PUBLIC HEALTH OBJECTIVES

1. The following are the causes of maternal mortality EXCEPT

A) malnutrition B) infections C) puerperal psychosis D) obstructed
labour

2. Which of the following is NOT the best preventive measures of maternal death.

i. Accessibility to reproductive and child health services

ii.Immunization against tetanus
iii. Ensure septic abortions

A. iii only
B. i, ii only
C. i, only
D. ii only

3. An example of harmful cultural practice which needs to be abolished by community

members include:
A. Prolong breast feeding
B. Marriages
C. Washing hands after greeting friends
D. Pepper enema
E.
4. At the child welfare clinic, the following duties are usually performed EXCEPT
A. Registration
B. Treatment of minor ailments
C. Delivery of babies and antenatal services
D. Family planning and other reproductive health services

5. Functions of the public health nurse (PHN) include:

i. Immunization
ii. Prevention and control of communicable disease
iii. Reproductive and child health services
iv. Disease surveillance

A. i, only
B. i, ii, iii only
C. ii, iii, iv only
D. i, ii, iii, iv
6. In an attempt to educate a teenage mother who attends CWC about importance of
immunization, which one of the following is NOT important to talk about ?

A. it provides immunity and protection against specific diseases

B. it promotes health
C. it prevents deformities and disabilities such as deafness and paralysis
D. it promotes family planning services

7. The correct formula for calculating infant mortality is:

A. IM = No. of deaths of infants x 100
No. of live births in mid-year
B. IM = No. of deaths of infants x 1000
No. of live births in year
C. IM = No. of deaths of infants x 100
No. of live births in year
D. IM = No. of deaths of infants x 1000
No. of live births in mid-year

8. To ensure reduction in infant mortality in the community; you need to :

i. Improve antenatal and obstetric services

ii. Provide good nutrition for mother and child
iii. Encourage exclusive breast feeding
iv. Discourage family planning practices

A. i, ii, iii only

B. i, ii, iii, iv
C. ii, iii, iv only
D. i, ii, iv only

9. As public health nurse, which of the following reasons will you NOT consider when
there is high infant mortality in your community?

A. Poor antenatal services

B. Easy accessibility to services
C. Infections
D. Lack of immunization

10. The purpose of home visit includes:

i. Follow – up of discharge cases

 ii. Tracing of contacts
iii. To offer services to clients in the community
iv. Case finding

A. i, ii only
B. i, ii, iii only
C. i, ii, iii, iv
D. none of the above

11. The following are requirement to carry out routine home visit EXCEPT
A. Transportation
B. Water
C. Methylated spirit
D. A small note book

12. Clients commonly nursed at home include;

i. The aged
ii. Severe psychotic patient
iii. HIV/AIDS patients
iv. Diabetes mellitus patients

A. i, ii only
B. ii, iii, iv only
C. i, iii, iv only
D. i, ii, iii, iv

13. The advantages of home visit include:

A. It offers the opportunities to give health education to clients

B. It affords the opportunity to teach client, using her items
C. The nurse meets the client in his or her real home situation
D. Other clients benefit from the visit

14. Occupational hazards to the nurse include the following EXCEPT

A. Sexual harassment
B. Chemical toxicity
C. Exposure to radiation and other carcinogenic substance
D. Injuries from snake bite

15. The role of the nurse in promoting the health of the worker include the following
EXCEPT
 A. Health education
B. Identification of health hazards and notification of authorities for remedy
C. Performing minor surgeries
D. Liaise with management to provide better condition of service for mothers

16. The components of primary health care include:

i. Provision of good sanitation and potable water

ii. Promotion of food production and good nutrition
iii. Immunization
iv. Traditional medicine

A. i, ii, iii only

B. i, ii, iii, iv
C. ii, iv only
D. i, iii, iv only

17. The three levels of primary health care in correct order are:
A. Level A, B, C
B. Level B, A, C
C. Level C, B, A
D. Level C, A, B

18. The functions of the community clinic attendance include:

A. Health education
B. Treatment of major diseases and injuries
C. Manages normal deliveries
D. Manages pregnancies

19. The function of TBA include the following EXCEPT

A. Manages simple pregnancies and refer and refer complicated ones to level C
B. Manages normal deliveries
C. Keeps records on births and referrals
D. Treats simple cases

20. Which of the following is not a function of community Based Health Planning and
Services (CHPS)?
A. Community consultation on health needs
B. Prioritization of identified health needs
C. Performs minor surgeries
 D. Health education

21. The system for maintaining vaccines in their potent state from the manufacturer to the
community is called
A. Cold chain system
B. Vaccine carrier system
C. Cold box system
D. Chain of distribution

22. The required temperature to maintain the potency of the vaccines is between
A. O ◦C – 4 ◦C
B. O ◦C – 8 ◦C
C. -1 ◦C – 7 ◦C
D. O ◦C – 10 ◦C

23. What is the age for first dose of BacilleCalmette Guerin (BCG)?
A. At birth
B. 6 weeks
C. 10 weeks
D. 14 weeks

24. What is the age for the first dose of measles?

A. 6 months
B. 4 months
C. 10 months
D. 9 months

25. The age for yellow fever vaccine is:

A. 10 months
B. 3 months
C. 6 months
D. 9 months

26. The age for first dosage of Pentavalent Vaccine is:

A. 4 weeks
B. 10 weeks
C. 6 weeks
D. 14 weeks

27. The process of creating artificial immunity by administering a vaccine to an individual to

offer a protection against specific diseases in the person is called:
 A. Vaccination
B. Immunization
C. Injection
D. Medication

28. The immunity offered to an individual through the introduction of a vaccine in which the
individual’s blood plays on role in the production of the antibiotics is called

A. Artificially acquired passive immunity

B. Artificially acquire active immunity
C. Naturally acquired passive immunity
D. Naturally acquired active immunity

29. The components of the school health services include the following EXCEPT
A. School hygiene
B. Dental services
C. Mental health services
D. Maternal health services

30. Select the correct steps you will follow during personal hygiene inspection

i. Observe the general behavior of the children as they wait for their turn.
ii. Instruct pupils to strip themselves behind the screen
iii. Welcome parents / guardians and pupils and offer them seats
iv. Give a brief education on the inspection

A. i, ii, iv, iii

B. iii, iv, ii, i
C. iii, I, ii, iv
D. ii, I, iii, iv

31. Criminal or antisocial conduct commonly found in Juveniles is termed

A. Personality problem
B. Bad behavior in children
C. Child delinquency
D. Deviant

32. Effects of delinquency on the society include:

i. increase criminal and antisocial activities

ii. teenage pregnancy
 iii. childlabour
iv. poor environment hygiene

A. i, ii, iii only

B. i, ii, iv only
C. ii, iii, iv only
D. i, ii, iii, iv

33. The areas of care for the aged include the following EXCEPT
A. Personal hygiene
B. Physical / medical care
C. Nutritional care
D. Marital care

34. Functions of the family include:

i. Reproduction / procreation
ii. Provision of emotional, economic and social support
iii. Maintenance of law and order through respect for cultural norms
iv. Ensures disputes are sent to law court for settlement

A. i, ii, iii, iv
B. i, ii, iii, only
C. i, ii, iv only
D. ii, iii, iv only

35. Problems that could affect the family structure include:

i. Ill health
ii. Death of a member
iii. Fertility
iv. Divorce or separation

A. i, ii, iii only

B. i, ii, iii, iv
C. i, ii, iv only
D. i, iii, iv only
36. The incubation period of Dracunculiasis is

A. 5 – 10 months
B. 9 – 12 months
 C. 12 – 15 months
D. 8 – 16 months

37. In life cycle of the dracunculusmendinesis, when water containing the Cyclopes is drunk,
which substance acts on it to release larvae in the stomach?

A. Sodium chloride
B. Gastric juice
C. Potassium juice
D. Salivary juice

38. Intestinal schistosomias is caused by the following EXCEPT:

A. S. Mansoni
B. S. Japonicum
C. S. Mekongi
D. S. Haematobium

39. Preventive measures of schistosomiasis (Bilhaziasis) include the following EXCEPT:

A. Portable water must be supplied

B. People treated with praziquantel can swim in the water
C. The water must be boiled before bathing
D. Foot stand must be constructed over the water for people to stand and fetch

40. Components of reproductive health include:

i. Family planning
ii. Prevention and treatment of STD’s including HIV/AIDS
iii. Encouragement of traditional cultural practices
v. Safe motherhood

A. i, ii, iii, iv
B. i, ii, iv only
C. ii, iii, iv only
D. i, ii, iii only

41. Factors influencing the adoption of the safe motherhood initiative include:

i. High maternal morbidity and mortality

ii. High literacy rate of women
iii. Malnutrition
 iv. Physical abuse of women

A. i, ii, iii only

B. i, ii, iii, iv only
C. I, iii, iv only
D. I, ii, iv only

42. Madam Yaa Mansah 35 years with six children has opted for family planning. The
reasons for this decision include:

i. Prevent unwanted pregnancies

ii. Prevent infertility
iii. Space births
iv. Delay or end child – bearing where desired

A. i, ii, iv only
B. i, iii, iv only
C. i, ii, iii, iv
D. ii, iii, iv only

43. The advantages likely to be enjoyed by Madam Yaa Mansah from adopting family
planning include:

i. Prevents maternal morbidity and mortality

ii. Prevents wanted pregnancy
iii. It makes the mother relaxes and enjoys a happy home

A. ii, iii only

B. i, ii, iii only
C. i, iii only
D. i, iii only
E. i, ii only

44. Advantages of family planning to the family include:

i. Able to mobilize resources to supply the needs of the home

ii. Enjoys a happy home
iii. Creates interest in family matters from the father
iv. More family commitments by attending regular hospital appointment with mother and
child
 A. i, ii, iii only
B. i, ii, iii, iv
C. i, iii, iv only
D. ii, iii, iv only

45. Benefits obtain from family planning by the nation include all EXCEPT:

A. Improves standard of living in the society

B. Prevents over population
C. Increases balance of payment deficit to the government
D. It reduces crime rate

46. Identify the artificial family planning method among the following:
A. Symptothemal
B. Billings method
C. Diaphragm and caps
D. Lactating Amenorrhoea Method (LAM)

47. Identify which one of the following family planning methods is NOT a hormonal.
A. Norplant
B. Injectables
C. Spermicides
D. Oral pills

48. In an attempt to identify a woman who needs urgent advice or counseling on family
planning, which factors will you consider as an indications for family planning?

i. Women with bad obstetrical history

ii. Women with HIV/AIDS
iii. Multiparous women with 4, children all dead
iv. Very poor mothers

A. i, ii, iv only
B. i, ii, iii, iv
C. ii, iii, iv only
D. i, iii, iv only

49. Mrs. Doris Oppong tells you, that she wants to wean her 7 months old. What factors will
you consider before advising her on weaning?

i. Age of child
 ii. Availability of feed
iii. Weight of baby
iv. The sex of the baby

A. i, ii, iii, iv
B. i, ii, iv only
C. i, iii, iv only
D. i, ii, iii only

50. Which one of the following is NOT a problem of weaning?

A. Under weight
B. Separation of mother from child
C. Vomiting
D. Refusal of feed by child

51. Child survival strategies involve:

A. Growth monitoring
B. Breast – feeding
C. Immunization
D. Sex education

52. Factors militating against child survival strategies include:

i. Poverty
ii. Ill health of mother
iii. Good governance
iv. Taboo

A. i, ii, iii, iv
B. i, ii, iv only
C. ii, iii, iv only
D. i, ii, iii only

53. As a public health nurse, you have been asked to give a health talk on effects of poor
sanitation on the individual. What effects will you consider important?

i. Outbreak of communicable diseases

ii. Pollution of water and air
iii. Breeding of mosquitoes and malaria infestation
iv. Flooding, due to chocked gutters
 A. i, ii, iv only
B. ii, iii, iv only
C. i, ii, iii, iv
D. i, ii, iii only

54. Which one of the following is a major sign and symptom of HIV/AIDS?
A. Persistent or intermittent cough for more than a month
B. Recurrent herpes or shingle
C. Persistent or intermittent fever for more than one month
D. Oropharyngeal candidiasis

55. The recommended diagnostic investigation for pulmonary Tuberculosis include:

i. Sputum smear for AFB test

ii. Blood for ESR and FBC
iii. Chest X – ray

A. i only
B. ii, iii, only
C. iii only
D. i, ii, iii

56. The predisposing causes of T.B include:

i. Malnutrition
ii. Over crowding in rooms
iii. Educational background
iv. Occupation
v. Poor personal and environmental hygiene
vi. Excessive smoking and or alcoholism

A. i, ii, iii, iv and v are true

B. all are true
C. i, ii, iv, v, vi only
D. i, ii, iii, iv, v only

57. As a Public Health Nurse, what will you consider important when ask to educate a
community about prevention and control of T.B

i. Provision of good accommodation and ventilation

 ii. Provision of good nutrition
iii. Discouraging harmful lifestyle such as smoking, alcoholism.
iv. Encouraging periodic medical examination for all persons
v. Keeping environment clean
vi. Avoid immunization against T.B when there is an outbreak

A. i, ii, iii, iv only

B. all are true
C. i, ii, iii, iv, v only
D. i, ii, iii, iv only

58. Protein calorie malnutritional conditions include the following EXCEPT:

A. Marasmus
B. Kwashiorkor
C. Marasmic – kwashiorkor
D. Kwashiorkor – marasmus

59. What will you tell a teenage mother of two about predisposing causes of marasmus?

i. Poor weaning practices

ii. Immunization
iii. Sudden separation of child from mother
iv. Ignorance of parents
v. Foods taboos

A. i, ii, iii, v only

B. I, ii, iii, iv ony
C. All are true
D. i, iii, iv, v only

60. What signs and symptoms will you ask a teenage mother to look out for when educating
her about marasmus?

i. Growth retardation
ii. Muscles wastage
iii. Wrinkled skin
iv. Poor appetite
v. Anaemia

A. All are true

B. i, ii, iii, iv only
 C. i, ii, iii, v only
D. ii, iii, iv, v only
61. Akua Dansowaa, a teenage mother of two has reported to you for advice on how to
identify whether her children have developed kwashiorkor. What signs and symptoms
will you ask Akua to look for?

i. Growth failure
ii. Muscle wasting not visible due to oedema
iii. Good appetite
iv. Diarrhoea
v. Child becomes apathetic and irritable
vi. Anaemia

A. i, ii, iii, iv only

B. i, ii, iv, v only
C. all are true
D. i, ii, iii, v only

62. You have been asked by the District Director of Health to educate mothers about home
accidents. Identify the various types of home accident you will talk about.

i. Drowning
ii. Falls
iii. Cuts and lacerations
iv. Burns and scalds
v. Piercing
vi. Poisoning
vii. Death

A. i, ii, iii, iv only

B. all are true
C. i, ii, iii, iv, v, vi only
D. i, ii, iv, v, vi only

63. What will you tell the mothers about the predisposing causes of home accidents?

i. Negligence
ii. Carelessness
iii. Overcrowding
iv. Facilities for heating and cooking kept at the appropriate place
v. Child not supervised during play
 A. i, ii, iii, v only
B. i, ii, iii, iv only
C. all are true
D. i, ii, iv, v only

64. Which of the following parasites accounts for the highest malaria cases in Ghana?
A. Plasmodium ovale
B. Plasmodium vivax
C. Plasmodium falciparum
D. Plasmodium malariae

65. Why is malaria a problem to the nation?

i. it rates as one of the highest causes of morbidity and mortality in the country
ii. it affects pregnant women
iii. it is the leading cause of death among children under five (5)
iv. it affects the labour force and therefore affects output
v. There is emergence of potent ant-malaria drugs to cure P. flaciparum at once.

A. i, ii, iii, iv only

B. i, ii, iii, v only
C. i, iii, iv, v only
D. all are true

66. The consequences of rapid population growth in Ghana include:

i. Poor environmental hygiene

ii. Over crowding
iii. Unemployment and poverty
iv. Child delinquency
v. Child labour
vi. Increased social vices
vii. High productivity

A. All are true except ii

B. All are true except vi
C. All are true except i
D. All are true except vii

67. Which of the following is NOT a factor in determining food habits?

 A. Taboos
B. Educational and immunization status
C. Economic status
D. Cultural background

68. What are the various types of handicaps and disabilities in Ghana?

i. Physical disability and handicap

ii. Mental handicap
iii. Social disability and handicap
iv. Psychological disability and handicap

A. i, ii, iii only

B. i, iii, iv only
C. ii, iii, iv only
D. i, ii, iv only

69. Which of the following is NOT a type of rehabilitation?

A. Industrial rehabilitation
B. Social rehabilitation
C. Medical rehabilitation
D. Psychological rehabilitation

70. Among the problems face by adolescent are as below; which one of the following is least
important to consider?
A. Drug abuse
B. Teenage pregnancy
C. Abortion
D. Marriage/relationship

71. Health programmes for the youth include:

i. Reproductive health
ii. Health education
iii. Immunization
iv. Career opportunities
v. School health services
vi. Medical services

A. i, ii, iii, and iv are true

B. all are true
 C. all except iv, are true
D. none of them is true

72. Leprosy is a chronic infectious disease of the skin, peripheral nerves, with incubation
period of about
A. Five years
B. Two years
C. Five months
D. Ten years

73. Complications of leprosy include:

i. Blindness
ii. Contractures
iii. Atrophy of testis
iv. Keloids
v. Glove stockings
vi. Phonation and resonation in speech

A. i, ii, iii only

B. i, ii, iii, iv, v, vi
C. i, iii, iv, v, vi only
D. i, ii, iv only

74. The causative organism of typhoid fever is called

A. Salmonella typhoid bacterial

B. Salmonella typhi bacterial
C. Salmonella fever bacterial
D. Salmonella typhus bacterial

75. The causative organism of yellow fever is called

A. Flavivirus
B. Vibrocholerea
C. AedesEgypti
D. AedesEgypti mosquito

76. Human to human transmission of yellow fever is by

A. AedesEgypti
B. AedesEgypti mosquito
C. Aedes mosquito
 D. Paramyxovirus

77. Measles, on of the communicable diseases of public health concern is caused by

A. Flavivirus
B. Paramyoxovirus
C. Onchocerca volvulus
D. Clamydia trachomatis

78. Community nursing process include the following EXCEPT

A. Diagnosis
B. Planning
C. Access into the community
D. Implementation

79. In collecting data for community study, the following methods are used EXCEPT
A. Informants interviews
B. Participant observations
C. Secondary analysis of existing data
D. None of the above

80. Areas where health education can take place include:

i. Women’s group
ii. Church group
iii. Industrial groups
iv. Business and professional groups
v. Government officials

A. i only
B. all of the above except iii
C. all of the above
D. none of the above

81. According to the W.H.O and I.L.O (1950) joint declaration defined occupational health in
5 areas,
i. The promotion and maintenance of the highest degree of physical, mental and social
well being of workers in all occupations.
ii. The promotion of workers in their employment from risks resulting from factors
adverse to health
iii. The prevention among workers of department from health cause by their working
conditions.
 iv. Placing and maintenance of the worker in an occupational environmental adapted to
his physiological and psychological state.
v. The adaptation of work to man and of early man to his job

A. i, ii and iv only
B. all of the above except v
C. none of the above
D. all of the above

82. Which of the following diseases is NOT classified under “six killer diseases?”
A. T.B
B. Diphtheria
C. Pertussis
D. Cholera

83. Chemical barriers include the following EXCEPT

A. Foaming tablets
B. Vault caps
C. Suppository (vaginal)
D. Aerosol foam

84. Strategies for practicing abstinence include the following EXCEPT:

i. Be clear about why you want to wait

ii. Have a plan
iii. Be impressed with yourself
iv. Notice the pressures
v. Get support
vi. Practice communication skills
vii. Liaising with commercial sex promoters

A. i, ii and vi only
B. i, iv, v and vii only
C. v and vi only
D. i, ii, iv, and vi only

85. Medium risk activities include which of the following

i. introducing injured finger into the vagina

ii. Sharing sexual toys (ie vibrators) without cleaning them
iii. Oral sex without latex barrier
 iv. Sharing of fantasies

A. i only
B. ii only
C. iii only
D. i, ii, iii only

86. When talking about practice of safe sex, the following are true under coercion EXCEPT:

A. She / He is pressured to have sex

B. Boyfriend or girlfriend won’t let her / him use protection
C. One partner desires pregnancy and insist on not using pretection
D. Ignorance about protection

87. Which of the following family planning methods has less side effect?

A. LAM
B. Emergency contraceptive pill
C. Spermicides
D. Abstinence

88. The following are true about health risk of early pregnancy EXCEPT:

A. Cephalo – pelvic disproportion (CPD)

B. Pre – eclampsia or pregnancy induced hypertension (PIH)
C. Unsafe abortion
D. Normal delivery

89. The principles of counseling include the following EXCEPT:

A. Interact
B. Treat each client well
C. Provide too much information
D. Tailor information to the client

Write in full the “GATHER” steps in counseling new client:

90. G……………………………………………………………………………………………
………………………………………
91. A……………………………………………………………………………………………
………………………………………
92. T……………………………………………………………………………………………
………………………………………
93. H……………………………………………………………………………………………
………………………………………
94. E……………………………………………………………………………………………
………………………………………
95. R……………………………………………………………………………………………
………………………………………

96. Objective of health education include the following EXCEPT:

A. To make health a valued individual asset
B. To help individuals and communities to be competent in identifying their own health
problems
C. To promote the development and proper use of health services available to them
D. To identify their health needs and solve for them

97. An act to portray real life situation is known as

A. Discussion
B. Socratic method
C. Didatic method
D. Role play

98. The factors to consider when choosing teaching aids include the following EXCEPT:
A. The age of the target group
B. The target group
C. The sex of the target group
D. The availability of the material for the particular teaching aids
1. C 25. D 49. D

2. A 26. C 50. B

3. D 27. B 51. D

4. C 28. A 52. B

5. D 29. D 53. B

6. D 30. B 54. C

7. B 31. C 55. D

8. A 32. D 56. C

9. B 33. D 57. C

10. C 34. B 58. D

11. B 35. C 59. C

12. C 36. B 60. C

13. C 37. B 61. B

14. D 38. D 62. C

15. C 39. B 63. A

16. A 40. B 64. C

17. A 41. C 65. A

18. A 42. B 66. D

19. D 43. C 67. B

20. C 44. A 68. A

21. A 45. C 69. D

22. B 46. C 70. D

23. A 47. C 72. C

24. D 48. A 73. A

74. B 83. B 92. tell clients about

choices
75. A 84. B
93. help clients make
76. B 85. D an informed choice
77. B 86. D 94. explain fully how
to use the chosen method
78. C 87. D
95. return visits should
79. D 88. D
be welcomed
80. C 89. C
96. D
81. D 90. great clients
97. D
82. D 91. ask clients about
themselves 98. C