REGIONAL EXAMINATION FOR NURSE REGISTRATION

CARICOM COUNTRIES
FUNCTIONAL NURSING-OBJECTIVE TYPE QUESTIONS
PAPER IV
APRIL 1999
NO OF ITEMS: 50
ITEM 1
Which of the following is an advantage of breast feeding to Ms. Chancey?
A. Allows more time for family interaction
B. Favors natural spacing between pregnancies
C. Contributes to the preservation of the environment
D. Allows other family members more time for bonding
ITEM 2
Which of the following statementsstrategies can be employed to promote breast feeding among adolescent mothers?
i. Mother Craft
ii. !ndividual counseling
iii. Formulation of breast feeding group
iv. Community breastfeeding baby show
A. i" ii" iii
B. i" ii" iv
C. ii" iii" iv
D. i" ii iii" iv
ITEM 3
Which of the following strategies is M#$% appropriate to maintain breast feeding among teenagers?
i. Appraisal
ii. Counselling
iii. Monetary reward
iv. Fre&uent home visiting
A. i " ii" iii
B. i " ii" iv
C. i " iii" iv
. ii " iii" iv
ITEM !
When counselling teenage mothers on breastfeeding which of the following B'$% describes the se&uence
of steps in the counselling process?
i. 'ntry and clarification
ii. '(plorationventilation
iii. $ummari)inginterpreting
iv. *lanningaction
A. i " ii" iv"iii
B. i " iv" ii" iii
C. i " ii" iii" iv
D. i" ii " iii" iv
SCENARIO 1 ITEM 1 -!
Ms Chancey" aged +, years" visited the health center with her baby for Cord care. %he -urse observed that Ms
Chancey had a feeding bottle. Ms. Chancey stated that she was advised by a family member to give the baby
formula to supplement breast feeding.
ITEM 5
All of the following are considered functions of the family" '.C'*%/
A. regulating se(ual behaviour
B. providing care and protection
C. providing secondary sociali)ation
D. providing discipline and corrective punishment
ITEM "
Which of the following factors could produce a dysfunctional family?
i. Absence of shared values
ii. 0ac1 of an economic base
iii. !ndividuali)edisolated activities
iv. Contacts with e(tended family members
A. i" ii" iii
B. i" ii" iv
C. i" iii" iv
D. ii" iii" iv
ITEM #
!n assisting Brenda to change her perception of family life the nurse should/
A. send Brenda to live with her aunt
B. ta1e Brenda out to visit other families
C. ta1e Brenda to spend a wee1end with her
D. spend some time with Brenda as she interacts with her family
ITEM $
Which of the following measures could be used to resolve conflict within families?
i. $ociali)ing together
ii. $haring responsibilities.
iii. 2especting the authority of the father
iv. tal1ing to each other openly and honestly
A. !" ii"iii
B. !" ii" iv
C. !i" iii" iv
D. !" ii" iii" iv
SCENARIO 2 ITEMS 5-#
Brenda aged +3 years" was being assessed in the $chool 4ealth *rogramme. $he began to cry and become
uncommunicative for a while. After much coa(ing she admitted that her father drin1s and beats her mother. $he also
stated that she disli1es her two older and three younger siblings.
ITEM 9
4ouseholders in the community should be advised that they contribute to the disturbance of the ecology
through disposal of solid waste such as/
i. rubber tyres
ii. tree clippings
iii. organic waste
iv. plastic material
A. i" ii" iii
B. i" ii" iv
C. i" iii" iv
D. ii" iii" iv
ITEM 10
Which of the following measures should assume 4!54'$% *2!#2!%6 for householders when managing solid waste
disposal?
A. $eparating organic from other materials
B. *utting out garbage at appropriate times
C. Composting organic material to ma1e fertili)er
D. $toring waste matter ade&uately until collection
ITEM 11
All of the following health problems will affect members of the community directly as a result of indiscriminate waste
disposal '.C'*%/
A. *hysical and mental retardation
B. 'sophagitis and gastritis
C. %yphoid fever and cholera
D. $inusitis and asthma
ITEM 12
All of the following are long term effects on the environment as a result of improper solid waste disposal EXCEPT:
A.Diminish in aesthetic value
B.Destruction of a&uatic life
C.*ollution of underground water supplies
D.2eduction in the national productivity levels.
ITEM 13
Which statement BEST defines Counselling
A.5uuiding the client to tal1 about his her problems
B.'(plaing to the client the methods used to solve similar problems
C.5iving advice to the individual in order to bring about a change in behavior
D.5iving guidance to the client thereby assisting him her to solve problems.
SCENARIO 3 ITEM 9 -12
Management of $olid waste is a ma7or concern for government s of the Caribbean countries" as it presents a threat to
the health and well8being of the people.
SCENARIO ! ITEM 13 -1#
Among the many roles the nurse performs in providing client care are teaching and counseling.
ITEM 1!
Which of the following are important &ualities that a counselor should possess?
A.5ood listener" empathy" and concern for others
B.Concern for others" good listener" sympathy
C.$ympathy" persistence and good listener
D.*ersistence" empathy" adviser
ITEM 1$
From the statements below choose the order of *2!#2!%6 the $taff -urse will follow to prepare the ward and patients for
the hurricane.
i. !nform the supervisor on duty of the news
ii. !nform the patients about plans to re8arrange the ward
iii. Meet with other staff members for a brief discussion on ward preparation
iv. Ma1e a &uic1 inventory of supplies needed for the ward
A. i" ii" iii" iv
B. i" ii" iv" iii
C. i" iii" iv" ii
D. iii" i" ii" iv
ITEM 19
%he nurse can help the patients to be more rela(ed during the re8arrangement of the ward by/
i. allowing patients to assist with the re8arrangement
ii. 1eeping the patients in bed or in the recreation room
iii. allowing patients to apply name tags on patients who cannot help themselves
iv. identifying patients with specific s1ills and allowing them to use these where
necessary
A. i" ii" iii
B. i" ii" iv
C. i" iii" iv
D. ii " iii" iv
ITEM 20
All of the following problems could arise from overcrowding in a disaster shelter within 9: hours" EXCEPT/
A. cross infection
B. emotional stress
C. violation of privacy
D. proteinenergy malnutrition
SCENARIO 5 ITEM 1$ -22
%he $taff -urse in charge of a ;< bed Male Medical Ward in 2edonda received information from nursing
administration that 4urricane Florrie will stri1e the country within the ne(t twenty8four hours
SCENARIO CONT%

Following the 4urricane" the village of 2edonda was severly affected and <3= of the villagers were housed in the
designated shelter for an indefinite period.
ITEM 21
%he s1ills the nurse would use to cope with problems in the disaster shelter are/
i. decision8ma1ing
ii. communication
iii. policy ma1ing
iv. leadership
A. i" ii" iii
B. i" ii" iv
C. i" iii" iv
D. ii" iii" iv
ITEM 22
!n a disaster shelter" which of the following data should be collected and reported daily to monitor the possibility of
disease outbrea1?
i. %otal number of ill and in7ured
ii. Condition of shelterenvironment.
iii. Clinical manifestations of infectious process
iv. Medicationtreatment of patients with chronic illnesses
A. i " ii" iii
B. ! " ii" iv
C. !" iii" iv
D. !i" iii" iv
ITEM 23
Which of the following statements B'$% defines the term management?
A. *reparation for the change process
B. %he planning and directing of a group activity
C. An enterprise set up to formulate and accomplish goals and ob7ectives
D. %he effective use of resources to accomplish pre8determined ob7ectives
ITEM 2!
Management by ob7ectives in a -ursing Department is a techni&ue which includes all of the following '.C'*%/
A. team approach
B. trial and error
C. identification of resources
D. pre8determined ob7ectives and activities
SCENARIO 5 ITEM 23 -3!
%hird 6ear $tudent -urse Alice Wonder is assigned to the Female Medical ward for a four >9?
wee1 period of consolidation of her management s1ills
ITEM 25
Which of the following is the C#22'C% se&uencing of management functions that should be employed by student nurse
Wonder?
A. 'valuating" planning" organi)ing and controlling
B. Directing" planning" organi)ing and controlling
C. *lanning" organi)ing" controlling and evaluating
D. *lanning" directing" controlling and organi)ing
ITEM 2"
$tudent -urse Wonder 1nows for any organi)ation to function effectively its members need to understand the/
A. available resources
B. functions of the manager
C. mission of the organi)ation
D. management tools to be used
ITEM 2#
Which of the following may -#% be used by $tudent -urse Wonder as an essential component of the communication
process?
A. *erceptionaction
B. 2eceiverfeedbac1
C. Messagesender
D. Methodchannel
ITEM 2$
By which of the following behaviours can $tudent -urse Wonder ade&uately manage time?
i. Ma1ing a daily wor1 plan
ii. @udicious delegation of duties
iii. $etting goalsob7ectives for her unit
iv. *erforming all management functions herself
A. i" ii" iii
B. i" iii" iv
C. i" iii" iv
D. ii" iii" iv
ITEM 29
Which of the following must $tudent -urse Wonder utili)e in the effective management of material resources?
i. Conducting -ursing Audits
ii. Conducting periodic inventories
iii. *eriodic inspection of e&uipment and supplies
iv. #rientation of staff to the use of new e&uipment
A. i" ii" iii
B. i" ii" iv
C. i" iii" iv
D. ii" iii" iv
SCENARIO C&'(%)
$tudent -urse wonder is e(pected to use a wide range of Management functions and *rinciples on a daily basis to
ensure &uality patient care within the #rgani)ation.
ITEM 30
All of the following reflect the principle of Division of 0abour" '.C'*%/
A. @ob Description
B. %eam Approach
C. Allocation of staff
D. $peciali)ation of staff
ITEM 31
Which of the following *rinciples of Management is being violated?
A. $calar chain
B. 'spirit de crops
C. Anity of direction
D. Anity of command
ITEM 32
%hree IMPORTANT factors to be considered by $tudent -urse Wonder when delegating duties are/
A. assessment" supervision" accountability
B. responsibility" authority" accountability
C. authority" supervision" accountability
D. accountability" competence" responsibility
ITEM 33
$tudent -urse Wonder 1nows that the Charge -urse occupies a UNIQUE position in the health management system
because shehe/
A.has to teach student nurses
B. has to deal with staffing problems
C.interacts with a wide variety of persons
D.fulfills the role of nurse clinician and nurse manager
ITEM 3!
Which of the following tools should be used by $tudent -urse Wonder to evaluate the effectiveness of patient care?
i. -ursing Audit
ii. -ursing care plan
iii. Ward reports
iv. Assessment forms
A. i" ii" iii
B. i" ii" iv
C. i" iii" iv
D. !" ii" iii" iv
SCENARIO C&'(%)
$tudent -urse wonder as1ed one of her colleages to conduct a *re8ward Conference $ession at B/+< am.
Appro(imately < minutes later" a staff nurse as1s her to conduct the medication rounds.
ITEM 35
Documentation of treatment given to a patient is important for all of the following reasons EXCEPT it/
A. prevents treatment being repeated unnecessarily
B. gives the patient confidence in the treatment
C. informs other staff members that treatment has been given
D. protects the patient when repeated treatment could be harmful
ITEM 3"
-urse BrowneCs failure to record the administration of pre8operative medication for Mrs. 4arry is considered as/
A. negligence
B. misconduct
C. incompetence
D. irresponsibility
ITEM 3#
Which of the following is the BEST response for $taff -urse @en1ins to ma1e when &uestioned about Mrs. 4arryCs pre8
medication?
A. D! will as1 Mrs. 4arry if she was given the pre8medication.D
B. D0et me chec1 with the witness and complete the documentation.D
C. E! will en&uire from the nurse who witnessed the administration of the medication.D
D. D! will chec1 the drug register for verification that the pre8medication was given.
ITEM 3$
Which of the following actions would be MOST appropriate for the Ward $ister to ta1e in -urse BrowneCs case?
A. Warn her about the conse&uences of her actions
B. $ee1 an opinion from the 5eneral -ursing Council
C. 2efer the matter to the $enior -ursing Administrator
D. !nvestigate the circumstances surrounding the situation
SCENARIO # ITEM 35-3$
Mrs. @oan 4arry a seventy >B3? year old diabetic was admitted to the surgical ward as an emergency for an amputation
of the left leg following the development of gangrene.
$taff -urse Browne prepared Mrs. 4arry for surgery and $taff -urse @en1ins accompanied her to the operating theatre.
#n arrival there the anaesthetist discovered that there was no record to indicate that the pre8operative medication was
given and the surgery was delayed.
ITEM 39
Which of the following actions should the nurse F!2$% ta1e in an effort to resolve the problem of !gerCs refusal to have his
hair cut?
A. #utline to !ger alternative choices of care
B. !nform the doctor of !gerCs refusal to cut his hair
C. %al1 with !ger to clarify personal values relating to his loc1s
D. '(plain to him the possible conse&uences" such as infection
ITEM !0
#btaining informed consent from !ger necessitates all of the following '.C'*%/
A. ensuring his mental orientation
B. outlining the possible ha)ards of treatment
C. e(plaining the e(act procedures to be carried out
D. assuring him of a complete positive outcome to treatment
ITEM !1
%he B'$% e(planation for the problem arising from !gerCs refusal to have his hair shaved" is a conflict between/
A. the nurse" the doctor and !ger
B. !gerCs values and the nurseCs personal values
C. !gerCs values and the nurseCs professional responsibility
D. %he -urseCs personal values and her professional responsibility
ITEM !2
Which of the following rights could be considered violated in !gerCs situation?
A. 0egal rights
B. 4uman rights
C. Moral rights
D. Freedom of choice
SCENARIO $ ITEMS 39-!!
!ger a 2astafarian" received a deep irregular laceration < inches within the hairline of the forehead. 4e refused to
have his hair shaved or cut in order to have his wound sutured.
SCENARIO C&'(%)
%he -urse went ahead at the doctorFs re&uest to cut and shave !gerFs hair.
ITEM !3
Which of the following rights of the client should the nurse adhere to?
i. %he right to receive the best care available
ii. %he right to do as he pleases in hospital
iii. %he right to receive relevant information concerning his care
iv. %he right to withhold from other care givers all information disclosed about his
health status
A. !" !!
B. !. !!!
C. !" !G
D. !!" !G
ITEM !!
Which of the ethical components of the !.C.-. Code of 'thics could the nurse possibly violate by cutting !gerCs hair without
his content?
A. -urses and people
B. -urses and society
C. -urses and practice
D. -urses and the profession
ITEM !5
According to the CA2'CCs Manual" epidemiology is defined as the study of the/
A. investigation of epidemics in a human population
B. distribution and determination of disease fre&uency in man
C. distribution of diseases using the ecological approach
D. outbrea1 of communicable diseases and their determinants in man
ITEM !"
According to the CA2'CCs Manual" the epidemiological approach is based on which of the following variables?
i. 4uman population
ii. 'cological factors
iii. Distribution of disease
iv. Determinants of disease
A. i" ii"iii
B. i " ii iv
C. i" iii" iv
D. ii" iii" iv
SCENARIO 9 ITEMS !5-50
Diabetis Mellitus is a growing concern in Caribbean communities. %he epidemiological approach has been used
to determine the causative factors of this health problem.
ITEM !#
Which of the following factors are reasons for epidemiological surveillance?
i. Diagnosing the health of a community
ii. Determining factors of susceptibility
iii. $ee1ing causes of health and disease
iv. 'stablishing modes of transmission
A. i" ii" iii
B. i" iii" iv
C. ii" iii" iv
D. i" ii" iii" iv
ITEM !$
Which of the following figures represents the number of diabetics in the over 93 age group in this country?
A. <<
B. <<3
C.<3<3
D.<<33
ITEM !9
Which of the following figures represents the prevalence rate of diabetics in the over 93 years age group in this country?
A. +3
B.HI.I
C. ,<
D. +33
ITEM 50
Which of the following represents the mortality rate of diabetics for the population of that age group?
A.3.:=
B.:.3=
C.:.+=
D.:.:=
SCENARIO CONT%
!n a Caribbean country with a population of +<3"333" a survey revealed that of the <<"333 over forty
>93? years old" +3= had diabetes Mellitus. Forty five >9<? of theses persons had died as a result of the
disease during the past year.