Get premium membership and access revision papers, questions with answers as well as video lessons.

Got a question or eager to learn? Discover limitless learning on WhatsApp now - Start Now!

Nrsg 214 :Community Health Nursing Iii Question Paper

Nrsg 214 :Community Health Nursing Iii

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 214
UNIT TITLE : COMMUNITY HEALTH NURSING III
TIME : 3 HOURS

INSTRUCTIONS:

Answer ALL questions in part A, B & C

SECTION A: MCQs (1 Mark Each)

Question One

The major practice roles of the occupational health nurse include:

Clinician, administrator
Clinician, professional
Administrator, environmental modifier
Professional, environmental modifier

Question Two

Some of the indirect client services provided by the community health nurse include:

Supervising the care provided and teaching
Record keeping and bed side nursing care
Record keeping and supervising the care provided
Teaching and health planning with consumers

Question Three

Some developmental tasks of a beginning family are:

Family planning, stabilizing the family unit
Family planning, relating to kin network
Relating to kin network, maintaining stable marriage
Stabilizing the family unit, socializing children

Question Four

The main aims of school health services include

Making teachers well versed with health issues
Making sure that the sick children in the schools are fed optimally
Ensuring that the children achieve maximum potential for learning
Providing health education to the school community

Question Five

Factors that may affect the effectiveness of a home visit include:

The family feeling that they are viewed as dysfunctional, difficult to schedule visits.
Health worker has control over the home setting, difficult to schedule visits.
The family feeling that they are being viewed as dysfunctional, it is expensive for the client.
The health worker has control over the home setting, the family feeling that they are being viewed as dysfunctional

Question Six

The evaluation done to assess programme outcome is referred to as:

Strategic
Process
Formative
Impact

Question Seven

The phase of home visiting where health worker credits achievements and leaves a written identification of self is:

Implementation
Termination
Initiation
Post visit

Question Eight

The development of a child can be assessed from:

Motor skills, weight, language
Language, motor skills, social behavior
Height social behavior, weight
Weight, emotional maturity, height

Question Nine

The developmental task of a family during the launching stage includes:

Readjusting the marriage and family roles, caring for aging parents.
Preparing for retirement, rediscovering couplehood
Preparing for retirement, stabilizing family units
Establishing new roles, stabilizing family unit

Question Ten

The nursing process in home care nursing practice integrates:

Normalization
Various disciplines
Family priorities
All of the above

Question Eleven

In School Nursing, observation of certain students with risk factors such as absenteeism to determine whether further assessment is needed as a process is known as:

Case finding
Case management
Surveillance
Screening

Question Twelve

The following intervention is the community health nurse likely to find most effective for a family in pre-stress time phase of stress?

Anticipatory guidance
Role adjustment counseling
Spiritual care
Supporting intra-familial coping responses

Question Thirteen

The conceptual framework that views the family as a whole with boundaries that are affected by the environment is the:

Developmental theory
Structural functional theory
Role theory
Systems theory

Question Fourteen

The following are functional coping strategies in a family in crisis

Normalizing, emotional distancing
Family myth, family group reliance
Seeking social support, use of humans
Joint problem solving, authoritarianism

Question Fifteen

Categories of risk factors in the families include

Developmental
Situational
Life style factors
All of the above

Question Sixteen

The following concepts would enable the nurse to provide holistic care for culturally diverse clients

Cultural conflicts
Ethnocentrism
Stereotyping
Cultural brokering

Question Seventeen

The following are barriers to practicing family nursing except:

Common belief among nurses that family nursing is common sense.
Health insurance has a family perspective
Lack of comprehensive family assessment models
Health services are provided at times of the day when the whole family cannot attend.

Question Eighteen

Indicate whether True or False in each of the following statement regarding project management

Impact is the product result of an activity conducted
An objective is a statement of the situation or change in status desired to be achieved in the future
Project is sequential
Ghatt chart is a tool used in drawing project budgets

Question Nineteen

Indicate whether True or False

Regarding, family

A family is a fundamental unit of society though a society can form without the family.

A family is an open group to all and every individual

SECTION B: SHORT ANSWER QUESTIONS (40 MARKS)

Question One
Explain four objectives of family health care. (8 marks)

Question Two
State the steps in family nursing process. (7 marks)

Question Three

Explain the following terms as used in family health risk reduction

Health risk
Health risk appraisal
Family crisis

Health risk reduction

(8 marks)

Question Four

Define vulnerability

(1 mark)

State five factors that predispose a family to vulnerability.

(5 marks)

Question Five
Describe the project life cycle. (6 marks)

Question Six
State five characteristics of a family. (5 marks)

PART C: LONG ANSWER QUESTIONS (40 MARKS)

Question One

Families and communities are faced with the need to make changes in the way they do things in order to improve their health, but many people find it difficult to embrace change and most often they actively oppose any change efforts.

State four reasons why people may oppose change.

(4 marks)

Explain four approaches you would apply to overcome resistance to planned change.

(8 marks)

Discuss the effects of change an individual.

(8 marks)

Question Two

The concept of family cannot be considered as merely the sum total of its parts i.e. individual family members health and illness behavior but it is viewed as a whole

Explain three categories of family units.

(6 marks)

State three family sub-systems.

(3 marks)

Discuss how you would apply family systems approach in the assessment of a family.

(11 marks)

Nrsg 214 :Community Health Nursing Iii Question Paper

More Question Papers

Popular Exams