NS 1 CHN & IMCI P2 QUIZ 1

1. Which of the following are the herbal plants approved by the DOH?

a. Sambong

b. Akapulko

c. Niyog-niyogan

d. Tsaang gubat

e. All of the above

2. A herbal medicine taken as tea used for skin allergies, diarrhea and stomach ache.

a. Niyog-niyogan

b. Tsaang gubat (chop leaves, boil in a 2glass of water until it reduces to 1 glass (10-15 mins) then
strain)

c. Lagundi

d. Bayabas

3. According to Freeman and Heinrich, community health nursing is a developmental service.

Which of the following best illustrates this statement?

a. The community health nurse continuously develops himself personally and professionally.

b. Health education and community organizing are necessary in providing community health
services.

c. Community health nursing is intended primarily for health promotion and prevention and
treatment of disease.

d. The goal of community health nursing is to provide nursing services to people in their own
places of residence.

4. 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?

a. Line (trends)

b. Bar (used for comparison)

c. Pie (population )

d. Scatter diagram (correlation)

5. Which step in community organizing involves training of potential leaders in the community?

a. Integration
b. Community organization

c. Community study

d. Core group formation

6. In which step are plans formulated for solving community problems?

a. Mobilization

b. Community organization

c. Follow-up/extension

d. Core group formation

7. The public health nurse takes an active role in community participation. What is the primary goal
of community organizing?

a. To educate the people regarding community health problems

b. To mobilize the people to resolve community health problems

c. To maximize the community’s resources in dealing with health problems

d. To maximize the community’s resources in dealing with health problems

8. Isolation of a child with measles belongs to what level of prevention?

a. Primary (no disease)

b. Secondary (naa pero nag start pa lang)

c. Intermediate

d. Tertiary (rehabilitation)

9. On the other hand, Operation Timbang is

prevention.

a. Primary

b. Secondary

c. Intermediate

d. Tertiary

10. Which type of family-nurse contact will provide you with the best opportunity to observe family
dynamics?

a. Clinic consultation
b. Group conference c. Home visit

d. Written communication

11. The typology of family nursing problems is used in the statement of nursing diagnosis in the care
of families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This
is classified as a

(Prescence of wellness- breast feeding)

a. Health threat (conducive to disease or accident/hazard like no proper garbage disposal

b. Health deficit (failure to health maintenance or Prescence of illness e.g. Diabetes high blood etc.)

c. Foreseeable crisis (unexpected events also known as stress point e.g. Unexpected pregnancy,
loss of job, a child entering a school)

d. Stress point

12. CHN (Community Health Nursing) is a community- based practice. Which best explains this
statement?

a. The service is provided in the natural environment of people

b. The nurse has to conduct community diagnosis to determine nursing needs and problems

c. The service are based on the available resources within the community

d. Priority setting is based on the magnitude of the health problems identified

13. Population- focused nursing practice requires which of the following processes?

a. Community organizing .

b. Nursing, process

c. Community diagnosis

d. Epidemiologic process

14. "Public health services are given free of charge". Is this statement true or false?

a. The statement is true; it is the responsibility of government to provide haste services

b. The statement is false; people pay indirectly for public health services (through the tax of
community people)

c. The statement may be true or false; depending on the Specific service required

d. The statement may be true or false; depending on policies of the government concerned.

15. Which of the following is the most prominent feature of public health nursing?
a. It involves providing home care to sick people who are not confined in the hospital

b. Services are provided free of charge to people within the catchment area

c. The public health nurse functions as part of a team providing a public health nursing service

d. Public health nursing focuses on preventive, not curative services (PHN focused more on health
teaching to promote preventive measures)

16. Which of the following is a function of epidemiology?

a. Identifying the disease condition based on manifestations presented by a client

b. Determining factors that contributed to the occurrence of pneumonia in a 3 year old

c. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with
pneumonia

d. Evaluating the effectiveness of the

17. Which of the following is an epidemiologic function of the nurse during an epidemic?

a. Conducting assessment of suspected cases to detect the communicable diseases

b. Monitoring the condition of the cases affected by the communicable disease

c. Participating in the investigation to determine the source of epidemic

d. Teaching the community on preventive measures against the disease

18. Which immunization produces a permanent scar?

a. DPT (Diphtheria, Pertussis, Tetanus)

b. BCG (Bacillus Calmette-Guérin) (given during birth)

c. Measles vaccination

d. Hepatitis B vaccination (given during birth)

19. What is the best course of action when there is a measles epidemic in a nearby municipality?

a. Give measles vaccine to babies aged 6 to 3 months (usually 9 months is the age of prescription
but when an epidemic occurs 6 to 8 months can be administered)

b. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol

c. Instruct mother to keep their babies at home to prevent disease transmission

d. Instruct mothers to feed their babies adequately to enhance their babies resistance

20. A mother brought her 10 month old infant for consultation because of fever which started 4 days
prior to consultation. To determine malaria risk, what will you do?
a. Do a tourniquet test

b. Ask where the family resides (Palawan, sultan kudarat, davao etc. are place that has endemic
malaria cases)

c. Get a specimen for blood smear

d. Ask if the fever is present everyday

21. Which of the following signs indicates the need for sputum examination for AFB (Acid Fast
Bacillus)?

a. Hematemesis

b. Fever for 1 week

c. Cough for 3 weeks (suspected PTB 2 wks or more fever for 1 month , hemoptysis and others)

d. Chest pain for 1 week

22. Which clients are considered targets for DOTS (Directly Observed Treatment Short-course)
category?

a. Sputum negative cavitary cases

b. Clients returning after default

c. Relapses and failures of previous PTB treatment regimens

d. Clients diagnosed for the first time through a positive sputum exam

23. To improve compliance to treatment, what innovation is being implemented in DOTS (Directly
Observed Treatment Short-Course)?

a. Having the health worker follow up the client at home

b. Having the health worker or a responsible family member monitor drug intake

c. Having the patient come to the health center every month to get his medications

d. Having a target list to check on whether the patient has collected his monthly supply of drugs

24. A 32 year old client came for consultation at the health center with the chief complaint of fever
for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of
fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters
about 2 weeks before the onset of symptoms. Based on this history/ which disease condition will you
suspect?

a. Hepatitis A

b. Hepatitis B

c. Tetanus
d. Leptospirosis

25. Which is the BEST control measure for AIDS? a. Being faithful to a single sexual partner

b. Using a condom during each sexual contact

c. Avoiding sexual contact with commercial sex workers

d. Making sure that one's sexual partner does not have signs of AIDS

26. A nurse in a health care clinic is preparing to conduct a nutritional session with a group of
culturally diverse pregnant women. At the first session the nurse will be meeting with each client
individually. The nurse prepares a list of items to be included in the session and lists which item as the
first priority?

a. Review the MyPyramid food guide.

b. Weigh each client and ask the client to document the weight on a progress chart.

c. Discuss the costs of food items.

d. Identify the food preferences and methods of food preparation for each client.

27. A nurse in community health contacts three individuals who have had sexual encounters with an
individual recently diagnosed with syphilis. The concept basic to community-oriented nursing practice
that is best described by this intervention is:

a. community.

b. community as client.

c. individual as client.

d. partnership.

28. The nurse in community health uses information about family structure, household composition,
marriage, divorce, birth, death, adoption, and other family life events to forecast and predict stresses
and developmental changes experienced by families and identify possible solutions to family challenges.
This best describes the study of:

a. family demographics.

b. family functions.

c. family health.

d. family resilience.

29. When applying the nursing process to environmental health, the community health nurse would:

a. conduct a focused assessment on the presenting problem.

b. coordinate interventions with the physician only.

c. examine criteria that include only the client's immediate response.

d. include outcome measures that mitigate and eliminate the environmental factors.

30. A nurse in community health is conducting an assessment on a family of four. During the course
of the assessment, the nurse collects information about previous generations of the family and siblings.
The results are used to create a diagram for the family that displays the family unit across generations.
Further discussions occur regarding the patterns of health and illness that relate to biological health
risks. The diagram is called:

a. an ecomap.

b. a family plan. c. a genogram.

d. a risk plot.

31. A nurse in community health who teaches a client with asthma to recognize and avoid exposure
to asthma triggers and assists the family in implementing specific protection strategies such as removing
carpets and avoiding pets is intervening at the level of:

a. assessment.

b. primary prevention.

c. secondary prevention.

d. tertiary prevention.

32. The Martinez couple have a 6-year old child entering school for the first time. The Martinez
family has a:

a. Health threat

b. Health deficit

c. Foreseeable crisis

d. Stress point

33. Which of the following is an advantage of a home visit?

a. It allows the nurse to provide nursing care to a greater number of people.

b. It provides an opportunity to do first hand appraisal of the home situation.

c. It allows sharing of experiences among people with similar health problems.

d. It develops the family’s initiative in providing for health needs of its members.

34. 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

a. Should save time and effort.

b. Should minimize if not totally prevent the spread of infection.

c. Should not overshadow concern for the patient and his family.

d. May be done in a variety of ways depending on the home situation, etc.

35, 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?

a. Descriptive b. Analytical

c. Therapeutic

d. Evaluation

36. Estimate the number of pregnant women who will be given tetanus toxoid during an
immunization outreach activity in a barangay with a population of about 1,500.

a. 265

b. 300

c. 375

d. 400

BONUS Answer (1500x3.5%) =52.5

37. To describe the sex composition of the population, which demographic tool may be used?

a. Sex ratio

b. Sex proportion

c. Population pyramid

d. Any of these may be used.

39. You are computing the crude death rate of your municipality, with a total population of about
18,000, for last year.

There were 94 deaths. Among those who died, 20 died because of diseases of the heart and 32 were
aged 50

years or older. What is the crude death rate? a. 4.2/1,000

b. 5.2/1,000 c. 6.3/1,000

d. 7.3/1,000

40. Civil registries are important sources of data. Which law requires registration of births within 30
days from the occurrence of the birth?

a. P.D. 651
b. Act 3573

c. R.A. 3753

d. R.A. 3375

41. Integrated Management of Childhood Illness (IMCI) is promulgated by the UNICEF together with
DOH in order to properly treat common childhood diseases usually in the

a. Hospital

b. Community

c. Clinic

d. School

42. A 2-year old boy was brought by his mother to the health center for a regular yearly check-up. As
a nurse in the health center you are going to observe first for the general danger signs. All but one is the
danger sign.

a. Lethargic or unconscious

b. The child has had convulsions c. There is bulging fontanel

d. The child vomits everything he eats

43. If the child presents with no symptoms of the general danger signs the next thing to do is assess
for

a. fever.

b. cough or difficulty of breathing.

c. anemia or malnutrition.

d. ear infection.

44. When observing the 2-year old child for signs of pneumonia you documented that the child is
having 45 breaths/min, there is chest indrawing and stridor.

You are going to classify this as

a. cough or colds.

b. pneumonia.

c. no pneumonia.

d. severe pneumonia or very severe disease.

45. This is one way of diagnosing dengue hemorrhagic fever wherein you are going to use a
sphygmomanometer on the arm of the patient and count the number of rashes upon its inflation. This is
known as

a. Rumpel Leede’s test

b. ELISA test

c. Blood smear

d. BP test

46. When assessing the child who is having diarrhea you observed that the child is restless, has
sunken eyes, and is thirsty and drinking eagerly while the skin pinch goes back slowly. You are going to
classify this as

49. A mother brought her child to the health center and you observed that the child has stiff neck
and is having convulsions. They are living in a malaria endemic area. You are going to classify this as?

a. Malaria

b. Very severe febrile disease

c. No malaria

d. Measles

50. If the child is under the pink category of malaria which antimalarial would be best for the child
for initial treatment?

a. Quinine

b. Sulfadoxine

c. Primaquine

d. Artemeter-Lumefantrine

a. Some dehydration

b. Severe dehydration

c. Moderate dehydration

d. No dehydration

47. If you are going to check for the skin pinch of the child or the skin turgor, where is the best area
to check for this?

a. Forearm
b. Thigh

c. Cheek

d. Abdomen

48. When asking the mother for the history of the child’s diarrhea the mother tells you that her child
defecates with

blood in the stool. You will suspect for what type of infection?

a. Typhoid fever b. Dysentery

c. Cholera

d. Acute gastroenteritis