apa
Nursing (Camarines Sur Polytechnic Colleges)
,NP1 · NP2 · NP3 — Nursing Board Exam
Reviewer
A concise, high-yield reviewer with mnemonics and board-type practice
questions. Designed for Filipino nursing licensure examination (NLE)
preparation.
PART 1: NP1 — COMMUNITY HEALTH
NURSING
1. Community & Public Health Nursing Concepts
Public Health Nursing (PHN) — a practice combining nursing science and
public health principles to promote and protect the health of populations,
not just individuals.
• Focus: Population/community as a whole
• Goal: Promote health, prevent disease, prolong life
• Setting: Community-based (not hospital-centered)
Key Principle: Health is a state of complete physical, mental, and social
well-being (WHO definition).
Mnemonic — "PHN = PPP": Promote, Protect, Prolong
2. Levels of Clientele
Level Description Example
Individua Single person needing care A hypertensive patient
l
Family Basic unit of care in CHN A family with a TB patient
Group Persons sharing a common characteristic Pregnant women,
senior
citizens
Communi People in a geographic area Barangay, municipality
ty sharing resources
Mnemonic — "I Feel Good Community": Individual → Family → Group →
Community
⚠ KEY BOARD POINT: In CHN, the FAMILY is the basic unit of care. The
COMMUNITY
is the ultimate client.
,3. Roles of the Public Health Nurse
Mnemonic — "Can Health Advocates Consistently Lead Everyone?"
• Caregiver — provides direct nursing care
• Health Educator — teaches individuals and families about health
• Advocate — speaks for patient's rights and needs
• Coordinator — links client to health services/resources
• Leader — guides and directs health team activities
• Epidemiology investigator — monitors disease trends
⚠ Most independent role: Health Educator | Most important role:
Caregiver
4. Primary Health Care (PHC)
PHC was declared in the Alma Ata Declaration, 1978 (USSR). Theme: "Health
for All by the Year 2000."
Mnemonic for 8 Elements of PHC — "ACEMENT"
• Appropriate treatment of common diseases and injuries
• Communicable disease control
• Essential drugs supply
• Maternal and child health (including family planning)
• Education about health problems
• Nutrition (adequate food and nutrition)
• Treatment of endemic diseases + Safe water & sanitation
PHC Principles — "AFAP":
• Accessible
• Fordable (affordable)
• Acceptable (culturally)
• Provides first contact care
Government counterpart (Philippines): RA 7160 — Local Government Code
transferred health responsibilities to LGUs.
, 5. Health Care Delivery System & Ratios
Position Ratio
Public Health Nurse (PHN) 1 :
20,000
population
Midwife (Rural) 1:
5,000
populatio
n
Barangay Health 1 : 20 households
Worker (BHW)
Doctor (Rural) 1:
20,000
populatio
n
Universal Health Care (UHC) — RA 11223 (2019): Ensures all Filipinos access
quality health services without financial hardship. Automatic PhilHealth
membership for all citizens.
6. Community Health Nursing Process (ADPIE)
Mnemonic — "All Dogs Play In Evenings"
• Assessment — data collection (windshield survey, community diagnosis)
• Diagnosis — identify community health problems
• Planning — set goals, objectives, interventions
• Implementation — execute the plan
• Evaluation — measure outcomes
Community Diagnosis Tools: Surveys, interviews, health statistics, key
informant interviews, focus group discussions (FGD)
Problem Prioritization: Use the Magnitude-Severity-Feasibility criteria (or
PEARL test for feasibility).
7. COPAR (Community Organizing Participatory Action
Research)
COPAR is a process by which a community identifies its needs, plans
solutions, implements actions, and evaluates results — with the community
as the lead actor.
Phases of COPAR — "Pre-CI-ME"
• Preparatory Phase — social investigation, community profiling
• Community Organization Phase — identify leaders, form core groups