B.Sc. NURSING FIRST PROFESSIONAL (POST RN 2 YEAR) ADVANCED CONCEPT IN NURSING (SHORT ESSAY QUESTIONS) Solved Past Papers

B.Sc. NURSING FIRST PROFESSIONAL
(POST RN 2 YEAR)
ADVANCED CONCEPT IN NURSING
(SHORT ESSAY QUESTIONS)
Solved Past Papers




B.Sc. NURSING FIRST PROFESSIONAL (POST RN
1

, 2 YEAR) ADVANCED CONCEPT IN NURSING
(SHORT ESSAY QUESTIONS)
(Solved)


Time Allowed 2hours Max Marks 45

Health Assessment
In pain assessment, what dose pain mnemonic “OLD CART”
means? #06Ans. “O” Onset: ask patient to describe the pain began.
“L” Location: where does it hurt?
“D” Duration: how long the pain has been going on for?
“C” Characteristics: patient description about the pain.
“A” Aggravating factors what make the pain worse, or cause the pain.
“R” Reliving factors: what has patient done to relive the pain.
“T” Treatment: what can I do to relive pain.
(quizlet.com)
Give at least five teqniques of skilled
interviewing? #06Ans. 1. Active listening.
2. Guided questioning.
3. Nonverbal communication.
4. Empathic response.
5. Validation.
6. Reassurance.
7. Summarization.
8. Empowering the patient.
(―BATES‖ Chapter 2 page #35)

Q. 3. Briefly explain the four types of health histories, and when they are used? #06
Ans. 1. Complete Health History.
2. Interval Health History
3. Problem – Focused Health History.
4. Emergency Health History.
1. Complete Health History.
It is taken on initial visits to health care facilities.
2. Interval health history.
Collecting information in visits following the initial data base is collected.




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,3. Problem-Focused health history.
Collecting data about a specific problem.
4. Emergency Health History.
Emergency assessment is a very rapid assessment performed in life-threatening situations.
(Janet R. Weber page#)
Enumerate the component of adult Health History? #06
Ans. 1. Biographical.
2. Reason for seeking health care.
3. Present health/ illness.
4. Past health.
5. Family health.
6. Review of system.
7. Psychological history.
8. Functional assessment.
(Bedside Techniques. pag#03)
Pathophysiology
a) what are types of Diabetes
Mellitus? #02Ans. Types of diabetes
mellitus:
1. Type 1 diabetes mellitus/ insulin dependent DM. Onset any age, but usually
young <30 years.
2. Type 2 diabetes mellitus/ non-insulin depend DM. Onset any age but usually over
30 years.
3. Gestational diabetes. Onset during pregnancy usually 2nd and 3rd trimester.
4. DM associated with other condition/syndromes, e.g.
Pancreatic disease, Hormonal abnormalities, medication such as
corticosteroids and estrogen containing preparations.
(Brunner & Siddhartha’s page# 1198)
b) Give its clinical manifestations. #02
Ans. 1. Polyuria (increase urination)
2. polydipsia (increase thirst)
3. polyphagia (increase appetite)
4. Fatigue and weakness.
5. Sudden vision changes.
6. Tingling and numbness in hands and feet.
7. Recurrent infections.
8. Dry skin, skin lesions or wounds that are slowly heal.
(Brunner & Siddhartha’s pag#1206)
a) what is Acquired Immune Deficiency Syndrome? #02



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, Ans. The late symptomatic stage of chronic disease caused by Human Immunodeficiency Virus
infection which progressively impairs the body‟s cell- mediated immune responses to infection
and cancers.
(Baillie’s nurse’s dictionary pag#13)
b) How is it transmitted? #02
Ans. 1. Sharing infected injection drug use equipment.
2. Having sexual relations with infected individuals. (both male and female)
3. people at risk who received HIV infected blood and blood products.
4. Infants born to mother with HIV infection.
(Brunner @ Siddhartha’s pag#1574)
Advanced Concepts in Clinical Nursing

what are the complication of IV
therapy? #05Ans. Systemic complication,
1. Fluid overload.
2. Air embolism.
3. Infection.
Local complication,
1. Infiltration and extravasation.
2. Phlebitis
3. Thrombophlebitis.
4. Hematoma.
5. Clotting and obstruction.
(Brunner & Suddarth′s pag#281)
Discus the nursing intervention of pain? #05
Ans. 1. Perform and document a comprehensive pain assessment.
a. Use a reliable and valid tool to determine pain intensity.
b. Accept the patient′s report of pain.
c. Apply the hierarchy of pain measures in patient who are unable to report
their pain
1. Administer analgesic agent as prescribed.
2. Offer and educate patient how to use appropriate non pharmacological interventions.
3. Reassess for degree of pain relief and presence of adverse effect at peak effect time of
intervention.
4. Obtain additional prescription as needed.
5. prevent and treat adverse effects.
6. Educate patient and family about the effect of analgesic and goals of care.
(Brunner & Suddarth′s page# 233)
what is pneumonia? Give five sign/symptoms of early bacterial pneumonia? #05
Ans. Pneumonia,

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