AMREF VIRTUAL TRAINING SCHOOL
KRCHN UPGRADING PROGRAMME
MARCH 2013 ENM CLASS
SUPPLEMENTARY EXAMINATION MODULE 3
DATE: FRIDAY 10th OCT. 2014.
TIME ALLOWED: 3 Hours
TIME: 9:00PM-12:00 PM
INSTRUCTIONS TO CANDIDATES:
1. Read the questions carefully and answer only what is asked.
2. ENTER YOUR ADMISSION NUMBER on each sheet of paper used.
3. All questions are compulsory.
4. For part I MCQs, answers to these questions MUST be written in the capital form e.g. A
not “ a”
5. For Part II (SHORT ANSWER QUESTIONS)
Answers to these questions should follow each other on the provided sheets of paper.
6. For part III, essay Questions, answer to each question must be on separate sheet of
paper.
7. 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.
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PART ONE: MULTIPLE CHOICE QUESTIONS ( 20 MARKS)
1. A deficiency of vitamin B1( Thiamine) causes:a. Pernicious Anemia
b. Pellagra
c. Scurvy
d. Beriberi
2. A part from tuberculosis, BCG vaccine also protects a person against :a. Leprosy
b. H1N1 influenza
c. Pulmonary histoplasmosis
d. Mycoplasma pneumonia
3. Non-essential amino acids:a. Do not meet nutritional needs of the body
b. Are incomplete protein molecules
c. Can be synthesised by the body
d. Are derived entirely from vegetables
4. The vaginal discharge in trichomoniasis is:a. Greenish, foamy, foul smelling
b. Whitish, scanty, foul smelling
c. Whitish, cheese like, purulent
d. Profuse, yellowish, foamy
5. A diagnosis of dental carries is made when a client has:a. Painful inflamed gums, loose teeth
b. Bleeding gums, loose teeth
c. Plaque on teeth, tooth pain
d. Tooth pain, bleeding gums
6. An example of a disease that does not pass from human to human is:a. Tuberculosis
b. Diphtheria
c. Tetanus
d. Malaria
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7. Water related diseases include:a. Typhoid, Malaria, cholera
b. Malaria, typhoid , schistosomiasis
c. Cholera, schistosomiasis, dysentery
d. Malaria, schistosomiasis, onchocerciasis
8. When health care is geographically and financially within easy reach to the entire
community the service is said to be:a. Available to the community
b. Acceptable to the community
c. Accessible to the community
d. Affordable to the community
9. The Aedes aegypti is associated with:
a. Yellow fever
b. Relapsingfever
c. Leshmeniasis
d. Drancunculosis
10. Condylomata acuminate causes,
a. Balanitis
b. Lymphogranuloma venereum
c. Venereal warts
d. Herpes genitalis
11. Principles of community health nursing include,
a. Prioritising on curative and preventive aspects of health.
b. Minimising vertical programs
c. Centralisation of activities.
d. Utilizing of only health professionals in health care delivery.
12. Yellow fever vaccine is,
a. A live attenuated vaccine
b. Given subcutaneously
c. Contraindicated in asymptomatic HIV infection
d. Not contraindicated in pregnancy
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13. The extent to which a research tool measures what it is intended to measure is
called;
a.
b.
c.
d.
Correlation
Reliability
Inference
Validity
14. The ethical principle that requires that a researcher describes the nature of the
study to participants is;
a. Non maleficence
b. Beneficence
c. Full disclosure
d. Self determination
15. A hypothesis is;
a.
b.
c.
d.
The possible application of research results
Measure of degree of relationships between the variables under study
A statement of the predicted relationship between variables under study
Factors that are generally accepted as true
16. The most frequently occurring score in a distribution is the;
a.
b.
c.
d.
Mean
Mode
Median
Average
17. One of the disadvantages of closed ended questions in a questionnaire is;
a.
b.
c.
d.
Construction of the questionnaire is time consuming
Recording of responses takes time
There is lack of objectivity
Researcher gets varied responses across participants
18. Cluster sampling requires that;
a. The population be divided into groups
b. The proportion of population be identified
c. Every nth element from the population be selected
d. All subjects in the population do not have equal chance of being selected
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19. The logical order of the components of a research report is;
a. Abstract , title, introduction, literature review, methodology, results, discussion
b. Title, abstract, introduction, literature review, methodology, results, discussion
c. Introduction, title, abstract, literature review, methodology, results, discussion
d. Title, abstract, introduction, literature review, methodology, discussion, results
20. The problem statement in a research proposal shows;
a. The duration of the study
b. The design of the study
c. The issue to be investigated
d. Why the study is worthy doing
PART TWO SHORT ANSWER QUESTIONS (40 MARKS)
1. With the aid of a diagram, illustrate the life cycle of Taenia saginata (5 marks )
2. Outline five (5) characteristics of communicable diseases (5 marks)
3. State six (6) goals of triaging in disaster management ( 6 marks)
4. Explain four (4) components of home based care (4 marks)
5. State four (4) functions of a community (4 marks)
6. State five (5) advantages of interview as a data collection method (5 marks)
7. Explain five (5) sources of literature for research studies (5 marks)
8. State three (3) characteristics of a true experiment (3 marks)
9. List six (6) ways of disseminating research studies (3 marks)
PART THREE LONG ANSWER QUESTION (40 MARKS)
1. You have been contracted to design a school health programme for a school in
Magomeni County.
a. Explain five (5) needs of a school child
(5 marks)
b. Describe the activities you will include in the package of the programme (15 marks)
2. You are a nursing officer in charge of a health centre in County X where there is
cholera outbreak.
a. State two (2) characteristics of causative agent for cholera. (2marks)
b. Explain how you would manage the outbreak. (13marks)
c. State five (5) differences between cholera and food poisoning. (5marks)
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