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NURS 171

CHUKA UNIVERSITY

UNIVERSITY EXAMINATIONS

SECOND YEAR EXAMINATION FOR THE AWARD OF BACHELOR OF SCIENCE


(NURSING)

NURS 171: COMMUNITY HEALTH NURSING I EXAM.

STREAMS: BSC NURSING (Y1S2) TIME: 2 HOURS

DAY/DATE: WEDNESDAY 08/04/2020 8.30 A.M – 10.30 P.M

INSTRUCTIONS:

• Do not write anything on the question paper.


• Mobile phones and any other reference materials are NOT allowed in the
examination room.
• The paper has three sections. Answer ALL questions
• Number ALL your answers and indicate the order of appearance in the space
provided in the cover page of the examination answer booklet.

MCQS. (5 MARKS)
1. According to C.E. Winslow, which of the following is the goal of Public Health?

A. For people to attain their birthrights and longevity


B. For promotion of health and prevention and diseases
C. For people to have access to basic health services
D. For people to be organized in their health efforts

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NURS 171

2. The health of individuals and communities are affected by a combination of factors. Based on
the World Health Organization’s list of health determinants, which of the following incorrectly
affects the health of an individual?
A. Higher salary.
B. traditions
C. Low education level

D. Intelligence.

3. Which of the following is an advantage of a home visit?

A. It allows the nurse to provide nursing care to a greater number of people


B. It provides an opportunity to do first hand appraisal of the home situation
C. It allows sharing of experience among people with similar health problems
D. It develops the family’s initiative in providing for health needs of its members

4. Which of the following demonstrates inter-sectoral linkages?

A. Two-way referral system


B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between PHN and public school teacher

5. Which of the following demonstrates the correct steps in bag technique.


A. Place bag on table, wash hands, wear apron, close the bag, perform nursing care and treatment
B. Place bag on table, wear apron, wash hands, put out needed articles, close the bag
C. Wash hands, place bag on table, wear apron, put out needed articles, nursing care
D. Place bag on table, wash hands, wear apron, put out needed articles, close the bag, nursing
care.

SHORT ANSWER QUESTIONS (35 MARKS)

1. Explain two (2) goals of community health nursing. (4 marks)

2. Differentiate between roles and functions of community health nurse giving examples.

(4 marks)

3. Outline three (3) objectives of family health nursing (3 marks)

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NURS 171

4. Explain three (3) ethical principles observed in the practice of community health nursing.

(6 marks)

5. Describe any three (3) main components of home based care. (6 marks)

6. Explain the triad of health promotion. (6 marks)

7. Explain two Sustainable Development Goals (SDG,s) that have a direct impact on health
clearly indicating how each affect health. (6 marks)

LONG ANSWER QUESTIONS (30 MARKS)

1. Using practical examples, explain how you would use Donobedian Conceptual Model to
evaluate services provided in your local health facility. (15 marks)

2. “Primary Health Care” is used by many countries especially developing countries as a


means of achieving health for all.

(a) Explain how the county government can support primary health activities. (3 marks)

(b) Using relevant examples explain application of any four (4) principles of primary health
care in ensuring universal health care. (12 marks)

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