APRIL 1999 PAPER 3

FUNCTIONAL NURSING ESSAY TYPE TEST ITEMS

SCENARIO 1 ITEM 1
Mr. Tobias, aged nineteen (19) years, was admitted to the male medical
ward with diarrhea and appeared very ill. Blood samples have been drawn
for diagnostic purposes. Mrs. Tobias has arrived to visit her son and was
told by the staff nurse that her son has !"#. Mr. Tobias had no $nowledge
that he was being tested for %!&. Mrs. Tobias reported the matter to 'ard
#ister. (%ead (urse).
ITEM 1
. "iscuss si) management measures the 'ard #ister (%ead (urse)
could use to prevent the reoccurrence of the above incident.
(1*pts)
B. "etermine with rationale the two (*) areas of the !+( +ode of
,thics, which have been violated. (-pts)
+. #ummari.e three (/) legal implications of Mr. Tobias case.
(0pts)
Total 22 points
*Appo!i"at#l$ 3%% &o's
SCENARIO 2 ITEM 2
Tamara a two (*) year old has been brought to the accident and ,mergency
"epartment by her grandmother with a history of accidentally swallowing
of household bleach. Tamara appears drowsy and listless with the mucous
lining of her mouth and lips burnt.
ITEM (2
"escribe the information you would give Tamara1s grandmother and
family to prevent a subse2uent occurrence of accidental poisoning, using
the following headings.
. +haracteristics of * year old Tamara1s growth and development
relevant to the occurrence of accidental poisoning. (3pts)
B. #afety practices which should be implemented. (10pts)
Total )2* pts+ *Appo!i"at#l$ 2,% &o's
SCENARIO 3 ITEM 3
4esearch #tudies are necessary for e)plaining and solving health and
social problems.
ITEM 3
"iscuss in *556/55 words the (/) advantages and (*) "isadvantages in the
use of the following "ata gathering tool used in research study.
1. The !nterview #chedule (15pts)
*. Mailed 7uestionnaire (15pts)
/. 8bservation (15pts)
Total )3% pts+
SCENARIO * ITEM *
#ister %a.el has been appointed 'ard #ister of the female #urgical ward.
The previous #ister e)perienced difficulty in implementing th9e (ursing
process due to resistance by #taff members.
ITEM *
"escribe in appro)imately 155 words each how #ister %a.el can use the
following phases of the C-ANGE PROCESS to facilitate
implementation of the (ursing :rocess.
. ;nfree.ing (15pts)
B. Moving (0pts)
+. 4efree.ing (15pts)
Total 2. points