Gujarat Nursing Council examination paper solution of subject community health nursing part 2 for GNM 3rd years #GNCEXAMPAPERSOLUTION #GNC #GNM #CHN

1. Question Paper solution
community health Nursing II
 Taken by
Gujarat Nursing Council
 In a year 2014 and 15
 By Khima Rudach
 Registered Nurse
 Note: long question answer in point only

2. Gujarat Nursing council
General nursing third year final examination
Community Health nursing II
 Date 18/6/2014 Time 10 to 1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name

3. Question 1
 A) Explain the roll and responsibility of Nurse in care
of Geriatric person mark 8
 Aging is natural process. Old age is an incurable
disease. You cant heal or stop the old age you can
protect it.
 “Add life to their years but not years to their life”
 Teach young generation to look after them.
 Tell that old people must continue to take share in the
responsibilities

4.  The CHN must assess the aged people and to protect
them from the triple evils like
 Poverty
 Loneliness
 Ill health
 Disease and physical handicaps
 Malnutrition
 Dental disorder
 Sexual deprivation (happy marries are healthier)
 Accidents more detail read on 156 pages

5.  B) list objectives of school health programme mark 4
 To provide a comprehensive health care for children
 To promote growth and development of school children
 To raise the health consciousness among school children
 To provide health instruction in a healthy environment
 To prevent and control communicable disease
 To prevent the occurrence of disease early diagnosis and
follow up of defect
 To promote positive health
 To be aware of that child is “change agent “ in the family

6. Q 2 short note any 3 3*4=12
 1 Level of health care
 There are three level of health care in india
 1 primary health care
 This is the first level of contact between person and health
care system where essential care is provided.
 More closed to the people
 Provided via PHC, sub centre, wellness centre home visit
in community
 2. secondary health care
 At this level more complex problems are dealt with
 This is first referral unit

7.  This level of care provided via CHC,SDH, DH
 3, Tertiary health care
 This level offers special care this is provided by the regional
or central hospital eg medical college hospital
 B) factors affecting demography
 Growth rate
 Age and sex composition
 Sex ratio at birth
 Density of population
 Literacy and education
 Life expectancy and fertility

8.  C ) Roll of nurse in family planning programm
 1 administrative
 2 functional role
 3 supervisory role
 4. educational role
 5.role in research
 6. evaluators role
 Page no 291

9.  D) Indian redcross society (IRCS)
 Indian Red Cross Society (IRCS) was established in 1920 under
the Indian Red Cross Society Act and incorporated
under Parliament Act XV of 1920. The act was last amended in
1992 and of rules were formed in 1994.
 The IRCS has 36 State / Union Territories Branches with their
more than 1100 districts and sub district branches.
 Honourable President of India is the President and Hon'ble
Union Health Minister is the Chairman of the Society.
 The Vice Chairman is elected by the members of the Managing
Body.
 The National Managing Body consists of 19 members.
 The Chairman and 6 members are nominated by the President.
The remaining 12 are elected by the state and union territory
branches through an electoral college.
 The Managing Body is responsible for governance and
supervision of the functions of the society through a number of
committees.
 The Secretary General is the Chief Executive of the Society.


10. Q 3 a)define any 4 4*2=8
 1 Health
 Health is complete state of physical, mental, social and
spiritual well being not merely absence of disease or
infirmity.
 2 Vital statistic
 quantitative data concerning the population, such as
the number of births, marriages, and deaths.

11.  3. Fertility
 Fertility is the natural capability to produce offspring. As a
measure, fertility rate is the number of offspring born per
mating pair, individual or population.
 4. Eligible couple
 The term eligible couples are applied who are new
married or 1 living children, and family planning was
largely. directed to such couples.
 5.Demography
 The study of size and structure of population

12.  B) write down the importance of play material. Mark 4
 Play allows children to develop their imagination,
dexterity, and physical, cognitive and emotional
strength. Play is important to healthy brain
development. ... Solitary Play: Playing alone without
regard for others; being involved in independent
activities like playing with blocks or other materials.

13. Q 4
 A) Define growth and development mark 2
 Growth is the progressive increase in the size of a
child or parts of a child. Development is progressive
acquisition of various skills (abilities) such as head
support, speaking, learning, expressing the feelings
and relating with other people.

14. Q 4
 B) write the factor responsible for infant mortality M-5
 Causes of Infant Mortality
 Birth defects.
 Preterm birth and low birth weight.
 Maternal pregnancy complications.
 Sudden infant death syndrome.
 Injuries (e.g., suffocation).
 Illiteracy
 Lack of health facilitates
 Multiple pregnancies

15. Q 4
 Explain the role of nurse in well baby clinic
 Role of nurse in well baby clinic is dynamic as rerult of
expanding nursing practise.
 Advocate
 Health educator
 Counsellor
 Case manager
 Rehabilitator
 Social worker
 researcher
 Primary care giver
 Coordination and collaboration

16. Q 5
 Write down the health problem arising due to
industrialization. mark 6
 Environmental sanitation problems
 Communicable disease
 Food sanitation
 Mental health
 Accidents and social problems
 Morbidity and mortality

17.  B) Write the nurses role in rehabilitation of physical
handicap person. Mark 6
 Rehabilitation means making able again relearning
skill or abilities or adjusting existing functions.
 Direct Care Provider
 Educator
 Consultant
 Researcher
 Manager

18. Q 6 a) fill the blanks
 1 Birth registration should be done within ----day
 21 days
 2. one block comprising of ------villages
 100 villages
 3. International women’s day is celebrated ------
 8 march
 4. Incubation period of Measles is ----
 1 -7 days
 5. first dose of Vitamin A is -----IU
 1 lakhs IU

19. Q 6 state true or false
 1. Pertusis vaccine given after the age of 5 year
 False
 2. M.T.P can be done upto 28 weeks of pregnancy
 False( now its true as per new changes in 2020)
 3. Bottle feeding is importance cause of diarrhoea in infant
 True
 4. BCG vaccine prevent leprosy
 False
 5. Leprosy is a contagious disease
 True

20. Q6 c)Match A and B
 1. cataract 1. vitamin A
 2. Night blindness 2. ORS
 3. Diarrhoea 3. NACO
 4. Sputum slide 4. surgical operation
 5. AIDS 5. Tuberculosis
 6. Leprosy

21. answer
 1. cataract 1. surgical operation
 2. Night blindness 2. vitamin A
 3. Diarrhoea 3. ORS
 4. Sputum slide 4. Tuberculosis
 5. AIDS 5. NACO
 The end


22.  Date 04/02/2015 Time 10 to 1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name

23.  A) write job responsibility of nurse in PHCentre Mks6
 Ans: Primary health centre provide primary health care to
population of 20.000 in hilly and tribe area in 30000 in
plain area
 Concept brought by bhore committees in 1946
 And Alma ata conference in 1978
 Role of nurse in phc is as follow
 Preventive
 Promotive
 Curatives and protective
 rehabilitation
Q 1

24.  B) write the health care delivery system in India mark 6
 Health care delivery system is designed to meet the health
needs of the community through the use of available
knowledge and resource. The health service are delivered
by health care system.
 Health service to be organised to meet the need of entire
population and not merely selected groups
 Health services should be cover the full range of preventive,
promotive, protective, curative and rehabilitative services
 Primary health care underserved area with referral service
and community participation

25. Q 2
 A ) write benefits are provided to the industrial workers
under ESIS act mark 6
 Ans: Employees' State Insurance scheme is a self-
financing social security and health insurance scheme
for Indian workers. The fund is managed by the
Employees' State Insurance Corporation (ESIC)
according to rules and regulations stipulated in the ESI
Act 1948. ESIC is a Statutory Body and Administrative
Ministry is Ministry of Labour and
Employment, Government of India.
 1- Medical benefit
 2- Sickness benefit
 3- Maternity benefit
 4- Disablement benefit
 5- Dependants benefit
 6- Funeral expenses
 7- Rehabilitation allowance

26.  Describe National Health policy mark 6
 NHP was last formulated in 1983
 New NHP 2002
 NHP 2017
 Aims: Achieving universal health coverage and
delivering quality health care service to all at
affordable cost.

27.  The principle of NHP 2017 centred on
 Professionalism
 Integrity and ethics
 Equity
 Affordability
 Universality
 Patient centered and quality care
 Accountability and
 plurarism

28. Q 3 short notes any 3 3*4=12
 A) AYUSH
 The practitioners of Indigenous system of medicine eg
 AYUSH
 Ayurveda
 Yoga practice
 Unani system
 Siddha medicine system
 Homeopathy

29.  B) Mudiliar committees
 This is also called “Health survey and planning
committee”
 Dr A lakshmi narayan swami Mudiliar was appointed
as chairman of the committee on 12th june 1959
 Main recommendations are
 Upgrading PHC and DH
 Establishing mobile service units in rural area
 User charged take be taken from user in hospital small
charge

30.  Each PHC should serve not more than 40,000 people
 The quality of phc care need to be improved
 Integration of medical and health service
 Constitute of an All India Health services on the
pattern of IAS.
 Upgrading of nursing sector into 3 grades of nurse
 Basic nursing (4 years training)
 GNM Nursing (3 years training)
 ANM Nursing (2 years training)

31. Q 3
 C ) prevention of occupation hazards mark 4
 Pre placement medical examination
 Periodic medical examination
 Safety measure
 Legislative measure
 Reduce Noise at Workplace
 Identify the risks at workplace
 Spread Awareness among workers

32. Q 3
 D ) DOTS
 Direct Observe Treatment short course
 The five elements of DOTS
 Political commitment with increased and sustained
financing.
 Case detection through quality-assured bacteriology.
 Standardized treatment, with supervision and patient
support.
 An effective drug supply and management system.
 Monitoring and evaluation system, and impact
measurement.

33. Q 4
 A ) What is survey ? Explain the method of survey.
 Repeated questions

34. Q 4
 B) Explain importance of growth chart mark 4
 Ans: Growth chart. Growth charts are used to compare
child's height, weight, and head size against children
of the same age.
 Growth charts can help both you and your health care
provider follow your child as they grow.
 The purpose is to be determine whether child is
growing normally
 We can check and compare the growth

35.  Height and weight
 Nutritionally
 Anthropometry
 Mid arm circumference

36. Q 5
 Write about emergency contra ceptive mark 4
 Ans ; Post coital contraceptive is advocated as an
emergency method e.g. after unprotected intercourse
, rape or contraceptive failure.
 There is two method
 1 hormonal Levonogestrel in dose of 0.75mg is taken
as soon as possible or within 72 hours of unprotected
sexual intercourse and second dose after 12 hours of
the first dose. Or two table (1.5mg) are to be taken as
soon as possible or within 72 hours
 2.IUD inserted within 5 days of unprotected sex.

37. Q 5 b) define any four 2*4=8
 1 Neonatal Mortality rate:
 Death occurring within 4 week or 28 days of the birth
are called neonatal death .
 number of death under 28 days of age
 NMR=---------------------------------------------x 1000
 Total live birth
 Causes are
 1Premature birth 2 congenital abnormalities
 3Birth injuries and asphyxia 4 neonatal infection
 5Heamorrhagic disease

38.  2. Vital statistics
 Are conventionally numerical records of marriage,
births, sickness and deaths by which the health and
growth of community may be studied.
 3. Target couple:
 The term target couples are applied who have. had 2-3
living children, and family planning was largely.
directed to such couples. The definition of a target
couple has. been gradually enlarged to include families
with one child

39.  4. communicable disease
 Communicable Diseases. person or animal to another,
either directly through body fluids or discharge, or
indirectly through surfaces, substances or vectors like flies
or mosquitoes.” Some examples of communicable diseases
include influenza, mumps, chickenpox, hepatitis A and
tuberculosis (TB).
 5. Epidemiology:
 is the study of the distribution and determinants of health-
related states or events in specified populations, and the
application of this study to the control of health problems

40. Q 6 a ) fill in the blanks
 1. In the cold chain temperature maintained between -
---C to ----C
 2 C to 8 degree Celsius
 2. Vitamin A,D,E,K are soluble in-----
 Fat soluble vitamin
 3. AIDS day is celebrated on-----
 1st December
 4.V,V.M stand for
 Vaccine Vial monitor

41.  5.B.C.G. vaccine is given to prevent -----diseasse
 T.B.
 6.ASHA stand for---------
 Accredited Social Health Activist
 7. D.D.T stand for----
 Dichloro Diphenyl Trichloroethane
 8. D,P.T vaccine is administered by -----route
 intramuscular route I/M

42. Q 6 match A and B
 1. Contraceptive pills 1. Radical treatment
 2. Inj Titanus toxoid 2. Fungal infection
 3. Foam tablets 3. Stop ovulation
 4. Malaria 4. Peniciline drops
 5. Opthalmia Neonatrum 5. Active immunization
 6. Trust 6. Posterior fornix
 7. Blood test

43. Answer
 1.Contraceptive pills 1. Stop ovulation
 2. Inj Titanus toxoid 2. Active immunization
 3. Foam tablets 3. Posterior fornix
 4. Malaria 4. Radical treatment
 5. Opthalmia Neonatrum 5. Penicillin drops
 6. Thrush 6. fungal infection
THE END


44.  Date 17/06/2015 Time 10 to 1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name

45. Q 1
 A) write the principles and purpose of home visit
mark8
 And: Principles of Home visit are as follow
 Based on need
 Collect information before visiting
 Use safe technical skill
 Be kind and courteous
 Planned and purposeful
 Regular

46.  Flexibility in approach
 Voluntary and convenient
 Good interpersonal relationship
 Educative
 Evaluative
 Purpose of home visit
 To observe the family structure, familial rule &
relationship, life style and culture practice
 To established working relationship with family
members

47.  To find out health problems and to investigate
associated causes of problems
 To plan and implement nursing per need of the family
 To teach the family about the cause & type of health
problems which can be occur due to poor enviornment
in family
 To do follow up & evaluate the health care given to
family
 To refer the complicated case for hospilization
 To maintain continuity in care

48. Q 1
 B ) write principles of primary health care mark 4
 Ans :
 1. equitable distribution
 2.community participation
 3. intersectoral co-ordination
 4. Appropriate technology

49. Q 2
 A) explained community need assessment and write
purposes of it mark 8
 Ans: A community needs assessment is a vital process
in the planning and promotion of health strategies and
care in the community, and this process includes
analysing and identifying key health problems in the
community . A needs assessment also determines the
target group in which the purpose of the health
strategy is aimed at.
 Target free approach

50.  Purpose or aims of community need assessment
 1 to decide priority in service
 2. eligible and target groups should identified and
help them
 3 high risk group to be identified and help them
 4 to measure and evaluate service
 To get needed supply
 To compared with data with privious year
 To development work planned of health care provider

51. Q 2
 B) Describe role of district PHN in National Health
programme.
 Ans : DPHN her work area is entire district she is
attached to CDHO. She is responsible all nursinng
personnel in the district
 Her role in National Health programme is
 General
 Administrator
 Supervisory
 Educational.

52. Q 3 answer any 3 3*4=12
 A) Write down function of Angadwadi worker
 Ans’ Angadwadi worker are appointed under ICDS
scheme which was stared on 2nd Oct 1975
 Pre school education
 Health check up
 To maintain Growth monitoring chart
 Immunization
 Supplementary nutrition
 Referral services

53.  B) write the purpose of Mid day meal
 Ans : Mid day meal started 1961
 To raise the nutritional status of primary school
children
 To improved attendance and enrolment in school
 To prevent dropout from primary school. Children
belong to backward classes,ST,SC

54.  C) write about small family norms
 Ans : the family size is very important as individual as
well as nation. Its effect population growth rate. India
has adopted the goal of two child norms.
 Effect of family size
 Basic human need
 Economic need
 Food and nutrition
 Socioeconomic
 Education

55.  D ) when to suspect for T.B in adult? And what you will
do as PHC staff Nurse to help such client.
 T,B is communicable disease caused by
mycobacterium tuberculosis
 We can suspect for TB with following condition
 Fever with evening rise
 Coughing persistent more then week
 Blood in cough or sputum
 Loss of appetite
 Lost of weight

56.  As PHC nurse
 Take history of patient with family history
 Do health check up
 Asked for any weight loss
 Asked for blood in sputum
 Fever history
 If yes than advised client to give two sample of sputum
 Now days collected in falcan tube and sent to DH
examination.
 Give symptomatic treatment to patients
 If MO available advised to consult him

57. Q 4
 A ) write function of gram panchayat
 At village level the panchayat Raj is comprises of the
 Gram sabha
 Gram panchayat
 Nayaya panchayat
 Gram panchayat is consist of 15-30 elected members
 Its covers a population of 5,00 to 20,00
 Chaired by the president there is VP and secretary
 Functions are

58.  Built and maintain roads
 Maintenance of sanitation in village
 Arrange and help in health
 Street light in village
 Development of villages
 Drainage and disposal of waste

59.  B ) Write importance of vital statistics
 Ans: vital statistics are conventionally numeric records of
marriage, births, sickness and deaths by which the health
and growth of community may be studied.
 To describe the level of community health
 To diagnosis community illness
 To discovered solutions to help the problems
 To find clue for administration action
 To promote health legislation
 To know , met and unmet need
 To measure status of people page 333

60.  C ) What will you do to increase number of deliveries
at your PHC.
 Ans: to proved respectful maternal care
 Health education
 Conduct antenatal care clinic
 Let the community know available facilities at phc
level
 Maintain good IPR
 Attend gram sabha and MSS meeting
 Proper referral service

61. Q 5 short notes any 3 3*4=12
 1.Oral pills
 Oral contraceptives popularly known as “Oral Pills”
 Contain small amount of an oestrogen and
progesterone. This is most effective and reversible
method of contraception current available.
 Types of pills
 three types of low dose oral pills are supplied
 Levonorgestrel 0.15mg
 Ethenyl estradial 0.03
 Centroman

62.  2. First referral unit
 Community health centre and referral hospital is
considered as first referral unit for all patients except
maternity patients
 Here more complex problem are dealt with
 Secondary level of health care facilities are available
 Its covers population of 80.000 to 1,20,000 specialist
are available on weekly based
 All patients are referred from phc sc are treated here.

63.  3. Emergency Ambulance service (108 Ambulance
service)
 Emergency Ambulance service is type of emergency
service which provide acute medical care to patient
with illness and injuries out of hospital and transport
to definitive care.
 108 is state wide model this is 108 emergency transport
facilities where the ambulance comes with equipment
and trained EMT staff to manage emergencies transit.

64.  4. IMNCI
 Integrated Management of Neonatal children Illness
 Started in 1992 with help of UNICEF and WHO
 Components
 Improvement of the case management skill of health
provider
 Improvement in overall health system
 Improvement in family and community health care
practices
 Colloboration/coordination with other department

65.  IMNCI beneficiaries
 Care of newborns and young infants (infants 2
months)
 Care of infants (2 months to 5 years)
 Principles of IMNCI guidelines
 All sick young infant up to 2 months of age must be
assessed of possible infection/jaundice and diarrhoea
 All sick aged 2 month to 5 years must be examined for
general danger signs and then for cough or difficult
breathing, diarrhoea, fever or ear problems.

66.  All sick young infants and children 2 months up to
5years must also routinely be assessed for nutritional
and immunization status and feeding problems
 Management procedure use a limited number of
essential drugs and encourage active participation of
caretakers.
 Based on sign the child assigned to colour code
 Urgent hospitalization or admission
 Specific medical Rx advice
 Home management

67. Q 6 A)fill in the blanks
 1. Incubation period of Tetanus is -------days
 3 to 21 days average 10 days
 2. Total ----international unit vitamin A solution is
given up to 5 years.
 17 lakhs IU(9 doses)
 3. B.C.G vaccine is given by ----route
 Intra dermal route
 4. -----Rs given to laboured women for nutrition under
JSY
 500 Rs
 5. PEM is stand for
 Protein Energy Mal nutrition

68. Q 6 b)state true or false
 1. food fortification means adding micronutrient in food.
 TRUE
 2. Standing order is given is given to trained dai at PHC
 TRUE
 3. Environmental sanitation is one of the major health
problem of India
 TRUE
 4. The Indian factory act come into practice in 1978
 False
 5. There is ISI mark on standard eatbles
 False

69. Q 6 c match A and B
 1. poliomyelitis 1 Blood test
 2. WHO day 2 8th march
 3. Anaemia 3 7th April
 4. International Nurse day 4. Stool examination
 5. International women day 5. 12th May

70. answer
 . poliomyelitis 1 Stool examination
 2. WHO day 2 7th April
 3. Anaemia 3 Blood test
 4. International Nurse day 4. 12th May
 5. International women day 5. 8th March
THE END
My whatsap no is 94261 43385