REGIONAL EXAMINATION FOR NURSE REGISTRATION

CARICOM COUNTRIES

FUNCTIONAL NURSING-OBJECTIVE TYPE QUESTIONS

PAPER IV

APRIL 1997

NO OF ITEMS: 50
SCENARIO 1 ITEM 1-5
The WHO Declaration of "Health for All by the Year 2000" has been adopted' by Caribbean
Countries, The Primary Health Care approach is the main strategy towards the achievement
of this goal.

ITEM 1

Which of the following Primary Health Care strategies can be used for the development of a
community based programme for adolescents?
i. Invite representatives from youth groups to planning meetings.
ii. Establish a planning committee
iii. Use available statistics in programme development
iv. Make provision for media coverage.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv

ITEM 2

Which of the following strategies will promote accessibility to health care?

i. Short waiting time
ii. Fixed clinic schedules
iii. Close proximity of health centres
iv. Positive attitudes of health care providers.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv

ITEM 3

Which of the following measures, BEST reflects the adequacy of health care in a community?

A. Positive changes in health status indicators

B. Availability of follow-up care
C. Available staffing and facilities
D. Satisfaction stated by clients.
SCENARIO 1 CONT'D

Part of the strategy proposed by your Ministry of Health is a programme on AIDS,

ITEM 4

The BEST method for preventing the spread of AIDS in the community is to
A. educate the community on HIV infection and AIDS.
B. publish statistics on the AIDS mortality rates.
C. use universal precautions when giving care to individuals.
D. distribute condoms to all males over the age of twenty-one years.
ITEM 5

Which of the following are concerns encountered by HIV/AIDS patients seeking medical
treatment?
i. Fear of death
ii. Lack of confidentiality
iii. Rejection by health care personnel
iv. Information given about their condition.

A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. i, ii, iii and iv

SCENARIO 2 ITEM 6-9

Inadequate management of water resources can have a serious impact on the health status of
the community. It is therefore absolutely necessary to have clean, safe water available to
sustain a healthy environment.
ITEM 6

Methods used by water authority for providing safe water to a community are:
A. condensation, sterilization and distillation.
B. sedimentation, filtration and chlorination.
C. evaporation, desalination and distillation.
D. chlorination, boiling and siphonaging.
ITEM 7

The process of passing water through sand and stones for purification is known as
A. Centrifugation

B. Chlorination.

C. Filtration

D. Sedimentation

ITEM 8

When discussing chlorination in the purification of water to first year nursing students they
would understand that chlorine residual is the

A. difference in the amount of chlorine added to the water.

B. common coagulation process in water purification.
C. amount of chlorine in the water at the end of a specified time.
D. amount of chlorine used in purifying water.

ITEM 9

In rendering water safe for drinking, members of the community should be advised that the
BEST method is to

A. add a few drops of household bleaching liquid to a gallon of water.

B. boil the water for five minutes and store in a clean covered container.
C. collect rain water and store in a covered container.
D. add disinfectant to water and store in covered container.

SCENARIO 3 ITEM 10-12

Contact tracing and follow-up care in accordance with public health laws, are mandatory
for relatives and associates of patients diagnosed and treated for Tuberculosis.

ITEM 10

Which of the following explain the functions of a surveillance team in its implementation of
a programme against the spread of Tuberculosis?
i. Involvement of health care workers in the lives of their clients
ii. Direction of resources to communities most affected
iii. Suggestion of suitable diets for institutionalized clients with Tuberculosis
iv. Development of awareness campaigns for the release of funds to care for
victims.

A. i, ii and iii
 B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv

ITEM 11

Three conditions which contribute to the spread of tuberculosis in a community include

i. drinking unpasteurised milk.
ii. low socio-economic status.
iii. practice of poor sanitation.
iv. Infrequent visits by environmental officers.

A. i, ii and ii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
ITEM 12

Which of the following may be utilized in a teaching plan for effective drug compliance for
clients with pulmonary tuberculosis?
i. Coordinating the direct taking of medications
ii. Planning educational sessions on drug categories
iii. Controlling the duration of the treatment regimen
iv. Organizing a program to monitor patient progress.

A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv

SCENARIO 4 ITEM 13-17

In many countries: where there are numerous socio-economic difficulties, attitudes such as
assertiveness, autonomy and mastery of the environment contribute to maintenance of good
mental health and preservation of personal integration,

ITEM 13

Which of the following indicate positive self attitudes among youths?

i. Having a feeling of wholeness
ii. Being aware of one's individuality
iii. Continuously seeking new challenges
iv. Having a sense of one's identity.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. i, ii, iii and iv.
ITEM 14

An individual in the community who is mentally healthy should be able to

i. change perceptions in the light of new information.
ii. show a sense of belongingness.
iii. learn from others' experiences.
iv. influence decisions based on intuition.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. i, ii, iii and iv.
ITEM 15

Autonomy is evidenced when the individual demonstrates all of the following EXCEPT
A. responsibility for himself/herself.
B. refusal to adjust to sudden changes.
C. responsibility for his/her own decisions.
D. respect for the choices of others.
ITEM 16

Which of the following are included in concepts of Personal integration?

i. Unified philosophy of life
ii. Measure of social insensitivity
iii. Regulation of one's moods and emotions
iv. Balance between inner and outer conflicts.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
ITEM 17

Environmental mastery is achieved by which of the following?

i. Working out problems of living
ii. Obtaining satisfaction from life
iii. Coping with frustration and loneliness
iv. Having free access to others' feelings.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
SCENARIO 5 ITEM 18-22
The results of a research study conducted i n the island of BATH revealed that 25% of
adolescents have considered committing suicide at some point in time.

ITEM 18

Which of the following factors are commonly cited as a cause for suicide?
i. Problems with family
ii. Financial problems
iii. Identified crisis
iv. Academic and social pressure.
A. i, ii and iii
B. i, ii and iv
C. ii, iii and iv
D. i, ii, iii and iv
ITEM 19

Which of the following is factual about suicide?

A. Suicidal people are intent on dying and habitually gamble with death
B. Suicide occurs at the height of the individual's morbid feelings
C. Suicidal individuals are mentally ill and most are psychotic
D. Suicidal people are frequently undecided about living or dying.
ITEM 20

Emile Durkheim theorized that men are MOST protected from suicide by
A. physical health.
B. marital relationships.
C. financial success.
D. aggressive traits.
ITEM 21

Nurses can assist in the prevention of suicide by

i. mobilizing resources to relieve clients' personal responsibilities.
ii. assessing the client's ability to cope with stress.
iii. teaching the client stress relief measures.
iv. offering continual support to families.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
ITEM 22

In a telephone conversation with a person who is suicidal, the Nurse should follow all of the
following principles EXCEPT
 A. encouraging the caller to do most of the talking.
B. writing down all important data given by the caller.
C. being optimistic and re-assuring the caller that the problems will abate.
D. mobilizing help for the caller, if indicated.

SCENARIO 6 ITEM 23-25

As care giver the nurse must facilitate the client in achieving health goals which may include
measures to restore emotional and social well-being and the, ability to develop self care stills.

ITEM 23

Which of the following actions will encourage the client to care for himself/herself?
i. Assessing his daily intake of calories
ii. Changing the client's dressing
iii. Teaching a diabetic to use a glucometer
iv. observing a client test his urine.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
ITEM 24

When deciding to teach a 14 year old to administer his insulin for the first time, the BEST
principle for the nurse to apply is
A. ability to learn.
B. learning environment.
C. readiness to learn.
D. previous knowledge.
ITEM 25

Which of the following is the BEST method for the nurse to use when teaching a two-year old
to use the "potty"
A. Spank the child and put him on the potty
B. Sit him on the potty three times daily
C. Tell him to tell you when he wants to urinate
D. Use games and pictures to show him how to use the potty.

SCENARIO 7 ITEM 26-28

Effective' Interpersonal Relationships is an important aspect of management.
Staff Nurses Brown, White and Green work on a busy Medical Ward where 25% of the patients
have tested positive for HIV; There has been difficulty in getting time off as scheduled, as them
is an acute shortage of staff.

ITEM 26

Staff Nurse Brown complained to the Nursing Supervisor that she has not had a weekend off
during the last two months. The Supervisor changed the off-duty to facilitate Nurse Brown
without consulting the Ward Sister/Head Nurse.

Which of the following principles of management were violated in this situation?

i. Equity
ii. Discipline
iii. Team spirit
iv. Unity of
Command.
A. i, ii and iii
B. i, ii and iv
C. ii, iii and iv
D. i, ii, iii and iv

ITEM 27

Staff Nurse White reported a ward management issue to the Nursing Supervisor/Departmental
Sister who attempted to resolve the matter without consulting with the Ward Sister/Head Nurse.
Which of the following is the BEST way for the Ward Sister/Head Nurse to handle this
situation?
i. Ignore the matter
ii. Apologize to Staff Nurse
iii. Counsel staff nurse on management protocols
iv. Request a meeting with the Supervisor/Departmental Sister.
A. i and ii
B. i and iii
C. ii and iv
D. iii and iv
ITEM 28

Nurse Green is very upset. She has been working on the ward continuously for six months
Which of the following actions would you use when counseling Staff Nurse Green?
i. Speak to Staff Nurse Green in a soft voice
ii. Find out what is upsetting Staff Nurse Green
iii. Listen to Staff Nurse Green's view on the matter
iv. Tell Staff Nurse Green she is free to leave when she wants.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
SCENARIO 8 ITEM 29-33
Miss Janet Claire is the Senior Staff Nurse on ward 2, a Medical Ward. She has three student
nurses to supervise.

While serving meals she heard aloud noise in the ward. On investigation she saw Mr. Cox a
diabetic lying on the floor beside his bed.

ITEM 29
In assisting Mr. Cox the BEST actions for Staff Nurse Claire to take would be to
i. scold Mr. Cox for falling out of bed.
ii. assess Mr. Cox's condition and seek medical aid.
iii. instruct two of the student nurses to put Mr. Cox back on the bed.
iv. get two of the student nurses to assist her to put Mr. Cox in bed.
A. i and ii
B. ii and iii
C. ii and iv
D. iii and iv.
ITEM 30

While Staff Nurse Claire was supervising Mr. Cox's bed bath the following day, a very irate
relative demanded to see him immediately.
The BEST response from Staff Nurse Claire should be
A. "It is not visiting time, so you cannot see him."
B. "Mr. Cox is being bathed, please wait a little while."
C. "Is there a message I can give him for you?"
D. "We are busy now could you return later?"

SCENARIO 8 cont’d

Staff Nurse Claire told the nursing students that they should exercise professional behavior at
all times.

ITEM 31

Which of the following constitute professional behavior?

i. Showing respect for authority
ii. Arriving for duty on time
iii. Adhering to the dress code while on duty
iv. Discussing a patient's diagnosis in the hearing of other patients
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv
ITEM 32

Staff Nurse Claire explained to the students that all the following are effective ways to
demonstrate caring EXCEPT
A. addressing the patient by his/her name.
B. communicating improvements noted to the patient and his family.
C. encouraging the family to keep their visits well within the scheduled visiting
hours.
D. providing privacy when giving direct care and during family discussions.
ITEM 33

Nurse Claire asked the students which of the following combination of techniques would be
utilized for effective ward management? Which of the following would be the student’s BEST
response?
A. Counseling, teaching and interviewing
B. Research, teaching and counseling
C. Teaching, surveillance and interviewing
D. Evaluation, research and surveillance.

SCENARIO 9 ITEM 34-40

There has been a flood following torrential rains which destroyed fifty percent of a farming
village. Two schools have been converted to emergency shelters, where most of the population
is staying

ITEM 34

All of the following are natural disasters, EXCEPT

A. earthquakes and volcanic eruptions.
B. flooding and tsunamis (tidal waves).
C. chemical contamination and wars.
D. landslides and hurricanes.
ITEM 35

In which of the following groups of potentially hazardous natural phenomena would you group
"River Flooding?"
A. atmospheric

B. Hydrologic

C. Seismic

D. Volcanic

ITEM 36
Which of the following are typical adverse effects of flooding?
i. Loss of crops and food supplies,
ii. Contamination of water supplies.
iii. Physical damage and casualties.
iv. Anxiety and depression.
A. i, ii and iii
B. i, ii and iv
C. ii, iii and iv
D. i, ii, iii and iv
ITEM 37

The GREATEST potential public health problems resulting from the flood, which may be
identified in the emergency shelters, are
i. outbreaks of malaria.
ii. outbreaks of diarrhea.
iii. viral infections.
iv. minor injuries.
A. i, ii and iii
B. i, ii and iv
C. i, iii and iv
D. ii, iii and iv.
ITEM 38

Assessment in disaster management is the process of determining the impact of a disaster on a

society.
The FIRST priority of assessment is to:
A. establish the need for immediate emergency measures to save and sustain the lives of
survivors.
B. identify possibilities for facilitating and expediting recovery and development.
C. collate, evaluate, and interpret information from various sources.
D. determine what has happened and what might be needed.

ITEM 39

The steps that are used for managing a disaster situation in order of PRIORITY are
i. identification of information needs and sources of reliable data.
ii. reporting conclusions, forecasts and alternatives to appropriate planner and
decision makers.
iii. analyzing and interpreting data.
iv. collating data.
A. i, ii, iii and iv
B. i, iv, iii and ii
C. ii, iii, iv and i
D. ii, iv, i, and iii
ITEM 40

In which of the following disaster phases would the objective "confirm the reported
emergency and estimate the overall magnitude of the damage" be found?
 A. Warning

B. Emergency

C. Rehabilitation

D. Recovery

SCENARIO 10 ITEM 41-50

Research studies should' be the basis on which professional nursing practice is founded.
Nurses should therefore participate in research projects in order to improve standards of
patients care.

In COLUMN I is a list of terms used in Research Methodology. In COLUMN 11 is a list of

definitions. Match the terms in COLUMN 1 with the definitions in COLUMN 11 by placing
the appropriate letter in the space provided.

COLUMN 1
ITEM 41 ___________________________Bias
COLUMN II
A. The process of transforming raw data
into standardized form (usually
numerical) for data processing and
analysis.

ITEM 42 ____________________Assumptions B. A descriptive statistic that is a measure

of central tendency, computed by
summing all scores and dividing by the
number of subjects.
C. A descriptive statistic that is a measure
of central tendency; the score in value
ITEM 43 ________________________Analysis
that occurs most frequently in a
distribution of scores.
D. The degree of consistency or accuracy
with which an instrument measures the
ITEM 44 ____________________Correlation
attribute it is designed to measure.

E. A tendency for variation in one variable

ITEM 45 __________________________Mean to be related to variation in another
variable.
ITEM 46 _________________________Range
ITEM 47 _____________________Reliability
F. Basic principles that are accepted as
being true on the basis of logic or reason
without proof or verification.
G