1.Health Sector Reform Agenda (HSRA) is the overriding Act No 2156 is also known as the Fajardo Act.
ardo Act. Jones Law
goal of the DOH. The reform is established because
although there has been a significant improvement in
the health status of the Filipinos negative conditions are
still seen among the population which does not include:
Slowing down in the reduction in the Infant Mortality Rate health nurse during her home visit is:
(IMR)
Increase reduction of Maternal Mortality Rate (MMR)
Rising Burden from chronic diseases
Unattended emerging health risks from environmental and
work related factors
Question 1 Explanation:
If there is an increase in the reduction of maternal
mortality no health reform is needed because the
mortality rates are decreasing at a faster phase, thus, B
is the correct answer. A, C, and D are all negative
statements in response to health among Filipinos that’s
why a reform is needed.
2. Nurse Diane influenced the Sangguniang Bayan to
ban smoking in public areas to minimize if not prevent
the exposure of population to smoking. She is
performing her role as:
Educator
Trainer
Advocate
Researcher
Question 2 Explanation:
Using her skills to create a supportive environment
through policies and devising ways to make the
environment clean for a healthier population is
demonstrating advocacy.
3. Act No. 2156 which consolidated the municipalities
into sanitary divisions and established the health fund
for travel and salaries is known as:
Fajardo Act
Jones Law
Philippine Health Service
Rural Health Law
Question 3 Explanation:
is also known as the Philippine Autonomy Act. Act No.
2468 is the Philippine Health service. Rural Health Law is
EO 102.
4. An indispensible and essential equipment of a public
Black umbrella
Bag technique
Public health bag
Thermometer
Question 4 Explanation:
A public health bag is an indispensible and essential
equipment of a public health nurse which she has to
carry along during her home visits
5. The neighbor of Family Alonzo has been grieving due
to the death of their mother from pregnancy
complications. Nurse Diane understands that this event
is a:
Health deficit
Foreseeable crisis
Health threat
Health problem
Question 5 Explanation:
Foreseeable crises are stressful events such as death or
illness of a family member. Health deficits are gaps
between actual and achievable health status such as no
regular checkup and history of repeated infections. A
health threat is a condition that promotes disease or
injury and prevents the people from realizing their
health potential. Examples include, lack of
immunization and inappropriate role assumption. A
health problem is a situation in which there is a
demonstrated health need combined with actual or
potential resources to apply remedial measures.
6. The DOH’s specific role in the health sector. Serving
as an advocate in the adoption of health policies, plans
and programs to address the national and sectoral
concerns is an example of which role?

enabling and building capacity
administrator of specific services
leadership in health
all of the above
Question 6 Explanation:
A, B, C are the roles of the DOH as the national
authority. However, serving as an advocate in the
adoption of health policies, plans and programs to
address the national and sectoral concerns is an
example of a leadership role thus, C is the best choice.
7. The Philippine Health Care Delivery System has two
sectors. The public sector is further divided into two
categories, national and local. On the items given select
all the agencies that belong to the national health
system. A. Philippine General Hospital B. Rural health
unit C. District hospitals D. regional hospital E. medical
center F. Barangay health station G. Provincial hospital
A, C, E, F
D, E, F, G
B, C, D, G
A, C, D, E
Question 7 Explanation:
At the national level, the DOH is mandated as the lad
agency. Under this health system is the specialty,
regional and medical hospitals. Philippine General
Hospital is also part of this sector.
8. Which of the following Millennium Development
Goals (MDGs) is not health related?
Combat HIV/AIDS, malaria and other disease
Achieve universal primary education
Reduce child mortality
Ensure environmental sustainability
Question 8 Explanation:
Millennium Development Goals (MDGs) are: 
Eradicate extreme poverty and hunger  Achieve
universal primary education  Promte gender equality
and empower women  Reduce child mortality 
Combat HIV/AIDS, malaria and other disease  Ensure
environmental sustainability  Develop a global
partnership for development Except for goals 2 and 3,
all the MDGs are health or health related. Thus, B is the
correct answer.
9. Which law mandates the DOH to provide assistance
to LGUs, people’s organization and other members of
civic society in effectively implementing programs,
projects and services in the promotion of health?
E.O. 288
E.O. 102
R.A. 1082
R.A. 7160
Question 9 Explanation:
It is also known as the Rural Health Law. EO 288 is a
reorganization act that created 8 regional health offices.
E.O. 102 is the “Redirecting the functions and
operations of the DOH” signed by President Joseph
Estrada on May 24, 1999. RA 7160 is the Local
Government Code.
10. One of the areas where a Public Health Nurse
functions is disease surveillance. What is disease
surveillance?
A continuous collection and analysis of data of cases and
death.
An on-going interpersonal process in which the nurses and
the clients are viewed as a system.
A declaration of purpose or intent that gives essential
direction to an action.
An estimate of the degree to which a family, group or
community is achieving the level of health possible for them.
Question 10 Explanation:
A- A continuous collection and analysis of data of cases
and death – Disease Surveillance B- An on-going
interpersonal process in which the nurses and the
clients are viewed as a system. – Nursing Process
definition C- A declaration of purpose or intent that
gives essential direction to an action. – Goal setting D-
An estimate of the degree to which a family, group or
community is achieving the level of health possible for
them. – assessment
11. Which item demonstrates the correct steps in bag
technique:
Place bag on table, wash hands, wear apron, close the bag,
perform nursing care and treatment
 Place bag on table, wear apron, wash hands, put out needed
articles, close the bag
Wash hands, place bag on table, wear apron, put out needed
articles, nursing care
Place bag on table, wash hands, wear apron, put out neededhealth potential. Examples include, lack of
articles, close the bag, nursing care
Question 11 Explanation:
The nurse places the bag first on the table then asks for
a basin of water for hand washing. The apron is then
worn and the needed items are placed in a specific area.
Before the nursing care and treatment is done, the bag
should be closed first.
12.
The youngest sibling of Family Alonzo was coughing and
upon assessment has a fever. The mother told Nurse
Diane that the child has had two incidents of
pneumonia within the year. This is a:
Health deficit
Foreseeable crisis
Health threat
Health problem
Question 12 Explanation:
Health deficits are gaps between actual and achievable
health status such as no regular checkup and history of
repeated infections. A health threat is a condition that
promotes disease or injury and prevents the people
from realizing their health potential. Examples include,
lack of immunization and inappropriate role
assumption. Foreseeable crises are stressful events such
as death or illness of a family member. A health
problem is a situation in which there is a demonstrated
health need combined with actual or potential
resources to apply remedial measures
13. During one of Nurse Dianne’s home visit to Family
Alonzo, she learned that the client’s first child lacks
immunization. This situation is a:
Health deficit
Foreseeable crisis
Health threat
Health problem
Question 13 Explanation:
A health threat is a condition that promotes disease or
injury and prevents the people from realizing their
immunization and inappropriate role assumption.
Health deficits are gaps between actual and achievable
health status such as no regular checkup and history of
repeated infections. Foreseeable crises are stressful
events such as death or illness of a family member. A
health problem is a situation in which there is a
demonstrated health need combined with actual or
potential resources to apply remedial measures.
14The core business of the public health includes which
of the following?
Health protection
Epidemiological surveillance
Research
Health situation analysis
Question 14 Explanation:
The core businesses of public health are disease control,
injury prevention, health protection, health public
policy and health promotion. B, C, and D are essential
functions of Public Health.
15 The DOH espoused an Inter Local Health system to
ensure quality of health care service at the local level. It
is a system where individuals, communities and all
other health care providers in a specific geographical
area participate together in providing quality equitable
and accessible health. An Inter Local Health Zone (ILHZ)
is a clustered municipality and is comprised of:
DOH and private sectors
Secondary level facilities only
Central referral hospital and primary level facilities
DOH and secondary level facilities
Question 15 Explanation:
In an Inter Local Health system (ILHS) the municipalities
are clustered into Inter Local Health Zone (ILHZ). Each
ILHZ has a defined population in a specific geographical
area and is comprised of a central referral hospital and
a number of primary level facilities (RHUs and barangay
health stations).
16. A law that was the key in creating the first 81 rural
health units is:
E.O. 288
E.O. 102
R.A. 1082
R.A. 7160
Question 16 Explanation:
It is also known as the Rural Health Law. EO 288 is a
reorganization act that created 8 regional health offices.
E.O. 102 is the “Redirecting the functions and
operations of the DOH” signed by President Joseph
Estrada on May 24, 1999. RA 7160 is the Local
Government Code.
17. The core business of the public health cannot be
achieved without the proper delivery of essential
functions. In the implementation of these functions the
following are implemented apart from:
Government implementation of all functions
Implementation through governmental and non-
governmental organizations
Private sectors can also implement the said function
Coordination of public health system through different
infrastructures
Question 17 Explanation:
For the essential functions to be adequately delivered,
implementations may be achieved through other
governmental agencies and non-governmental
organizations or private sectors. Governments do not
necessarily have to implement or finance these
functions themselves
18.In the collection of data various methods are
employed by a public health nurse. Which is not
included in these methods?
Community surveys
Individual and family health records
Developing an operational plan
Observation of health-related behaviors of individuals and
family groups
Question 18Explanation:
Developing an operational plan is part of the planning
phase not the data collection phase.
19. The World Health Organization defines public
health as:
Science and art of preventing disease, prolonging life,
promoting health and efficiency through organized
community effort for the sanitation of the environment.
The art of applying science in the context of politics so as to
reduce inequalities in health while ensuring the best health
for the greatest number.
A state of complete physical, mental and social well being
and not merely the absence of disease or infirmity.
d. A service rendered by a professional nurse with
communities, groups, families, individuals at home, in health
centers, clinics, schools, places of work for promotion of
health, prevention of illness and care of the sick at home and
rehabilitation.
Question 19 Explanation:
A. Science and art of preventing disease, prolonging life,
promoting health and efficiency through organized
community effort for the sanitation of the environment.
– definition of Public Health by Dr. C.E. Winslow B. The
art of applying science in the context of politics so as to
reduce inequalities in health while ensuring the best
health for the greatest number. – by WHO C. A state of
complete physical, mental and social well being and not
merely the absence of disease or infirmity. – definition
of health by WHO D. A service rendered by a
professional nurse with communities, groups, families,
individuals at home, in health centers, clinics, schools,
places of work for promotion of health, prevention of
illness and care of the sick at home and rehabilitation. –
definition of community health nursing by Ruth
Freeman
20. What is the primary reason or rationale of
performing bag technique?
To minimize if not prevent the spread of infection.
To save time and effort in the performance of nursing
procedures.
 To promote ease and dexterity in implementing procedures.
To render effective nursing care to the client.
Question 20Explanation:
All of the given items in the options are goals in
performing a bag technique however, the most
important rationale of utilizing the bag technique is to
prevent the spread of infection.
21.During what phase of nursing process do data
analysis and interpretation is done and mutual trust and
confidence is developed?
Assessment
Planning nursing action
Implementation of planned care
Evaluation of care and services rendered
Question 21 Explanation:
Assessment phase involves data collection, initiation of
contact, analyzing and interpreting data. Mutual trust
and confidence is important in this step to obtain the
needed data.
22.The following is a part of intrinsic factor that may
cause a disease to occur:
Climate
Flora
Occupation
Food handling
Question 22 Explanation:
Intrinsic factors are inherent and basic influences that
can cause en exposure, susceptibility or response to
agents. Included in these factors are genetic, age, sex,
ethnic group, physiologic, immunologic, inter-current
disease, human behavior (E.g. food handling, personal
hygiene). Extrinsic factors are environmental factors
such as physical environment (climate), biologic
environment (flora), and socio-economic environment
(occupation).
23. Which of the following shows the correct sequence
of steps in a home visit?
Greet the patient and introduce self, state purpose of visit, comprehensions and prediction of patterns of disease.
perform bag technique, perform nursing care, make an
appointment for a return visit, document data
Greet the patient and introduce self, perform bag technique
state purpose of visit, perform nursing care, make an
appointment for a return visit, document data
Greet the patient and introduce self, perform nursing care,
document data, perform bag technique, make an
appointment for a return visit, document data
Greet the patient and introduce self, state purpose of visit,
perform bag technique, perform nursing care, document
data and make an appointment for a return visit
Question 23 Explanation:
Greet the patient and introduce self, state purpose of
visit, perform bag technique, perform nursing care,
document data and make an appointment for a return
visit.
24. The Philippine Heart Center is under what level of
health care?
Primary
Secondary
Tertiary
B and C
Question 24 Explanation:
Tertiary level of care is rendered by specialists in health
facilities. Secondary levels are providing care given by
physicians with basic health training. A primary level of
care is devolved to the cities and the municipalities
where the health care provided is given by center
physicians, PHN’s, rural health midwives and barangay
health workers.
25.The epidemiologic triangle consists of three
components which are the following except:
Host
Mode of transmission
Agent
Environment
Question 24 Explanation:
The epidemiologic triangle consists of three
components – host, environment and agent. The model
implies that each must be analyzed and understood for