GNM 1st Year — Community Health Nursing

2nd Internal Exam: High-Probability Questions

The 2nd internal typically covers Units 3–6 of the INC syllabus (environmental hygiene, epidemiology, family health services, home visiting, clinics, and health education).

🔷 Long Questions (15 Marks) — Most Likely

1. Define Health Education. List its methods. Explain the role of the nurse in health education. (Define + Principles + Methods + Nurse's role)
2. Define Epidemiology. Explain its importance, aims, and the Epidemiological Triad (Host–Agent–Environment).
3. Define Primary Health Care. Explain its principles and components. What is the role of the community health nurse in PHC?
4. Explain Environmental Sanitation. Discuss water pollution, its sources, effects, and prevention.
5. Define Communicable Diseases. Classify them and explain the chain of infection and methods of prevention and control.
6. Explain the concept of Family Health Nursing. Discuss the nurse's role in maternal and child health.

🔷 Short Notes (5 Marks) — Most Likely

🔷 Definitions to Know (1–2 Marks / MCQs)

• Community Health Nursing
• Health (WHO definition — 1948)
• Epidemiology
• Primary Health Care
• Immunization vs. Vaccination
• Communicable disease
• Herd immunity
• Reservoir of infection
• Zoonotic diseases
• Endemic / Epidemic / Pandemic

🔷 Unit-Wise Topic Breakdown (INC Pattern)

Unit III — Environmental Hygiene

• Water: Sources, purification, safe storage, waterborne diseases
• Sanitation: Types of toilets (sanitary latrine), solid waste disposal
• Air Pollution: Indoor & outdoor, effects on health
• Housing: Criteria for healthy housing
• Occupational hazards: Types, prevention

Unit IV — Epidemiology

• Epidemiological Triad (Host, Agent, Environment)
• Chain of Infection — Portal of entry/exit, mode of transmission
• Types of disease surveillance
• Levels of disease prevention (Primary, Secondary, Tertiary)
• Common communicable diseases: Tuberculosis, Malaria, Cholera, Typhoid — prevention & control

Unit V — Family Health Services

• Antenatal, Intranatal, Postnatal care
• Immunization schedule (UIP, BCG, OPV, DPT, Hepatitis B, Measles, MMR)
• Family planning methods — temporary & permanent
• Under-Five Clinics — functions, nurse's role
• ICDS scheme
• School Health Programme

Unit VI — Home Visiting & Clinic Services

• Home visiting — purpose, principles, steps, nurse's role
• Types of clinics: Antenatal clinic, Postnatal clinic, Child welfare clinic
• Community Diagnosis — steps

Unit VII — Health Education

• Definition, principles of health education
• Methods: Individual, Group, Mass media
• Health education materials/tools
• Role of the nurse as a health educator

🔷 Top Tips for 2nd Internal

• Immunization schedule — memorize the exact vaccines with ages (BCG at birth, OPV at 6/10/14 weeks, etc.)
• Epidemiological triad diagram — draw and explain
• Chain of infection diagram — always draw in exams
• Levels of prevention with examples (Primordial, Primary, Secondary, Tertiary)
• Know the full form of: UIP, ICDS, PHC, CHC, ANM, MCH, ASHA, AWW

GNM 1st Year — Community Health Nursing

2nd Internal: Most Probable Questions (INC Syllabus)

📝 Long Questions (15 Marks)

1. Define Health Education. Explain its principles, methods, and the role of the nurse in health education.
2. Define Epidemiology. Explain its aims, importance, and the Epidemiological Triad.
3. Define Primary Health Care. Explain its principles and components. What is the nurse's role in PHC?
4. Explain Environmental Sanitation. Discuss water pollution — sources, effects, and prevention.
5. Define Communicable Disease. Explain the chain of infection and methods of control and prevention.
6. Discuss Family Health Nursing. Explain the nurse's role in Maternal and Child Health (MCH).

📝 Short Notes (5 Marks)

📝 Definitions / 1–2 Mark Questions

• WHO definition of Health (1948)
• Community Health Nursing
• Epidemiology
• Herd immunity
• Immunization vs Vaccination
• Communicable disease
• Endemic / Epidemic / Pandemic
• Reservoir of infection
• Primary Health Care

📌 Unit-Wise Focus Areas

Unit III — Environmental Hygiene (Very High Probability)

• Water: Sources, waterborne diseases, purification methods (boiling, chlorination, filtration)
• Sanitation: Types of latrines, solid/liquid waste disposal
• Air pollution: Indoor & outdoor, health effects
• Housing: Criteria for healthy housing
• Occupational hazards: Types and prevention

Unit IV — Epidemiology (Most Asked)

• Epidemiological Triad — draw and explain
• Chain of infection — 6 links with diagram
• Levels of prevention: Primordial, Primary, Secondary, Tertiary (with examples)
• Common communicable diseases: TB, Malaria, Cholera, Typhoid — prevention and control
• Disease surveillance types

Unit V — Family Health Services (High Probability)

• Immunization schedule: BCG (birth), OPV/DPT/Hep-B (6/10/14 weeks), Measles (9 months), MMR
• Antenatal, intranatal, postnatal care
• Family planning methods
• Under-Five Clinics — functions, nurse's role
• ICDS scheme
• School Health Programme

Unit VI — Home Visiting & Clinic Services

• Home visiting: Purpose, principles, steps, nurse's role
• Types of clinics: ANC, PNC, Child Welfare Clinic
• Community diagnosis — steps

Unit VII — Health Education

• Principles of health education
• Methods: Individual, Group, Mass media
• Nurse as a health educator

⭐ Must-Know Abbreviations

🔑 Exam Strategy

• Always draw diagrams for: Epidemiological Triad, Chain of Infection, Levels of Prevention
• Memorize the immunization schedule exactly — it comes every exam
• Epidemiology + Environmental Hygiene + Health Education = the 3 highest-yield areas for 2nd internal
• Write definitions clearly at the start of every long answer