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Nrsg 111:Community Health Nursing I Question Paper

Nrsg 111:Community Health Nursing I

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 111/MLSC 304
UNIT TITLE : COMMUNITY HEALTH NURSING I
TIME : 3 HOURS

Instructions

Answer all questions in the booklet provided

SECTION A (Multiple choice questions 20 marks)

Question One

The rate that best indicates the proportion of people exposed to an agent and develop a disease is;

Attack rate
Incidence rate
Susceptibility rate
Prevalence rate

Question Two

Passive surveillance is;

Reporting of disease by the community members
Collection and analysis of data by health care providers
Collection and analysis of data by a specialized institution
Notifying of disease by community volunteers

Question Three

All the following are Socratic methods of health education except;

Mass media
Seminars
Interviews
Open forums

Question Four

A characteristic of prospective epidemiological survey is;

Looks backward at a condition
Involves history taking
Time consuming and expensive
Time saving and economical

Question Five

The following is not a water based disease;

Typhoid
Roundworms
Whip worms
Schistosomiasis

Question Six

Controlled tipping;

Is not environmental friendly
Involves burning of solid waste
Is a modified sanitary land fill
Can only be used in rural areas

Question Seven

All the following are characteristics of the health illness continuum except;

Dynamically changing
Cannot be present in the same individual at the same time
Relative relationship exists
Transforms under definite conditions

Question Eight

The following is a health promotion activity;

Rehabilitation
Environmental sanitation
Prompt treatment
Provision of adequate housing

Question Nine

Population growth is determined mainly by;

Migration, fertility, age at marriage
Births and deaths, contraception, fertility
Migration, births and deaths, fertility
Births and deaths, fertility, contraception.

Question Ten

Case fertility rate means;

Proportion of individuals who die from a disease within a specified period among the total who contract the disease
Mortality limited to a specific disease
Proportion of individuals of a certain age group who die after contracting a disease.
Total deaths that occur within a specified period in a certain gender.

Question Eleven

The following is an economic factor affecting health;

Population dynamics
Social class
Political good will
Family size and kinships.

Question Twelve

The following are objectives of community health except

Decreasing the morbidite rate
Increasing the physical, mental and social well being of individuals
Providing total health care to enrich quality of life
Instituting detection tests of diseases and examination

Question Thirteen

Primary prevention of disease is cost effective because;

It involves treating those who are sick
It identifies the disease outbreaks in good time
It consists of activities that prevent disease from occurring
It consists of activities that ensure prompt treatment.

For question 14 and 15, indicate whether the statements are T (True) or F(False). Each correct response is half a mark.

Question Fourteen

Concerning natural history of diseases;

Positive health is the absence of disease and results from supremacy of the host over the causative and associated factors.
Disease occurs when the host is more powerful than the agent.
The interaction between the host, agent and environment determines the mode of transmission and disease control
The agent is a factor whose absence causes a disease.

Question Fifteen

Regarding levels of disease prevention;

Primary prevention is true disease prevention
Secondary prevention is rehabilitative in nature
Tertiary prevention targets healthy individuals
Prompt treatment is a primary prevention activity

Question Sixteen

Match the disease in column A with its causative agent in column B. Each correct response is marks
Column A Column B
A Syphilis

Rhadbovirus

B Chicken pox

Clostridium tetani

C Rabies

Varicella zoster

D Tetanus

Flavivirus

E Scabies

Treponema pallidum

F Tinea

Dermatophytes

Sarcoptes scabies

SECTION B (Short answer questions 40 marks)

Question One
Explain three reasons why community health workers need information about population growth. (6 marks)

Question Two
State four challenges facing disease surveillance in Kenya. (4 marks)

Question Three
Illustrate the disease transmission cycle. (3 marks)

Question Four
Explain three methods used to measure the population of a country. (9 marks)

Question Five

Explain the concept of food security.

(2 marks)

Discuss the four elements vital in ensuring food security.

(8 marks)

Question Six
Explain the four major determinants of community health. (8 marks)

SECTION C (Essay questions 40 marks)

Question One

Define water pollution.

(1 mark)

Discuss the process of water treatment on large scale.

(14 marks)

Differentiate point source and non-point source pollutants.

(5 marks)

Question Two
Describe the epidemiological triad. (20 marks)

Nrsg 111:Community Health Nursing I Question Paper

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