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TOPRANK CHN Intensive Phase Nursing Board Review – Community Health Nursing Reviewer: 100 Questions with Verified Answers & Detailed Rationales (A+ Guaranteed Study Guide)

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TOPRANK CHN Intensive Phase Nursing Board Review — 100 Questions with Verified Answers & Rationales This is a comprehensive, high-yield Community Health Nursing (CHN) reviewer from the TOPRANK Intensive Phase nursing board review program. It covers 100 complete questions on all major CHN topics — with verified answers and detailed rationales for every item. What's Inside: Community Health Nursing Concepts & Principles – CHN definition, primary focus on health promotion, generalist practice, goals of professional practice, priority of health-promotive and disease-preventive strategies over curative interventions Philhealth & Universal Health Care – RA 11228 (mandatory Philhealth coverage for PWDs), difference between previous Philhealth law and UHC, direct contributors vs. indirect contributors, Philhealth pillars, membership schemes Health Promotion & Ottawa Charter – Ottawa Charter definition of health promotion, prerequisites for health (peace, shelter, social justice), WHO principles of health promotion, passive vs. active health promotion, health promotion guiding principles Philippine Health Care Delivery System (PHCDS) – Restructured health care delivery system, intermediate level health workers, frontline health care providers, 3-tier referral system, devolution, Department of Health programs Roles & Functions of the Community Health Nurse – Clinician, advocate, consultant, researcher, leader, health educator, change agent; roles that transcend all dimensions of nursing; community empowerment Community Health Assessment & Diagnosis – Categories of health problems (health deficit, health threat, foreseeable crisis, stress point), first-level and second-level assessment, community diagnosis, data analysis, prioritization criteria (modifiability, preventive potential, magnitude, nature) FHSIS (Field Health Services Information System) – Components (target client list, reporting forms, output reports), fundamental block, reporting units, data transmission, lowest level of reporting unit Epidemiology & Vital Statistics – Prevalence rate, incidence rate, attack rate, proportionate mortality rate, neonatal mortality rate, maternal mortality rate, sources of health and disease data Immunization & EPI – Vaccine storage and handling, cold chain, heat-sensitive vaccines (OPV, Measles), vaccines with diluents (BCG, Measles), GIDA immunization schedule, general principles in infant-child immunization, Mandatory Infants and Children Health Immunization Act of 2011 (RA 10152), COVID-19 vaccines accepted by FDA, measles prevention rate at 9 months Reproductive Health – RA 10354 (Responsible Parenthood and Reproductive Health Act of 2012), four priority elements, guiding principles, family planning decision-making, micronutrient supplementation (Vitamin A), sexuality education, goals of reproductive health Environmental Health – Climate Change Act of 2009, DENR role, Comprehensive Sanitation Code of the Philippines (PD 856), food storage practices, environmental factors affecting health, fluoridation of water, solid waste management Disaster Nursing & Emergency Preparedness – Flash floods, disaster plan coordination among agencies, psychological first aid, disaster response, evacuation centers Traditional & Complementary Medicine – Herbal plants (ulasimangbato/pancit-pancitan, lagundi, sambong, bayabas), Traditional Medicine Act, safe and legally cautious practice Community Health Nursing Roles & Functions – Basic unit of care (family), most important role (care provider), population coverage, emphasis of CHN practice, community competencies, community empowerment, partnerships Public Health Functions – Assessment, prevention, assurance, policy development; core public health functions; secondary and tertiary health care services; appropriate technology in PHC Maternal & Child Health – Vital records registration (PSA), birth reporting, immunization, micronutrient supplementation, reproductive health, family planning Communicable Disease Prevention & Control – TB isolation, HIV clinics, immunization, disease surveillance, outbreak response Health Education & Health Promotion – Correcting misconceptions and myths, IEC strategies, mother's class, health teaching, behavior change models (Health Belief Model) Legal & Regulatory Frameworks – RA 11228, RA 7277, RA 7875, RA 11223, RA 11036 (Mental Health Law), RA 10152 (Mandatory Immunization Act), PD 856 (Sanitation Code), PD 586, RA 6969, RA 8749, Tobacco Regulations Act of 2003, Climate Change Act of 2009 Why Choose This Guide? 100 Verified Answers – Every question includes the correct answer with detailed rationale Exam-Focused – Questions mirror the actual PNLE/NLE Community Health Nursing exam format Comprehensive – Covers all CHN topics tested in the nursing board exam TOPRANK Quality – From the TOPRANK Intensive Phase review program, a trusted name in nursing board review Real-World Scenarios – Includes practical application questions (e.g., Ruthie's mother's class, Nurse Linda's fluoridation proposal, Nurse Cora's sexuality education, Nurse Dionellie's reproductive health counseling, Nurse Miriam's reproductive health program, Hannah's tobacco regulation, Nurse Roger's disaster plan, Ana's home care scheduling, Nurse Mona's second-level assessment, Nurse Aliya's hand hygiene, Nurse Karen's performance appraisal) Statistics & Guidelines – Includes specific numbers tested on exams (Vitamin A 10,000 IU twice a week, measles prevention 85% at 9 months, 100 meters tobacco ban, 3-tier referral system, 4 priority elements of reproductive health, 5-Year Community Health Plan) Instant Download – PDF format, ready to study immediately Who Is This For? PNLE reviewees preparing for the Community Health Nursing board exam NLE reviewees preparing for the nursing licensure exam NCLEX candidates reviewing community health nursing principles Nursing students in community health nursing, public health nursing, and CHN courses TOPRANK Intensive Phase reviewees looking for supplemental review materials Anyone needing a comprehensive review of community health nursing concepts Tutors and instructors seeking a question bank for CHN board review Foreign nursing licensure candidates reviewing community health nursing content Review centers and nurse educators developing practice tests

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TOP RANK CHN – INTENSIVE
PHASE
Community Health Nursing Board Exam
Reviewer – 100 Questions with Verified
Answers & Rationales


1. Which of the following concepts are true about
community health nursing?

1.

Its primary focus is health promotion

2.
3.

Nurses are generalists in terms of their practice through life's
continuum
4.
5.

The nature of CHN practice requires that current knowledge derived
from biological and social sciences, ecology, clinical Nursing and
community health organization
6.
7.

The goals of professional practice is the promotion and preservation
of the health of populations.
8.
9.

Priority of health-promotive and disease preventive strategies over
curative interventions.
10.

A. 1,2,4,5
B. 1,2,5
C. 1,2,3,4
D. 2,3



1

,Answer: A. 1,2,4,5
Rationale: Community health nursing is characterized by a primary
focus on health promotion (1), nurses practicing as generalists
across the life continuum (2), goals of promoting and preserving
population health (4), and prioritizing health-promotive and disease-
preventive strategies over curative interventions (5). Statement 3 is
not a defining concept of CHN.




2. An Act regarding for the mandatory Philhealth coverage
for Persons with Disability?
A. RA.11228
B. RA 7277
C. RA 7875
D. RA 11223
Answer: A. RA.11228
Rationale: RA 11228 is the law providing for mandatory Philhealth
coverage for persons with disability. RA 7277 is the Magna Carta for
Disabled Persons, RA 7875 is the National Health Insurance Act, and
RA 11223 is the Universal Health Care Act.




3. What is the difference of previous Philhealth law and UHC
(Universal Health Care law?
A. UHC guaranteed Philhealth membership for ALL citizens, while
the previous Philhealth law covers multiple membership schemes.
B. UHC aims to strengthen health purchasing policies and practices
in support of the implementation of the Philhealth Law.
C. Philhealth Law presents health system reforms necessary to
expand financial protection and access to health services to ALL
filipinos.
D. Under the Philhealth Law, all citizens are automatically entitled to
Philhealth benefits while UHC aims to achieve membership through
a variety of subsidized and contributory schemes.
Answer: A. UHC guaranteed Philhealth membership for ALL
citizens, while the previous Philhealth law covers multiple
membership schemes.
Rationale: The Universal Health Care law guarantees Philhealth
membership for all citizens, whereas the previous Philhealth law
covered multiple membership schemes (employed, indigent,
lifetime members, etc.).




2

,4. Which among the following are DIRECT CONTRIBUTORS of
PHILHEALTH EXCEPT?
A. Lifetime members
B. Kasambahays
C. Indigents
D. Filipinos living abroad and those with Dual citizenship
Answer: C. Indigents
Rationale: Indigents are not direct contributors to Philhealth; their
premiums are subsidized by the government. Lifetime members,
kasambahays, and Filipinos living abroad are direct contributors.




5. This provides for the main guiding principle in health
promotion efforts adopted by 38 countries.
A. Nuremberg Code
B. Ottawa Charter
C. PHC Charter
D. WHO health promotion and education charter
Answer: B. Ottawa Charter
Rationale: The Ottawa Charter for Health Promotion (1986) is the
main guiding principle in health promotion efforts adopted by 38
countries.




6. Defines health promotion broadly as, "the process of
enabling people to increase control over and to improve
their health."
A. Ottawa charter
B. WHO
C. Health and Welfare Canada
D. UNICEF
Answer: A. Ottawa charter
Rationale: The Ottawa Charter defines health promotion as "the
process of enabling people to increase control over and to improve
their health."




3

, 7. Improvement in health requires a secure foundation in
these basic prerequisites which one is not included?
A. Peace
B. Shelter
C. Social justice
D. Political leaders
Answer: D. Political leaders
Rationale: The basic prerequisites for health according to the
Ottawa Charter include peace, shelter, education, food, income, a
stable ecosystem, sustainable resources, social justice, and equity.
Political leaders are not a prerequisite.




8. Under the restructured health care delivery system, a
physician, a public health nurse and midwives compose the:
A. Intermediate level health workers
B. Frontliners
C. Grassroot health workers
D. Barangay Health Workers
Answer: A. Intermediate level health workers
Rationale: In the restructured health care delivery system, the
intermediate level health workers are composed of physicians,
public health nurses, and midwives.




9. To empower community members, the community nurse
performs which activity?
A. do all the activities for community members
B. step back at the beginning and giving little output
C. facilitate community members in doing activities
D. let the community members do all the activities
Answer: C. facilitate community members in doing activities
Rationale: To empower community members, the community
nurse facilitates their participation in activities rather than doing
everything for them.




10. Descriptors of a healthy community include:




4

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