State six (6) barriers that hinder counselling in family planning (6marks) Explain your role in implementingSustainable development goal number three (SDG) to ensure "health lives"for women in the community (6marks) Baby sue aged 14 weeks is brought to the MCH/FP clinic for the first time finds you on duty: a) List the vaccines you are likely to administer to baby Sue during this immunization session. (3marks) b) Outline five(5) key health messages you will share with mama Sue (5marks) State five(5) roles of the county public health nurse (5marks) Explain three (3) components of school health program. ( 6marks) Outline five (5) benefits of community participation during implementation of health programs ( 4marks) State five (5) sources of government revenue. (5marks) ART III: LONG ANSWEAR QUESTION-( 40 MARKS) 1. You are the nurse incharge of Que health facility, cholera outbreak has been reported in the neighboring facility: a) Define cholera (1mark) b) Explain the three (3) stages of cholera (6marks) c) Describe the control and preventive measures of cholera (11marks) d) List four (4)complications of cholera. (2marks) 2. A community health nurse utilizes the function of delegation to achieve organizational goals: a) Outline five(5) factors you would consider when choosing the officer to delegate to (5marks) b) Describe your responsibility during the implementation of the task you have delegated (8marks) c) Explain two(2) reasons why delegation is beneficial to the organization (4marks) d) State three (3)reasons why managers fail to delegate (3marks)

1. Barriers that hinder counseling in family planning:<br /> - Lack of awareness and education<br /> - Cultural and religious beliefs<br /> - Limited access to healthcare services<br /> - Financial constraints<br /> - Stigma associated with family planning<br /> - Lack of trained healthcare professionals<br /><br />2. Role in implementing SDG 3 to ensure "healthy lives" for women in the community:<br /> - Providing education and awareness programs<br /> - Offering reproductive health services<br /> - Advocating for women's health policies<br /> - Collaborating with local organizations<br /> - Conducting community outreach initiatives<br /><br />3. a) Vaccines for Baby Sue:<br /> - Hepatitis B vaccine<br /> - Haemophilus influenzae type b (Hib) vaccine<br /> - Pneumococcal conjugate vaccine (PCV)<br /> - Rotavirus vaccine<br /><br /> b) Key health messages for Mama Sue:<br /> - Importance of exclusive breastfeeding for the first six months<br /> - Regular prenatal check-ups and screenings<br /> - Proper nutrition and hydration during pregnancy<br /> - Avoiding harmful substances like tobacco and alcohol<br /> - Seeking immediate medical attention for any complications<br /><br />4. Roles of the county public health nurse:<br /> - Conducting community health assessments<br /> - Providing health education and promotion<br /> - Offering immunizations and screenings<br /> - Collaborating with local healthcare facilities<br /> - Advocating for community health needs<br /><br />5. Components of a school health program:<br /> - Health education and promotion<br /> - Physical activity and nutrition<br /> - Mental health and counseling services<br /> - Health screenings and assessments<br /> - Emergency preparedness and response<br /><br />6. Benefits of community participation in health programs:<br /> - Increased awareness and knowledge<br /> - Enhanced community ownership and commitment<br /> - Improved program relevance and effectiveness<br /> - Strengthened community partnerships and collaborations<br /> - Better resource allocation and utilization<br /><br />7. Sources of government revenue:<br /> - Taxes (income tax, property tax, etc.)<br /> - Fees and charges (licensing fees, tolls, etc.)<br /> - Fines and penalties<br /> - Grants and aid from other governments or organizations<br /> - Revenue from state-owned enterprises<br /><br />8. ART III: LONG ANSWER QUESTION<br /><br /> 1. a) Cholera is an acute diarrheal disease caused by the bacterium Vibrio cholerae.<br /><br /> b) Three stages of cholera:<br /> - Mild to moderate diarrhea<br /> - Severe watery diarrhea with rapid dehydration<br /> - Profuse diarrhea with extreme dehydration<br /><br /> c) Control and preventive measures of cholera:<br /> - Ensuring access to safe drinking water and proper sanitation<br /> - Promoting good hygiene practices<br /> - Providing oral rehydration solution (ORS) and intravenous fluids<br /> - Administering antibiotics if necessary<br /> - Isolating infected individuals to prevent spread<br /><br /> d) Complications of cholera:<br /> - Dehydration and electrolyte imbalance<br /> - Acute kidney failure<br /> - Septic shock<br /> - Pneumonia<br /><br /> 2. a) Factors to consider when choosing an officer to delegate to:<br /> - Experience and expertise in the task<br /> - Ability to handle responsibility and accountability<br /> - Good communication and interpersonal skills<br /> - Demonstrated leadership and teamwork abilities<br /> - Familiarity with organizational goals and objectives<br /><br /> b) Responsibility during implementation of delegated tasks:<br /> - Providing clear instructions and expectations<br /> - Offering guidance and support as needed<br /> - Monitoring progress and providing feedback<br /> - Ensuring timely completion of tasks<br /> - Addressing any issues or concerns promptly<br /><br /> c) Benefits of delegation to the organization:<br /> - Efficient use of resources and time<br /> - Development of employee skills and capabilities<br /> - Encouragement of employee autonomy and empowerment<br /> - Fostering teamwork and collaboration<br /><br /> d) Reasons why managers fail to delegate:<br /> - Fear of losing control or authority<br /> - Lack of trust in subordinates' abilities<br /> - Perfectionism and micromanagement tendencies<br /> - Inadequate training or support for delegation