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-114300-114300 THE CATHOLIC UNIVERSITY OF EASTERN AFRICAP.O. Box 6215700200 Nairobi - KENYATelephone: 891601-6Fax: 254-20-891084E-mail:academics@cuea.eduA. M. E. C. E. A REGINA PACIS INSTITUTE OF HEALTH SCIENCES MAIN EXAMINATIONMAY – JULY 2018 TRIMESTER FACULTY OF SCIENCES DEPARTMENT OF NURSINGREGULAR PROGRAMMENUR 103: PROFESSIONALISM IN NURSINGDate: JULY 2018 Duration: 3 HoursINSTRUCTIONS: Answer ALL Questions MULTIPLE CHOICE QUESTIONS (MCQ)( 20 MARKS)Q1.Nurse Amy is aware that the following is true about functional nursing Provides continuous, coordinated and comprehensive nursing servicesOne-to-one nurse patient ratioEmphasize the use of group collaborationConcentrates on tasks and activitiesQ2.When Nurse Trish is providing care to his patient, she must remember that her duty is bound not to do doing any action that will cause the patient harm. This is the meaning of the bioethical principle: Non-maleficenceBeneficenceJusticeSolidarityQ3.Which of the following theory addresses the four modes of adaptation? Madeleine LeiningerSr. Callista RoyFlorence NightingaleJean WatsonQ4.Ensuring that there is an informed consent on the part of the patient before a surgery is done, illustrates the bioethical principle of: BeneficenceAutonomyVeracityNon-maleficenceQ5.A client who had a “Do Not Resuscitate” order passed away. After verifying there is no pulse or respirations, the nurse should next: Call the doctor on call to certify the death Call the funeral director to come and get the body Perform last offices to the patient Have family members say goodbye to the deceased Q6.The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. In helping the parents resolve this ethical conflict, the nurse knows that the first step is: Identifying people who can solve the difficulty Clarifying values related to the cause of the dilemma Collecting all available information about the situation Exploring reasonable courses of actionQ7.The client on renal dialysis informs the nurse that he wants to stop the series of dialysis. The nurse should appropriately do which action in response to the client’s decision?Tell the client that he must finish his series of renal dialysisRespect the client’s decision and provide comfort measuresLeave the client and attend other patients. Inform the client that the doctor must decide what to rmed consent is a method that promotes:AutonomyNon-maleficenceBeneficenceJusticeQ9.Developmental theory was proposed by:Virginia HendersonBetty NeumanImogene KingDorothea OremQ10.Which theories define nursing as the science and practice that expands adaptive abilities and enhances person and environment transformation?Goal attainment theory Henderson's definition of nursing Roy's adaptation model Faye Glen Abdelah's theory Q11.Which of the following statements is related to Florence Nightingale?The role of nursing is to facilitate "the body’s reparative processes" by manipulating client’s environmentNursing is the science and practice that expands adaptive abilities and enhances person and environment transformation Nursing care becomes necessary when client is unable to fulfill biological, psychological, developmental, or social needsNursing is therapeutic interpersonal process Q12.The nursing interventions that require the knowledge, skills and expertise of multiple health professionals DependantIndependent Interdependent IntradependentQ13.The nurse assumes 24 hour responsibility for the client to maintain continuity of care across shifts, days or visits :-Functional nursingTeam nursingPrimary nursingTotal patient careQ14.The total number of hours mandatory to renew a nursing council practice license is:-120 hours40 hours 30 hours20 hoursQ15.Indicate whether true or false Critical thinking in nursing is a discipline specific reflective reasoning process that guides a nurse in generating, client care and other professional concerns.Problem solving is a part of the critical thinking processQ16.The nursing process is an example of an open system. An open system Represents a relationship between two conceptsInteracts with the environment by exchanging informationDoes not interact with the environment Is universal and dynamicQ17.The nurse who plans and allocates activities of the rest in case where they are allocated to care for a group of patients in a ward is the; Primary nurseClinical specialistTeam leaderWard in chargeQ18.A nurse working in the medical ward learns that a patient is having terminal illness but the spouse warns that he should not be told. In this case the nurse is facing;An breach of dutyCorruption issuesAn ethical dilemmaAn ethical principleQ19.A professional nurse with a commitment to upholding the principle of autonomy is most apt to do the following;Provide honest information to patients and the publicPromote universal access to healthcarePlan care in partnership with patientsDocument care accurately and honestlyQ20.When providing health promotion classes, a nurse uses concepts from models of health. What do both the health–illness continuum and the high-level wellness models demonstrate?Illness as a fixed point in timeThe importance of familyWellness as a passive stateHealth as a constantly changing state SHORT ANSWER QUESTION (SAQ) (4O MARKS )Q1.Outline four (4) barriers to professionalism in nursing(4 marks) Q2.Explain the four metaparadigm/ concepts of nursing theories(8 marks)Q3.State the steps of the nursing process(6 marks)Q4.Describe the following ethical concepts (6 marks) Do not resuscitate orderEuthanasia Q5.With the aid of examples state 3 methods that a nurse may use to help a patient as per self care deficit theory (6 marks)Q6.State five (5) functions of nursing theories(5marks)Q7.Outline five (5) forms of professional misconduct considered to be in contravention of the code of ethics and conduct for nurses (5 marks)LONG ANSWER QUESTION (LAQ) (4O MARKS )Q2.Nursing has evolved from an unstructured method of caring for the ill to a scientific professionWhat is professional nursing as defined by Virginia Henderson (2 marks)ii)List the four (4) principal elements that outline the standards of ethical conduct for nurses (2 marks)iii)Outline six (6) functions of the ECSACON (6 marks)iv)Discuss ten (10) components of professional nursing as described by Virginia Henderson (10 marks)Q2.Nursing ethics are an important aspect of professionalism..Define the term code of ethics (1 mark)Explain the principle elements according to the ICN code of ethics (8 marks)Outline four examples of ethical dilemmas (4 marks) Factors affecting ethical decision making process(7 marks )*END* ................
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