CHN

Comprehensive
Review
By: Eduard Adrian C. Manuel R.N LFA
Community Health Nursing
• Focus on Populations:
Community health nurses work with specific groups, often defined by geographical areas,
demographics, or health issues, rather than individual patients.
• Preventive Care:
Emphasis on disease prevention, health promotion, and education to empower individuals
and communities to maintain and improve their health.
• Holistic Approach:
Nurses consider various factors affecting health, including socioeconomic, environmental,
and cultural influences.
• Interdisciplinary Collaboration:
Collaboration with other healthcare professionals, community organizations, and
government agencies to enhance community health outcomes.
• Culturally Competent Care:
Understanding and respecting the cultural, social, and economic backgrounds of the
community served.
• Health Education and Promotion:
Providing education on health topics, such as nutrition, hygiene, maternal and child
health, and chronic disease management.
• Research and Assessment:
Conducting assessments to identify community health needs and utilizing data to inform
health programs and interventions.
 Roles and Responsibilities

•Health Educator: Teach community members about health practices and available
resources.
•Care Coordinator: Help individuals navigate the healthcare system, ensuring they
receive the necessary services.
•Case Manager: Work with patients to develop and implement personalized care
plans.
•Public Health Advocate: Promote public health initiatives and policies that
enhance community health.
•Community Organizer: Engage with community members to build coalitions and
support systems.
Roles and Responsibilities

• Health Educator: Teach community members about health practices and available
resources.
• Care Coordinator: Help individuals navigate the healthcare system, ensuring they
receive the necessary services.
• Case Manager: Work with patients to develop and implement personalized care
plans.
• Public Health Advocate: Promote public health initiatives and policies that enhance
community health.
• Community Organizer: Engage with community members to build coalitions and
support systems.
Examples of Community
Health Nursing Activities

•Immunization Campaigns: Organizing and administering vaccines to

prevent outbreaks.
•Screening Programs: Conducting screenings for diseases like
diabetes, hypertension, and cancer.
•Maternal and Child Health Services: Providing prenatal and postnatal
care and support to families.
•Health Fairs and Workshops: Hosting events to raise awareness about
health issues and resources.
Challenges in Community
Health Nursing

•Resource Limitations: Limited funding and resources can

hinder the implementation of programs.
•Health Disparities: Addressing disparities in health
access and outcomes among different populations.
•Evolving Health Needs: Adapting to changing health
trends, such as those caused by pandemics or shifts in
demographic patterns.
Sample Question In CHN

In which step are plans formulated for solving

community problems?
A. Mobilization
B. Community organization.
C. Follow-up/extension
D. Core group formation
B. Community organization is the step when community
assemblies take place. During the community assembly, the
people may opt to formalize the community organization and
make plans for community action to resolve a community health
problem.
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.
• Answer: (C) To maximize the community’s resources in
dealing with health problems. Community organizing is
a developmental service, with the goal of developing
the people’s self-reliance in dealing with community
health problems. A, B are objectives of contributory
objectives to this goal.
• An indicator of success in community organizing is when
people are able to?

a. Participate in community activities for the solution of a

community problem.
b. Implement activities for the solution of the community
problem
c. Plan activities for the solution of the community problem
d. Identify the health problem as a common concern
• Answer: (A) Participate in community activities for the
solution of a community problem. Participation in community
activities in resolving a community problem may be in any of
the processes mentioned in the other choices.
terms related to health and
potential crises.
• Health Threat - any factor that poses a risk to the health of individuals or
populations.
• Health Deficit - This term typically refers to gaps in health status or healthcare
access that can affect an individual or community's overall health. It could encompass
issues such as lack of access to medical care, inadequate nutrition,
• Foreseeable Crisis - this could relate to an impending public health emergency,
such as a pandemic or a spike in chronic diseases due to lifestyle factors.
• Stress Point - Stress points can arise from various sources, including work-related
pressures, personal crises, or public health emergencies.
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:
A. Health threat
B. Health deficit.
C. Foreseeable crisis
D. Stress point
• Answer: (B) Health deficit. Failure of a family member to develop according to what is
expected, as in mental retardation, is a health deficit.
The de los Reyes couple have a 6-year old child entering school for the first time. The de
los Reyes family has a

A. Health threat
B. Health deficit
C. Foreseeable crisis.
D. Stress point
• Answer: (C) Foreseeable crisis. Entry of the 6-year old into school is an anticipated
period of unusual demand on the family.
As a newly appointed PHN instructed to organize Barangay Baritan, which of the following
is your initial step in organizing the community for initial action?

A. Study the Barangay Health statistics and records.

B .Make a courtesy call to the Barangay Captain
C. Meet with the Barangay Captain to make plans
D. Make a courtesy call to the Municipal Mayor
E. None of the above
• Ans: A. As a newly appointed Public Health Nurse (PHN), studying the Barangay
Health statistics and records would be the initial step in organizing the community for
initial action.
• Preparatory phase is the first phase in organizing the community. which of the
following is the initial step in the preparatory phase?

• A. Area selection.
• B. Make a courtesy call to the Barangay Captain
• C. Meet with the Barangay Captain to make plans
• D. Make a courtesy call to the Municipal Mayor
• E. None of the above
• . Area selection - The initial step in the preparatory phase is area selection. This
involves identifying and selecting the specific community or area that will be the
focus of the organizing efforts. The initial step in the preparatory phase is area
selection. This involves identifying and selecting the specific community or area that
will be the focus of the organizing efforts.
Mang ambo approaches you for counseling. You are an effective counselor if you?

A. Give good advice to Mang Ambo

B. identify Mang Ambo’s problems
C. Convince Mang Ambo to follow your advice
D .Help Mang Ambo identify his problems.
E. None of the above
• Help Mang Ambo identify his problems

An effective counselor should help the person seeking counseling to identify their own
problems.
• The most important factor in determining the proper area for community organizing is
that this area should

A. Be already adopted by another organization

B. Be able to finance the projects
C. Have problems and needs assistance.
D. Have people with expertise to be developed as leaders
E. None of the above
• it should have problems and needs assistance. This is because community organizing
aims to address and solve the issues and challenges faced by a community.
• In choosing a leader in the community during the Organizational phase, Which among
these people will you choose?

• A. Miguel Zobel, 50 years old, Rich and Famous

• B. Rustom, 27 years old, Actor
• C .Mang Ambo, 70, Willing to work for the desired change
• D. Ricky, 30 years old, Influential and Willing to work for the desired change.
• E. None of the above
• Ricky, who is 30 years old, influential, and willing to work for the desired change,
would be the best choice for a leader in the community during the Organizational
phase.
• Setting up Committee on Education and Training is in what phase of COPAR?

A. Preparatory
B. Organizational.
C. Education and Training
D. Intersectoral Collaboration
E. Phase out
• The correct answer is "Organizational" because setting up a Committee on Education
and Training involves the process of organizing and establishing the committee. This
phase focuses on creating the necessary structure, roles, and responsibilities
• The people named the community health workers based on the collective decision in
accordance with the set criteria. Before they can be trained by the nurse, the nurse
must first

A. Make a lesson plan

B. Set learning goals and objective
C. Assess their learning needs.
D. Review materials needed for training
E. None of the above
• The nurse must first assess the learning needs of the community health workers
before training them.
• Nurse Budek wrote a letter to PCSO asking them for assistance in their feeding
programs for the community’s nutrition and health projects. PCSO then approved the
request and gave Budek 50,000 Pesos and a truckload of rice, fruits and vegetables.
Which phase of COPAR did Budek utilized?

• A. Preparatory
• B. Organizational
• C. Education and Training
• D. Intersectoral Collaboration.
• E. Phase out
• Budek utilized the phase of Intersectoral Collaboration in COPAR. This phase involves
engaging and collaborating with different sectors or organizations to address
community issues and achieve common goals.
Major discussions in community organization are made by?

• A. The nurse
• B. The leaders of each committee
• C. The entire group
• D. Collaborating Agencies
• E. None of the above
• In community organization, major discussions are typically made by the entire group.
This means that all members of the community organization are involved in the
decision-making process and have an opportunity to contribute their ideas and
opinions.
Nurse Budek made a proposal that people should turn their backyard into small farming
lots to plant vegetables and fruits. He specified that the objective is to save money in
buying vegetables and fruits that tend to have a fluctuating and cyclical price. Which step
in Community organizing process did he utilized?

• A. Fact finding
• B. Determination of needs
• C. Program formation.
• D. Education and Interpretation
• E. None of the above
• Nurse Budek utilized the step of program formation in the community organizing
process. By making a proposal for people to turn their backyards into small farming
lots
• One of the critical steps in COPAR is becoming one with the people and
understanding their culture and lifestyle. Which critical step in COPAR will the Nurse
try to immerse himself in the community?
A. Integration.
B. Social Mobilization
C. Ground Work
D. Mobilization
E. None of the above
• The nurse will try to immerse himself in the community by integrating with the people
and understanding their culture and lifestyle. This step is crucial in COPAR as it allows
the nurse to build trust, establish rapport, and gain a deeper understanding of the
community's needs and challenges.