I

Mr. Yahya ubaid( NUπ$€)

Mr. Amjad Ali From HCON KABL
Community health nursing 8th semester
12.18..2024.sir.Imran Waheed book mcqs
Unit : 02 Diversity in CHN Role🥰🥰

Concepts Of Primary Health Care🥰

1.. Where was the Alma-Ata Conference conducted ?

a) Kazakhstan

b) Geneva

c) Paris

d) New York

2. When was the Alma-Ata Conference held ?

a) 1978

b) 1980

c) 1975

d) 1985

3.How many countries participated in the Alma-Ata Conference?

a) 134

b) 67

c) 200

d) 150

4.What was the goal of PHC defined in Alma-Ata ?

 I

a) Health for All by 2000

b) Universal Health Coverage

c) Health for All by 2020

d) Eradication of diseases

5. What are the levels of health care ?

a) Primary, Secondary, Tertiary

b) Basic, Advanced, Specialized

c) Preventive, Diagnostic, Surgical

d) Community, Hospital, Urban

6.: What is included in Primary Health Care?

a) Immunization and sanitation

b) Super-specialist care

c) Advanced surgeries

d) Genetic research

7.. What is the focus of Secondary Health Care?

a) Preventive and curative services

b) Only preventive measures

c) Super-specialist services

d) Health education campaigns

8..: What is the first referral level of care?

a) Secondary health care

b) Primary health care

c) Tertiary health care

d) Home-based care

9.. Where is Primary Health Care provided?

 I

a) Primary health centers

b) District hospitals

c) Regional institutions

d) Private clinics

10.. Where is tertiary health care provided?

a) Regional or central institutions

b) Primary health centers

c) Basic Health Units

d) Community clinics

11.: What factors influence PHC in a community?

a) Needs of residents and availability of providers

b) Geographic location

c) Socioeconomic conditions

d) All of the above

12.: What is the main goal of Primary Health Care?

a) Universally accessible and affordable essential health care

b) Specialized medical research

c) Private health care systems

d) Luxury health services

13.: What is essential for the prevention of infectious diseases?

a) Immunization

b) Curative services

c) Cosmetic surgeries

d) School health services

14.: What is one of the elements of Primary Health Care?

 I

a) Promotion of food supply and proper nutrition

b) Advanced surgical procedures

c) Genetic research

d) Cosmetic treatments

15.Which of the following is a principle of Primary Health Care (PHC)?

a) Equitable distribution

b) Privatization of health services

c) Centralized authority

d) Exclusive focus on urban health

16..: What services are included in curative care?

a) Treatment of common diseases

b) Emergency first aid

c) Laboratory services

d) All of the above

17.. . Which group is a focus of Primary Health Care?

a) Vulnerable groups

b) Only the elderly

c) Advanced research groups

d) Only hospital patients

18.. What does "affordability" in PHC refer to?

a) The cost of health services being manageable for communities

b) Only high-income populations receiving care

c) Expensive specialized medical care

d) Provision of health services to only urban areas

19..Which of the following goals was to be achieved by 2000 in PHC ?

 I

a) Reduction of infant mortality rate (IMR)

b) Increase in crude birth rate (CBR)

c) Increase in hospital admissions

d) Expansion of specialized medical treatments

20... Which strategy in PHC focuses on reducing mortality in marginalized populations?

a) Reducing excess mortality of poor populations

b) Expanding hospital facilities in urban areas

c) Focusing solely on environmental health

d) Prioritizing private health care

21.. What is a reason for slow progress in Health for All (HFA) from 1979-2006?

a) Strong political commitment

b) Insufficient political commitment

c) Effective resource distribution

d) High social equity

22. What role does PHC play in addressing health risk factors?

a) It focuses on preventive care and health promotion

b) It only provides curative services

c) It does not address risk factors

d) It exclusively focuses on technological innovations

23. Which factor affects the equity in access to Primary Health Care (PHC)?

a) Equal distribution of resources

b) Lack of political will

c) Strong inter-sectoral health collaboration

d) Balanced socio-economic development

24. What is a challenge for implementing PHC strategies?

 I

a) Misinterpretation of the PHC concept

b) Universal understanding of PHC

c) Comprehensive health coverage for all

d) Effective management of resources

25. Which of the following is NOT a common shortcoming of health care delivery?

a) Impoverishing care

b) Fragmented and fragmenting care

c) Safe care

d) Misdirected care

26..: . Which of the following is an aspect of the extended access to PHC?

a) Focus on specialized treatments

b) Concentration on Maternal and Child Health (MCH)

c) Privatized health services

d) Decreased government involvement

27.. What is an obstacle to achieving PHC goals?

a) Selective PHC strategies

b) High public awareness

c) Centralized health management

d) Strong community involvement

28..What is considered a key element of PHC reforms?

a) Universal coverage reforms

b) Fragmented delivery of health services

c) Centralized hospital-based care

d) Reduced public policy reforms

 I

29.Which of the following is NOT part of the PHC reforms?

a) Service delivery reforms

b) Public policy reforms

c) Reduced investment in health resources

d) Leadership reforms

Health Promotion 🥰🥰
1.: According to WHO (1990), health promotion emphasizes:

A) Only physical capacities

B) Political and institutional resources

C) Individual behavior

D) Social and environmental interventions

2.. What is the primary goal of health promotion?

A) Preventing health hazards

B) Increasing control over health and improving it

C) Focusing on individual behavior

D) Adding years to life

3..Which of the following is NOT included in health promotion activities ?

A) Increasing well-being

B) Disease prevention

C) Controlling diseases

D) Treating chronic diseases

3..The phrase "adding life into the years" in health promotion refers to:

A) Extending lifespan only

 I

B) Improving quality of life

C) Providing medical treatment

D) Reducing health hazards

4.Health promotion moves beyond individual behavior to include ??

A) Genetic interventions

B) Social and environmental interventions

C) Only personal habits

D) Medical treatments

5..Which of the following is a model of health promotion ?

A) Health education

B) Preventive measures

C) Health protection

D) All of the above

6..: Which of the following is a basic prerequisite for health promotion?

A) Technological advancement

B) Income and shelter

C) Medical specialization

D) Globalization

7.. Which factor is NOT considered a prerequisite for health promotion ?

A) Food

B) Peace

C) Education

D) Social media

8..: Which of the following is a healthy lifestyle choice ?

a. Smoking
 I

b. Junk food

c. Exercise

d. Alcohol

9.: What does health promotion aim to reduce ?

a. Quality of life

b. Inequalities in health

c. Healthy behaviors

d. Healthcare budgets

10..: Which is NOT a factor affecting health promotion ?

A) Political conditions

B) Environmental conditions

C) Education systems

D) Technological inventions

11. Why do we need health promotion ?

a. To promote unhealthy habits

b. To make healthier choices easier

c. To increase healthcare costs

d. To create inequalities in health

12.Which is NOT a component of an unhealthy lifestyle ?

a. Too much coffee

b. Sweets

c. Balanced diet

d. Alcohol

13.: Which strategy is used for individual-level health promotion?

a. Legislative changes
 I

b. Education counseling

c. Policy changes

d. Environmental changes

14.: What does environmental adaptation focus on?

a. Individual behavior change

b. Policy or organizational changes

c. Changes to the environment that promote health

d. Treating diseases

15. What is the main focus of health promotion?

a. Cure diseases

b. Improve quality of life

c. Promote smoking

d. Increase healthcare costs

16.: . The healthy population approach targets:

A) Only infants and children

B) All life stages and groups

C) Only adults and the elderly

D) Only individuals with chronic diseases

17.. Which of the following is NOT an area of health promotion activity?

A) Economic and regulatory activities

B) Preventive health services

C) Personal healthcare services

D) Environmental health measures

18.: Which approach focuses on individual behavior for healthier outcomes ?

A) Healthy environments
 I

B) Healthy populations

C) Healthy lifestyles

D) Community-based work

19. What are examples of a healthy lifestyle approach?

A) Building hospitals and clinics

B) No smoking, better nutrition, and exercise

C) Government subsidies for healthcare

D) Legal regulations on environmental hazards

20.. The healthy environments approach focuses on:

A) Individual decision-making

B) Social, economic, and environmental conditions

C) Healthcare service delivery

D) Preventive health education

21..Which of the following is NOT an approach to health promotion ?

A) Prevention

B) Immunization

C) Recreational activities

D) Protection laws and policies

22.: Health conditions in developing countries are influenced by:

A) Advancements in technology

B) The vicious cycle of poverty, illiteracy, and disease

C) Excessive focus on preventive health services

D) Lack of personal interest in health education

23.The first International Health Promotion Conference was held in:

a) Jakarta, Indonesia
 I

b) Ottawa, Canada

c) Bangkok, Thailand

d) Mexico City, Mexico

24. What does a holistic approach to health promotion include?

A) Physical health only

B) All four dimensions of health

C) Economic stability

D) Environmental sustainability only

25. Who plays a role in promoting health?

A) Individuals only

B) Health authorities only

C) International organizations only

D) All of the above

25.The Ottawa Charter (1986) identified how many action areas for health promotion?

a) 3

b) 4

c) 5

d) 6

26.Which health promotion conference focused on healthy public policy as a human right?

a) Ottawa, Canada (1986)

b) Australia (1988)

c) Sweden (1991)

d) Jakarta, Indonesia (1997)

27.: Which conference addressed issues related to globalization and public-private partnerships?

a) Sweden (1991)
 I

b) Jakarta, Indonesia (1997)

c) Ottawa, Canada (1986)

d) Bangkok, Thailand (2005)

28. According to the Ottawa Charter, one of the five action areas for health promotion is to:

a) Develop industrial infrastructures

b) Strengthen community action

c) Focus only on rural health

d) Limit personal responsibility for health

29.: The concept of supportive environments and links with sustainable development were discussed in:

a) Mexico City, Mexico (2000)

b) Sweden (1991)

c) Jakarta, Indonesia (1997)

d) Bangkok, Thailand (2005

30.: What is key to creating a supportive environment?

a) Protecting the natural environment

b) Increasing smoking rates

c) Ignoring health policies

31.: Health promotion for individuals includes:

a) Avoiding medical advice

b) Early check-ups

c) Ignoring healthy lifestyles

32.: Double burden of disease means:

a) Managing infectious and chronic diseases

b) Ignoring health problems

c) Focusing only on hospitals

 I

33.. A major challenge in developing countries is:

a) Poverty

b) High literacy

c) Political stability

34..: Reorienting health services focuses on:

a) Primary prevention

b) Only curative care

c) Reducing health knowledge

35.. QOL is assessed by:

a) Questionnaires

b) Marketing campaigns

c) Housing only

36..: Strengthening community action involves:

a) Community decision-making

b) Avoiding participation

c) Focusing only on doctors

37..: WHO defines QOL as:

a) Living happily and meeting goals

b) Increasing tobacco use

c) Focusing on housing only

38.: Reorienting health services means:

a) Focusing on prevention

b) Only curative care

c) Ignoring health education

39.: Poor health literacy leads to:

 I

a) Difficulty in promoting health

b) Better health behavior

c) Increased education

Early Childhood Care And Development 🥰

1..What is the critical phase for lifelong health, learning, and well-being ?

A) Adolescence

B) Adulthood

C) Early Childhood

D) Middle Age

2.: Community health nursing promotes early childhood development by:

A) Treating chronic illnesses

B) Conducting developmental assessments

C) Hospitalizing all children under five

D) Providing medication only

3..: According to WHO, early childhood spans from conception to:

A) 2 years

B) 5 years

C) 8 years

D) 12 years

4.. Globally, what percentage of children under five are at risk of not fulfilling their full potential ?

A) 25%
 I

B) 43%

C) 60%

D) 75%

5..: Which of the following is NOT a consequence of inadequate early childhood care?

A) Lower cognitive outcomes

B) Increased executive functioning

C) Lower academic performance

D) Dropping out of school

6.: Which of the following is NOT a developmental skill during early childhood?

A) Motor skills

B) Cognitive skills

C) Financial skills

D) Socio-emotional skills

7..: Which of the following is a common risk in the first five years of development?

A) Malnutrition

B) Lead exposure

C) Maternal depression

D) All of the above

8.: Stunting in early childhood is caused by:

A) Lack of education

B) Chronic malnutrition

C) Overfeeding

D) Excessive physical activity

9.: Which is NOT a role of Community Health Nurses in ECCD?

A) Immunizations and Preventive Care

 I

B) Conducting health monitoring

C) Performing surgeries

D) Supporting vulnerable families

10. Which sector is primarily responsible for nurturing care during early years?

A) Health and Nutrition

B) Education

C) Law and Order

D) Environmental Protection

11.: What age range does the Nurturing Care Framework focus on?

A) Pregnancy to 5 years

B) Birth to 8 years

C) Pregnancy to 8 years

D) Birth to 12 years

12.: The child-focused approach in ECCD aims to:

A) Stimulate children’s psychosocial development

B) Train only parents

C) Increase family income

D) Focus on adult education

13.: Parent-focused approaches in ECCD aim to improve:

A) Mother-child interaction

B) Parental attitudes

C) Behavior management

D) All of the above

CHILD TO CHILD APPROACH 🥰🥰

 I

1. The Child-to-Child Approach is:

A) A way for children to share toys

B) An educational process linking children’s learning with health promotion

C) A method for teaching only adults

D) A formal school curriculum

.2.: What is the ultimate aim of the Child-to-Child concept?

A) To improve academic grades

B) To promote health and well-being

C) To train healthcare workers

D) To increase population growth

3.: The first major Child-to-Child project, 'Little Teacher Program,' started in:

A) Uganda

B) Botswana

C) India

D) Kosovo

4.: The Child-to-Child Approach helps children learn:

A) Advanced medical techniques

B) Simple preventive and curative measures

C) Farming skills

D) Complex economic theories

5.: The Child-to-Child Trust was established in:

A) 1979

B) 1988

C) 1999

D) 2014
 I

6.: Who benefits the most from the Child-to-Child approach?

A) Doctors

B) Young children and children with special needs

C) Wealthy families

D) Teachers only

7.: The Child-to-Child Approach is based on:

A) Educating children only

B) Developing children’s health knowledge and changing behaviors

C) Focusing only on adults’ health

D) Providing curative treatment only

8. What is the main idea of Child-to-Child?

A) Health is the responsibility of everyone, including children

B) Health education is only for adults

C) Children cannot learn about health

D) Health is the sole responsibility of doctors

9.: One objective of the Child-to-Child Approach is:

A) To improve children’s health and development through enjoyable activities

B) To train doctors

C) To focus on academic studies only

D) To increase population density

10.: What is the first step in the Six-Step Approach?

A) Taking action

B) Choosing the right health idea

C) Sustaining the action

D) Evaluating activities
 I

11. Child-to-Child activities should be:

A) Fun, do-able, and important

B) Complicated and expensive

C) Strict and boring

D) Only for adults

12.: In Step 2, children learn by:

A) Playing games only

B) Conducting surveys, interviews, and observations

C) Ignoring the topic

D) Watching TV

13.: In Step 3 Approach children:

A) Plan actions based on their findings

B) Skip the topic

C) Learn advanced health theories

D) Work independently without guidance

14..: What happens in Step 4 Approach ??

A) Children implement activities in their families and communities

B) Activities are postponed

C) Children leave the task to adults

D) No actions are taken

15.: Which of the following is an active method used in the Child-to-Child approach?

A) Drama, stories, and games

B) Advanced medical training

C) Memorizing theoretical concepts

D) Only reading textbooks

 I

: SCHOOL HEALTH 🥰🥰
1.: School health focuses on:

a. Physical health only

b. Mental health only

c. Complete physical, mental, social, spiritual wellbeing

d. Only disease prevention

2.... NASN stands for ??

a. National Association of Student Nurses

b. National Association of School Nurses

c. National American School Nursing

d. None of the above

3.: NASN was founded in:

a. 1965

b. 1968

c. 1970

d. 1980

3..: The headquarters of NASN is located in:

a. Canada

b. UK

c. USA

d. Germany

4..: How many member states were initially affiliated with NASN ?

a. 40

b. 42
 I

c. 48

d. 50

5.: School health nursing is a specialized practice aimed at:

a. Promoting academic success

b. Promoting the health and wellbeing of students

c. Immunizing children only

d. Treating infectious diseases

6.. A school health nurse must have expertise in:

a. Pediatric nursing

b. Public health nursing

c. Mental health nursing

d. All of the above

7..The primary role of a school nurse is to:

a. Serve as a link between school, family, and healthcare providers

b. Replace teachers in the classroom

c. Organize extracurricular activities

d. Perform surgeries

8.. Services provided by school health nurses include:

a. Case management of chronic diseases

b. Health promotion education

c. Monitoring school immunizations

d. All of the above

9..: Dental caries is an example of:

a. Infectious disease

b. Skin disease
 I

c. Chronic condition

d. Oral health issue

10.: Which is NOT a common health problem among school children ?

a. Malnutrition

b. Intestinal parasites

c. Genetic disorders

d. Dental caries

11. Functions of the school health team include:

a. Assessing school health needs

b. Planning and organizing activities

c. Evaluating health programs

d. All of the above

12..Members of the school health team include all EXCEPT:

a. Parents

b. Students’ representatives

c. Community members

d. Police officers

13. The school principal ensures:

a. School health programs are supported

b. Students take exams on time

c. Teachers organize sports events

d. None of the above

14.. The principal is responsible for:

a. Setting up a school health committee

b. Conducting medical examinations

 I

c. Referring students for treatment

d. Teaching health education

15.. Teachers must also:

a. Refer children with problems to the school health clinic

b. Organize extracurricular activities

c. Monitor teachers’ attendance

d. Conduct vaccination drives

16...: Parents help by:

a. Providing health history of the child

b. Teaching classes

c. Managing school health programs

d. Conducting medical examinations

17.. Community members motivate parents to:

a. Send children to school

b. Conduct physical exams

c. Administer vaccinations

d. Plan school events

18... Parents participate in:

a. Follow-up care for their children

b. Organizing sports events

c. Inspecting school facilities

d. Counseling other children

19... The community contributes by:

a. Providing land for school buildings

b. Supervising school nurses

 I

c. Organizing field trips

d. Teaching students

20..: Medical officers diagnose students and:

a. Prescribe treatment

b. Organize sports

c. Evaluate teachers

d. Conduct research

22.: Medical officers ensure:

a. Maintenance of health records

b. Delivery of academic lectures

c. Transportation for students

d. Counseling teachers

23...: Health promotion by school nurses includes:

a. Immunization

b. Conducting exams

c. Cleaning classrooms

d. Managing student activities

24... The school nurse provides:

a. First aid for injuries

b. Counseling for students

c. Health education

d. All of the above

: Disaster Management 🥰🥰🥰

1..The word "disaster" originates from which language?
 I

A) French

B) Italian

C) Greek

2..: What percentage of Pakistan’s area is prone to droughts ?

A) 60%

B) 68%

C) 8%

D) 50%

3.: Disasters may have which of the following features ?

A) Predictability

B) Speed and urgency

C) Familiarity

D) Stability

4.: Disasters are defined as occurrences that cause:

A) Economic growth

B) Environmental disturbance and loss of life

C) Social development

D) Population increase

5..: Avalanches are examples of which natural disaster subtype ?

A) Meteorological

B) Hydrological

C) Geophysical

D) Biological

6.: Epidemics fall under which type of natural disaster ?

A) Geophysical
 I

B) Biological

C) Climatological

D) Hydrological

7.: A Level III disaster exceeds the capacity of:

A) Local resources

B) Neighboring agencies

C) Local community or region

8.: . A Level I disaster can be managed by:

A) External national agencies

B) Local resources

C) International organizations

D) Federal assistance

9.: . A Level II disaster requires:

A) Only internal resources

B) Nearby external assistance

C) State-level assets

D) Global resources

10..h: Risk can be expressed as:

A) Hazard ÷ Vulnerability

B) Hazard × Vulnerability

D) Hazard + Capacity

11..: Public education and awareness fall under which phase of disaster management ?

A) Mitigation

B) Recovery

C) Response
 I

D) Preparedness

12..: Triage is the process of:

A) Choosing patients for surgery

B) Prioritizing patients based on their needs

C) Treating only severely injured patients

D) Transporting all patients simultaneously

13..: Restoring telecommunications is part of which phase?

A) Preparedness

B) Recovery

C) Mitigation

D) Response

14.. The word "triage" is derived from which language ?

A) French

B) Latin

C) Italian

D) Greek

15..: Which triage category is described as "walking wounded ?

A) Red

B) Yellow

C) Green

D) Black

16.. Which color code is given to expectant patients in triage?

A) Red

B) Yellow

C) Black
 I

D) Green

17..: Disaster preparedness involves educating:

A) Only healthcare providers

B) Local populations

C) Government officials only

D) Experts and responders

18. Class I patients are given which color code ?

A) Red

B) Yellow

C) Black

D) Green

19..: Nurses play a role in disaster preparedness by:

A) Triage and risk assessment

B) Ignoring public health needs

C) Reducing only physical damage

D) Preventing all hazards

20.: One of the nurse's key responsibilities during disasters is to:

A) Establish priorities

B) Ignore collaboration

C) Focus only on individual care

D) Avoid communication

National and international Roles Of CHN🥰🥰

1..: What is the primary focus of community health nursing ?

a) Curative care
 I

b) Preventive and promotive care

c) Emergency services

d) Specialized hospital care

2..: What is a key skill required for community health nurses ?

a) Critical thinking

b) Advanced surgical techniques

c) Pharmacology expertise

d) Financial management

3.. What is a primary role of the CHN as a health educator?

a) Treating illness

b) Promoting healthy behaviors

c) Organizing financial resources

d) Supervising nurses

4..: Where can community health nurses provide care ?

a) Hospitals only

b) Clinics only

c) Homes, schools, workplaces

d) Laboratories

5.. What is an example of an advisor role in CHN?

a) Conducting surgeries

b) Advising diabetic clients on diet

c) Managing hospital records

d) Developing national policies

6..: What is a sensitive observer's responsibility in CHN?

a) Identifying disease outbreaks

 I

b) Operating medical equipment

c) Performing surgeries

d) Creating vaccines

7..: What is the role of the CHN as a counselor ?

a) Diagnosing illness

b) Helping families find solutions to problems

c) Providing financial aid

d) Supervising community clinics

8..: What is evaluated by CHNs in their care manager role?

a) Policy implementation

b) Effectiveness of care

c) Medical equipment usage

d) Financial expenditures

9.. What is a primary intervention for communicable diseases?

a) Public health outreach programs

b) Intensive care treatment

c) Economic subsidies

d) Advanced genetic studies

10.. What is emphasized in the era of chronic long-term conditions?

a) Surgical advancements

b) Lifestyle changes

c) Eradication of infectious diseases

d) Environmental safety

11..: What do CHNs address in the era of social conditions?

a) Inequalities in healthcare access

 I

b) Advanced medical research

c) Scientific innovation

d) Medical device development

__________second unit CHN 8th semester _________________