AMREF VIRTUALTRAINING SCHOOL

MID-MODULE FOUR EXAMINATION MARCH 2012CLASS

FRIDAY 24THJANUARY, 2014

TIME ALLOWED: 3 HOURS TIME: 9:00AM – 12:00PM

INSTRUCTIONS TO CANDIDATES

  1. Read the questions carefully and answer only what is asked.
  1. Enter YOUR ADMISSION NUMBER in all the answer sheets.
  1. All the questions are COMPULSORY.
  1. FOR PART 1 (MULTIPLE CHOICE QUESTIONS)

The answers should be written in CAPITAL LETTERS i.e. ‘A’ but

not ‘a’.

  1. Each M.C.Q is 1 mark.
  1. For Part II (SHORT ANSWER QUESTIONS)

Answers to these questions should follow each other on the

Provided sheet of paper.

  1. For Part III (ESSAY/LONG ANSWER QUESTIONS)

Answers to each question must be on a separate sheet of paper.

  1. Omission of or wrong numbering of examination papers, questions or parts of the question will result in 10% deduction of the marks scored from the relevant part.
  1. Each candidate MUST sign the attendance form after handing in ALL the scripts.

PART I: MULTIPLE CHOICE QUESTIONS (20 MARKS)

  1. The advantages of essay type of tests include;

a)Easy to mark, promotes organisation

b)Easy to set, good presentation of the course

c)Promotes organisation, helps in meaningful study

d)Objective marking, high mark load

  1. A lesson plan is best defined as a written description of;

a)Teaching and learning in a course

b)Activities that happen in a teaching learning situation

c)Subjects and learning experiences in a course

d)Teaching activities performed by a teacher in a classroom

  1. Simulation is best defined as;

a)Demonstration of procedures in the skills lab

b)Using substitute elements to represent the real thing

c)Clinical skills teaching at the patient’s bedside

d)Use of a combination of audio-visual media

  1. Reinforcement is employed whenthe teacherwants to;

a)Discipline students

b) Evaluate students’ performance

c) Encourage learners

d) Enhance learners’ understanding

  1. The purpose of student evaluation is to;

a)Determine how much a learner can remember

b)Assess whether the learner has learned what he/she was expected to learn

c)Measure students’ performance against each other

d)Find out whether the teacher taught well

  1. The function of management that involves measuring the performance of employees to ensure that planned objectives of an organization are achieved is:

a)Directing

b)Controlling

c)Authority

d)Staffing

  1. Unity of direction as a principle of management involves:-

a)Subordinates receiving orders and being accountable to one manager

b)Employees understanding and pursuing the same objectives.

c)Putting aside personal considerations and putting company objectives first.

d) An organization having a clear line of authority from top to bottom

  1. The statement that describes the ultimate result of fulfilling an organization’s purpose is:-

a)Vision

b)Mission

c)Goal

d)Policy

  1. The following theorist related high production to high wages.

a)Henry Fayol

b)Max Weber

c)McGregor

d)Frederick Taylor

  1. The purpose of organization structure is to

a)Monitor flow of communication

b)Review the remuneration of the staff

c)Depict interdepartmental relations

d)Plan and implement organizational activities

  1. A client experiencing alcohol withdrawal symptoms should be given,

a)Haloperidol (Haldol)

b)Lorazepam (Ativan)

c)Benztropine (Cogentin)

d)Naloxone (Narcan)

  1. Major tranquillizers

a)Have antipsychotic effects

b)Are commonly indicated in management of manic episodes

c)Are used to prevent extra pyramidal side effects

d)They cause muscles relaxation

  1. Dysthymia mood disorder,

a)Is a less severe form of chronic depression

b)Is diagnosed when a client has had a depressed mood for more than 3 yrs

c)Is best managed using ECT

d)Is treated using psychoanalysis and group therapy

14. Cognitive therapy:-

a)Is a psychoanalytic approach of therapy

b)Assumes behavior is secondary to one’s way of thinking

c)It helps correct behaviors associated with childhood experiences

d)Makes a person highly suggestible to the therapist’s commands

15. Flat affect refers to:-

a)An affect that quickly changes.

b)Absence of facial expression to stimulus variation.

c)An affect that is not consistent with the mood.

d)One that is related to prolonged use of major tranquillizers.

16.Schneiderian first rank symptoms for schizophrenia include

a)Thought insertion, auditory hallucinations and delusional perception

b)Thought broadcasting, passivity phenomena and personal neglect

c)Personal neglect, automatism and thought echo

d)Thought insertion, echolalia and delusional perception

17.Factors like age, occupation, religion results in;

a)Subcultures

b)Countercultures

c)Cultural universals

d)Anomie

18.Ethnography is a branch of ;

a)Cultural anthropology

b)Physical-biological anthropology

c)Archaeological anthropology

d)Medical anthropology

19.A society ensures compliance with norms through;

a)Social order

b)Sanctions

c)Culture change

d)Social mobilization

20.Agents of re-socialization include;

a)Family, schools, media

b)Convents, religious institutions, media

c)Prisons, convents, reform schools

d)Peer groups, schools, media

PART II: SHORT ANSWER QUESTIONS (40 MARKS)

1.State 5 characteristics of learning (5 marks)

2.Outline the first five (5) steps in the development of a competency based curriculum (5 marks)

3.State the three (3) types of norms. (3 marks)

4.Outline five (5) positive effects of social change on health. (5 marks)

5. Outline three (4) roles of a nurse in managing a child with attention deficit hyperactivity disorder (ADHD) (4marks)

6. List four (4) indications for behavioural therapy (2marks)

7. State four (4) specific nursing interventions for a patient with an eating disorder anorexia Nervosa (4 marks)

8.State five (5) benefits of the function of control in management (5 marks)

9.Differentiate between functional nursing and primary nursing (4 marks)

10.State three (3) styles of leadership (3 marks)

PART III: LONG ANSWER QUESTION (40 MARKS)

1. Nurse Managers are often faced with time constraint and are therefore required to utilize thefunction of delegation.

  1. Outline five (5) principles of time management (5 marks)
  2. Describe the delegation process (12 marks)
  3. State three (3) factors involved in the delegation process (3 marks)

2. Mr. Y. 45yrs old is admitted in a psychiatric unit after being diagnosed to have schizophrenia

a) State four (4) clinical features Mr. Y. may have presented with in reference to DSMIV criteria (4 Marks)

b) Describe the specific management for Mr. Y from admission till discharge (14 Marks)

c) State two (2) differential diagnosis for Schizophrenia (2 Marks)

1