CHN (LEC) M1

A community nurse is assigned to a geographically isolated and disadvantaged area (GIDA). The population has high rates of goiter, malnutrition, and preventable communicable diseases. Despite several health programs introduced, residents often rely on traditional healers instead of health centers. The nurse knows that culture shapes health-seeking behaviors and must adapt interventions that respect traditions while promoting evidence-based care. Which best describes the nurse’s approach?

• Cultural imposition

• Cultural competence

• Disease-centered care

• Episodic curative care

A barangay health station is implementing a nutrition program for children. The nurse notes that despite the availability of free vitamins, many mothers do not bring their children due to beliefs that “strong children do not need supplements.” According to the Health Belief Model, what factor MOST influences this behavior?

• Perceived susceptibility

• Perceived severity

• Cues to action

• Perceived barriers

A 40-year-old fisherman develops chronic cough and seeks advice at the health center. The nurse discovers that his family income is barely enough for food, and he spends little on healthcare. The nurse recalls Milio’s framework that states behavioral patterns arise from limited choices due to socioeconomic conditions. Which is the MOST appropriate nursing intervention?

• Teach the fisherman to prioritize health over food needs

• Lobby for policy interventions to expand access to health services

• Advise him to borrow money for hospitalization

• Refer him immediately to a private hospital

During a health education campaign, a nurse explains that hypertension is more common among adults living in urban areas due to stress, fast food, and lack of physical activity. She emphasizes the importance of lifestyle modification. Which community health nursing principle is being applied?

• Health is holistic and multidimensional

• Health is limited to absence of disease

• Nursing focuses only on treatment

• Community health ignores environmental factors

A nurse observes that mothers in the community allow children to play barefoot outside. When asked why, the mothers reply that “worms are part of childhood and cannot be prevented.” The nurse understands this belief contributes to persistent parasitic infections in the barangay. Which type of prevention should the nurse implement FIRST to address this misconception?

• Primary prevention – health education and footwear provision

• Secondary prevention – deworming campaigns

• Tertiary prevention – rehabilitation for severe anemia

• None, since the belief is cultural and must not be challenged

A community nurse prepares to introduce a new vaccination program in a barangay where some parents refuse immunizations, citing religious reasons. The nurse knows that a successful program requires community involvement. Which model emphasizes that health promotion interventions must be participatory and community-driven?

• Health Belief Model

• PRECEDE–PROCEED Model

• Milio’s Framework

• Pender’s Health Promotion Model

A barangay nurse is conducting a home visit to a family with four young children. The parents explain that they cannot regularly visit the health center because of financial constraints and distance. The nurse collaborates with local officials to organize mobile clinics and home immunization drives. Which community health nursing feature is highlighted here?

• Ecology-oriented practice

• Episodic medical care

• Focus only on individual treatment

• Hospital-based nursing

A family with a history of hypertension is enrolled in a community lifestyle modification program. The nurse designs sessions on healthy diet, exercise, and stress management. According to Leavell and Clark, this intervention is classified as:

• Primary prevention

• Secondary prevention

• Tertiary prevention

• Rehabilitation

During a health fair, the nurse educates attendees that Universal Health Care ensures access to affordable, quality services for all Filipinos, regardless of income. She explains that it is funded by taxes and health insurance contributions. Which principle of community health nursing is being emphasized?

• Healthcare is a privilege

• Social justice and equity

• Episodic intervention

• Individual responsibility only

A community nurse evaluates a maternal health program and finds decreased maternal deaths after safe birthing initiatives were introduced. Which stage of the nursing process in community health does this activity represent?

• Assessment

• Planning

• Implementation

• Evaluation