1.

      The World Health Organization defines public health as:

Answer: Science and art of preventing disease, prolonging life, promoting health and efficiency
through organized community effort for the sanitation of the environment.

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

Answer: To enhance the capacity of individuals, families and communities to cope with their
health needs and maximize their potential for high level wellness

3.      The utilization of the nursing process in the different levels of clientele- individuals, families,
population group and communities, concerned with the promotion of the health, prevention of
disease and disability and rehabilitation is defined by;

Answer: Maglaya

4.      The public health nurse is the supervisor of rural health midwives. Which of the following is
a supervisory function of the public health nurse?

Answer:  Providing technical guidance to the midwife

5.      The health of individuals and communities are affected by a combination of factors. Based
on the World Health organization’s list of heath determinants, which of the following incorrectly
affects the health of an individual?

Answer: Intelligence

6.      As a Public Health Nurse, what is your primary function or responsibility?

Answer: Health Teaching

7.      Community health is a part of paramedical and medical intervention/ approach which is
concerned on the health of the whole population. Its aim is to;

Answer: Health promotion, disease prevention and management of factors affecting health

 
8.      A public health nurse has different roles in the community, one of her roles is to identifies
needs, priorities, and problems of individuals, families, and communities, this term refer to?

Answer: Planner/ Programmer

9.      Nursing, together with public health, is one of the helping professions in the health care
system which operates at three level of clientele, these are;

Answer: Individuals, families and communities

10.   Which of the following is the most prominent feature of Public Health Nursing?

Answer: Public health nursing focuses on preventive, not curative services.

11.   Maria’s daughter who is working as a nurse in the community hospital was diagnosed with
Covid. The neighbours are asking and are anxious about the situation. Maria has to determine
what information will be released from the family. Maria is fulfilling the role of:

Answer: Gatekeeper

12.   In what stage of family development the family is to allocate its resources well.

Answer: Childbearing family

13.   Duvall’s model of Family development is applicable to all family structures.

Answer: No

14.   The family is the most frequent focus of health decisions and action because the needs of
each member has to be considered.

Answer: True

15.   Nurse Stef plans to disseminate information on safety precautions for Covid19 in their
barangay where there is no internet signal. She needs to make sure that everybody will be
informed so she made pamphlets on Covid19 to be distribute to each family. This is because.

Answer: The family is an effective and available channel for health workers

 
16.   Nurse Stef reviews the records of patients who are enrolled in the DOTS program for
patients who has TB. She needs to ensure that each patient follows strictly the therapeutic
regimen. Which of the following role Nurse Stef is fulfilling.

Answer: Health Monitor

17.   Nurse Stef in the rural health unit received a report that a patient suffered from Stroke/CVA
at home and is unconscious. She is being asked for help by the family. Their barangay is 2-
hour-drive from the nearest hospital. She immediately informed the Municipal Doctor who is in a
seminar and headed to the patient’s home. Upon arriving she immediately rendered first aid.
Nurse Stef is performing which role?

Answer: Provider of Care

18.   Nurse Stef called the ambulance driver to pick up the patient for possible transport to the
city. She also called the hospital admission staff that they will be bringing a patient for possible
admission and reported the details over the phone. Nurse Stef is performing which role.

Answer: Coordinator

19.   Nena sees to it that their house is clean and orderly where she can see her children playing
without fear of getting sick or getting injured. This is because it is the task of the family is to:

Answer: Maintaining a home environment conducive to health maintenance

20.    "Hindi na, wag na lang kung jan din lang, Baka lumala pa sakit ko. Doon nalang ako sa
bayan, Mr. Ricardo Cruz said when asked if he would like to go to the health center despite
being told that there are free medicines and services available in the health center which is just
3 blocks away from their home. The family is unable to to the following health task.

Answer: Utilize community resources for health care

21.   The nurse addresses the health needs and problems of a family in a logical and systematic
way using a series of steps. We call this:

Answer: Family Nursing Process

22.   In which phase of the FNP does the nurse measure the status of the family as a client?

Answer: Assessment
 

23.   The assessment phase of FNP ends with:

Answer: Problem identification

24.   The data that describe the family's realities, perceptions, and performance is

Answer: Second Level Assessment

25.   You are a nurse in Barangay Walangkobid.  One family that you are caring for is the
Cervantes family.  The Cervantes family is considered high risk.  Which of the following are
indicators for this?

Answer: 1,2, 3 and 4

26.   As a nurse in Barangay Walangkobid, you assessed the family of Mr. Rey Cervantes.  The
following are the data that you were able to gather.  

Aling Tetchie, 40 years old, the wife of Mr.  Cervantes is pregnant with their 6th child  while
Mang Rey, 43 years old is presently jobless and was diagnosed to have pulmonary  
tuberculosis.  They have five (5) children.  The eldest is Paul, 18 years old.  He associates with
drug dependents in their barangay.  The second child is Riza, who is 16 years old is studying in
a public high school near their place. Chelsea, the third, nine years old is also studying in public
elementary school and is assessed to be malnourished.  Popo, 5 years old, not yet enrolled in
school, walks barefoot in the street.  Chin chin, three years old is left to play with her brother
Popo.  She also plays in the streets of the barangay without her slippers.   Currently, they are
being assisted by the sisters of Mang Rey.  His sisters are working abroad.  

When you did the assessment, Aling Tetchie's pregnancy is a?

Answer: Foreseeable crisis

27.   Based on the following data gathered from the Cervantes family:

Aling Tetchie, 40 years old, the wife of Mr.  Cervantes is pregnant with their 6th child  while
Mang Rey, 43 years old is presently jobless and was diagnosed to have pulmonary  
tuberculosis.  They have five (5) children.  The eldest is Paul, 18 years old.  He associates with
drug dependents in their barangay.  The second child is Riza, who is 16 years old is studying in
a public high school near their place. Chelsea, the third, nine years old is currently studying in a
public elementary school and is assessed to be malnourished.  Popo, the fourth child, 5 years
old, is not yet enrolled in school, walks barefoot in the street.  Chin chin, the youngest who is
three years old is left to play with her brother Popo.  She also plays in the streets of the
barangay without her slippers.   Currently, the family is assisted by the sisters of Mang Rey.  His
sisters are working abroad. 

Mang Rey's pulmonary tuberculosis is considered as_____

Answer: Health Deficit

28.   Using the data gathered from the Cervantes family:

Aling Tetchie, 40 years old, the wife of Mr.  Cervantes is pregnant with their 6th child  while
Mang Rey, 43 years old is presently jobless and was diagnosed to have pulmonary  
tuberculosis.  They have five (5) children.  The eldest is Paul, 18 years old.  He associates with
drug dependents in their barangay.  The second child is Riza, who is 16 years old is studying in
a public high school near their place. Chelsea, the third, nine years old is currently studying in a
public elementary school and is assessed to be malnourished.  Popo, the fourth child, 5 years
old, is not yet enrolled in school, walks barefoot in the street.  Chin chin, the youngest who is
three years old is left to play with her brother Popo.  She also plays in the streets of the
barangay without her slippers.   Currently, the family is assisted by the sisters of Mang Rey.  His
sisters are working abroad. 

Mang Rey being jobless is considered as____________

 Answer: Foreseeable Crisis

29.   You have assessed another family in Barangay Walangkovid.  You gathered data through
interviews and observation.  You learned that the Batumbangkal family has 12 members in the
family and they all stay in a house with two rooms.  Each room has a dimension of 3 meters by
3 meters.  The family income (accounting all the working members of the family) is 800 per day. 
You observed that garbage disposal is done by dumping in an open pit at the back of the
house.  You can see swarms of flies hovering in the garbage.  The toilet facility is closed pit,
privy, foul smelling and with plenty of files which is situated at the back of the house.  This is
shared with two (2) other familes living in houses near their house. 

Based on these cues, what possible health problems will you be able to identify?

Answer: All of the options listed (Improper garbage disposal, Inadequate Living Space,
Unsanitary waste disposal)

30.   As you are assessing the Batumbangkal family, you are able to gather data about  how the
Aling Ising, the mother, takes care of her children especially when they were still young.  She
mentioned that she practiced exclusive breastfeeding  in all her children.  Now that she is
pregnant with her fifth child, she expressed her plan to breastfeed her baby.  She said that even
if she brestfed her other children before, she is still interested to know more about
breastfeeding.  She is worried that now she is about to give birth and will do breastfeeding, her
milk production may not be enough. As a nurse, you took note of the desire to know more and
improve breastfeeding practices.  You identified this as a presence of a wellness condition,.  A
wellness condition as you understood is_____________

Answer: All of the options listed

31.   Another family that you are caring for in the community is the Delos Reyes Family. Based
on the  the first level assessment (utilizing the tool, the Assessment Data Base), one of the
health problems that you are able to identify in the family is the presence of a health deficit.  The
head of the family, Mr. Lito Delos Reyes, was diagnosed to have Daibetes Mellitus.  

What would be the next step after stating the health condition?

Answer: Determine the family's ability to perform the health tasks related to the identified health
problem

32.   As the nurse assessing the Delos Reyes family in the community where you are assigned,
you fully remember that in order to ensure that data collection is effective and efficient, what
important point/s should you always consider?

Answer: All the options listed

33.   While doing an interview with the Delos Reyes family, the following are the data that you
are able to gather:

·        Mr. Lito Delos Reyes is the prime decision maker of the family.

·        The family is an extended family with the parents of Mr. Delos Reyes living in the
same house.  They are nine (9) in the family.  The members of the family are as
follows; Mr. Lito Delos Reyes, the father; Mrs. Linda Delos Reyes, the mother; Lita,
Cindy, Julie, Leslie and Richard-the children; and Lolo Justininano and Lola Nilda.

·        They are not very demonstrative in terms of their affection with one another.

·        Lola Nilda sometimes have conflicts with Mrs. Linda Delos Reyes especially
when it comes to matters related to child rearing.

·        The children have high respect for the parents and grandparents.

What is/are true about the data that you have gathered?  

Answer: All of the options listed.

34.   In the family nursing process, during the assessment phase, after generating the data
based on the Assessment Data Base, you as the nurse will go through data analysis.  With this
sub step, you are reminded that the important activities of this sub step include?
Answer: All of the options listed.

35.   Gina, a single mother lives with her daughter in an apartment in Barangay Walangkovid. 
Her mother and sister stays with her.  They help her take care of her daughter who is a pre-
schooler. She is the breadwinner of the family and works in a factory as a contractual worker. 
Based on your assessment, she is showing signs and symptoms of a respiratory problem.   She
is aware that she is sick.  However, she expressed that with her current situation, she cannot
afford to be absent from work. She has not gone to the health center.  She has received any
care from any health care providers in their barangay.  Thus the nursing problem may be stated
as________________. 

Answer: Inability or failure to utilize community resources for health care.

36.   It is the blueprint of the care that the nurse designs to systematically minimize or eliminate
identified health problems through explicitly formulated outcomes of care and deliberately
chosen set of interventions, resources and evaluation criteria, standards and methods:

Answer: Family Nursing Care Plan

37.   A criterion in problem prioritization that gives consideration to resources of the family is

Answer: Modifiability of the condition/ problem

38.   Which prioritization criterion should be given the most emphasis if you want to analyze the
probability of minimizing or eradicating the family’s health problem?

Answer: Modifiability

39.   Utilizing the data explicitly stated in the case (limit your analysis to the given data only,
please do not presume), which of the following objectives can be used most appropriately as
statement of intended outcomes for Untal family?

Answer: After nursing interventions, the couple will decide on a specific family planning method
they will utilize

40.   Case: You were assigned to render service to a community in Zambales. One of the
families you are visiting is Untal Family, an aeta family from botolan.

Question: Given the data pertaining to untal family, understanding one’s behavior could be
addressed by an objective domain, referred as:
Answer: Affective

41.   Which of the following should be the basis of the nurse in considering that a problem is
easily modifiable?

Answer: Exposure of high risk member of the family

42.   Nurse Sweng develops objectives for the healthcare plan designed for Mr. Ubas Family.
She considers objectives as:

Answer: Milestone to reach the health target or destination

43.   Case: you were assigned to render service to a community Zambales. One of the families
you are visiting is Untal Family, an Aeta family from Botolan. Your first home visit yielded the
following data:

Question: Based on the case about Mrs. Untal, which of the following health problem would be
most appropriate for the nurse to utilize a criterion reference objective?

Answer: Poor home environment: unsanitary waste disposal

44.   You are discussing the health problem to Mrs. Untal, specifically setting a nurse care goal.
Which of the following would lead to failure to setting the goal with Mrs. Untal?

Answer: Mrs. Untal warmly replied “we’re used to this situation”

45.   It is your second time to visit Mrs. Untal at home, all of the following should be done to
develop a health care plan for the family except:

Answer: Agree with Mrs. Untal on all her perception about her husband

46.   The following are examples of short-term objectives, except:

Answer: After nursing intervention, the family will be able to competently take care of its
mentally-ill member.

47.   In scoring the list of health problems to prioritize, the nurse should do all of the following,
except:
Answer: Consider to multiply the highest score of each criterion with the given weight

48.   Which of the following is a nursing goal statement?

Answer: After nursing intervention on December 28, 2020, the family will be able to manage
COVID 19 disease and totally be free of infection.

49.   All of the following pertains to the characteristics of objectives,  except:

Answer: Frequent use of affective domain as basis for health intervention

50.   Which of the following characteristics of domains of objectives could address the family’s 
inability of the to recognize the health condition?

Answer: Awareness on matters related to the condition with tasks to accomplish

51.   The nurse and the family in the plan of care agreed that the objective would be that the
family will be able to provide care to the hypertensive members of the family. Which of the
following will be the appropriate intervention?

Answer: Assist the family in understanding proper management and its impact on control of
hypertension

52.   The Zora family has one pregnant member, Sarah the wife of the head of the family.
According to her, she had an argument with one midwife a few months ago. Which of the
following is true about the focus of your interventions in your care plan for Sarah?

Answer: refer nadine immeduately to an ob gyn doctor...

53.   The Pitak family is nuclear family. They are six in the family…

Based on the in-depth assessment, the family nursing problem is inability to make decisions
with respect to taking appropriate health action due to lack of knowledge about the alternative
courses of action open to them. The goal of care includes helping the family decide on an action
to maintain family size. One of the objectives is for the family to be able to select a Family
Planning method appropriate for them. What will be the best intervention for this objective?

Answer: All the option listed.

 
54.   The Lara family is one of the families assigned to you…

You developed a plan of care for the family. Hence, you want to assist the family in recognizing
the problem. Which among the following should be the focus of your intervention?

Answer: All of the choices listed.

55.   As a nurse caring for a family, certain points during the implementation phase, you ask
yourself the following questions; “How is the client responding to this situation?”, Do I fully
understand the patient’s/clients reality?” When you ask these questions and try to answer them,
how do you call this practice?

Answer: Reflective Practice

56.   On the initial home visit to a client family, the following activities may be expected to be
done. Which of these is the first activity?

Answer: Establishing a working relationship

57.   In the phase of the FNP, the nurse and the client family perform hat is required, monitor
action taken, and modify patterns.

Answer: Implementation

58.   Nurse Cecile, during the course of her working relationship with the Dalisay family,
continuous to give feedback to the family. She also constantly reviews if intervention strategies
are focused. They also consider the current situation or any other emerging concerns. What is
the type evaluation being done by Nurse Cecile?

Answer: Formative evaluation

59.   Nurse Erica and the Cutiangco family focused on the malnutrition problem of the children of
Mr. and Mrs. Cutiangco. After developing and implementing the plan of care, Nurse Erica
understands that an important phase of the family nursing process is evaluation. Hich among
the following statement is true with evaluation?

Answer: all

 
60.   This is a type of evaluation where you chart the assessment data observed and or
gathered, the intervention done, the client’s response or responses t the interventions and any
action or actions is taken based on the responses.

Answer: AIR, A(Assessment, Intervention, Response, Action)

61.   What are the pillars of the Philippine health care delivery system? Select all that apply.

Answer:

-        Health Financing

-        Regulation

-        Health sevice delivery

-        Governance

62.   It is said that despite living longer than in previous years, Filipinos now bear a triple burden
of disease. What is meant by triple burden of disease?

Answer: High prevalence of communicable diseases and NCDs and Diseases of rapid
urbanization and industrialization.

63.   The current health status of the country is said to be characterized with mixed health
outcomes. Which among the statements is true about this description?

Answer:   The country only had modest gains in selected health outcome indicators and weak
performance in others.

64.   This is a capable private health facility or an appropriately upgraded public health facility
that is either a Rural Health Unit (RHU) and/or its satellite Barangay Health Station (BHS) or
Hospital capable of performing the following emergency obstetric functions: (1) parenteral
administration of oxytocin in the third stage of labor; (2) parenteral administration of loading
dose of anti-convulsants; (3) parenteral administration of initial dose of antibiotics; (4)
performance of assisted deliveries in imminent breech; (5) removal of retained placental
products ; and (6) manual removal of retained placenta.

Answer: Basic Emergency Obstetrics and Newborn Care (BEmONC) Provider

65.   In 1978 world leaders, international organizations and health authorities gathered in Alma-
Ata (now Almaty), Kazakhstan, and released the Declaration of Alma-Ata on Primary Health
Care, which remains a landmark document in the history of global health. The principles of PHC
includes?

Answer:

-        Accessibility

-        Appropriate Technology

-        Community participation

-        Health promotion

66.   The Department of Health commenced the implementation of Primary Health Care in 1979.
It started on a pilot basis in twelve provinces representing each region. In 1981, the DOH
launched PHC nationwide. Its implementation may not have been done as smoothly as
expected. Currently, PHC is needed more than ever. What reason supports this?

Answer: All of the options listed

67.   The PHN set a meeting with the Kagawad for health in brgy. Masigla to discuss
precautionary measures on COVID 19 pandemic. Some of the activities identified for a one -
week implementation includes morning Zumba for elderly, and twice a day demonstration of
handwashing to children and adults. This healthcare practices is referred as:

Answer: Health Promotion

68.   The non-government organization for environment “berde tayo”, In collaboration with the
DENR, conducted a project on urban planting in the city of manila. The NGO group utilized this
strategy of health promotion

Answer: Mediate

69.   Mayor Isko of manila city keeps on reminding his constituents to keep not only their houses
clean but their surroundings as well. The Ottawa charter focused on:

Answer: Protection and built of the environment

70.   All of the following statements are correct about Ottawa Charter, except:

Answer: Ottawa charter aims to develop the skills and talents of the people towards a healthy
community
 

71.   Kiko, a member of LGBT group went to bgry, bukas health center for the consultation of the
colds and abdominal pain he’s been experiencing for four days. He went to the pharmacy area
to request for free medicine form the nurse, although available, nurse advised him to buy
outside the health center instead. This is contrary to Ottawa Charter’s Principle of:

Answer: Enable

72.   Mayor Isko has deliberately changed the structures of several departments under his
leadership, and strictly implemented rules and regulations especially on extortion issues of
employees towards the people. The Ottawa Charter principle is:

Answer: Strengthen Community Action

73.   Which of the following applies the Ottawa charter principle?

Answer: Hand washing among school aged children

74.   The employees were encouraged to work in a well-ventilated area, this is an example of
Ottawa strategy.

Answer: Creating supportive environment

75.   Which of the following describes the occurrence of illness that could be a basis for the
department of health to develop a program of development in an certain community?

Answer: Epidemiological Diagnosis

76.   Jakdu, a farmer in far flung barangay in Leyte, is worried of schistosomiasis. He heard that
some of the farmers got it as they walked through the dumpsite bare footed. Since then he
always wear a pair of boots. This behavior is referred to as:

Answer: Predisposing Factors

77.    This model is used to determine the effect of health promotional program that was
implemented based on the health need assessed by the PHN:

Answer: Precede -proceed model

 

78.   Health secretary juday designed a structure to plan to care for undernourished children in
brgu. Magaan. This referred to as:

Answer: Precede

79.   As the kagawad for health, nurse joy acted on hygiene illiteracy in brgy. Maputi by installing
wash areas in public places. This phase of Precede – proceed model is referred as:

Answer: Proceed

80.   All of the following are components of Precede, except:

Answer: Participating

81.   The Code devolved basic services for agriculture extension, forest management, health
services, barangay roads and social welfare to Local Government Units.

Answer: Local Government Code of 1991

82.   A core element of the implementation of the Primary Health Care, which is a strategy
adopted by Department of Health in the late 1970’sin compliance with the Declaration of Alma
Ata on Primary Health Care to ensure that essential health care.

Answer: Decentralization

83.   This is to ensure that essential health care is “made universally accessible to individuals
and families in the community through their full participation and at a cost that the community
and country can afford.

Answer: Alma-Ata Declaration of 1978

84.   Introduced a major devolution of national government services, which included the first
wave of health sector reform. The Code devolved basic services for agriculture extension, forest
management, health services, barangay roads and social welfare to Local Government Units.

Answer: Republic Act 7160, Local Government Code of 1991

 
85.   The aim of decentralization.

Answer: To widen decision-making space of middle level managers, enhance resource

allocations from central to peripheral areas and to improve the efficiency and effectiveness of
health services management.

86.   A body that is good venue for making the local health system more responsive to the needs
of the people. It’s mandate to propose annual budgetary allocations for the operation and
maintenance of health facilities and services within the municipality, city or province.

Answer: Local Health Board

87.   The following are the functions of local health board except;

Answer: To widen decision-making space of middle level managers, enhance resource

allocations from central to peripheral areas and to improve the efficiency and effectiveness of
health services management.

88.   Republic Act 7160 the Local Government Code of 1991, was signed into law on?

Answer: October 10, 1991 and took effect on January 1, 1992

89.   Mayor Alma ordered the closure of the restaurant after seeing clients smoking in the said
facility. Which law was violated by the restaurant owner?

Answer: EO No. 26

90.   Manang Gee went to the Brgy. Hall after being battered by her husband. Her husband even
spent the money for their daughter’s newborn screening test for to buy alcoholic drinks and
maybe drugs. She is determined to file a case against he husband for violating:

Answer: RA 9262

91.   Nurse jina received a call from a certain “relative” of the patient, who insisted to get a copy
of the patient’s ultrasound result. The caller threatened to sue nurse jina to lose her job because
of the caller holds a high rank position in the medical field. She then gave what the caller asked
for. What ethical principle was violated?

Answer: Article 2 Ethical Principles for Filipino Nurses

 

92.   Mang kiko lives in the farthest población of his town, only when he got hospitalized that he
has known of philhealth insurance, he could have spent his spare money to buy some
medicines. What law permits an individual to use Philhealth in emergency or elective case of
hospitalization?

Answer: RA 7875

93.   Semya, a healthy, middle age woman was diagnosed as positive with COVID19 in Makati
Medical center. Semya also complained of not being able to use her benefit form philhealth. Dr.
Sharon didn’t tell anyone of the findings as requested by the patient, she violated:

Answer: RA 11332

94.   All of the following are components of the health vision, except;

Answer: Health for all

95.   The congress just approved the law requiring all employees to wear face shield, and face
mask and do an hourly hand washing in the workplace. All of these would be monitored
electronically by the employer and would submit a report to DOH and DTI. This would prevent
economic loss and promote one’s health amidst the COVID 19 pandemic. This is an example of
ehealth:

Answer: Legislation, Policy and Compliance

96.   President Duterte called for experts in the field of science and medicine to invent drugs and
vaccine that could eradicate COVID19. This is an innovation of:

Answer: Health Science

97.   PHN Nurse vilma spends most of her working hours in the rural unit organizing the patient’s
files, keeping track of the children for immunization. What could be the best ehealth solution for
PHN Vilma to maximize her time in providing care to patients?

Answer: Electronic Medical Report

98.   Which of the following activities was initiated by the world health organization to look for
opportunities on integrating innovations on health?
Answer: Health technology assessment

99.   Which of the following consultancy businesses is appropriate for a nurse who conducts staff
training on communicable diseases and lifestyle – related disease?

Answer: Teaching

100.                   The brgy. Chairman thinks of ways to help the brgy. Which of the following services
should he seek for consultation?

Answer: Process consultant

101.                   This refers to the program initiated by the department of labor and employment to
provide opportunities to unemployed nurses:

Answer: Enterprenurse

102.                   All of the following are reasons to practice entrepreneurship in health care, except:

Answer: medical products provide a good profit regardless of health benefits

103.                   PHN Vi is contemplating starting up a business after her retirements. She would
then be called:

Answer: An entrepreneur

104. 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:

-        Cyclical variation

105. Nurse Cha  is very keen on evaluation.  Early in the planning phase, she already laid
out her plan for evaluation.  What are important considerations in making an evaluation
plan?

-        All of the options listed

106. Which prioritization criterion should be considered in order to ensure the family’s
participation and compliance in addressing the identified problem?

-        Salience
107. "Hindi na, wag na lang kung jan din lang, Baka lumala pa sakit ko. Doon nalang ako sa
bayan, Mr. Ricardo Cruz said when asked if he would like to go to the health center despite
being told that there are free medicines and services available in the health center which is
just 3 blocks away from their home. The family is unable to to the following health task.

-        Utilize community resources for health care

109. Which of the strategies in FOURmula One Plus aims to promote transparency on the
execution of health programs:

-        Performance accountability

As a nurse caring for a family, at certain points during the implementation phase, you ask
yourself the following questions; " How is the client responding to this situation?"; Do I fully
understand the patient's/client's reality?" When you ask these questions and try to answer
them, how do you call this practice?

-        Reflective Practice

It refers to the progression of a disease process in an individual over time, in the absence of
treatment. The progression of the disease provides a basis for planning the primary,
secondary and tertiary preventions as interventions.

-        The natural history of Disease

Another family in the community that Nurse Augelene is monitoring is the Sinta family. Mrs.
Sini Sinta and Mr. Nagsi Sinta are newlyweds. Mrs. Sini Sinta is currently pregnant. As a
nurse, you are aware that Mrs. Sinta's pregnancy is categorized as_____

-        Wellness condition

Analytic epidemiology seeks to answer the questions:

-  Why

- How

One of the health problems that you identified in the Cantoria family is the immunization
status of the youngest member of the family Baby Jellaine. They have not been going to the
health center since the Dengvaxia issue. Baby jellaine has not received yet measles
vaccine. Based on your in depth interview during the second level assessment, the family
nursing problem that you identified is the "inability of the family to decide on appropriate
actions to take." What would be the focus of the interventions?

-        All of the options listed.

The following are the functions of local health board except;

-        To widen decision-making space of middle level managers, enhance resource
allocations from central to peripheral areas and to improve the efficiency and effectiveness
of health services management.

The Reid family was found to have 2 adult members who have uncontrolled Hypertension,
James (45 y/o) and Nadine (42 y/o). James Reid, the head of the family, mentioned “Yes,
me and my wife were diagnosed of Hypertension last month in the health center because
we both complained of headache. We were prescribed medication but we don’t take it
because I think we feel okay. I know of a neighbour who has Hypertension and I think he is
also doing okay without the medication.” Which of the following will be the appropriate
intervention?

-        Assist the family in understanding the complications of uncontrolled

Foreseeable crisis is present in: (Select all that apply) Group of answer choices

-        Mang Julio as jobless and laid-off one month ago

Duvall’s model of Family development is applicable to all family structures.

-        No

One of the goals set by Nurse Trinity in the Conocido family was to improve the nutrional
status of Elijah, who during the assessment was found to be malnourished. Realistically,
you hope to see the outcomes after 3 of 4 months of nurse-family relationship. Within those
months of implementation of the various intervention geared toward the achievement of the
objectives and the goal (in the long run), the nurse draws ongoing feedbacks from the family
and others involved in the resolution of the problem. Periodic visits were doen to determine
if plans and interventions are appropriately focused. Changes in the weight was also
monitored. what type of evaluation is Nurse Charlize conducting?

-        Formative evaluation

The epidemiologic triad of disease causation refers to

-        Agent, host, environment

The children of Mr. and Mrs.  Dalumbinti have flu.  They recognize that this a problem but do not
consider it as one that will be needing immediate attention.  What will be the possssible
outcomes for this kind of situation?

-        This will be a barrier to joint goal setting.

Tertiary prevention is needed in which stage of the natural history of disease?

-        Terminal illness

In the family nursing process, during the assessment phase, after generating the data
based on the Assessment Data Base, you as the nurse will go through data analysis. With
this sub step, you are reminded that the imporatnt activities of this substep includes?
-        All of the options listed.

All of the following are major components of the Philippine Heath Care Delivery System,
except:

-        The SDGs

The World Health Organization defines public health as:

-        Science and art of preventing disease, prolonging life, promoting health and efficiency
through organized community effort for the sanitation of the environment.

In which phase of the FNP does the nurse measure the status of the family as a client?

-        Assessment

When you ask yourself whether nursing intervention will make a difference, you are
determining the:

-        Modifiability

Nurse Stef in the rural health unit received a report that a patient suffered from Stroke/CVA
at home and is unconscious. She is being asked for help by the family. Their barangay is 2-
hour-drive from the nearest hospital. She immediately informed the Municipal Doctor who is
in a seminar and headed to the patient’s home. Upon arriving she immediately rendered
first aid. Nurse Stef is performing which role?

-        B. Provider of Care

Which of the following are you going to consider when prioritizing health problems
according to salience? The family’s:

-        Felt needs

Which of the following nursing diagnosis should be the most prioritized health problem?

-        Dyspnea of Mr. Ryes a health deficit

In this phase of the FNP, the nurse and the client family perform what is required, monitor
action taken, and modify patterns

-        Implementation

The utilization of the nursing process in the different levels of clientele- individuals, families,
population group and communities, concerned with the promotion of the health, prevention
of disease and disability and rehabilitation is defined by;

-        Maglaya
During the implementation phase, Nurse Althea, recognizes the importance of reflective
practice  in widening her expertise in family health care.  In reflecting on her action, what
would be the possible questions that nurse should ask herself?

-        What other possible actions can I pursue to improve on my understanding of the client's
situation?

Nurse Charlize jointly set the goal with the Macaspac family in terms of removing the
accident hazard in the home specifically the broken stairs observed in the house of the
family.  After implementing the interventions appropriate to the goal and objectives, you are
set to do an evaluation.  What will be the main method of evaluation that you will use to
determine if the goal was achieved?   Group of answer choices

-        Records review

-        Observation

-        Interview

-        None of the above

The Ecologic Model helps the student nurse understand the following Group of answer
choices

-        Pattern of disease occurrence

Nursing, together with public health, is one of the helping professions in the health care
system which operates at three level of clientele, these are;

-        Individuals, families and communities

The proper sequence of conducting a family nursing assessment includes

-     Conduct an interview, observe, physical assessment, and identify the health problem

Introduced a major devolution of national government services, which included the first
wave of health sector reform. The Code devolved basic services for agriculture extension,
forest management, health services, barangay roads and social welfare to Local
Government Units.

-        Republic Act 7160, Local Government Code of 1991

Evaluation on the implementation phase is essential because it will:

-        All of the above

The assessment phase of FNP ends with:

-        Problem identification
Which one of the following statements explains what is meant by the term 'Clean as you
go'?

-        Clean down before you leave for home.

Nurse Kimmy is revising a client’s care plan. During which step of the nursing process does
such revision take place?

-        Evaluation

Maria’s daughter who is working as a nurse in the community hospital was diagnosed with
Covid. The neighbours are asking and are anxious about the situation. Maria has to
determine what information will be released from the family. Maria is fulfilling the role of:

-        Gatekeeper

What effect does duration of a health problem have on its modifiability?

-        Both

The data that describe the family's realities, perceptions, and performance is

-        Second-level assessment

The nurse addresses the health needs and problems of a family in a logical and systematic
way using a series of steps. We call this:

-        Family Nursing Process

Nurses have significant roles in the primary level of preventions. The following are
examples of nurse activities showing primAs Nurse Rica and Nurse Jaia triedary prevention,
except:

-        Referrals of cancer clients to tertiary hospitals

This is a type of evaluation where you chart the assessment data observed and or
gathered, the intervention done, the client’s response or responses to the interventions and
any action or actions s taken based on the responses.

-        AIR, A (Assessment, Intervention, Response, Action)

As a nurse in Barangay Walangkobid, you assessed the family of Mr. Rey Cervantes.  The
following are the data that you were able to gather. 

 Aling Tetchie, 40 years old, the wife of Mr.  Cervantes is pregnant with their 6th child  while
Mang Rey, 43 years old is presently jobless and was diagnosed to have pulmonary  
tuberculosis.  They have five (5) children.  The eldest is Paul, 18 years old.  He associates
with drug dependents in their barangay.  The second child is Riza, who is 16 years old is
studying in a public high school near their place. Chelsea, the third, nine years old is also
studying in public elementary school and is assessed to be malnourished.  Popo, 5 years
old, not yet enrolled in school, walks barefoot in the street.  Chin chin, three years old is left
to play with her brother Popo.  She also plays in the streets of the barangay without her
slippers.   Currently, they are being assisted by the sisters of Mang Rey.  His sisters are
working abroad. 

When you did the assessment, Aling Tetchie's pregnancy is a?

-        Foseeable crisis

A mother brought her one month old to the RHU for immunization. It's almost three months
since the mother's last consultation. To determine the condition of the baby, the nurse
visited the family. What initial data collection method will the nurse utilize?

-        Understand each family member

-        Prioritization family expenditures

-        Experience relaxation and healthy lifestyle

-        Definition of health needs?

The process of making continuous appraisal of the family’s response to health care is:

-        Evaluation

Which of the following is most likely to be a source of food poisoning bacteria?

-        raw meat

As you are assessing the Batumbangkal family, you are able to gather data about  how the
Aling Ising, the mother, takes care of her children especially when they were still young. 
She mentioned that she practiced exclusive breastfeeding  in all her children.  Now that she
is pregnant with her fifth child, she expressed her plan to breastfeed her baby.  She said
that even if she brestfed her other children before, she is still interested to know more about
breastfeeding.  She is worried that now she is about to give birth and will do breastfeeding,
her milk production may not be enough.

As a nurse, you took note of the desire to know more and improve breastfeeding practices. 
You identified this as a presence of a wellness condition,.  A wellness condition as you
understood is_____________

-        All of the options listed

The ecologic model which emphasizes the role of the agent in causing the disease:

-        Wheel

After seeking consultation with the Primary Care Physician, Petra Pobre asked you if she
can buy inexpensive medicine having the same effectiveness with branded medicines. You
replied:

-        Yes, its supported by RA No. 6675

The Lara family is one one the families assigned to you.  One of their favorite past time
activities, especially during this time of the pandemic,  is watching their favorite Korean
drama every night.  They do this while eating junk food which are high in sodium and fat
content.  They have been doing this practice on a regular basis since March of this year. 
Upon assessment, they do not consider this as a problem.  You developed a plan of care
for the family.  Hence, you want to assist the family in recognizing the problem.  Which
among the following should be the focus of your intervention?

-        Group of answer choices

-        Explain to the family the nature of the problem.

-        All of the choices listed.

-        Discuss with the family the implication of unhealthy eating practices.

-        Assist the family in understanding the implication of eating non-nutritious food.

The current health status of the country is said to be characterized with mixed health
outcomes.  Which among the statements is true about this description?

-        The country only had modest gains in selected health outcome indicators and weak
performance in others.

Nurse Stef called the ambulance driver to pick up the patient for possible transport to the
city. She also called the hospital admission staff that they will be bringing a patient for
possible admission and reported the details over the phone. Nurse Stef is performing which
role.

-        Coordinator

The following are examples of short-term objectives, except:

-        After nursing intervention, the family will be able to competently take care of its mentally-
ill member.
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:

-        Health deficit

While doing an interview with the Delos Reyes family, the following are the data that you are
able to gather: Mr. Lito Delos Reyes is the prime decision maker of the family. The family is
an extended family with the parents of Mr. Delos Reyes living in the same house. They are
nine (9) in the family. The members of the family are as follows; Mr. Lito Delos Reyes, the
father; Mrs. Linda Delos Reyes, the mother; Lita, Cindy, Julie, Leslie and Richard-the
children; and Lolo Justininano and Lola Nilda. They are not very demonstrative in terms of
their affection with one another. Lola Nilda sometimes have conflicts with Mrs. Linda Delos
Reyes especially when it comes to matters related to child rearing. The children have high
respect for the parents and grandparents. What is/are true about the data that you have
gathered?

-        All of the options listed.

Nena sees to it that their house is clean and orderly where she can see her children playing
without fear of getting sick or getting injured. This is because it is the task of the family to:

-        Maintaining a home environment conducive to health maintenance

Which of the following is an advantage of a home visit?

-        It provides an opportunity to do first hand appraisal of the home situation.

This is the blueprint of the care that the health worker designs to systematically minimize or
eliminate the identified health problems through explicitly formulated outcomes of care and
deliberately chosen set of interventions, resources and evaluation criteria, standards and
methods.

-        Family Nursing Care Plan

In Family Health Nursing, a cardinal principle in setting goal is that a goal must be: Group of
answer choices

 set mutually between the nurse and the family

As Nurse Rica and Nurse Jaia tried to select the appropriate nurse family contact in helping
the Hyerinko family solve the health problem of the eldest son showing signs of depression, 
what will be the considerations of the nurses assigned to the Hyerinko family?   

 All of the options listed

Most of the mothers in Barangay Masasa practices breast feeding to their newborns and
adheres to the completion of vaccine. This practices indicates:

 A wellness state to prepare for any forthcoming challenges on the care for children 

The nurse utilizes which of the following to address the health problem of the client. Select
the best answer.

 Family nursing process

The type of evaluation that guides both the nurse and the family on decisions about
modifications of goals, objectives and intervention, strategies/ measures, depending
upon the current situation, emerging or additional health needs/ problems and priorities
of the family.

 Formative

Evaluations measure:

 The outcomes and impact of a program's activities

When nurse and the client perform what is required, monitor actions taken and modify
patterns, this is referred to as:

 Implementation
 
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?

 Health programs are sustained according to the level of development of the

community.
 
Which Sustainable Development Goal number ensures healthy lives and promote
wellbeing for all at all ages?

 Goal 3
 
 
 
Situation: It is the 5th day of the nurse deployed by the DOH under the Registered
Nurses for Health Enhancement and Local Service (RN HEALS) Program, as the nurse
supervisor, assist her in selecting the appropriate second level assessment among the
families in Bgy. Purita, Baba, Sta. Rosa. Question:
Mrs. Ligaya verbalized: " I know that getting vaccinated protects  my son’s health. At 6-
months-old, for me has has completed his immunization, we’ll just spend our money for
food than transportation to this health center.” The second level assessment is:

 Inability to provide adequate nursing care to the sick , disabled, dependent or

vulnerable/at risk member of the family

Describing distribution in epidemiology answers the following:

Group of answer choices

 Where
 When
 Why
 Who

This is defined as the health judgment related with the client’s capability for optimum
health.

 Wellness Potential
 

In priority setting, a score of zero (0) for salience implies that:

 The identified condition is not a perceived problem for the family

What method/s of data gathering is/are not appropriate to use when getting information
about the health status of each family member:

 Perception of the family’s friend

One of the problems that Nurse Rain was able to identify is the possible complicated
pregnancy of Mrs. Cantos, 36 years old mother of 5 children.  She is at 21 weeks AOG,
with BP of 140/90.  There is pedal edema and weighs 120 lbs.  One of the family
nursing problems that was identified was the inability to recognize the presence of
possible complication in pregancy due to lack of knowledge.  The goal of care is that
after the nursing intervention, the family will take the necessary measures to prevent
possible complicated pregnancy such as pre-eclampsia.  One of the interventions was
geared towards broadening the knowledge of the family on possible complications of
pregnancy.  What will be the more specific actions of the nurse for this?   Choose all
that apply.
Discuss with the family the causes of pre eclampsia and risk factors of pre-eclampsia.
Discuss the consequences of a possible consequences of pre-eclampsia.
Explore with the family the available courses of action open to them.
Discuss the implications of the signs and symptoms presented by Mrs. Cantos.
 all? 

In the family health nursing, a cardinal principle in goal settings is that goals must be:

 Set mutually between the family and nurse

Nurse Erica and the  Cutiangco family focused on the malnutrition problem of the
children of Mr. and Mrs. Cutiangco. After developing and implementing the plan of care,
Nurse Erica understands that an important phase of the family nursing process is
evaluaton.  Which among the following statement is true with evaluation? 

 All of the options listed.

 
Health Promotion as a positive concept is organized by the World Health Organization
on the first International Conference in 1986. This is known as:

 The OTTAWA Charter

 
The main reason for keeping kitchens clean is:

 to prevent contamination of food

A component of the family nursing care plan which specifies the criteria by which the
degree of effectiveness of care are to be measured

 Objectives of care

The preventive potential of a health problem is likely to be affected by the following

factors: (Select all that apply)

 Duration of the problem

 Current technology, knowledge and intervention to solve the problem
  Severity of the problem
 Exposures of any high-risk group
 
True or False
1. The Department of Health is the national agency mandated to lead the health sector
towards assuring quality health care for all Filipinos.
2. The Department of Health provides guidance and technical assistance to the Local
Government Units (LGUs) in various regions of the country.
 If first statement is true and second statement is false
 
Which among the statements is true about second level assessment in Family Health
Nursing? Group of answer choices

 All the options listed

 
Which of the following objectives can be possibly attained within the shortest possible
time and the least number of home visits? Group of answer choices
Objective C: After the first home visit, the malnourished member will be able to attain
normal weight.
B&C
A&B
Objective B: After nursing intervention, the family will be able to discuss in their own
words, the importance of proper nutrition.
Objective A: After nursing intervention, the family will be able to feed the
undernourished child according to the prescribed quality and quantity of food.
 
Help the novice nurses in RHU – Yagit, Banana, Rizal to categorize this health
situation/problem: Mrs. Nadyn, cried for help about her baby Jernadyn, who’s been
vomiting and has inability to move her legs.

 Health deficit

In a health teaching plan, it is important that the nurse specify the learning strategies.  In
doing so, what should guide the nurse in designing the learning strategies?

Group of answer choices

 All of the options listed

 
 In what year did the Philippines Government devolved the management and delivery of
health services from the National Department of Health to locally elected provincial, city
and municipal governments.
  1992
The type of evaluation that guides both the nurse and the family on decisions about
modifications of goals, objectives and intervention, strategies/ measures, depending
upon the current situation, emerging or additional health needs/ problems and priorities
of the family.
 Formative
 
Which is contrary to the principles in planning a home visit?
 Home visit should be conducted in the manner prescribed by the RHU

The modifiability of the health problem is determined by the following factors: Select all
that apply.

 Resources of the Nurse

 Current knowledge, technology and interventions to enhance the wellness state
 Resources of the community
 Resources of the family

Data: Mang Julio, 50 years old father is jobless with undiagnosed PTB.
Mang Julio’s PTB is a:
 Health deficit
 
 
In developing a family nursing care plan, a correctly stated objective is: Group of answer
choices
Given pertinent information, the client in 10-15 min will describe nutritionally adequate
meals
The client will gain weight
Given a one week menu model, the client will make a one week meal plan for the family
Given materials on the Filipino food pyramid, the client will enumerate food items rich in
essential nutrients
 
 
 
The model’s basic premise is that behavior change is a process, not an event. As a
person attempts to change a behavior, he or she moves through five stages: pre-
contemplation, contemplation, preparation, action, and maintenance.  What is model?
 Stages of Change Model
 
Which intervention will you undertake in order to help your client family who is unable to
make decision on which course of action to undertake to address a problem?
A & C only
Intervention B: Deciding for the family on the appropriate action to take
Intervention C: Identifying with the family, options that are open to them including the
required resources
A & B only
Intervention A: Discussing the negative implications of not taking action to address the
problem
 
“Malakas kumain ng kanin at malikot ang mga anak ko”, said Rosa. This is a cue that
she has:

1. Inability to recognize problem of malnutrition

2. Inability to utilize community resources
3. Lack of knowledge
4. Inability to make decision

4, 3
1, 3
None of the above
2, 3
 
In the first level assessment, existing and potential health conditions or problems of the
family are identified. If during assessment of a family, the nurse assessed that the
children have faulty eating habits, this problem can be categorized as:

 Health threat

A systematic phase of family nursing process, also referred to as the development of

the blueprint of nursing care:
Diagnosis
Planning
Evaluation and Implementation
Assessing
 
The Romero family of Barangay Ligaya is considered high risk. Which of the following
are quantifying indicators?

1. Aling Francia, 45 years old mother, pregnant for the 7th

2. Mang Julio, 50 years old father is jobless with undiagnosed PTB.
3. Paul, 18 years old, the eldest son who associates with drug addicts.
 4. Trining, 5 years old, the youngest has developmental delays.
5. Two of Julio’s sisters are nurses working abroad regularly sending him
money.

1, 2
1, 2, 3, 4, 5
1, 2, 3, 4
1, 2, 3
Which of the following objectives is considered to be under the cognitive domain which
demonstrates client’s comprehension on what is being communicated by recognizing its
translated form?
Given a sample list of foods, the patient will create a menu to include foods from the 3
basic food groups in the recommended amount of daily intake.
After attending a support group meeting, the patient will complete a journal entry
reflecting her feelings about the experience.
At the end of one-to-one instruction, the client will verbalize feelings of confidence in
managing their asthma using the peak-flow tracking chart.
Which of the following objectives is considered to be under the cognitive domain which
demonstrates client’s comprehension on what is being communicated by recognizing its
translated form?
 
Which of the following demonstrates intersectoral linkages?

 Cooperation between the PHN and public school teacher

Which of the following Goals is appropriate on your nursing diagnoses: “ Risk for injury
of Mr. Ten due to broken stairs as health threat”

 The family, specifically Mr. Ten will be able to fix the broken stairs and be free of
possible injury.
 
Type of data that describe the family’s realities, perceptions, attitudes, and performance
of health task of each identified health problems:

 Second Level Assessment

 
Which of the following Objective statements used a criterion-reference in evaluating the
performance?
 Given the National Antibiotics Guidelines..

The nurse measures the status of the family and its ability to resolve its problems.

 Assessment
The Pitak family is a nuclear family.  There are nine (6) family members.  They are as
follows, Mrs. Pauline Pitak, 38 years old and Mr. Victor Pitak, 45 years old. Mrs. Pitak is
currently pregnant with their fifth child.  Their eldest is Tali, 14 years old.  The second
child is Vico, 12 years old.  The third child is Danica, 10 years old and Oyo is the fourth
who is 4 years old. initially, they thought that Oyo will be the youngest.  Mrs. Pitak stays
at home while Mr. Pitak is a construction worker in a nearby site.  He earns around 600
per day.  Mrs. Pitak tries to help augment the family income by making and selling
kakanin.  They are worried about their current situation.    When asked about their
knowledge on family planning as well as the FP method that they were using, they said
that they did not use any family planning method before.  They said that they just heard
from neighbors and friends about FP but would not exactly know in detail about what it
is all about and the appropriate FP method for them.  The nurse identified " family size
beyond what family resources can adequately provide"   as the health problem.  Based
on the indepth assessment , the family nursing problem is ianbility to make decisons
with respect to taking appropriate health action due to lack of knowledge about the
alternative courses of action open to them.  The goal of care includes helping the family
decide on an action to maintain family size.  One of the objectives is for the family to be
able to select a Family Planning method appropriate for them.  What will be the best
intervention for this objective? 

 All the options listed.

 
Nurse KJ reviews the immunization record of the children, and previous annual physical
exam result of Mr. and Mrs. Kellog. What is being assessed by Nurse KJ?
Definition of health needs
Experience relaxation and healthy lifestyle
Prioritization of family expenditures
Understand each member of the family
Which of the following is an example of a developmental stress point/crisis situation?

 Loss of job
 
Situation: Help the novice nurses in RHU – Yagit, Banana, Rizal to categorize the health
problem/situation.
Allan, first year college student in Pasay City is bothered on how can he go to school
because of various road closure due to conduct of SEA Games.
Health threat
Foreseeable crisis
Health deficit
Wellness state
 
I ts said that despite living longer than in previous years, Filipinos now bear a triple
burden of disease.  What is meant by triple burden of disease?
  High prevalence of communicable diseases and NCDs and Diseases of rapid
urbanization and industrialization.