To maintain sanitation at community level the following measures have to be taken except

NHM UP Staff Nurse-2021 Shift-2nd

Community Health Nursing

Medium

Appeared in: NHM UP Staff Nurse-2021 Shift-2nd

Explanation

The question requires identifying the option that is not a measure to maintain community sanitation.
Improper housing is a condition that leads to poor sanitation and health problems, such as the spread of respiratory and skin infections due to overcrowding and poor hygiene.
It is a problem to be addressed, not a positive measure implemented to maintain or improve sanitation.
The other three options—proper waste disposal, avoiding water wastage, and avoiding high noise—are all proactive measures to create a healthy and sanitary community environment.

Option A: Proper waste disposal is a fundamental and essential measure for maintaining community sanitation. It prevents the accumulation of refuse, which can breed pests and spread diseases.
Option B: Avoiding the waste of water resources is a key aspect of environmental sanitation. Ensuring a clean and adequate water supply is crucial for personal and community hygiene.
Option C: Avoiding high noise, or noise pollution control, is considered a part of environmental health and sanitation. It contributes to the overall well-being and quality of life in a community.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Principles of Community Sanitation as background academic context rather than a clinical decision trigger.
Community health nurses play a vital role in promoting sanitation by educating communities on proper waste disposal, hygiene practices, and the importance of a clean environment to prevent disease outbreaks.
Nurses assess housing conditions during home visits, identifying risks like overcrowding and lack of sanitation, and then connect families with resources or advocate for improvements.
What if the question asked for the MOST critical sanitation measure in preventing fecal-oral diseases? The answer would likely be 'Proper waste disposal' (specifically excreta), as it directly breaks the chain of transmission for diseases like cholera and typhoid.

How to Approach the Question

First, carefully read the question and identify the negative keyword 'except'. This means you are looking for the option that does not fit with the others.
Analyze the stem: The question is about 'measures to maintain sanitation at the community level'. This means you are looking for positive actions or strategies.
Evaluate each option to see if it is a positive measure for sanitation.
Option A (Proper waste disposal), B (Avoid water waste), and C (Avoid high noise) are all actions taken to improve or maintain a healthy environment.
Option D (Improper housing) describes a negative state or a problem, not a measure or an action to improve sanitation. It is the cause of poor sanitation.
Therefore, 'Improper housing' is the exception and the correct answer.

Concept Tested & Keywords

Concept Tested: Principles of Community Sanitation
Stem keywords: sanitation, community level, measures
Lead-in keywords: except
Clinical cues: The care setting changes urgency, monitoring level, and the expected nursing action.
Negative lead-in flag: Question asks for the exception

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E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 70-72

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 223-225