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CHN 2 Lecture Final Exam Nursing Reviewer – Community Health Nursing II (NCM 113): 100 Questions with Verified Answers & Rationales (A+ Guaranteed Study Guide)

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CHN 2 Lecture Final Exam Nursing Reviewer — Community Health Nursing II (NCM 113) This is a comprehensive, high-yield final examination reviewer for Community Health Nursing II (NCM 113 Lecture) from the College of Nursing, 2nd Semester, SY 2023–2024. 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 – Geopolitical vs. phenomenological communities, health sector reform, Universal Health Care, levels of prevention (primary, secondary, tertiary), nurse entrepreneur, faith nurse, occupational nurse, school nurse Health Promotion & Behavior Change Models – Bandura's Social Learning Theory (attention, retention, motivation, reproduction), Health Belief Model (cues to action, perceived barriers, perceived severity, perceived susceptibility), determinants of disease (biological, behavioral, environmental) Epidemiology & Vital Statistics – Morbidity indicators (incidence density rate, case fatality rate, cumulative incidence, prevalence proportion), mortality indicators, epidemiology definition, Father of Handwashing (Ignaz Philip Semmelweis), disease frequency and spread Community Assessment & Diagnosis – Comprehensive vs. problem-oriented community diagnosis, primary vs. secondary data sources (PSA census data, ocular survey, community forum, interviews), systematic data gathering, birth certificate registration (Act 3753), civil registry FHSIS (Field Health Service Information System) – First building block (Individual Treatment Record), Target Client List, Summary Table, Monthly Consolidation Table, recording and reporting tools Data Presentation & Graphs – Line graph for trends, bar graph, pie chart, scatter plot, data visualization for community assemblies Community Diagnosis Formats – Shuster and Goeppinger's format (health condition, health risk, specific aggregate, related factor), Omaha System problem classification scheme (environmental, psychosocial, physiological, health-related behaviors) Priority Setting – WHO criteria, nominal group technique, community representation, ability to identify target population, availability of resources, community awareness, ability to reduce risk Evaluation Approaches – Process, structure, outcome, monitoring, formative vs. summative evaluation, program-based evaluation, organizational evaluation, people-based evaluation, structural evaluation, utility, propriety, accuracy, feasibility Community Organizing (CO) – Core values (human rights, social justice, social responsibility), democratic principle, people-centered, participative, developmental, process-oriented, overall goals (empowerment, building people's organizations, improving quality of life) CO Phases – Pre-Entry Phase (preparation and selection), Entry Phase, Integration Phase, Social Analysis Phase, Organizing Phase, Action Phase (mobilization), Exit and Expansion Phase, Core Group Formation, Identifying Potential Leaders COPAR (Community Organizing Participatory Action Research) – Definition, difference from traditional research, bottom-up process, community as main researcher, participatory data-gathering methods (Venn Diagram, Transect Walk, Mapping, Interview) Planning – Definition, concepts (flexible, futuristic, systematic), planning cycle (situational analysis, goal and objective setting, strategy/activity setting, evaluation), program evaluation steps Group Development – Stages (orientation, conflict, cohesiveness, work group, termination), facilitator role, group dynamics, key emotions (joy and sadness in termination) eHealth & ICT – Information and Communications Technology definition, WHO eHealth definition, digital natives vs. digital immigrants (Marc Prensky), telemedicine projects (Buddyworks, RxBox, SHINE), Project NOAH, FOSS (Free and Open Source Software), Ubuntu, Internet access rate in the Philippines (2.5% in 2011) eHealth Records & Systems – Electronic Medical Record (EMR), CHITS (Community Health Information Tracking System – earliest EMR for health centers, started in Quezon City), eFHSIS, UHMIS, Philippine Health Atlas, SPEED (Surveillance in Post Extreme Emergencies and Disasters), record management, ethical use of patient records eLearning & eHealth Roles – eLearning examples (instructional video), eHealth educator role (textblasts), eHealth challenges (archipelagic distribution), positive factors (FOSS, digital native nurses, National eHealth Strategic Framework) World Health Organization (WHO) – Core functions (shaping research agenda, providing leadership, technical support, setting norms and standards), research goals (translation of evidence into policy), training of trainers, capacity building Millennium Development Goals (MDGs) – Health-related MDGs, baseline year (1990), child and maternal mortality reduction, MDG attainment Health Care Financing – Three sectors (government, private sector, social health insurance), PhilHealth as leading payment scheme, Universal Health Care Department of Health (DOH) – National leadership, Centers for Health Development (CHDs), enabler and capacity builder role, technical authority in disease control and prevention Health Facilities Classification – Out-patient facilities (therapeutic, primary care, custodial care, specialized), hospitals (Level 1, 2, 3, 4), Lying-in Clinic (primary care facility), rehabilitation unit (Level 3) Health Human Resources – Recommended ratios (health center/RHU per 20,000 population, Rural Health Midwife per 10,000 population), Municipal Health Officer as medico-legal officer, Public Health Nurse, Rural Sanitation Inspector Local Government Code & Devolution – Definition of devolution, LGU autonomy, local health boards, Municipal Health Board Chairman (Mayor), Inter-local Health Zone Referral System – Internal vs. external referral, vertical vs. horizontal referral, Inter-local Health Zone, district hospital as central referral hospital Health Sector Reform – Kalusugan Pangkalahatan (Universal Health Care), FOURmula One for Health, Health Sector Reform Agenda, National Health Insurance Reform, PhilHealth as health financing agency Primary Health Care (PHC) – Elements (immunization, provision of essential drugs, active community participation, treatment of locally endemic disease), core business of public health (disease control, injury prevention, health protection) Why Choose This Guide? 100 Verified Answers – Every question includes the correct answer with detailed rationale Exam-Focused – Questions mirror the actual NCM 113 Lecture Final Examination format Comprehensive – Covers all CHN II topics taught in the College of Nursing Real-World Scenarios – Includes practical application questions (e.g., phenomenological community, health sector reform, levels of prevention, nurse entrepreneur, faith nurse, Bandura's Social Learning Theory, Health Belief Model, morbidity indicators, epidemiology, Father of Handwashing, evaluation, community diagnosis, FHSIS, graphs, Shuster and Goeppinger's format, Omaha System, priority setting, nominal group technique, process evaluation, propriety, monitoring, community organizing, COPAR, planning, group development, ICT, eHealth, telemedicine, digital natives, FOSS, EMR, CHITS, SPEED, eLearning, WHO, MDGs, health care financing, DOH, health facilities, health human resources, devolution, referral system, health sector reform, PHC) Statistics & Guidelines – Includes specific numbers tested on exams (Internet access 2.5% in 2011, baseline year 1990, health center per 20,000 population, Rural Health Midwife per 10,000 population, 3 MDGs directly health-related, 3 sectors of health care financing, 3 levels of prevention) Instant Download – PDF format, ready to study immediately Who Is This For? Nursing students preparing for the NCM 113 Lecture Final Examination CHN board review students preparing for the PNLE 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 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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COLLEGE OF NURSING
Final Examination – NCM 113
Lecture: Community Health
Nursing II

1. Communities are either geopolitical or
phenomenological. A good example of a
phenomenological community is a
A. city.
B. barangay.
C. municipality.
D. faith community.
Answer: D. faith community.
Rationale: A phenomenological community is based on
shared interests, values, beliefs, or goals rather than
geographic boundaries. A faith community is an example of a
phenomenological community, while cities, barangays, and
municipalities are geopolitical communities defined by
geographic boundaries.




2. The health services of the Philippine government
are directed towards the provision of equitable health
services to all Filipinos through health sector reform.
The current efforts are under the banner of the
A. Millennium Development Goals.
B. Health Sector Reform Agenda.
C. Formula One for Health.
D. Universal Health Care.
Answer: D. Universal Health Care.
Rationale: The current health sector reform effort in the
Philippines is Universal Health Care (UHC), also known as
Kalusugan Pangkalahatan, which aims to provide equitable
access to quality health services for all Filipinos.




1

,3. In the levels of prevention one example of level 1
primary prevention activities is:
A. Immunization
B. Teaching insulin administration in the home
C. Screening for sexually transmitted disease
D. Diagnostic procedures to help in the diagnosis of disease
Answer: A. Immunization
Rationale: Immunization is a primary prevention activity
that prevents disease before it occurs. Teaching insulin
administration is tertiary prevention, while screening and
diagnostic procedures are secondary prevention.




4. In secondary level of prevention one example of
activities is:
A. Immunization
B. Health teaching on hygiene
C. Teaching insulin administration in the home
D. Screening for sexually transmitted disease
Answer: D. Screening for sexually transmitted disease
Rationale: Screening for sexually transmitted diseases is a
secondary prevention activity that involves early detection of
disease. Immunization and health teaching are primary
prevention, while teaching insulin administration is tertiary
prevention.




5. It is project initiated by DOLE in collaboration with
BON, DOH, and PNA to maximize employment
opportunities for the country's unemployed nurses
A. School Nurse
B. Faith Nurse
C. Entrepreneur
D. Occupational Nurse
Answer: C. Entrepreneur
Rationale: The Nurse Entrepreneur program was initiated
by DOLE in collaboration with BON, DOH, and PNA to
maximize employment opportunities for unemployed nurses
by encouraging them to engage in entrepreneurial ventures.




2

,6. It is the practice of the art and science of nursing
combined with spiritual care.
A. School Nurse
B. Faith Nurse
C. Entrepreneur
D. Occupational Nurse
Answer: B. Faith Nurse
Rationale: A Faith Nurse practices the art and science of
nursing combined with spiritual care, addressing the spiritual
needs of patients alongside their physical and emotional
needs.




7. A nurse is instructing a group of mothers on the
importance of proper care of the umbilical cord of the
newborn. Which of these aspects of Bandura's social
learning theory is the nurse applying?
A. Attention
B. Retention
C. Motivation
D. Reproduction
Answer: A. Attention
Rationale: In Bandura's social learning theory, attention is
the first step in the learning process. The nurse is applying
attention by instructing the mothers and capturing their
focus on the importance of proper umbilical cord care.




8. In a mothers' class, the nurse gives instructions on
the immunization program. Some mothers remark
that the immunization schedule at the health center
conflicts with their working hours. Based on the
Health Belief Model, the nurse recognizes that the
mothers' statement indicates
A. Cues to action.
B. Perceived barriers.
C. Perceived severity.
D. Perceived susceptibility.
Answer: B. Perceived barriers.
Rationale: Perceived barriers refer to the obstacles that
prevent individuals from taking recommended health


3

, actions. The mothers' statement about the immunization
schedule conflicting with their working hours is an example
of a perceived barrier.




9. Which of the following can be considered as
biological "determinants" of disease?
A. Lifestyle
B. Virus
C. Climate
D. Environmental conditions
Answer: B. Virus
Rationale: Biological determinants of disease include
infectious agents such as viruses, bacteria, and parasites.
Lifestyle is a behavioral determinant, while climate and
environmental conditions are environmental determinants.




10. The following are examples of morbidity indicators
except:
A. Incidence density rate
B. Case fatality rate
C. Cumulative incidence
D. Prevalence proportion
Answer: B. Case fatality rate
Rationale: Case fatality rate is a mortality indicator, not a
morbidity indicator. Incidence density rate, cumulative
incidence, and prevalence proportion are all morbidity
indicators.




11. The health indicator that measures the
percentage of both old and new cases of a disease
over the number of people examined at one point in
time is:
A. Incidence density rate
B. Case fatality rate
C. Cumulative incidence
D. Prevalence proportion
Answer: D. Prevalence proportion


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