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Question Paper solution
 community health Nursing II
 Taken by
Gujarat Nursing Council
 In a year 2016 and 2017
 By Khima Rudach
 Registered Nurse
 Note: long question answer in point only
GUJARAT NURSING COUNCIL
GENERAL NURSING THIRD YEAR FINAL EXAMINATION
COMMUNITY HEALTH NURSING II
 Date 29/01/2016 Time 10 to
1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name
Q 1
 A) Explain the role of CHN in RCH services.
Mark 7
 Ans: Community health nurse or public
health nurse play broad role in RCH services
 1. Direct care provider
 Antenatal
 Intranatal
 postnatal
 2, as a communicator and educator
 Educate mother regarding the
 Antenatal care
 Intranatal care
 Postnatal care
 Registration
 Maintenance of records
 Immunization
 Diet
 etc
 3. as a supervisor and manager
 Supervised
 ASHA, ANM, AWW, MPHW
 Conduct clinic and conferences
 Organised referral services
 Involve the people to participate
 Maintain records and reports
 4 acts as an evaluator
 What is being done?
 How well it is done?
 What else can be done?
 Research activities
 Infant feeding
 Weaning food
 Mother and child relationship
 Nursing need and practice
 Utilising of existing nursing services
 New strategies implemented are
 Community participatory approach
 Target free approach
 Client centered approach
 Bottom down to top approach
 Horizontal approach
 Respect for individual life approach
 Humanitarian approach
Q 1
 B) write on chemical hazards and write steps to be
taken to prevent it. Mark 5
 The chemical hazards are as follow
 Gases
 CO2 Carbon di oxide
 CO Carbon Mono oxide
 HCL Hydrochloric acide
 NH Nihonium
 Nihonium is the temporary name of a chemical
element in the periodic table that has the temporary
symbol Nh and has the atomic number 113
 Common disease
 Inorganic organic dust
 Silica Silicosisi cane fibre Bagassosis
 Asbestos Asbetosis cotton dust Byssinosis
 Iron Siderosis Tobacco Tobaccosis
 Coal dust Anthracosis grain dust farmer’s
disease
 Metal and its compounds
 Lead, manganese, arsenic chromium and
mercury can cause toxic hazards
 Chemicals acids, alkalies ,pesticides
 Solvent carbon bisulphide, trichloroethylene
and chloroform
 Transitioning to Safer Chemicals
 Step 1: Form a Team to Develop a Plan
 Step 2: Examine Current Chemical Use
 Step 3: Identify Alternatives
 Step 4: Assess & Compare Alternatives
 Step 5: Select a Safer Alternative
 Step 6: Pilot the Alternative
 Step 7: Implement and Evaluate the
Alternative
Q 2
 A) Describe demographic stages of population
growth mark 6
 Ans: The world wide history of population
growth depicts changing trends in the population
size and composition due to increase/decrease
in numbers of births, and deaths.
 High stationary stage
 Early Expansion
 Late Expansion
 Low stationary
 Declining stage
Q 2
 B)Explain the cause of poor health in India.
Mark 6
 Ans: cause of poor health in india is as follow
 Neglect of rural population
 Exphasis on culture method
 Inadequate outlay for health
 Social inequality
 Shortage of medical personel
 Medical Research
 Expensive Health care services
 Emerging infectious disease as well as
chronic degenerative disease
 Page no 191
Q 3 SHORT NOTE 3*4=12
 1. I.U.C.D
 Intra Uterine Contraceptive Device
 The IUCDs currently used in the National Family
Welfare programme in India are Copper T 375
and Cupper T 380 A
 Copper T is made of plastic material and copper
wire is wrapped around the stem of the device
 Cu T 375 for 5 years
 Cu T 380 A for 10 years
 Time of insertion
 The Cu T insertion is between 3 to 7 days of the
menstrual cycle.
 PPIUCD can be inserted just after normal
delivery
 Advantages of IUCD
 Low failure rate 2-3 % in a year
 Inexpensive
 Suitable for women who are breast feeding
 One method that is require no attention after insertion
 Reversible
 It is aesthetic
 No hospitalization is required
 Reliable method for spacing child birth.
 Disadvantage
 May be painful when inserted and removed
 Intermenstual bleeding or spotting in the first 3
months
 May be expelled
 Contra indications
 Pregnancy
 Cervical or pelvic infection
 Sexually transmitted disease
 Abnormal vaginal bleeding
 Genital cancer
Q 3
 2. function of Indian Red cross society
 Ans: Indian Red cross society started in 1920
 Has main four activities
 Promoting humanitarian principle and value
 Disaster response
 Disaster preparedness
 Health and care in the community
 Other activities
 Blood bank
 HIV/AIDS
 Hospital services
 Home for disable servicemen
 Vocational training centre
 Tracing for missing
 Maternal and child welfare
 Family welfare
 nursing
Q 3
 3 Ma Amrutam Yojana
 Mukhyamantri Amrutam yojana was lunch 4th
September 2012 by government of Gujarat
 For BPl population in the Gujarat
 Later on August 2014 based on feedback
Mukhyamantri Amrutam Vatsalya yojana for
middle class family started
 5 members can avail the benefits of it
 Mukhyamantri Amrutam Vatsalya is a prime example of a health
scheme that is created truly for the benefit of the people. Here are
the features of the plan:
 The beneficiary of the scheme does not have to pay any amount
for enrolment or as insurance premium. This is a 100% state-
funded scheme.
 ASHA workers that help BPL families to register under the
scheme are given Rs. 100/- per family as an incentive.
 Mega and General Health Camps are conducted on district levels
with the help of both – private and government-empanelled
hospitals on a monthly basis.
 Dedicated data centres and servers are used to store and
manage data with the help of an IT agency called (n)Code
Solutions.
 Fully paperless processes like claims and other services.
 International Society for Quality in Healthcare accredited services
that pay 10% more than the package rates to hospitals.
 Empanelment of both – private and public/trust/Grant-In-Aid
hospitals to encourage healthy competition.
BENEFITS MUKHYAMANTRI MA YOJANA
Coverage Benefits
Medical expenses Rs. 5,00,000/- per family per annum
Travel charges Rs. 300/- per hospitalization
Repatriation of remains
Rs. 6/- per kilometre from the hospital to the
place of residence.
Additional benefits
All benefits of the PM-JAY package
i.e. Ayushman Bharat Pradhan Mantri Jan Arogya
Yojana
Q 3
 4.Panchayat Raj
 Panchayat Raj or Panchayat raj system is
introduced to link villages to the district to
have people’s participation and strengthen
administration at the grass root level
 The Panchayat Raj is composed of 3 tier
structure of rural local government in India
 At the district level zila parishad or jila
panchayat
 At the block level
 The panchayat raj agency at block level is the
panchayat samiti/janpada panchayat
 At the village level
 The panchayat raj at village level is comprised
 Of the
 Gram sabha
 Gram panchayat
 Nayaya panchayat
Q 4
 A) Describe the activities of mamta day at PHC.
 Mark 6
 Ans: every wendesday is mamta day at subcentre or
Angadawadi on every Monday mamta day is
arranged at PHC,CHC,
 Antenatal clinic for pregnant women
 Immunization
 Post natal clinic
 Well baby clinic
 Family planning clinic
 Health education
Q 4
 B) Write the advantages of planned small family
mark 6
 Advantage of planned small family as follow
 The mother- The mother gets more time to
participate in other forceful activities like
education, vocational training and community
projects etc
 The Child- The child will have conductive
atmosphere for his proper physical and
psychological growth and development . The
child get proper nutrition, education, parental
care and love
 The father –The father can provide children
with better education, cormfort food clothing
recreation etc
 The community- small family norms helps to
have enough schools, hospital and other
basic services
Q 5 A) DEFINE ANY FOUR 4*2=8
 1. Community
 A group of people living together in particular
geographic area is called community.
 Having common culture, common language
 2. Health Team
 Group of people working together for
achieving common goal and to improve
health services.
 3. Planning
 Planning is the process of deciding when, what, when
where and how to do a certain activity before starting to
work. It is an intellectual process that needs a lot of
thinking before the formation of plans. Planning is to set
goals and to make certain guidelines achieve the goals.
 4. 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
 5.Home visit
 Home visit means visiting the family at their place to
assess
 The health needs, to provide services such as preventive,
promotive, curative and rehabilitative services at their
door step by CHN or Health worker.
Q 5
 B) write down the objective of family welfare
 Mark 4
 The government of India in the ministry of health
and family welfare have stated the following
objectives
 To promote and adoption of small family size
norm.
 To promote the use of spacing method
 To ensure adequate supply of contraceptives to
all eligible couples within easy reach.
 To arrange for clinical and surgical services so
as to achieve the set targets.
 To avoid unwanted births
 To bring about wanted births.
 To regulate the intervals between pregnancies
 To control the time at which birth occurs in
relation to the age of the parents
 To determine the number of children in the
family
Q 6 FILL INN THE BLANKS
 1. one PHC cover about------population in plain
area
 30,000
 2. 1st five year plan started in ----year
 1951
 3. occupational deafness may be caused by
 High noise
 4. ART is given to-------patients
 HIV/AIDS patient
 5. T.B day is celebrated on-----
 24 march
 6. Tablet Depson given to ------patient
 Leprosy patient
 7. After giving dose vitamin A ------and -------
months are fixed for another dose
 9 month and 18 months
Q 6 B FULL FORMS
 1. CSSM
 Child survival and safe motherhood
 2. N.A.C.O
 National Aids Control Organization
 3. AYUSH
 Ayurveda Yoga Unanni, Shidha Heamiopathic
system of medicines
 4. B.I.E.C.O
 Block Information Education and communication
officer
 5. O.R.T
 Oral Rehydration therapy
 6. R.N.T.C.P
 Revised National TB Control Programme
 7N.P.P
 National Population Policy
THE END
 29/1/2016
 Date 29/06/2016 Time 10 to
1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name
Q 1
 A) What are the major health problems of india
mark 4
 Ans :India is developing country. It faces variety
of health problems which are given below.
 Communicable disease problems
 Non communicable disease problems
 Nutritional problems
 Environmental problems
 Medical care problems
 Population problems
Q 1
 B) List the National eradication and control
programme.
 National gunea worm eradication programme
 National Leprosy eradication programme
 National Yawn eradication programme
 National TB elimination programme
 National AIDS control programme
 National filarial control programme
 National Anti malaria programme
 National STD control programme
Q 2 WRITE ANY TWO 2*6=12
 A) What are the major causes of maternal death
in India
 Ans: major cause maternal death in India are as
follow
 Toxaemia of pregnancy
 Anaemia
 Haemorrhage
 Sepsis
 Abortion
 Accidents in labour
Q 2
 B) Describe the role of female health
supervisor in pulse polio immunization?
 Ans: FHS is covered population of 20,000-
30,000 or one on each PHC she supervised
work of 4-6 FHW or 4-6 sub-centre under her
PHC.
 FHS and FHW are in leading role in pulse
polio role
 Survey
 Planning
 Arranging booth
 Supervised
 Supply of material and vaccines
 Reaching maximum
 House to house activity
 Expectation from government department
 Using the pulse polio booth
Q 2
 C) WHAT ARE THE MILLENIUM
DEVELOPMENT GOAL FOR HEALTH.
 ANS : 1: Eradicate poverty and hunger
 Target 1.C: Halve, between 1990 and 2015, the
proportion of people who suffer from hunger.
 4: Reduce child mortality
 Target 4.A: Reduce by two-thirds, between
1990 and 2015, the under-five mortality rate.
 5: Improve maternal health
 Target 5.A: Reduce by three quarters, between
1990 and 2015, the maternal mortality ratio.
Target 5.B: Achieve, by 2015, universal access
to reproductive health.
 Goal 6: Combat HIV/AIDS, malaria and other diseases
 Target 6.A: Have halted by 2015 and begun to reverse the
spread of HIV/AIDS.
Target 6.B: Achieve, by 2010, universal access to treatment for
HIV/AIDS for all those who need it.
Target 6.C: Have halted by 2015 and begun to reverse the
incidence of malaria and other major diseases.
 Goal 7: Ensure environmental sustainability
 Target 7.C: Halve, by 2015, the proportion of people without
sustainable access to safe drinking water and basic sanitation.
 Goal 8: Develop a global partnership for development
 Target 8.E: In cooperation with pharmaceutical companies,
provide access to affordable essential drugs in developing
countries.
Q 3 SHORT NOTES 3*4=12
 1. WHO.
 World Health Organisation
 Established
 7 April 1948
 Headquarters
 Geneva Switzerland
 Members countries
 194 countries
STRUCTURE OF WHO
 1) World Health Assembly
 WHA is the parliament of nations and the
supreme governing body of the organization
 2) The Executive Board
 The board members are designated by a
members state
 3) The Secretariat
 Is headed by the Director General who is the
technical and administrative officer of the
organization
FUNCTION OF WHO
 To stimulate and advance work to eradicate,
epidemic, endemic and other disease
 To promote co-operation among scientific and
professional groups which contribute to advancement
of health
 To promote maternal and child health and welfare
and to foster the ability to live harmoniously in a
changing total environment
 To promote and conduct research in the field of
health
 To provide information, counsel and assistance in the
field of health
 2 ASHA
 An accredited social health
activist (ASHA) is a community health
worker
 Appointed under NRHM starting from 12th
April 2005 as community based volunteers.
 ASHAs are local women trained to act as
health educators and promoters in their
communities. The Indian MoHFW describes
them as
 .in the community who will create awareness on health
and its social determinants and mobilize the community
towards local health planning and increased utilization
and accountability of the existing health services.
 Their tasks include motivating women to give birth in
hospitals, bringing children to immunization clinics,
encouraging family planning (e.g., surgical sterilization),
treating basic illness and injury with first aid, keeping
demographic records, and improving village
sanitation.[ASHAs are also meant to serve as a key
communication mechanism between the healthcare
system and rural populations.
 She will act as a depot holder for essential provisions
being made available to all habitations like Oral
Rehydration Therapy (ORS), Iron Folic Acid Tablet(IFA),
chloroquine, Disposable Delivery Kits (DDK), Oral Pills &
Condoms, etc.
 Chiranjivi Yojana
 The Chiranjeevi Yojana programme was
launched in five northern districts of Gujarat in
January 2006 and then expanded to the rest of
the state between December 2006 and January
2007.
 Chiranjeevi Yojana (CY) was created to
significantly reduce maternal and infant mortality
by harnessing the existing private sector and
encouraging it to provide delivery and
emergency obstetric care at no cost to families
living below the poverty line.
 4. Recommendation of Bhore Committee
 Bhore committee is also known as the “Health
survey and Development committee” and was
appointed by British government of India during
1943 Sir Joseph Bhore as its chair person.
 Recommendations:
 Integration of all the services at all
administrative level
 Development of primary health centres in 2
stages
 a) short term measures at all in PHC should
cater to population of 40,000
 b) Long term measures PHC with 75 bedded
hospital for each 10,000 to 20,000 population
 Major changes in medical education for
preparation of social Doctors
 Village health committee is to be established
to foster active co-operation and support in
the development of health programme
 District health board would be established
having representatives from public and
district health officials
 To provide proper housing sanitary
envornment, safe drinking water supply
unemploment reduction
Q 4 A) DEFINE ANY THREE 3*2=6
 1. Health Team:
 Group of people working together for achieving
common goal and to improve health services.
 2,Standing orders
 Is a written instruction issued by a medical
practitioner, dentist, nurse practitioner or
optometrist. It authorises a specified person or
class of people (eg, paramedics,
registered nurses) who do not have prescribing
rights to administer and/or supply specified
medicines and some controlled drugs.
 3.Survey
 survey is a research method used for
collecting data from a predefined group of
respondents to gain information and insights
into various topics of interest.
 4.Birth rate
 the number of live births per thousand of
population per year
Q 4 B) GIVE REASON FOR
 a ) Inj Tetanus Toxoid should be given to
antenatal mother.
 Ans: The purpose of giving the vaccine to
women of childbearing age and
to pregnant women is to protect them
from tetanus and to protect their newborn
infants against Neonatal Tetanus
 b) cold chain should be maintained for polio
vaccines.
 Ans: The purpose of the vaccine “cold
chain” is to maintain product quality from the
time of manufacture until the point of
administration by ensuring that vaccines
are stored and transported within WHO-
recommended temperature ranges
 c ) Long term & regular treatment is
necessary in tuberculosis.
 Ans: A long treatment is required because
antibiotics work only when the bacteria are
actively dividing, and the bacteria that
cause TB can rest without growing
for long periods. This treatment is
necessary to keep the latent TB infection
from developing into active disease.
Q 5
 a ) write down elements of primary Health
care
 Ans: elements of primary health care are as
below
 1 Maternal and child health including family
planning
 2 an adequate supply of safe water and
basic sanitation
 3. promotion of food supply and proper
nutrition
 4. Health education
 5. immunization
 6. prevention and control of local endemic
disease
 7. Appropriate treatment to common disease
and injuries
 8. provision of essential drugs
Q 5
 b ) write the importance of vital statistics
 Ans: The Vital statistics provide insight
into important trends in health, including the
impact of changes in the incidence of
nonmedically indicated cesarean deliveries
and preterm birth, chronic conditions,
progress on reducing deaths due to motor
vehicle accidents, and the evolving challenge
of substance abuse.
Q 6 FILL IN THE BLANKS
 1. CARE stand for------
 Cu operative Assistance for Relief
Everywhere
 2. Triple vaccines prevents------,------and---
disease
 DPT Diphtheria, Pertussis and Tetanus
 3. occupational deafness may be caused
by—
 High noise
 4. ART treatment given for ------disease
Q 6 B) STATE TRUE OR FALSE
 1. each mother is given 5000 Rs under JSY
yojana
 False
 2. Medical officer is health of CHC
 False
 3. There is ISI mark on standard eatable items
 False
 4.Antenatal mother must be examined at least
three times during pregnancy
 True
 5. census takes place every four years
 false
Q 6 MATCH A AND B
 1 TB 1 stool examination
 2 Anemia 2 ORS
 3 Poliomyelitis 3 blood test
 4 Diarrhoea 4 sputum examination
 5 MDT
ANSWER IS
 1 TB 1 sputum
examination
 2 Anemia 2 blood test
 3 Poliomyelitis 3 stool examination
 4 Diarrhoea 4 ORS
THE END
 29/6/2016
 Date 01/02/2017 Time 10 to
1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name
Q 1
 a ) Explained about mechanical hazards and what
steps to be taken to prevent it?
 Ans: Mechanical hazards include:
 Crushing.
 Shearing.
 Cutting or severing.
 Entanglement.
 Drawing-in or trapping.
 Impact.
 Stabbing or puncture.
 Friction or abrasion.
 In order to control workplace hazards and
eliminate or reduce the risk, you should
take the following steps:
 identify the hazard by carrying out
a workplace risk assessment;
 determine how employees might be at risk;
 evaluate the risks;
 record and review hazards at least annually,
or earlier if something changes
Q 1
 b) Describe brief benefits to industrial workers
according to ESIS act. Mark 5
 Ans : ESIS act provides the following benefits
 Medical benefits
 Sickness benefits
 Maternity benefits
 Disablement benefits
 Dependant’s benefits
 Funeral benefits
Q 2
 a ) Explained health care delivery sysytem of
primary level
 PHC
 SUBCENTRE
 HOME VISIT
 Wellness health centre
Q 2
 b ) write the health problem of the aged personnel mark 5
 Pressure injuries
 Cardiovascular disease
 Respiration problems
 Genitourinary problems
 DM
 Thyroids
 Delirium
 Dizziness
 Stroke
 Triple evil poverty, loneliness and ill health
Q 3 ANSWER FOLLOWING 2*6=12
 a) Explained type and method of survey
 repeated questions
 b) write about advantages of small family
 The mother
 The child
 The father
 The community page 270
 c) write function of DPHN
 Ans :
 General
 Administrative
 Supervisory
 Education
 Page 321
Q 4 SHORT NOTES
 a ) Janani surksha yojana
 Ans : JSY was lunch by NRHM on 12 april 2005
 JananiSurakshaYojana (JSY) is a safe motherhood
intervention under the National Health Mission. It is being
implemented with the objective of reducing maternal and
neonatal mortality by promoting institutional delivery among
poor pregnant women. The scheme, launched on 12 April
2005 by the Hon’ble Prime Minister, is under implementation
in all states and Union Territories (UTs), with a special focus
on Low Performing States (LPS).
JSY is a centrally sponsored scheme, which integrates cash
assistance with delivery and post-delivery care. The Yojana
has identified Accredited Social Health Activist (ASHA) as
an effective link between the government and pregnant
women.
 Case benefit of
 700 in rural and 600 in urban area
Q 4
 b) NHP
 A National Health policy was last formulated in 1983
 NHP 2002
 NHP 2017
 The principles of NHP 2017 is
 Professionalism
 Integrity and ethics
 Equity
 Affordability
 Universal
 Patient centre and quality care
 Accountability and plurism
Q 4
 Job responsibilities of female health
supervisor
 Lady health visitor or female health
supervisor
 Covered population of one PHC that is
20000 to 30000
 Supervised 4-6 FHW
 Also called Health assistant(F)
 Functions
 Organised health programme in community
 Supervised and guidance
 Strengthening the knowledge
 Team work
 Supplies equipment and maintenance of
subcentre
 Record and reports
 Family planning and MTP
 nutrition
Q 4
 PNDT act
 Repeated
 Q 5 define following all repeated
Q 6 A) FILL IN THE BLANKS
 1 M.T.P. stands for
 Medical Termination of Pregnancy
 2 AIDS day is celebrated on------
 1st December
 3 Occupational deafness may be caused by ----
 High noise
 4, PEM stands for
 Protein Energy Malnutrition
 5 One Lady Health visitors is available for -----
population
 20,000 to 30,000
Q 6 B ) STATE TRUE OR FALSE
 1 ART is given HIV patients
 True
 2 Health education is essential factor in TB
control measures
 True
 3 C,S.S.M. programme came into force 1997
 False
 4 WHO day is celebrated on 1st june
 False
 5 the supervision of Angadwadi worker is done by
CDPO
 True
 6 There ISI mark on standard eatable items
 False
 7 HIV damages the reproductive system of the body
 False
01/02/2017
THE END
 Date 05/07/2017 Time 10 to
1pm
 Notes:- Marks 75
 Write legible
 Figure in right indicates full marks
 Do not write your name or institute’s name
Q 1
 a) list specilised community health service
mark 3
 Ans : MCH, CSSM,RCH
 School health programme
 Industrial nursing
 Nutrition programme
 Care of handicaps children
 Geriatric nursing
 b) write objective of RCH II
 Ans Its begun from 1st April 2005
 Essential obstetric care
 Institutional delivery
 Skilled birth attendance
 Emergency obstetric care
 Operational delivery
 Operational PHC and CHC for round the clock
delivery services
 Strengthening referral services
 C) describe roll of CHN in RCH II
 Ans : the public health nurse will provide the
service/care mainly in 4 broad area
 Direct care provider
 Communicator and educator
 Supervisor and manager
 Research and educator
 Page 105
Q 2
 a) Write down nutritional problem of India and
measures taken for prevention and control of it
by government mark 8
 Ans: The specific nutritional problems in India
are as follow
 PEM
 Nutritional Anaemia
 Low birth weight
 Xerophthalmia
 Iodine Defiiciency Disorder
 Government of India started many programme
to dealt with it
 ICDS
 WIFS
 Vitamin A solution upto 5 years
 Special supplementary food for pregnant
women
 Mid day meal
 Iodised salt to be supplied
Q 2
 B) Describe role of CHN for prevention and
control of nutritional problems
 Ans :CNH can play major role in nutritional
problem of country
 Direct care provider
 Supervisory role
 Health education and awarness
 Research
Q 3 WRITE ANY TWO 6*2=12
 a ) Indigenous system of medicine in India
 AYUSH
 Repeated question
 b) function of DGHS
 Ans : function of Director General of health services
are as below
 Surveys
 Planning
 Co ordination
 Programming and appraisal of all health matter in the
country
 International health relation and quarantines
 Control of drug standard
 Medical store depots
 Post graduate training
 Medical education
 Medical research
 Central government health service
 Central health education bureau
 Health intelligency
 C) responsibility of CHN in planning of school
health programme in her area.
 The chn should have depth of knowledge
and leadership quality
 Survey and line least of children
 Coordination of work
 Liason between school and community
 Referal services
Q 4 SHORT NOTES
 a) role of nurse in NCD cell
Q 5 DEFINE ANY SIX
 1.Epedemic
 2. vital stastistics
 3. demography
 4. fertility
 5. Eligible couple
 6. incubation period
 7. community health nursing
 8. maternal mortality rate. All repeated
Q 6 A) FILL THE BLANKS
 1, causative organism for leprosy is---
 Mycobaterium leprae
 2 causative organism of syphillis is ---
 Treponema pallidum
 3. RNTCP stand for-----
 Revised National TB control programme
 4. ART treatment is given for ----disease
 AIDS
 5. In plain area female health worker is expected to
cover a population of-----
 5000
Q 6 B) STATE TRUE OR FALSE
 1. ART is given to HIV patient
 True
 2. pentavalent vaccine includes measle vaccine
 False
 3. minimum marriage age is 21 for boy and 18 for girls
 True
 4. exclusive breast feeding means only breast feeding for
six months
 True
 5. WHO office for south east asia region is situated at
new delhi
 true
Q 6 C MATCH A AND B
 1 bal seva kendra 1 8th may
 2 International women day 2. for children
normal weight
 3 bal sanjivani kendra 3 8th march
 4 bal sakti kendra 4. for severe mal
nurish children
 5 world population day 5. for mal nourish
childre 6. 11th july
 1 bal seva kendra 1 for mal noursih child
 2 International women day 2. 8th march
 3 bal sanjivani kendra 3 severe mal noursh
 4 bal sakti kendra 4. normal weight
children
 5 world population day 5. 11th july

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#Gnc_paper_solution 3rd year gnm of chn years 2016 17

  • 1. Question Paper solution  community health Nursing II  Taken by Gujarat Nursing Council  In a year 2016 and 2017  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 29/01/2016 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) Explain the role of CHN in RCH services. Mark 7  Ans: Community health nurse or public health nurse play broad role in RCH services  1. Direct care provider  Antenatal  Intranatal  postnatal
  • 4.  2, as a communicator and educator  Educate mother regarding the  Antenatal care  Intranatal care  Postnatal care  Registration  Maintenance of records  Immunization  Diet  etc
  • 5.  3. as a supervisor and manager  Supervised  ASHA, ANM, AWW, MPHW  Conduct clinic and conferences  Organised referral services  Involve the people to participate  Maintain records and reports
  • 6.  4 acts as an evaluator  What is being done?  How well it is done?  What else can be done?  Research activities  Infant feeding  Weaning food  Mother and child relationship  Nursing need and practice  Utilising of existing nursing services
  • 7.  New strategies implemented are  Community participatory approach  Target free approach  Client centered approach  Bottom down to top approach  Horizontal approach  Respect for individual life approach  Humanitarian approach
  • 8. Q 1  B) write on chemical hazards and write steps to be taken to prevent it. Mark 5  The chemical hazards are as follow  Gases  CO2 Carbon di oxide  CO Carbon Mono oxide  HCL Hydrochloric acide  NH Nihonium  Nihonium is the temporary name of a chemical element in the periodic table that has the temporary symbol Nh and has the atomic number 113
  • 9.  Common disease  Inorganic organic dust  Silica Silicosisi cane fibre Bagassosis  Asbestos Asbetosis cotton dust Byssinosis  Iron Siderosis Tobacco Tobaccosis  Coal dust Anthracosis grain dust farmer’s disease
  • 10.  Metal and its compounds  Lead, manganese, arsenic chromium and mercury can cause toxic hazards  Chemicals acids, alkalies ,pesticides  Solvent carbon bisulphide, trichloroethylene and chloroform
  • 11.  Transitioning to Safer Chemicals  Step 1: Form a Team to Develop a Plan  Step 2: Examine Current Chemical Use  Step 3: Identify Alternatives  Step 4: Assess & Compare Alternatives  Step 5: Select a Safer Alternative  Step 6: Pilot the Alternative  Step 7: Implement and Evaluate the Alternative
  • 12. Q 2  A) Describe demographic stages of population growth mark 6  Ans: The world wide history of population growth depicts changing trends in the population size and composition due to increase/decrease in numbers of births, and deaths.  High stationary stage  Early Expansion  Late Expansion  Low stationary  Declining stage
  • 13. Q 2  B)Explain the cause of poor health in India. Mark 6  Ans: cause of poor health in india is as follow  Neglect of rural population  Exphasis on culture method  Inadequate outlay for health  Social inequality  Shortage of medical personel
  • 14.  Medical Research  Expensive Health care services  Emerging infectious disease as well as chronic degenerative disease  Page no 191
  • 15. Q 3 SHORT NOTE 3*4=12  1. I.U.C.D  Intra Uterine Contraceptive Device  The IUCDs currently used in the National Family Welfare programme in India are Copper T 375 and Cupper T 380 A  Copper T is made of plastic material and copper wire is wrapped around the stem of the device  Cu T 375 for 5 years  Cu T 380 A for 10 years
  • 16.  Time of insertion  The Cu T insertion is between 3 to 7 days of the menstrual cycle.  PPIUCD can be inserted just after normal delivery  Advantages of IUCD  Low failure rate 2-3 % in a year  Inexpensive  Suitable for women who are breast feeding
  • 17.  One method that is require no attention after insertion  Reversible  It is aesthetic  No hospitalization is required  Reliable method for spacing child birth.  Disadvantage  May be painful when inserted and removed  Intermenstual bleeding or spotting in the first 3 months  May be expelled
  • 18.  Contra indications  Pregnancy  Cervical or pelvic infection  Sexually transmitted disease  Abnormal vaginal bleeding  Genital cancer
  • 19. Q 3  2. function of Indian Red cross society  Ans: Indian Red cross society started in 1920  Has main four activities  Promoting humanitarian principle and value  Disaster response  Disaster preparedness  Health and care in the community
  • 20.  Other activities  Blood bank  HIV/AIDS  Hospital services  Home for disable servicemen  Vocational training centre  Tracing for missing  Maternal and child welfare  Family welfare  nursing
  • 21. Q 3  3 Ma Amrutam Yojana  Mukhyamantri Amrutam yojana was lunch 4th September 2012 by government of Gujarat  For BPl population in the Gujarat  Later on August 2014 based on feedback Mukhyamantri Amrutam Vatsalya yojana for middle class family started  5 members can avail the benefits of it
  • 22.  Mukhyamantri Amrutam Vatsalya is a prime example of a health scheme that is created truly for the benefit of the people. Here are the features of the plan:  The beneficiary of the scheme does not have to pay any amount for enrolment or as insurance premium. This is a 100% state- funded scheme.  ASHA workers that help BPL families to register under the scheme are given Rs. 100/- per family as an incentive.  Mega and General Health Camps are conducted on district levels with the help of both – private and government-empanelled hospitals on a monthly basis.  Dedicated data centres and servers are used to store and manage data with the help of an IT agency called (n)Code Solutions.  Fully paperless processes like claims and other services.  International Society for Quality in Healthcare accredited services that pay 10% more than the package rates to hospitals.  Empanelment of both – private and public/trust/Grant-In-Aid hospitals to encourage healthy competition.
  • 23. BENEFITS MUKHYAMANTRI MA YOJANA Coverage Benefits Medical expenses Rs. 5,00,000/- per family per annum Travel charges Rs. 300/- per hospitalization Repatriation of remains Rs. 6/- per kilometre from the hospital to the place of residence. Additional benefits All benefits of the PM-JAY package i.e. Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
  • 24. Q 3  4.Panchayat Raj  Panchayat Raj or Panchayat raj system is introduced to link villages to the district to have people’s participation and strengthen administration at the grass root level  The Panchayat Raj is composed of 3 tier structure of rural local government in India  At the district level zila parishad or jila panchayat
  • 25.  At the block level  The panchayat raj agency at block level is the panchayat samiti/janpada panchayat  At the village level  The panchayat raj at village level is comprised  Of the  Gram sabha  Gram panchayat  Nayaya panchayat
  • 26. Q 4  A) Describe the activities of mamta day at PHC.  Mark 6  Ans: every wendesday is mamta day at subcentre or Angadawadi on every Monday mamta day is arranged at PHC,CHC,  Antenatal clinic for pregnant women  Immunization  Post natal clinic  Well baby clinic  Family planning clinic  Health education
  • 27. Q 4  B) Write the advantages of planned small family mark 6  Advantage of planned small family as follow  The mother- The mother gets more time to participate in other forceful activities like education, vocational training and community projects etc  The Child- The child will have conductive atmosphere for his proper physical and psychological growth and development . The child get proper nutrition, education, parental care and love
  • 28.  The father –The father can provide children with better education, cormfort food clothing recreation etc  The community- small family norms helps to have enough schools, hospital and other basic services
  • 29. Q 5 A) DEFINE ANY FOUR 4*2=8  1. Community  A group of people living together in particular geographic area is called community.  Having common culture, common language  2. Health Team  Group of people working together for achieving common goal and to improve health services.
  • 30.  3. Planning  Planning is the process of deciding when, what, when where and how to do a certain activity before starting to work. It is an intellectual process that needs a lot of thinking before the formation of plans. Planning is to set goals and to make certain guidelines achieve the goals.  4. 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  5.Home visit  Home visit means visiting the family at their place to assess  The health needs, to provide services such as preventive, promotive, curative and rehabilitative services at their door step by CHN or Health worker.
  • 31. Q 5  B) write down the objective of family welfare  Mark 4  The government of India in the ministry of health and family welfare have stated the following objectives  To promote and adoption of small family size norm.  To promote the use of spacing method  To ensure adequate supply of contraceptives to all eligible couples within easy reach.
  • 32.  To arrange for clinical and surgical services so as to achieve the set targets.  To avoid unwanted births  To bring about wanted births.  To regulate the intervals between pregnancies  To control the time at which birth occurs in relation to the age of the parents  To determine the number of children in the family
  • 33. Q 6 FILL INN THE BLANKS  1. one PHC cover about------population in plain area  30,000  2. 1st five year plan started in ----year  1951  3. occupational deafness may be caused by  High noise  4. ART is given to-------patients  HIV/AIDS patient
  • 34.  5. T.B day is celebrated on-----  24 march  6. Tablet Depson given to ------patient  Leprosy patient  7. After giving dose vitamin A ------and ------- months are fixed for another dose  9 month and 18 months
  • 35. Q 6 B FULL FORMS  1. CSSM  Child survival and safe motherhood  2. N.A.C.O  National Aids Control Organization  3. AYUSH  Ayurveda Yoga Unanni, Shidha Heamiopathic system of medicines  4. B.I.E.C.O  Block Information Education and communication officer
  • 36.  5. O.R.T  Oral Rehydration therapy  6. R.N.T.C.P  Revised National TB Control Programme  7N.P.P  National Population Policy THE END  29/1/2016
  • 37.  Date 29/06/2016 Time 10 to 1pm  Notes:- Marks 75  Write legible  Figure in right indicates full marks  Do not write your name or institute’s name
  • 38. Q 1  A) What are the major health problems of india mark 4  Ans :India is developing country. It faces variety of health problems which are given below.  Communicable disease problems  Non communicable disease problems  Nutritional problems  Environmental problems  Medical care problems  Population problems
  • 39. Q 1  B) List the National eradication and control programme.  National gunea worm eradication programme  National Leprosy eradication programme  National Yawn eradication programme  National TB elimination programme  National AIDS control programme  National filarial control programme  National Anti malaria programme  National STD control programme
  • 40. Q 2 WRITE ANY TWO 2*6=12  A) What are the major causes of maternal death in India  Ans: major cause maternal death in India are as follow  Toxaemia of pregnancy  Anaemia  Haemorrhage  Sepsis  Abortion  Accidents in labour
  • 41. Q 2  B) Describe the role of female health supervisor in pulse polio immunization?  Ans: FHS is covered population of 20,000- 30,000 or one on each PHC she supervised work of 4-6 FHW or 4-6 sub-centre under her PHC.  FHS and FHW are in leading role in pulse polio role
  • 42.  Survey  Planning  Arranging booth  Supervised  Supply of material and vaccines  Reaching maximum  House to house activity  Expectation from government department  Using the pulse polio booth
  • 43. Q 2  C) WHAT ARE THE MILLENIUM DEVELOPMENT GOAL FOR HEALTH.  ANS : 1: Eradicate poverty and hunger  Target 1.C: Halve, between 1990 and 2015, the proportion of people who suffer from hunger.  4: Reduce child mortality  Target 4.A: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate.  5: Improve maternal health  Target 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio. Target 5.B: Achieve, by 2015, universal access to reproductive health.
  • 44.  Goal 6: Combat HIV/AIDS, malaria and other diseases  Target 6.A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS. Target 6.B: Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it. Target 6.C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases.  Goal 7: Ensure environmental sustainability  Target 7.C: Halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation.  Goal 8: Develop a global partnership for development  Target 8.E: In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries.
  • 45. Q 3 SHORT NOTES 3*4=12  1. WHO.  World Health Organisation  Established  7 April 1948  Headquarters  Geneva Switzerland  Members countries  194 countries
  • 46. STRUCTURE OF WHO  1) World Health Assembly  WHA is the parliament of nations and the supreme governing body of the organization  2) The Executive Board  The board members are designated by a members state  3) The Secretariat  Is headed by the Director General who is the technical and administrative officer of the organization
  • 47. FUNCTION OF WHO  To stimulate and advance work to eradicate, epidemic, endemic and other disease  To promote co-operation among scientific and professional groups which contribute to advancement of health  To promote maternal and child health and welfare and to foster the ability to live harmoniously in a changing total environment  To promote and conduct research in the field of health  To provide information, counsel and assistance in the field of health
  • 48.  2 ASHA  An accredited social health activist (ASHA) is a community health worker  Appointed under NRHM starting from 12th April 2005 as community based volunteers.  ASHAs are local women trained to act as health educators and promoters in their communities. The Indian MoHFW describes them as
  • 49.  .in the community who will create awareness on health and its social determinants and mobilize the community towards local health planning and increased utilization and accountability of the existing health services.  Their tasks include motivating women to give birth in hospitals, bringing children to immunization clinics, encouraging family planning (e.g., surgical sterilization), treating basic illness and injury with first aid, keeping demographic records, and improving village sanitation.[ASHAs are also meant to serve as a key communication mechanism between the healthcare system and rural populations.  She will act as a depot holder for essential provisions being made available to all habitations like Oral Rehydration Therapy (ORS), Iron Folic Acid Tablet(IFA), chloroquine, Disposable Delivery Kits (DDK), Oral Pills & Condoms, etc.
  • 50.  Chiranjivi Yojana  The Chiranjeevi Yojana programme was launched in five northern districts of Gujarat in January 2006 and then expanded to the rest of the state between December 2006 and January 2007.  Chiranjeevi Yojana (CY) was created to significantly reduce maternal and infant mortality by harnessing the existing private sector and encouraging it to provide delivery and emergency obstetric care at no cost to families living below the poverty line.
  • 51.  4. Recommendation of Bhore Committee  Bhore committee is also known as the “Health survey and Development committee” and was appointed by British government of India during 1943 Sir Joseph Bhore as its chair person.  Recommendations:  Integration of all the services at all administrative level  Development of primary health centres in 2 stages
  • 52.  a) short term measures at all in PHC should cater to population of 40,000  b) Long term measures PHC with 75 bedded hospital for each 10,000 to 20,000 population  Major changes in medical education for preparation of social Doctors  Village health committee is to be established to foster active co-operation and support in the development of health programme
  • 53.  District health board would be established having representatives from public and district health officials  To provide proper housing sanitary envornment, safe drinking water supply unemploment reduction
  • 54. Q 4 A) DEFINE ANY THREE 3*2=6  1. Health Team:  Group of people working together for achieving common goal and to improve health services.  2,Standing orders  Is a written instruction issued by a medical practitioner, dentist, nurse practitioner or optometrist. It authorises a specified person or class of people (eg, paramedics, registered nurses) who do not have prescribing rights to administer and/or supply specified medicines and some controlled drugs.
  • 55.  3.Survey  survey is a research method used for collecting data from a predefined group of respondents to gain information and insights into various topics of interest.  4.Birth rate  the number of live births per thousand of population per year
  • 56. Q 4 B) GIVE REASON FOR  a ) Inj Tetanus Toxoid should be given to antenatal mother.  Ans: The purpose of giving the vaccine to women of childbearing age and to pregnant women is to protect them from tetanus and to protect their newborn infants against Neonatal Tetanus
  • 57.  b) cold chain should be maintained for polio vaccines.  Ans: The purpose of the vaccine “cold chain” is to maintain product quality from the time of manufacture until the point of administration by ensuring that vaccines are stored and transported within WHO- recommended temperature ranges
  • 58.  c ) Long term & regular treatment is necessary in tuberculosis.  Ans: A long treatment is required because antibiotics work only when the bacteria are actively dividing, and the bacteria that cause TB can rest without growing for long periods. This treatment is necessary to keep the latent TB infection from developing into active disease.
  • 59. Q 5  a ) write down elements of primary Health care  Ans: elements of primary health care are as below  1 Maternal and child health including family planning  2 an adequate supply of safe water and basic sanitation  3. promotion of food supply and proper nutrition
  • 60.  4. Health education  5. immunization  6. prevention and control of local endemic disease  7. Appropriate treatment to common disease and injuries  8. provision of essential drugs
  • 61. Q 5  b ) write the importance of vital statistics  Ans: The Vital statistics provide insight into important trends in health, including the impact of changes in the incidence of nonmedically indicated cesarean deliveries and preterm birth, chronic conditions, progress on reducing deaths due to motor vehicle accidents, and the evolving challenge of substance abuse.
  • 62. Q 6 FILL IN THE BLANKS  1. CARE stand for------  Cu operative Assistance for Relief Everywhere  2. Triple vaccines prevents------,------and--- disease  DPT Diphtheria, Pertussis and Tetanus  3. occupational deafness may be caused by—  High noise  4. ART treatment given for ------disease
  • 63. Q 6 B) STATE TRUE OR FALSE  1. each mother is given 5000 Rs under JSY yojana  False  2. Medical officer is health of CHC  False  3. There is ISI mark on standard eatable items  False  4.Antenatal mother must be examined at least three times during pregnancy  True  5. census takes place every four years  false
  • 64. Q 6 MATCH A AND B  1 TB 1 stool examination  2 Anemia 2 ORS  3 Poliomyelitis 3 blood test  4 Diarrhoea 4 sputum examination  5 MDT
  • 65. ANSWER IS  1 TB 1 sputum examination  2 Anemia 2 blood test  3 Poliomyelitis 3 stool examination  4 Diarrhoea 4 ORS THE END  29/6/2016
  • 66.  Date 01/02/2017 Time 10 to 1pm  Notes:- Marks 75  Write legible  Figure in right indicates full marks  Do not write your name or institute’s name
  • 67. Q 1  a ) Explained about mechanical hazards and what steps to be taken to prevent it?  Ans: Mechanical hazards include:  Crushing.  Shearing.  Cutting or severing.  Entanglement.  Drawing-in or trapping.  Impact.  Stabbing or puncture.  Friction or abrasion.
  • 68.  In order to control workplace hazards and eliminate or reduce the risk, you should take the following steps:  identify the hazard by carrying out a workplace risk assessment;  determine how employees might be at risk;  evaluate the risks;  record and review hazards at least annually, or earlier if something changes
  • 69. Q 1  b) Describe brief benefits to industrial workers according to ESIS act. Mark 5  Ans : ESIS act provides the following benefits  Medical benefits  Sickness benefits  Maternity benefits  Disablement benefits  Dependant’s benefits  Funeral benefits
  • 70. Q 2  a ) Explained health care delivery sysytem of primary level  PHC  SUBCENTRE  HOME VISIT  Wellness health centre
  • 71. Q 2  b ) write the health problem of the aged personnel mark 5  Pressure injuries  Cardiovascular disease  Respiration problems  Genitourinary problems  DM  Thyroids  Delirium  Dizziness  Stroke  Triple evil poverty, loneliness and ill health
  • 72. Q 3 ANSWER FOLLOWING 2*6=12  a) Explained type and method of survey  repeated questions  b) write about advantages of small family  The mother  The child  The father  The community page 270
  • 73.  c) write function of DPHN  Ans :  General  Administrative  Supervisory  Education  Page 321
  • 74. Q 4 SHORT NOTES  a ) Janani surksha yojana  Ans : JSY was lunch by NRHM on 12 april 2005  JananiSurakshaYojana (JSY) is a safe motherhood intervention under the National Health Mission. It is being implemented with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among poor pregnant women. The scheme, launched on 12 April 2005 by the Hon’ble Prime Minister, is under implementation in all states and Union Territories (UTs), with a special focus on Low Performing States (LPS). JSY is a centrally sponsored scheme, which integrates cash assistance with delivery and post-delivery care. The Yojana has identified Accredited Social Health Activist (ASHA) as an effective link between the government and pregnant women.  Case benefit of  700 in rural and 600 in urban area
  • 75. Q 4  b) NHP  A National Health policy was last formulated in 1983  NHP 2002  NHP 2017  The principles of NHP 2017 is  Professionalism  Integrity and ethics  Equity  Affordability  Universal  Patient centre and quality care  Accountability and plurism
  • 76. Q 4  Job responsibilities of female health supervisor  Lady health visitor or female health supervisor  Covered population of one PHC that is 20000 to 30000  Supervised 4-6 FHW  Also called Health assistant(F)  Functions  Organised health programme in community
  • 77.  Supervised and guidance  Strengthening the knowledge  Team work  Supplies equipment and maintenance of subcentre  Record and reports  Family planning and MTP  nutrition
  • 78. Q 4  PNDT act  Repeated  Q 5 define following all repeated
  • 79. Q 6 A) FILL IN THE BLANKS  1 M.T.P. stands for  Medical Termination of Pregnancy  2 AIDS day is celebrated on------  1st December  3 Occupational deafness may be caused by ----  High noise  4, PEM stands for  Protein Energy Malnutrition  5 One Lady Health visitors is available for ----- population  20,000 to 30,000
  • 80. Q 6 B ) STATE TRUE OR FALSE  1 ART is given HIV patients  True  2 Health education is essential factor in TB control measures  True  3 C,S.S.M. programme came into force 1997  False  4 WHO day is celebrated on 1st june  False
  • 81.  5 the supervision of Angadwadi worker is done by CDPO  True  6 There ISI mark on standard eatable items  False  7 HIV damages the reproductive system of the body  False 01/02/2017 THE END
  • 82.  Date 05/07/2017 Time 10 to 1pm  Notes:- Marks 75  Write legible  Figure in right indicates full marks  Do not write your name or institute’s name
  • 83. Q 1  a) list specilised community health service mark 3  Ans : MCH, CSSM,RCH  School health programme  Industrial nursing  Nutrition programme  Care of handicaps children  Geriatric nursing
  • 84.  b) write objective of RCH II  Ans Its begun from 1st April 2005  Essential obstetric care  Institutional delivery  Skilled birth attendance  Emergency obstetric care  Operational delivery  Operational PHC and CHC for round the clock delivery services  Strengthening referral services
  • 85.  C) describe roll of CHN in RCH II  Ans : the public health nurse will provide the service/care mainly in 4 broad area  Direct care provider  Communicator and educator  Supervisor and manager  Research and educator  Page 105
  • 86. Q 2  a) Write down nutritional problem of India and measures taken for prevention and control of it by government mark 8  Ans: The specific nutritional problems in India are as follow  PEM  Nutritional Anaemia  Low birth weight  Xerophthalmia  Iodine Defiiciency Disorder
  • 87.  Government of India started many programme to dealt with it  ICDS  WIFS  Vitamin A solution upto 5 years  Special supplementary food for pregnant women  Mid day meal  Iodised salt to be supplied
  • 88. Q 2  B) Describe role of CHN for prevention and control of nutritional problems  Ans :CNH can play major role in nutritional problem of country  Direct care provider  Supervisory role  Health education and awarness  Research
  • 89. Q 3 WRITE ANY TWO 6*2=12  a ) Indigenous system of medicine in India  AYUSH  Repeated question  b) function of DGHS  Ans : function of Director General of health services are as below  Surveys  Planning  Co ordination  Programming and appraisal of all health matter in the country
  • 90.  International health relation and quarantines  Control of drug standard  Medical store depots  Post graduate training  Medical education  Medical research  Central government health service  Central health education bureau  Health intelligency
  • 91.  C) responsibility of CHN in planning of school health programme in her area.  The chn should have depth of knowledge and leadership quality  Survey and line least of children  Coordination of work  Liason between school and community  Referal services
  • 92. Q 4 SHORT NOTES  a) role of nurse in NCD cell
  • 93. Q 5 DEFINE ANY SIX  1.Epedemic  2. vital stastistics  3. demography  4. fertility  5. Eligible couple  6. incubation period  7. community health nursing  8. maternal mortality rate. All repeated
  • 94. Q 6 A) FILL THE BLANKS  1, causative organism for leprosy is---  Mycobaterium leprae  2 causative organism of syphillis is ---  Treponema pallidum  3. RNTCP stand for-----  Revised National TB control programme  4. ART treatment is given for ----disease  AIDS  5. In plain area female health worker is expected to cover a population of-----  5000
  • 95. Q 6 B) STATE TRUE OR FALSE  1. ART is given to HIV patient  True  2. pentavalent vaccine includes measle vaccine  False  3. minimum marriage age is 21 for boy and 18 for girls  True  4. exclusive breast feeding means only breast feeding for six months  True  5. WHO office for south east asia region is situated at new delhi  true
  • 96. Q 6 C MATCH A AND B  1 bal seva kendra 1 8th may  2 International women day 2. for children normal weight  3 bal sanjivani kendra 3 8th march  4 bal sakti kendra 4. for severe mal nurish children  5 world population day 5. for mal nourish childre 6. 11th july
  • 97.  1 bal seva kendra 1 for mal noursih child  2 International women day 2. 8th march  3 bal sanjivani kendra 3 severe mal noursh  4 bal sakti kendra 4. normal weight children  5 world population day 5. 11th july