CHN2 RLE Shifting Exam

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C
This refers to a group of people having common personal or environmental characteristics. It
can also refer to all of the people in a defined community:

A. Subgroup
B. Subpopulation
C. Population
D. Aggregate
C
This core public health function focuses on the availability of necessary health services
throughout the community:

A. Assessment
B. Policy development
C. Assurance
D. Community health
C
The theory is based on the belief that learning takes place in a social context, that is, people
learn from one another, and that learning is promoted by modeling or observing other people:

A. Transtheoretical Model
B. Health Promotion Model
C. Social Learning Theory
C. Psychosocial Learning Theory
D. Health Belief Model
B, C, E
Which of the following is/are example/s of Tertiary prevention? (SELECT ALL THAT APPLY)

A. Removal of environmental hazards.


B. Mental health counselling or referral for family in crisis.
C. Provide nutrition education to mothers of children with severe malnutrition.
D. Conduct periodic Operation Timbang.
E. Skin care for incontinent client.
A, B, E
The following choice/s is/are TRUE in the Determinants of Health and Disease: (SELECT ALL
THAT APPLY)

A. People in employment are healthier, particularly those who have control over their working
conditions.
B. Inheritance plays a part in determining lifespan, healthiness, and the likelihood of developing
illnesses.
C. Men and women suffer from same types of diseases at different ages.
D. Customs and traditions of the family and community do not affect health.
E. Higher income and social status are linked to better health.
B
This refers to a specific group of people and focuses on health promotion and disease
prevention, regardless of geographical location:

A. Community-focused nursing
B. Population-focused nursing
C. Client-focused nursing
D. Health-focused nursing
C
This refers to one's confidence in one's ability to take action to reduce health risk:

A. Action potential
B. Health Improvement
C. Self-efficacy
D. Perceived benefits
D
According to this theory, the client is considered as a set of interacting elements that exchange
energy, matter, or information with the external environment to exist:

A. The Health Belief Model


B. Social Learning Theory
C. Milio's Framework for Prevention
D. General Systems Theory
A
Patient J.T. who was recently diagnosed to have active TB, tells the nurse that he might have
difficulty adhering to the treatment regimen for 6 months because of lack of transportation going
to the barangay health clinic. This is an example of what key concepts in the Health Belief
Model?

A. Perceived barriers
B. Perceived boundaries
C. Perceived difficulty
D. Perceived drawbacks
A
This theorist believed that national-level policy making was the best way to favorably impact the
health of most people rather than concentrating efforts on imparting information in an effort to
change individual pattern of behavior:
A. Nancy Milio
B. Albert Bandura
C. Godfrey Hochbaum
D. Nola Pender
D
Determine the level of prevention given in the situation:
The nurse is teaching a mother how to give oral rehydrating solution to her child suffering from
diarrhea to prevent dehydration.

A. Secondary prevention
B. Quaternary prevention
C. Primary prevention
D. Tertiary prevention
E. Early prevention
A, D, E
What are examples of Phenomenological communities?

A. Gawad Kalinga
B. Congressional Districts
C. Cebu City School Division
D. Philippine Red Cross
E. Greenpeace Philippines
C
The nurse is conducting a health teaching to a mother whose young child is underweight. This
makes the mother more conscious of her child's nutritional needs, allowing her to take remedial
action. This is an example of:

A. Boundaries
B. Input
C. Feedback
D. Output
C
Chaplin, a 30-year-old male who suffers from chronic obesity goes to the health clinic and
informs the nurse about his intention to take action towards lifestyle behavior change in the next
6 months. At what stage of change is applicable to this client according to the Transtheoretical
Model?

A. Precontemplation
B. Action
C. Contemplation
D. Preparation
C
The following choices are identified as defining attributes in the community according to Maurer
and Smith, EXCEPT:

A. Common goals
B. People
C. Age
D. Interaction
F
Setting up and institutionalization of financing scheme for community health program/activity is
what phase in COPAR process?

A. Pre-entry
B. Entry
C. Diagnosis
D. Community Organization and Capability-Building
E. Community Action
F. Sustenance and Strengthening
A
A comprehensive documentation of data about the community gathered through social
investigation.

A. Community Study
B. Institutional Research
C. Health Management
D. Preliminary Social Investigation
E. Courtesy Call
A, B, D, E
Project staff are composed of these individuals: (SELECT ALL THAT APPLY)

A. Community organizer
B. Student immersion coordinator
C. Clinical coordinator
D. Health services coordinator
E. Training coordinator
A, B, C, D, E
A community profile is made for the sole purpose of knowing the community and it includes the
following contents: (SELECT ALL THAT APPLY)

A. Community problems
B. Socio-economic status
C. Demographic profile
D. Physical resources
E. Health conditions
B
The phase allows the community to be actively involved in the entire implementation of the
program.

A. Pre-entry
B. Entry
C. Diagnosis
D. Community Organization and Capability-Building
E. Community Action
F. Sustenance and Strengthening
C
A. Integration is the process of establishing rapport with the people in a continuing effort to
imbibe community life by living with them and undergoing the same experience.

B. Integration activities include helping with simple household chores, participating in direct
production activities of the people like planting, harvesting or fishing.

A. Only statement A is correct.


B. Only statement B is correct.
C. Both statements A and B are correct.
D. Both statements A and B are incorrect.
C
A. The outside researcher is a professional researcher, who is committed and is an active
leader.

B. The outside research goes into immersion and integration in the community.

A. Only statement A is correct.


B. Only statement B is correct.
C. Both statements A and B are correct.
D. Both statements A and B are incorrect.
A, B, C, D, E
The criteria that a core group members must have is/are the following: (SELECT ALL THAT
APPLY)

A. They must possess relatively good communication skills.


B. They must be willing to learn.
C. They must be responsible, committed individuals, willing to work for social change and
transformation.
D. They must belong to the poor sectors or classes in the community.
E. They must be respected members of the community.
A
A. The purpose of Preliminary Social Investigation is to gather necessary information about the
different areas of the potential project municipalities or catchment areas that best conform with
the criteria set.

B. Taking primary data from various government offices, particularly Provincial or City Health
Offices or Rural Health units is helpful in selecting a project site.

A. Only statement A is correct.


B. Only statement B is correct.
C. Both statements A and B are correct.
D. Both statements A and B are incorrect.
A
Site selection is what phase in COPAR process?

A. Pre-entry
B. Entry
C. Diagnosis
D. Community Organization and Capability-Building
E. Community Action
F. Sustenance and Strengthening
C, E
In selecting a project site, it is suggested that the following set of criteria be considered:
(SELECT ALL THAT APPLY)

A. Health services on the site are accessible and adequate to meet the needs of the community
residents.
B. There must be a strong resistance from the community regarding the program initiated.
C. Poor health status of the community in general.
D. The area must have a serious peach and order problem to ensure the safety of the project
staff, students and faculty members who will be involved in the program.
E. Site must be depressed and an underserved community with the majority of the population
belonging to the poor sector.
C, D, E
These are part of the Sustenance and Strengthening phase: (SELECT ALL THAT APPLY)

A. Link with LGUs and NGOs for financial and technical assistance.
B. Formulate community health plan.
C. Hold continuing needs-based education and training of leaders, community health workers
and residents.
D. Develop financial and management system.
E. Formulate and ratify constitution and by-laws.
A
Community Organizing-Participatory Action Research has been the strategy used by the
_________ in implementing the Primary Health Care delivery in depressed and underserved
communities to become self-reliant.

a. Human Resource Development Program


b. Health Resource Development Program
c. Healthcare Redemption Development Program
d. Human Redemption Development Program
e. Health Redemption Development Program
A, B, C, D
The Philippine Center for Population and Development identified the objective/s of Community
Organizing. (SELECT ALL THAT APPLY)

A. To make people aware of social realities toward the development of local initiative, optimal
use of human, technical and material resources, and strengthening of people's capacities.
B. To form structures that hold the people's basic interests in an oppressed and deprived sector
of the community.
C. To form structures that hold the people's basic interests in people bound by the interest to
serve the people.
D. To initiate the responsible actions intended to address holistically the various community
health and social problems.
E. To research the purpose of identifying and meeting individual needs within existing social
system.
B
Community validation is what phase in COPAR process?

A. Pre-entry
B. Entry
C. Diagnosis
D. Community Organization and Capability-Building
D. Community Action
E. Sustenance and Strengthening
C
It is a periodic governmental enumeration of the population.

a. A-BHS
b. Program Report
c. Census Data
d. Morbidity Report
e. Summary Table
B
Conditions in the Community Affecting Health: Social system

A. A social system is the process of enabling people to increase control over, and to improve,
their health.

B. Health centers, private clinics, hospitals, health laboratories, and drugstores are elements of
the health system of a community.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
D
A. Data sources are generally grouped into primary, secondary, and tertiary data.

B. In community health practice, the community itself is the tertiary source of data.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
E
Which of the following is NOT included in a Healthy city?

a. Healthy city aims to supply access to health care.


b. The Philippines is a member nation of the WHO Western Pacific Region, which has
advocated for the Health Cities and Healthy Islands movement.
c. A healthy city is one that is continually creating and improving those physical and social
environments.
d. Healthy city expands community resources that enable people to mutually support each other
in performing all the functions of life.
e. Being a healthy city depends on existing structures and regression of the city environment.
D
It contains the 3-month total of indicators categorized as maternal care, family planning, child
care, dental health, and disease control.

a. Census Data
b. Summary Table
c. A-BHS
d. Program Report
e. Morbidity Report
A, F
Which of the following is/are TRUE regarding the Registry of vital events? (SELECT ALL THAT
APPLY)

a. The birth of the child should be registered at the Local Civil Registry Office of city or
municipality where the birth occurred.
b. The Local Government Unit (LGU) serves as the central repository of civil registries.
c. The birth of a child should be registered after 120 days from the occurrence of the birth,
immediately after the maternity leave of the mother.
d. Only the physician, nurse, or midwife has the responsibility for registering births that occur
outside a facility.
e. Act 3537 established the civil registry system in the Philippines and requires the registration
of vital events.
f. In facility-based births, the facility administrator shall be responsible for the registration of the
event.
A
Conditions in the Community Affecting Health: People

A. Population size and density influence number and size of health care institutions.

B. Health needs of communities are fixed because of the similarities in population composition
by age, sex, occupation, level of education, and other variables.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
D
Community data are presented to the health team and the members of the community for the
following purposes, EXCEPT:

a. To allow for a wider perspective in the analysis of data.


b. To solicit broader support and participation in the community health process
c. To validate findings
d. To make the members of the affiliated school or organization appreciate the significance and
relevance of health information to their lives.
e. To inform the health team and members of the community of existing health and health-
related conditions in the community in an easily understandable manner.
C
Conditions in the Community Affecting Health: Location

A. A clear demarcation of community boundaries is necessary since they are the basis for
determining the catchment area of community health workers.

B. Factors that contribute to health problems in urban communities include: a higher population
density with the resulting congestion; concentrated poverty and slum formation; and greater
exposure to health risks and hazards leading to violence, traffic injuries, and obesity.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
B
This type of graph/chart/diagram shows correlation between two variables.

a. Bar graph
b. Scatter diagram
c. Percentage chart
d. Line graph
e. Pie chart
B
As a community health nurse, you were asked by your data gatherer an example of a unique
health event. Your best example would be:

a. Program coordinator and staff gather of community profile.


b. Completion of a Barangay Health Station.
c. Prevailing good health practices in the community such as breastfeeding and getting regular
exercise.
d. Opinion data from community leaders on what they think about the main health problems of
the community.
e. Behavioral data focusing on behavioral risk factors, such as smoking, drinking, and leading a
sedentary lifestyle.
A, B, E, F
The following is/are principle/s of Community Health Nursing: (SELECT ALL THAT APPLY)

a. Give priority to community needs.


b. Work with the community as an equal partner of the health team.
c. In selecting appropriate activities, focus on tertiary prevention.
d. Limit the use of resources.
e. Promote a healthful physical and psychosocial environment.
f. Reach out to all who may benefit from a specific service.
C
It is a purposeful observation of formal and informal community activities by sharing in the life of
the community.

a. Problem-oriented observation
b. Rapid observation
c. Participant observation
d. Purpose observation
e. Required observation
A, B, C, D
A healthy community has characteristic/s that include/s: (SELECT ALL THAT APPLY)

a. Open channels of communication and cooperation among members of the community.


b. Shared sense of being a community based on history and values.
c. The ability to cope with change, solve problems, and manage conflicts through acceptable
means.
d. Existing structures that allow subgroups to participate in decision making in community
matters.
e. A general feeling of entitlement and control over matters that affect the community as a
whole.
f. Partisan and efficient use of community resources while sustaining natural resources.
A, B, C, D, E, F
The following is/are criterion/a to decide on a community health concern for intervention:
(SELECT ALL THAT APPLY)

a. Availability of resources
b. Level of community awareness
c. Ability to reduce risk
d. Significance of the problem
e. Cost of reducing risk
f. Ability to identify the target population
B, D, E
You are discussing about the Person-Place-Time Model when a sophomore asks what are
examples of Place factor. Your correct response would be: (SELECT ALL THAT APPLY)

a. demographic characteristics
b. climate conditions
c. health and disease status
d. geographic location
e. political environment
f. time of day
A
The model of investigation that examines the interrelationships between host and environmental
characteristics and uses an organized method of inquiry to derive an explanation of disease:

a. Epidemiological triangle
b. Person-place-time model
c. Risk factor
d. Ecosocial epidemiology
e. Web of causation
C
As a community health nurse assigned in the Epidemiology department, you would know that
this is an example of Ionizing radiation of the Etiological factor of Agents of Diseases:

a. Human Immunodeficiency virus


b. Carbon monoxide
c. Sun exposure
d. Repetitive motion injury
Medications
D
As a community health nurse in Barangay Ramos, you screened 870 students for tuberculosis
(TB) in Ramos Central School, and identified 31 students with newly positive tuberculin test
results. You calculated a proportion of __________ of students at risk for TB.

a. 1.7%
b. 2.5%
c. 3%
d. 3.5%
e. 4%
A
What is attack rate?

a. Documents the number of new cases of a disease in those exposed to it in which the
denominator is the number of people exposed to the disease; the numerator is the number of
people who were exposed and become ill
b. Is the number of all cases of a specific disease/ condition in a population at a given point in
time relative to the population at the same point in time
c. Summarizes the occurrence of births, mortality, or diseases in the general population; the
numerator is the number of events, and the denominator is the average population size or the
population size at midyear multiplied by constant
d. Population proportions or fractions in which the numerator is the number of events occurring
in a specified period; the denominator consists of those in the population at the specified time
period. This proportion is multiplied by a constant that is a multiple of 10
e. Describes the occurrence of new cases of disease/ condition in a community over a given
period relative to the size of the population at risk for that disease/condition during the same
period; the denominator consists of only those at risk for the disease/ condition
A
What is relative increase?

a. Actual difference between the two census counts expressed in percent relative to the
population size made during an earlier census
b. Difference between the Crude Birth Rate and the Crude Death Rate occurring in a population
in a specified period of time
c. Measures the number of people that are added to the population per year
d. Difference between the number of births and the number of deaths occurring in a population
in a specified period of time
A, D
You are presenting about the Epidemiological triangle, you would know that this is the correct
example for an intrinsic factor: (SELECT ALL THAT APPLY)

a. Genetic
b. Physical environment
c. Occupation
d. Physiological state
e. Biological environment
C, E
Which of the following is/are TRUE about Census? (SELECT ALL THAT APPLY)

a. Census is the difference between the number of births and the number of deaths occurring in
a population in a specified period of time.
b. There are two ways of assigning people when census is being taken, the de jena and de
fense methods.
c. During the census, demographic, economic, and social data are collected from a specified
population group.
d. Since the census only asks for an enumeration of the population, it is usually an economical
undertaking.
e. The demographic, economic, and social data are collated, synthesized, and made known to
the public for the purpose of determining and explaining trends in terms of population changes
and planning programs and services.
C
A. Demography is the science which deals with the study of the human population's size,
composition, and distribution in space.
B. Demographic information can be obtained from a variety of sources but the most common
are from censuses, sample surveys, and registration systems.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
E
This approach emphasizes the role of evolving macro-level socioenvironmental factors,
including complex political and economic forces, along with microbiological processes, in
understanding health and illness:

a. Person-place-time model
b. Risk factor
c. Web of causation
d. Epidemiological triangle
e. Ecosocial epidemiology
D
A. The investigation of the causes of disease, or etiology, is called descriptive epidemiology.
B. The study of the amount and distribution of disease is analytical epidemiology.

a. Only statement A is correct.


b. Only statement B is correct
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
B, C, E
Which of the following is/are TRUE about Population Composition? (SELECT ALL THAT APPLY)

a. The sex ration represents the number of females for every 100 males in the population.
b. The economically dependent are those who belong to the 0-14 and 65 and above age
groups.
c. The nurse uses data on age and sex composition to decide who among the population
groups merits attention in terms of health services and programs.
d. Economical Ratio compares the number of economically dependent with the economically
productive group in the population.
e. The composition of the population is commonly described in terms of its age and sex.
C
What is incidence rate?

a. Is the number of all cases of a specific disease/ condition in a population at a given point in
time relative to the population at the same point in time
b. Documents the number of new cases of a disease in those exposed to it in which the
denominator is the number of people exposed to the disease; the numerator is the number of
people who were exposed and become ill
c. Describes the occurrence of new cases of disease/ condition in a community over a given
period relative to the size of the population at risk for that disease/condition during the same
period; the denominator consists of only those at risk for the disease/ condition
d. Population proportions or fractions in which the numerator is the number of events occurring
in a specified period; the denominator consists of those in the population at the specified time
period. This proportion is multiplied by a constant that is a multiple of 10
e. Summarizes the occurrence of births, mortality, or diseases in the general population; the
numerator is the number of events, and the denominator is the average population size or the
population size at midyear multiplied by constant
C, D
You are discussing about the Person-Place-Time Model when a sophomore asks what are
examples of Person factor. Your correct response would be: (SELECT ALL THAT APPLY)

a. climate conditions
b. time of day
c. demographic characteristics
d. health and disease status
e. geographic location
f. political environment
D
What is crude rate?

a. Population proportions or fractions in which the numerator is the number of events occurring
in a specified period; the denominator consists of those in the population at the specified time
period. This proportion is multiplied by a constant that is a multiple of 10
b. Describes the occurrence of new cases of disease/ condition in a community over a given
period relative to the size of the population at risk for that disease/condition during the same
period; the denominator consists of only those at risk for the disease/ condition
c. Documents the number of new cases of a disease in those exposed to it in which the
denominator is the number of people exposed to the disease; the numerator is the number of
people who were exposed and become ill
d. Summarizes the occurrence of births, mortality, or diseases in the general population; the
numerator is the number of events, and the denominator is the average population size or the
population size at midyear multiplied by constant
e. Is the number of all cases of a specific disease/ condition in a population at a given point in
time relative to the population at the same point in time
A
The following are included in the goals of World Health Organization strategy on research for
health, EXCEPT:

a. Coordination
b. Priority
c. Standard
d. Capacity
B, C, D
The Public health nurse carries out the following roles and function: (SELECT ALL THAT
APPLY)
a. Conducts epidemiological studies.
b. Supervises and guides all RHMs in the municipality.
c. Collaborates with the other members of the health team, government agencies, private
businesses, NGOs, and people's organizations.
d. Prepares the FHSIS quarterly and annual reports.
D
Who is considered as the Chairman of the Local Health Boards?

a. Sanitation inspector
b. Provincial/ City/ Municipal
c. Health Officer
d. Public health nurse
e. Provincial Governor/ Mayor
D
This refers to the act by which the national government confers power and authority upon the
various LGUs t perform specific functions and responsibilities:

a. Resolution
b. Solution
c. Revolution
d. Devolution
e. Evolution
A
This consists of all organization, people, and actions whose primary intent is to promote, restore
or maintain health:

a. Health system
b. Healthcare system
c. Care delivery system
d. Service delivery network
D
This refers to a movement of a patient from one health facility to another:

a. Intra referral
b. Inter referral
c. External referral
d. Internal referral
A
This refers to a health facility that provides long-term care, including basic services like food and
shelter, to patients with chronic conditions requiring ongoing health and nursing care due to
impairment and a reduced degree of independence in activities of daily living, and patients in
need of rehabilitation:

a. Custodial care facility


b. Specialized outpatient facility
c. Diagnostic facility
d. Primary care facility
C
What is the recommended nurse-population ratio according to the revised implementing rules
and regulations (IRRs) of R.A. 7305 or the Magna Carta of Public Health Workers:

a. 1: 10,000
b. 1: 15,000
c. 1: 20,000
d. 1: 25,000
e. 1: 30,000
C
This is based on the concept of the District Health System, a generic term used by WHO to
describe an integrated health management and delivery system based on a defined
administrative and geographical area:

a. Centers for Health Development


b. The Health Referral System
c. Inter-Local Health Zone
d. Health Program Development
D
It is a tax-exempt government corporation attached to the Department of Health (DOH) for
policy coordination and guidance, and aims for universal health coverage of all Filipino citizens:

a. PhilSys
b. Red Cross
c. UNICEF
d. Philhealth
B
This refers to a set of activities undertaken by a health care provider or facility in response to its
inability to provide the necessary health intervention to satisfy a patient's need:

a. Reforms
b. Referral
c. Solution
d. Network
D
According to this law, it entitles the BHWs to hazard and subsistence allowances and other
benefits:

a. R.A. 7160
b. R.A. 7876
c. R.A. 7305
d. R.A. 7883
e. R.A. 7381
D
This refers to the first-contact health care facility that offers basic services at the Barangay level:

a. BHS
b. OPD
c. LGU
d. RHU
e. Lying-in
A, B, C
What are some examples of specialized outpatient facility? (SELECT ALL THAT APPLY)

a. Physical medicine
b. Dialysis clinic
c. Cancer chemotherapeutic center
d. Sanitarium
e. Radiation facility
C
The following are part of the Sustainable Development Goals, EXCEPT:

a. Responsible consumption and production


b. Good health and well-being
c. Reduce child mortality
d. Clean water and sanitation
B, D, E
DepEd Order No. 43, s. 2011 outlines a matrix of activities for the Integrated School Health and
Nutrition Program to address FEA goals. These are: (SELECT ALL THAT APPLY)

a. To reduce child mortality rate.


b. To expand early childhood care and education.
c. To eradicate extreme poverty and hunger.
d. To improve the quality of education.
e. To provide learning and life skills to young people and adult.
C
A. Depending on the objectives of a specific health education activity and the catchment schools
of the nurse, the target population may be children in the preschool, primary and secondary
level.

B. Health education activities are cultured-sensitive and based on the identified educational
needs of the target population.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
A
This program aims to rehabilitate at least 70% of the more than 560,000 identified severely
wasted school children to normal nutritional status at the end of 100-120 feeding days.

a. School-Based Feeding Program


b. Sharing-Meals Program
c. Meal Feeding Program
d. Nutrition Feeding Program
e. Schoolchildren Breakfast Program
C
A. Health examination of prospective Grade 1 entrants is performed during summer.

B. Height and weight measurement is done at the beginning and at the end of the school year.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
A, B, D
School nurse Jenna is discussing about Psychosocial Intervention Project. This project is:
(SELECT ALL THAT APPLY)

a. Intended to enhance knowledge and skills of school health personnel in providing


psychosocial intervention.
b. Part of the effort to promote a health psychosocial environment in school.
c. Implementing sequential physical activity education curricula and instruction in grades K to
12.
d. Training other school personnel in crisis management, especially in war-torn and calamity-
stricken areas.
D
his Department of Education Order aims to promote zero-tolerance policy for any form of child
abuse, violence, discrimination, bullying and other forms of child abuse:

a. Department of Education, Culture and Sports (DECS) Memorandum No. 45, series 1997
b. Department of Education, Culture and Sports (DECS) Memorandum No. 37, series 1991
c. DepEd Order No. 43, s. 2011
d. DepEd Order No. 40, s. 2012
C
A. The Child Protection Policy aims to ensure that school discipline is administered in a manner
consistent with the child's human dignity.

B. Special protection shall be provided to children who are gravely threatened or endangered by
circumstances, which affect their normal growth and development and over which they have no
control.

a. Only statement A is correct.


b. Only statement B is correct.
c. Both statements A and B are correct.
d. Both statements A and B are incorrect.
D
It is designed to maintain and improve the health of school children by preventing diseases and
by promoting health-related knowledge, skills and practices:

a. Millennium Development Goals


b. Strengthening the School Health and Nutrition Programs for the achievement of the
Education for All and Millennium Development Goals
c. Redesigned Approach in School Health Nursing
d. Integrated School Health and Nutrition Program
B
The school nurse interacts with, and contributes to the professional development of, peers, and
school personnel as colleagues. Which kind of Standard of professional performance is this?

a. Professional practice
b. Collegiality
c. Collaboration
d. Quality of practice
e. Program management
f. Education
D
School nurse Chris did a follow-up on Teacher John, who accidentally burnt his right thumb
while mixing chemicals during his Chemistry class. This is an example of which specific
prevention:
a. Home visits
b. Treatment
c. Prevention of complications and adverse effects
d. Faculty and staff monitoring
e. Referral for substance abuse or behavior problems
B, C, D
You are teaching parents on Truths about Adolescent Suicides. You would know that the parents
understood your teaching when they answer: (SELECT ALL THAT APPLY)

a. Homicide is more common in adolescents than suicide.


b. One suicide attempt is more likely to result in subsequent attempt.
c. All socioeconomic groups are affected by suicide.
d. Females are more likely to consider or attempt suicide, and males are more likely to complete
a suicide attempt.
e. Only true suicidal attempts should be taken seriously.
D
This is a type of health screening that is done to assess the general state of hygiene of children.
Pupils will be required to be a line formation while carrying out this activity:

a. Health and Hygiene Measurement


b. Fast Health Assessment
c. General Health Screening
d. Rapid Classroom Inspection
e. Health and Weight Measurement
B
Upon health screening for completeness of immunization, Mema, a child entering Grade 1 in
Cebu City Central Elementary School, has not completed her measles immunization. As a
school nurse, you would know that:

a. Mema should not be allowed to be with children who are completely immunized.
b. Mema should be referred to the nearest health center.
c. Mema should be transferred to another school that accepts school children with incomplete
immunization.
d. Mema should be advised to go home immediately.
D
The school nurse attains knowledge and competency that reflects current school nursing
practice. Which kind of Standard of professional performance is this?

a. Professional practice
b. Program management
c. Collegiality
d. Education
e. Collaboration
f. Quality of practice
D
Marie, a school nurse, is discussing about the Guidelines for school and community programs
specifically promoting lifelong physical activity. Which of the following is NOT INCLUDED in the
Guidelines?

a. Regularly evaluate physical activity instruction, programs, and facilities.


b. Implement health education curricula.
c. Establish policies that promote enjoyable, lifelong physical activity.
d. Rehabilitate and restore of the school children and family members to an optimal level of
functioning.
e. Provide a range of developmentally appropriate community sports and recreation programs
that are attractive to all young people.

1. Which is the primary goal of community health nursing?

A. To support and supplement the efforts of the medical profession in the promotion of health
and prevention of illness
B. To enhance the capacity of individuals, families and communities to cope with their health
needs
C. To increase the productivity of the people by providing them with services that will increase
their level of health
D. To contribute to national development through promotion of family welfare, focusing
particularly on mothers and children.
2. CHN is a community-based practice. Which best explains this statement?

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


B. The nurse has to conduct community diagnosis to determine nursing needs and problems.
C. The services are based on the available resources within the community.
D. Priority setting is based on the magnitude of the health problems identified.
3. Population-focused nursing practice requires which of the following processes?

A. Community organizing
B. Nursing process
C. Community diagnosis
D. Epidemiologic process
4. R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees,
what other factor must be considered in determining the occupational health privileges to which
the workers will be entitled?

A. Type of occupation: agricultural, commercial, industrial


B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit
D. Sex and age composition of employees
5. A business firm must employ an occupational health nurse when it has at least how many
employees?

A. 21
B. 101
C. 201
D. 301
6. When the occupational health nurse employs ergonomic principles, she is performing which of
her roles?

A. Health care provider


B. Health educator
C. Health care coordinator
D. Environmental manager
7. A garment factory does not have an occupational nurse. Who shall provide the occupational
health needs of the factory workers?

A. Occupational health nurse at the Provincial Health Office


B. Physician employed by the factory
C. Public health nurse of the RHU of their municipality
D. Rural sanitary inspector of the RHU of their municipality
8. “Public health services are given free of charge.” Is this statement true or false?

A. The statement is true; it is the responsibility of government to provide basic services.


B. The statement is false; people pay indirectly for public health services.
C. The statement may be true or false, depending on the specific service required.
D. The statement may be true or false, depending on policies of the government concerned.
9. According to C.E.Winslow, which of the following is the goal of Public Health?

A. For people to attain their birthrights of health and longevity


B. For promotion of health and prevention of disease
C. For people to have access to basic health services
D. For people to be organized in their health efforts
10. We say that a Filipino has attained longevity when he is able to reach the average lifespan of
Filipinos. What other statistic may be used to determine attainment of longevity?

A. Age-specific mortality rate


B. Proportionate mortality rate
C. Swaroop’s index
D. Case fatality rate
11. Which of the following is the most prominent feature of public health nursing?

A. It involves providing home care to sick people who are not confined in the hospital.
B. Services are provided free of charge to people within the catchment area.
C. The public health nurse functions as part of a team providing a public health nursing
services.
D. Public health nursing focuses on preventive, not curative, services.
12. According to Margaret Shetland, the philosophy of public health nursing is based on which
of the following?

A. Health and longevity as birthrights


B. The mandate of the state to protect the birthrights of its citizens
C. Public health nursing as a specialized field of nursing
D. The worth and dignity of man
13. Which of the following is the mission of the Department of Health?

A. Health for all Filipinos


B. Ensure the accessibility and quality of health care
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020
14. Region IV Hospital is classified as what level of facility?

A. Primary
B. Secondary
C. Intermediate
D. Tertiary
15. Which is true of primary facilities?

A. They are usually government-run.


B. Their services are provided on an out-patient basis.
C. They are training facilities for health professionals.
D. A community hospital is an example of this level of health facilities.
16. Which is an example of the school nurse’s health care provider functions?

A. Requesting for BCG from the RHU for school entrant immunization
B. Conducting random classroom inspection during a measles epidemic
C. Taking remedial action on an accident hazard in the school playground
D. Observing places in the school where pupils spend their free time
17. When the nurse determines whether resources were maximized in implementing Ligtas
Tigdas, she is evaluating

A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
18. You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you
apply?

A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
19. R.A. 7160 mandates devolution of basic services from the national government to local
government units. Which of the following is the major goal of devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people
20. Who is the Chairman of the Municipal Health Board?

A. Mayor
B. Municipal Health Officer
C. Public Health Nurse
D. Any qualified physician
21. Which level of health facility is the usual point of entry of a client into the health care
delivery system?

A. Primary
B. Secondary
C. Intermediate
D. Tertiary
22. The public health nurse is the supervisor of rural health midwives. Which of the following is
a supervisory function of the public health nurse?

A. Referring cases or patients to the midwife


B. Providing technical guidance to the midwife
C. Providing nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives
23. One of the participants in a hilot training class asked you to whom she should refer a patient
in labor who develops a complication. You will answer, to the

A. Public Health Nurse


B. Rural Health Midwife
C. Municipal Health Officer
D. Any of these health professionals
24. You are the public health nurse in a municipality with a total population of about 20,000.
There are 3 rural health midwives among the RHU personnel. How many more midwife items
will the RHU need?

A. 1
B. 2
C. 3
D. The RHU does not need any more midwife item.
25. If the RHU needs additional midwife items, you will submit the request for additional
midwife items for approval to the

A. Rural Health Unit


B. District Health Office
C. Provincial Health Office
D. Municipal Health Board
26. As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What
law mandates reporting of cases of notifiable diseases?
A. Act 3573
B. R.A. 3753
C. R.A. 1054
D. R.A. 1082
27. According to Freeman and Heinrich, community health nursing is a developmental service.
Which of the following best illustrates this statement?

A. The community health nurse continuously develops himself personally and professionally.
B. Health education and community organizing are necessary in providing community health
services.
C. Community health nursing is intended primarily for health promotion and prevention and
treatment of disease.
D. The goal of community health nursing is to provide nursing services to people in their own
places of residence.
28. Which disease was declared through Presidential Proclamation No. 4 as a target for
eradication in the Philippines?

A. Poliomyelitis
B. Measles
C. Rabies
D. Neonatal tetanus
29. The public health nurse is responsible for presenting the municipal health statistics using
graphs and tables. To compare the frequency of the leading causes of mortality in the
municipality, which graph will you prepare?

A. Line
B. Bar
C. Pie
D. Scatter diagram
30. Which step in community organizing involves training of potential leaders in the
community?

A. Integration
B. Community organization
C. Community study
D. Core group formation
Answers and Rationales
1. Answer: (B) To enhance the capacity of individuals, families and communities to cope
with their health needs
2. Answer: (B) The nurse has to conduct community diagnosis to determine nursing
needs and problems.
3. Answer: (C) Community diagnosis. Population-focused nursing care means providing care
based on the greater need of the majority of the population. The greater need is identified
through community diagnosis.
4. Answer: (B) Location of the workplace in relation to health facilities. Based on R.A.
1054, an occupational nurse must be employed when there are 30 to 100 employees and the
workplace is more than 1 km. away from the nearest health center.
5. Answer: (B) 101. Again, this is based on R.A. 1054.
6. Answer: (D) Environmental manager. Ergonomics is improving efficiency of workers by
improving the worker’s environment through appropriately designed furniture, for example.
7. Answer: (C) Public health nurse of the RHU of their municipality. You’re right! This
question is based on R.A.1054.
8. Answer: (B) The statement is false; people pay indirectly for public health
services. Community health services, including public health services, are pre-paid services,
though taxation, for example.
9. Answer: (A) For people to attain their birthrights of health and longevity. According to
Winslow, all public health efforts are for people to realize their birthrights of health and
longevity.
10. Answer: (C) Swaroop’s index. Swaroop’s index is the percentage of the deaths aged 50
years or older. Its inverse represents the percentage of untimely deaths (those who died
younger than 50 years).
11. Answer: (D) Public health nursing focuses on preventive, not curative, services.The
catchment area in PHN consists of a residential community, many of whom are well
individuals who have greater need for preventive rather than curative services.
12. Answer: (D) The worth and dignity of man. This is a direct quote from Dr. Margaret
Shetland’s statements on Public Health Nursing.
13. Answer: (B) Ensure the accessibility and quality of health care
14. Answer: (D) Tertiary. Regional hospitals are tertiary facilities because they serve as
training hospitals for the region.
15. Answer: (B) Their services are provided on an out-patient basis. Primary facilities
government and non-government facilities that provide basic out-patient services.
16. Answer: (B) Conducting random classroom inspection during a measles
epidemic. Random classroom inspection is assessment of pupils/students and teachers for
signs of a health problem prevalent in the community.
17. Answer: (B) Efficiency. Efficiency is determining whether the goals were attained at the
least possible cost.
18. Answer: (D) Rural Health Unit. R.A. 7160 devolved basic health services to local
government units (LGU’s ). The public health nurse is an employee of the LGU.
19. Answer: (C) To empower the people and promote their self-reliance. People
empowerment is the basic motivation behind devolution of basic services to LGU’s.
20. Answer: (A) Mayor. The local executive serves as the chairman of the Municipal Health
Board.
21. Answer: (A) Primary. The entry of a person into the health care delivery system is usually
through a consultation in out-patient services.
22. Answer: (B) Providing technical guidance to the midwife. The nurse provides technical
guidance to the midwife in the care of clients, particularly in the implementation of
management guidelines, as in Integrated Management of Childhood Illness.
23. Answer: (C) Municipal Health Officer. A public health nurse and rural health midwife can
provide care during normal childbirth. A physician should attend to a woman with a
complication during labor.
24. Answer: (A) 1. Each rural health midwife is given a population assignment of about 5,000.
25. Answer: (D) Municipal Health Board. As mandated by R.A. 7160, basic health services
have been devolved from the national government to local government units.
26. Answer: (A) Act 3573. Act 3573, the Law on Reporting of Communicable Diseases,
enacted in 1929, mandated the reporting of diseases listed in the law to the nearest health
station.
27. Answer: (B) Health education and community organizing are necessary in providing
community health services. The community health nurse develops the health capability of
people through health education and community organizing activities.
28. Answer: (B) Measles. Presidential Proclamation No. 4 is on the Ligtas Tigdas Program.
29. Answer: (B) Bar. A bar graph is used to present comparison of values, a line graph for
trends over time or age, a pie graph for population composition or distribution, and a scatter
diagram for correlation of two variables.
30. Answer: (D) Core group formation. In core group formation, the nurse is able to transfer
the technology of community organizing to the potential or informal community leaders
through a training program
Text Mode – Text version of the exam
1. In which step are plans formulated for solving community problems?

A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
2. The public health nurse takes an active role in community participation. What is the primary
goal of community organizing?

A. To educate the people regarding community health problems


B. To mobilize the people to resolve community health problems
C. To maximize the community’s resources in dealing with health problems
D. To maximize the community’s resources in dealing with health problems
3. An indicator of success in community organizing is when people are able to

A. Participate in community activities for the solution of a community problem


B. Implement activities for the solution of the community problem
C. Plan activities for the solution of the community problem
D. Identify the health problem as a common concern
4. Tertiary prevention is needed in which stage of the natural history of disease?

A. Pre-pathogenesis
B. Pathogenesis
C. Prodromal
D. Terminal
5. Isolation of a child with measles belongs to what level of prevention?

A. Primary
B. Secondary
C. Intermediate
D. Tertiary
6. On the other hand, Operation Timbang is _____ prevention.

A. Primary
B. Secondary
C. Intermediate
D. Tertiary
7. Which type of family-nurse contact will provide you with the best opportunity to observe
family dynamics?

A. Clinic consultation
B. Group conference
C. Home visit
D. Written communication
8. The typology of family nursing problems is used in the statement of nursing diagnosis in the
care of families. The youngest child of the de los Reyes family has been diagnosed as mentally
retarded. This is classified as a:

A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
9. The de los Reyes couple have a 6-year old child entering school for the first time. The de los
Reyes family has a:

A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
10. Which of the following is an advantage of a home visit?

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


B. It provides an opportunity to do first hand appraisal of the home situation.
C. It allows sharing of experiences among people with similar health problems.
D. It develops the family’s initiative in providing for health needs of its members.
11. Which is CONTRARY to the principles in planning a home visit?

A. A home visit should have a purpose or objective.


B. The plan should revolve around family health needs.
C. A home visit should be conducted in the manner prescribed by the RHU.
D. Planning of continuing care should involve a responsible family member.
12. The PHN bag is an important tool in providing nursing care during a home visit. The most
important principle of bag technique states that it

A. Should save time and effort.


B. Should minimize if not totally prevent the spread of infection.
C. Should not overshadow concern for the patient and his family.
D. May be done in a variety of ways depending on the home situation, etc.
13. To maintain the cleanliness of the bag and its contents, which of the following must the nurse
do?

A. Wash his/her hands before and after providing nursing care to the family members.
B. In the care of family members, as much as possible, use only articles taken from the bag.
C. Put on an apron to protect her uniform and fold it with the right side out before putting it
back into the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the
contaminated side is on the outside.
14. The public health nurse conducts a study on the factors contributing to the high mortality rate
due to heart disease in the municipality where she works. Which branch of epidemiology does
the nurse practice in this situation?

A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation
15. Which of the following is a function of epidemiology?

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


B. Determining factors that contributed to the occurrence of pneumonia in a 3 year old
C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with
pneumonia
D. Evaluating the effectiveness of the implementation of the Integrated Management of
Childhood Illness
16. Which of the following is an epidemiologic function of the nurse during an epidemic?

A. Conducting assessment of suspected cases to detect the communicable disease


B. Monitoring the condition of the cases affected by the communicable disease
C. Participating in the investigation to determine the source of the epidemic
D. Teaching the community on preventive measures against the disease
17. The primary purpose of conducting an epidemiologic investigation is to

A. Delineate the etiology of the epidemic


B. Encourage cooperation and support of the community
C. Identify groups who are at risk of contracting the disease
D. Identify geographical location of cases of the disease in the community
18. Which is a characteristic of person-to-person propagated epidemics?

A. There are more cases of the disease than expected.


B. The disease must necessarily be transmitted through a vector.
C. The spread of the disease can be attributed to a common vehicle.
D. There is a gradual build up of cases before the epidemic becomes easily noticeable.
19. In the investigation of an epidemic, you compare the present frequency of the disease with
the usual frequency at this time of the year in this community. This is done during which stage of
the investigation?

A. Establishing the epidemic


B. Testing the hypothesis
C. Formulation of the hypothesis
D. Appraisal of facts
20. The number of cases of Dengue fever usually increases towards the end of the rainy season.
This pattern of occurrence of Dengue fever is best described as

A. Epidemic occurrence
B. Cyclical variation
C. Sporadic occurrence
D. Secular variation
21. In the year 1980, the World Health Organization declared the Philippines, together with some
other countries in the Western Pacific Region, “free” of which disease?

A. Pneumonic plague
B. Poliomyelitis
C. Small pox
D. Anthrax
22. In the census of the Philippines in 1995, there were about 35,299,000 males and about
34,968,000 females. What is the sex ratio?

A. 99.06:100
B. 100.94:100
C. 50.23%
D. 49.76%
23. Primary health care is a total approach to community development. Which of the following is
an indicator of success in the use of the primary health care approach?

A. Health services are provided free of charge to individuals and families.


B. Local officials are empowered as the major decision makers in matters of health.
C. Health workers are able to provide care based on identified health needs of the people.
D. Health programs are sustained according to the level of development of the community.
24. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients would
sometimes get false negative results in this exam. This means that the test is not perfect in terms
of which characteristic of a diagnostic examination?

A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
25. Use of appropriate technology requires knowledge of indigenous technology. Which
medicinal herb is given for fever, headache and cough?

A. Sambong
B. Tsaang gubat
C. Akapulko
D. Lagundi
26. What law created the Philippine Institute of Traditional and Alternative Health Care?

A. R.A. 8423
B. R.A. 4823
C. R.A. 2483
D. R.A. 3482
27. In traditional Chinese medicine, the yielding, negative and feminine force is termed

A. Yin
B. Yang
C. Qi
D. Chai
28. What is the legal basis for Primary Health Care approach in the Philippines?

A. Alma Ata Declaration on PHC


B. Letter of Instruction No. 949
C. Presidential Decree No. 147
D. Presidential Decree 996
29. Which of the following demonstrates intersectoral linkages?

A. Two-way referral system


B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between the PHN and public school teacher
30. The municipality assigned to you has a population of about 20,000. Estimate the number of
1-4 year old children who will be given Retinol capsule 200,000 I.U. every 6 months.

A. 1,500
B. 1,800
C. 2,000
D. 2,300
Answers and Rationales
1. Answer: (B) Community organization. Community organization is the step when
community assemblies take place. During the community assembly, the people may opt to
formalize the community organization and make plans for community action to resolve a
community health problem.
2. Answer: (D) To maximize the community’s resources in dealing with health
problems. Community organizing is a developmental service, with the goal of developing
the people’s self-reliance in dealing with community health problems. A, B and C are
objectives of contributory objectives to this goal.
3. Answer: (A) Participate in community activities for the solution of a community
problem. Participation in community activities in resolving a community problem may be in
any of the processes mentioned in the other choices.
4. Answer: (D) Terminal. Tertiary prevention involves rehabilitation, prevention of permanent
disability and disability limitation appropriate for convalescents, the disabled, complicated
cases and the terminally ill (those in the terminal stage of a disease)
5. Answer: (A) Primary. The purpose of isolating a client with a communicable disease is to
protect those who are not sick (specific disease prevention).
6. Answer: (B) Secondary. Operation Timbang is done to identify members of the susceptible
population who are malnourished. Its purpose is early diagnosis and, subsequently, prompt
treatment.
7. Answer: (C) Home visit. Dynamics of family relationships can best be observed in the
family’s natural environment, which is the home.
8. Answer: (B) Health deficit. Failure of a family member to develop according to what is
expected, as in mental retardation, is a health deficit.
9. Answer: (C) Foreseeable crisis. Entry of the 6-year old into school is an anticipated period
of unusual demand on the family.
10. Answer: (B) It provides an opportunity to do first hand appraisal of the home
situation.. Choice A is not correct since a home visit requires that the nurse spend so much
time with the family. Choice C is an advantage of a group conference, while choice D is true
of a clinic consultation.
11. Answer: (C) A home visit should be conducted in the manner prescribed by the
RHU.The home visit plan should be flexible and practical, depending on factors, such as the
family’s needs and the resources available to the nurse and the family.
12. Answer: (B) Should minimize if not totally prevent the spread of infection. Bag
technique is performed before and after handling a client in the home to prevent
transmission of infection to and from the client.
13. Answer: (A) Wash his/her hands before and after providing nursing care to the family
members. Choice B goes against the idea of utilizing the family’s resources, which is
encouraged in CHN. Choices C and D goes against the principle of asepsis of confining the
contaminated surface of objects.
14. Answer: (B) Analytical. Analytical epidemiology is the study of factors or determinants
affecting the patterns of occurrence and distribution of disease in a community.
15. Answer: (D) Evaluating the effectiveness of the implementation of the Integrated
Management of Childhood Illness. Epidemiology is used in the assessment of a
community or evaluation of interventions in community health practice.
16. Answer: (C) Participating in the investigation to determine the source of the
epidemic. Epidemiology is the study of patterns of occurrence and distribution of disease in
the community, as well as the factors that affect disease patterns. The purpose of an
epidemiologic investigation is to identify the source of an epidemic, i.e., what brought about
the epidemic.
17. Answer: (A) Delineate the etiology of the epidemic. Delineating the etiology of an
epidemic is identifying its source.
18. Answer: (D) There is a gradual build up of cases before the epidemic becomes easily
noticeable. A gradual or insidious onset of the epidemic is usually observable in person-to-
person propagated epidemics.
19. Answer: (A) Establishing the epidemic. Establishing the epidemic is determining whether
there is an epidemic or not. This is done by comparing the present number of cases with the
usual number of cases of the disease at the same time of the year, as well as establishing the
relatedness of the cases of the disease.
20. Answer: (B) Cyclical variation. A cyclical variation is a periodic fluctuation in the number
of cases of a disease in the community.
21. Answer: (C) Small pox. The last documented case of Small pox was in 1977 at Somalia.
22. Answer: (B) 100.94:100. Sex ratio is the number of males for every 100 females in the
population.
23. Answer: (D) Health programs are sustained according to the level of development of
the community. Primary health care is essential health care that can be sustained in all
stages of development of the community.
24. Answer: (D) Sensitivity. Sensitivity is the capacity of a diagnostic examination to detect
cases of the disease. If a test is 100% sensitive, all the cases tested will have a positive
result, i.e., there will be no false negative results.
25. Answer: (D) Lagundi. Sambong is used as a diuretic. Tsaang gubat is used to relieve
diarrhea. Akapulko is used for its antifungal property.
26. Answer: (A) R.A. 8423
27. Answer: (A) Yin. Yang is the male dominating, positive and masculine force.
28. Answer: (B) Letter of Instruction No. 949. Letter of Instruction 949 was issued by then
President Ferdinand Marcos, directing the formerly called Ministry of Health, now the
Department of Health, to utilize Primary Health Care approach in planning and
implementing health programs.
29. Answer: (D) Cooperation between the PHN and public school teacher. Intersectoral
linkages refer to working relationships between the health sector and other sectors involved
in community development.
30. Answer: (D) 2,300. Based on the Philippine population composition, to estimate the number
of 1-4 year old children, multiply total population by 11.5%.

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