CHN 1

Question 1

Includes Assessment, Diagnosis, Planning,
Implementation, Evaluation

the practice of nursing directed
towards maximizing the health and well-being of all
individuals within a family system

Answer 1

FAMILY HEALTH NURSING PROCESS

Question 2

STEPS IN FAMILY NURSING ASSESSMENT:
1.)
a. First Level Assessment
b. Second Level Assessment

2.)
a. Sorting
b. Clustering
c. Comparing
d. Interpreting
e. Inferring/Concluding

3.)
a. Defining family health problem
b. Defining family nursing diagnoses

Answer 2

1.) Data Collection
2.) Data analysis
3.) Problem Identification

Question 3

DATA COLLECTION:

1.)
● Family structure, characteristics & dynamics
● Socio economic & cultural characteristics
● Home & environment
● Health status of each family member

2.)
● Family’s perception of the problem/s
● Decisions made & their appropriateness; if
none, reasons
● Actions taken & results; if none, reasons (Effects
of decisions & actions on other family members)

Answer 3

1.) First Level Assessment (Initial Database)
2.) Second Level Assessment (Performance of Family Health Tasks)

Question 4

FIRST LEVEL ASSESSMENT:
○ Wellness potential: nursing judgment
on wellness state or condition based on
client’s performance, current
competencies or clinical data but no
explicit expression of client desire.

○ Readiness for enhanced wellness
state: nursing judgment on wellness
state or condition based on client’s
current competencies of performance,

Answer 4

Presence of Wellness Assessment

Question 5

1.)
● conditions that are conducive to disease and
accident, or may result in failure to maintain
wellness or realize health potential.

2.)
● instances of failure in health maintenance.

Answer 5

1.) Presence of Health Threats

2.) Presence of Health Deficits

Question 6

whether congenital or arising from
illness; transient/temporary (e.g. aphasia or temporary
paralysis after a CVA) or permanent

Answer 6

Disability

Question 7

● anticipated periods of unusual demand on
the individual or family in terms of
adjustment/family resources

● transitions (i.e. passage from one life phase,
condition or status to another, causing a forced
or chosen change that results in the need to
construct a new reality).

Answer 7

Presence of Stress Points/Foreseeable Crisis Situation

Question 8

● Example question to ask during interview: “Ano
po ang palagay tingin ninyo sa kalagayan ng
iyong anak na si Joseph?

Answer 8

Inability to recognize the presence of the
condition or problem

● lack of or inadequate knowledge
● denial about its existence or severity as a
result of fea

Question 9

● Example question to ask during interview: “Ano
na po ang nagawa ninyo para mapaigi ang
kanyang kalagayan

Answer 9

Inability to make decisions with respect to
taking appropriate health action due to:

● failure to comprehend the nature/magnitude
of the problem/condition
● low salience of the problem

Question 10

● Example question to ask during interview: “Anu
ano po ang mga naging sagabal sa mga
ginagawa ninyong solusyon sa kanyang
kalagayan?”

Answer 10

Inability to provide adequate nursing care to the
sick, disabled, dependent or vulnerable/at-risk
member of the family due to:

● Lack of/inadequate knowledge about the
disease/health condition (nature, severity,
complications, prognosis and management)

Question 11

● Example question to ask during interview:
“Anu-ano po kaya ang dahilan ng kanyang
kalagayan?

Answer 11

Inability to provide a home environment
conducive to health maintenance and person
development due to:

● Inadequate family resources, specifically:
○ Financial constraints/limited financial
resources
○ Limited physical resources – e.g. lack
of space to construct facility

Question 12

● Example question to ask during interview: “Saan
po nyo po dinadala ang mga miyembro ng
pamilya na nagkakasakit o kung kailangan ng
mga laboratoryo?”

Answer 12

5. Failure to utilize community resources for
   health care due to:

● lack of/inadequate knowledge of community
resources for health care
● Failure to perceive the benefits of health
care/services

Question 13

METHODS OF DATA GATHERING:

1.)
a. Communication & interaction patterns
b. Role perceptions/task assumptions by each
member, including decision making patterns
c. Conditions in the home & environment

2.)
a. Health status

3.)
a. Health history of each family member
b. Data for second level assessment

Answer 13

1.) Observation
2.) Physical Examination
3.) Interview

Question 14

1.)
● a tool that helps the nurse outline the family’s
structure
● a pictorial display of a person’s family
relationships & medical history

2.)
● a pictorial representation of a family’s
environment connections to persons &/or
systems in their

Answer 14

1.) Genogram
2.) Ecomap

Question 15

1.)
○ First level assessment: Presence of wellness
condition, health threat, health deficit &/or
foreseeable crisis/stress point

2.)
○ Second level assessment: family’s performance
of health tasks in relation to each identified
condition/ health problem

Answer 15

1.) Defining health problem
2.) Defining family nursing diagnoses

Question 16

● The process of developing the nursing care plan.

● Blueprint of nursing care designed to systematically
enhance the family’s capability to maintain
wellness and/or manage health problems.

Answer 16

FAMILY HEALTH NURSING PROCESS

Question 17

STEPS IN DEVELOPING THE FAMILY NURSING
CARE PLAN

Answer 17

1. Prioritizing
2. Defining Goals and Objectives
3. Developing Intervention Plan
4. Developing Evaluation Plan

Question 18

● Instrument used for prioritizing problems:

Answer 18

PRIORITIZING

Question 19

● General statement of the condition or state to be
brought about by specific courses of action.

Example:
● After nursing intervention, the family will be able
to take care of the disabled child competently

Answer 19

GOAL

Question 20

● More specific statements of the desired results or
outcomes of care
● May be short-term, medium-term or long-term

Answer 20

OBJECTIVE

Question 21

● Selection of appropriate nursing interventions
based on the formulated goals and objectives

● Specifying how the nurse will determine
changes in health status, condition, or situation
and achievement of the outcomes of care (goals &
objectives).

Answer 21

DEVELOPING INTERVENTION PLAN

Question 22

The step when the family and/ or
the nurse execute the plan of action.

Answer 22

IMPLEMENTING THE PLAN OF CARE

Question 23

1.) ● May be a manifestation of the family’s
feelings of hopelessness and powerlessness.

2.) ● May result in the family allowing
events to just happen.

Answer 23

1.) Apathy
2.) Indecision

Question 24

● Goal: reduce demands of curative and
rehabilitative care.
● Individuals and families build an understanding of
the determinants of health.

Answer 24

PROMOTIVE

Question 24

● Any measure that aims to avoid or reduce the
number or the severity of injuries and diseases,
their sequelae and complications (Pomey et al.,
2000).

Answer 24

PREVENTIVE

Question 25

1.)
● Involves specific health measures aimed at
avoiding diseases and risk factors in order to:
reduce the onset of a disease,

2.)
● Involves specific interventions aimed at the
detection of disease and then therapy as early as
possible, e.g. via screening.

3.)
● Aims at reducing the negative impact of an
already established disease or injury by an
attempt to avoid worsening and complications,
such as early surgery on a joint damaged by burns.

Answer 25

1.) Primary Prevention
2.) Secondary Prevention
3.) Tertiary Prevention

Question 26

● Comprises health care contacts during which the
principal intent is to relieve symptoms of illness or
injury, to reduce the severity of an illness or injury,
or to protect against exacerbation

Answer 26

CURATIVE

Question 27

an integrative strategy that aims at
empowering persons with health conditions who
are experiencing or are likely to experience
disability so that they can achieve and maintain
optimal functioning

Answer 27

REHABILITATIVE

Question 28

1.)
services enhance an
individual’s skills, capacity and performance in
interaction with their personal and environmental
contexts.

2.)
involves services to “develop and
maintain maximum movement potential and
functional ability throughout the lifespan”

3.)
a collection of services to diagnose
impairments in cognitive functions and other
psychosocial functional limitations

4.)
aims to enhance the quality of life for people with physical disabilities who require improvements in mobility or independence,

5.)
aims at restoring
people’s capacity to communicate effectively and
to swallow safely and efficiently.

Answer 28

1.) OCCUPATIONAL THERAPY
2.) PHYSICAL THERAPY
3.) PSYCHOLOGICAL AND BEHAVIORAL REHABILITATION
4.) PROSTHETICS AND ORTHOTICS REHABILITATION
5.) SPEECH AND LANGUAGE THERAPY

Question 29

● An essential and indispensable equipment of a
public health nurse which she has to carry along
during her home visits

Answer 29

PUBLIC HEALTH BAG

Question 30

● Usually done at the following places:
○ Private Clinic
○ Health Center
○ Barangay Health Station (BHS)
○ Mobile Clinic
○ Ambulatory Clinic

Answer 30

CLINIC VISIT

Question 31

● Conferences of mothers in the neighborhood; may
take place in a health facility or community.

Answer 31

GROUP CONFERENCE

Question 32

● A family-nurse contact where instead of the family
going to the nurse, the nurse goes to the family

Answer 32

HOME VISIT

Question 33

3 PHASES OF HOME VISIT:

1.)
“The nurse determines the family’s willingness
for home visit.”

2.)
“Begins when a nurse seeks permission to enter
and lasts until he/she leaves the family’s home.”

3.)
● The nurse has returned to the facility.
● Documentation of the visit.
● A referral may be made

Answer 33

1.) PHASE 1: PRE-VISIT PHASE
2.) PHASE 2: IN HOME PHASE
3.) PHASE 3: POST VISIT PHASE

Question 34

are given the
responsibility for managing and operating primaryand secondary-level hospital services through
the district and provincial hospitals.

Answer 34

● Provincial governments

Question 35

granted full autonomy and
responsibility for managing and implementing their
own health programs and services, with the DOH
providing technical support

Answer 35

LOCAL GOVERNMENT UNIT

Question 36

1.)
1. Administrator of RHU
● Plan, budget, monitor services and
management of RHU

2. Community physician
   ● Epidemiological research, health
   education campaigns, implement
   control measures, or rehabilitation plans
3. Medico-legal officer of the municipality
   ● Attends the administration of the Rural
   Health Unit.

2.)
● Supervise and guide RHMs.
● Prepares reports of the municipality for
submission to PHO

3.)
● Manage/supervise/train Barangay Health Workers.
● Provides midwifery services and executes health
care programs.

4.)
● Ensure a healthy physical environment in the
municipality

5.) Assist in providing the basic services at BHS and
RHU

Answer 36

1.) A. MUNICIPAL HEALTH OFFICER (MHO) OR RURAL HEALTH PHYSICIAN

2.) PUBLIC HEALTH NURSE (PHN)

3.) RURAL HEALTH MIDWIFE (RHM)

4.) RURAL HEALTH INSPECTOR

5.) BARANGAY HEALTH WORKERS (BHWS)

Question 37

1. Vision
   ● The Department of Social Welfare and
   Development envisions all Filipinos free
   from hunger and poverty, have equal
   access to opportunities, enabled by
   a fair, just, and peaceful society
2. Mission
   ● To lead in the formulation,
   implementation, and coordination of
   social welfare and development policies
   and programs for and with the poor,
   vulnerable, and disadvantaged.

Answer 37

DEPARTMENT OF SOCIAL WELFARE AND
DEVELOPMENT (DSWD)

Question 38

● An agency of the Philippine government under the
Department of Health responsible for creating a
conducive policy environment for national and
local nutrition planning, implementation,
monitoring and evaluation, and surveillance.

Answer 38

NUTRITION COUNCIL

Question 39

● A government agency is mandated as the overall
coordinating, monitoring, and policy making
body of the population program.

Answer 39

POPULATION COMMISSION

Question 40

1.)

Answer 40

PROFESSIONAL ORGANIZATIONS

Question 41

consists of clinics, infirmaries,
laboratories, hospitals, drugstores, pharmaceutical
and medical supply companies, health insurance
companies, academic and research institutions
involved in health, and other service providers that
include traditional healers (herbolarios) and
traditional birth attendants (hilots).

Answer 41

PRIVATE SECTORS

Question 42

● Occurs during the course of the nurse-family
relationship.
● Guides the nurse and the family in updating plans
as necessary

Answer 42

FORMATIVE

Question 43

● Occurs at the end of the nurse-family relationship
● Determines if the goals as specified in the family
nursing care plan are achieved as measured by the
outcome criteria and evaluation standards.

Answer 43

SUMMATIVE

Question 44

● Used to record the immunizations of children
● Six vaccine-preventable diseases were initially
included in the EPI: tuberculosis, poliomyelitis,
diphtheria, tetanus, pertussis, and measles.

Answer 44

CHILD IMMUNIZATION RECORD

Question 45

● Are used to compare your child’s height, weight,
and head size against children of the same age

● Can help both you and your health care provider
follow your child as they grow

Answer 45

EARLY CHILDHOOD CARE AND DEVELOPMENT CARD (GROWTH CHART)

Question 46

Is the record Filipino women and men who aims to
achieve their desired family size and fulfill the
reproductive health and rights for all through
universal access to quality family planning
information and services

Answer 46

FAMILY PLANNING METHOD

Question 47

● Its goal is to record regular check ups that allow
doctors or midwives to treat and prevent potential
health problems throughout the course of the
pregnancy

Answer 47

ANTENATAL/PRENATAL RECORD

Question 48

an organizational component of DOH charged with
preventing disease, disability, and death from
vaccine-preventable diseases in children and
adults.

● Target Age group:
○ Infants
○ Children below 5 years old
○ Women

Answer 48

National Immunization Program (NIP)

Question 49

6 preventable diseases under EPI (expanded
program for Immunization)

Answer 49

○ Diphtheria
○ Pertussis
○ Tetanus
○ Polio
○ Tuberculosis
○ Measles

Question 50

Method of giving artificial passive antibody to
the patient

Answer 50

IMMUNIZATION

Question 51

STORE AT TEMP…
Most Sensitive to Heat

Oral Polio
Measles
MMR

Answer 51

-15 to -25 C

Question 52

STORE AT TEMP…
Less Sensitive to Heat

BCG
TETANUS TOXOID
PCV-13
IPV
HPV AND ROTAVIRUS

Answer 52

+2 to +8 C

Question 53

● Multi-dose liquid vaccines (OPV, DPT, TT, and
Hepatitis B) - may be used in the next
immunization sessions for up to maximum of 4
weeks, p

Answer 53

OPEN VIAL SYSTEM

Question 54

CONTRAINDICATION TO VACCINES:

1.)
● With AIDS or other immune
deficiency diseases
● Immunosuppressed
● Therapy with
immunosuppressive agents or
irradiation
● After 1 y/o

2.)
● Over 5 years of age
● Suffered a severe reaction to
previous dose (convulsion or
shock w/in 3 days of the most
recent dose )
● Recurrent convulsions
● Active neurological disease

3.)
● severe allergic reaction
(anaphylaxis) to a previous dose
or to any component of the
vaccine.
● Infants w/ moderate or severe
illness temp. ≥ 39°C should not
be vaccinated until they have
improved

Answer 54

1.) BCG
2.) DPT
3.) IPV

Question 55

CONTRAINDICATION TO VACCINES:

1.)
● severe allergic reactions to a
prior dose or to any component
of the vaccine, including
diphtheria toxoid
● Infants with moderate or severe
illness (temp. 39 °C) should not
be vaccinated until they have
improved.

2.)
● Hypersensitivity to any of their
components
● History of intussusceptions or
intestinal malformations,
predisposition to
intussusceptions.
● Vaccination should be
postponed in case of ongoing
acute gastroenteritis or serious
febrile illness

Answer 55

1.) PCV-13
2.) ROTAVIRUS

Question 56

Tetanus Toxoid Immunization for Pregnant Women:

TT1= ANYTIME DURING PREGNANY
TT2= 1 MONTH AFTER DOSE 1
TT3= 6 MONTHS AFTER DOSE 2
TT4= 1 YEAR AFTER DOSE 3
TT5= 1 YEAR AFTER DOSE 4

Answer 56

DURATION PROTECTION:
TT1
TT2= 3 YEARS
TT3= 5 YEARS
TT4= 10 YEARS
TT5= LIFE TIME

Question 57

● A component strategy in the prevention of cervical
cancer

Answer 57

HUMAN PAPILLOMAVIRUS (HPV) VACCINE

Question 58

Acute inflammatory reaction 2-4 days of
vaccination

Ulcer w/c persists after 12wks or ulcer more
than 10mm deep

Site enlarged and suppuration occurs.

Answer 58

● Koch’s phenomenon

● Indolent ulceration

● Glandular enlargement

Question 59

● A strategy for reducing mortality and morbidity
associated with major causes of childhood illness

● A package of preventive, promotive, and curative
services rendered by the DOH for children under 5
y/o

Answer 59

IMCI
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS