NONursing Officer HubGandaki Province · Level 7
Paper II · Unit 9 · 10%

Community Nursing Management

Complete step-by-step revision notes with examiner-focused MCQs and likely subjective questions.

How to use

Read the concept, reproduce the steps from memory, then answer the possible questions.

Revision target

Complete one topic, ten MCQs and one written answer before marking it revised.

Topic 1

Planning and organising community nursing

Core meaning: Management converts assessed needs into coordinated services.

Step-by-step learning

Assess situation

Population needs and resources.

Set objectives and priorities

Measurable and feasible.

Organise work

Roles, schedule and supplies.

Budget and coordinate

Partners and sectors.

Prepare indicators

Coverage, quality and outcome.

Key points to remember

  • Planning should be evidence-based and participatory.
  • Organisation clarifies responsibility.
Possible MCQs
  • What follows community assessment?
Possible subjective questions
  • Explain planning and organising community nursing services.
Topic 2

Implementation and follow-up

Core meaning: Implementation carries out planned activities; follow-up checks continuity and results.

Step-by-step learning

Communicate plan

Who does what and when.

Mobilise resources

People, materials and logistics.

Deliver activities

According to standards.

Record progress

Complete and timely data.

Follow up

Missed clients, referrals and corrective action.

Key points to remember

  • Implementation without monitoring may hide failure.
  • Follow-up closes the referral loop.
Possible MCQs
  • What is referral-loop closure?
Possible subjective questions
  • Describe implementation and follow-up of a community programme.
Topic 3

Supervision, monitoring and evaluation

Core meaning: These functions improve quality and accountability.

Step-by-step learning

Set standards and indicators

Expected performance.

Collect evidence

Observation, records and interviews.

Compare

Actual versus standard.

Feedback and action

Agree improvement steps.

Reassess

Confirm change and evaluate outcome.

Key points to remember

  • Monitoring is continuous; evaluation judges merit/results periodically.
  • Supervision should develop staff.
Possible MCQs
  • How does evaluation differ from monitoring?
Possible subjective questions
  • Discuss supervision, monitoring and evaluation in community nursing.
Topic 4

Referral and recording/reporting

Core meaning: Referral transfers care appropriately while preserving continuity; records support care and management.

Step-by-step learning

Recognise need

Beyond scope or urgent condition.

Stabilise

Immediate safe care.

Communicate

Receiving facility and referral note.

Transfer safely

Transport and accompaniment.

Confirm feedback

Document outcome and follow up.

Key points to remember

  • Referral without communication is incomplete.
  • Records should be accurate, confidential and timely.
Possible MCQs
  • What information belongs in a referral note?
Possible subjective questions
  • Explain referral system and importance of recording/reporting.