INDEX NUMBER

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KWAME NKRUMAH UNIVERSITY OF SCIENCE AND

TECHNOLOGY

COLLEGE OF HEALTH SCIENCES

FACULTY OF ALLIED HEALTH SCIENCES

DEPARTMENT OF NURSING

JULY, 2021

PAPER GENERAL PAPER

DURATION
2 HOURS

1. DO NOT OPEN THE QUESTION PAPERS UNTIL YOU ARE TOLD TO DO

INSTRUCTIONS
SO.

2. YOU ARE ADVICED TO SPEND 2 HOURS ON THIS PAPER

3. FOR SECTION ‘A’, CIRCLE THE LETTER THAT CORRESPONDS TO

YOUR PREFERRED ANSWER ON THE QUESTION PAPER IN INK AND

ALSO SHADE ACCORDINGLY ON THE SCANNABLE FORM PROVIDED.

4. INDICATE YOUR INDEX NUMBER ON EACH PAGE OF THIS SET OF

QUESTIONS.

5. NO PART OF THIS SET OF QUESTION PAPERS SHOULD BE TAKEN

OUT OF THE EXAMINATION HALL BY THE CANDIDATE.

6. ATTEMPT ALL QUESTIONS.

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1. Which of the following will suggest to the nurse that a patient is experiencing a
uditory hallucinations?
a. brushing his skin continuously
b. gets up suddenly and stands at attention
c. repeats a sentence over and over again
d. sings a song as he walks down the hall

2. On
3. e aim of recreational therapy for psychiatric patients is to:
a. assists the patient in socialization and communication
b. gives the patient the belief that he can do everything
c. enable patient to generate money on his own.
d. mobilize forces to guide patient towards his goal in life

4. When managing a patient going through grand mal seizure you should:
a. allow the fit to go through its normal process
b. inserts a mouth gag at the tonic phase
c. restrict the movement of the limbs
d. turns the head of the patient to one side during the clonic phase

5. When a patient on admission refuses food the nurse should:

a. finds out the reason
b. inform patient’s daughter
c. leaves him alone until he is hungry
d. passes NG tube and feed him through it

6. When a patient has a grand mal seizure, which one of the following tasks has t
he highest priority?
a. administer oxygen
b. check blood pressure and pulse
c. establish patent airway
d. removes the top sheet

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7. An epileptic tells the nurse that he smells roses, yet there are no flowers in the
room. This statement should alert the nurse to the possibility that the patient:
a. is experiencing an aura
b. is hallucinating
c. may be imagining he smells roses
d. wishes to have some roses

8. Clinical manifestations of heroin withdrawal include:

a. confusion, slurred speech, itching
b. decrease pulse rate, urticaria, abdominal cramps
c. lethargy, yawning, running nose
d. itching, edema of lips, hypotension

9. A patient is depressed and withdrawn and has been in bed all day. At meal time

the nurse should:

a. ask where she prefers to eat her meals
b. explain to her that she will feel better eating with others
c. sends the food to her room
d. takes her to the dining room and sit with her to eat

10.Immediate observation of patient on admission includes

i. Psychological testing
ii. Motor behavior
iii. General appearance
iv. Speech
a. i and ii
b. i, ii and iii
c. ii, iii and iv
d. i, ii, iii and iv

10.The side effects associated with chlorpromazine include:

a. anorexia, bradycardia, constipation
b. fatigue, drowsiness, dry mouth
c. nausea, vomiting, diarrhea
d. urinary retention, dry mouth, hypotension

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11. Huntington’s chorea can be prevented by means of:

a. broad spectrum antibiotics
b. genetic counseling
c. hormone therapy
d. radiotherapy

12. Which of the following is an open-ended question?

a. do you need anything from the doctor?
b. how do you feel today?
c. how is your dressing and the pain?
d. hpoooave you been getting visitors?

13.The primary goal for community psychiatric nursing is:

a. helps families to cope
b. prevent crippling effects of established illness
c. reduce the duration of mental illness
d. +reduce the risk of mental illness

14.Dementia may be caused by:

a. alcohol
b. cocaine
c. marijuana
d. scurvy

15.The type of schizophrenia characterized by extreme social withdrawal and det

eriorated behavior is:
a. catatonia
b. hebephrenic
c. paranoid
d. undifferentiated

16.The defense mechanisms commonly associated with addiction include:

a. denial, rationalization, displacement
b. displacement, sublimation, reaction formation
c. rationalization, projection, denial
d. regression, rationalization, sublimation

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17. For the patient to develop trust in the nurse, the nurse should:
a. be consistent and reliable in her actions
b. call patient by name all the time
c. monitor patient carefully
d. tries to gain control over patient’s actions

18.A patient displaying manic behavior will exhibit which of the under mentioned:
a. euphoria, accelerated speech, insomnia
b. compulsion, panic, regressive behavior
c. insomnia, confabulations, mannerisms
d. hypochondriasis, hostility, insomnia

19.The related dangers associated with cocaine abuse include:

a. dizziness, fever, depression
b. headache, fatigue, gastric problems
c. panic reaction, apathy, impaired judgment
d. impaired judgment, depression, and headache

20. Which of the following statements determines psychological abuse?

a. hitting the patient
b. humiliating the patient
c. withholding care from the patient
d. violation of patient’s rights

21. Personnel changes increase emotional disturbance in patients. The basic reas
on for this is that patients often feel:
a. angry
b. disappointed
c. frustrated
d. insecure
22. When talking to a psychiatric patient for the first time, the nurse should real
ize that the:
a. patient’s case history should be read and discussed with the doctor
b. physical appearance provides accurate guide as to whether he will be recep
tive

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c. patient is a stranger to the nurse and vice-versa

d. hostile behavior indicates that the nurse’s initial approach is inadequate

23. Which of the following BEST describes the appearance of panic state?
a. anger, poverty of ideas, withdrawal
b. abnormal eye blinking, anger, flashbacks
c. palpitations, pressure on the chest, heartburns
d. nightmares, flashbacks, anger

24. Paranoid personality disorder is characterized by:

a. antisocial behavior
b. instability of affect
c. history of mistrust of others
d. procrastination and inefficiency

25. The nurse explains to a student on educational tour in the hospital that psy
chotic people are those who:
a. adjust poorly to new situations
b. cannot differentiate reality from fantasy
c. feels helpless in resolving problems
d. has difficulty in relationships

26. A patient asks a nurse if he hears the voice of Jesus talking about destroyin
g het world. The best response from the nurse would be:
a. “Better not tell t doctor about it”
b. “Does he say when or how it will happen”
c. “I doubt Jesus could be talking to you”
d. “No, hearing voices is part of the illness”

27. Which of the following professions will you counsel an epileptic patient to t
ake?
a. catering
b. engineering
c. teaching
d. theatre nursing

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28. Which of the following will indicate that the patient can make suicidal attem
pt?
a. asking nurses to give him a knife
b. hiding knives or storing drugs
c. holding a knife and shouting that “I want to kill myself”
d. telling the nurses “I want to kill myself”

29. Which of the following activities can be taken as methods of rehabilitation i

n a hospital?
a. gate keeping, church attendance, bed making
b. kitchen chores, bed making, scrubbing
c. kitchen chores, gate keeping, scrubbing
d. scrubbing, bed making, habit trainings

30. Which of these is used to cover up for memory impairment?

a. amnesia
b. dŽjˆ vu phenomenon
c. confabulation
d. thought block

31.Which of the following statements BEST describe an individual with cyclothymi

c personality?
a. mood changes, alternating between elation and depression
b. tendency to have autistic thinking
c. tendency to be perplexed with ideas of reference
d. suspiciousness, jealousy, stubbornness

32. Dementia is best defined as which of the following?

a. loss of intellectual abilities sufficient to hamper activities of daily living
b. personal neglect in self care
c. poor judgment especially in social relationships
d. memory loss occurring as a natural consequence of aging

33. The purpose of screening candidates for group therapy is to determine:

a. intelligence
b. friendliness
c. motivation
d. sociability

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34. A distinguishing feature of antisocial personality disorder is:

a. attention to detail and order
b. bizarre mannerism and thoughts
c. disregard for social and legal norms
d. submissive dependent behavior

35. A person with sociopathic behavior makes advances toward you. An approp
riate
comment would be “stop that”
a. or I put you in seclusion
b. or I tell the doctor
c. you can’t do this here
d. you are making me uncomfortable

36. When girl child experiences sexual feelings for the father, Freud describes i
t as:
a. Electra complex
b. Nymphomaniac
c. Oedipus complex
d. Temper tantrums

37. For the treatment of chronic alcoholism to be effective the:

a. Doctor must be firm with the patient
b. Family must agree and give their full support
c. Patient must understand and agree fully to the treatment
d. Patient’s reason for drinking must be explored

38. Catatonic schizophrenia is characterized by:

a. Auditory hallucinations
b. disorganized behavior and incoherence
c. marked psychomotor disturbances
d. systematized delusion

39. Which of the following factors has contributed to a rise in depression amon

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g the
elderly?
a. faltering self esteem
b. inability to use appropriate aid in walking
c. loss of effective support systems
d. struggle to cope with trauma

40. The symptom which characterizes paranoid in its true form is:
a. bizarre hallucination
b. inappropriate affect
c. severe depression
d. systematized delusion

41.Numbness of a part of the body is a typical sign associated with:

a. Leprosy

b. Meningitis

c. Tetanus

d. Yaws

42. Surveillance of diseases should be done:

a. Annually

b. Continuously

c. Intermittently

d. Quarterly

43. The level of immunity achieved by a whole community or population is:

a. Acquired immunity

b. Cross immunity

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c. Herd immunity

d. Racial immunity

44. These measures can control and prevent Bilhaziasis:

i. Boiling of water from river sources

ii. Destroying river snails at river banks

iii. Identification and treatment of cases

iv. Protecting water bodies from contamination

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

45. In disease surveillance, a situation where there is reduction in the incidence

and prevalence of a disease is:

a. Control

b. Elimination

c. Eradication

d. Prevention

46. Quarantine means restricting and

a. Observing contacts during the period of susceptibility

b. Observing contacts over a known incubation period

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c. Observing contacts till they recover from disease

d. Observing contacts who show signs of the disease

47. The constant occurrence of a disease in an area is termed:

a. Endemic

b. Epidemic

c. Pandemic

d. Sporadic

48. The Depo provera is a progestin only inject able which acts by:

i. Changing the lining of the uterus

ii. Diluting the consistency of the semen

iii. Suppressing or stopping ovulation

iv. Thickening the cervical mucus

a. i, ii, iii

b. i, ii, iv

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c. i, iii, iv

d. ii, iii, iv

49. One of these is NOT an advantage of home visiting:

a. Creates good working relationship

b. Defaulters of health services are traced

c. Ensures continuity of care for clients

d. Provides opportunity for families to share experiences

50. During physical examination of a SIX month malnourished child, in the

home, the skin will be inspected for:

a. Boils

b. Spots

c. Rashes

d. Turgor

51.In communicable diseases control, the factor whose presence leads to a

pathogenic disease is the:

a. Agent

b. Carrier

c. Contact

d. Host

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52. For an infectious disease to develop these factors must be present:

i. Capable agent

ii. Portal of entry

iii. Resistance

iv. Susceptible host

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

53. When you are asked by a client how vaccination is different from
immunization you would explain that vaccination is the:

a. Introduction of antigens into the body

b. Prevention of specific childhood diseases

c. Process of ensuring proper development of the child

d. Process of producing antibodies in the body

54. One of these vaccines would be destroyed when it is left to freeze:

a. DPT/Hib Hep B

b. Measles vaccine

c. OPV vaccine

d. Yellow fever vaccine

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55. Ice packs are necessary equipment for:

a. Maintaining vaccine potency

b. Monitoring cumulative heat exposure

c. Observing colour change of vaccine

d. Preventing the melting of vaccines

56. The objectives of family planning in this country include:

i. Assisting people to stop having children

ii. Manage reproductive tract infection

iii. Promote dual protection for pregnancy and STIs

iv. Provide information, education and counseling

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

57. People are becoming more interested in natural family planning because it
is based on:

a. Changes that occur in a woman’s cycle

b. Creating a barrier between the sperm and egg

c. Protecting against HIV/AIDS in both man and woman

d. Prevent sperm from entering the uterus

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58. Some of the disadvantages of the combined oral contraceptive pill are:

i. Acne on the face

ii. Decreased libido

iii. Depression

iv. Weight gain

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

59. When caring for the Aged in the home, the nurse should bear in mind that
there is less ability of the wound to heal because of:

a. Degeneration of tissues

b. Diminished blood circulation

c. Inadequate nutrition

d. Inelasticity of the skin

60. Reasons for nursing the sick in the home may include the following:

i. Decongest health care institutions

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ii. Involve family members in the care

iii. Prevent complication of illness

iv. Use available and familiar resources

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

61.What advice would you give a 70-year old man who complains to you about
having poor sight?

a. Ask if there is a family history of blindness

b. Put eye ointment on it if it itches

c. Visit a health facility for check-up

d. Wash eyes regularly with clean water

62. The recommended schedule for immunization considers:

i. Age of starting the immunization

ii. Doses and intervals between them

iii. Strategies used for the immunization

iv. Route of administration of the vaccine

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a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

63. Water is life, but is said to be hard when it contains:

a. Concentrated micro-organism

b. Curds and furs in abundance

c. Mineral salts present in excess

d. Substance that are medicinal

64. Benefits of exercise on the body include:

i. Promotes good digestion

ii. Reduces dysmenorrhoea in women

iii. Reduces the incidence of dyspepsia

iv. Weakens immunological system

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

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65. High-heeled shoes should be avoided if possible or worn only occasional

because it:

i. Flexes the musculo-skeletal system

ii. Reduces the monotony of walking

iii. Upper part of the body is thrown forward

iv. Throws the spine out of alignment

a. i and ii only

b. ii and iii only

c. iii and iv only

d. i,iii and iv only

66. After immunizing a child with polio vaccine, what would you tell the mother
for the vaccine to dissolve well?

a. Close the mouth of the child for 30 minutes

b. Do not breastfeed for the next 30 minutes

c. Open the mouth of the child to see the vaccine

d. Prevent babies from crying and spitting

67. Well water may be safe for drinking, when it is dug up to the:

a. First impervious layer

b. Second impervious layer

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c. First pervious layer

d. Second pervious layer

68. In caring for the malnourished child at home, the public health nurse do
NOT carry out this activity:

a. Adopts the child feeding pattern

b. Counsels mother to identify the cause

c. Demonstrate the preparation of meal

d. Weighs the child and comment

69. During home visit the public health nurse identifies needs of the family
members through:

i. Interviewing

ii. Observation

iii. Physical examination

iv. Role playing

a. i, ii and iii

b. i, ii and iv

c. i, iii, iv

d. ii, iii, iv

70. All passive immunity are:

a. Inborn

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b. Natural

c. Permanent

d. Short- lived

71. If the interest of the people are stimulated to influence their behavior towards
health, they are said to receive health:

a. Care

b. Education

c. Prevention

d. Protection

72. Health messages are tailored to clients with the intention to bring change in:

a. Behavior

b. Character

c. Doings

d. Practices

73. Interpersonal communication establishes trusting relationship which

include:

i. Non-verbal interaction between individuals

ii. Person-to-person interaction between groups

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iii. Sharing of information and feelings

iv. Verbal interaction between small groups

a. i,ii and iii

b. i,ii and iv

c. i,iii and iv

d. ii,iii and iv

74. A community can be identified by its:

a. Acquisition of land

b. Behavior change

c. Demographic features

d. Poverty levels

75. The key activities undertaking in community entry is:

i. Continuous gathering of information

ii. Identifying and working with contacts persons

iii. Meeting with the leaders of the community

iv. Reading from secondary sources of data

a. i, ii, iii

b. i, ii, iv

c. i, iii, iv

d. ii, iii, iv

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76. Community mobilization is process that:

a. Changes the goals of the community

b. Focuses on communal activities

c. Motivates the community to take action

d. Moves groups to come together

77.It is important to have knowledge about the chain of infection in order to:

a. Control the incidence of disease

b. Destroy the causative organism

c. Prevent the susceptible host

d. Treat the infected persons

78. The causative organism for Elephantiasis is:

a. Glossina morsitans

b. Similium damnosum

c. Trypanosome gambiense

d. Wuchereria bancrofti

79. It is not advisable to exercise immediately after meals because it causes:

a. Blood to be removed from the muscles

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b. High blood pressure which may lead to stroke

c. Improper digestion of the food ingested

d. Lactic acid to accumulate in the muscles

80. During fatigue, rate of:

a. Activity is slower than oxygen taken in

b. Activity is slower than carbon dioxide taken in

c. Carbon dioxide is slower than rate of activity

d. Oxygen taken in is slower than rate of activity

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