NP1- COMMMUNITY HEALTH NURSING
Health centers
Situation: As a field of nursing practice, community
health nursing synthesizes nursing practice with public
health. The following questions apply. 1. Which of the
following does NOT apply public health principles? *
A. The nurse utilizes vital statistics and epidemiology
to describe the health status of the community.
B. Nursing is mainly directed to sick population who
seek consultation in the health center.
C. The nurse analyzes the determinants of health
needs and problems as basis in developing community
health programs
D. In preventing and controlling disease transmission
in the community, the nurse’s priority is to protect the
healthy population by instituting specific protection
measures against a disease.
2. The community health nurse as manager, leader and
supervisor best performs all these roles EXCEPT: *
A. Organizes and mobilizes the community in a
campaign to prevent and control endemic diseases
B. Assumes the Municipal health officer’s role in
his/her absence
C. Performs surgical and dental procedures during
medical missions
D. Plans, enhances and evaluates health skills of
midwives and auxiliary workers in the performance of
their jobs
 
3. Which among the following best describes the unit
of care in community health nursing? *
A. Mang Ben, a PTB patient enrolled in the DOTS
program
B. Children attending the day care center
C. The Guttierez family who just recently moved in to
Barangay Pulang Lupa after their house was
demolished in Barangay Siling Liit
D. Barangay Maasim where the Igorots have
traditionally lived for years
 
 
4. Settings for community health nursing practice
include which of the following? (Select all that apply) *
A. Client’s homes
B. Workplaces
C.
D. Clinics
D. District Hospital
F. Schools
 
5. Community health nurses are generalists in their
practice which means that: *
A. they should obtain a Master’s degree
B. they should be able to deal with all types of clients
with varied health conditions
C. they should be immersed in the community
D. they should use the nursing process
 
SITUATION: Nurse Ana is a novice nurse who just
passed the Nurses’ Licensure Examination. She was
hired as a PHN 1 in their rural health unit. 6. Which of
the following actions of Nurse Ana describes the
primary focus of community health nursing? *
A. Nurse Ana performs first aid measures on a child
who was bitten by a dog
B. Nurse Ana promotes healthy lifestyle through
health teachings about hygiene and nutrition
C. Nurse Ana assists in the consultation of patients in
the rural health unit
D. Nurse Ana conducts case finding activities
 
7. Nurse Ana understands that the unit of care in
community health nursing is the: *
A. individual
B, Family
C. Population group
D. Community as a whole
 
8. As a public health nurse, Nurse Ana functions as a
caregiver. Which of the following activities BEST
describe this PHN role? *
A. Teaching children about proper handwashing and
toothbrushing
B. Requisitioning supplies and equipment
C. Home visiting an postpartum woman and assessing
the umbilical cord of the newborn
D. Performing screening procedures
9. Nurse Ana’s role as a trainer includes: *
A. teaching a group of pregnant women about the
relief of minor discomforts
B. giving instructions to a client on how to use
crutches
C. conducting a seminar workshop on how conduct
focus group discussions to the community’s research
committee
D. supervising nursing students on BCG immunization
 
10. Nurse Ana also assumes the role of a role model as
BEST exemplified by: *
A. wearing complete uniform all the time
B. keeping herself physically fit to effectively promote
health
C. applying CHN principles
D. following strictly the physician’s orders
The nurse utilizes the nursing process in the care of the
community client. 11. Assessment of community
health status is traditionally determined through which
of the following? *
A. Population distribution and environmental health
conditions
B. Demographic characteristics
C. Mortality and morbidity statistics
D. Availability of health service facilities
12. The community people think that the increasing
incidence children who are undernourished should be
given utmost priority. In the prioritization of health
problems, this perception of the community pertains
to: *
A. Nature of the problem presented
B. Modifiability of the problem
C. Social concern
D. Magnitude of the problem
 
13. All but one are health related problems: *
A. Belief of the people that diseases are caused by evil
spirits
B. 40% of families do not have their own toilet facility
C. 60% of children below 6 years old have below
normal weight
D. Children are seen walking barefooted
 
14. In establishing the goal of care for the family,
which of the following is the most important thing to
consider? *
0/1
A. Goals and objectives should follow the SMART
format
 
B. Goals are mutually accepted by the nurse and the
family
C. Goals of care should be on the family approach
level
D. Goals and objectives should be formulated by the
nurse since the family nursing care plan is used by the
nurse
 
15. The development of evaluation parameters is done
during which phase of the CHN process? *
0/1
A. Assessment
B. Planning
C. Implementation
D. Evaluation
 
SITUATION: Being the Public Health Nurse you perform
your roles as a health educator in the provision of
community health care. 16. In the preparation of your
health education plan, the first thing to do is:  *
1/1
A. Assess community needs for health education
 
B. Identify the subjects for health teaching
C. Specify your goals and objectives
D. Identify who will provide support and the type of
support to be provided
 
17. In teaching a responsible member of the family to
perform a certain procedure for the patient, what is
the best thing to do?  *
0/1
A. demonstrate the procedure
 
B. arrange for the practice of the procedure
C. describe the procedue
D. do all these steps
18. In order to determine the success of your health
education plan and have some basis for modification
you should have:  *
A. Measurable outcome criteria
B. Written community diagnosis
C. written community diagnosis
D. written assessment of community needs
 
19. The principal recipient of information, education,
communication and motivation in family planning
would be: *
A. Teenagers
B. Users of family planning methods
C. Married couples of reproductive age
D. Family planning defaulters
 
20. A nurse provides instruction to malnourished
pregnant woman regarding iron supplementation.
Which statement is correct? *
A. “Iron is best absorbed if taken on an empty
stomach.”
B. “Meat does not provide iron and should be
avoided.”
C. “Iron supplements will give you diarrhea.”
D. “Your body has all the iron you need. You don’t
need to take supplements.”
 
Situation: Immunization is a health promotion activity.
21. Which of the following schedules and doses of
vaccines are correct? *
A. BCG (0.5 ml) given at birth
B. Hepa B3 (0.05 ml) given 6 weeks after Hepa B2
C. DPT2 (0.5) ml given four weeks after DPT1
D. Measles vaccine (0.05 ml) given at 9 months
 
22. In order to maintain potency of vaccines
appropriate temperature has to be maintained. Which
of the adheres to the guidelines of cold chain
management? *
A. DPT and OPV stored at temperature of +2 to +8
degrees Celsius
B. BCG and Hep B stored at temperature of +2 to +8
degrees Celsius
 
C. DPT and OPV stored at temperature of -15 to -25
degrees Celsius
D. BCG and Hep B stored at temperature -15 to -25
degrees Celsius
23. According to certain studies, aside from military
tuberculosis, BCG may serve as protection against
what disease? *
A. leprosy
B. HIV-AIDS
C. Syphilis
D. Poliomyelitis
 
24. Which among the following is NOT a
contraindication to immunization? *
A. Giving BCG to a child known to have AIDS
B. Giving DPT to a child with recurrent convulsions
C. Giving DPT to a child with active neurological
disease of the central nervous system
D. Giving DPT to a child with diarrhea
25. Considering proper cold chain is maintained, for
how long can you store the vaccines in the main center
without compromising its potency? *
A. 6 months
B. 3 months
C. 1 month
D. 5 days
 
SITUATION: A group of students had finished their
community exposure and had started to make their
community diagnosis about Brgy. Mayumi. They were
able to identify variety of health problems and they
are now ready to prioritize them. 26. The students
conducted an ocular inspection of the area. Which of
the following data can be obtained through an ocular
inspection? (Select all that apply)  *
A. Landmarks
B. History of the barangay
C. Transportation facilities
D. Political boundaries
 
27. In conducting a comprehensive community, the
students should determine what data to be gathered.
The data to be gathered will depend on which of the
following? *
A. The number of families
B. The land area of the barangay
C. The type of community diagnosis to be conducted
D. The competencies of the barangay health workers
 
28. Based on the nature of the problem, high incidence
and prevalence of diarrhea among children can be
categorized as:  *
A. Health resources problems
B. Health status problems
C. Health-related problems C. Dividing the number of family members by the
D. Health deficits number of rooms used in sleeping
  D. Dividing the total midyear population by the total
29. Out of 25 pneumonia cases confirmed positive in land area
 
2013, 17 recovered and 8 died. What is the case
35. Nurse Luis would like to determine the rate of
fatality rate of pneumonia in this community? *
A. 80% natural increase in the population of Barangay Sto.
B. 32% Tomas. Which of the following data should be
C. 68% obtained by Nurse Luis? (Select all that apply) *
D. 40% A. Midyear population
  B. Data from two census periods
30. Which of the following is described in terms of C. Number of births and deaths
increased or decreased morbidity, mortality or D. Number of births, deaths and migration rate
 
fertility? *
A. health-resource problems Situation: IMCI is envisaged as the strategy likely to
B. health status problem have the greatest impact on reducing the global
C. health-related problem burden of disease. 36. The IMCI protocol is applicable
D. All of the above
   to what age group? *
A. 1-7 years old
Situation: Public health tools are used in assessing B. 1 week to 5 years
community health needs. 31. Demography deals with C. 1 week to 7 years
the following EXCEPT: * D. 0-12 months
A. Population size
B. Population commission 37. Based on the IMCI protocol, a 2-year old child with
C. Population composition cough and a respiratory rate of 38 breaths per minute
D. Population distribution
  will be classified as: *
A. Severe pneumonia or very severe disease
32. Health statistics deals with vitals events. Which is B. Pneumonia
not included? * C. No pneumonia
A. births D. None of the above:
B. deaths
C. disease 38. Which of the following describes a green
 
D. migration classification? *
 
33. If the number of births is 235 and the number of A. The child needs urgent pre-referral treatment and
referral
deaths is 27 in a 20,000 population, what is the natural
B. The child should be given specific medical
increase in the population? * treatment and advice
A. 262 C. The child’s condition can be managed at home
B. 117/1000 population D. The child should be visited by the health worker
C. 208 regularly
D. 116/1000 population
39. A 6-month old infant with general rashes, fever,
34. Population density is computed by: *
deep and extensive mouth ulcers, and pus draining
A. Dividing the number of births by the total midyear
population from the eye will be classified as: *
B. Getting the difference between births and deaths A. very severe febrile disease
B. severe complicated measles
C. measles with eye or mouth complications
D. measles
40. Which of the following is true about treatment of a
child with a chronic ear problem? *
A. Give antibiotics for 5 days
B. Refer the child urgently to the hospital  D. Give ascorbic acid
C. Dry the ear by wicking
D. No additional treatment needed
SITUATION: Community health nursing in the
Philippines is a challenging area of nursing practice. 41.
You are at the RHU when a mother brought in her
infant, Seth for his OPV immunization. You have
assessed that the infant has diarrhea. What will be
your next action?  *
A. Notify the physician
B. Refer immediately
C. Do not give the OPV
D. Give the OPV
42. . After assessing Seth, you identified a nursing
diagnosis of fluid volume deficit related to diarrhea.
Oral rehydration salt (ORS) was administered. Which
instruction regarding ORS therapy will you give to the
mother once the diarrhea has stopped? *
A. Stop the administration of ORS  Ensuring the bulk of diet consists of water, grains,
B. Increase the administration of ORS
C. Decrease the administration of ORS
D. Return to the clinic
43. Which of the following is not considered as a sign
of severe persistent diarrhea? *
A. Presence of diarrhea 
B. Diarrhea for 14 days or more
C. Blood in the stool and vomitus
D. Signs of dehydration
 
44. You prepares to assess Luis for diarrhea. Which of
the following findings will help you decide to classify
Luis for dysentery? *
A. Irritability
B. Diarrhea for 14 days or more
C. blood in the stool
D. very slow skin pinch
 
45. The following are the rules in home treatment for
diarrhea EXCEPT: *
A. Give extra fluid
B. Continue feeding
C. Know when to return
 
SITUATION: The occurrence of non-communicable
disease (NCD) is on the rise and is attributed to the
changing lifestyle of Filipinos. The major NCDs are
cardiovascular disease, cancer, chronic obstructive
pulmonary disease, and diabetes mellitus. The
community health nurse can help address these
problems. 46. The major risk factors common the
above-mentioned non-communicable diseases are: *
A. Obesity, sedentary lifestyle and smoking
B. Unhealthy diet, alcoholism and sedentary lifestyle 
C. Hypertension, sedentary lifestyle and poor stress
management
D. Unhealthy diet, physical inactivity and smoking
47. The Filipino Food Guide Pyramid strongly
emphasizes the need for: 1. Ensuring a variety of foods
everyday . 2. Eating diet low in fats and sugars 3.
Maintaining specific daily serving of food groups 4.
vegetables and fruits 5. Avoiding poor eating habits *
0/1
A. 1 and 2 only
B. 1, 2, 3, 4, and 5
C. 1, 2, 3, and 4
D. 1, 2, and 3
 
48. Diabetes has become major problem. The nurse
can help reduce the incidence of diabetes by: *
A. Establishing an organization of diabetic patients
B. Extensive screening of diabetes patients
C. Increasing community awareness on diabetes
prevention
D. Helping implement R.A. 8191- National Diabetes
Act
49. The learning process whereby knowledge,
attitudes, and practices of the people are changed to
improve the health of individuals, families and B. Malaria
C. Fever: Malaria Unlikely
communities is: * D. Fever: No Malaria
A. disease prevention  
B. counseling
C. motivation 55. Nurse Marilu will be attending a Nursing
D. health education Conference. She has learned that the place where the
conference will be held is endemic for malaria. Nurse
50. The strategies to address nutrition problems of Marilu can have prophylaxis before travel to the
Filipinos related to non-communicable diseases are the endemic area. When will Nurse Marilu take the
following EXCEPT: * prescribed drug? *
A. Consider food preferences of family members A. 4 week before entering the endemic area
B. Build healthy nutrition-related practices B. 2 weeks before entering the endemic area 
C. Aim for an ideal body weight C. On the day of her entry to the endemic area
D. Choose food wisely D. During her entire stay in the endemic area
 
Situation: One of the national objectives for health is
SITUATION: Community health nurses take care of
to eliminate diseases such as malaria as a public health
clients with varying health concerns. 56. A population
concern. 51. The pattern for the distribution of malaria
group that should be given attention by the
is: *
A. Epidemic community health nurse is obese women who become
B. Endemic pregnant. Obesity is responsible for what pregnancy
C. sporadic complications? *
D. pandemic

A. Spontaneous abortion
52. One of the ways to prevent malaria is to plant trees
B. Prematurity
and other herbs which are potential mosquito C. Anemia
repellants. One of the following is an example of D. Gestational diabetes
 
these: *
A. Mango tree 57. The school nurse found out that majority of the
B. Oregano Grade 3 students have head lice. The nurse will
C. Neem tree
formulate what kind if care plan for this children? *
D. Kaymito tree
A. Individualized care plan
B. Standardized care plan
53. The peak biting hours of the vector causing malaria C. Interdisciplinary care plan
is: * D. Informal care plan
A. 4 a.m. to 9 a.m.
B. 11 p.m. to 4 a.m.  58. A community health nurse visits a child with
C. 9 p.m. to 3 a.m.
exacerbation of asthma. The nurse would likely assess
D. 10 a.m. to 4 p.m.
  for which one of the following in determining what
54. A mother brought her child to the health center exacerbates the child’s asthma?
A. The amount of exacerbation the child is
because of fever and cough. They live in a malaria-
experiencing
infested area. The child is not abnormally sleepy and B. The child’s height and weight
there is no stiff neck. The nurse will classify the child C. Air pollution and secondhand cigarette smoke
D. The educational level of the child’s caregiver
as: *
 
A. Very severe febrile disease
59. A home health nurse is made aware that a client
and family are about to lose their home due to
foreclosure. The nurse contacts the social service
department of the home health care agency for
assistance in finding housing for the family. The actions
taken by the nurse best exemplify which of the
following roles of the community health nurse? *
A. Consultant
B. Clinician
C. researher
D. advocate
60. A client who consults the health center asks the
nurse about possibility of her child to be given vaccines
not included in the Expanded Program of
Immunization. What should be the nurse’s response? *
A. “Your child does need other vaccines since she has
completed all the EPI vaccines and is now a fully
immunized child.”
B. “I will refer you to the municipal health officer.”
C. “Here is the list of children’s vaccination and
schedule. I can help you look for a private
pediatrician.”
D. “The vaccines given by the private pediatricians are
expensive.”
SITUATION: Nursing ethics is concerned with the
principles of right conduct as they apply to the nursing
profession. 61. Nurse Ginny is facing a possible
malpractice suit after administering an overdose of
insulin to a diabetic client she home visited a week
ago. The client’s family expressed their intention to
press legal charges because of the irreversible effects
of the overdose. Nurse Ginny knows that there is proof
of liability based on the following facts EXCEPT: *
A. She failed to perform her duty based on nursing
standards
B. She is the nurse assigned to do the home visiting at
the time the act was committed
C. Medical reports didn’t show any deleterious effects
to the patient’s health
D. There are evidence of injury to the patient.
62. What can a public health nurse do to reduce the
risk of malpractice litigation? *
A. Secure an incident report on file
B. Give value judgment when appropriate
C. Be competent in practice
D. Do not discuss medication errors with client and
family
 
63. In the community, a public health nurse performs
circumcision for a fee of PhP1,000.00. What type of
legal issue will be confronted by the nurse? *
A. Malpractice
B. Reckless imprudence
C. Incompetency
D. Misrepresentation
64. Defamation is communication that is false or made
with a careless disregard for the truth, and results in
injury to the reputation of the person. Which action of
the nurse will less likely constitute defamation? *
A. Nurse Mia told the patients that the barangay
midwife is incompetent
B. Nurse Patricia wrote in the family record that the
client’s mother in-law is interfering with the couple’s
decision to use artificial family planning methods
C. Nurse Gary posted in a social media network
pictures of his patients during a breast examination
D. Nurse Lory wrote on her personal diary that the
supervising public health nurse is unfair and inhuman
65. A community nurse practitioner assists during a
medical and surgical mission. A 22-year old
uncircumcised client presented himself for
circumcision. The nurse can protect the client’s right to
autonomy through a/an: *
A. advance directive
B. informed consent
C. referrals
D. provision of direct care
SITUATION: Family/Home Health Nursing has currently
become a significant area of nursing. Community
Health Nurse Sandy is taking care of different clients in
her caseload. 66. Nurse Sandy BEST exemplifies
primary prevention by which of the following
activities? *
A. Tracheostomy care
B. Teaching new mothers on infant care
C. Teaching women on how to do self-breast
examination
D. Giving streptomycin injections
 
67. Which of Nurse Sandy’s teaching activities would
be considered PRIMARY prevention when caring for
clients in her case load. *
A. Teaching parents first aid for insect bites
B. Educating parents on the importance of routine
immunization
C. Providing families with her telephone number for
any home emergencies
D. Educating parents on the signs of lead poisoning
68. Nurse Sandy’s functions include activities for
secondary prevention. In a family, the health profile
reveals diabetes of the father of the family. A classic
demonstration of secondary prevention would be: *
A. Teaching the diabetic patient about foot care
B. Helping the patient obtain a glucometer for
accurate monitoring of blood sugar 
C. Informing the patient how to maintain HbA1C value
at 5.5 or less
D. Assisting the diabetic patient in his daily insulin
injections
69. Nurse Sandy visited a post-stroke client. She assists
the family members to turn the client from side every
two hours to prevent the formation of pressure sores.
She also gave referrals to a physical therapist for the
client’s rehabilitation activities. These actions of Nurse
Sandy exemplify what level of prevention? *
A. primary
B. secondary
C. tertiary
D. All of the above
70. Nurse Sandy visited Mang Kanor, who recently had
an accident at the job site. Mang Kanor's wife is now
temporarily the one working to meet the financial
needs of the family. She is hoping that the benefits due
her husband will soon be claimed since his husband's
accident is related to the job. Nurse Sandy
understands that employees who acquired a job-
related illness are entitled to benefits from which
agency? *
A. Department of Health
Overseas Workers Welfare Association
Employees Compensation Commission
Department of Labor and Employment
SITUATION: Malnutrition is responsible, directly or
indirectly for 54% of the 10.9 million deaths annually
among children under five. 71. Micronutrient
supplementation is one of the interventions to address
the health and nutritional needs of infants and young
children. Vitamin A is initially given at: *
A. birth
B. 2 months
C. six months
D. 1 year
72. This is the addition of micronutrients that are
deficient in the diet to a food or seasoning that is
widely consumed by specific at-risk population
groups *
A. Supplementation
B. Sangkap Pinoy seal
C. Food Fortification 
D. Food assistance
73. Which of the following statements of a mother
about exclusive breastfeeding indicates need for
further teaching? *
A. "I should give my baby only breastmilk for the first
6 months.”
B. “If my baby is sick, I can give him drops or syrups
containing medicine.”
C. “I should not give my baby other food or fluids for
the first six months.”
D. “I need to give my baby clean water after
breastfeeding to prevent constipation.”
74. Animal-source foods are especially good for
children to help them grow and be lively. Which of the
following is a best source of iron? *
A. Egg yolk
B. Family foods
C. liver and red meat
D. cheese
75. To fill the energy gap, what is the most appropriate
complementary for a 6-month infant? *
A. Family foods
B. Thick porridge
C. watery soups
D. boiled bananas
Situation: Rabies remains a public health problem in
the Philippines. Approximately 300 to 600 Filipinos die
of rabies every year. The Philippines has one of the
highest prevalence rates of rabies in the whole world.
76. Ms. Pia, while on her way home from work, was
bitten by a stray dog. Nurse Paulene asked Ms. Pia
what she did immediately after the incident. Ms. Pia’s
response indicates correct understanding of first aid
measure when she says that: *
A. I went to the hospital and reported the incident
B. I ran after the dog and had bitten it too
C. I washed my wound immediately with soap and
water
D. I went to the drug store and bought 500 mg
antibiotics
 
77. Nurse Paulene interviewed Ms. Pia and her mother
at the Emergency Room to take the history before
seeing a doctor. The nurse told Ms. Pia's mother not to
kill the dog because the dog will be: *
A. Injected with a vaccine
B. Confined at a veterinary clinic
C. Observed for 14 days
D. Treated with antibiotics against rabies
78. Considering that rabies is one of the most acutely
fatal infections which causes the death of
approximately 300 to 600 Filipinos annually, voluntary
pre-exposure prophylaxis among people who are at
risk is highly recommended. These people include: *
A. Barangay tanod officials patrolling the streets at
night, side walk vendors, veterinarians and animal
handlers
B. All people living within an area where there are
dogs that roam their neighborhood
C. Pet owners, animal handlers, health personnel
working in anti-rabies units and children below 15
years old
D. Pregnant women, side walk vendors, pet owners,
veterinarians and infants
 
79. What is the most common cause of death in
patients with rabies? *
A. Seizures
B. Hemorrhage
C. Respiratory Paralysis
D. Hydrophobia
80. Which of the following is NOT true about the
incubation period of rabies? *
A. It depends on the specie of the dog and
extensiveness of the bite.
B. The incubation period ranges from 10 days to 15
years in humans
 
C. It has an absolute incubation period of 7 to 21 days
D. In dogs, the incubation period ranges for 1 week to
7 1/2 months
 
SITUATION: You are working as a public health nurse
and you had your regular visit in the barangay health
station. 81. As you were making your community
rounds, you noted in one barangay health station that
the midwife-on-duty had the following cases at hand
and you assisted her. Which of the following
medication is indicated for hookworm infection? *
A. Albendazole
B. Benzylpenicillin
C. chloroquine
D. gentamycin
82. You determined that you needed to reinforce the
initial health teachings given by the midwife-on-duty
regarding the administration of tetracycline eye
ointment when the mother stated: *
A. “I should wear sterile gloves when administering
the medication.”
B. “ I will continue the treatment until redness is
gone.”
C. “I can use a clean cloth to wipe the eye.”
D. “I should wash my hands before and after
administering the medication.”
 
83. The treatment of a child for prevention of low
blood sugar includes giving breastmilk, breastmilk
substitute or sugar water. Prior to administration, you
assessed that the child is not able to swallow. Based on
IMCI protocol, what should be your next action? *
A. Give 5 ml/kg body weight of 105 dextrose solution
over a few minutes with doctor’s orders
B. Administer the sugar water
C. Give 50 ml milk or sugar water by a nasogastric
tube
D. Ask the mother to breastfeed the child
84 You are instructing a mother whose child has
diarrhea to give extra fluids such as the following
EXCEPT: *
A. Soup
B. Orange juice
C. ORS
D. rice water
 
85. While explaining to the mother the need for extra
fluids to treat diarrhea, you are aware that a child up
to 2 years old should be given how much fluids after
each loose stool evacuation? *
A. 100-200 ml
B. 1000 ml
C. 50-100 ml
D. 500 ml
 
Situation: The Level IV students of LPU-St. Cabrini are
currently implementing their program plans in their
partner community. They also conduct evaluation of
their activities. 86. The students, in cooperation with
community health volunteers have started organizing a
group of mothers who have successfully breastfed as
well as those who are breastfeeding at present. This
group aims to assist those mothers with breastfeeding
difficulties. This is an example of what type of nursing
intervention? *
A. Community organizing
B. Development of support group
C. Advocacy
D. Anticipatory Guidance
 
87. When a public health nurse supervises a family
member in turning a bedridden client from side to
side, she is implementing what type of nursing
intervention? *
A. Direct care
B. Indirect care
C. Administration of medical treatment
D. Health Teaching
 
88. A public health nurse in a health station injects
streptomycin sulfate to a patient belonging to category
II TB treatment. What do you call this nursing
intervention? *
A. Direct care
B. Indirect care
C. Administration of medical treatment
D. Health Teaching
 
89. Obesity screening belongs to what kind of nursing
intervention? *
A. Anticipatory Guidance
B. Compensatory
C. Diagnostic
D. palliative
 
90. Nurse Amy is performing anticipatory guidance
when she: *
A. teaches a family member to perform TSB on a sick
member.
B. conducts a Mother’s class on infant feeding.
C. discusses with a mother the expected side effects of
the drug to be taken by her son as well as what she
will do if the condition of her son becomes worse.
D. Conducts leadership seminar to the core group
SITUATION: Nurse Rina is working with a non-
government education involved with community
development activities. 91. Nurse Rina’s group
selected Barangay Pag-asa as the site of their
organizing activities. They further investigated to
gather data about the barangay. They would like to
come up with a community profile. Which of the
following does NOT describe a community profile? *
A. Overview of demographic characteristics,
community and health related services and facilities
B. Serve as initial data base of the community
C. Provide a list of potential leaders
D. Determine appropriate approach and method of
organizing specific to the population group or sectors
that will be organized
 
92. Identification of potential leaders is crucial during
the entry phase. What is the rationale for carefully
identifying potential leaders? *
A. The community organizer must ensure that leaders
are not politically-motivated.
B. Leadership is the key to successful organizing.
C. People may get offended if a leader that is not
deserving is chosen
D. The Barangay Council may be threatened and not
cooperate
 
93. Which among the following is the BEST way of
identifying potential leaders in the community proven
to be effective is to: *
A. Ask volunteers who are willing to become
community leaders
B. Simply choose the Barangay Captain and counselors
C. Review family background, properties and academic
records of community residents
D. Observe people who are active in small
mobilization activities that motivate residents to start
working
 
94. Nurse Rina has formed the core group. The core
group decided to form working committees to
encourage people to join in the formation of a
community health organization. To realize this end, the
core group members should: *
A. register all members of their family to join the
organization
B. go from one house to another, and explain the
purpose of having a community health organization
C. raise funds to advertise that all residents are invited
to become members
D. set qualification for prospective members
 
95. One of the agenda in the community assembly is to
plan for a session when they can formulate their
vision-mission and goals. The core group asks the
assistance of Nurse Rina in this endeavor. What would
be Nurse Rina’s action on this? *
A. Assure them that she will draft the vision-mission
statement for them
B. Plan with them with regards to the schedule and
possible attendees, and assit them in the formulation
during the actual session
C. Invite an expert to facilitate the planning session
D. Include the Barangay Council in the planning
 
SITUATION: Tuberculosis is a highly infectious disease
and currently the 6th leading case of mortality and
morbidity. 96. The most effective method of
controlling TB among newborns, infants and school
entrants is:  *
A. Chest x-ray
B. Sputum exam
C. BCG vaccine
D. proper nutrition
 
97. The primary diagnostic tool in the National
Tuberculosis Program casefinding is: *
A. Chest x-ray
B. sputum microscopy
C. spirometry
D. bronchoscopy
 
98. Treatment of all TB cases shall be given free and
shall be on an ambulatory basis except those with
acute complications and emergencies. During the
intensive phase, the following drugs are given daily for
2 months to clients included in Category 1
A. INH + rifampicin + PZA + ethambutol
B. INH + rifampicin
C. INH + PZA + ethambutol + streptomycin
D. Rifampicin + PZA + ethambutol
 
99. In response to the question as to how
communicable is the patient, you explained that the
degree of communicability depends on: *
A. number o bacilli discharged
B. virulence of the organism
C. chances of the bacilli to spread through coughing or
sneezing
D. All these factors
100. A woman stopped drinking her medicine s after
two months because according to her, she was no
longer experiencing the signs and symptoms. After one
month, the woman came back for another therapy.
This woman will be placed in what treatment
category? *
A. Category 1
B. Category 2
C. Category 3 8. C. Home visiting an postpartum woman and assessing the umbilical
cord of the newborn
D. Category 4 9. C. conducting a seminar workshop on how conduct focus group
discussions to the community’s research committee
Answer and Rationale Training Function
1. B. Nursing is mainly directed to sick population who seek • Formulation of staff development and training programs for
consultation in the health center. midwives and other auxiliary workers
Rationale: • Training of midwifery and nursing students
• Science and art • As community organizer, trains core group/community people
– Preventing disease 10. B. keeping herself physically fit to effectively promote health
– Prolonging life - Provides good example/ model of healthful living to the public/
– Promoting health and efficiency community.
HOW? 11. C. Mortality and morbidity statistics
• through organized community effort Health Status problems—described in terms of increased or decreased
FOR: morbidity, mortality or fertility
• sanitation of the environment E.g.
• control of communicable diseases – Measles Epidemic
• education of individuals in personal hygiene – Vitamin A deficiency
• the organization of medical and nursing services for the early – 12 people bitten by a rabid dog
diagnosis and preventive treatment of disease – CBR of 40/1000 population
the development of the social machinery to insure everyone a standard 12. C. Social Concern
of living adequate for the maintenance of health - Perception of the community as to the urgency of solving the health
2. C. Performs surgical and dental procedures during medical missions problem
Management function 13. C. 60% of children below 6 years old have below normal weight
- Organizes the "nursing service" of the local health agency. Health related problems—described in terms of existence of social,
- As a program manager she is responsible for the delivery of the package economic, environmental and political factors that aggravate the illness-
of services provided by the program to the target clientele. inducing situations in the community
Supervisory Function E.g.
• Supervisor of midwives and other auxiliary health workers in the – Poverty
catchment area – 40% of households no sanitary toilets
• Formulates a supervisory plan – Belief that illness is caused by demons
• Conducts supervisory visits to implement the plan 14. B. Goals are mutually accepted by the nurse and the family
3. C. The Guttierez family who just recently moved in to Barangay Establishment of goals and objectives of care
Pulang Lupa after their house was demolished in Barangay Siling Liit • The goals and objectives of care specify the expected health and
- In community health nursing, the family is the unit of care. To achieve clinical outcomes, family responses, behavior or competency
the health outcomes of the community, the nurse work with families. outcomes.
Elevating the health status of a community depends on the health of • Goals and objectives of care should be set by the nurse and the
each family residing in that community. family.
4. A,B,C,D,F • Best stated in terms of client outcomes, whether at the individual,
Community Health Nursing (Freeman) family or community levels.
— A service rendered by a professional nurse
— With whom: 15. B. Planning
¡ Community Activities in Planning (Maglaya)
¡ Groups • Prioritization
¡ Families • Formulating Goals and Objectives
¡ individuals • Intervention Plan
— Where: • Evaluation Plan
¡ home, in health centers, in clinics, in schools, in places 16. A. Assess community needs for health education
of work 17. D. do all these steps
— For the: Family health task #3
¡ promotion of health • Provide nursing care to the sick, dependent, disabled and at-risk
¡ prevention of illness family member
¡ care of the sick at home 18. A. Measurable outcome criteria
¡ rehabilitation. - Expected outcomes are conditions to be observed to show that the
5. B. they should be able to deal with all types of clients with varied health problem is prevented, controlled, resolved or eliminated.
conditions 19. C. Married couples of reproductive age
- A community health nurse is considered a generalist, which means that Reproductive age (WHO): Women 15-49 years
he/she is competent to take of different levels of clientele with varying 20. A. “Iron is best absorbed if taken on an empty stomach.”
health conditions in all health care settings. The community health Iron supplements For better absorption
nurse deals with well and sick clients in their homes, health clinics, – Empty stomach
schools and places of work. – Taken with vitamin C supplement or orange juice
6. B. Nurse Ana promotes healthy lifestyle through health teachings about 21. C. DPT2 (0.5) ml given four weeks after DPT1
hygiene and nutrition 22. B. BCG and Hep B stored at temperature of +2 to +8 degrees Celsius
Concepts of Community Health Nursing EPI Vaccines and Characteristics
• Primary Focus: Health Promotion
• Generalist in Nursing Types of Storage
• Benefit the whole community vaccine Temperatures
• Contact with the family continue over a long period of time
• Utilization of current knowledge in biological and social sciences, Most Oral Polio (live -15° to -25°
ecology, community organization, clinical nursing sensitive to attenuated) (Freezer)
• Use of the nursing process heat
7. B. Family
 • The application of statistical methods and techniques to the study
Measles -15° to -25°
of vital facts, such as those concerning births, deaths, and illnesses.
(freeze-dried) (Freezer)
• Statistical data which relate the total number of various kinds of
biologic or vital events (births, marriages, illnesses and deaths) to the
size and characteristics of the affected population. (Abarquez, 1983)
Least DPT +2 to +8 33. C. 208
sensitive to Hepa B (Body of refrigerator) Natural Increase= Number of Births - Number of deaths
heat BCG 34. D. Dividing the total midyear population by the total land area
Tetanus toxoid Population Density
• Determines how congested a place is and has implications in
terms of the adequacy of basic health services, present in the
community.
• Formula
23. A. Leprosy total population
Prevention of leprosy total land area
• BCG Vaccination 35. C. Number of births and deaths
• Avoidance of prolonged skin to skin contact with active untreated case Natural Increase = Number of Births - Number of deaths
• Good personal hygiene 36. B. 1 week to 5 years
• Adequate nutrition 37. C. No pneumonia
• Health education 38. C. The child’s condition can be managed at home
24. Giving DPT to a child with diarrhea • Urgent Pre-referral Treatment and Referral (PINK)
• Absolute Contraindications to Immunization • Specific Medical Treatment and Advise (YELLOW)
– Convulsions/Neurological Disease (DPT) • Simple Advice and Home Management (GREEN)
– BCG must not be given to individuals with immunosuppression 39. B. severe complicated measles
due to a malignant disease 40. C. Dry the ear by wicking
• Giving doses less that the 4 week interval may lessen the antibody 41. D. Give the OPV
response • It is safe and immunologically effective to administer all EPI vaccines
• No extra doses must be given to children/mother who missed a dose on the same date at different sites of the body
25. C. 1 month • Measles vaccine should be given as soon as the child is 9 months old,
Cold Chain regardless of whether other vaccines will be given on that day
• A system used to maintain the potency of a vaccine from time of • The vaccination schedule should not be restarted from the beginning
manufacture to the time it is given to child or pregnant woman. • Moderate fever, malnutrition, mild respiratory infections, cough,
• Storage should not exceed: diarrhea, and vomiting are not contraindications to vaccination.
– 6 mos. @ the Regional Level 42. A. Stop the administration of ORS
– 3 mos. @ the Provincial Level/District Level 43. C. Blood in the stool and vomitus
– 1 mo. @ Main Health Centers (with refrigerators) not more 44. C. blood in the stool
than 5 days @ Health Centers (using transport boxes) 45. D. Give ascorbic acid
26. A. Landmarks 46. D. Unhealthy diet, physical inactivity and smoking
Ocular Inspection/Windshield Survey
Risk Factor Conditions
• Initial perception of the community
• Identify objective data related to people, places, and social systems
CVD DM Ca Respiratory
27. C. The type of community diagnosis to be conducted
Conditions
Types of Community Diagnosis
• Comprehensive Assessment
This aims to obtain a general information about the community. Smoking * * * *
– Elements:
• Demographic Variables Nutrition/Diet * * * *
• Socio-Economic and Cultural Variables
• Environmental Factors
• Health and Illness Patterns/Health Statistics Physical Inactivity * * * *
• Health Resources
• Political/Leadership Patterns Obesity * * * *
• Problem-Oriented Community Diagnosis
This is the type of assessment that responds to a particular need Alcohol * * * *
28. B. Health status problems
Health Status problems—described in terms of increased or decreased Elevated BP * * * *
morbidity, mortality or fertility
E.g. Blood Glucose * * * *
– Measles Epidemic
– Vitamin A deficiency
– 12 people bitten by a rabid dog Blood lipids * * * *
– CBR of 40/1000 population
29. B. 32% 47. B. 1, 2, 3, 4, and 5
Case Fatality Rate
• Measures killing power of a disease
• CFR = number of deaths / number of cases x100
30. B. health status problem
31. B. Population Commission
- Science that deals with the study of the human population size,
composition and distribution in space.
32. D. migration
Vital Statistics/Biostatistics
 • Use mosquito repellants
• Planting of neem tree or other herbals
• Zooprophylaxix – typing of domestic animals near human
dwellings to deviate mosquito bites from man to these animals
53. C. 9 p.m. to 3 a.m.
54. C. Fever: Malaria Unlikely
55. B. 2 weeks before entering the endemic area
Chemoprophylaxis
• Chloroquine
– Before entering endemic areas - 1-2 weeks before entering
– Pregnant Women – given all throughout the pregnancy
56. D. Gestational diabetes
Any degree of glucose intolerance that has its onset or is first diagnosed
during pregnancy
Risk Factors:
• Obesity
• Have a prior history of gestational diabetes mellitus
• Have glycosuria
• Family history of diabetes
57. B. Standardized care plan
Standardized
- Specifies the nursing care for groups of clients with common needs
Individualized
- Tailored to meet the unique needs of a specific client
58. C. Air pollution and secondhand cigarette smoke
59. D. advocate
60. C. “Here is the list of children’s vaccination and schedule. I can help you
look for a private pediatrician.”
61. C. Medical reports didn’t show any deleterious effects to the patient’s
health
Elements of Professional Negligence
FNRI Food Guide Pyramid • Existence of a duty on the part of the person charged to use due
• Principle of eating a variety of foods every day at the right amounts. care
• Rice and other cereals occupy the major bulk in the diet, while fats and • Failure to meet standard of care
oils share the least in volume and bulk. • Foreseeability of harm resulting from failure to meet standard
• Vegetables take up a bigger area than fruits in volume and bulk. • Injury to the plaintiff
• Moderation in some while emphasizing the importance of other foods. 62. C. Be competent in practice
48. C. Increasing community awareness on diabetes prevention Points to Consider to Avoid Criminal Liability (Venzon)
Key Areas for Prevention and Control of Diabetes • Be familiar with RA 9173 and other laws affecting nursing practice
• Maintain ideal body weight and prevent obesity • Know your job description, and your agency’s rules, regulations and
• Encourage proper nutrition policies
– More dietary fiber • Upgrade skill and competence
– Reduce salt and fats • Accept responsibility within your scope of practice
– Avoid simple sugars • Delegate properly
• Promote regular physical activity • Develop good interpersonal relationships
• Advise smoking cessation • Consult superiors
49. D. health education • Verify orders
- Any combination of learning experience designed to facilitate voluntary 63. A. Malpractice
adoptions of behaviors conducive to health (Green, 1980) • Negligence or carelessness of professional personnel
- The process of assisting individuals, acting separately or collectively, to • Improper or unskillful care
make informed decisions about matters affecting the personal health • Stepping beyond one’s authority with serious consequences
and that of others (National Task Force on the Preparation and practice Reckless imprudence
of Health Education, 1983) • A classification of criminal negligence
50. A. Consider food preferences of family members • Person does an act or fails to do it voluntarily but without malice from
ABC of Promoting Nutrition which material damage results immediately
• Aim for ideal body weight Incompetency
• Build healthy nutrition-related practices • Lack of ability, legal qualifications or fitness to discharge the required
• Choose food wisely duty
51. B. Endemic Misrepresentation
Continuous occurrence throughout a period of time, of the usual number of • False statement of fact made by one party which affects the other
cases in a given locality party's decision in agreeing to a contract. 
Endemic diseases: • A false and material statement which induces a party to enter into a
a. Malaria- Palawan, Davao contract.
b. Schistosomiasis- Leyte and Samar 64. D. Nurse Lory wrote on her personal diary that the supervising public
c. Filariasis- Sorsogon health nurse is unfair and inhuman
52. C. Neem tree Defamation
Vector Control Measures • Character assassination
• Insecticide treatment of mosquito net – Slander - oral
• House Spraying – Libel – written, cartoons
• Stream Seeding • Reputation of the person is damaged
Other Preventive Measures Invasion of Privacy
• Protective clothing • The intrusion into the personal life of another, without just cause,
• Avoid night outdoor activities which can give the person whose privacy has been invaded a right
 to bring a lawsuit for damages against the person or entity that
of
intruded.
disabi
• Encompasses workplace monitoring, Internet privacy, data
lity
collection, and other means of disseminating private information.
65. B. informed consent
Elements of Informed Consent 67. B. Educating parents on the importance of routine immunization
• Diagnosis and explanation of condition 68. B. Helping the patient obtain a glucometer for accurate monitoring of
• Procedure to be done blood sugar
• Alternative treatment 69. C. Tertiary
• Benefits to be expected 70. C. Employees Compensation Commission
• Prognosis - An attached agency of the DOLE established through PD 626 mandated
66. B. Teaching new mothers on infant care to promote and develop a tax-exempt employees’ compensation
program whereby employees and their dependents, in the event of
Level Purp Focus Exampl
work-connected disability or death, may promptly secure adequate
of ose es
income benefits and medical or related benefits.
Prev
Who are covered under the Employees’ Compensation Program?
entio
• Private sector workers who are compulsory members of the Social
n
Security System (SSS) and sea-based Overseas Filipino Workers
(OFWs).
Prim decre Health Health
• Government sector employees who are members of the
ary ase promo educati
Government service Insurance System (GSIS), including members
risk tion on
of the Armed Forces of the Philippines, elective government
of Protec Immuni
officials who are receiving regular salary and all casual,
expos tion zations
emergency, temporary and substitute or contractual employees.
ure against Risk
When shall coverage of the employees under the Employees’ Compensation
to specific assess
Program start?
disea health ment
• Employees shall be covered starting on the first day of their
se proble for a
employment.
ms specific
When is sickness or injury compensable under the Employees’ Compensation
disease
Program?
Family
• For the sickness and the resulting disability or death to be
plannin
compensable, the sickness must be the result of an occupational
g
disease, otherwise, proof must be shown that the risk of
Environ
contracting the disease is increased by the working conditions.
mental
• For the injury and the resulting disability or death to be
sanitati
compensable, the injury must be the result of accident arising out
on
of and in the course of the employment.
What are the benefits under the Employees’ Compensation Program?
Seco identi Early Screeni
• The benefits are the following:
ndar fy identifi ng
• Loss-of-income benefits;
y indivi cation surveys
• Medical services, appliances and supplies;
duals Prompt and
• Carers’ allowance;
in a interve proced
• Rehabilitation services;
an ntion ures
• Death benefits;
early Medical
• Funeral benefits
stage and
71. C. six months
of dental
Schedule for Receiving Vitamin A Supplement to Infants, Preschoolers
disea examin
and Mothers
se ations
and Nursing Schedule Infants Preschoolers (12 Post-partum
limit assess (6-11 —83 months) Mother
futur ment months)
e and
disabi care to Give 1 dose 100,000 IU 200,000 IU 200,000 IU within
lity prevent one month
complic
ations Give after 6 100,000 IU 200,000 IU After delivery of
months High each child only
Terti helps Restor Referral Risk
ary rehab ation to a Condition
ilitate Rehabil support Present
and itation group
resto Physical
re to and Schedule for Treatment of Vitamin A Deficiency
optim occupa
um tional Schedule Infants Preschoolers (12—83
level therapy (6-11 months) months)
of
functi Give today 100,000 IU 200,000 IU
oning
withi Give tomorrow 100,000 IU 200,000 IU
n the
const Give after 2 weeks 100,000 IU 200,000 IU
raints
72. C. Food Fortification 86. B. Development of support group
REPUBLIC ACT 8976 Support Group
• Philippine Food Fortification Act of 2000 • Individuals and families who are suffering from and battling a common
• The Philippine Food Fortification Program- cover all imported or locally problem together with professionals who are involved in the care,
processed foods or food products for sale or distribution in the treatment, or rehabilitation process
Philippines • Meet regularly, discuss and share
• The addition of micronutrients that are deficient in the diet to a food or – Experiences
seasoning that is widely consumed by specific at-risk population groups. – feelings and emotions
Food Fortification – Problems
¢ Voluntary Food Fortification- Under the Sangkap Pinoy Seal – solutions tried
Program (SPSP), the Department shall encourage the fortification – progress made
of all processed foods or food products based on rules and – new information about the problem
regulations which the DOH through the BFAD – resources available to the group
— Fruit juices 87. b. Indirect care
— Fish and meat products Nursing Interventions in CHN Practice
— Instant noodles • Indirect Nursing Care/Ministration - under the watchful eyes, guidance,
— Cheese products, and supervision of the nurse
— Supplementary food for infants 88. C. Administration of medical treatment
— Snack foods Nursing Interventions in CHN Practice
— Biscuits. • Administration of Medical treatments – based on doctor’s orders
¢ Mandatory Food Fortification - fortification of staple foods based – Administration of medicines
on standards set by the DOH through the BFAD – Stitching and dressing a wound
— Rice – with iron – Medical Treatment during emergencies
89. C. Diagnostic
— Wheat flour - with vitamin A and Iron
Diagnostic Measures
— Refined sugar - with vitamin A
• Screening Procedures
— Cooking oil - with vitamin A
• Blood Pressure checks among middle-aged people
73. D. “I need to give my baby clean water after breastfeeding to prevent
• Promoting self-breast examination
constipation.”
90. C. discusses with a mother the expected side effects of the drug to be
Exclusive Breastfeeding
taken by her son as well as what she will do if the condition of her son
l Giving a baby only breast milk, and no other liquids or solids, not
becomes worse.
even water.
Nursing Interventions in CHN Practice
l Drops, syrups consisting of vitamins, mineral supplements or
• Anticipatory Guidance
medicines are permitted
– Actions to meet a future need or prevent a problem which the client may not
l First 6 months
express or even realize
74. C. liver and red meat
– Advance information
Animal source foods are especially good for children to help them grow
• potential need/problem
strong and lively
• how to recognize
• Meat and organs of animals – best sources of iron and zinc
• what to do or whom to call or consult when a problem occurs
• Liver – good source of iron and vitamin A
91. c. Provide a list of potential leaders
• Milk and eggs – source of protein but not good sources of iron
Community Profile
• Egg Yolk – Vitamin A
• Overview of demographic characteristics, community and health
75. B. thick porridge
related services and facilities
Foods that are thick enough to stay in the spoon give more energy to the
• Serve as initial data base of the community
child.
• Provide basis for planning and programming of organizing
76. C. I washed my wound immediately with soap and water
activities
77. C. Observed for 14 days
• Determine appropriate approach an d method of organizing
Prevention and control
specific to the population group or sectors that will be organized
• Dog vaccination
92. B. Leadership is the key to successful organizing.
• Enforcement of regulations for pickup and destruction of stray dogs
93. D. Observe people who are active in small mobilization activities that
• Confinement of any dog that has bitten a person for ten to fourteen
motivate residents to start working
days
94. B. go from one house to another, and explain the purpose of having a
• Availability of laboratory facilities for observation and diagnosis
community health organization
• Public education, especially young children in avoiding and reporting all
95. B. Plan with them with regards to the schedule and possible attendees,
animals that appear sick
and assist them in the formulation during the actual session
78. A. Barangay tanod officials patrolling the streets at night, side walk
96. C. BCG vaccine
vendors, veterinarians and animal handlers
Management of Children with TB
79. C. Respiratory Paralysis
• Prevention
80. C. It has an absolute incubation period of 7 to 21 days
– BCG Vaccine
Incubation period
• 50% against any TB disease
• Factors affecting incubation period
• 64% against TB meningitis
– The amount of the virus inoculated into the wound or
• 71% against death from TB
mucosa.
97. B. sputum microscopy
– Severity of exposure - Patients with multiple and/or
Case finding
deep penetrating bite wounds may have shorter
• DSSM – Direct Sputum Smear Microscopy
incubation period.
– Primary diagnostic tool in NTP case finding
– Location of exposure - Patients with bite wounds in
– Contraindication: Hemoptysis
highly innervated areas and/or close to the central
– Trained medical technologists
nervous system may have shorter incubation period.
• Chest X-ray and Culture
81. A. Albendazole
– After 3 negative sputum exam
82. A. “I should wear sterile gloves when administering the medication.”
98. A. INH + rifampicin + PZA + ethambutol
83. C. Give 50 ml milk or sugar water by a nasogastric tube
99. D. All these factors
84. B. Orange juice
100. B. Category 2
85. C. 50-100 ml
Types of TB Patients
Patients Intensive Continuation
• New
Phase Phase
– Who has never had treatment for tuberculosis or
2 months 2 months
– Who has taken anti-TB drugs for less than one month
• Relapse
– A patient previously treated for tuberculosis, has been New smear-negative PTB with HRZE HR
declared cured or treatment completed, and is minimal parenchymal lesions on
diagnosed with bacteriologically positive (smear or CXR
culture) tuberculosis
• Treatment Failure CATEGORY AND TREATMENT REGIMEN – Category 4
– A patient who, while on treatment, is sputum smear at Patients Regimen
five months or later during the course of treatment
• Transfer-in
– A patient who has been transferred from another
facility adopting NTP policies with proper referral slip Chronic (still smear-positive after Second-line generation antibiotics
to continue treatment supervised re-treatment) based on results of culture and
• Return After default sensitivity
– A patient who returns to treatment with positive
Treatment Regimen for Children
bacteriology (smear or culture) following interruption
of treatment for two months or more Patients Intensiv Continuati
• Other - All cases who do not fit into any of the other definitions.
– Other (+) – A patient who has initially registered as a e Phase on Phase
new smear (-) and turned out to be smear (+) during
treatment
– Other (-) – A patient who interrupted treatment for • Pulmonary HRZ for HR for 4
two or more months, and has remained or became
smear negative upon return for treatment
TB 2 months
• Chronic – a patient who remains smear positive after supervised months
re-treatment

Treatment Regimen
• Extrapulmon HRZS HR for 10
• Isoniazid (H) ary TB for 2 months
• Rifampicin (R) months
• Pyrazinamide (Z)
• Ethambutol (E)
• Streptomycin (S)
CATEGORY AND TREATMENT REGIMEN – Category 1
Patients Intensive Phase Continuation
2 months Phase
4 months

• New smear-positive PTB HRZE HR

• New smear-negative PTB
with extensive parenchymal
lesions on CXR
• Extra-pulmonary
tuberculosis (e.g. meningitis,
tuberculosis pericarditis,
peritonitis, bilateral or
extensive pleurisy, spinal
disease with neurological
complication, intestinal
tuberculosis, genitourinary
tuberculosis)
CATEGORY AND TREATMENT REGIMEN – Category 2
Patients Intensive Phase Continuation Phase
3 months 5 months

• Relapses • HRZES for the first HRE

• Treatment 2 months
Failures • HRZE for 1 month
• Return after
Default

CATEGORY AND TREATMENT REGIMEN – Category 3