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Nrsg 112 :Community Health Nursing Ii Question Paper

Nrsg 112 :Community Health Nursing Ii

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2015

KENYA METHODIST UNIVERSITY

END OF 1''st ''TRIMESTER 2015 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 112
UNIT TITLE : COMMUNITY HEALTH NURSING II
TIME : 3 HOURS

INSTRUCTIONS:

Answer all questions in the answer booklet provided.
Select the most appropriate response

SECTION A: MULTIPLE CHOICE QUESTIONS = 20 MARKS

Question One

The vaccine that is heat stable, not destroyed rapidly at room temperature and remains active for at least 6 weeks at 37 degrees is:

Pentavalent
BCG
Tetanus toxoid
Measles

Question Two

The number of deaths from all causes during a given year divided by the populations estimated at mid-year times a thousand is referred to as the:

Crude death rate
Age specific death rate
Cause specific death rate
Case fatality ratio

Question Three

Cross immunity can be defined as:

The immunity level that is present in a population group
Long term and sometimes life-long resistance that is acquired either naturally or artificially
Short-term resistance that is acquired either naturally or artificially
A situation in which a person’s immunity to one agent provides immunity to another related agent

Question Four

A child growing within normal developmental milestones will be able to have good head control at the age of:

3-6 months
6-9 months
12-18 months
20-24 months

Question Five

Familiarization assessment as a type of community needs assessment involves

The researcher focusing on a single problem and studies the community in terms of that problem.
Examining a single face of community life
An in-depth survey of the entire community
Studying data already available in the community and gathering a certain amount of first hand data.

Question Six

When health care is geographically financially and culturally within reach of the entire community, the service is said to be:

Available
Acceptable
Accessible
Affordable

Question Seven

In a community evidence of continuity of quality health care includes

Lower all-cause mortality, better access to care
Better access to care, increased uptake of disease-focused preventing care
Lower all-cause mortality, increased satisfaction with services
Better access to care, increased satisfaction with services

Question Eight

One of the targets for improved maternal health under the millennium development goals is to reduce by:

Half maternal mortality ratio
Two thirds maternal mortality ratio
A quarter maternal mortality ratio
Three quarter maternal mortality ratio

Question Nine

A major cause of "missed opportunity" in the immunization programme is:

Failure of the cold chain
Vaccine stock outs
Use of vaccines that have lost potency
Highest rate of drop-out among target group

Question Ten

In epidemiology a risk factor is defined as one that:

If present, increases susceptibility to a disease
Causes the disease
Determines that one actually gets a disease
If changed, will increase the severity of the disease

Question Eleven

The sequence of growth monitoring in an MCH/FP clinic is:

Counseling, weighing, plotting, interpretation
Interpretation, counseling, weighing, plotting
Weighing, plotting, interpretation, counseling
Counseling, weighing, plotting, interpretation

Question Twelve

The primary goal of community health nursing is to:

Contribute to national development through promotion of family welfare
Increase productivity of people by providing them with services that will increase their level of well being
Enhance the capacity of individuals, families and communities to meet their health needs
Support and supplement the efforts of the medical profession in the promotion of health and prevention of disease.

Question Thirteen

In community diagnosis, the steps at which plans formulated for solving community problems are implemented is

Community organization
Community health action
Community follow up
Community mobilization

Question Fourteen

Freedom of choice is one of the policies of family planning in Kenya. The statement which is in line with this principle is:

Encouraging couples to take family planning
Adequate information for couples regarding different methods
Support of research and development in family planning methods
Information dissemination about the need for family planning

Question Fifteen

Reconstituted BCG vaccine should be discarded after

2 hours
4 hours
6 hours
At the end of the day

Question Sixteen

Maternal mortality is calculated per

Crude death rate
1000 live births
100,000 live births
1,000 crude deaths

Question Seventeen

The most common side effect of intra-uterine contraceptive devices is

Nausea
Abdominal cramps
Increased menstrual flow
Cystitis

Question Eighteen

Community health action is defined as the process of

Gathering information on the health problems affecting the community
Analyzing the community health problem in order to plan for intervention
Providing health services to the community based on the identified problems
Identifying the health facilities available within the community

Question Nineteen

The indicators of growth rate include:

Birth rate, migration, mortality rate
Life expectancy, aging, birth rate
Fertility rate, migration, marriage
Fertility rate, morbidity, birth rate

Question Twenty

The live-attenuated vaccines are:

BCG, measles, polio
Tetanus toxoid, measles, polio
Pentavalent, measles, BCG
BCG, polio, Pentavalent

SECTION B: SHORT ANSWER QUESTIONS = 40 MARKS

Question One
State five roles of a family in disease prevention. (5 marks)

Question Two
Explain five health messages you would share with a mother after administration of BCG vaccine. (10 marks)

Question Three
State four factors that are considered while installing a KEPI refrigerator in MCH/FP clinic. (4 marks)

Question Four
Explain the steps used to establish the quantity of vaccines required in a health facility. (6 marks)

Question Five
State four characteristics of primary health care services. (4 marks)

Question Six
Explain four instructions given to a client following insertion of an intra-uterine contraceptive device. (4 marks)

Question Seven
State five factors that influence acceptance and continuation of family planning. (5 marks)

Question Eight
State two objectives of community health nursing. (2 marks)

SECTION C: LONG ANSWER QUESTIONS = 40 MARKS

Question One

A Community Health Nurse is required to assess and make a diagnosis of important problems of a community

Define community diagnosis

(1 mark)

Explain three factors that community diagnosis is based on.

(6 marks)

Describe the process of community diagnosis

(13 marks)

Question Two

A community health nurse is a number of the District Health Management team

State five functions of District Health Management Team.

(5 marks)

Describe the functions of District Public Health Nurse as a member of the District Health Management Team.

(15 marks)
Categories: Community Health Nursing II | (NRSG 112) | 1st trimester 2015

Nrsg 112 :Community Health Nursing Ii Question Paper

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