Gordon\'s functional health patterns PDF

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KENYATTA UNIVERSITY SCHOOL OF NURSING SCIENCES YEAR 1 FIRST SEMESTER 2017/2018 FINAL EXAM HNS 187: FUNDAMENTALS OF NURSING INSTRUCTIONS 1. All questions are compulsory 2. Answer all the questions in the booklet provided SECTION A: MULTIPLE CHOICE QUESTIONS (20 MARKS) Write the correct answer in the booklet provided: 1. Scope of practice is defined as: A. An obligation or debt that can be enforced by law B. The procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license C. The level of care a reasonably prudent nurse would have maintained D. Right to make one’s own decisions 2. The first nursing theorist is: A. B. C. D.

Dorothea Orem Virginia Henderson Florence Nightingale Callista Roy

3. When treating a patient from another culture, it is important that we avoid: A. B. C. D.

Understanding the patient's background Listening to what the patient has to say Transferring our own expectations to the patient Respecting the patient's differences

4. Differentiate between accountability and liability A. B. C. D.

The former is owning an account and the latter is being responsible for that account The former and the latter are both legal terms The former is a personal professional responsibility, the latter is a legal responsibility The former is legal responsibility and the latter is personal responsibility 1

5. The following makes nursing dynamic; A. Every patient is a unique physical, emotional, social and spiritual being B. Nursing practice is expanding in the light of modern developments that takes place C. The health status of the patient is constantly changing and the nurse must be cognizant and responsive to these changes D. The patient participates in the overall nursing care 6. A patient is newly diagnosed with diabetes and will be discharged in the next day or so. The nurse is teaching the patient how to draw up and self-administer his insulin. The nursing theory the nurse utilizing is? A. Maslow’s hierarchy of needs B. Orem’s self-care deficit theory C. Gordon’s theory D. Henderson’s theory 7. The oldest nursing role is; A. Theatre nursing B. Midwifery C. Medical-surgical nursing D. Paediatric nursing 8. The appropriateness of a Nursing Diagnosis is supported by its; A. Defining characteristics B. Planned interventions C. Diagnostic statement D. Related risk factors 9. A common framework that helps guide the prioritization of nursing tasks during the process of planning is; A. Gordon’s functional health patterns B. Maslow’s Hierarchy of needs C. Roy’s Adaptation model D. Health-Illness continuum 10. The goal of holistic nursing is to; A. Treat the physiological needs of the patient B. Attend to the patient’s social and spiritual needs C. Heal the whole person D. Meet the patient’s economic needs 11. According to Sister Callister Roy, the role of nursing is; A. The science and practice that expands adaptive abilities and enhances the person and environmental transformation B. An external regulatory force which acts to preserve the organization and integration of the patient’s behaviors at an optimum level under those conditions in which the behaviors constitutes a threat to the physical or social health, or in which illness is found C. An interpersonal process by which a nurse assesses the patient’s level of independence related to the activities of daily living 2

D. Planning and implementing care based on the actual and potential self-care deficits. 12. A patient who received general anesthesia returns from surgery. Postoperatively, the following nursing diagnosis takes highest priority for this patient; A. Acute pain related to surgery B. Risk for volume deficit related to blood and fluid loss from surgery C. Impaired physical mobility related to surgery D. Risk for aspiration related to anesthesia 13. The following best describes reflective practice; A. Making the unusual usual and making the usual unusual B. Nothing should ever stay the same C. To examine our work, so that we can eventually get to a place where it is perfect D. Talking and thinking about the work we do 14. The 1. Nurses join professional associations primarily because of; most A. Assistance in securing jobs abroad unique B. Promoting advancement and professional growth among its members C. Raising funds for nurses’ benefits D. Facilitating and establishing connections characteristic of nursing as a profession is; A. Education B. Theory C. Caring D. Autonomy 15. Collaborative interventions are therapies that require: A Physician and nurse interventions. B Nurse and client interventions. C Client and Physician intervention. D Multiple health care professionals. 16. According to the principles of standard precautions, the nurse would wear gloves in the following nursing intervention; A. B. C. D.

Providing a back massage Providing oral care Feeding the patient Providing hair care

17. Transcultural nursing implies; A. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate B. Working in another culture to practice nursing within their limitations

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C. Combining all cultural beliefs into a practice that is a nonthreatening approach to minimize cultural barriers for all clients’ equality of care D. Ignoring all cultural differences to provide the best generalized care to all clients. 18. A health care issue often becomes an ethical dilemma because A. B. C. D.

A patients legal rights coexist with a health professionals obligation Decisions must be made quickly, often under stressful conditions Decisions must be made based on value systems The choices involved do not appear to be clearly right or wrong

19. The Situation, Background Assessment and Recommendation (SBAR) tool is useful because: A. It tells the nurse how to talk to a doctor B. Allows to type shift report C. Organizes patients information to report in a concise manner D. Delivers patients information without need to assess

SECTION B: SHORT ANSWER QUESTIONS (40 MARKS) Answer all the questions in the booklet provided 1. 2. 3. 4.

SECTION (6 C:Marks) ESSAY QUESTIONS (40 MARK Outline six roles and functions of a professional nurse Name four functions of the Nursing Council of Kenya (NCK) (4 Marks) Explain three key Ethical Principles in Nursing (6 Marks) With two examples each, differentiate between a medical diagnosis and nursing diagnosis (4 Marks)

5. State five conditions that predispose patients to infection

(5 marks)

6. Name five inhibitors of effective nursing documentation

(5 Marks)

7. Name the five components of a healthy environment according to Florence Nightingale’s

Environmental Theory

(5 Marks)

8. Give five examples of common ethical issues in nursing

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(5 Marks)

Answer all the questions in the booklet provided 1. a) Name and explain the four major concepts(metaparadigms) common to nursing that appear in each of the current conceptual models/theories (8Marks) Explain six Marjory Gordon’s functional health patterns

b)

(12 Marks)

2. a) Explain the five hierarchical levels within Maslow’s hierarchy of needs pyramid (10 Marks) b) Explain the five steps of the nursing process

5

(10 Marks)...