1. What is the primary focus of community health nursing?

• A) Disease treatment
• B) Health promotion
• C) Hospital care
• D) Individual treatment
• Answer: B) Health promotion

2. Community health nursing combines clinical nursing with:

• A) Veterinary practice
• B) Laboratory research
• C) Public health and community practice
• D) Surgical techniques
• Answer: C) Public health and community practice

3. In community health nursing, the client is often:

• A) An individual
• B) The entire community
• C) A family member
• D) The healthcare provider
• Answer: B) The entire community

4. Who defined public health as “the science and art of preventing disease, prolonging life and
promoting health through organized efforts of society”?
• A) Florence Nightingale
• B) WHO
• C) Acheson
• D) Winslow
• Answer: C) Acheson

5. The term “community” is defined as:

• A) Individuals in a hospital
• B) A social group residing in a locality with shared values
• C) Randomly gathered individuals
• D) People living in different countries
• Answer: B) A social group residing in a locality with shared values

6. The philosophy of community health nursing includes the belief in:

• A) Only hospital care
• B) Individual responsibility for health
• C) Total government control over health
• D) Only emergency response
• Answer: B) Individual responsibility for health

7. Which of these is a primary aim of community health nursing?

 • A) Hospital profit maximization
• B) Disease prevention and health promotion
• C) Reducing government spending
• D) Promoting private clinics
• Answer: B) Disease prevention and health promotion

8. Community health nursing promotes care that is:

• A) Episodic
• B) Continuous
• C) Experimental
• D) Intermittent
• Answer: B) Continuous

9. In community health nursing, primary prevention focuses on:

• A) Surgery
• B) Vaccination and health education
• C) Rehabilitation
• D) Diagnostic testing
• Answer: B) Vaccination and health education

10. Home care within community health nursing includes:

• A) Only administering medications
• B) A wide range of preventive and promotive services at home
• C) Emergency hospital services
• D) Laboratory-only services
• Answer: B) A wide range of preventive and promotive services at home

11. Community health nursing includes nursing care of the family in both:
• A) Sickness and health
• B) Research and education
• C) Hospital and clinic
• D) Emergency and surgery
• Answer: A) Sickness and health

12. Which of the following is considered an aspect of geriatric care in community health
nursing?
• A) Childcare programs
• B) Frequent visits by nurses for elderly care
• C) Providing only emergency care
• D) Hospitalization for all elderly patients
• Answer: B) Frequent visits by nurses for elderly care

13. Occupational health nursing aims to:

• A) Focus solely on treating workplace injuries
 • B) Address health and nursing needs related to people’s occupations
• C) Offer only safety training
• D) Eliminate all workplace hazards
• Answer: B) Address health and nursing needs related to people’s occupations

14. Mental health services in community health nursing primarily focus on:
• A) Surgery for mental illnesses
• B) Early diagnosis, treatment, and rehabilitation
• C) Restricting patients at home
• D) Focusing solely on child mental health
• Answer: B) Early diagnosis, treatment, and rehabilitation

15. Family health nursing services include:

• A) Providing services only in hospitals
• B) Health education, guidance, and supervision
• C) Referrals to private health care only
• D) Specialized surgeries
• Answer: B) Health education, guidance, and supervision

16. Which of the following is part of the community organizing participatory action research
(COPAR) process?
• A) Hospital admission for patients
• B) Empowering communities to be self-reliant
• C) Isolating patients from society
• D) Relying only on healthcare professionals for decisions
• Answer: B) Empowering communities to be self-reliant

17. The Expanded Program on Immunization (EPI) primarily aims to:

• A) Increase hospital admissions
• B) Ensure infants/children and mothers access vaccines
• C) Replace vaccines with traditional medicine
• D) Focus only on adult immunization
• Answer: B) Ensure infants/children and mothers access vaccines

18. Which vaccine-preventable disease is targeted by the BCG vaccine?

• A) Diphtheria
• B) Tuberculosis
• C) Tetanus
• D) Measles
• Answer: B) Tuberculosis

19. The main objective of maternal and child health (MCH) nursing is:
• A) Reducing government health spending
• B) Enhancing family planning and child health
 • C) Limiting births in the community
• D) Hospitalizing every mother and child
• Answer: B) Enhancing family planning and child health

20. School health nursing primarily involves:

• A) Providing vaccinations only
• B) Implementing health programs for student protection and health
• C) Conducting academic assessments
• D) Administering medications to teachers
• Answer: B) Implementing health programs for student protection and health

21. The Family Health Nursing Process starts with:

• A) Diagnosis of family needs
• B) Assessment of the family’s health needs
• C) Providing interventions immediately
• D) Evaluating treatment outcomes
• Answer: B) Assessment of the family’s health needs

22. Which phase in family health nursing involves diagnosis of client response needs?
• A) Implementation
• B) Assessment
• C) Diagnosis
• D) Evaluation
• Answer: C) Diagnosis

23. A community diagnosis includes:

• A) Only diagnosing individuals
• B) Identifying factors that influence community health
• C) Diagnosing based on past trends alone
• D) Ignoring social influences
• Answer: B) Identifying factors that influence community health

24. The implementation phase in family health nursing requires:

• A) Only the nurse’s input
• B) Active involvement of the family
• C) Relying solely on past interventions
• D) Minimal planning and organization
• Answer: B) Active involvement of the family

25. Evaluation in the Family Health Nursing Process involves:

• A) Structuring future plans only
• B) Measuring if goals have been met
• C) Focusing on social goals only
• D) Avoiding family feedback
 • Answer: B) Measuring if goals have been met

26. Which of the following is a characteristic of the family-centered nursing approach?

• A) Focusing only on community-level issues
• B) Addressing health needs of both the individual and family
• C) Emphasizing strict hospital guidelines
• D) Ignoring family participation in planning
• Answer: B) Addressing health needs of both the individual and family

27. Community health nurses conduct assessments by:

• A) Only observing the family members
• B) Interviewing, examining, and reviewing family records
• C) Avoiding physical exams
• D) Using only government reports
• Answer: B) Interviewing, examining, and reviewing family records

28. The main goal of the Expanded Program on Immunization (EPI) is to:
• A) Increase the population growth rate
• B) Reduce morbidity and mortality from preventable diseases
• C) Eradicate all non-communicable diseases
• D) Limit vaccination to infants only
• Answer: B) Reduce morbidity and mortality from preventable diseases

29. In Community Health Nursing, “primary health care” aims to provide:

• A) Specialized hospital treatments
• B) Essential care accessible to all
• C) Only emergency services
• D) Exclusive care for rural areas
• Answer: B) Essential care accessible to all

30. Which phase in COPAR is focused on community integration and data gathering?
• A) Entry phase
• B) Organization-building phase
• C) Sustenance phase
• D) Evaluation phase
• Answer: A) Entry phase

31. The objective of public health is primarily focused on:

• A) Disease eradication alone
• B) Health promotion and disease prevention
• C) Hospital-centric care
• D) Limiting healthcare access
• Answer: B) Health promotion and disease prevention
32. Public health includes the provision of personal services such as:
• A) Only diagnostic tests
• B) Vaccinations, behavioral counseling, and health advice
• C) Surgical interventions only
• D) Limited patient care
• Answer: B) Vaccinations, behavioral counseling, and health advice

33. In community health nursing, the client includes:

• A) Only individuals
• B) Families and the entire community
• C) Only children
• D) Only elderly patients
• Answer: B) Families and the entire community

34. Which of the following is a major aim of primary health care?

• A) Providing only curative services
• B) Enhancing community participation in health management
• C) Focusing solely on government-led health interventions
• D) Restricting health education
• Answer: B) Enhancing community participation in health management

35. The primary role of community health nurses in school health programs is to:
• A) Diagnose illnesses
• B) Promote and maintain students’ health
• C) Supervise academic progress
• D) Manage school finances
• Answer: B) Promote and maintain students’ health

36. According to COPAR, the pre-entry phase primarily involves:

• A) Direct healthcare services
• B) Assessing and selecting communities
• C) Conducting community health campaigns
• D) Administrative roles only
• Answer: B) Assessing and selecting communities

37. One of the most important principles of community health nursing is:
• A) Continuous care rather than episodic care
• B) Exclusive focus on chronic diseases
• C) Avoiding family involvement
• D) Hospitalizing patients frequently
• Answer: A) Continuous care rather than episodic care

38. Community health nurses help promote:

• A) Self-care responsibility among individuals and families
 • B) Dependence on healthcare providers
• C) Limited access to health education
• D) Solely physical health interventions
• Answer: A) Self-care responsibility among individuals and families

39. The Family Health Nursing Process includes which critical step?
• A) Ignoring follow-up care
• B) Periodic and continuous appraisal of family health situations
• C) Relying solely on initial assessment
• D) Avoiding health education
• Answer: B) Periodic and continuous appraisal of family health situations

40. Which of these is a goal of COPAR’s sustenance and strengthening phase?

• A) Limiting community health resources
• B) Ensuring community health initiatives can continue independently
• C) Reducing training for community health workers
• D) Prioritizing hospital care
• Answer: B) Ensuring community health initiatives can continue independently

41. Which organization role in COPAR focuses on training and leading community members?
• A) Community Health Organization (CHO)
• B) Private health institutions
• C) Non-governmental agencies
• D) None of the above
• Answer: A) Community Health Organization (CHO)

42. Which factor is assessed to diagnose health needs within the family health nursing process?
• A) Family’s social environment
• B) National health trends only
• C) Population statistics only
• D) Medical history of other families
• Answer: A) Family’s social environment

43. A primary responsibility of a community health nurse in geriatric care is to:

• A) Promote autonomy and health maintenance among the elderly
• B) Focus solely on emergency care
• C) Conduct only in-hospital treatments
• D) Provide only acute care services
• Answer: A) Promote autonomy and health maintenance among the elderly

44. In community health nursing, health promotion is achieved through:

• A) Environmental control and personal lifestyle education
• B) Emergency services only
• C) Limiting health education efforts
 • D) Relying on pharmaceuticals alone
• Answer: A) Environmental control and personal lifestyle education

45. A fundamental component of primary health care is:

• A) High-cost hospital interventions
• B) Accessible care at an affordable cost
• C) Restricting health access
• D) Providing specialist-only services
• Answer: B) Accessible care at an affordable cost

46. School health nursing includes:

• A) Addressing chronic illnesses only
• B) Health screenings and vaccination programs
• C) Primarily academic support
• D) Avoiding physical examinations
• Answer: B) Health screenings and vaccination programs

47. During the planning phase in family health nursing, goals are typically:
• A) Family-centered
• B) Focused solely on hospital care
• C) Based on general health trends only
• D) Ignored in the nursing process
• Answer: A) Family-centered

48. Primary health care emphasizes:

• A) Individual health only
• B) Whole community involvement and intersectoral collaboration
• C) Limiting family health education
• D) Hospitalization over home care
• Answer: B) Whole community involvement and intersectoral collaboration

49. One goal of community health nurses working with marginalized populations is:
• A) Providing only disease treatment
• B) Empowering self-care and independence
• C) Avoiding social issues
• D) Reducing health education programs
• Answer: B) Empowering self-care and independence

50. The Expanded Program on Immunization aims to eliminate which of the following diseases?
• A) Cancer
• B) Polio, measles, and diphtheria
• C) Hypertension
• D) Diabetes
• Answer: B) Polio, measles, and diphtheria
Expanded Program on Immunization (EPI)

21. The goal of the Expanded Program on Immunization (EPI) is to:

• A) Immunize adults only
• B) Reduce morbidity and mortality from vaccine-preventable diseases in children
• C) Limit vaccination efforts to urban areas
• D) Focus exclusively on hospital treatments
• Answer: B) Reduce morbidity and mortality from vaccine-preventable diseases in
children

22. Which disease is NOT covered by the routine vaccines under EPI?
• A) Hepatitis B
• B) Tuberculosis
• C) Malaria
• D) Poliomyelitis
• Answer: C) Malaria

23. What is the recommended starting age for the Oral Polio Vaccine (OPV) under EPI?
• A) Birth
• B) 6 weeks
• C) 1 year
• D) 6 months
• Answer: B) 6 weeks

24. Republic Act No. 10152 mandates:

• A) Mandatory immunization of infants and children under six years
• B) Optional immunization for school children only
• C) Vaccinations only in private hospitals
• D) Immunization only for adults
• Answer: A) Mandatory immunization of infants and children under six years

25. Which vaccine is administered at birth to protect against tuberculosis?

• A) OPV
• B) DPT
• C) BCG
• D) MMR
• Answer: C) BCG

Herbal Medicines Approved by the DOH

26. Which herbal plant is used as an antifungal for conditions like ringworm and athlete’s foot?
• A) Sambong
 • B) Akapulko
• C) Tsaang Gubat
• D) Bawang
• Answer: B) Akapulko

27. What is the primary medicinal use of Ampalaya as per DOH guidelines?
• A) To relieve pain
• B) To lower blood sugar levels
• C) To treat wounds
• D) To reduce cholesterol
• Answer: B) To lower blood sugar levels

28. Which herbal medicine is recommended by the DOH for diarrhea treatment?
• A) Lagundi
• B) Tsaang Gubat
• C) Sambong
• D) Bayabas
• Answer: B) Tsaang Gubat

29. Yerba Buena is used for:

• A) Reducing high blood pressure
• B) Treating cough and colds
• C) Antiseptic purposes
• D) Pain relief
• Answer: D) Pain relief

30. Bawang, also known as garlic, is recommended by the DOH for which condition?
• A) Hypertension
• B) Muscle pain
• C) Skin infections
• D) Fever
• Answer: A) Hypertension

COPAR Phases

31. Which is the first phase in the Community Organizing Participatory Action Research
(COPAR) process?
• A) Entry phase
• B) Pre-entry phase
• C) Organization-building phase
• D) Sustenance phase
• Answer: B) Pre-entry phase

32. The main objective of the entry phase in COPAR is to:

 • A) Conduct immediate health interventions
• B) Integrate into the community and deepen social investigation
• C) Finalize community health programs
• D) End all community assessments
• Answer: B) Integrate into the community and deepen social investigation

33. During the organization-building phase in COPAR, a core activity is:

• A) Choosing the final community for intervention
• B) Training the community for health program implementation
• C) Conducting medical check-ups
• D) Administering vaccines to all members
• Answer: B) Training the community for health program implementation

34. Sustenance and strengthening in COPAR aim to:

• A) Train the community to maintain health initiatives independently
• B) Limit community health resources
• C) Focus solely on nutrition programs
• D) Provide temporary relief only
• Answer: A) Train the community to maintain health initiatives independently

35. Which phase of COPAR includes forming the Community Health Organization (CHO)?
• A) Pre-entry phase
• B) Organization-building phase
• C) Sustenance phase
• D) Evaluation phase
• Answer: B) Organization-building phase

Family Health Nursing Process

36. What is the first step in the Family Health Nursing Process?
• A) Planning
• B) Diagnosis
• C) Implementation
• D) Assessment
• Answer: D) Assessment

37. Which activity is included in the assessment phase of the Family Health Nursing Process?
• A) Only observation
• B) Interview, physical examination, and record review
• C) Diagnosis of disease
• D) Treatment planning
• Answer: B) Interview, physical examination, and record review

38. An essential part of the diagnosis phase in Family Health Nursing involves:
 • A) Treating illnesses directly
• B) Identifying family health problems and needs
• C) Only focusing on one family member
• D) Avoiding community influence
• Answer: B) Identifying family health problems and needs

39. The planning phase in the Family Health Nursing Process includes setting:
• A) Broad health policies
• B) Family-centered short- and long-term goals
• C) Only community-wide health strategies
• D) Limited goals for individual health only
• Answer: B) Family-centered short- and long-term goals

40. Evaluation in the Family Health Nursing Process checks if:

• A) Immediate care was provided
• B) Family health goals were met effectively
• C) All individuals were hospitalized
• D) Only clinical symptoms were resolved
• Answer: B) Family health goals were met effectively

Vital Statistical Indicators

41. Crude birth rate measures:

• A) The total deaths in a population
• B) How fast people are added to a population through births
• C) Only births in urban areas
• D) Population loss rates
• Answer: B) How fast people are added to a population through births

42. Infant mortality rate refers to the:

• A) Death of infants before their first birthday
• B) Total number of births in a year
• C) Death of children under five
• D) Life expectancy of newborns
• Answer: A) Death of infants before their first birthday

43. Prevalence proportion measures:

• A) New cases of a disease
• B) Total number of existing cases at a specific time
• C) Birth rates
• D) Population size changes
• Answer: B) Total number of existing cases at a specific time

44. Which indicator provides insights into the general health status of a community?
 • A) Crude mortality rate
• B) Incidence density
• C) Prevalence rate
• D) Both A and C
• Answer: D) Both A and C

45. A higher crude mortality rate may indicate:

• A) Improved health status
• B) No changes in population health
• C) Potential health issues or poor health status
• D) Increased birth rates
• Answer: C) Potential health issues or poor health status

Primary Health Care (PHC)

46. Primary health care aims to:

• A) Offer only specialized treatments
• B) Make essential care accessible to all
• C) Restrict healthcare to rural areas
• D) Focus solely on physical health
• Answer: B) Make essential care accessible to all

47. Primary health care was declared at the First International Conference on Primary Health
Care in:
• A) Geneva
• B) Washington
• C) Alma Ata
• D) Manila
• Answer: C) Alma Ata

48. One of the key principles of primary health care is:

• A) Professional health management only
• B) Participation of community members in their own health care
• C) Limiting family involvement in health decisions
• D) Excluding private sector participation
• Answer: B) Participation of community members in their own health care

49. In the Philippines, the PHC approach was adopted with the theme:
• A) Health for all by 2020
• B) Medicine for all
• C) Limiting disease spread
• D) Urban health initiatives only
• Answer: A) Health for all by 2020
50. Which Philippine law encourages the use of herbal medicine in health care?
• A) Republic Act No. 8423 (Traditional and Alternative Medicine Act of 1997)
• B) Republic Act No. 10152
• C) Republic Act No. 11223
• D) BHW Incentives Act
• Answer: A) Republic Act No. 8423 (Traditional and Alternative Medicine Act of
1997)

Family Health Nursing Process (Continued)

51. In the family-centered nursing approach, focusing on the family as a system means:
• A) Addressing each family member separately
• B) Targeting the family unit as a whole for nursing interventions
• C) Ignoring individual health needs
• D) Limiting care to community-wide interventions
• Answer: B) Targeting the family unit as a whole for nursing interventions

52. One advantage of family health nursing over hospital care is:
• A) Higher cost
• B) Continuous support in the family’s environment
• C) Less privacy for patients
• D) Increased need for hospitalization
• Answer: B) Continuous support in the family’s environment

53. Which of the following is a key disadvantage of family health nursing?

• A) Requires advanced laboratory equipment in the patient’s home
• B) Does not allow privacy
• C) Limits family members from participating in care
• D) Only focuses on individual health
• Answer: A) Requires advanced laboratory equipment in the patient’s home

54. The purpose of family health nursing diagnosis is to:

• A) Administer immediate treatment
• B) Identify health threats and needs within the family
• C) Conduct community-wide assessments
• D) Focus solely on environmental factors
• Answer: B) Identify health threats and needs within the family

Primary Health Care (PHC) and Community Health Initiatives

55. An important feature of primary health care (PHC) is:

• A) Community-based health education
• B) Hospital-centered treatment only
• C) Limiting healthcare access to adults
 • D) Avoiding community involvement
• Answer: A) Community-based health education

56. The “Health for All by 2000” goal from the Alma Ata declaration aimed to:
• A) Eliminate all infectious diseases
• B) Make primary health care accessible and affordable for everyone
• C) Develop specialized hospitals
• D) Limit health initiatives to children
• Answer: B) Make primary health care accessible and affordable for everyone

57. One of the core values of primary health care is:

• A) Maximizing profit in healthcare
• B) Ensuring equitable access to health services
• C) Prioritizing only urban areas
• D) Limiting family involvement
• Answer: B) Ensuring equitable access to health services

58. In the Philippines, primary health care emphasizes the involvement of:
• A) Only healthcare professionals
• B) Community members and multiple sectors of society
• C) Private hospitals only
• D) Exclusive government funding
• Answer: B) Community members and multiple sectors of society

59. A fundamental principle of primary health care is to:

• A) Focus only on curative treatment
• B) Promote preventive, promotive, and rehabilitative care
• C) Increase specialization in health professions
• D) Centralize healthcare in major hospitals
• Answer: B) Promote preventive, promotive, and rehabilitative care

Public Health Concepts and Definitions

60. Public health efforts aim to:

• A) Prevent disease and improve the health and well-being of populations
• B) Focus exclusively on individual patient treatment
• C) Provide healthcare only to private sectors
• D) Limit health initiatives to rural areas
• Answer: A) Prevent disease and improve the health and well-being of populations

61. Which of the following activities is a primary focus of public health?

• A) Emergency care only
• B) Population health campaigns and preventive measures
• C) Specialized surgery
 • D) Only individual patient care
• Answer: B) Population health campaigns and preventive measures

62. Public health definitions often highlight the importance of:

• A) Community-driven health measures
• B) Only hospital-based interventions
• C) Restricting health education to urban areas
• D) Avoiding community involvement
• Answer: A) Community-driven health measures

63. An essential part of public health is providing:

• A) Only treatment-focused interventions
• B) Preventive services like vaccinations and health education
• C) Exclusive care for specific age groups
• D) Strict hospital supervision
• Answer: B) Preventive services like vaccinations and health education

64. Public health focuses on:

• A) The entire spectrum of health and well-being for communities
• B) Individual medical treatment only
• C) Limiting health efforts to chronic disease management
• D) Hospital-based acute care only
• Answer: A) The entire spectrum of health and well-being for communities

Vital Health Legislation and Policies

65. The BHW Incentives Act, or Republic Act 7883, mandates:

• A) Full employment of BHWs in government offices
• B) Incentives for Barangay Health Workers in hazardous areas
• C) The limitation of health education
• D) Reduction of public health resources
• Answer: B) Incentives for Barangay Health Workers in hazardous areas

66. The Local Government Code of 1991 led to:

• A) Centralization of all health services
• B) Devolution of PHC responsibility to local government units (LGUs)
• C) Reducing PHC implementation
• D) Only national-level healthcare management
• Answer: B) Devolution of PHC responsibility to local government units (LGUs)

67. Republic Act No. 10152, known as the Mandatory Infants and Children Health Immunization
Act of 2011, was signed by:
• A) President Benigno Aquino III
• B) President Marcos
 • C) President Duterte
• D) President Corazon Aquino
• Answer: A) President Benigno Aquino III

68. The Traditional and Alternative Medicine Act of 1997 aims to:
• A) Create more hospitals
• B) Develop traditional and alternative health care in the Philippines
• C) Limit use of alternative medicines
• D) Promote only Western medicine
• Answer: B) Develop traditional and alternative health care in the Philippines

69. Administrative Order No. 112, issued in 1991, focuses on:

• A) Collaboration between public and private health sectors
• B) Limiting public health services
• C) Providing universal healthcare
• D) Developing advanced medical technology
• Answer: A) Collaboration between public and private health sectors

Community Organizing Participatory Action Research (COPAR) Continued

70. Identifying a host family in COPAR is crucial because:

• A) It ensures that health workers live in a hospital environment
• B) It provides a strategic entry point for community integration
• C) The host family manages all healthcare programs
• D) The host family provides only financial support
• Answer: B) It provides a strategic entry point for community integration

71. Which criteria are considered when selecting a community for COPAR?
• A) Economic affluence and low health needs
• B) Population size, economic status, and peace stability
• C) Proximity to hospitals only
• D) Only urban communities
• Answer: B) Population size, economic status, and peace stability

72. In COPAR, identifying potential volunteers is important for:

• A) Conducting surgeries
• B) Strengthening community ownership of health initiatives
• C) Limiting community involvement
• D) Focusing only on data collection
• Answer: B) Strengthening community ownership of health initiatives

73. The creation of intersectoral structures in COPAR involves:

• A) Limiting resources to one sector
• B) Collaboration with government and private sectors
 • C) Avoiding non-health organizations
• D) Exclusively funding public health
• Answer: B) Collaboration with government and private sectors

74. Which of the following is an example of a social preparation activity in COPAR?

• A) Conducting surgeries
• B) Health education sessions for community leaders
• C) Limiting community involvement
• D) Providing medical equipment only
Answer: B) Health education sessions for community leaders