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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 3''RD ''TRIMESTER 2013 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 111
UNIT TITLE : COMMUNITY HEALTH NURSING I
TIME : 3 HOURS
Instructions:
Answer all questions in section A, B & C in the booklet provided
Question One
The following is not a water based disease
Typhoid
Roundworms
Whipworms
Schistosomiasis
Question Two
The following is a health promotion activity
Rehabilitation
Environmental sanitation
Prompt treatment
Provision of adequate housing
Question Three
All of the following are Socratic Method of health education except
Mass media
Seminars
Interviews
Open forums
Question Four
The following is a direct mode of disease transmission
Airborne
Vector borne
Formites
Droplets infection
Question Five
The best waste (human) disposal method in an area where water table is high is
Pit latrines
Ventilated pit latrines
Bucket latrines
Septic tanks
Question Six
Variables essential in the attainment of food security include
Food availability, food access, food utilization
Food access, food sustainability, population size and growth
Climate changes, population size and growth, food availability
Population growth rate, economy food type.
Question Seven
Methods of cleansing water include all of the following except;
Storage
Filtration
Sterilization
Condensation
Question Eight
Following are measures of disease occurrence in the community
Attack rate
Pandemic rate
Prevalence rate
Incidence rate
Question Nine
Strategies for protection of the host from disease include
Immunization, isolation, better nutrition.
Chemoprophylaxis, immunization, vector control.
Immunization, better nutrition and reservoir control
Vector control, contact tracing, better nutrition.
Question Ten
Control measures of communicable diseases includes
Increasing immunization coverage, disease notification and appropriate treatment of the sick.
Use of insecticide treated mosquito nets, disease notification and use of condoms
Personal hygiene, disease notification and use of insecticide treated nets.
Increasing immunization coverage, use of pit latrines, appropriate treatment of the sick.
Question Eleven
The following are objectives of community health except
Decreasing the mobility rate
Increasing mental, physical and social well being of individuals
Providing total well being to enrich quality life
Instituting detection tests of disease and examinations
For question 12 – 14
Indicate whether the following statement is true or false (½mark each)
Question Twelve
In regard to levels of prevention
Immunization is a tertiary prevention activity.
Early diagnosis and prompt treatment is a primary prevention strategy
Secondary prevention focus on the terminal/later stages of clinical disease
Primary prevention is true prevention because it preceeds disease or dysfunction and is applied to patients considered physically and emotionally healthy.
Question Thirteen
The principles of epidemiology include
Identification of determinants of disease so as to enable prevention
Evaluation of methods used to cure disease
Provision of data necessary for planning and evaluation of health care
Description of the natural history of disease
Question Fourteen
Concerning epidemiological studies;
Descriptive epidemiology elicits data on causes and effects of the disease
Prospective survey begins with a disease or a condition and watching it over a period of time to see what develops.
Analytical epidemiology studies describes the distribution of disease in the population
In retrospective survey the epidemiologist changes the variables to see what happens
.
SECTION C: Short Answer Questions (43 marks)
Question One
Discuss three components of health education (9 marks)
Question Two
State four factors that determine the health of the community. (4 marks)
Question Three
Safe and clean water is a prime necessity for life:
State four characteristics of portable water.
(4 marks)
Discuss the following classifications of water pollutants
Point source pollutant
(4 marks)
Non-point source pollutant
(4 marks)
Question Four
Explain the three levels of disease prevention (9 marks)
Question Five
Explain the three components that form the epidemiological triad. (9 marks)
SECTION C
Long Answer Questions (40 marks)
Question One
Social economic factors can contribute to poor health of an individual and the community;
Define the term community.
(2 marks)
Identify three social economic factors that can influence poor health of a community.
(3 marks)
Discuss how the three factors identified above can influence the health of the community.
(15 marks)
Question Two
All people need to access enough quality food for an active health life;
Discuss factors that lead to food insecurity.
(14 marks)
State six strategies that can be used to improve food security in the country.
(6 marks)
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