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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 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 351
UNIT TITLE : NURSING THEORIES & PROFESSIONALISM
TIME : 3 HOURS

INSTRUCTIONS

Answer All Questions

SECTION A (MCQs) – 20 MARKS

Question 1

"Nursing is a therapeutic interpersonal process"

This definition was stated by:

Hildegard Peplau
Jean Watson
Fay Gled abdelah
Martha Rodgers

Question 2

According to Martha Rodgers "theory" continuous and mutual interaction between man and environment is termed as:

Pattern
Integrality
Resonances
Helicy

Question 3

The following is NOT an attribute of a profession

Concerned with quantity
Self directed
Committed to spirit of inquiry
Independent

Question 4

It refers to the moral values and beliefs that are used as guides to personal behavior and actions.

Philosophy
Personality
Charm
Character

Question 5

She conceptualized that man as an open system is in constant interaction and transaction with a changing environment

Roy
Neuman
Newnan
Levin

Question 6

Statements that explain the relationship between the concepts in a theory is:

Propositions
Assumptions
Predictions
Process.

Question 7

Concept related to Betty Neuman’s system model of nursng is;

Pattern
Dependency
Open systems
Rhythomicity

Question 8

Stimuli to be assessed according to Roy’s adaptation model in caring of patient include the following except.

Local stimuli
Contextual stimuli
Perceptual stimulus
Residual stimulus

Question 9

The following is an objective data.

Dizziness
Chest pain
Anxiety
Blue nails

Question 10

The following implies the principles of autonomy;

referral and informal consent
privileged communication
informed consent and confidentiality
salient treatment and referral

Question 11

When faced with an ethical dilemma it’s important to refer to;

Educational consultation
Ethical decision – making model
Environmental assessment
Association framework

Question 12

The following is not an external standard of care:

Nurse practice acts
Job description
Professional organization
Nursing speciality practice organization

Question 13

The practice of activities that individual initiates and performs on their own behalf in maintaining life health and well being is;

Self care agency
Self care
Therapeutic self care demand
Nursing systems

Question 14

Categories of self care requisites according to Orem’s theory of nursing included all except:

Universal
Developmental
Health deviation
Fundamental

Question 15

The following is an example of nursing malpractice:

Administering penicillin to a patient with documented allergy to the drug
Applying of hot water bottle to the abdomen with abdominal bottle
Assisting a patient out of bed with the bed locked in position and patient slips and gets fractured
Administering wrong medication to a patient and patient vomits. This information is documental and reported.

For question16 state whether the statement is the true (T) or false (F) (½ mark each).

Question 16

About theories

Prescriptive theories reflect practice and address specific phenomena
A theory is a set of concepts, definitions, relations and assumptions that measures nursing functions
Systems theories describe an orderly process beginning with conception and continuity through death
Feininger theory of cultural care diversity addresses caring for clients from unique cultures
Evidence based nursing practice is the end resort of theory – generated and theory – testing research.

Question 17

Match the option in column (A) to the correct response in column (B).

COLUMN A

1) Set goals of care and desired outcome and identity appropriate nursing actions.

2) Gather information about the clients condition.

3) Perform the nursing actions indentified in planning.

4) Determine if goals met and outcome achieved.

5) Identify the clients problem.

COLUMN B

A = Assessment

B = Diagnosis

C = Plan and identify outcome

D = Implementation

E = Evaluation

F = Nursing diagnosis

SECTION B – 40 MARKS
1) Define the follows terms: (3 Mks)

Ethics
Conceptual framework
Trans cultural nursing

2) Differentiate between the follows terms: (6 Mks)

Expressed consent and implied consent
Standards and guidelines
Grand theory and middle range theories

3) Explain three factors that influence ethical decision making. (6 Mks)
4) State the four category components of Virginia Henderson fundamental needs. (4 Mks)
5) Describe the three nursing interventions on preventive levels according to Betty Neuman’s system model. (6 Mks)
6) State four characteristic of nursing profession. (4 Mks)
7) Explain five reasons why nurses need to improve critical thinking skills. (5 Mks)
8) State three uses of nursing theory in nursing education. (3 Mks)
9) State three levels of dynamic interactive systems according to imogene king. (3 Mks)

SECTION C (LAQ) – 40 MARKS

Question One

Developmental theories are sometimes called theories of growth and development.

Differentiate between growth and development.

(4 Mks)

State four characteristics of developmental models.

(4 Mks)

Jean Watson’s is one nurse theorists who is credited to development model. Discuss her theory under the metaparadism of nursing.

(12 Mks)

Question Two
Discuss five ethical principles of healthcare. (20 Mks)

Nrsg 351:Nursing Theories And Professionalism Question Paper

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