On a home visit, a nurse finds a bedridden 78-year-old man with a sacral pressure sore, living alone. What is the most appropriate action?

Link him to the local palliative home-care unit

Tell neighbours to dress the sore daily

Advise admission to a medical college

Ask him to attend the PHC outpatient clinic

A community health nurse has four home visits to make in one day. Which family should she visit first?

A mother with a healthy newborn

A man with pulmonary tuberculosis

Community health: concepts, health care delivery and health team

25 Kerala PSC Staff Nurse Gr II practice questions on Community health: concepts, health care delivery and health team, part of Community Health Nursing and Nutrition. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Hard
On a home visit, a nurse finds a bedridden 78-year-old man with a sacral pressure sore, living alone. What is the most appropriate action?
1. ATell neighbours to dress the sore daily
2. BAdvise admission to a medical college
3. CLink him to the local palliative home-care unit
4. DAsk him to attend the PHC outpatient clinic
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Answer: C · Link him to the local palliative home-care unit
In Kerala, bedridden patients are cared for through the community palliative care network run by local bodies and PHCs, with regular nurse home visits. Linking him to it brings wound care, aids and follow-up to his home. A bedridden man cannot reach an OP clinic, and tertiary admission is not needed for routine care. Untrained neighbours alone cannot give safe, regular wound care, though volunteers support the team.
- A: Untrained neighbours cannot replace the trained palliative team.
- B: A medical college admission is unnecessary for routine home care.
- D: A bedridden patient cannot attend an outpatient clinic.
Question 2 · Medium
Under Kerala's Aardram Mission, primary health centres are being converted into:
1. AFirst Referral Units
2. BFamily Health Centres
3. CDistrict Hospitals
4. DTaluk Headquarters Hospitals
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Answer: B · Family Health Centres
The Aardram Mission, launched by the Kerala government in 2017, aims to make government hospitals patient-friendly. A major part is turning PHCs into Family Health Centres with longer OP hours, more staff and a focus on families and prevention. FHCs also screen for non-communicable diseases, a major problem in Kerala. Nurses play a large role in their outreach.
- A: First Referral Units are CHC-level centres with emergency obstetric care.
- C: District hospitals are a separate, higher tier.
- D: Taluk hospitals are secondary-level hospitals, not converted PHCs.
Question 3 · Easy
The committee whose 1946 report first proposed primary health centres for rural India was the:
1. AMudaliar Committee
2. BKartar Singh Committee
3. CShrivastava Committee
4. DBhore Committee
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Answer: D · Bhore Committee
The Health Survey and Development Committee, chaired by Sir Joseph Bhore, reported in 1946. It proposed integrating preventive and curative services and setting up primary health centres as the base of rural care. It also set the long-term goal of a three-tier structure. Its report is called the cornerstone of India's health planning.
- A: The Mudaliar Committee (1962) reviewed progress and advised strengthening existing PHCs.
- B: The Kartar Singh Committee (1973) proposed multipurpose health workers.
- C: The Shrivastava Committee (1975) proposed village health guides and a referral system.
Question 4 · Medium
The health department works with the water authority and the panchayat to give a village safe drinking water. This illustrates:
1. AEquitable distribution
2. BComprehensive care
3. CAppropriate technology
4. DIntersectoral coordination
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Answer: D · Intersectoral coordination
Health depends on sectors outside the health department, such as water supply, agriculture, education and housing. Intersectoral coordination means these sectors plan and act together toward health goals. Safe water and sanitation, for example, need the water and local-government departments. It is one of the four principles of primary health care.
- A: Equitable distribution concerns fair access for all groups, not cooperation between departments.
- B: Comprehensive care means combined promotive, preventive, curative and rehabilitative care.
- C: Appropriate technology concerns suitable, affordable methods.
Question 5 · Medium
A community health nurse has four home visits to make in one day. Which family should she visit first?
1. AA child with scabies
2. BA man with pulmonary tuberculosis
3. CA mother with a healthy newborn
4. DA child with chickenpox
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Answer: C · A mother with a healthy newborn
Home visits are planned so that the nurse does not carry infection to vulnerable people. Newborns, antenatal and postnatal mothers and non-infectious cases are visited first, and infectious cases last. A newborn is the most vulnerable member of this list. Chickenpox, tuberculosis and scabies are all transmissible and come later in the round.
- A: Scabies spreads by contact, so it is visited after the newborn.
- B: Tuberculosis is infectious, so this visit should follow visits to vulnerable clients.
- D: Chickenpox is highly infectious, so this home comes late in the round.
Question 6 · Hard
A rural block in plain terrain has a population of 1,50,000. Using the national norm, how many sub-centres does it need?
1. A50
2. B5
3. C15
4. D30
Answer and explanation in LearnFree account
Question 7 · Hard
A state's infant mortality is low and life expectancy high, but diabetes, hypertension and cancer now cause most deaths. This change is called:
1. ASecular trend
2. BDemographic dividend
3. CEpidemiological transition
4. DIceberg phenomenon
Answer and explanation in LearnFree account
Question 8 · Easy
India belongs to the WHO South-East Asia Region, whose regional office is in:
1. AGeneva
2. BManila
3. CCairo
4. DNew Delhi
Answer and explanation in LearnFree account
Question 9 · Medium
In UNICEF's GOBI strategy for child survival, the letter 'O' stands for:
1. AObesity prevention
2. BOral rehydration therapy
3. COxygen therapy
4. DOral polio vaccine
Answer and explanation in LearnFree account
Question 10 · Easy
The multipurpose health worker scheme, replacing single-purpose workers, was recommended by the:
1. ABhore Committee
2. BMukherji Committee
3. CChadha Committee
4. DKartar Singh Committee
Answer and explanation in LearnFree account
Question 11 · Hard
Villagers form a committee, choose latrine building as their priority, give their own labour and monitor the work. Which primary health care principle is shown?
1. AAppropriate technology
2. BEquitable distribution
3. CIntersectoral coordination
4. DCommunity participation
Answer and explanation in LearnFree account
Question 12 · Medium
All of the following are essential elements of primary health care in the Alma-Ata Declaration EXCEPT:
1. ASafe water and basic sanitation
2. BHealth insurance for hospital care
3. CImmunisation against major diseases
4. DProvision of essential drugs
Answer and explanation in LearnFree account
Question 13 · Medium
The concept that sees disease as a maladjustment of a person to the environment is the:
1. APsychosocial concept of health
2. BEcological concept of health
3. CBiomedical concept of health
4. DHolistic concept of health
Answer and explanation in LearnFree account
Question 14 · Easy
The WHO definition of health describes it as complete physical, mental and social well-being and not merely:
1. AThe ability to work and earn
2. BA long expectation of life
3. CThe absence of disease or infirmity
4. DFreedom from pain and disability
Answer and explanation in LearnFree account
Question 15 · Easy
Community participation, intersectoral coordination and equitable distribution are principles of primary health care. The fourth principle is:
1. ASpecialist referral care
2. BFree tertiary hospital care
3. CPrivate sector leadership
4. DAppropriate technology
Answer and explanation in LearnFree account
Question 16 · Medium
The Village Health, Sanitation and Nutrition Committee under NHM is usually chaired by the:
1. AASHA of the village
2. BAnganwadi worker
3. CMedical officer of the PHC
4. DElected panchayat member
Answer and explanation in LearnFree account
Question 17 · Easy
Which was the first Indian state to adopt a palliative care policy, in 2008?
1. AMaharashtra
2. BTamil Nadu
3. CKarnataka
4. DKerala
Answer and explanation in LearnFree account
Question 18 · Medium
The Community Health Officer posted at a sub-centre Ayushman Arogya Mandir is usually:
1. AThe male multipurpose health worker
2. BAn MBBS medical officer
3. CA senior ASHA promoted to the post
4. DA nurse or AYUSH graduate trained in community health
Answer and explanation in LearnFree account
Question 19 · Easy
A standard Community Health Centre under the Indian Public Health Standards has how many beds?
1. A100
2. B30
3. C6
4. D10
Answer and explanation in LearnFree account
Question 20 · Easy
In plain areas, one sub-centre (Ayushman Arogya Mandir at sub-centre level) serves a population of:
1. A1,20,000
2. B3,000
3. C5,000
4. D30,000
Answer and explanation in LearnFree account
Question 21 · Medium
Which component of the Human Development Index is absent from the Physical Quality of Life Index?
1. ALiteracy
2. BIncome (GNI per capita)
3. CLife expectancy
4. DEducation
Answer and explanation in LearnFree account
Question 22 · Medium
The Physical Quality of Life Index (PQLI) is built from infant mortality, literacy and:
1. AAccess to safe water
2. BMaternal mortality ratio
3. CPer capita income
4. DLife expectancy at age one
Answer and explanation in LearnFree account
Question 23 · Hard
A district has scaled scores (0-100) of 70 for infant mortality, 80 for literacy and 75 for life expectancy at age one. What is its PQLI?
1. A80
2. B75
3. C70
4. D225
Answer and explanation in LearnFree account
Question 24 · Easy
The Alma-Ata conference on primary health care was jointly sponsored by WHO and:
1. AFAO
2. BUNICEF
3. CUNDP
4. DWorld Bank
Answer and explanation in LearnFree account
Question 25 · Easy
The main purpose of the bag technique during a home visit is to:
1. APrevent spread of infection through the bag
2. BSave time during the visit
3. CCarry enough medicines for the family
4. DShow the family the nurse's equipment
Answer and explanation in LearnFree account

More Community Health Nursing and Nutrition questions

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Community health: concepts, health care delivery and health team

On a home visit, a nurse finds a bedridden 78-year-old man with a sacral pressure sore, living alone. What is the most appropriate action?

Under Kerala's Aardram Mission, primary health centres are being converted into:

The committee whose 1946 report first proposed primary health centres for rural India was the:

The health department works with the water authority and the panchayat to give a village safe drinking water. This illustrates:

A community health nurse has four home visits to make in one day. Which family should she visit first?

A rural block in plain terrain has a population of 1,50,000. Using the national norm, how many sub-centres does it need?

A state's infant mortality is low and life expectancy high, but diabetes, hypertension and cancer now cause most deaths. This change is called:

India belongs to the WHO South-East Asia Region, whose regional office is in:

In UNICEF's GOBI strategy for child survival, the letter 'O' stands for:

The multipurpose health worker scheme, replacing single-purpose workers, was recommended by the:

Villagers form a committee, choose latrine building as their priority, give their own labour and monitor the work. Which primary health care principle is shown?

All of the following are essential elements of primary health care in the Alma-Ata Declaration EXCEPT:

The concept that sees disease as a maladjustment of a person to the environment is the:

The WHO definition of health describes it as complete physical, mental and social well-being and not merely:

Community participation, intersectoral coordination and equitable distribution are principles of primary health care. The fourth principle is:

The Village Health, Sanitation and Nutrition Committee under NHM is usually chaired by the:

Which was the first Indian state to adopt a palliative care policy, in 2008?

The Community Health Officer posted at a sub-centre Ayushman Arogya Mandir is usually:

A standard Community Health Centre under the Indian Public Health Standards has how many beds?

In plain areas, one sub-centre (Ayushman Arogya Mandir at sub-centre level) serves a population of:

Which component of the Human Development Index is absent from the Physical Quality of Life Index?

The Physical Quality of Life Index (PQLI) is built from infant mortality, literacy and:

A district has scaled scores (0-100) of 70 for infant mortality, 80 for literacy and 75 for life expectancy at age one. What is its PQLI?

The Alma-Ata conference on primary health care was jointly sponsored by WHO and:

The main purpose of the bag technique during a home visit is to: