REGIONAL EXAMINATION FOR NURSE REGISTRATION

CARICOM COUNTRIES
FUNCTIONAL NURSING-OBJECTIVE TYPE QUESTIONS
PAPER IV
OCTOBER 2000
NO OF ITEMS: 50
1
ITEM 1
Which of the following statements define health promotion?
i.The output of all the health services activities.
ii.Specific measures aimed at the prevention of disease or disability.
iii. Activities focusing on maintenance and enhancement of well-being.
iv.All the activities designed to improve or maintain your health status.
A. i, ii
B. i, iv
. ii, iii
!. iii, iv
ITEM 2
"rs. Sony does the housewor# at home in the day. She loo#s after the 1 year old while the older children
are at school. $urse Smith determines that "rs. Sony meets her need for rest and e%ercise by&
i. "aintaining good posture while sitting and standing.
ii.Wal#ing ' miles daily to the nearest shop- to purchase food.
iii.(ela%ing completely for 1 hour when her 1 year old ta#es a nap.
iv.Sleeping most of the day to catch up on sleep lost the night before.
A. i, ii, iii
B. i, ii, iv
. ii, iii, iv
!. ii, iii, iv
'
SCENARIO 1 ITEM 1 -6
"r. and "rs. Sony and their ) children, aged 1-year, * years and ') years, live in small rural community
where their water source is a nearby stream. +hey have a covered pit latrine some distance from the house.
$urse Smith is planning a health promotion program with the family.
SCENARIO Con!"
+he hemical factory, where "r. Sony wor#s, provides overalls for wor#ers to wear ,ob. "r.
Sony came home from wor# wearing his overalls and carrying two empty white containers that
previously held chemicals. -e hugs and #isses his wife and lift 1 year old.
ITEM #
+he nurse plans to educate "r. Sony, as a .(/0(/+1 need to enable him to understand that
i. hemical residue may be present on the garment.
ii. Wearing the overalls is a safety measure for use on the 2ob only.
iii. +he overalls were given to him so he could save his good clothes.
iv. +here is no ris# to him or his family while he is wearing the overalls.
A. i, ii
B. i, iii
. ii, iv
!. iii, iv
ITEM $
"r. Sony planned to use the two empty chemical containers to store drin#ing water. $urse Smith
e%plains to him the importance of
A. 3nsuring that the container is properly cleaned before use.
B. Boiling all drin#ing water before storing it in the containers.
. Securing several more containers to solve his water problem.
!. Avoiding the use of chemical containers for food and water storage.
ITEM 5
$urse Smith encourages the development of healthy habits for the Sony family by demonstrating to
i. "rs. Sony, how to e%amine her breast each month.
ii. "rs. Sony4s * year old, how to brush his teeth correctly.
iii. "r. Sony how to do his prostate self-e%amination monthly.
iv. "rs. Sony4s 1) year old how to floss to #eep her gums healthy.
A. i, ii, iii
B. i, ii, iv
. i, iii, iv
!. ii, iii, iv
ITEM 6
$urse Smith concludes that "rs. Sony understands the importance of a healthy environment when she
observes that
i "rs. Sony does not throw garbage in the stream.
ii. the pit latrine remains uncovered most of the times.
iii. "r. Sony is no longer permitted to smo#e inside the house.
iv. "rs. Sony no longer boils the water from the stream for drin#ing.
A. i, ii
B. i, iii
. ii, iii
!. iii, iv
)
ITEM %
Which of the following statements is the 53AS+ li#ely reason for the father4s attitude?
A. +hat his son might be homose%ual
B. 6ear that he would lose his status in society
. +he disunity it will create among family members
!. +hat the virus would spread to other family members
ITEM &
/n helping "r. Brown to cope with his son4s condition, the nurse should
A. /nsist that he ta#es his son home.
B. -old counseling session with the family.
. 3ducate "r. Brown on the mode of transmission of the virus.
!. 3ncourage "r. Brown to verbali7e his fears about the illness.
ITEM '
+he nurse could assist in changing "r. Brown4s attitude towards his son by
A. suggesting that his son could be #ept in the hospital.
B. providing information on -uman lnununo-!eficiency 8irus.
. 0ffering to hold counseling sessions with his friends.
!. telling him that many other children have the same condition.
9
SCENARIO 2 ITEM % -'
,ohn Brown, a 1: year old student at the ommunity ollege was diagnosed with -uman /mmuno-
!eficiency 8irus. -is father well #nown businessman, was reluctant to have ,ohn at home even after
a period of counseling. -e learned that his friends would no longer visit and sociali7e with him.
SCENARIO # ITEM 10 -12
Si%teen ;1:< year old ,amal =ing was rushed to the Accident and 3mergency unit complaining
of severe abdominal pain.
-e was accompanied by his form teacher. ,amal was seen by the doctor, and was diagnosed as
A()* A++*n",(,,- and scheduled for urgent surgery. Before the procedure can be carried o u t
a consent form must be signed.
A group of first year nursing students present at the time of ,amal4s admission were unsure o f
the process of informed consent and sought clarification about it.
ITEM 10
W h i c h of the following is the B3S+ person to accept responsibility for signing ,amal4s
consent in his parent4s absence?
A.!octor
B..atient himself
.School teacher
!.$urse in harge
ITEM 11
,amal is concerned as to why he needs to have a consent form signed. +he nurse should e%plain that
it is to
i. .rotect him from unnecessary surgery.
ii. 5imit the e%tent of the surgical procedure.
iii. .rotect the health team from legal reprisal.
iv. 3nsure that he was informed about the procedure.
A. i, ii, iii
B. i, ii, iv
. i, iii, iv
!. ii, iii, iv
ITEM 12
+he $urse4s responsibility in relation to obtaining consent from a patient prior to a surgical procedure is
to witness that the
A. client was informed.
B. client signs the form.
. client understands the procedure.
!. doctor e%plained the procedure fully.
ITEM 1#
$urse >ray should ensure that "r. Boyce4s medication is administered safely by applying all of the
following principles 3?3.+
A. chec#ing the drug and its dosage.
B. giving i n to him at the correct time.
. observing his response to the drug.
!. identifying that he is the correct patient.
*
SCENARIO $ ITEM 1# -15
$athaniel Boyce si%ty-five ;:*< years old has a cardiac condition and was admitted4 to a medical
ward.4 +he doctor prescribed !igo%in ;5ano%in< @.'* mg daily. Staff $ur s e >r ay
inadvertently administered '.* mg of the drug as the initial dos e&
ITEM 1$
Which of the following actions should $urse >ray ta#e .(0".+51 on reali7ing that she had ma d e an
error in administering "r. Boyce4s medication?
A. "onitor the patient for adverse reaction
B. (eport the incident to the patient4s doctor
. !ocument the error in the patient4s record
!. >ive prescribed antidote as soon as possible
ITEM 15
/ n legal terms $urse >ray4s medication error would be classified
A. a felony,
B. malpractice.
. incompetence.
!. a misdemeanor.
ITEM 16
+he seAuential elements of the communication process are
A. "essage, sender, receiver and response
B. (eceiver, message, response and sender
. (esponse, receiver, message and sender
!. Sender, message, receiver and response
ITEM 1%
+he "A/$, intent of communication is to
A. elicit a response.
B. decipher the message.
. convey a clear message.
!. ascertain one4s responsiveness.
ITEM 1&
8erbal communication is said to be highly conscious because it
A. allows a choice of the word used.
B. conveys ones emotions e%pressively.
. involves the use of commonly used gesture.
!. includes the use of commonly understood words.
:
SCENARIO 5 ITEM 16-2$
$urses who are able to communicate effectively, initiate change that promotes health,
establishes a trusting, relationship with clients. supports persons and prevent legal problems
associated with nursing practice.
ITEM 1'
Which of the following factors would .0S/+/8351 affect the communication process?
i. Bse of intimate distance
ii. Ability to comprehend stimuli
iii. 6ostering territorial attitude
iv. 3%uding a high level of confidence
A. i, ii, iii
B. i, ii, iv
. i, iii, iv
!. ii, iii, iv
ITEM 20
Which of the following are characteristics of non-verbal communication? /t
i. allows for the dynamic e%change of ideas.
ii. tells others more about what a person is feeling.
iii. reinforces and or contradicts what is said verbally.
iv. utili7es an abundance of words to form messages.
A. i, ii
B. i, iv
. ii, iii
!. iii, iv
ITEM 21
Which of the following manifestations is li#ely to indicate the clientCs inability to communicate
effectively?
i. 5oose association of ideas
ii. onstant verbali7ation of some phrases
iii. Significant change from normal vocabulary
iv. Slowed, deliberate and spontaneous speech
A. i, ii, iii
B. i, ii, iv
. i, iii, iv
!. ii, iii, iv
ITEM 22
Which of the following nursing diagnoses would be "0S+ appropriate for a client e%periencing
communication problems?
i. .owerlessness related to impaired verbal communication
ii. /nappropriate verbali7ations as evidenced by stuttering
iii. Social isolation related to ineffective verbal communication
iv. !eficit in Self are associated with impaired communication
A. i, iii
B. i, iv
. ii, iii
!. ii, iv
D
ITEM 2#
Which of the following techniAues should the nurse utili7e for the promotion of therapeutic
communication?
i. Bsing silence
ii. .assing 2udgment
iii. See#ing clarification
iv. >iving common advice
A. i, ii
B. i, iii
. ii, iii
!. iii, iv
ITEM 2$
Which of the following outcome criteria would be appropriate to evaluate effective communication?
+he client
i. e%presses minimum fear, an%iety, frustration and depression.
ii. performs self care adeAuately without being as#ed.
iii. begins to establish a method of communication using learnt signals.
iv. perceives the message correctly as evidenced by appropriate verbal and non-verbal
communication.
ITEM 25
Which of the following may be used to motivate wor#ers?
i. Set good e%amples
ii. Build a team spirit
iii. (eward good wor#ers
iv. !iscipline wor#ers often
A. i, ii, iii
B. i, ii, iv
. i, iii, iv
!. ii, iii, iv
E
SCENARIO 6 ITEM 25-#0
+o increase employee motivation, a $urse "anager must #now and predict which needs the
employee e%pects to satisfy through the 2ob of each nursing position.
As a $urse "anager, being able to motivate wor#ersFstaff, impact greatly on the operation of the
wardFunit.
ITEM 26
A55 of the following statements are indicative of motivation 3?3.+
A. a motivated individual wor#s better.
B. motivation is dependent on the wor#er himself.
. all wor#ers are motivated by the same desires.
!. management and colleagues can help to motivate others.
ITEM 2%
Which of the following is a .(/0(/+1 need for most wor#ers?
A. Salaries
B. .romotion
. Study leave
!. Staff meeting
ITEM 2&
Which of the following conditions is li#ely to have positive effects on wor#ers?
A. $ot having to wor# hard
B. Wor#ing under close supervision
. Allowing some amount of freedom on the 2ob
!. =nowing they will be disciplined if they do a bad 2ob
ITEM 2'
Which of the following methods of rewarding wor#ers should produce the B3S+ result?
A. >ive each wor#er the same reward
B. >ive each wor#er what heFshe wants
. (eward wor#ers only on reAuest
!. (eward each wor#er according to his efforts
ITEM #0
+he supervisor will cover or see#s coverage for you if she understands the importance of the need
for
A. self esteem.
B. self preservation.
. self actuali7ation.
!. safety and secure
G
SCENARIO (on!"
As a harge $urse responsible for a unit you have as#ed the supervisor to allow you to leave
half4 an hour earlier to attend .ublic Administration classes.
SCENARIO % ITEM #1-#$
$urse "anagers at every organi7ational level need to select leadership styles and methods that
suit the wor# force reAuirement.
ITEM #1
Which of the following leadership styles would be "0S+ appropriate to deal with a $ursing
Assistant who divulges information?
A.!emocratic
B.Autocratic
.onsultative
!..articipative
ITEM #2
/f decision ma#ers carefully consider the approach to their decision ma#ing, which leadership
style would they choose?
A.Autocratic
B.!emocratic
.Situational
!.5aisse7-faire
ITEM ##
According to Weber4s Bureaucracy, when the nurse prepares a plan of care for her patients, which
leadership style is she using?
A. 5egitimate
B. +raditional
. Situational
!. harismatic
ITEM #$
Which of the following leadership styles is B3S+, if there is time to ma#e decision?
A. Autocratic
B. !emocratic
. Situational
!. 5aisse7-faire
ITEM #5
1@
SCENARIO & ITEM #5-#'
"iss "ary +homas has been a nurse educator for twenty-five years. +hroughout her career she
maintained good interpersonal relationships with her students and was able to identify with their
needs. +he students were also successful at their e%amination.
5earning can be defined as a
A. dynamic interaction between a teacher and one or more learners.
B. dynamic process in which there is a change in human behavior.
. process which communicates information and attitude from one person to another.
!. process which involves a type of communication for which there are specific goals.
ITEM #6
Which of the following strategies are utili7ed by "iss +homas when teaching the students about the
administration of insulin?
A. Affective, which involves attitudinal change over a period of time
B. ognitive, which involves the acAuisition of theoretical #nowledge
. Both ognitive and .sychomotor teaching methods and strategies
!. .sychomotor, which involves teaching in relation to demonstration and repeated
practice.
ITEM #%
Which of the following should, the nurse do when implementing a teaching plan?
A. /ntroduce material to be learned at a lower level of abstraction
B. Btili7e posters or charts that can help focus a learner4s attention.
. .rovide clients with all the information needed on a particular sub2ect area
!. .rovide an environment which is Auiet, but should be fle%ible regarding
interruptions.
ITEM #&
Which of the following is the B3S+ strategy to be used by nurses when teaching?
A. Specifying only the learning ob2ective but not the responsibilities of the client and
nurse.
B. 3stablishing a contract with a client that states certain ob2ectives and when they are
to be met.
. /nstructing individually as it provides the individual with an opportunity to learn
from the teacher.
!. !esigning a system in which behaviors are wea#ened or eliminated under person4s
conscious control
ITEM #'
All of the following are tools used to determine if learning has ta#en place 3?3.+
A. having the client do a self-report.
B. observing the client carry out a particular procedure.
. observing client behaviors that reflect #nowledge gained.
!. as#ing Auestions of the client to determine what has been learned.
11
ITEM $0
Which of the following methods would be "0S+ suitable for this type of study?
A. Survey
B. ase Study
. +rend Study
!. lassical e%periment
ITEM $1
Which of the following classifications would B3S+ describe this type of study?
A.-istorical
B.!escriptive
.3%planatory
!.3%ploratory
ITEM $2
6rom which of the following groups would the student select a sample for this study?
A. All third year students
B. "embers of the nurses association
. Active members of the nurses association
!. All registered nurses on the $ursing ouncil (egister
ITEM $#
Which of the following is the B3S+ method of sampling for this study?
A."ultiphase
B.(andom
.luster
!.Huota
1'
SCENARIO ' ITEM $0-$#
A group of third year nursing studentI are underta#ing a study to determine the lac# of
involvement of (egistered $urses in the national $urses Association.
ITEM $$
When planning for an impending hurricane, which of the following activities should be .(/0(/+1 for
the Ward Sister?
i. 0rgani7ing staff roster
ii. /dentifying triage area
iii. 3nsuring adeAuate supplies
iv. Securing hospital records
A. i, ii, iii
B. i, ii, iv
. i, iii, iv
!. ii, iii, iv
ITEM $5
Which of the following activities would B3S+ assist in improving the disaster management
competencies of the Ward Sister?
A. 6irst Aid +raining
B. Simulation e%ercises.
. Shelter management
!. 5ectures for one ;1< wee#
ITEM $6
Which of the following persons or groups should the Ward Sister refer the patient to initially?
A. -ospital social wor#er
B. Social Security services
. -ospital management team
!. $ational !isaster ommittee
ITEM $%
/n responding to an emergency situation, the first activity of the nurse should be to
A. .lan.
B. !irect.
. !elegate.
!. 0rgani7e.
1)
SCENARIO 10 ITEM $$-50
"rs. -olmes, Ward SisterF-ead $urses in charge of AccidentF3mergency !epartment, has been
informed of a hurricane that is e%pected to hit her island within the ne%t '9- 9E hours. She is
e%pected to ta#e appropriate action in preparation for that disaster.
SCENARIO Con!"
A hospitali7ed .atient learnt that during the recent hurricane his home was completely destroyed.
ITEM $&
/n developing a comprehensive health sector emergency plan relating to disaster management, the plan
should include the ability to respond to all of the following 3?3.+
A. 3pidemic control.
B. 3nvironmental threats.
. 0bstetrical 3mergencies.
!. "ass casualty incidents.
ITEM $'
Which of the following situations is li#ely to have the "0S+ serious and long lasting effects, following
a natural disaster?
A. Access to adeAuate housing
B. /nadeAuate schools for the children
. Access to and safety of drin#ing water
!. /nadeAuate vaccine to complete immuni7ation
ITEM 50
When selecting a good shelter location, the country4s national disaster committee should consider all of
the following 3?3.+
A. Si7e.
B. Sanitation.
. +he affected area.
!. .otential ha7ards for the community.
19