This document contains the question paper solution for a community health nursing exam from 2018-2019 administered by the Gujarat Nursing Council. It includes 6 questions testing knowledge of key community health concepts like family planning, the three-tier system of Panchayati Raj, the roles and responsibilities of community health nurses, and important health programs in India such as RCH, NRHM, and NHM. Answers are provided in point form for each sub-question.

1. Question Paper solution
community health Nursing II
 Taken by
Gujarat Nursing Council
 In a year 2018 and 2019
 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
 Date 16/02/2018 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. Q 1
 a) what is small family norms
 Ans :The family size plays a very important role in the
health and welfare of not only the individual family
and community but also of the nation as a whole
because it affects the population growth rate. India has
adopted the goal of two child norm. this is advocate in
1980 and was likely to be achieved by the years
2000AD

4. b) Write demographic trends in
India
 ANS: Growth rate
 Age and sex composition
 Population density in rural population
 Urban population
 Sex ratio at birth
 Literacy and education
 Life expectancy
 Fertility

5. c) Role of CHN in family planning
 Ans: the role of nurse in family planning will be
governed by the policy of the government or health
institute employing them,
 Administrative role
 Functional role
 Supervisory role
 Education role
 Role in research
 Evaluator role
 Health education role page 291

6. Q 2
 A) Enlist environmental sanitation problems and describe
preventing and controlling measure of it by governments
mark 8
 Ans: Environmental sanitation is major public health issue
in India
 The twin problem of environmental sanitation are
 Lack of safe water in many areas of the country and
 Primitive methods of excrete disposal
 Cause
 Open defecation
 Lack of safe confinement and disposal of human excreta

7.  Steps to improve environmental sanitation
 Implementation of low cost sanitation system with lower
subsides
 Greater household involvement
 Ranges of technology choice
 Optional for sanitation complexes for women
 Rural drainage systems
 IEC and awareness building
 Involvement of NGO
 Availability of finance
 Human resources development
 Emphasis on school sanitation

8. Q 2 b) describe role of chn for
environmental sanitation
 ANS: Role of CHN in environmental sanitation is vital
 Prada awareness in community
 Health education
 Supervisor
 Evolution
 Research
 Advocate for sanitation


9. Q 3 short notes
 a) functions of state ministry of health
 Ans: The director of health service
 Deals with matter related to medicine and public
health
 Chief technical adviser is also responsible for the
organization and direction of all health activities
 Family welfare programmes
 MCH
 FP
 Nutrition, TB, Leprosy and health education

10. Q 3
 b) function of Indian red cross society
 Ans: it was established in 1920
 It has 400 branches in India executing programme for the
promotion of health prevention of disease and mitigation
of suffering among the people
 Activities
 Relief work
 Milk and medicines supply
 Armed force
 Maternal and child welfare service
 Family planning
 Blood bank and first aid

11.  C) 12th five years plan
 Ans: started from 2012 to 2017
 On 4th October, the government of India approved the
12th five year plan (2012-17) that aims to achieve annual
average economic growth rate of 8.2 per cent, down
from 9 per cent (Eleventh plan 2007-12). The aim of
the 12th Five Year plan is to achieve “faster, sustainable
and more inclusive growth”
 Objectives
 To reduced poverty

12.  To improve regional equality in state and with state
 To improve living condition for ST,SC OBC and
minorities
 To generate attractive employment opportunity for
Indian youth
 To eliminate the gender gap

13. Q 4 short notes
 a) Occupational health hazards
 ANS: due to the modernization and technology vivid
changes in the occupation or industrial area along with
the product outcome, the man is also facing the variety
of health problems
 Physical hazards
 Chemical hazards
 Biological hazards
 Mechanical hazards
 Psychological hazards

14.  b) over population’s problems
 The population problems is one of the biggest problems
facing the country with its inevitable consequences on all
aspects of development, especially employment, education,
housing, health care sanitation and environment . The
country’s population has already reached 1.35 Billions
 Causes of over population
 Early marriage and universal marriage system
 Poverty and illiteracy
 Age and cultural norms and illegal migration

15. Q 4
 C ) Uses of vital health statistics
 ANS : to measure the state of health status of a community
and identify its health problems and health needs
 For comparing the health status of one country with that of
another and for comparing the present status with that of
the past of a country
 For planning and health administration
 For evaluating the progress, success or failure of health
programme and service or operations
 For research into community health problems

16. Q 4
 d) national family welfare policy
 National family welfare policy implemented first in 1966 on
the basis of target free approach. Its is basically related to
quality of life it include
 Education
 Nutrition
 Health
 Employment
 Women’s welfare and rights
 Safe drinking water
 Shelter, sanitation

17. Q 5 define
 1. fertility
 Its refers to the ability to produced viable offspring or
fertility is the actual bearing of children
 2 school health service
 The child’s health care begins in prenatal period and
continues throughout childhood upto the school years
 3 demography
 Study of country population in terms of its
composition, behaviours and distribution

18.  4. TFR
 Total Fertility Rate
 Total number of child born per women
 5. Health
 Is the complete state of physical, mental, social and
spiritual well being not merely absence of disease or
infirmity
 6 GOBIFFF
 Growth, Oral rehydration Breast feeding Immunization
and female education family spacing and food
supplementation by unicef

19.  IMNCI
 Integrated management of neonatal child illness
 Its in two parts
 0-2 months
 2 month to 5 years
 IMR
 Infant mortality Rate
 Infant mortality rate is the number of death per 1000
live birth of children under one year of age

20. Q 6 fill in the blanks
 1. Balam sukham mission’s three layer services are as –
 Bal sakti kendra, Bal seva kendra and Bal sanjivani
kendra
 2. N.S.V stands for
 No scalp vasectomy
 3. R.N.T.C.P stands for
 Revised National TB control Programme

21. Q 6 state true or false
 1. AIDS is a contagious disease
 false
 2. Head of municipal corporation’s health department is
medical officer of health
 True
 3. USHA stand for Urban Social Health Activist
 True
 4. There is one female health supervisor for 50,000
populations
 False
 5. Mosquitoes responsible for dengue bites at night
 False.

22. Q 6 c) match a and b
 a) PHC 1. Help for blindness
 b) DANIDA 2. FRU centre
 c) OPV 2 3. 14 weeks
 d) Measles vaccine 4. cover 30,000 populations
 e) CHC 5. 9 months
 6. 10 weeks

23. answer
 a) PHC 1. cover 30,000 populations
 b) DANIDA 2. help blindness
 c) OPV 2 3. 10 weeks
 d) Measles vaccine 4. 9 months
 e) CHC 5. FRU centre
 16/2/2018
 THE END


24.  Date 31/07/2018 Time 10 to 1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name

25. Q 1
 a) write the impotence of records and reports at PHC
 Ans : records and reports are very impotence at phc
level
 Assessing the health of community
 Collecting statistics which are very important for phc
 To know specified need of community
 Information of supervisors in assessing work done
 Assessing need for various drugs
 A stool for health education
 Evaluating progress of the health programme

26. Q 1
 b) Explain three tier system of in panchayati Raj
 Ans : There are institutions of local self government in
rural areas. This refers to Panchayati Raj system.
 This system is introduced to link village to district, to
have people’s participation and strengthen the
administration at the grass root level. The panchayati
raj system is comprised of 3 tier structure of rural local
self government of India.
 1. village level
 2. block level
 3. district level

27.  At village level
 The panchayati Raj at the village level comprised of the
 Gram panchayat
 Gram sabha
 Nyaya panchayat
 At block level
 The panchayat raj agency at the block level is the
panchayat samiti
 The block consist of about 100 villages and population
about 80;000 to 1.20,000

28.  The block consist of all sarpanch , MP MLA
representative of women, sc,st and co-operative
societies’
 At district level
 The panchayat raj institution at the district level is
known as zilla parishad
 Head of the gram samities in district MLAS,MP from
the district representatives of women, sc,st and 2
person who have experience in administration

29. Q 1
 C) discuss the supervisory duty of CHN
 CHN can do supervision in following
 Control of communicable disease
 Maternal and child health
 School health
 UIP
 Family planning
 Nutrition
 Environmental sanitation
 Page 320

30. Q 2
 a) Explain activities of DGHS
 Director General of Health services
 General function are ;
 Surveys
 Planning
 Co-ordination
 Programming and
 Appraisal of all health matters in the country.
 Specific functions are

31.  International health relations and quarantine
 Control of drug standards
 Medical store deports
 Post graduate training
 Medical education
 Medical research
 Central government health schemes
 Health intelligent
 Establishment of different units

32. Q 2
 b) Explain small family norms
 The family size plays a very important role in the
health and welfare of not only the individual family
and community but also of the nation as a whole
because it affects the population growth rate. India has
adopted the goal of two child norm.
 The different of only one child per family over a decade
will have a tremendous impact on the population
growth

33.  Effects of family size
 Basic human needs
 Economical needs
 Food and nutrition
 Socioeconomic
 Education

34.  Q 2 optional
 Describe responsibilities of FHW
 And explain bhore committee
 FHW cover population of 3000 in tribe and hilly are
5000 in general area
 MCH
 Family planning
 MTP
 Nutrition
 Communicable disease

35.  Immunization
 ASHA training
 Vital events
 Records keeping
 Primary health care
 Team activities
 Provide health education

36. Q 3
 A) write detail about RHC programme
 RCH started in 1994
 RHC phase 1 in 1997
 RHC phase 2 2005
 Components of RHC
 Immunization
 Anaemia prophylaxis
 Birth spacing
 ARI
 Oral rehydration therapy
 Prophylaxis against vita A deficiency

37.  RCH phase 1
 Started in 1997
 Its component are as follow
 Child survival and safe motherhood components
 Client approach to health care
 Family planning
 Prevention/management of RTI/STD, AIDS

38.  RCH phase 2 started in 1st April 2005
 Main focus on
 Essential obstetric care
 Emergency obstetric care
 Strengthening referral system

39.  B) write detail about NRHM
 NRHM was lunched on 12 April 2005 by government of
India.
 Aims : To provide universal accessible and affordable
healthcare facilities and to reduced IMR and MMR in
both urban and rural regions.
 Major initiatives under NHM
 ASHA
 Rogi kalyan samiti/hospital management society

40.  The united grants to sub centre
 The village sanitation and nutrition committee
 Healthcare delivery
 JSY
 JSSK
 Facility based new-born care
 National mobile medical units
 National Ambulance services

41.  C) describe the terms family planning and family welfare
 Family planning
 All couples and individual have the basic human right to
decide freely and responsibly the number and spacing of
their children and to have the information, education.
 Family welfare.
 Family welfare is the set of attitude and group of practice
adopted by married couple that anable them to achieve
maximum welfare for themselves as well as for their
children family welfare is stepping stone to the social
development and progress of country.

42.  D) write the role of CHN in care of handicapped
patient
 Ans : role of CHN is very vital in handicapped patient.
 Handicap mean impairment leading to disability
 The person expressed certain disadvantages in life and
not able to discharge the obligations required of his
age and play the role expressed of him in the society
this is termed Handicap.
 The parental education
 Parent should be counselled together

43.  Managing the mentally handicapped child nurse
should explain the principles and rational to the
parents
 Advised should be given to the regarding the
management
 Physiotherapy
 Ant convulsion treatment
 Tender loving care
 Minimal critism and high appreciation

44.  Facilities or care centre
 Prevention
 Genetic counselling
 Immunization
 Prompt care during pregnancy
 Amis : to reduced the duration of mental illness
 To minimize disability
 To rehabilitate parent/client
 To assist in ADL activities

45. Q 4 short notes
 A) demographic trends in India
 Ans growth rate
 Age and sex composition
 Population density in rural populations
 Urban populations
 Literacy and education
 Life expectancy
 Fertility
 Age of marriage

46. Q 4
 B) village health guide
 A village health guide is a person mostly women who is
responsible for providing social service.
 It is not a full time government functionary
 The scheme was lunched 1977 in all state except kerala,
karnataka, tamil nadu Arunachal, J & K which had
alternative system
 The female health guide serve as link between
community and the government infractural

47.  Criteria for selection
 She should belong to the local community
 She should have formal education at least 6 class
 She should not show any partiality to any class or
section
 She should be able to spend at least 2-3 hours per day.

48.  C) emergency ambulance service
 Ans : emergency ambulance service also known as
emergency medical services or emergency response service
or paramedic service are the type of emergency service
which provide acute medical care to patients with illness
and injuries out of hospital and also transport to definitive
care as illness and injuries prevent them from transporting
themselves, the term emergency medical service evolved to
reflect a change from simple system of ambulance
providing only transport, to a system in which preliminary
medical care is given on scene and during transport.
 Example 108

49.  D) indigenous system of medicine in India
 AYUSH
 Ayurveda
 Yoga
 Unani
 Siddha medicine
 Homeopathic

50. Q 5 define following
 1. MMR
 MATERNAL MORTALITY RATE is the number of
resident maternal deaths within 42 days of pregnancy
termination due to complications of pregnancy, childbirth, and
the puerperium in a specified geographic area
 2. Target couple
 Couple having 1-2 living children following temporary family
planning method
 3. reproductive health
 Reproductive health is a state of complete physical, mental and
social well-being and not merely the absence of disease or
infirmity, in all matters relating to the reproductive system and
to its functions and processes.

51.  4, birth rate
 Birth Rate is the number of babies born every year per
1000 people in a population.
 5. vital events
 A vital event refers to the live birth, death, foetal death,
marriage, divorce, adoption, legitimation, recognition of
parenthood, annulment of marriage, or legal separation.
 6. crude death rate
 = nos of total death in a area during the year divide by
 Mid year population of same area during same year
 Multiplied by 1000

52.  7 family welfare
 Meaning and Objective of Family Welfare: ... Family
welfare service of the social agencies has the purpose
of preserving healthy family life. The aim
of family case worker is to assist the individuals in
the family to develop their capacities to lead
personally satisfying and socially useful lives in
the family unit.
 8 health survey
 Health surveys generally include measures of risk
factors, health behaviors, and nonhealth
determinants or correlates of health such as
socioeconomic status. The range of measures that can
be included is wide and varies by survey. ... Tobacco
use, alcohol use, diet, and physical exercise are
common health behaviors.

53. Q 6 A) fill the blanks
 1. 1st dose vitamin A is-------IU
 1 lakhs IU
 2. AIDS day is celebrated on ----
 1st December
 3. ------is the head of gram panchayat
 President or sarpanch
 4. community development block covers -----village
 100 villages
 5. full form of UNICEF is……..
 United Nation International children’s emergency fund

54. Q 6 b) state true or false
 1. MTP can be done upto 28 week of pregnancy
 Now its true after amendment made in act 2020
 2. bottle feeding is an important cause of diarrhoea in
infant
 True
 3. one PHC covers 15000 population
 False
 4. July month is celebrated as anti malarial month
 False
 5, copper T is useful to control and prevent STD
 false

55. Q 6 c) multiple choice
 1. what measures are required for secondary
prevention of tuberculosis
 A) BCG vaccination b) DOTS treatment
 C) blood transfusion d) MDR treatment
 Ans B) DOTS treatment
 2. population covered by a PHC in hilly area is—
 A) 20,000 b) 30,000
 C) 40,000 d) 15,000
 Ans A) 20,000

56.  3. world health organization day is celebrated –
 A) 7th April b) 21st may
 C) 2nd August d) 31st December
 Ans A) 7th April
 4. oral rehydration does not contain
 A) sodium chloride b) calcium lactate
 C) glucose d) sodium bi carbonate
 Ans d) sodium bi carbonate

57.  5. Alma Ata conference was held in
 A) 1978 b) 1956
 C) 1977 d) 1948
 Ans A) 1978
The end
31/7/2018

58.  Date 19/02/2019 Time 10 to 1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name

59. Q 1
 a) Define diarrhoea ?
 Diarrhoea, also spelled diarrhoea, is the condition of
having at least three loose, liquid, or watery bowel
movements each day. It often lasts for a few days and
can result in dehydration due to fluid loss.
 b) write components of diarrheal disease control
programme,
 Ans Diarrhoeal disease control programme was lunch
in 1971
 The components are as follow

60.  To train medical and other health care personnel in
standard case management of diarrhoea
 Promote standard case management practices among
private practitioners
 Instruct mother in home management of diarrhoea
and recognition sign which signal immediate care
 Make available the ORS free of cost
 C) preventive strategies of diarrhoea.

61.  access to safe drinking-water;
 use of improved sanitation;
 hand washing with soap;
 exclusive breastfeeding for the first six months of life;
 good personal and food hygiene;
 health education about how infections spread; and.
 rotavirus vaccination.

62. Q 1 or
 A) what is demography
 Ans: Demography is branch of science which guide the
human population and their elements. the element are
changes in the size of population, structure of population
and geo graphical distribution of population.
 B) enlist the stage of demography
 High stationary stage
 Early expansion stage
 Late expansion stage
 Low stationary stage
 Declining stages

63.  C) factors responsible for increased population
 Ans: growth rate
 Age and sex composition
 Population density in rural populations
 Urban populations
 Literacy and education
 Life expectancy
 Fertility
 Age of marriage

64. Q 2
 A) what is family welfare policy? Enlist its objective
 ANS: family welfare policy implemented first in 1966 on the
basis of target free approach beside the focus on the
national welfare policy. It has broader scope than family
planning. It is basically related to quality of life it includes
 Education
 Nutrition
 Health
 Employment
 Women’s welfare and rights
 Shelter , sanitation
 Safe drinking water etc

65.  Objectives of family welfare policy
 To address the unmet needs for contraceptives, health
care infrastructure and health personnel's
 To provide integrated service delivery for basic
reproductive and child health care
 To bring the TFR replacement level by 2010.
 To achieve a stable population by 2045 .

66. Q 2
 B) write role of nurse in family planning
 The role of nurse in family planning will be governed by
the policy of the government or the health institute
employing them.
 Administrative
 Functional
 Supervisory role
 Educational role
 Role in research
 Evaluator role
 Health education role

67. Q 3 write short answer
 A) write components of RCH phase II
 Essential obstetric service
 Emergency obstetric service
 Strengthening referral service

68. Q 3
 B) write old age associate health problems
 Old age health problem are as follow
 Pressure injuries
 CVD
 Respiratory issue
 Genitourinary issue
 DM
 Thyroid
 Delirium
 Dizziness
 Stroke

69. Q 3
 C) write control measure for STD
 Need Confidential & Fast STD Tests
 Use latex condoms every time you have sex. ...
 Avoid sharing towels or underclothing.
 Wash before and after intercourse.
 Get a vaccination for hepatitis B. ...
 Get tested for HIV.
 If you have a problem with drug or alcohol abuse, get
help.

70. Q 3
 Function of DGHS
 reputed

71. Q 4 short note
 A) geriatric nursing care
 This section tries to outline the state of art guideline
for geriatric care that are useful to a nurse practitioner
who encounter aging person in practice. Due to their
complexity aged people always deserve personal
attention. Nurses address physical , psychological
culture and family concern as well as promoting health
and emphazised successful aging

72. Q 5 define following
 Survey
 Census
 IMR
 MMR
 TFR
 Immunity
 Target couple
 infertility

73. Q 6 a fill in the blanks
 1. world health day is celebrated on ----and theme of
year 2020 was
 7th April support nurses and midwife
 2. Indian red cross society was establised in---year
 1920
 3. RCH phase begin from……year
 1st april 2005
 4. ASHA stand for
 Acridated Social Health activist

74. B state true or false
 1. hospital service provide mostly preventive care
 False
 2. Antenatal mother must examine atleast three times
during pregnancy
 True
 3. ART is given HIV positive patient
 True
 4. Medical officer is head of PHC
 True
 5. food fortification means adding protein in food
 false

75. C mcq
 1. in this year alma ata conference held
 A) 1978 b) 1957
 C) 1979 d) 1972
 Ans A 1978
 2. first five plan in India started at
 A) 1950 b) 1951
 C) 1952 d) 1953
 Ans b) 1951
 My whatsap nos is 94261 43385

76.  3. IUCD work as
 A) killing spermatozoa c) increase cervical mucus
 b) prevent inflammation in endometrium
 D) preventing the fertilization of ovum
 Ans a) killing spermatozoa
 4. which is following is not communicable disease
 A) malaria b) T.B
 C) Cancer d) AIDS
 Ans c) cancer
 5 the age for adolescent ranges
 A) 10-15 years b) 10-19 years
 C) 10-16 year s d) 10-18 years
 Ans b) 10-19 years