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    BSN July 2011 PP2

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    Michael Otieno

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    BSN July 2011 PP2

    Uploaded by

    Michael Otieno
    5 views4 pages

    Original Title

    BSN JULY 2011 PP2

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    © © All Rights Reserved

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    5 views4 pages

    BSN July 2011 PP2

    Uploaded by

    Michael Otieno

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    BSN LICENSINGEXAMINATION: JULY 2011: PAPER TWO

    PART I: MULTIPLE CHOICE QUESTIONS

    1. Persistence of moro reflex beyond the age of 6 months is usually suggestive of:-
    a) Immaturity.
    b) Brain damage.
    c) Mental retardation.
    d) Brachial plexus palsy.
    2. Babies born with intrauterine growth retardation are usually prone to:-
    a) Congenital abnormalities, hyperglycemia.
    b) Neonatal hyperglycemia, asphyxia.
    c) Neonatal asphyxia, birth defects.
    d) Neonatal tetanus, asphyxia.
    3. Mrs. Ug, presents in maternity ward with pulsating prolapsed umbilical cord. The recommended
    nursing position would be:-
    a) Knee-chest position, exaggerated sim’s position.
    b) Fowler’s position, McRoberts manoeuvre position.
    c) Sim’s position,trendelenburg position.
    d) Prone position, knee-chest position.
    4. Lochia serosa iscomposed of:-
    a) Decidua, vernix, leucocytes.
    b) Leucocytes, cervical mucous, decidua.
    c) Cervical mucous, cholestrin crystals, lanugo.
    d) Leucocytes, cervical mucous, erythrocytes.
    5. During second stage of labour, the diameter that distends the vaginal orifice in face presentation
    is:-
    a) Occipitofrontal.
    b) Submentovertical.
    c) Submentobregmatic.
    d) Mentovertical.
    6. The right time for diagnosing HIV infection using antibody tests among children born in HIV
    positive mother is at or after:-
    a) 12 months of age.
    b) 16 months of age.
    c) 18 months of age.
    d) 6 months of age.
    7. During management of severe eclempsia:-
    a) Anticonvulsant therapy should be given once daily.
    b) Ketamine is the drug of choice in performing a caesarean delivery.
    c) Nifedipine can be used to lower the blood pressure.
    d) Blood pressure should be monitored 6 hourly.
    8. A mission statement:-
    a) Reflects the purpose and direction of the health care agency.
    b) Develops, negotiates and formalizes the targets of a health care agency.
    c) Identifies the goals that are specific and adhere to the deadline of the health care agency.
    d) Is used to develop educational programs for health care professionals.
    9. An organizational structure designed to focus on both product and function is:-
    a) Flat.
    b) Matrix.
    c) Bureaucracy.
    d) Hybrid.
    10. A client with schizophrenia had just been admitted to the mental health unit. When working
    with this client the nurse’s initial most therapeutic action would be to :-
    a) Use diversional activity and involve the client in occupational therapy.
    b) Build trust and demonstrate acceptance by spending some time with client.
    c) Involve the client in multiple small group discussions to distract attention from the fantasy
    world.
    d) Delay one to one interactions until medication reduce the psychotic symptoms.
    11. Separation anxiety in Freud’s psychosexual stages of development initially occurs during the:-
    a) Oral stage.
    b) Anal stage.
    c) Phallic stage.
    d) Latency stage.
    12. When caring for the extremely depressed clients, specific goals towards helping the client
    include:-
    a) Set realistic goals.
    b) Express hostile feelings.
    c) Get involved in activities.
    d) Develop trust in others.
    13. Individuals with antisocial personality disorder:-
    a) Suffer from a great deal of anxiety.
    b) Are generally unable to postpone gratification.
    c) Rapidly learn by experience and punishment.
    d) Have a great sense of responsibility towards others.
    14. In decentralized scheduling:-
    a) The nurse manager develops the schedule in isolation from all other units.
    b) Each staff does self scheduling then the unit manager balances the schedule depending on
    the need.
    c) The organization general manager does the scheduling.
    d) The organization sets up a staff scheduling committee.
    15. The basic elements of supervision include:-
    a) Regulating workload, providing opportunity to discuss stressful work issues, providing feed
    back to staff on their performance.
    b) Building and maintaining an organization structure, creating and maintaining an effective
    working force , controlling the work.
    c) Maximizing the economy, creating and maintaining effective work force , developing and
    maintaining motivation.
    d) Assesses the results of training among the colleagues.
    16. Performance appraisal is essential as it:-
    a) Assesses the performance of the industry towards achieving it’s goals.
    b) Gives the employee a clear indication of progress and performance.
    c) Obtains useful feedback for the consumer.
    d) Assesses the results of training among the colleagues.
    17. Random selection of subjects for a study is used to:-
    a) Maximize the generalizability of results.
    b) Reduce random measurement error.
    c) Control assignment errors.
    d) Minimize hawthorne effect.
    18. Literature review in research is useful for:-
    a) Familiarization with practical or theoretical issues relating to a problem for study.
    b) Ensuring that the research superior is well informed.
    c) Controlling extraneous variables during experimentation.
    d) Testing for appropriate casual relationship.
    19. The application of operant conditioning in nursing education may be achieved by:-
    a) Stating the objectives of a teaching session.
    b) Using punishment to extinct negative behavior.
    c) Rewarding positive behavior.
    d) Stimulus variation in classroom teaching.
    20. The gender of subjects in a research is an example of:-
    a) A ratio scale.
    b) A nominal scale.
    c) An ordinal scale.
    d) An interval scale.

    PART II: SHORT ANSWER QUESTIONS

    1. a) Outline the four Eugen Bleurer’s fundamental symptoms of schizophrenia.(4 marks)


    b) State four factors that may increase the risk of developing catatonic schizophrenia.(4 marks)
    2. Outline five types of non-probability sampling in research.(5 marks)
    3. Differentiate between formative and summative evaluation.(4 marks)
    4. Explain the first stages of psychosocial development according to Erikson’s theory in their
    correct sequence.(6 marks)
    5. a) Explain rating scale used in questionnaires.(3 marks)
    b) Fraud.
    c) Misuse of priviledges.
    6. Explain the following ethical terms used in research.
    a) Plagiarism (2 marks).
    b) Fraud (2 marks).
    c) Misuse of privileges (2 marks).
    7. State four (4) manifestations of somatization disorder (4 marks).

    PART III: ESSAY/LONG ANSWER QUESTIONS

    1. You have been appointed the regional director in a non-governmental organization to manage
    malaria control project.
    a) Outline five (5) key principles of quality management (5 marks).
    b) Describe the phases of strategic planning process (15 marks).
    2. You have been assigned to teach a certain course to undergraduate nursing students.
    a) Outline five (5) principles of teaching (5 marks).
    b) Describe five (5) factors that influence learning in a classroom setting (15 marks).

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