NP2 Rationale

Nursing Practice II Maternal and Child Nursing and Community Health Nursing _______
General Instructions:
1. This exam contains 100 test questions.
2. Shade only one (1) box for each question on your answer sheet. Two or more boxes
shaded will invalidate your answer.
3. Use No. 2 pencil.
4. AVOID ERASURES
PREBOARD EXAM
RN ULTIMATE DREAM
ONE TEAM, ONE GOAL
NURSING PRACTICE II
Maternal and Child Nursing and Community Health Nursing
Nursing Practice II
Community Health Nursing
1. Nurse Maria is a public health nurse at barangay Mabuhay. She is aware of the core
business of public health. This includes the following EXCEPT:
a. Disease control c. Epidemiological surveillance
b. Injury prevention d. Health protection
ANSWER: C
RATIONALE: According to Cuevas, the core business of public health are (1) Disease
control, (2) Injury prevention, (3) Health protection, (4) Health public policy including
those in relation to environmental hazards such as in the workplace, housing, food,
water, etc, (5) Promotion of health and equitable health gain. Epidemiological
surveillance/disease prevention and control is one of the essential functions of a public
health nurse.
SOURCE: Cuevas, F. et. al. (2007). Public Health Nursing in the Philippines. 10 th Edition
Manila: C&E Publishing Corporation p. 6
2. Nurse Maria identifies the health needs of her clients as a public health nurse. In
doing so, she is aware that there are different levels of clientele in a community health
nursing. Among them, which is considered as the basic unit of care in community health
nursing?
a. Individual c. Population group
b. Family d. Aggregate
ANSWER: B
RATIONALE: Maglaya stated there are different levels of clientele in community health
nursing --- the individual, family, population group, and community. The PHN deals with
Page 1 of 19
individuals----sick or well---- on a daily basis. The family is generally considered the

basic unit of care in community health nursing. A population or “aggregate” is a group of
people who share common characteristics, developmental stage or common exposure to
particular environmental factors, and consequently common health problems. The
community is a group of people sharing common geographic boundaries and/or common
values and interests.
SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

City: Argonata Corporation p. 5
3. Nurse James works in a factory as an occupational health nurse. He knows that the
health of people in the workplace is another important focus for community health
nursing practice. The following shows the leadership roles of an occupational health
nurse utilizing public health skills EXCEPT?
a. Assessment, planning, implementation, and evaluation of health programs.
b. Knowing the community’s demographic data on disease trends including morbidity
and mortality statistics
c. Development of a network of appropriate community resources
d. Health promotion and health prevention
ANSWER: D
RATIONALE: According to Cuevas, leadership roles of the nurse utilizing public health
skills includes Team Approach (A team of occupational health professionals assesses,
plans, implements, and evaluates health programs.); Community Assessment (Knows
the community’s demographic data on disease trends including morbidity and mortality
statistics.); Referral to Community Resources (The occupational health nurse enhance
their practice through the development of a network of appropriate community
resources.) Health promotion and health prevention principles are one of the essential
components of occupational health nursing.
Manila: C&E Publishing Corporation pp. 102-108
For questions 4 and 5:

Mang Landon is a 61 year-old government employee at Cavite. He visited the clinic
one day and asks if there are any laws which would apply for him. He stated that he is
not aware of any laws and that he would be grateful to you if you would inform him. You
know that R.A. 7305 and R.A.7432 are some laws that would be applicable.
4. Republic Act 7305 is known as:

a. Magna Carta for Public Health Workers c. The Generics Act
b. The Family Code of the Philippines d. Senior Citizens Act
ANSWER: A
RATIONALE: Republic Act 7305 – is known as Magna Carta for Public Health Workers.
The act aims to promote and improve the social and economic well-being of health
workers; develop their skills and capabilities; and encourage those qualified to remain in
government service.
Page 2 of 19
5. Republic Act 7432 is known as:

a. National Health Insurance Act c. Local Government Code
b. Magna Carta for Public Health Workers d. Senior Citizens Act
ANSWER: D
RATIONALE: Republic Act 7432 – Maximize the Contribution of Senior Citizens to

National Building, Grant Benefits and Special Privileges. It entitles the elderly to a twenty
percent (20%) discount to all public establishments and free medical and dental check
up and hospitalization in all government hospitals.
6. Michelle, a public health nurse assigned at barangay Panapaan, knows that

epidemiology is one of the important tools in assessing the community’s health needs.
She understands what epidemiology is when she defines it as:
a. The science which deals with the study of the human population’s size, composition
and distribution space.
b. The process whereby the community members develop the capability to assess their
health needs and problems, plan and implement actions to solve problems, put up and
sustain organizational structures which will support and monitor implementation of health
initiatives by the people.
c. The study of occurrences and distribution of diseases as well as the distribution and
determinant of health states or events in specified population, and the application of this
study to the control of health problems.
d. The blueprint of the care that the nurse designs to systematically minimize or
eliminate the identified health and family nursing problems through explicitly formulated
outcomes of care and deliberately chosen set of interventions, resources and evaluation
criteria, standards, methods and tools.
ANSWER: C
RATIONALE: According to Maglaya, Demography is the science which deals with the
study of the human population’s size, composition and distribution space.
Epidemiology is the study of occurrences and distribution of diseases as well as the
distribution and determinant of health states or events in specified population, and the
application of this study to the control of health problems.
Community organizing is the process whereby the community members develop the
capability to assess their health needs and problems, plan and implement actions to
solve problems, put up and sustain organizational structures which will support and
monitor implementation of health initiatives by the people.
A family nursing care plan is he blueprint of the care that the nurse designs to
systematically minimize or eliminate the identified health and family nursing problems
through explicitly formulated outcomes of care and deliberately chosen set of
interventions, resources and evaluation criteria, standards, methods and tools.
Page 3 of 19

City: Argonata Corporation p. 85, 171, 178, 195
7. Nurse Aida is assessing the health needs of Brgy. 678 where she was assigned. She
gathers the demographic data of the community. She is aware that demographic
information can be obtained from a variety of sources but the most common come from
the following EXCEPT:
a. Census c. Population Size
b. Sample Surveys d. Registration Systems
ANSWER: C
RATIONALE: According to Maglaya, demographic information can be obtained

from a variety of sources but the most common come from census, sample surveys and
registration systems. Population size simply refers to the people in a given place or area
at a given time.

City: Argonata Corporation pp. 171-172
8. This shows the relationship between a vital event and those persons exposed to the
occurrence of the said event, within a given area and during a specified unit of time; it is
evident that the person experiencing the event must come from the total population
exposed to the risks of the same event.
a. Rate c. General Rates
b. Ratio d. Specific Rate
ANSWER: A
RATIONALE: Rate shows the relationship between a vital event and those persons
exposed to the occurrence of the said event, within a given area and during a specified
unit of time; it is evident that the person experiencing the event must come from the total
population exposed to the risks of the same event. Ratio is used ton describe the
relationship between two numerical quantities or measures of events without taking
particular considerations to the time or place. General Rates refer to the total living
population. Specific Rate-the relationship is for a specific population class or group.
9. Nurse Leonida is the first contact of the patient in the health center, where she
screens cases according to the established program protocol. Nurse Jane acts as the
nurse-in-charge and supervises the work of Nurse Leonida. In the given situation, Nurse
Jane is a:
a. Public Health Nurse II c. Nurse VI
b. Public Health Nurse III d. Nurse VIII
ANSWER: B
RATIONALE: Public Health Nurse II is the first contact of the patient in the health center,
where she screens cases according to the established program protocol. Public Health
Page 4 of 19
Nurse III supervises, guides, coordinates and evaluates the work of her nurses. Nurse VI
manages and oversees the performance of a group of nurses assigned in a number of
health centers covered by a particular district or area.
Manila: C&E Publishing Corporation pp. 42-43
10. To be a Supervising Public Health Nurse or Nurse Supervisor at the Provincial City
Level, the following are qualifications EXCEPT:
a. Bachelor of Science in Nursing
b. Registered Nurse in the Philippines
c. Master’s Degree in Nursing
d. With atleast 2 years experience as a community health nurse
ANSWER: D
RATIONALE: According to David et al., the Qualifications to be a Supervising Public

Health Nurse/Nurse Supervisor at the Provincial City Level are Bachelor of Science in
Nursing, Registered Nurse in the Philippines, Master’s Degree in Nursing or Public
Health with atleast 5 years experience as a public health nurse.
SOURCE: David E., et al. (2007). Community Health Nursing: An Approach to Families
and Population Groups. Manila: Merriam and Webster Bookstore Inc. p.25
11. Nurse Michelle acted as a liaison between families and community systems to work
for policy and social change that will support and promote family health. As a community
health nurse, she is performing what role?
a. Client Advocate c. Care Provider
b. Counselor d. Facilitator
ANSWER: A
RATIONALE: According to David et al, Client Advocate – To assists families in identifying

and using community resources, she acts as a liaison between families and community
systems to work for policy and social change that will support and promote family
health.; Counselor – Problematic families seek the advice and assistance of the
community health nurse; Care Provider – The nurse is called upon to provide care to the
sick family member, as well as in disease prevention, health promotion and
maintenance; Facilitator – Remove barriers to care by making health services available
and accessible to the family.
and Population Groups. Manila: Merriam and Webster Bookstore Inc. pp.143-144
12. Formulating and implementing a supervisory plan, monitoring and evaluating

midwives’ performance in the implementation of public health programs are what
functions of a public health nurse?
a. Trainer c. Manager
b. Coordinator d. Supervisor
ANSWER: D
Page 5 of 19
RATIONALE: Trainer – participates in meeting the needs of midwives, student affiliates,

and other trainees; Coordinator – refers patients to other health personnel, health facility
or government agency; Manager – Monitors and evaluates the implementation of the
nursing service plan; Supervisor – Formulates a supervisory plan, implements a
supervisory plan, monitors and evaluates midwives performance in the implementation
of public health programs.
and Population Groups. Manila: Merriam and Webster Bookstore Inc. pp.23-24
13. As an advocate, Nurse Jean places the client’s rights as priority. She is aware that
advocacy work involves which of the following?
a. Obtaining a general information about the community
b. Coordination with the health team
c. Influencing public opinion
d. Prioritizing health conditions and problems
ANSWER: C
RATIONALE: According to Maglaya, obtaining general information about the community

is the aim of a comprehensive community diagnosis. Under Section 28 of RA 9173,
establishing linkages with community resources and coordination with the health team is
one of the duties of a nurse. Informing the people about the rightness of the cause;
influencing public opinion; and thoroughly discussing with the people the nature of the
alternatives, their content and possible consequences are part of advocacy work.
Prioritizing health conditions and problems is one of the steps in developing a family
care plan.

City: Argonata Corporation pp. 44, 85, 159, 203
14. According to the World Health Organization, the leading cause of mortality in the
Philippines in the year 2002 is which of the following?
a. Heart Diseases c. Leukemia
b. Lower respiratory tract infections d. Malignant Neoplasm
ANSWER: B
RATIONALE: According to the World Health Organization, the leading cause of mortality
in the Philippines in the year 2002 is Lower respiratory tract infection.
SOURCE: World Health Organization. Mortality Country Fact Sheet.

URL: http://www.who.int/whosis/mort/profiles/mort_wpro_phl_philippines.pdf
15. Nurse Nena is conducting a community diagnosis composed of Demographic

variables, Socio-economic variables, health and illness patterns, health resources and
political/leadership patterns. With these components, Nurse Nena is conducting what
type of community diagnosis?
a. Problem oriented Community Diagnosis
b. Comprehensive Community Diagnosis
Page 6 of 19
c. Population Focused Diagnosis

d. Individualized Nursing Diagnosis
ANSWER: B
RATIONALE: According to Maglaya (2005), Comprehensive community diagnosis aims

to obtain a general information about the community has elements composed of
Demographic variables, Socio-economic variables, health and illness patterns , health
resources and political/ leadership patterns.

16. Nurse Gloria is reviewing the vital statistics of the Barangay where she is assigned.
Upon reviewing the records, she noticed that there is an increased mortality rates in the
community. Mortality rates are categorized as what community health nursing problem?
a. Health Status Problem b. Health Resources Problem
b. Health Related Problem c. Health Perception Problem
ANSWER: A
RATIONALE: According to Maglaya (2005), an increased or decreased morbidity,

mortality, fertility, or reduced capability for wellness is described as health status
problems.

17. After implementation of the health program about diarrhea, Nurse Joel conducted an
evaluation of the program after 12 months. What type of evaluation did he utilize?
a. Ongoing Evaluation b. Terminal Evaluation
c. Ex-post evaluation d. Temporary Evaluation
ANSWER: B
RATIONALE: According to Maglaya (2005), Terminal Evaluation is undertaken from 6-12

months after the project completion. It is also a substitute for an Ex-post Evaluation of
projects with short duration.
SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4th Edition Marikina
18. Upon arrival of student nurses, they were tasked to visit the provincial health office to
conduct a courtesy call. In what phase of community organizing are the student nurses
currently at?
a. Pre –entry Phase b. Entry Phase
c. Core group Formation d. Organization Building
ANSWER: B
Page 7 of 19
RATIONALE: According to Palaganas (2003), Entry phase is composed of activities such

as integration with the community, conduct of courtesy calls, and provision of health
services and identification of potential leaders.
SOURCE: Palaganas (2003). Health Care Practice in the Community. Educational

Publishing House. P. 269
19. During the barangay official meeting, Nurse Elaine is discussing the alternatives the
community needs and current problems of the barangay. What role is Nurse Elaine
practicing?
a. Caregiver b. Role Model
c. Teacher d. Advocate
ANSWER: D
RATIONALE: According to Maglaya (2005), Advocacy work involves thoroughly

discussing with the people the nature of alternatives, their content and possible
consequences.
20. In the year 2009, the Department of Health launches a program which aims to help
save lives of pregnant women and children. It is a simple cost effective newborn care
intervention that can improve neonatal as well as maternal care. What is the title of the
program?
a. Newborn Screening b. Expanded Program on Immunization
c. Unang Yakap d. Garantisadong Pambata
ANSWER: D
RATIONALE: Department of Health launches a program entitled UNANG YAKAP. It is an

essentially newborn care which ensures a bright and healthy future for the newborns. It
is composed of evidenced base practice interventions that can improve neonatal as well
as maternal care
SOURCE: Department of Health (2010). Unang Yakap. Essential Newbown Care:

Protocol for Life. URL: http://www.doh.gov.ph/unangyakap/
21. Nurse Gio is conducting a study of the occurrences, distribution of diarrhea among
children, and their probable causes. What kind of study is he conducting?
a. Epidemiological Study b. Research Study
c. Scientific Study d. Experimental Study
ANSWER: A
RATIONALE: According to Cuevas (2007), Epidemiology is the study of occurrences and

distribution of diseases as well as the distribution and determinants of states or events in
specified population, and the application of the study to the control of health problems.
Page 8 of 19
SOURCE: Cuevas, F. et. al. (2007). Public Health Nursing in the Philippines. 10th
Edition Manila: C&E Publishing Corporation p. 62
Aling Nena is advised by their CHN to go at the health center for the immunization of her
6 weeks old baby.
22. Immunization is on what level of prevention?

a. Primary Prevention b. Secondary Prevention
c. Tertiary Prevention d. Fourth Prevention
ANSWER: A
RATIONALE: Primary prevention is directed to the healthy population, focusing on

prevention of emergence of risk factors and removal of the risk factors or reduction of
their levels. Specific measures include provision of immunization and prophylaxis to
vulnerable or at risk groups.
23. What vaccine will be given to Aling Nena’s baby?

a. BCG and DPT b. BCG and OPV
c. DPT and OPV d. BCG and Hep B
ANSWER: C
RATIONALE: In routine immunization schedule, 1st dose of DPT and OPV will be given
at the minimum age of 6 weeks.
24. After immunization, how many weeks does the CHN will instruct Aling Nena to return
to the health center?
a. 2 weeks b. 4 weeks
c. 6 weeks d. 8 weeks
ANSWER: B
RATIONALE: According to the routine immunization schedule, 2 nd dose of DPT and OPV
will administered at a minimum interval of 4 weeks.
25. When will the CHN consider Aling Nena’s baby a fully immunized child?
a. When a child receives 1 dose of BCG, 3 doses of OPV, and 3 doses of DPT.
b. When a child receives 1 dose of BCG, 3 doses of OPV,3 doses of DPT and 1 dose of
measles.
c. When a child receives 1 dose of BCG, 2 doses of OPV, 2 doses of DPT, 2 doses of
HB and one dose of measles before a child’s first birthday.
Page 9 of 19
d. When a child receives 1 dose of BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of
HB and one dose of measles before a child’s first birthday.
ANSWER: D
RATIONALE: A child is said to be “fully immunized child” when a child receives 1 dose of
BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of HB and one dose of measles before a
child’s first birthday.
26. Dave is a PHN for 2 yrs. He discusses to his colleagues R.A. 7305 which is the
Magna Carta for Public Health Workers. He is aware that the aims of this act are the
following EXCEPT:
a. Promote and improve the social and economic well being of health workers
b. Develop the skills and capabilities of health workers so that they will be more
responsive and better equipped to deliver health projects and programs.
c. Establish a national policy on population.
d. To encourage those with proper qualifications and excellent abilities to join and
remain in government service.
ANSWER: C
RATIONALE: According to Cuevas (2007), Republic Act 7305 aims to promote and
improve the social and economic well-being of health workers, their living and working
conditions and terms of employment; to develop their skills and capabilities in order that
they will be more responsive and better equipped to deliver health projects and
programs; and to encourage those with proper qualifications and excellent abilities to
join and remain in government service.
27. Being a public health nurse, Nurse Annie makes sure that there is sufficient supply,
distribution use and acceptance of drugs and medicines identified by their generic name
in their Barangay. This is in accordance with what law?
a. R.A. 6675 Generic Act b. R.A. 6425 Dangerous Drug Act
c. R.A. 8976 Philippine Food Fortification d. R.A. 8749 The Clean Air Act
ANSWER: A
RATIONALE: According to Cuevas (2007), R.A. 6675 the Generics act of 1998
promotes, requires and ensures the production of an adequate supply, distribution, use
and acceptance of drugs and medicines identified by their generics name.
Page 10 of 19
28. Jillian, a PHN at Barangay 831, has encountered financial insufficiency due to
calamities that hit their barangay. She must primarily ask for assistance on what
particular local government unit?
a. Office of the Mayor b. Municipal Health Board
c. Municipal Health Office d. DOH
ANSWER: C
RATIONALE: According to Maglaya (2005), the barangay health center is primarily under
the municipal health office in which the barangay can ask for their assistance during
crisis.
29. Student Nurses from LPU conducted an epidemiological study at Brgy. 831. Their
focus of study is on the amount and distribution of health and health problems within the
population of the barangay. This epidemiologic technique is known as:
a. Analytical epidemiology case-control method
b. Descriptive epidemiology
c. Analytical epidemiology cohort method
d. Experimental epidemiology
ANSWER: B
RATIONALE: According to David et al (2007), Descriptive Epidemiology focuses on the

amount and distribution of health and health problems within a population. The data will
help describe the characteristics of people who are protected from the disease and
those who have a disease.
and Population Groups. Manila: Merriam and Webster Bookstore Inc. p.224
30. The LPU student nurses conducted a home visit at Barangay 831. They are carrying
their CHN bag with them and they are aware that the steps in performing bag technique
actions are as follows:
1. Take the record and have a talk with the mother. Write down all the necessary
data that were gathered, observations, nursing care and treatment rendered.
2. Open the bag and take out all needed for the specific care then wash hands
using soap and water and wipe to dry.
3. Put out all necessary articles needed for the specific care then close the bag and
put it on one corner of the working area and proceed in performing the necessary
nursing care and treatment.
4. After giving the treatment, clean all things that were used and perform hand
washing then open the bag and return all things that were used in their proper places
after cleaning them.
a. 1,2,3,4 b. 2,3,4,1
c. 4,2,1,3 d. 3,4,2,1
ANSWER: B
Page 11 of 19
RATIONALE: According to Cuevas (2007), the steps in performing the bag technique
actions are as follows 2.Open the bag and take out all needed for the specific care then
wash hands using soap and water and wipe to dry, Put out all necessary articles needed
for the specific care then close the bag and put it on one corner of the working area and
proceed in performing the necessary nursing care and treatment, After giving the
treatment, clean all things that were used and perform hand washing then open the bag
and return all things that were used in their proper places after cleaning them, Take the
record and have a talk with the mother. Write down all the necessary data that were
gathered, observations, nursing care and treatment rendered.
31. The student nurses are aware that the purposes of home visit are the following
EXCEPT:
a. To give health teachings regarding the prevention and control of diseases
b. To make use of the inter referral system and to promote the utilization of
community services
c. To help the family regarding financial problems that is a hindrance in achieving a
healthy community
d. To give nursing care to the sick, to a post partum mother and her newborn with
the view to teach a responsible family member to give the subsequent care
ANSWER: C
RATIONALE: According to Cuevas (2007), the following are the purpose of home visit:
1. To give nursing care to the sick, to a post partum mother and her newborn with
the view to teach a responsible family member to give the subsequent care
2. To assess the living condition of the patient and his family and their health
practices in order to provide the appropriate health teaching.
3. To give health teachings regarding the prevention and control of diseases
4. To establish close relationship between the health agencies and the public for the
promotion of health
5. To make use of the inter referral system and to promote the utilization of
community services
32. Imarie, a PHN from Barangay Deparo, is formulating a staff development and training
program for midwives. She possesses what function of a PHN?
a. Nursing care function b. Management function
c. Collaborating and coordinating function d. Training function
ANSWER: D
RATIONALE: According to Cuevas (2007), Training function of a PHN includes

formulation of staff development and training programs for midwives and other auxiliary
workers.
Page 12 of 19
33. Bernadette a newly graduated RN is applying for a position as a school nurse in a preparatory
school, she is aware that the following are duties and responsibilities of a school nurse except.
a. Treatment of common ailments and attending to emergency cases
b. Health and nutrition assessment including other screening procedures such as vision and
hearing
c. Conducting parents and teachers meeting every grading
d. Recording and reporting of accomplishments
35.ANSWER: C
RATIONALE: According to Cuevas (2007), the following are duties and responsibilities
of the school nurses: Treatment of common ailments and attending to emergency cases,
Health and nutrition assessment including other screening procedures such as vision and
hearing, Recording and reporting of accomplishments except for Conducting parents and
teachers meeting every grading.
36. ANSWER: B
RATIONALE: According to Cuevas (2007), the focus of specialty of Occupational

Health Nursing is the preservation and restoration of the health of workers and working
populations.
ANSWER: B
RATIONALE: According to Cuevas (2007), secondary prevention includes early

detection and treatment of both work and non work related health problems constitutes a
major portion of health services available to workers. Screening and monitoring of
workers exposed to potential hazards and the affected communities posed by the
company hazards are carefully performed to comply with company policy and
government regulations.
ANSWER: C
RATIONALE: Sporadic type of occurrence is when a disease occurs every now and
then affecting only a small number of people relative to the population
SCENARIO: The center in a brgy. Is about to conduct a community health services and
the Community health nurse is in charge for that activity.
Page 13 of 19
ANSWER: A
RATIONALE: Steps in conducting community diagnosis to formulate accurate

intervention to the problem being identified are the following: Determining objective,
defining study population, determining data to be collected, collecting data, developing
the instrument, actual data gathering, data presentation , data analysis, identifying
community health nursing problems, priority setting.
ANSWER: B
RATIONALE: A, C and D are included in cultural factors except B
ANSWER: A
RATIONALE: Sex composition of the population computes for the sex ratio. The sex ratio
compares the number of ales to the number of females in the population
ANSWER: D
RATIONALE: According to Maglaya (2005), planning is futuristics, changed oriented,

continuous and dynamics process and systematic process
ANSWER: C
RATIONALE: According to Maglaya (2005), Organizations can commit and work

together in different ways through networking, coordination, cooperation, collaboration,
and coalition.
ANSWER: A
Page 14 of 19
RATIONALE: According to Stanhope, the following defines:

Accommodating- an individual neglects personal concerns to satisfy the concerns of
another
Collaborating- an individual attempts to work with other toward solutions that satisfy the
work
Competing- an individual pursues personal concerns at another’s expense
Compromising- an individual attempts to find a mutually acceptable solution that
partially satisfies both parties
SOURCE: Stanhope, M. (2004). Foundations of Nursing in the Community. 6th Edition.

Mosby Incorporated. P.445
ANSWER: D
RATIONALE: According to Public Health Nursing by Cuevas (2007), the specific aims
of the family health office are the following:
1. Improves the survival, health and well being of mothers and the unborn through a
package of service for the pre-pregancy, prenatal natal and postnatal stages
2. Reduce morbidity and mortality rates for children 0-9 years
3. Reduce mortality from preventable causes among adolescents and young people
4. Reduce morbidity and mortality of older persons and improve their quality of life
5. Reduce morbidity and mortality among Filipino adults and improves their quality of life
34. An OHN from Barlaan Marketing is conducting periodic physical examination for workers.
This is for the reason that the focus of this specialty is which of the following?
a) Betterment of the community
b) Preservation and restoration of the health of workers and working populations
c) Wellness and lifestyle modification of company workers
d) Long term rehabilitation of physically impaired patients
ANSWER: B
RATIONALE: According to Cuevas (2007), the focus of specialty of Occupational

Health Nursing is the preservation and restoration of the health of workers and working
populations.
35. Student Nurses from LPU had a tour at a company clinic where they met nurse Marie. The
student nurses are aware that the functions of nurse Marie as an OHN are the following EXCEPT:
a. Provide employees/workers an occupational health services and facilities.
b. Provide marketing strategy to the company
c. Provide control measures to reduce noise, dust, health services and facilities.
d. Prepares and submit yearly reports to the local and national government.
Page 15 of 19
36. As a means of prevention, Nurse Marie screens and monitors the workers as to their
exposure to potential hazard which is exposure to lead. This type of prevention can be
categorized as:
a. Primary b. Secondary
c. Tertiary d. None of the above
37. A community experienced diarrhea outbreak every June and December affecting
only a small number of people relative to the total population. What type of disease
occurrence is happening?
a. Pandemic c. Sporadic
b. Endemic d. Epidemic
38. To effectively provide appropriate intervention they must come up with

comprehensive diagnosis. Which of the ff has the correct step by step process?
a. Determining objective, defining study population, determining data to be collected,
collecting data, developing the instrument, actual data gathering, data presentation, data
analysis, identifying community health nursing problems, priority setting
b. Defining study population, determining objective, determining data to be collected,
developing instrument, collecting data, actual data gathering, data analysis, community
health nursing problem, priority setting, data presentation,
c. Determining objective, defining study population, determining data to be collected,
actual data gathering, data presentation, developing instrument, data analysis, data
presentation priority setting, identifying community health nursing problem
d. None of the above
39. Considering cultural diversities, which of the following is not included in variables that
may break up the people into groups within the community?
a. ethnicity, social class, religion, race, language, political orientation
b. lifestyle, norms and practices
c. cultural beliefs and practices that affect health
d. concepts about health and illness
40. While the nurses starts to brainstorm regarding their upcoming community health
service, the other nurse want to find out which sex composition needs more attention.
He is asking about the formula for ratio of sex. Which among the formula is correct?
a. Sex ratio is equal to no. of males divided by no. of females multiplied by 100
b. Sex ratio is equal to no. of female divided by no. of males multiplied by 1000
c. Sex ratio is equal to population size at later time divided by the no. of male multiplied
by 1000
d. Sex ratio is equal to population size divided by the no. of female plus male multiplied
by 100
41. Nurses of the barangay health center already identified their priority problem. What
comes next is planning .Which of the following should not be consider as its concept?
a. Planning is futuristic
b. Planning is changed oriented
c. Planning is a continuous and dynamic process
d. Planning is scientific process
Page 16 of 19
42. Nurses in the health center finishes their planning phase, in partnership with
community doctors and other health staff member they come up with specific goal .
According ICHSP to accomplish their goals much quicker they should work together.
Which of the following is not considered in the process?
a. Networking, coordination b. Cooperation, collaboration
c. Transportation, communication d. Coalition or collaboration
43. To be done to the client, as a professional nurse which type of conflict management should
Ana display to resolve the problem?
a. Collaborating b. Competing
c. Accommodating d. Compromising
44. Nurse Andie is aware that to improve the health of the family, she should be guided
by the public health programs. Which of the following statement is NOT included in the
specific aims of the family health office?
a. Reduce morbidity and mortality of older persons and improve their quality of life
b. Reduce morbidity and mortality among Filipino adults and improves their quality of life
c. Improves the survival, health and well being of mothers and the unborn through a
package of service for the pre-pregancy, prenatal natal and postnatal stages.
d. Increase the life span of every older person and reduce the risk of possible illnesses
44. ANSWER: C
RATIONALE: In order to engage in a partnership that is characterized as a mutually

growth promoting relationship, the partners need to internalize the following essential
ingredients: belief in egalitarian relationship, open mindedness, respect and trust, and
commitment to enhance each other’s capabilities for partnership.
45. ANSWER: B
RATIONALE: According to Cuevas (2007), administering of HepB vaccine is

intramuscular with dose of 0.5ml upper outer portion of the thigh.
46. ANSWER: C
RATIONALE: According to Stanhope (2004), age of the residents, gender distribution of

the residents, morbidity and mortality, socioeconomics characteristics, racial distribution,
vital statistics, community institution, and health personnel characteristics are included.
47. ANSWER: B
RATIONALE: According to Mosby, extended family defines as family includes relatives

in addition to the nuclear family.
Page 17 of 19
48. ANSWER: C
RATIONALE: According to Cuevas (2007), one of responsibility of the community

organizer is raising the level of the community regarding non-communicable disease.
45. Nerie, a community nurse, participates in implementing a vaccine administration in

their barangay. She is aware that Hep B is administered,
a. Subcutaneously with 0.5ml of dose upper outer portion of the thigh
b. Intramuscularly with 0.5ml of dose upper outer portion of the thigh
c. Intramuscularly with 0.5ml of dose outer part of the upper arm
d. None of the choices.
46. Nurse Ongby is about to collate data from their community. Which of the following
data is not included?
a. age of the residents, gender distribution of the residents, morbidity and mortality
b. socioeconomics characteristics, racial distribution, vital statistics
c. economic status, health perception, no. of siblings
d. community institution, health personnel characteristics
47. Mela a nurse interviewed one of the family member of aling Gloria, they are 6 in the
family with their anties and grandparents, Mela aware that this form of family is:
a. Traditional family b. Extended family
c. Nuclear family d. Blended family
48. Raising the level of the community regarding non-communicable disease is a

responsibility of which of the following?
a. Health care provider b. Health educator
c. Community organizer d. Health advocate
49. This indicator, actually reflects what is intended to reflect or if it measures what it is
supposed to measure?
a. Reliable b. Validity
c. Objective d. Specific
ANSWER: B
RATIONALE: According to Maglaya (2005), an indicator should be valid, reliable,

objective, sensitive, specific, cost effective, and timely. An indicator is valid is it actually
reflects what it is intended to reflect or if it measures what is supposed to measure.
50. In order to engage in a partnership that is characterized as a mutually growth

promoting relationship, the partners need to internalize the following essential
ingredients:
1. Belief in egalitarian relationship
2. Open mindedness
3. Respect and trust
Page 18 of 19
4. Commitment to enhance each other’s capabilities for partnership

5. Passion
a. 1,2,3,5 b. 1,2,3,4,5
c. 1,2,3,4 d. 1,3,4,5
Page 19 of 19

NP2 Rationale

Enviado por

Dados do documento

Título original

Direitos autorais

Formatos disponíveis

Compartilhar este documento

Compartilhar ou incorporar documento

Opções de compartilhamento

Você considera este documento útil?

Este conteúdo é inapropriado?

Direitos autorais:

Formatos disponíveis

NP2 Rationale

Enviado por

Direitos autorais:

Formatos disponíveis

Nursing Practice II Maternal and Child Nursing and Community Health Nursing _______

individuals----sick or well---- on a daily basis. The family is generally considered the

SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

For questions 4 and 5:

4. Republic Act 7305 is known as:

5. Republic Act 7432 is known as:

RATIONALE: Republic Act 7432 – Maximize the Contribution of Senior Citizens to

6. Michelle, a public health nurse assigned at barangay Panapaan, knows that

SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

RATIONALE: According to Maglaya, demographic information can be obtained

SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

RATIONALE: According to David et al., the Qualifications to be a Supervising Public

RATIONALE: According to David et al, Client Advocate – To assists families in identifying

12. Formulating and implementing a supervisory plan, monitoring and evaluating

RATIONALE: Trainer – participates in meeting the needs of midwives, student affiliates,

RATIONALE: According to Maglaya, obtaining general information about the community

SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

SOURCE: World Health Organization. Mortality Country Fact Sheet.

15. Nurse Nena is conducting a community diagnosis composed of Demographic

c. Population Focused Diagnosis

RATIONALE: According to Maglaya (2005), Comprehensive community diagnosis aims

SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

RATIONALE: According to Maglaya (2005), an increased or decreased morbidity,

SOURCE: Maglaya, A. (2005). Nursing Practice in the Community. 4 th Edition Marikina

RATIONALE: According to Maglaya (2005), Terminal Evaluation is undertaken from 6-12

RATIONALE: According to Palaganas (2003), Entry phase is composed of activities such

SOURCE: Palaganas (2003). Health Care Practice in the Community. Educational

RATIONALE: According to Maglaya (2005), Advocacy work involves thoroughly

RATIONALE: Department of Health launches a program entitled UNANG YAKAP. It is an

SOURCE: Department of Health (2010). Unang Yakap. Essential Newbown Care:

RATIONALE: According to Cuevas (2007), Epidemiology is the study of occurrences and

22. Immunization is on what level of prevention?

RATIONALE: Primary prevention is directed to the healthy population, focusing on

23. What vaccine will be given to Aling Nena’s baby?

RATIONALE: According to David et al (2007), Descriptive Epidemiology focuses on the

RATIONALE: According to Cuevas (2007), Training function of a PHN includes

RATIONALE: According to Cuevas (2007), the focus of specialty of Occupational

RATIONALE: According to Cuevas (2007), secondary prevention includes early

RATIONALE: Steps in conducting community diagnosis to formulate accurate

RATIONALE: A, C and D are included in cultural factors except B

RATIONALE: According to Maglaya (2005), planning is futuristics, changed oriented,

RATIONALE: According to Maglaya (2005), Organizations can commit and work

RATIONALE: According to Stanhope, the following defines:

SOURCE: Stanhope, M. (2004). Foundations of Nursing in the Community. 6th Edition.

RATIONALE: According to Cuevas (2007), the focus of specialty of Occupational

38. To effectively provide appropriate intervention they must come up with

RATIONALE: In order to engage in a partnership that is characterized as a mutually

RATIONALE: According to Cuevas (2007), administering of HepB vaccine is

RATIONALE: According to Stanhope (2004), age of the residents, gender distribution of

RATIONALE: According to Mosby, extended family defines as family includes relatives

RATIONALE: According to Cuevas (2007), one of responsibility of the community

45. Nerie, a community nurse, participates in implementing a vaccine administration in

48. Raising the level of the community regarding non-communicable disease is a

RATIONALE: According to Maglaya (2005), an indicator should be valid, reliable,

50. In order to engage in a partnership that is characterized as a mutually growth

4. Commitment to enhance each other’s capabilities for partnership

Você também pode gostar