sex ratio is equal to population size divided by the number of female plus males multiplied by 100 B. Sex ratio is equal to number of females divided by no.of females multiplied by 1000 C. Sex ratio is equal to population size at later time divided by the number of males multiplied by 1000 D. Sex ratio is equal to number of males divided by numbers of females multiplied by 100 28. Nurse Venezza and her team concluded their planning phase in partnership with significant community resource e.g. The municipal doctor, midwives, the barangay health workers, barangay nutrition scholars, and other willing community resident volunteers, and they came up with specific goals. To accomplish these goals it is essential for people to work together. Which of the following is NOT part of the process? A. Cooperation, collaboration C. Coalition or collaboration B. Networking, coordination D. Transportation, communication Situation: Part of the important task faced by community health nurses is COMMUNITY ORGANIZING (CO). These questions apply. 29. These statements regarding Community Organizing (CO) are true, EXCEPT A. CO is successful only if the nurse takes action for the people B. CO is biased towards the poor, deprived and oppressed segments of society C. The nurse applies CO as strategy to initiate people participation D. The context of CO is the current situation affecting people and their communities 30. You have engaged 3 barangays in CO and now you are trying to evaluate their level of awareness as a cohesive group of people responding to issues and concerns affecting them and their communities in general. The highest level of awareness by these organized group of people is manifested when there is proof of their capability in doing: A. Interest aggregation C. Interest articulation B. Political socialization D. Political mobilization 31. Social investigation (SI) is always a part of aligning local issues with those of higher concerns of society. In doing SI we normally utilize: A. Local records and reports B. Results generated from ocular inspection (immersion, do participant observation) C. Secondary data (check health records) D. Registries available from municipal/ city government 32. In doing CO, the best entry strategy to the community is: A. Via free clinics B. A low key approach C. Use of an endorsement by known community leaders D. Entry with the parish priest or pastor

33. In doing CO, we do appropriate social preparation before actual full-scale engagement. Our main aim here is to: A. Lay the foundation towards the creation of an organization B. Imbibe a community way of life – immersion/integration. C. Establish rapport with the leaders of the community – courtesy call D. Develop potential leaders – core group formation 34. As a nurse, Kat knows very well that she can perform all of the following except: - OLD QUESTION? A. Assist in home deliveries B. Perform Leopold’s maneuver in the home setting C. Conduct lectures on the importance of prenatal visits to all pregnant women D. Suture 2nd degree lacerations during home deliveries

• 3 rd^ degree and up ang hindi pwede 35. The community health nurse leads a class on breastfeeding with a group of prenatal parents. The nurse allows the participants to ask questions, make comments, and reason out loud as feedback is given. Which of the following teaching techniques is the nurse using? A. Lecture C. Demonstration B. Role playing D. Discussion 36. The four major change agents that impact the future of community health care for children and families are demographic, science and A. The amount of influence the public has on legislator and the political party in power B. The stock market and recession periods C. Hospital administrative policies and health care reimbursement D. Market-driven economic policy and technology 37. The following statements describe the human health resources, except: A. Every year there is a marked increase in the number of health professionals B. Despite the increase in the number of health providers, there is still an enormous need in the rural areas C. The growing number of health professionals contributes to their low salaries and lack of benefits D. Migration to other countries is primarily an economic issue 38. Nurse Kat knows that only one of the following statements is correct. Which is it? A. In CHN, the client is considered as passive recipient of care, not an active partner B. The goal of CHN is achieved through sectoral efforts C. CHN practice is affected by the development in health technology, in particular, and changes in society, in general D. CHN is independent from health care system and the larger human services system SITUATION: The Aquino Health Agenda (AHA) is being launched to improve, streamline and scale up reform interventions espoused in the HSRA and implemented under fourmula One. This deliberate focus on the poor will ensure that as the implementation of health reforms moves forward, nobody are left behind. 39. The goals of Aquino Health Agenda is directed towards: 1. Ensuring better health outcomes 2. Sustained health financing 3. Ensuring equitable access to affordable health care 4. Ensuring free health care services delivery to all Filipinos A. All except 1 C .All except 3 B. All except 2 D. All except 4 40. The Aquino Health Agenda (AHA) is a focused approach to health reform implementation in the context of HSRA And Fourmula one, ensuring that all Filipinos especially the poor receive the benefits of health reform. AHA shall be attained by pursuing three strategic thrusts. This does not include: A. Financial risk protection through expansion in NHIP enrollment and benefit delivery B. Improved access to quality hospitals and health care facilities C. Attainment of the health-related Millennium Development Goals (MDG) D. Creation of additional public hospitals to address the growing demand in health care services 41. The success of AHA will be based on progress made in: 1. Prevention of premature deaths 2. Controlling communicable and non-communicable diseases 3. Reduction of underweight among children 4. Reducing maternal and newborn deaths A. 1 and 2 C. 3 and 4 B. All except 3 D. All of the above 42. Improvements in NHIP benefit delivery can be achieved by: A. Promoting the availment of quality outpatient and inpatient services at accredited facilities through reformed capitation and no balance billing arrangements for sponsored members, respectively. B. Fiscal autonomy and income retention schemes for government hospitals and health facilities C. Aggressively promoting healthy lifestyle changes to reduce non- communicable diseases D. Unified and streamlined DOH licensure and philhealth accreditation for hospitals and health facilities 43. The Philippine health care delivery system is composed of two sectors. This is a largely financed sector through tax-based budgeting system both national and local levels, hence, socialized user fees have been introduced in recent years for certain type of service. A. Public sector C. Non government sector B. Private sector D. None of the above 44. To empower community members, the community nurse performs which activity? A. Do all the activities for community members B. Step back at the beginning and giving little output C. Define the community needs for the members D. Give ownership and leadership to the community 45. Descriptors of a healthy community include: A. A community where the members are disease free B. Seeking to make all the resources available to all members C. Keeping the sub-groups informed of changes whenever necessary D. The leaders making decision for the community members 46. When a community health nurse works as a client advocate, the nurse: A. Uses a passive approach in solving identified problem B. Attempts to smooth problems over to keep the community calm C. Is assertive in speaking and acting on behalf of the client D. Is aggressive in pursuing the achievement of the client goals 47. Ana BEST exemplifies secondary prevention by which of the following activities? A. Teaching new mothers infant care B. Infant phototherapy C. Oxygen humidification D. Tracheostomy care 48. Which of Ana’s teaching activities would not be considered SECONDARY prevention when caring for clients in her case load? A. Providing families with her telephone number for any home emergencies B. Teaching parents first aid for insect bites C. Educating parents on the importance of routine immunization D. Educating parents on the signs of lead poisoning 49. BEMONC (Basic Emergency Obstetric and Newborn Care) facilities are established in the community in order to rapidly achieve the goal of reducing maternal and child mortality. The following capabilities are done in the BEMONC facilities Except: 1. Parenteral administration of oxytocin in the third stage of labor. 2. Parenteral administration of anticonvulsants 3. Parenteral administration of initial dose of antibiotics 4. Performance of assisted deliveries 5. Removal of retained products of conception 6. Manual removal of retained placenta 7. Adminstration of blood transfusion 8. Cesarean section A. 1, 2, 3 C. 7, 8

B. 1, 2, 3, 8 D. 4, 5, 6

50. While on skin to skin contact up to 3 minutes after delivery, the nurse prepares to clamp and cut the cord. Arrange in sequence the procedure that the nurse will perform. 1. Remove first set of gloves 2. Cut ties with sterile instrument 3. Put ties tightly around the cord 2 cm and 5 cm from the newborn’s abdomen. 4. Observe for oozing blood 5. Injection of 10 IU oxytocin IM to the mother A. 1, 3, 2, 4, 5 C. 4, 3, 2, 5, 1 B. 3, 2, 4, 1, 5 D. 5, 1, 3, 2, 4 51. Rooming in (RA 7600) is the practice of placing the newborn in the same room as the mother right after delivery up to discharge to facilitate mother-infant bonding and to initiate breastfeeding. Which statement is not included under this provisions? A. Normal Spontaneous delivery shall be put to the breast of the mother within 3 – 4 hours after birth. B. Deliveries outside health institutions whose mothers have been admitted to the Obstetrics unit shall be roomed-in immediately. C. Mothers are exempted from rooming in if determined by the physician to be seriously ill. D. Wet nursing is an option for the mother is determined to be violently psychotic 52. Expanded Breastfeeding Act (RA 10028) guidelines includes the following EXCEPT: A. This act designates August as the Breastfeeding awareness month. B. Health institutions are likewise encouraged to set up milk banks for storage of breastmilk donated by mothers and which have undergone pasteurization. The stored breastmilk will primarily be given to children in the neonatal intensive care unit whose own mothers are seriously ill. C. Nursing employees shall granted break intervals in addition to the regular time-off for meals to breastfeed or express milk.That such intervals shall not be less than a total of 30 minutes for every eight (8)-hour working period. D. Integration of Breastfeeding Education in the elementary, high school and college levels. 53. This vaccine content is derived from RNA recombinants: A. Tetanus toxoid C. DPT B. Hepa B vaccine D. AMV 54. The following are true about EPI vaccination: 1. The vaccines most sensitive to heat are OPV and Measles which should be stored in the freezer of the refrigerator. 2. The vaccines that should be mixed with diluents are BCG and measles 3. The temperature cold chain in the freezer should be maintained between +2 to + 4. The nurse can proceed with the vaccination if the inner circle is darker than the outer square. A. 1, 2 B. 1, 2, 3 C. 1, 2, 3, 4 D. 2, 3, 4 55. If attenuated measles vaccine (AMV) is given at 9 months, what is the percentage that measles be prevented? A.100% B. 85% C. 60% D. 95% 56. A nurse may keep opened vials of OPV for use in the next session if: A. You have taken out the vaccine at the health center for some other reasons B. The expiry date has not passed C. The vaccines have been stored at a temperature between 0 & 8 deg C D. The vaccine have change its color 57. You are at the RHU clinic when a mother brought in her infant Dodong, for his OPV immunization. You have assessed that the infant has diarrhea. What will be your next action? A. Notify the physician C. Refer immediately B. Give the OPV D. Do not give the OPV 58. Vitamins help fight various deficiencies which affect the eye. As a health care provider, you are aware that ONE of the following is a sign of Vitamin A deficiency: A. Corneal clouding C. “Halo signs” B. Fatigue D. Opaque lens 59. Affected by malnutrition are children 0-4 years. Which of the following is the main cause? A. Poverty C. Poor appetite B. Wrong choice of food D. Too much oil in diet 60. Which of the following therefore is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe disease? A. Taking of the temperature of the sick child B. Provision of careful assessment C. Weighing of the sick child D. Giving of antibiotics 61. The IMCI guidelines recommend case management procedures based on these strategies: A. Children age 2 months up to 5 years, and young infants age of less than 2-months B. Children age 3 months up to 6 years old and infants age 1 week up to 2 months C. Children 3 years of age up to preschoolers D. None of the above 62. The Integrated Management of Childhood Illness (IMCI) chart provides the necessary procedure when identifying the appropriate interventions to be done. However, the community health nurse should be aware that the following factor should be considered in utilizing the case management chart: A. Age of the child C. Danger signs B. Chief complaint D. Problem of the child 63. In the IMCI classification tables, color yellow indicates that a: A. Child needs an appropriate antibiotic or other treatment B. Child does not need specific medical treatment C. Referral or admission is needed D. Chief complaint that needs an urgent attention Situation - Carol is 15 months old, weighs 8.5 kgs, is not eating well and is unable to breast feed. She is not vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.5 C. Use the IMCI strategy. 64. If you were the nurse in charge of Carol, how will you classify her illness? A. Febrile w/ a general danger sign C. Severe pneumonia B. Very severe febrile disease D. Severe malnutrition 65. Which of the following signs is considered to be a general danger sign in Carol’s case? A. No vomiting C. Temperature of 38.5 C B. Has no convulsion D. Unable to breastfeed 66. Which of the following signs is NOT included in the general danger sign? A. Vomits everything C. Has had convulsion B. Unable to drink or breast fed D. Fast breathing 67. Which of the following steps is NOT included in the IMCI strategy? A. Identify treatment C. Referral B. Counsel and follow up D. Assess and classify 68. Which of the following signs should NOT be included in deciding that “the child vomits everything”? A. Child experience occasional vomiting B. When offered fluids, may not be able to drink C. Maybe too weak to drink and eat at all D. Child is not able to keep anything down at all 69. Using IMCI, which of the following management is not included in the classification very severe febrile disease/malaria? A. Give the 1st dose of quinine B. Give the 1st dose of an appropriate antibiotic C. Send a blood smear of the child to the referral hospital D. Follow up in 2 days if the fever persists 70. A 1 month old infant has blood in the stool. What color health management will it suggests? A. Red C. Yellow

B. Pink D. Green

71. In giving chloroquine you should: A. Heavily guard the patient B. Explain to the mother that she should watch her child carefully for 30 minutes after giving medicine C. Explain to the mother that it should be given for 2 days only D. Instruct the mother to give the first dose at home 72. After assessing Junjun, your nursing diagnosis is dehydration secondary to diarrhea. ORS was administered. Which health instruction regarding ORS therapy will you give the mother once the diarrhea has stopped? A. Increase the administration of ORS B. Return to the clinic C. Stop the administration of ORS D. Decrease the administration of ORS Situation: Kathrina, 5 months old, weighs 5.2 kgs, temperature 38 C., is brought to the center. Her mother says she is not eating well, feels hot to touch, able to drink, no vomiting, no convulsions and not lethargic, no cough. They live in a malaria risk area. Her fever started 2 days ago. She has no signs of measles, no stiff neck or runny nose. 73. How will you classify Kathrina’s illness? A. Plain fever C. Sever febrile disease B. Malaria D. Fever: no malaria 74. The following treatments are appropriate for Kathrina EXCEPT: A. Follow up in 2 days B. Give oral anti malarial drugs C. Advise when to return immediately D. Give 1 dose of paracetamol for temp. 37.5 C 75. A child should be checked for capillary refill if: A. If the child has petechiae B. The child’s extremities feel warm C. There is fever for more than 7 days D. If the extremities feel cold 76. A child living in a non-malaria risk area who has stiff neck may be classified as having: A. Malaria C. Severe febrile disease B. R/O Malaria D. Fever: no malaria 77. Vitamin A is given to a child with measles because it: A. Resists the viral infection in the eyes, cell layers in the lungs gastrointestinal tract, mouth and throat B. Reinforces the body’s immune response C. Is needed for supplementation D. Helps the immune system prevent other infections 78. The child’s symptoms are under the classification of severe dengue hemorrhagic fever of the IMCI strategy. Which of the following treatments should be done IMMEDIATELY? A. Observe the patient at the health center and refer urgently if the condition worsens B. Give fluids or ORS and refer urgently to the hospital C. Immunize the child before referral D. Give the first dose of appropriate antibiotics and refer urgently to the hospital 79. 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 the mother when to return immediately B. Refer urgently C. Give an antibiotic for 5 days D. Dry the ear by wicking 80. The nurse uses the IMCI chart for illness classification, which of the following is not correct? A. Mastoiditis: pink C. Chronic ear infection: yellow B. Acute ear infection: pink D. No ear infection: green 81. A mother brought her child to the health center due to ear discharge, upon assessment, a “tender swelling” Behind the child’s ear was noted. This is classified as: A. No ear infection C. Chronic ear infection B. Acute ear infection D. Mastoiditis 82. A child needs urgent referral for mastoidistis. The following is a list treatments for all ear problems in IMCI classification. Which among these pre-referral treatments should NOT be included: A. Give the child the appropriate antibiotics for 5 days B. Do not give any medications C. Give the child the first dose of antibiotics D. Give first dose of paracetamol for pain 83. Corazon brought her child to the clinic for palmar pallor suggestive of anemia. The doctor prescribed iron medications and it was only the 3rd day of taking such medication. Your next action would be to: A. Give iron medication 3x a day B. Give iron and return tomorrow C. Instruct the mother to continue giving iron for 14 days D. Refer the child immediately 84. A 3 year old child (14 kg.) Has anemia with some palmar pallor and needs iron and mebendazole. The card shows he was not given mebendazole previously. As the nurse you should give the child Iron Folate and Mebendazole in what dosage? A. 7.5 ml or tsp daily for 14 days and mebendazole 500 mgs single dose B. 10 cc or 2 tsp daily for 30 days and mebendazole 500 mg single dose C. 10 cc or 2 tsp daily 30 days and mebendazole 250 mg single dose D. 5 ml or 1 tsp 2- 3x/ daily for 14 days and mebendazole 500 mgs single dose 85. Which of the following is NOT TRUE about home care for all sick infants? A. Blood in the stool is a danger sign that needs to be reported B. Bring the infant to the clinic if he/she shows sign of difficulty of breathing C. Breastfeed frequently, day and night during sickness and health D. Make sure the young infant stays cool at all times 86. A client is under plan-A. This also included the 4 rules of home treatment such as giving an extra fluid, giving zinc supplements, continuously feeding the child, and advising when to return. The nurse teaches a caretaker on how to mix and give ORS. Baby Garry ,11 months tomorrow should received with how many volume of additional fluids: A.50 to 100 ml C.100 – 150 ml B.100 to 200 ml D. 50 – 200 ml 87. Which condition reflects when you pinch the skin it goes back slowly even if the child is not dehydrated or no signs of dehydration: A. A child who is overweight C. A child who has marasmus B. A child with edema D. A child with kwashiorkor 88. In IMCI, a child has the main symptom for fever if the child presents the following data: (1) has history of fever, (2) child feels hot or (3) has an axillary temperature of 37.5C and above. Baby Pacquia does not have fever, the next step is to ask for which of the following choices: A. Assess for signs related to fever B. Ask about the next main symptom; Malnutrition and Anemia C. Assess for ear problem D. Decide if this is Malaria Risk or No Risk Situation: You are participating in the health promotion program of DOH. Your team has planned to incorporate various lifestyle related activities. 89. The W.H.O. principle of health promotion serves as your guide. Which of the following statements is not PART of the principles of health promotion of W.H.O.? A. Combines diverse but complementary methods or approached including communication, education, legislation and fiscal development B. Involves the population as a whole but focuses on people at risk from specific diseases C. Is directed towards action on the determinants of health and requires close cooperation between sectors beyond healthcare

D. Is a societal and political venture and not a medical service although health professionals have an important role in advocating and enabling health promotion

90. In order to motivate people to participate in physical activities for health promotion, the nurse should consider the following EXCEPT: A. Provide options for age- based physical activities B. Brisk walking as the best form of exercise for all age groups C. Once a week of intense physical activities can compensate for the desired exercise three times a week D. Help clients to determine physical activities that can easily be integrated into their daily activities 91. RE-orienting focus of health care delivery from cure to health promotion or wellness is achieved by enhancing the skills of health workers in which of the following? 1. Screening 2. Case finding 3. Prevention of risk factors that contribute to development of major non- communicable diseases (NCD) – primordial prevention. 4. Prevention and management of NCD A. 1 and 2 C. All except 4 B. 3 and 4 D. 1,2,3, 92. Raising public awareness to ensure full community participation in health promotion initiatives can be done through: 1. Producing and disseminating information through mass media, health campaigns, public information system and school education 2. Adopt and support policies and programs focused on health i.e. Anti smoking 3. Initiating health promotion initiative such as Healthy Cities, Healthy Schools, Healthy Worksites 4. Posting of community bulletin boards in places where people converge such as for mothers class, barangay assemblies etc. A. All except 2 C. 1,2,3, B. 1 and 2 D. 3 and 4 Situation: Nurse Ansherina is making an annual report of the RHU. This prompted her to review the importance of the Field Health Service Information System. 93. This constitutes the mechanism of transmitting data from one facility to another A. Family Treatment Record B. Target Client List C. Tally Form D. Output Report 94. This is where the signs and symptoms or chief complaint of the patient on consultation, the diagnosis, treatment and treatment date is recorded: A. Family Treatment Record B. Target Client List C. Tally Form D. Output Report 95. Cases of Diptheria should be reported on which basis? A. Immediately B. Weekly C. Monthly D. Quarterly Situation: From January to September 2006, there were two outbreaks of typhoid fever in Cavite City. Epidemiologic Investigation was undertaken by the rural health unit to investigate the outbreaks. 96. The primary purpose of epidemiologic investigation is to: A. Identify who are at risk of contracting the disease. B. Delineate the etiology of the epidemic C. Encourage cooperation and support of the community D. Identify the geographical location of cases of the disease in the community. 97. This step of epidemiological investigation ascertains the number of cases of typhoid fever occurring in the community. A. Establishing the epidemic. B. Establishing the time and space relationship of the disease. C. Establishing the relationship between cases to the characteristic of the community D. Correlating all data obtained. 98. As an epidemiologist, among other things, you are expected to: A. Institute appropriate control measures in the confirmation of an outbreak. B. Check the presence of signs and symptoms in patients according to the standard case definition of the disease. C. Monitor the occurrence of selected notifiable diseases by weekly charting or graphing of cases. D. Plan and secure necessary resource needed for disease control measure. 99. Lately, an epidemiologic shift in the health status of Filipinos is said to be occurring as an effect of a change in lifestyle. An epidemiologic shift is characterized by: A. Resurgence of tuberculosis as an important and largely unattended disease burden. B. Increasing importance of chronic diseases side by side with infectious diseases as a major cause of death. C. Improved control of epidemic diseases versus control of epidemics. D. Increasing level of pollution in the environment. 100. Mental health problems have four facets as a public health burden. This one refers to the stigma and violation of human rights? A. Hidden burden C. Undefined Burden B. Future burden D. Defined burden