1.

The essential care made universally available and accessible to individuals and families in the community by means acceptable to them and at a cost that the community and country can afford is termed by the World Health Organization (WHO) as: a. Health Promotion b. Public health nursing c. Primary health care d. Community health nursing Question was not answered PHC is defined by the WHO as the essential care made universally available and accessible to individuals and families in the community by means acceptable to them and at a cost that the community and country can afford. Public Health is defined as science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment. Community health nursing is defined as a service rendered by a professional nurse with communities, groups, families, individuals at home, in health centers, clinics, schools, places of work for promotion of health, prevention of illness and care of the sick at home and rehabilitation. 2. In a certain area, a district hospital is providing care given by physicians with basic health training. Minor surgeries and some simple laboratory examinations are executed also in this hospital. Basing on the given data this facility is of what level? a. Primary b. Secondary c. Tertiary d. B and C Question was not answered Secondary levels are providing care given by physicians with basic health training. A primary level of care is devolved to the cities and the municipalities where the health care provided is given by center physicians, PHNs, rural health midwives and barangay health workers. Tertiary level of care is rendered by specialists in health facilities. 3. The Philippine Heart Center is under what level of health care? a. Primary b. Secondary c. Tertiary d. B and C Question was not answered Tertiary level of care is rendered by specialists in health facilities. Secondary levels are providing care given by physicians with basic health training. A primary level of care is devolved to the cities and the municipalities where the health care provided is given by center physicians, PHNs, rural health midwives and barangay health workers. 4. Public health nurses have various functions in the field. Bringing activities or group systematically into proper relation and harmony with other is under what function of a public health nurse? a. Management function b. Nursing care function c. Supervisory function d. Collaborating and coordinating function Question was not answered Bringing activities or group systematically into proper relation and harmony with other is implementing collaborating and coordinating function of a public health nurse. 5. During a meeting, the public health nurse together with the other barangay health workers and midwives, are developing evaluation parameters. In a nursing process, the public health nurse and her subordinates are going through what step? a. Assessment

b. Planning nursing action c. Implementation of planned care d. Evaluation of care and services rendered

Question was not answered Developing parameters for evaluation is under the planning phase. Assessment phase involves data collection, initiation of contact, analyzing and interpreting data. In the implementation of care what is planned is put into action. In the evaluation of care part, the performance is appraised and identification of needed alterations is done. 6. During what phase of nursing process do data analysis and interpretation is done and mutual trust and confidence is developed? a. Assessment b. Planning nursing action c. Implementation of planned care d. Evaluation of care and services rendered Question was not answered Assessment phase involves data collection, initiation of contact, analyzing and interpreting data. Mutual trust and confidence is important in this step to obtain the needed data. 7. Coordinating care and services and the utilization of community resources is under what step in the nursing process? a. Assessment b. Planning nursing action c. Implementation of planned care d. Evaluation of care and services rendered Question was not answered In the implementation of care what is planned is put into action. Care and services are put into action, community resources are utilized and provided health services are monitored and supervised. 8. There are three classic frameworks from which nursing care is delivered which an improvement in any of the three tends to produce a favorable change in the two. Physical settings, instrumentalities and conditions are all part of what element? a. Structural elements b. Outcome elements c. Process elements d. Planned elements Question was not answered Structural elements include physical settings, instrumentalities and conditions. Process elements include steps of the nursing process itself and outcome elements are changes in the clients health status that result from nursing intervention. 9. Mang Binoy was diagnosed with diabetes Type II. In one of the public health nurses visit she encouraged Mang Binoy to execute regular exercise and observe his diet. Compliance with treatment regimen was also stressed out. After a month the clients condition was improved due to strict treatment compliance. This is under which framework? a. Structural elements b. Outcome elements c. Process elements d. Planned elements Question was not answered Outcome elements are changes in the clients health status that result from nursing intervention. 10. Home visit allows a public health nurse to assess the home and family situations in order to provide the necessary nursing care. Public Nurse Chedie knows that principles are involves in preparing for a home visit. Which of the following least likely describe the principles in home visit preparation?

a. A home visit should have a purpose b. Before a home visit is done a family record should be read c. Delivery of the care involves all the members of the family d. The plan for a home visit should be time bounded.

Question was not answered A home visit should be flexible. Being time-bounded is not included in its principles. 11. Which of the following shows the correct sequence of steps in a home visit? a. Greet the patient and introduce self, state purpose of visit, perform bag technique, perform nursing care, make an appointment for a return visit, document data b. Greet the patient and introduce self, perform bag technique , state purpose of visit, perform nursing care, make an appointment for a return visit, document data c. Greet the patient and introduce self, perform nursing care, document data, perform bag technique, make an appointment for a return visit, document data d. Greet the patient and introduce self, state purpose of visit, perform bag technique, perform nursing care, document data and make an appointment for a return visit Question was not answered Greet the patient and introduce self, state purpose of visit, perform bag technique, perform nursing care, document data and make an appointment for a return visit 12. In caring for a sick individual in a home isolation technique should be implemented. Which of the following correctly describes this technique at a home? a. All soiled articles with discharges should be boiled in water 30 minutes before laundering. b. Articles used by the patient can be placed in a hamper used by all members of the family. c. The one caring for the sick individual should be drinking antibiotics. d. All articles with discharges from the patient should be burned. Question was not answered All articles soiled with patients discharges should be boiled in water 30 minutes before laundering. Articles of the patient should not mix with the other members of the family. The one caring for the sick should wear a gown used only inside the patients room. 13. Health risk profile is a component of analysis. Behavioral risk assessment includes the following except: a. Dietary habit b. Low educational level c. Smoking d. Sedentary lifestyle Question was not answered Behavioral health risk assessment include dietary habits and other lifestyle concerns. Low educational level is a social indicator. 14. Organizations are working together with groups to deal with community issues. This type of organizational structure is typically noted in: a. Coalition b. Grass-roots c. Networks and consortia d. Citizen panels Question was not answered when organizations are working together with groups to deal with community issues a coalition is organized structurally. Grass-roots are informal structures in the community like the neighborhood residents. Networks and consortia develop because of certain concerns. Citizen panels are organized by group of citizens about 5-10 to form a partnership with a government agency.

15. A group of neighborhood residents organized a structure to deal with some matters in the community. This is what type of organizational structure? a. Coalition b. Grass-roots c. Networks and consortia d. Citizen panels Question was not answered Grass-roots are informal structures in the community like the neighborhood residents. When organizations are working together with groups to deal with community issues a coalition is organized structurally. Networks and consortia develop because of certain concerns. Citizen panels are organized by group of citizens about 5-10 to form a partnership with a government agency. 16. Mr. Dela torre is leading a group of about 5-10 citizens to create a partnership with the government agency. This is an organizational structure called: a. Coalition b. Grass-roots c. Networks and consortia d. Citizen panels Question was not answered Citizen panels are organized by group of citizens about 5-10 to form a partnership with a government agency. Grassroots are informal structures in the community like the neighborhood residents. When organizations are working together with groups to deal with community issues a coalition is organized structurally. Networks and consortia develop because of certain concerns. 17. The guiding principle in health promotion efforts is known as: a. Rural Health Law b. Local Government Code c. Ottawa Charter d. Triple Whammy Question was not answered Ottawa charter for health promotion was adopted by 212 participants from 38 countries which defines health promotion broadly as the process of enabling people to increase control aver and to improve their health. Rural Health Law or EO 288 is a reorganization act that created 8 regional health offices. A triple whammy consists of an epidemiologic shift, SARS and Avian Flu that in one brought a devastating effect in the country years ago. 18. For health to be improved a foundation of which basic prerequisite should be secured? a. Shelter b. Peace c. Stable Ecosystem d. All of the above Question was not answered Prerequisites for health according to the Ottawa Charter are: peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice and equity. 19. The process of assisting individuals, acting separately or collectively to make informed decisions about matters that affects the personal health of self and others is termed as: a. Health promotion b. Health service c. Health education d. Primary health care Question was not answered

Health education is the process of assisting individuals, acting separately or collectively to make informed decisions about matters that affects the personal health of self and others. Health promotion is the strategy between the people and their environment, using their personal choice and social responsibility in health. Primary health care is essential care made universally available and accessible to individuals and families in the community by means acceptable to them and at a cost that the community and country can afford. 20. The epidemiologic triangle consists of three components which are the following except: a. Host b. Mode of transmission c. Agent d. Environment Question was not answered The epidemiologic triangle consists of three components host, environment and agent. The model implies that each must be analyzed and understood for comprehensions and prediction of patterns of disease. 21. The organism that harbors and provide nourishment for another organism is called a: a. Host b. Mode of transmission c. Agent d. Environment Question was not answered The HOST is any organism that harbors and provides nourishment for another organism. 22. The strategy between the people and their environment, using their personal choice and social responsibility in health is known as: a. Health promotion b. Health service c. Health education d. Primary health care Question was not answered Health promotion is the strategy between the people and their environment, using their personal choice and social responsibility in health. Primary health care is essential care made universally available and accessible to individuals and families in the community by means acceptable to them and at a cost that the community and country can afford. Health education is the process of assisting individuals, acting separately or collectively to make informed decisions about matters that affects the personal health of self and others. 23. The following is a part of intrinsic factor that may cause a disease to occur: a. Climate b. Flora c. Occupation d. Food handling Question was not answered Intrinsic factors are inherent and basic influences that can cause en exposure, susceptibility or response to agents. Included in these factors are genetic, age, sex, ethnic group, physiologic, immunologic, inter-current disease, human behavior (E.g. food handling, personal hygiene). Extrinsic factors are environmental factors such as physical environment (climate), biologic environment (flora), and socio-economic environment (occupation). 24. Extrinsic factors are the enumerated choices apart from: a. Climate b. Flora c. Occupation d. Food handling Question was not answered

Extrinsic factors are environmental factors such as physical environment (climate), biologic environment (flora), and socio-economic environment (occupation). 25. The sum total of all external condition and influences that affects the development of an organism pertains to: a. Infectious agents b. Biological environment c. Environment d. Socio-economic environment Question was not answered Environment is the sum total of all external condition and influences that affects the development of an organism. Biological and socio-economic together with physical environment are components of this. 1. The health of individuals and communities are affected by a combination of factors. Based on the World Health organizations list of heath determinants, which of the following incorrectly affects the health of an individual? a. Higher salary b. Traditions c. Low educational level d. Intelligence Question was not answered The factors affecting health according the WHO are: income and social status, education, physical environment, employment and working conditions, social support networks, culture, genetics, personal behavior and coping, health services and gender. 2. The core business of the public health includes which of the following? a. Health protection b. Epidemiological surveillance c. Research d. Health situation analysis Question was not answered The core businesses of public health are disease control, injury prevention, health protection, health public policy and health promotion. B, C, and D are essential functions of Public Health. 3. The core business of the public health cannot be achieved without the proper delivery of essential functions. In the implementation of these functions the following are implemented apart from: a. Government implementation of all functions b. Implementation through governmental and non-governmental organizations c. Private sectors can also implement the said function d. Coordination of public health system through different infrastructures Question was not answered For the essential functions to be adequately delivered, implementations may be achieved through other governmental agencies and non-governmental organizations or private sectors. Governments do not necessarily have to implement or finance these functions themselves. 4. A law that was the key in creating the first 81 rural health units is: a. E.O. 288 b. E.O. 102 c. R.A. 1082 d. R.A. 7160 Question was not answered It is also known as the Rural Health Law. EO 288 is a reorganization act that created 8 regional health offices. E.O. 102 is the Redirecting the functions and operations of the DOH signed by President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code.

5. Which law mandates the DOH to provide assistance to LGUs, peoples organization and other members of civic society in effectively implementing programs, projects and services in the promotion of health? a. E.O. 288 b. E.O. 102 c. R.A. 1082 d. R.A. 7160 Question was not answered It is also known as the Rural Health Law. EO 288 is a reorganization act that created 8 regional health offices. E.O. 102 is the Redirecting the functions and operations of the DOH signed by President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code. 6. The Philippine Health Care Delivery System has two sectors. The public sector is further divided into two categories, national and local. On the items given select all the agencies that belong to the national health system. A. Philippine General Hospital B. Rural health unit C. District hospitals D. regional hospital E. medical center F. Barangay health station G. Provincial hospital a. A, C, E, F b. D, E, F, G c. B, C, D, G d. A, C, D, E Question was not answered At the national level, the DOH is mandated as the lad agency. Under this health system is the specialty, regional and medical hospitals. Philippine General Hospital is also part of this sector. 7. Act No. 2156 which consolidated the municipalities into sanitary divisions and established the health fund for travel and salaries is known as: a. Fajardo Act b. Jones Law c. Philippine Health Service d. Rural Health Law Question was not answered Act No 2156 is also known as the Fajardo Act. Jones Law is also known as the Philippine Autonomy Act. Act No. 2468 is the Philippine Health service. Rural Health Law is EO 102. 8. The most sweeping reorganization in history of DOH due to the decentralization of government services on February 20, 1958 is known as: a. E.O. 288 b. E.O. 102 c. R.A. 1082 d. R.A. 7160 Question was not answered EO 288 is a reorganization act that created 8 regional health offices which is described as the most sweeping reorganization in the history of the department. E.O. 102 is the Redirecting the functions and operations of the DOH signed by President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code. EO 102 also known as the Rural Health Law. 9. The DOHs specific role in the health sector. Serving as an advocate in the adoption of health policies, plans and programs to address the national and sectoral concerns is an example of which role? a. enabling and building capacity b. administrator of specific services c. leadership in health d. all of the above Question was not answered

A, B, C are the roles of the DOH as the national authority. However, serving as an advocate in the adoption of health policies, plans and programs to address the national and sectoral concerns is an example of a leadership role thus, C is the best choice. 10. Health Sector Reform Agenda (HSRA) is the overriding goal of the DOH. The reform is established because although there has been a significant improvement in the health status of the Filipinos negative conditions are still seen among the population which does not include: a. Slowing down in the reduction in the Infant Mortality Rate (IMR) b. Increase reduction of Maternal Mortality Rate (MMR) c. Rising Burden from chronic diseases d. Unattended emerging health risks from environmental and work related factors Question was not answered If there is an increase in the reduction of maternal mortality no health reform is needed because the mortality rates are decreasing at a faster phase, thus, B is the correct answer. A, C, and D are all negative statements in response to health among Filipinos thats why a reform is needed. 11. In the implementation of Health Sector Reform Agenda (HSRA) a FOURmula ONE for Health is designed. One of the main feature in this strategy is the joint of the National Health Insurance Program (NHIP) which supports the elements of strategy in terms of the following except: a. Financing b. Governance c. Regulation d. Health service delivery Question was not answered The National Health Insurance Program (NHIP) supports the implementation of the health reform in terms of finances, governance and regulation but not the delivery of the heath services. 12. The DOH espoused an Inter Local Health system to ensure quality of health care service at the local level. It is a system where individuals, communities and all other health care providers in a specific geographical area participate together in providing quality equitable and accessible health. An Inter Local Health Zone (ILHZ) is a clustered municipality and is comprised of: a. DOH and private sectors b. Secondary level facilities only c. Central referral hospital and primary level facilities d. DOH and secondary level facilities Question was not answered In an Inter Local Health system (ILHS) the municipalities are clustered into Inter Local Health Zone (ILHZ). Each ILHZ has a defined population in a specific geographical area and is comprised of a central referral hospital and a number of primary level facilities (RHUs and barangay health stations). 13. The World Health Organization defines public health as: a. Science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment. b. The art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest number. c. A state of complete physical, mental and social well being and not merely the absence of disease or infirmity. d. A service rendered by a professional nurse with communities, groups, families, individuals at home, in health centers, clinics, schools, places of work for promotion of health, prevention of illness and care of the sick at home and rehabilitation. Question was not answered

A. Science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment. definition of Public Health by Dr. C.E. Winslow B. The art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest number. by WHO C. A state of complete physical, mental and social well being and not merely the absence of disease or infirmity. definition of health by WHO D. A service rendered by a professional nurse with communities, groups, families, individuals at home, in health centers, clinics, schools, places of work for promotion of health, prevention of illness and care of the sick at home and rehabilitation. definition of community health nursing by Ruth Freeman 14. Public health systems in the Philippines are operating within a context of ongoing changes resulting to number of pressures in the delivery of health services. These changes least likely include: a. Health reforms b. Technological advances c. Shifts in demographic and epidemiological trends in diseases d. Customs and traditions Question was not answered The changes that cause pressures on the delivery of health services are shifts in demographic and epidemiologic trends in diseases (A), new technologies(B), globalization and health reforms(C). Customs and traditions are health determinant thus, D is the correct answer. 15. Which of the following Millennium Development Goals (MDGs) is not health related? a. Combat HIV/AIDS, malaria and other disease b. Achieve universal primary education c. Reduce child mortality d. Ensure environmental sustainability Question was not answered Millennium Development Goals (MDGs) are: Eradicate extreme poverty and hunger Achieve universal primary education Promte gender equality and empower women Reduce child mortality Combat HIV/AIDS, malaria and other disease Ensure environmental sustainability Develop a global partnership for development Except for goals 2 and 3, all the MDGs are health or health related. Thus, B is the correct answer. 16. An indispensible and essential equipment of a public health nurse during her home visit is: a. Black umbrella b. Bag technique c. Public health bag d. Thermometer Question was not answered A public health bag is an indispensible and essential equipment of a public health nurse which she has to carry along during her home visits. 17. What is the primary reason or rationale of performing bag technique? a. To minimize if not prevent the spread of infection. b. To save time and effort in the performance of nursing procedures. c. To promote ease and dexterity in implementing procedures. d. To render effective nursing care to the client. Question was not answered All of the given items in the options are goals in performing a bag technique however, the most important rationale of utilizing the bag technique is to prevent the spread of infection. 18. The following items are found inside a public health bag except: a. Apron b. Stethoscope c. Tape measure

d. Acetic acid

Question was not answered Sphygmomanometer and stethoscope are carried separately. 19. Which item demonstrates the correct steps in bag technique: a. Place bag on table, wash hands, wear apron, close the bag, perform nursing care and treatment b. Place bag on table, wear apron, wash hands, put out needed articles, close the bag c. Wash hands, place bag on table, wear apron, put out needed articles, nursing care d. Place bag on table, wash hands, wear apron, put out needed articles, close the bag, nursing care Question was not answered The nurse places the bag first on the table then asks for a basin of water for hand washing. The apron is then worn and the needed items are placed in a specific area. Before the nursing care and treatment is done, the bag should be closed first. 20. During one of Nurse Diannes home visit to Family Alonzo, she learned that the clients first child lacks immunization. This situation is a: a. Health deficit b. Foreseeable crisis c. Health threat d. Health problem Question was not answered A health threat is a condition that promotes disease or injury and prevents the people from realizing their health potential. Examples include, lack of immunization and inappropriate role assumption. Health deficits are gaps between actual and achievable health status such as no regular checkup and history of repeated infections. Foreseeable crises are stressful events such as death or illness of a family member. A health problem is a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures. 21. The youngest sibling of Family Alonzo was coughing and upon assessment has a fever. The mother told Nurse Diane that the child has had two incidents of pneumonia within the year. This is a: a. Health deficit b. Foreseeable crisis c. Health threat d. Health problem Question was not answered Health deficits are gaps between actual and achievable health status such as no regular checkup and history of repeated infections. A health threat is a condition that promotes disease or injury and prevents the people from realizing their health potential. Examples include, lack of immunization and inappropriate role assumption. Foreseeable crises are stressful events such as death or illness of a family member. A health problem is a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures. 22. The neighbor of Family Alonzo has been grieving due to the death of their mother from pregnancy complications. Nurse Diane understands that this event is a: a. Health deficit b. Foreseeable crisis c. Health threat d. Health problem Question was not answered Foreseeable crises are stressful events such as death or illness of a family member. Health deficits are gaps between actual and achievable health status such as no regular checkup and history of repeated infections. A health threat is a condition that promotes disease or injury and prevents the people from realizing their health potential. Examples include, lack of immunization and inappropriate role assumption. A health problem is a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures.

23. In the collection of data various methods are employed by a public health nurse. Which is not included in these methods? a. Community surveys b. Individual and family health records c. Developing an operational plan d. Observation of health-related behaviors of individuals and family groups Question was not answered Developing an operational plan is part of the planning phase not the data collection phase. 24. One of the areas where a Public Health Nurse functions is disease surveillance. What is disease surveillance? a. A continuous collection and analysis of data of cases and death b. An on-going interpersonal process in which the nurses and the clients are viewed as a system. c. A declaration of purpose or intent that gives essential direction to an action. d. An estimate of the degree to which a family, group or community is achieving the level of health possible for them. Question was not answered A- A continuous collection and analysis of data of cases and death Disease Surveillance B- An on-going interpersonal process in which the nurses and the clients are viewed as a system. Nursing Process definition C- A declaration of purpose or intent that gives essential direction to an action. Goal setting D- An estimate of the degree to which a family, group or community is achieving the level of health possible for them. assessment 25. Nurse Diane influenced the Sangguniang Bayan to ban smoking in public areas to minimize if not prevent the exposure of population to smoking. She is performing her role as: a. Educator b. Trainer c. Advocate d. Researcher Question was not answered Using her skills to create a supportive environment through policies and devising ways to make the environment clean for a healthier population is demonstrating advocacy.