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Nurs 171: Community Health Nursing 1 Question Paper

Nurs 171: Community Health Nursing 1 

Course:Bachelor Of Science In Nursing

Institution: Chuka University question papers

Exam Year:2013





CHUKA

UNIVERSITY

UNIVERSITY EXAMINATIONS
FIRST YEAR EXAMINATION FOR THE AWARD OF DEGREE OF BACHELOR OF SCIENCE NURSING
NURS 171: COMMUNITY HEALTH NURSING 1
STREAMS: BSC. NURS Y1S2 TIME: 2 HOURS
DAY/DATE: TUESDAY 23/4/2013 11.30 AM –1.30 PM
INSTRUCTIONS:

SECTION A: multiple choice questions – 10 Marks. Choose only one correct answer from
each question.

1. All the following are live atlinuated vaccines except:-

(a) Polio
(b) BCG
(c) Measles
(d) Pentavalent

2. The best temperatures to store all vaccines at the health centre is between:-

(a) -2 ? to 8?
(b) +2 ? to +8?
(c) -15? to -25?
(d) +15? to +25?

3. One of the following is not a strategy of health promotion:-
(a) Enabling
(b) Creating environments that are supportive
(c) Advocacy
(d) Community development
4. Which of the following cold chain equipment is not used at the regional store:-
(a) Refrigeration
(b) Cold box
(c) Vaccine carrier
(d) Cold room.

5. All of the following are pillars of primary health care except:-
(a) Individual motivation
(b) Community participation
(c) Intersectoral collaboration
(d) appropriate technology

6. Which of the items listed below is not a determinant of population growth?
(a) Marriage
(b) Births
(c) Deaths
(d) Migration

7. Which of the following is not a function of MCH clinic?
(a) Management of major illness
(b) Management of minor illness
(c) Referral for serious illness
(d) Detection and management of any risk to health

8. MCH clinic types of records include all the following except:-
(a) Home – based individual and tally records
(b) Clinic – based individual and tally records
(c) Health – care workers records
(d) Pantographs and condexes.

9. The mid- upper- arm circumference (MUAC) of a child remains roughly the same from the age of:-
(a) One to five years
(b) Three to five years
(c) One to four years
(d) Three to four years

10. The central “control” station of an MCH clinic is:-
(a) Examination and advice station
(b) Weighing and measuring station
(c) Immunization station
(d) Family planning station.




SECTION B: short answer questions. (40 Marks) answer all questions

1. Define the following terms

(i) Hand immunity
(ii) community
(iii) Active immunity
(iv) Health promotion
(v) Health [5 Marks]

2. Differentiate between vaccination and immunization [2 Marks]

3. Explain the three health promotion approaches. [6 Marks]

4. State five health promotion priority areas identified in the otawa charter. [5 Marks]

5. Describe the health belief model. [6 Marks]

6. State five elements of primary health care [5 Marks]

7. State the four MDGS that are directly related to health. [4 Marks]

8. Define the term home based care. [1 Mark]

9. State six principles of home based care. [6 Marks]


SECTION C: long answer question. All parts are compulsory

1. You are a community health nurse in charge of dispensary X in Likuyuni County. One of your key responsibilities is to develop health promotion programmes in the dispensary.

(a) State the components of a health promotion programme you would embark on.
[6 Marks]
(b) Briefly explain four main approaches you would use to implement your programe.
[4 Marks]
(c) Giving examples, briefly explain the two types of evaluating your programme.
[4 marks]
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