October 1998 Paper 1 Clinical Nursing Essay - Type Test Items
October 1998 Paper 1 Clinical Nursing Essay - Type Test Items
October 1998 Paper 1 Clinical Nursing Essay - Type Test Items
SCENARIO 1 ITEM 1
Mr. Austin Grey is thirty-six (36) year old business man who is married with
two children. He was diagnosed by his doctor as having Pulmonary
Tuberculosis. Mr. Grey has a history of alcoholism for the past five (5)
years.
ITEM 1
Discuss the content that should be included in an educational programme to
assist Mr. Grey and his family to assume responsibility for their health,
using the following headings:
A. Nutrition (6pts)
B. Medication (8pts)
C. Prevention of spread of infection (4pts)
D. Follow-up care (6pts)
Total 24 points
*Approximately 250-300 words
SCENARIO 2 ITEM 2
You are the nurse in charge of a male surgical ward. One of the patients
Edward Bisden 17 years old is a known footballer who played on the
National team. He has had an above knee amputation following a motor
vehicle accident
ITEM #2
Determine four (4) nursing interventions for each of the following objectives
of care, which will assist Mr. Biden and the family in coping with the effects
of body image disturbance.
Total 32 points
*Approximately 400 words
SCENARIO 3 ITEM 3
Carrie Smith, 16 years, a senior high school was admitted with a history of
bleeding heavily per vagina for one day. On admission, Carrie complained
of severe abdominal pain and a malodorous vaginal discharge. She also
stated that she was forced by her mother to get an abortion, so she could
complete High school.
Carrie was evaluated by the gynecologist who ordered that she be prepared
for emergency surgery, since her general condition was deteriorating
rapidly.
ITEM 3
Discuss how the following three factors can influence a teenager’s decision
about having an abortion
ITEM 4
Discuss the integrative roles/ functions of members of the health team and
family in the care of Mrs. James
Total: 24 points
* Approximately 300 words