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NCM 104 Final Exam Nursing Reviewer – Community Health Nursing 1: Individual & Family (Grand Canyon University): 100 Questions with Verified Answers & Rationales (A+ Guaranteed Study Guide)

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NCM 104 Final Exam Nursing Reviewer — Community Health Nursing 1: Individual & Family (Grand Canyon University) This is a comprehensive, high-yield final examination reviewer for NCM 104: Community Health Nursing 1 – Individual & Family from Grand Canyon University, College of Nursing. 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 – DOH leadership, health promotion and disease prevention focus, roles of the community health nurse (programmer/planner, community organizer, provider of nursing care, coordinator of services, health educator/trainer/counselor, researcher, change agent, statistician, health monitor), family as basic unit of care, generalist practice through life's continuum Philippine Health Care Delivery System – Health sector reform, Universal Health Care (UHC), Kalusugan Pangkalahatan, FOURmula One for Health, Health Sector Reform Agenda, Centers for Health Development (CHDs), DOH as enabler and capacity builder, technical authority in disease control and prevention Primary Health Care (PHC) – Alma-Ata Conference, WHO definition of PHC, Health for All, objectives and key elements, principles of PHC (accessibility, affordability, acceptability, availability, equitable distribution of resources, appropriate technology), PHC as a social movement, self-reliance as outcome Community Organizing (CO) – Definition, core values (human rights, social justice, social responsibility), democratic principle, people-centered, participative, developmental, process-oriented, overall goals, emphasis in PHC Family Health Nursing – Family as basic unit of care, family health tasks (recognizing interruptions, seeking health care, providing nursing care, providing environment conducive to health), family interviewing (commending family strengths), family data organization (family structure and characteristics), priority setting criteria (family safety), formulating objectives (attainable), case finding, home inspection for accident/poisoning hazards Field Health Service Information System (FHSIS) – First building block (Individual Treatment Record), Target Client List, Summary Table, Monthly Consolidation Table, priority setting criteria (ability to identify target population) Epidemiology & Vital Statistics – Prevalence proportion, incidence density rate, case fatality rate, cumulative incidence, morbidity indicators, mortality indicators, global burden of disease, hearing loss as leading cause of disability Herbal Medicine & Traditional Health Care – Decoction, infusion, poultice, tincture, Akapulko (fungal infection), Bawang (cholesterol and hypertension), Sambong, Bayabas, Ulasimang Bato, Lagundi, Yerba Buena, Ampalaya, RA 8423 (Traditional and Alternative Medicine Act) Health Promotion & Ottawa Charter – Fundamental conditions and resources for health (peace, shelter, education, food, income, stable ecosystem, sustainable resources, social justice, equity), health promotion strategies Disease Prevention & Levels of Prevention – Primordial, primary, secondary, tertiary prevention, immunization, screening, counseling, rehabilitation, support groups, legislation and enforcement, safe practices Health Care Financing – Three sectors (government, private sector, social health insurance), PhilHealth as leading payment scheme, health sector reform goals (better health outcomes, responsive health system, sustained health financing) 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), Barangay Health Station (BHS) 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, Barangay Health Workers 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, three delays model (detection, referral, transport) Newborn Screening Act (RA 9288) – Provisions, obligations of parents and health workers, Newborn Screening Reference Center Environmental Health – Mosquito-borne disease prevention (search and destroy breeding places), environmental health services, solid waste management (prohibited methods: open burning, open dumping, dumping over groundwater reservoir; acceptable: burying), drinking water safety parameters (microbial, physical, chemical quality) eHealth & Information Systems – eLearning, electronic medical record, CHITS, eFHSIS, UHMIS, Philippine Health Atlas, record management, ethical use of patient records, current data, well-managed information system benefits School Health & Nutrition – Soil-borne helminthiasis prevention (deworming, environmental sanitation, WASH), physical activity concepts, age-appropriate education, lifelong physical activities World Health Organization (WHO) – Core functions (shaping research agenda, providing leadership, technical support, setting norms and standards), research goals, training of trainers, translation of evidence into policy Why Choose This Guide? 100 Verified Answers – Every question includes the correct answer with detailed rationale Exam-Focused – Questions mirror the actual NCM 104 Final Examination format Comprehensive – Covers all CHN 1 topics taught in the College of Nursing Grand Canyon University Specific – Matches the GCU College of Nursing curriculum and exam format Real-World Scenarios – Includes practical application questions (e.g., Nurse Juvy as programmer/planner, Nurse Benjie as community organizer, Nurse Daphne as provider of nursing care, Nurse Fred as statistician, Nurse Veronica as change agent, family health tasks, priority setting, FHSIS, herbal medicine, environmental health, eHealth) Statistics & Guidelines – Includes specific numbers tested on exams (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? Grand Canyon University nursing students preparing for the NCM 104 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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GRAND CANYON UNIVERSITY
College of Nursing – Bachelor of
Science in Nursing
Phoenix, Arizona, United States

NCM 104 – FINAL EXAMS
Community Health Nursing 1 – Individual &
Family



NAME: ________________________ YEAR/SECTION:
________________________




I. MULTIPLE CHOICE
DIRECTION: Encircle the letter that BEST answers the
question/situation at hand. Please avoid erasures.




1. At the national level, the Department of Health provides
leadership by formulating plans and policies for public
health. DOH public health plans and policies are mostly
focused on
A. health promotion and disease prevention.
B. early diagnosis and treatment of disease.
C. control of communicable diseases.
D. organizing the community.
Answer: A. health promotion and disease prevention.
Rationale: The Department of Health's public health plans and
policies are primarily focused on health promotion and disease
prevention, which are the cornerstones of public health practice.




1

,2. The main focus of community health nurse is health
promotion. Nurse Juvy served as programmer and planner of
RHU-MAGARAO, the following are activities expected from
her:
I. Identifies the needs and concerns of individuals, groups, families,
and the community
II. Formulates health plans, especially in the absence of a
community physician
III. Interprets and implements nursing plans and programs
IV. Assists other health team members in implementing health
programs in the setting
A. I, II
B. I, II, IV
C. II, III, IV
D. I, II, III, IV
Answer: D. I, II, III, IV
Rationale: As a programmer and planner, the nurse performs all of
these activities: identifying needs and concerns (I), formulating
health plans (II), interpreting and implementing nursing plans and
programs (III), and assisting other health team members in
implementing health programs (IV).




3. In planning for the health teachings to be conducted by
BSN 2 students of GCU, to families in their Culminating
Activity, the students fully understood that community
health involves collaborating with members of the
community, government institutions, private sector,
including non-governmental organizations or NGOs. This
statement
A. is true.
B. is false.
C. may be true or false, depending on one's perspective.
D. is something that the community should strive to achieve.
Answer: A. is true.
Rationale: Community health nursing genuinely involves
collaboration with members of the community, government
institutions, private sector, and non-governmental organizations
(NGOs). This is a true statement.




2

,4. The recipient of care of community public health nursing
practice is extended not only to the individual but also to
benefit the whole family and community. When Nurse Benjie
promotes self-reliance of community and emphasizes their
involvement and participation in planning, organizing,
implementing and evaluating of health services as well as
initiates and implements community development activities,
he is playing the role of
A. Coordinator of Services
B. Community Organizer
C. Health Educator/Trainer/Counselor
D. Provider of Nursing Care
Answer: B. Community Organizer
Rationale: The community organizer role involves promoting self-
reliance, encouraging community involvement and participation in
planning, organizing, implementing, and evaluating health services,
and initiating community development activities.




5. The community health nurse deals with several levels of
clientele. Still, the family is the basic unit of care in
community health practice because
A. the health of people is strongly influenced by the family situation.
B. it is easier to follow up a patient when the nurse knows the family
residence.
C. the family members are essential resources in providing care to
dependent and sick persons.
D. the family's financial status is a major factor in determining what
kind of care can be given to a patient.
Answer: A. the health of people is strongly influenced by the
family situation.
Rationale: The family is the basic unit of care in community health
practice because the health of people is strongly influenced by the
family situation. The family provides the context for health
behaviors and outcomes.




6. Community health nurses are generalists in terms of their
practice through life's continuum. When Nurse Daphne
renders direct care to various clients with different needs,
may it be at home, in school, clinics or work settings and
involves the family in the care of the sick or dependent
individual, i.e., sick child, she is playing the role of


3

, A. Coordinator of Services
B. Community Organizer
C. Health Educator/Trainer/Counselor
D. Provider of Nursing Care
Answer: D. Provider of Nursing Care
Rationale: The provider of nursing care role involves rendering
direct care to various clients with different needs in various settings
(home, school, clinic, work) and involving the family in the care of
the sick or dependent individual.




7. Nurses in the Philippines are guided by competency
standards in the practice of the profession. The public
health nurse ensures the maintenance of proper storage
temperatures for vaccines to be given to patients. This
action best illustrates which key area of responsibility of the
nurse?
A. Safe and quality nursing care
B. Management of resources and environment
C. Health education
D. Legal responsibility
Answer: B. Management of resources and environment
Rationale: Ensuring proper storage temperatures for vaccines is an
example of management of resources and environment, which is a
key area of responsibility of the nurse.




8. The nature of nursing practice in the community needs
the knowledge of biological and social sciences, ecology,
clinical nursing, and community organizing, for it to be
effective. When Nurse Fred records data systematically and
ensures its validity through accurate and complete data
gathering, reports prepared reports to concerned
organizations for immediate necessary plans or programs,
consolidates and reviews reports efficiently and analyzes
and interprets consolidated data for monitoring the
development in the health matters of the whole community,
he plays the role of
A. Researcher
B. Change Agent
C. Statistician
D. Health Monitor



4

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