THE CATHOLIC UNIVERSITY OF EASTERN AFRICA

P.O. Box 62157

A. M. E. C. E. A 00200 Nairobi - KENYA
Telephone: 891601-6
REGINA PACIS INSTITUTE OF HEALTH SCIENCES Fax: 254-20-891084
E-mail:academics@cuea.edu
MAIN EXAMINATION

AUGUST – DECEMBER 2017 TRIMESTER

FACULTY OF SCIENCES
DEPARTMENT OF NURSING
REGULAR PROGRAMME
NUR / UNUR 103: PROFESSIONALISM

Date: DECEMBER 2017 Duration: 3 Hours

INSTRUCTIONS: Answer ALL Questions

PART -I: MULTIPLE CHOICE QUESTIONS (MCQs) (20 MARKS)

Q1. Patient’s responsibilities, exclude :

a) Providing information
b) Complying with instructions
c) Give different kind of care
d) Following hospital rules and regulations

Q2. The nursing process is utilized to:

a) Provide a systemic, organized and comprehensive approach to meeting
the needs of clients.
b) Encourage the family to make decisions regarding patient's care.
c) Increase involvement of allied healthcare professionals in decision-
making
d) None of the above
Q3. At the end of the shift, the nurse realizes that she forgot to document a dressing
change that she performed for a patient. Which action should the nurse take?
a) Complete an occurrence report before leaving.
b) Do nothing; the next nurse will document it was done.
c) Write the note of the dressing change into an earlier note.
d) Make a late entry as an addition to the narrative notes.

Q4. Self-care deficit theory was proposed by:

a) Virginia Henderson
b) Betty Neuman
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 c) Imogene King
d) Dorothea Orem

Q5. According to Roy's adapatation theory, which subsystem responds through four
cognitive responds through four cognitive-emotive channels (perceptual and
information processing, learning, judgment, and emotion)?
a) Regulator Subsystem
b) Cognator Subsystem
c) Physiologic Mode
d) Self Concept-Group Identity Mode

Q6. Which of the following theory has used "General Systems Theory" as a
framework for its development?

a) Florence Nightingale's Environment Theory

b) Hildegard E. Peplau's Psychodynamic Nursing Theory
c) Martha E.Roger’s: Science of Unitary Human Beings
d) Neuman's model

Q7. Who explained about "Care, Cure and Core as three independent but
interconnected circles of the nursing model"?
a) Patricia Benner
b) Rosemary Rizzo Parse
c) Lydia Hall
d) Jean Watson

Q8. "The unique function of the nurse is to assist the individual, sick or well, in the
performance of those activities contributing to health or its recovery (or to
peaceful death) that he would perform unaided if he had the necessary strength,
will or knowledge. And to do this in such a way as to help him gain independence
as rapidly as possible"
This definition of nursing was given by:
a) Nightingale
b) Neuman
c) Imogene King
d) Henderson
Q9. An ethical duty to tell the truth is?
a) Ethics
b) Veracity
c) Value
d) Values

Q10. A system of principles by which a person can determine what ought and ought
not to be done is a definition of ?
a) Ethical Theory
b) Autonomy

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 c) Ethics
d) Ethical sensitivity

Q11. An ethical principle stating that one should do good and prevent or avoid doing
harm is?
a) Beneficence
b) Nonmaleficence
c) Ethics
d) Adolescent

Q12. What term is defined as, a foundation for nurse's to make informed decisions
when evaluating the consequences of their actions?
a) Ethical principles
b) Governing laws
c) Best approaches to clinical practice
d) Evidenced-based practice

Q13. The 4TH NANDA - I nursing label domain is

a) Nutrition
b) Activity/ rest
c) Perception /cognition
d) Sexuality

Q14. Which is a source of primary data?

a) Client
b) Relative
c) Medical record
d) Laboratory results

Q15. Which nursing diagnosis label is correctly stated?

a) Physical mobility impaired
b) Excess fluid volume
c) Breathing pattern ineffective
d) Deficient bathing self care

Q16. The International Council of Nursing code of Nurses defines the role of a nurse
as?
a) Treat illness, prevent disease, alleviate suffering and restore health
b) Promote health, prevent illness, restore health and alleviate pain and
suffering
c) Promote health, to restore health, give drugs and alleviate suffering
d) Prevent illness, promote suffering, restore health and promote health

Q17. Which statement is true about ICN code of ethics for nurses?
a) A public statement of belief expressing the moral concerns, values
and goals of nursing

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 b) A public statement that places emphasis on the nurses’ role
c) A document that ensures continuous evaluation and improvement
of standards of care
d) A document that has consideration of legal implication of legal
implications of nursing practice.

Q18. What is meant by informed consent?

a) When a patient informs the surgeon to perform an operation on him
b) A clients’ agreement to allow procedures based on disclosure of risks,
benefits, alternatives, and consequences of refusal
c) A discussion between the client and the nurse about information about
the clients’ care
d) The health care that provides surgery and informs clients about
prescribed medications.

Q19. According to Dunn’s wellness grid, which wellness level is correctly placed
between its axis
a) Very favourable enviroment-high level wellness-peak wellness
b) Peak wellness-poor health- very unfavourable enviroment
c) Death – protected poor health- very unfavourable enviroment
d) Very favourable enviroment- poor health-death

Q20. The National Nurses Association of Kenya is a member of

a) ICN, CFN, KEPNA
b)CFN, NCK, ECSACON
c)NCK, KEPNA, ICN
d)ECSACON,CFN, KEPNA

PART-II: SHORT ANSWER QUESTIONS (SAQs) (40 MARKS)

Q1. State eight (8) patients’ rights (8marks)

Q2. Outline three (3) advantages and 3 disadvantages of team nursing (6 marks)

Q3. State eight (8) functions of Nursing Council of Kenya (8marks)

Q4. Explain the stages of development of a health behavior (8marks)

Q5. List eight (8 ) roles a professional nurse (4marks)

Q6. In reference to ethical and legal issues, explain and give an example for each of
the given concepts: autonomy, advocacy and accountability (6marks)

PART III: LONG ANSWER QUESTIONS (LAQs) (40 MARKS)

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Q1. Discuss the sub-concepts for the following nursing theories (20marks)
a) The environmental theory
b) The caring theory

Q2. Describe the Kenyan model of nursing process (20marks)

*END*

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