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Nrsg 351:Nursing Theories And Professionalism Question Paper

Nrsg 351:Nursing Theories And Professionalism 

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2014



KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2014 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 351
UNIT TITLE : NURSING THEORIES & PROFESSIONALISM
TIME : 3 HOURS




INSTRUCTIONS:

This paper consist of three sections namely A, B & C.
The first section is composed of 20 multiple choice questions –
The questions consist of a stem followed by four choices
You are required to choose one most appropriate answer.
From the choices given answer all questions in this section
Section B consists of eight short answer questions
You are required to answer all questions in this section
Section C consists of two Long Essay Questions. You are required to answer All questions in this section.

SECTION A: Multiple Choice Questions (20 marks)

Question One

The nurse practices nursing in conformity with the code of ethics for professional registered nurses. This code:

Improves self-health care
Protects the client from harm
Ensures identical care to all clients
Defines the principles by which nurses provide care to their clients.

Question Two

Evidence-based practice is defined as:

Nursing care based on tradition
Scholarly inquiry embodied in the nursing and biomedical research literature.
A problem-solving approach to clinical practice based on best practices
Quality nursing care provided in an efficient and economically sound manner.

Question Three

Nursing practice in the tweny-first century is an art and science that is centred on:

The client
The nursing process
Cultural diversity
The health care facility

Question Four

One of the following acted to decrease mortality by improving sanitation in the battlefields, which resulted in adecline in illness and infection.

Dorothea Dix
Lilian wald
Clara Barton
Florence Nightingale

Question Five

A nurse who uses critical thinking in the decision making process to provide effective quality care to individuals is known as:

An advanced care nurse
A clinical decision maker
A member of a multidisciplinary practice.
An evidence-based practitioner.

Question Six

The following assures clients that they will receive quality care from a competent nurse?

Standards of care
Nurse Practice Act.
Accreditation certification
National council licensure

Question Seven

The licensure and practice of nursing is regulated by:

Internship
The nurse practice Act.
The certification examination
The national nurses Association of Kenya

Question Eight

Paradigm of nursing include:

Health, person, environment and theory
Concepts, theory, health and environment
Nurses, physicians, models and client needs
The person, health, environment/situation, and nursing

Question Nine

The multidisciplinary care model used to nurse more clients efficiently from admission to discharge is known as:

Team nursing
Nursing process
Care management
Interdisciplinary care

Question Ten

The following statements about prescriptive theories is accurate

The describe phenomena
They have the ability to explain nursing phenomena
They reflect practice and address specific phenomena
They provide a structural framework for broad abstract ideas.

Question Eleven

A theory is a set of concepts, definitions, relationships and assumptions that:

Formulates legislation
Explains a phenomenon
Measures nursing functions
Reflects the domain of nursing practice.

Question Twelve

Which theories describe an orderly process beginning with conception and continuing through death?

Systems theories
Developmental theories
Interdisciplinary theories
Stress and adaptation theories

Question Thirteen

Leininger’s theory of cultural care diversity and universality, specifically addresses

Caring for clients from unique culture
Understanding the humanistic aspects of life
Identifying variables affecting a client’s response to a stressor
Caring for clients who cannot adapt to internal and external environmental demands.

Question Fourteen

As an art, nursing relies on knowledge gained from practice and reflection on past experiences. As a science, nursing relies on:

Experimental research
Non-experimental research
Physician-generated research
Scientifically tested knowledge

Question Fifteen

Theories that are broad and complex are:

Grand theories
Descriptive theories
Middle-range theories
Presiciptive theories

Question Sixteen

"Nursing is therapeutic interpersonal process." This definition was stated by:

Hildergard peplau
Jean Watson
Faye Glenn Abdelah
Martha Rogers

Question Seventeen

Self-care deficit theory was proposed by:

Virginia Henderson
Betty Neuman
Imogene King
Dorothea Orem

Question Eighteen

Imogene King’s "goal attainment theory" is a type of:

Need theories
Interaction theories
Outcome theories
Humanistic theories

Question Nineteen

According to Neuman Systems Model, the increase in energy that occurs in relation to the degree of reaction to the stressor is termed as:

Reconstitution
Lines of resistance
Primary prevention
Secondary prevention

Question Twenty

Watson’s carative factors include all the following EXCEPT:

Forming humanistic – altruistic value system
Instilling faith – hope
Cultivating sensitivity of self and others
Strengthening flexible lines of defense

SHORT ANSWER QUESTIONS

Question One

Define the following terms giving an example in each case

Negligence

(2 marks)

Malpractice

(2 marks)

Competence

(2 marks)

Question Two
State three components of critical thinking. (3 marks)

Question Three
Describe four phases of critical thinking (8 marks)

Question Four
State the professional intellectual characteristics (3 marks)

Question Five
State the eight standards of nursing practice in Kenya. (8 marks)

Question Six
State five characteristics of a profession. (5 marks)

Question Seven
State five objectives of Eastern, Central, Southern Association Council of nurses (ECSACON) (5 marks)

Question Eight
List four nursing delivery models of care (2 marks)

SECTION C:

Long Answer Questions (40 Marks)

Question One

You are required to teach a student nurse on how to use nursing process in managing a client

Define nursing process

(2 marks)

State four elements of nursing diagnosis

(4 marks)

State four types of nursing diagnoses

(4 marks)

Describe three types of planning

(6 marks)

Describe two types of nursing interventions

(4 marks)

Question Two

Describe Florence Nightngale’s Environmental theory under the following headlines:

Client

(5 marks)

Health

(5 marks)

Environment

(5 marks)

Nursing

(5 marks)






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