AMREF VIRTUAL NURSING SCHOOL

END MODULE 3 EXAMINITION MARCH 2013 CLASS

FRIDAY 28TH MARCH, 2014

TIME ALLOWED: 3 HOURS TIME: 9:00AM -12:00PM

INSTRUCTIONS TO CANDIDATES.

1. Read the questions carefully and answer only what is asked.

2. Enter YOUR ADMISSION NUMBER in all the answer sheets. The admission number should be written in figures NOT words.

3. All questions are compulsory.

4.For part I (MCQs), write your answers in the ruled paper provided .The answers should be written in CAPITAL LETTERS i.e. “A” but NOT “a”.

6. For part II (SAQs), answers to these questions should follow each other on the provided sheet of paper.

7. For part III (LAQs), answers to each question must be on a separate sheet of paper.

8. Omission of or wrong numbering of examination papers, questions or parts of the question will result in 10% deduction of the marks scored from the relevant part.

PART I: MULTIPLE CHOICE QUESTIONS (20 MARKS)

  1. A community may be defined as :-
  1. Individuals and groups living and interacting within certain boundaries
  2. Groups of people sharing common health problems
  3. Individuals sharing same boundaries
  4. Families sharing common cultural beliefs
  1. Water related diseases include :-
  1. Trachoma, onchocerciasis, amoebiasis
  2. Typoid ,cholera, hepatitis A
  3. Malaria, schistosomiasis, dracunculosis
  4. Diarrhoea, bacillary dysentery, scabies
  1. Cold chain is defined as system of :-
  1. Immunizing children and expectant mothers with a potent vaccine in the facility
  2. Maintaining vaccines in a potent state from the manufacturer to the consumer
  3. Maintaining the vaccine in a potent state in a health facility
  4. Transporting vaccines from the manufacturer to the consumer
  1. The following plasmodia develop hypnozoites :-
  1. P. Ovale, P. vivax
  2. P. Malariae, P. vivax
  3. P. malariae, P.falciparum
  4. P. Ovale, P.falciparum
  1. Green tags in disaster management means :-
  2. Victims need immediate care.
  3. Victims can wait up to 3 hrs
  4. The victims can wait up to 1hr
  5. Victims are deceased
  1. Post visit activities in home visiting :-
  2. Are done in termination phase
  3. Include sharing reports
  4. Include evaluating the client
  5. Are done during every home visit.
  1. Equity in primary health care means:-
  1. Every area should get same quantity of services.
  2. Health resources and services should be distributed to everyone fairly.
  3. All sectors should be involved in health care delivery.
  4. The community should participate in their health.
  1. A deficiency of vitamin B1 (Thiamine) causes :-
  2. Beriberi
  3. Pellagra
  4. Scurvy
  5. Pernicious anaemia
  1. A designated area where an institution is responsible for offering health services is :-
  2. Study area
  3. Target area
  4. Catchment area
  5. Sample area
  1. The fourth (4th ) millennium development goal is concerned with :-
  2. Improvement of maternal health
  3. Environmental sustainability
  4. Combating HIV/AIDs
  5. Reduction of child mortality
  1. Onchocerciasis:-
  1. Is caused by a trematode.
  2. Leads to blindness.
  3. Is spread by aedes mosquito.
  4. Microfilariae is found in blood.
  1. Diseases transmitted through the fecal-oral route include:-
  2. Poliomyelitis, mumps, typhoid
  3. Poliomyelitis, bacillary dysentery, viral hepatitis A
  4. Viral hepatitis A, amoebiasis, hydatidosis
  5. Poliomyelitis, cholera, schistosomiasis
  6. Enteric fevers are usually common at:-
  7. Start of the rains and middle of dry season
  8. Any time of the year
  9. Middle of the dry season till the end
  10. End of the dry season and at the start of the rains
  1. The migratory phase of Ascaris is associated with:-
  2. Cough, vague abdominal discomfort, pneumonitis
  3. Vague abdominal discomfort, vomiting, cough
  4. Fever, cough, allergic dermatitis
  5. Diarrhoea, fever, allergic dermatitis
  1. When using the 3 pot system for water purification,the water should be left to stand for how long before use?
  1. 24 hours
  2. 48 hours
  3. 36 hours
  4. 30 hours
  1. One advantage of longitudinal research design is that;
  1. It is cheap
  2. It allows the researcher to collect both qualitative and quantitative data
  3. Allows the researcher to observe the changes in a group under study overtime
  4. The researcher only collects data at one point in time
  1. The statement of justification of the study should show;
  1. The intentions of the study
  2. The limitations of the study
  3. Why the study is worth doing
  4. What is known about the study
  1. Exploratory research mainly involves:
  1. Testing an hypothesis to develop a theory
  2. Establishing causal relationships between variables
  3. Investigating the full nature of a phenomenon
  4. Predicting and controlling variables
  1. The accuracy and consistency of information obtained in a research study is:
  1. Randomness
  2. Reliability
  3. Validity
  4. Credibility
  1. The principle of beneficence in research ethics involves:
  1. Researcher minimising harm to maximise the benefits of the study
  2. The right to full disclosure
  3. The right to fair treatment during research
  4. The right to privacy and confidentiality

PART TWO: SHORT ANSWER QUESTIONS (40 MARKS)

  1. State three (3) benefits of integrating MCH/FP services.(3 marks)
  2. State four (4) steps in evaluation of a school health programme. (4 marks)
  3. Outline four (4) policy elements in disaster management.(4 marks)
  4. Outline the 4 Cs in management of sexually transmitted infections.(4 marks)
  5. State five (5) clinical manifestations of giardiasis (5 marks)
  6. Explain five (5) ethical considerations a community health nurse should take note of beforecarrying a community diagnosis (5 marks)
  7. State five(5) reasons for carrying out literature review in research (5 marks)
  8. Explain five(5) methods of non probability sampling (5 marks)
  9. State five (5)reasons for pre-testing a questionnaire(5 marks)

PART THREE: LONG ANSWER QUESTIONS (40 MARKS)

  1. Trachoma is a contact disease common among children.
  2. What is the causative organism of trachoma (1 mark)
  3. Explain the four (4) clinical stage of the disease progression (8 Marks)
  4. Describe the prevention and control measures of trachoma. ( 11 marks)
  1. Home Based Care is an approach adopted by Ministry of Health due to an increased need for long term care for patients with chronic illnesses
  2. State four (4) components of home based care (4 marks)
  3. Explain three (3) objectives of home based care ( 3 marks)
  4. Outline four (4) advantages of home based care to a patient (4 marks)
  5. Explain the roles of the health care team in home based care ( 9 marks)

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