APRIL 1998 PAPER 3

FUNCTIONAL NURSING ESSAY –TYPE TEST ITEMS

SCENARIO 1 ITEM 1
Management of solid waste is presently a major concern for Governments of
the Caribbean countries. It presents a threat to the health and well being of
the people.
ITEM 1
Develop a teaching plan to educate householders about measures, which
they can implement in order to assist with solid waste management in the
community.

Total 30 points

SCENARIO 2 ITEM 2
Staff Nurse Ally has been asked to deputize for the ward sister of the male
surgical ward, who is on six weeks sick leave. The mission and goals of the
ward have been explained by Matron. During the first week of her
assignment she became aware of problems in interpersonal relationships
among staff because of the methods, which were used in staff assignment
and scheduling of duty roster.

ITEM #2
Explain in approximately 300 words, how Staff Nurse Ally can improve
relationships among staff by utilizing her management skills to organize the
following:
1. Duty Roster
2. Staff assignements
Total :24 points
 SCENARIO 3 ITEM 3
Nurse Ethel Sands has newly graduated from the school of Nursing and
has requested to be assigned to a community clinic. She is concerned about
the personal and professional development
ITEM 3
Determine the educational activities the new graduate would have to be
involved in to ensure personal and professional development, using the
following headings
A. In-service/Continuing Education
B. Technology
C. Nursing Practices/Activities

Total: 26 points
*Approximately 300 words

SCENARIO 4 ITEM 4

Mr. Brandon age 79, a resident at the senior citizens home, was admitted to a
medical ward in the general hospital. Assessment reveals that he experienced
shortness of breath, dyspnea, productive cough and activity intolerance. He
also experienced difficulty with eating and sleeping. Mr. Brandon who is a
chronic smoker has been diagnosed as having Chronic Airflow limitation
formally called COPD.

ITEM 4
Develop a Nursing Care plan for Mr. Brandon for the first 72 hours focusing
on the following needs

PLEASE USE THE PLAN PROVIDED

I. Oxygen (9pts)
II. Nutrition (8pts)
III. Rest, Comfort and Activities (9pts)
IV. Safety and Security (6pts)
Total:32 points