PNLE: Community Health Nursing Part Quiz
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The CHN Quiz is designed to test your knowledge academically. This quiz covers essential topics such as public health principles, disease prevention, family and community care, and nursing interventions in various settings. Community Health Nursing plays a crucial role in promoting public health, preventing diseases, and ensuring quality care for individuals, families, and communities.
By taking this quiz, you can evaluate your grasp of key concepts, including epidemiology, health education, and patient-centered care in a community setting. This quiz is structured with carefully selected Community Health Nursing practice questions to help reinforce your knowledge and identify areas for improvement. Read more
Disclaimer: This quiz is for educational purposes only and does not replace professional training or certification. Always refer to official guidelines and textbooks for accurate information.
Community Health Nursing Questions and Answers
- 1.
Which is the primary goal of community health nursing?
- A.
To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness.
- B.
To enhance the capacity of individuals, families and communities to cope with their health needs.
- C.
To increase the productivity of the people by providing them with services that will increase their level of health.
- D.
To contribute to national development through promotion of family welfare, focusing particularly on mothers and children.
Correct Answer
B. To enhance the capacity of individuals, families and communities to cope with their health needs.Explanation
Community health nursing aims to empower individuals, families, and communities to manage and improve their health. Nurses collaborate with communities to identify health needs, develop strategies for health promotion and disease prevention, and provide education and support for healthy lifestyles. By working closely with community members, nurses help build resilience and promote overall well-being at the grassroots level, emphasizing holistic care and prevention.Rate this question:
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- 2.
CHN is a community-based practice. Which best explains this statement?
- A.
The service is provided in the natural environment of people.
- B.
The nurse has to conduct community diagnosis to determine nursing needs and problems.
- C.
The services are based on the available resources within the community.
- D.
Priority setting is based on the magnitude of the health problems identified.
Correct Answer
A. The service is provided in the natural environment of people.Explanation
Community-based practice focuses on providing health services within the community, where people live, work, and interact. This approach emphasizes accessibility, patient-centered care, and collaboration with community members to address health needs and promote well-being. The other options, while relevant to community health nursing, do not specifically define the core concept of community-based practice.Rate this question:
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- 3.
Which process is required for population-focused nursing practice?
- A.
Community organizing
- B.
Nursing process
- C.
Community diagnosis
- D.
Epidemiologic process
Correct Answer
C. Community diagnosisExplanation
Population-focused nursing practice involves assessing the health needs of entire populations or specific groups within a community. Community diagnosis is a crucial process within population-focused nursing practice, as it involves systematically identifying the health needs, strengths, and resources of a community through data collection, analysis, and interpretation. Community diagnosis allows nurses to understand the health status and health-related issues affecting a population, which in turn informs the development of targeted interventions and programs aimed at improving health outcomes. By engaging in community diagnosis, nurses can effectively prioritize health issues, allocate resources, and implement evidence-based strategies to address the needs of the population they serve. This process is essential for promoting health equity, reducing health disparities, and improving the overall health and well-being of communities.Rate this question:
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- 4.
Which of the following is a primary focus of community health nursing?
- A.
Treating individual patients in hospitals
- B.
Conducting laboratory-based research
- C.
Promoting health and preventing disease in populations
- D.
Providing specialized care in intensive care units
Correct Answer
C. Promoting health and preventing disease in populationsExplanation
Community health nursing focuses on promoting health, preventing disease, and enhancing the well-being of entire populations rather than just treating individual patients in a clinical setting. Community health nurses work in various environments, including schools, homes, and community centers, with the goal of educating the public, improving access to healthcare, and implementing public health programs. Unlike hospital-based nurses who primarily treat individual patients, community health nurses emphasize disease prevention, health promotion, and outreach to vulnerable populations to improve overall community health.Rate this question:
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- 5.
At what minimum number of employees must a business firm employ an occupational health nurse?
- A.
21
- B.
201
- C.
101
- D.
301
Correct Answer
C. 101Explanation
A business firm is required to employ an occupational health nurse when it has at least 101 employees. This requirement ensures that the health and safety of workers are monitored and managed effectively, promoting a safe work environment. Occupational health nurses play a crucial role in preventing workplace injuries and illnesses, providing medical care, and promoting overall employee well-being. This regulation helps maintain a healthy and productive workforce.Rate this question:
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- 6.
When an occupational health nurse applies ergonomic principles, which role is she performing?
- A.
Health care provider
- B.
Health educator
- C.
Health care coordinator
- D.
Environmental manager
Correct Answer
D. Environmental managerExplanation
When the occupational health nurse employs ergonomic principles, she is acting in her role as an Environmental Manager. Ergonomics involves designing the workplace environment to fit the needs of the workers, reducing the risk of injuries and musculoskeletal disorders. Occupational health nurses who utilize ergonomic principles assess workplace conditions, identify potential ergonomic hazards, and implement interventions to promote a safer and more comfortable work environment. By managing the environmental factors that impact worker health and safety, occupational health nurses contribute to preventing workplace injuries and improving overall well-being.Rate this question:
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- 7.
If a garment factory does not have an occupational nurse, who is responsible for providing the occupational health needs of the factory workers?
- A.
Occupational health nurse at the Provincial Health Office
- B.
Physician employed by the factory
- C.
Public health nurse of the RHU of their municipality
- D.
Rural sanitary inspector of the RHU of their municipality
Correct Answer
C. Public health nurse of the RHU of their municipalityExplanation
If a garment factory does not have an occupational nurse, the responsibility for providing occupational health services typically falls on the Public Health Nurse of the Rural Health Unit (RHU) of the workers' municipality. Public health nurses employed by the RHU are trained to address various health needs within the community, including occupational health concerns. They may conduct health assessments, provide health education and promotion activities, and offer basic healthcare services to workers in the absence of an occupational nurse. While the occupational health nurse is the ideal professional for addressing workplace health issues, especially those specific to the industry, public health nurses can still play a crucial role in promoting worker health and safety within the community. Their involvement ensures that workers have access to essential health services and support, even if specialized occupational health professionals are not available on-site.Rate this question:
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- 8.
Is the statement "Public health services are given free of charge" true or false?
- A.
The statement is true; it is the responsibility of government to provide basic services.
- B.
The statement is false; people pay indirectly for public health services.
- C.
The statement may be true or false, depending on the specific service required.
- D.
The statement may be true or false, depending on policies of the government concerned.
Correct Answer
B. The statement is false; people pay indirectly for public health services.Explanation
The statement, "Public health services are given free of charge," can be generally considered false, as people often pay indirectly for these services through various means. Although some public health services may be provided at no direct cost to the recipient, they are typically funded by taxes, government subsidies, or other public funding mechanisms. For example, services like vaccinations, disease prevention programs, and health screenings might be offered free of charge at the point of access, but the costs are covered by public funding. Furthermore, in some cases, individuals may be required to pay a portion of the costs for certain public health services, depending on the specific policies of the government or health care system involved. In summary, while some public health services may be provided at no direct cost to individuals, it is not accurate to state that all such services are always free of charge.Rate this question:
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- 9.
According to C.E. Winslow, what is the goal of public health?
- A.
For people to attain their birthrights of health and longevity
- B.
For promotion of health and prevention of disease
- C.
For people to have access to basic health services
- D.
For people to be organized in their health efforts
Correct Answer
A. For people to attain their birthrights of health and longevityExplanation
According to C. E. Winslow, a prominent figure in public health, the goal of Public Health is "for people to attain their birthrights of health and longevity." This statement emphasizes the fundamental right of every individual to achieve the highest possible level of physical and mental well-being. It underscores the importance of public health efforts in promoting health, preventing disease, and extending the healthy years of life for all members of society.Rate this question:
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- 10.
When is a Filipino considered to have attained longevity based on statistical measures other than the average lifespan?
- A.
Age-specific mortality rate
- B.
Proportionate mortality rate
- C.
Swaroop’s index
- D.
Case fatality rate
Correct Answer
C. Swaroop’s indexExplanation
To determine the attainment of longevity, Swaroop’s index can be used. Swaroop’s index measures the proportion of deaths that occur in individuals aged 50 years and older in a population. A higher Swaroop’s index indicates better longevity in the population, as it implies that more people are living to older ages.Rate this question:
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- 11.
Which of the following is the most prominent feature of public health nursing?
- A.
It involves providing home care to sick people who are not confined in the hospital.
- B.
Services are provided free of charge to people within the catchment area.
- C.
The public health nurse functions as part of a team providing a public health nursing services.
- D.
Public health nursing focuses on preventive, not curative, services.
Correct Answer
D. Public health nursing focuses on preventive, not curative, services.Explanation
Public health nursing focuses on preventive, not curative, services.
The catchment area in PHN consists of a residential community, many of whom are well individuals who have greater need for preventive rather than curative services.Rate this question:
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- 12.
According to Margaret Shetland, on what principle is the philosophy of public health nursing based?
- A.
Health and longevity as birthrights
- B.
The mandate of the state to protect the birthrights of its citizens
- C.
Public health nursing as a specialized field of nursing
- D.
The worth and dignity of man
Correct Answer
D. The worth and dignity of manExplanation
According to Margaret Shetland, the philosophy of public health nursing centers on recognizing and upholding the worth and dignity of every individual. This foundational principle emphasizes the importance of respecting and promoting the well-being of all people within the context of public health initiatives and nursing practice.Rate this question:
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- 13.
Which of the following is the mission of the Department of Health?
- A.
Health for all Filipinos
- B.
Improve the general health status of the population
- C.
Ensure the accessibility and quality of health care
- D.
Health in the hands of the Filipino people by the year 2020
Correct Answer
C. Ensure the accessibility and quality of health careExplanation
The mission of the Department of Health in the Philippines is to ensure the accessibility and quality of health care. This mission focuses on providing equitable access to quality health services for all Filipinos, which is central to their mandate and goals.Rate this question:
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- 14.
How is Region IV Hospital classified in terms of facility level?
- A.
Primary
- B.
Secondary
- C.
Intermediate
- D.
Tertiary
Correct Answer
D. TertiaryExplanation
Region IV Hospital is likely to be classified as a tertiary healthcare facility. Tertiary care hospitals are specialized medical centers that provide advanced, complex, and comprehensive medical services to patients with serious or complex health conditions. These facilities are equipped with modern medical technology and staffed by highly skilled healthcare professionals who are trained to handle complex medical cases requiring specialized care. Tertiary care hospitals often serve as referral centers for patients requiring specialized treatment or procedures that are not available at primary or secondary healthcare facilities.Rate this question:
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- 15.
What is true about primary health facilities?
- A.
They are usually government-run.
- B.
Their services are provided on an out-patient basis.
- C.
They are training facilities for health professionals.
- D.
A community hospital is an example of this level of health facilities.
Correct Answer
B. Their services are provided on an out-patient basis.Explanation
A primary health care facility is characterized by providing essential health care services on an outpatient basis. These facilities serve as the first point of contact for individuals seeking medical care within a community. They offer a range of services, including health promotion, disease prevention, and basic medical care for common illnesses. Primary health care facilities are often located in the community, making them easily accessible to individuals and families. They play a crucial role in promoting health and well-being, identifying health problems early, and referring patients to specialized care when necessary.Rate this question:
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- 16.
Which is an example of the health care provider function of a school nurse?
- A.
Requesting for BCG from the RHU for school entrant immunization
- B.
Conducting random classroom inspection during a measles epidemic
- C.
Taking remedial action on an accident hazard in the school playground
- D.
Observing places in the school where pupils spend their free time
Correct Answer
B. Conducting random classroom inspection during a measles epidemicExplanation
One example of a school nurse's health care provider function is conducting classroom inspections during a measles epidemic. Ensuring that schools are safe and healthy environments is a critical role for school nurses, especially during disease outbreaks.In the event of a measles epidemic, a school nurse's responsibilities might include:1. Identifying and monitoring students who may have been exposed to the virus2. Conducting health assessments to check for symptoms of measles3. Collaborating with local health authorities to implement control measures, such as isolation and quarantine4. Educating students, teachers, and staff about measles, its symptoms, and preventive measures5. Identifying and addressing potential risk factors within the school environment that could contribute to the spread of the virusBy conducting classroom inspections and taking appropriate actions, the school nurse can help prevent the spread of measles within the school and protect the health of the students and staff. This is just one example of the many important roles that school nurses play in promoting health and safety within the school community.Rate this question:
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- 17.
When a nurse evaluates whether resources were maximized in implementing Ligtas Tigdas, what type of evaluation is being conducted?
- A.
Effectiveness
- B.
Efficiency
- C.
Adequacy
- D.
Appropriateness
Correct Answer
B. EfficiencyExplanation
When a nurse assesses whether resources were utilized to their fullest potential in implementing Ligtas Tigdas (a measles prevention program), she is evaluating the efficiency of the program. Efficiency refers to the optimal use of resources, such as time, money, and effort, to achieve the desired outcomes. In the context of Ligtas Tigdas, the nurse would evaluate whether the program's resources were managed effectively to maximize its impact and achieve its goals.Rate this question:
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- 18.
As a new B.S.N. graduate, where should you apply if you want to become a Public Health Nurse?
- A.
Department of Health
- B.
Provincial Health Office
- C.
Regional Health Office
- D.
Rural Health Unit
Correct Answer
D. Rural Health UnitExplanation
As a new B.S.N. graduate seeking to become a Public Health Nurse, you would typically apply to a Rural Health Unit (RHU).In the Philippines, Rural Health Units are local public health offices responsible for providing primary health care services to communities in rural areas. These units are often the first point of contact for individuals seeking medical care in their respective communities.By applying to a Rural Health Unit, you can gain valuable experience in providing essential public health services, such as:1. Health education and promotion2. Disease prevention and control3. Maternal and child health services4. Nutrition programs5. Immunization and vaccination services6. Basic clinical and laboratory services7. Referrals to secondary and tertiary care facilitiesWorking at a Rural Health Unit provides an excellent opportunity for new B.S.N. graduates to develop their skills and knowledge in public health nursing. It also allows them to contribute to improving the health and well-being of underserved communities.In addition to Rural Health Units, you can also explore opportunities in other public health settings, such as city or municipal health offices, provincial health offices, or national agencies like the Department of Health (DOH).Rate this question:
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- 19.
According to R.A. 7160, which is the major goal of devolution in local government units?
- A.
To strengthen local government units
- B.
To allow greater autonomy to local government units
- C.
To empower the people and promote their self-reliance
- D.
To make basic services more accessible to the people
Correct Answer
C. To empower the people and promote their self-relianceExplanation
The major goal of devolution, as mandated by the Republic Act 7160, is to empower the people and promote their self-reliance. This is achieved by decentralizing governance and enabling local government units (LGUs) to deliver basic services that are more responsive to the needs of their respective communities. Devolution allows LGUs to have greater control over their resources and decision-making processes, which helps them to address local issues and concerns more effectively. By bringing government services closer to the people, devolution aims to improve service delivery and increase citizen participation in local governance. Ultimately, the goal of devolution is to create a more inclusive, participatory, and effective system of governance that empowers citizens and promotes their well-being.Rate this question:
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- 20.
Who serves as the Chairman of the Municipal Health Board?
- A.
Mayor
- B.
Municipal Health Officer
- C.
Public Health Nurse
- D.
Any qualified physician
Correct Answer
A. MayorExplanation
In the local governance structure of the Philippines, the Mayor plays a crucial role as the Chairman of the Municipal Health Board. This position allows the Mayor to collaborate with other board members, including the Municipal Health Officer, representatives from various government agencies, and community leaders. Together, they develop and implement policies and strategies that address the health needs of the local population. Through this role, the Mayor helps ensure that public health programs and services are effectively delivered, and the municipality's health priorities are effectively addressed, promoting health and well-being at the community level.Rate this question:
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- 21.
Which level of health facility is typically the first point of entry for a client into the healthcare delivery system?
- A.
Primary
- B.
Secondary
- C.
Intermediate
- D.
Tertiary
Correct Answer
A. PrimaryExplanation
In the context of the Philippine healthcare system, the primary level of health facility is typically the usual point of entry for a client into the health care delivery system.Primary health care facilities, such as Rural Health Units (RHUs), Barangay Health Stations (BHS), and Health Centers, are often the first point of contact for individuals seeking medical care within their communities. These facilities provide essential public health services, including:1. Health promotion and education2. Disease prevention and control3. Maternal and child health services4. Basic clinical and laboratory services5. Nutrition programs6. Immunization and vaccination services7. Referrals to secondary and tertiary care facilities when necessaryBy providing accessible and affordable health care services, primary health care facilities play a critical role in promoting health, preventing diseases, and ensuring that individuals can receive timely and appropriate medical care when needed.Rate this question:
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- 22.
As a public health nurse supervising rural health midwives, which task falls under your supervisory function?
- A.
Referring cases or patients to the midwife
- B.
Providing technical guidance to the midwife
- C.
Providing nursing care to cases referred by the midwife
- D.
Formulating and implementing training programs for midwives
Correct Answer
B. Providing technical guidance to the midwifeExplanation
A public health nurse supervises rural health midwives by providing technical guidance in patient care. This includes ensuring proper implementation of health management guidelines, such as the Integrated Management of Childhood Illness (IMCI) program. The public health nurse also ensures adherence to policies, assists with problem-solving in complex cases, and facilitates continuous education for midwives. While nurses may provide direct care, their primary supervisory role is to guide midwives rather than replace their function. Additionally, they help midwives coordinate referrals and collaborate with municipal health officers to ensure community healthcare needs are met effectively.Rate this question:
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- 23.
During a hilot training class, a participant asks whom she should refer a laboring patient to in case of complications. What should be your response?
- A.
Public Health Nurse
- B.
Rural Health Midwife
- C.
Municipal Health Officer
- D.
Any of these health professionals
Correct Answer
C. Municipal Health OfficerExplanation
A municipal health officer (MHO), typically a physician, is the most appropriate healthcare provider for handling complications during labor. While public health nurses and rural health midwives can manage normal deliveries, they are not equipped to address obstetric emergencies. The MHO has the medical expertise to assess and intervene in high-risk cases, ensuring better outcomes for both mother and baby. In the absence of an MHO, the patient should be referred to the nearest hospital with an obstetrician. Proper referral systems help reduce maternal and infant mortality rates, making them a crucial part of maternal healthcare services.Rate this question:
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- 24.
If a municipality has a population of about 20,000 and only three rural health midwives, how many additional midwife positions does the RHU need?
- A.
1
- B.
2
- C.
4
- D.
3
Correct Answer
A. 1Explanation
According to the Department of Health (DOH) guidelines, one rural health midwife should ideally serve a population of 5,000 people. In a municipality with a population of 20,000, at least four midwives are required to meet this standard. Since the municipality currently has three midwives, it needs one additional midwife to ensure adequate maternal and child healthcare services. A proper midwife-to-population ratio helps improve maternal and neonatal health outcomes by ensuring timely prenatal care, safe deliveries, and postnatal support. Having sufficient midwives is crucial for promoting community health and reducing maternal and infant mortality rates.Rate this question:
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- 25.
If the RHU requires additional midwife positions, to whom should the request for approval be submitted?
- A.
Municipal Health Board
- B.
District Health Office
- C.
Provincial Health Office
- D.
Rural Health Unit
Correct Answer
A. Municipal Health BoardExplanation
In many local health systems, the Rural Health Unit (RHU) typically submits requests for additional resources, such as midwife items, to the Municipal Health Board for approval. This board oversees health programs and resource allocation at the municipal level.Rate this question:
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- 26.
Under what law is a nurse mandated to report cases of notifiable diseases?
- A.
Act 1164
- B.
R.A. 3573
- C.
R.A. 1054
- D.
R.A. 1082
Correct Answer
B. R.A. 3573Explanation
The correct law is Republic Act No. 3573, also known as the "Law on Reporting of Communicable Diseases." This law mandates the reporting of notifiable diseases to prevent the spread of infectious diseases in the Philippines. It requires healthcare providers and the general public to report cases of communicable diseases to local health authorities to facilitate prompt investigation and control measures.Rate this question:
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- 27.
According to Freeman and Heinrich, how does community health nursing function as a developmental service?
- A.
The community health nurse continuously develops himself personally and professionally.
- B.
Health education and community organizing are necessary in providing community health services.
- C.
Community health nursing is intended primarily for health promotion and prevention and treatment of disease.
- D.
The goal of community health nursing is to provide nursing services to people in their own places of residence.
Correct Answer
B. Health education and community organizing are necessary in providing community health services.Explanation
According to Freeman and Heinrich, community health nursing is a developmental service, which means that it promotes health and well-being through continuous growth and improvement. Health education and community organizing are essential components of this process, enabling community health nursing to address the unique health needs and priorities of the communities it serves.Rate this question:
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- 28.
Which disease was declared a target for eradication in the Philippines through Presidential Proclamation No. 4?
- A.
Measles
- B.
Polio
- C.
Rabies
- D.
Neonatal tetanus
Correct Answer
B. PolioExplanation
Through Presidential Proclamation No. 4, the government of the Philippines declared polio (poliomyelitis) as a target for eradication in the country. This proclamation was issued in response to the global initiative to eradicate polio, which is a highly infectious disease that can cause paralysis and even death in severe cases. By declaring polio as a target for eradication, the Philippine government has committed to implementing various strategies and interventions to eliminate the disease from the country. These efforts include mass immunization campaigns, surveillance activities to monitor the presence of the virus, and other public health interventions to prevent the spread of polio. Through collaboration between government agencies, healthcare providers, and other stakeholders, the goal is to achieve a polio-free Philippines and contribute to the global goal of eradicating this debilitating disease.Rate this question:
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- 29.
If a public health nurse wants to compare the frequency of leading causes of mortality in a municipality, which type of graph should be prepared?
- A.
Line
- B.
Bar
- C.
Pie
- D.
Scatter diagram
Correct Answer
B. BarExplanation
To compare the frequency of the leading causes of mortality in the municipality, the public health nurse would likely prepare a Bar graph. A Bar graph is effective for visually representing the frequency or distribution of categorical data, such as different causes of mortality. Each cause of mortality would be represented by a separate bar, and the height of each bar would correspond to the frequency or number of occurrences of that cause. This allows for easy comparison between the leading causes of mortality and helps identify any patterns or trends.Rate this question:
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- 30.
Which step in community organizing involves the training of potential community leaders?
- A.
Integration
- B.
Community organization
- C.
Community study
- D.
Core group formation
Correct Answer
D. Core group formationExplanation
Core group formation in community organizing involves identifying and training potential leaders within the community. These individuals are often selected based on their passion, commitment, and influence within the community. Once identified, they undergo training programs aimed at enhancing their leadership skills, communication abilities, and understanding of community organizing principles and techniques. Training of potential leaders is essential as it helps build capacity within the community to drive change, mobilize resources, and address community needs effectively. These trained leaders play a pivotal role in facilitating community meetings, organizing events, advocating for community priorities, and leading grassroots initiatives. By empowering local leaders through training and support, community organizing efforts can become more sustainable, inclusive, and impactful, ultimately leading to positive social change and community development.Rate this question:
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