APRIL 2000 PAPER 1

CLINICAL NURSING ESSAY TYPE TEST ITEMS

SCENARIO 1 ITEM 1
James Brown aged three years has been diagnosed with AIDS. He is in
hospital and is not responding positively to his prophylactic treatment. His
parents have expressed the desire to keep him at home and stated that they
needed information on how to care for him.
ITEM 1
Design a plan of care to help the Brown amily to cope with James !tili"ing
the following #!rsing Diagnosis
A. $nowledge Deficit related to home care of a child with AIDS as
evidenced by parent%s re&!est for home care information '()pts*
B. Anticipatory grieving related to having a child with a fatal disease
'() pts*
Total 24 points
SCENARIO 2 ITEM 2
+r. ,erry aged )- years was admitted to the male s!rgical ward with
m!ltiple g!n shot wo!nd to his sho!lder and chest. .hest /0rays and
exploratory s!rgery was done prior to his admission to the ward
He has chest t!bes instit! and he is having oxygen1 blood transf!sion and
intraveno!s fl!ids in progress.
ITEM #2
Determine n!rsing intervention meas!res which will assist +r. Smaller
d!ring the first forty 0eight '-2* ho!rs postoperatively to meet the
following needs
A. 3xygen '(4pts*
. l!id and 5lectrolytes. '6pts*
C. Safety and Sec!rity '(4pts*
!. 7ove and Belonging '-pts*
Total "#0 pts$
SCENARIO # ITEM #
+r. 8eorge1 aged forty0five '99* years1 was admitted to hospital with a
diagnosis of carcinoma of the colon. S!rgery was performed and he has a
permanent colostomy. +r. 8eorge has been in hospital for a week and his
family has expressed concern abo!t being able to care for the colostomy
when he ret!rns home
ITEM #
Determine the activities1 which sho!ld be performed by +r. 8eorge and
his family to enable them to care for his colostomy when he ret!rns home
!sing the following needs.
(. Safety '(:pts*
). .omfort '2pts*
Total "21 pts$
%App&o'i(at)l* #00 +o&,s
SCENARIO 4 ITEM 4
+r. rank ;ampason aged sixty five years was being treated in hospital for
spinal cord in<!ry and paralysis of the lower limbs which he s!stained from
a fall d!ring horse riding. =rior to the accident +r. ;ampason was very acive
member of his comm!nity holding several positions on vario!s committees.
His wife Ha"el has been ailing for several years and is being treated for
ma<or deppression.
In disc!ssiong the discharge plan with +rs.1 ;ampasen1 she expressed her
inability to care for her h!sbande and the decision was made to transfer +r.
;ampason to a ;ehabilitation center
ITEM 4
Disc!ss the roles of the following members of the rehabilitative team in the
restoration of +r. ;ampason ability to perform activities of daily living
to his maximal capacity
A. #!rse '(4pts*
B. =hysiotherapist '9pts*
.. 3cc!pational ,herapist '9pts*
D. =sychologist '6pts*
Total 2- points %App&o'i(at)l* #00 +o&,s