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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:2014
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2014 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 112
UNIT TITLE : COMMUNITY HEALTH NURSING II
TIME : 3 HOURS
INSTRUCTIONS:
Answer all the questions in the booklet provided.
Follow the instructions given in each section.
SECTION I (MCQs 1 mark each)
Select the most appropriate option
Question One
The age recommended for administration of measles vaccine is:
14 weeks
9 months
16 weeks
At birth.
Question Two
Prevalence rate is used to measure
The number of cases suffering from a disease at one point in time.
Live births at a given time.
Deaths in a given year
(d) Deaths from stated course in a year per 1000 population
Question Three
Contributions of epidemiology include the following except.
Improving health services in research
Determining preventable diseases
Investigating modes of disease transmission.
A measure of population growth.
Question Four
In the principles of primary health care, accessibility considers the following except.
Elements of integrated services.
People awareness.
Transport and road network
Social status of community members.
Question Five
The role of a community health nurse in community health practice includes the following EXCEPT:
Lobby for beneficial policy to health
Obtaining needed health services
Service to political operatives in the community
Promote community awareness of significant health problems.
Question Six
The recommended route of BCG administration is:
Oral
Intramuscular
Intradermal
Subcutaneous
Question Seven
The services provided at the child welfare services include the following EXCEPT:
Antenatal services
TB Screening
Diagnosis and treatment of minor illness
Family planning
Question Eight
In storage of vaccines in the refrigerator from upper most chamber, the vaccine placed at the top is:
Pentavalen
BCG and measles
Hepatitis B vaccine
DPT
Question Nine
In the interpretation of growth charts taking 100% growth, gross malnutrition is considered at:
100%
80%
60%
90%
Question Ten
The application of slogan "Health of the people, by the people and for the people" is best applied in:
Home care
Community home visiting
Primary health care
Community participation in health services
Match Column A with Colum B.
Question Eleven
Interpret the readings of upper arm circumference measurements. (Normal readings) ½ mark each
Column A Column B
At birth
1. 10cm
1 year of age
2. 12cm
At 5 years
3. 11cm
4. 15cm
5. 16.5cm
6. 17cm
7. 17.5cm
8. 18.5cm (1½ marks each)
(b) Interpret the nutritional status readings of a 1 year old child.
A B
a) < 12.5 cm i. Normal
b) 12.6 – 14 cm ii. Moderate malnutrition
c) 14 cm iii. Severe malnutrition
iv. Stunting (1½ marks each)
Question Twelve
Match age in Column A with heath (Normal) in Column B. (each ½ mark)
A B
Age Height
1. At birth (a) 125 cm
2. 4 years (b) 105 cm
3. 1 year (c) 75 cm
4. 8 years (d) 71 cm
. (e) 51 cm
. (f) 85 cm
(g) 115 cm
(h) 135 cm
(i) 145 cm (2 marks)
Question Thirteen
Write True or False of the following statements. (½ mark each)
The following vaccines are derived from killed pathogens
Small Pox
Cholera
Yellow fever
Typhus fever
Influenza
Diphtheria
Polio
Rabies
Measles
Plague
SECTION B: (40 Marks)
Question One
State six arms of community health nursing. (6 marks)
Question Two
State six functions of a community health nurse in health setting. (6 marks)
Question Three
Explain four specific operations of the ministry of health in delivery of health services in Kenya. (8 marks)
Question Four
Describe the role of non-government organization in delivery of health care in Kenya. (8 marks)
Question Five
State four modes used in health care financing. (4 marks)
Question Six
Explain four components of primary health care operation in Kenya today. (8 marks)
SECTION III (LAQs 40 Marks)
Question One
Community diagnosis provides the avenue through which assessment of the community health status is made.
Explain the following steps (phases in community diagnosis.)
Exploration
(6 marks)
Excursion of the survey
(6 marks)
Health action after the survey
(4 marks)
State four ethical considerations that should be observed in community diagnosis.
(4 marks)
Question Two
Family planning is a key intervention in improving the health of women, men and children.
Describe the Kenya quality model of management (KQM) as operationalised in family planning services in Kenya.
(15 marks)
Giving an example of each, name five contraceptive methods used in Kenya today.
(5 marks)
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