IGNOU Post Basic Bachelor of Sciences in Nursing [B.Sc.N.(PB)] Assignments 2016 1st Year School of Health Sciences Indira Gandhi National Open University Maidan Garhi, New Delhi-110 068 Dear Student, As explained in the Programme Guide, there are nine assignments in total and all these assignments are compulsory. Please note that you are required to score 50% marks in each assignment separately. The assignments carry a weightage of 30% marks towards the final evaluation in theory component and submission of related assignments is a prerequisite for appearing in theory term-end examination for respective courses. The subject area of assignments and its last date of submission are mentioned below: Last Date of Submission 31st July, 2016 31st August, 2016 Course Code Blocks Involved Assignment Code BNS-101 BNS-102 BNS-103 BNS-104 BNS-105 BNS-101 BNS-102 BNS-104 BNS-105 1, 2 1, 2 1, 2 1, 2 1, 2 3, 4 3, 4, 5 3, 4 3, 4 BNS-101/TMA-1 BNS-102/TMA-1 BNS-103/TMA-1 BNS-104/TMA-1 BNS-105/TMA-1 BNS-101/TMA-2 BNS-102/TMA-2 BNS-104/TMA-2 BNS-105/TMA-2 Please take note of the following points before writing your assignments: • • • • • Use only foolscap size paper for writing your responses. Only handwritten assignments will be accepted. Typed or printed copies of assignments will not be accepted. Tie all the pages after numbering them carefully. Write the question number with each answer. All the questions are compulsory. Every assignment will be evaluated out of a full mark of 100. Weightage is indicated in parenthesis against each question. Suggestions for writing an assignment: Read the assignments carefully. Scan through the whole material of the course, answers may be linked within the blocks/units. Draw a rough outline of your answer in your own words. Support your answer from your clinical/community experience. Make a logical order. Then write your answer neatly and submit. Give illustrations and tables wherever necessary. You may keep a xerox copy of the answer sheets for future reference. Do not copy from print material. Answer each assignment in separate sheets. On the first page of the assignment response sheet, write the course code, course title, assignment code, name of your programme study centre (PSC) and date of submission. Your Enrollment No. Name and Full address should be mentioned in the top right comer of the first page. The first page of your response sheet should look like the format given below: Course Code.................................................. Enrollment No...................................................... Course Title .................................................. Name ................................................................. Assignment Code.......................................... Address ............................................................. PSC ........................................................... .......................................................................... Date of Submission .................................... ......................................................................... Please submit the assignments to the Programme In-charge of the Programme Study Centre allotted to you. 2 NURSING FOUNDATION Assignment – 1 ( Block 1 & 2 ) Tutor Marked Programme Code : B.Sc.N (PB) Course Code : BNS 101 Assignement Code: BNS 101/ TMA-1/2016 Maximum Marks – 100 Last date of submission: July 31st 2016 Note: This Assignment has three parts i.e. Part A, B and C. Part A consists of two long answer questions. Each question carries 15 marks. Part B consists of six short answer questions. Each question carries 10 marks. Part C consists of four objective type questions. Each question carries 2½ marks. Part-A 1) a) Define nursing theory. b) Explain the basic elements of nursing theory. c) List the characteristics of nursing theory. d) Describe Roy’s Adaptation Model Theory and support your answer with example. (2+3+3+7=15) 2) a) Explain the concept of systems of nursing care. b) Describe the following systems of nursing care, emphasizing on challenges and issues and support answer with examples from your clinical area. i) Basic Nursing Care ii) Team Nursing iii) Case Management (3+12=15) iv) Progressive Patient Care Part-B 3) a) Explain Extended and Expanded role of nurses in today’s scenario. Support with examples. b) Describe the factors influencing expanding nurse’s role and give your comments. (5+5=10) 4) a) List the characteristics of health indicators. b) Describe the various indicators of health. 3 (2+8=10) 5) a) Define the following: i) Growth ii) Development b) Explain the Freud’s Psychoanalytic Theory and support answer with examples. (2+8=10) 6) a) Explain the concept of nursing process. b) List the purposes of nursing process. c) Describe the two components of assessment phase i.e. data collection and documentation. (2+2+3+3=10) 7) a) Explain the concept of quality assurance. b) Describe the steps involved in developing quality assurance in hospitals. c) Discuss the roles and responsibilities of a nurse administrator in developing quality assurance system in hospital. (2+4+3=10) 8) a) Explain the meaning of the following: i) ii) iii) iv) v) vi) Law Legislation Malpractice Negligence Informed consent Ethics b) Describe the ethical principles and support with examples. (6+4=10) Part-C √) against the most appropriate answer given under each 9) Place a tick mark (√ statement. (½x5=2½) a) Child begins questioning, identify parents, explore own body and environment in following stage of development: i) ii) iii) iv) Phallic phase Oral phase Latency phase Genital phase b) Transferring emotions from a stressful situation to lessen an anxiety situation is known as: i) ii) iii) iv) Denial Regression Conversion Displacement c) Termination phase of nurse patient relationship is also known as: i) ii) iii) iv) Reaction phase Resolution phase Restoration phase Relation phase 4 d) Quieting the mind by focusing, sense of oneness with self can be achieved by: i) ii) iii) iv) Diversion Imagery Meditation Relaxation e) Stimulation of various body locations to treat diseases, pain etc in done in: i) ii) iii) iv) Touch therapy Acupuncture Yoga Reiki 10) Match the items given in Column A with those given in Column B: Column A (½x5=2½) Column B a) Primary health care provider to community i) Ecological concept b) Disease as a result of maladjustment of human and environment ii) Empirical standard c) Well being of a whole person in context to environment iii) Nurse Clinician d) Standard related to health institution, personnel etc iv) Process standard e) Activities concern with patient care, nursing action v) Nurse Practitioner vi) Structure standard vii) Holistic Concept 11) Fill in the Blanks: (½x5=2½) a) Phase before onset of the disease is known as ............................................................. b) Self care deficit theory is also known as .............................................................theory. c) Influence of society & environment on self concept is given by ............................ theory. d) Written law passed by assembly and approved by government is known as .................... e) Practice of painless death or mercy killing is known as .................................................... √) against ‘T’ if you consider the statement as true and 12) Place tick mark (√ ‘F’ if you consider the statement as false: (½x5=2½) a) Indian Nursing Council was constituted in 1949. (T/F) b) Developmental task during latency period is identity Vs role confusion. (T/F) c) Interpersonal nursing theory was given by Dr. H. Peplau. (T/F) d) Observation is patient care centered tool for evaluating nursing care. (T/F) e) Faith healing, prayers are part of spiritual therapies. (T/F) 5 NURSING FOUNDATION Assignment – 2 ( Block 3 & 4 ) Tutor Marked Programme Code : B.Sc.N (PB) Course Code : BNS 101 Assignement Code: BNS 101/ TMA-2/2016 Maximum Marks – 100 Last date of submission: Aug 31st 2016 Note: This Assignment has three parts i.e. Part A, B and C. Part A consists of two long answer questions. Each question carries 15 marks. Part B consists of six short answer questions. Each question carries 10 marks. Part C consists of four objective type questions. Each question carries 2½ marks. Part-A 1) a) Explain the changing concept of health care and health care services. b) Explain the concept of regionalization. c) Describe the factors considered for health service development. (3+3+6+3=15) d) Discuss the role of a nurse in delivery of health care services. 2) a) List the key elements of essential drugs. b) Enlist the medical and social advantages of essential drugs. c) Describe the criteria of selection and compilation of essential drugs, support answer with list of essential drugs in your state. d) List the common causes of wastage of drugs and role of nurse in educating the staff. (2+2+2+4+2+3=15) Part-B 3) a) Describe the major issues and strategies for future planning for Health for All services. b) Explain the nurse’s role at national level in support of Health for All. (4+6=10) 4) a) Explain the meaning of Primary Health Care (PHC). b) Describe the principles of PHC and support with examples. (2+8=10) 5) a) Describe the sources of finance of health services. b) Explain the following: i) Health Expenditure and GNP ii) Plan Outlay c) Compare the plan outlay of health sector with other sectors during 12th Five Year Plan of your state. You can go through the plan document of health sector at website of health department/planning department. 6 (3+2+2+3=10) 6) a) Differentiate between health education and propaganda. b) Describe the various approaches of health education, support answer with examples. c) Discuss the role of a nurse in Information, Education and Communication. (2+4+4=10) 7) a) Describe the various methods of purification of water. b) Explain the method of disinfection of wells and ponds to make water safe for drinking. c) Discuss the role of a nurse in providing safe drinking water and sanitation in the community. (4+3+3=10) 8) Describe the role of a nurse in the following: i) Maternal and child health clinic ii) Nutrition education (4+3+3=10) iii) Family planning Part-C √) against the most appropriate answer given under each statement. 9) Place a tick mark (√ (½x5=2½) a) Primary Health Care to achieve Health for All was declared Alma Ata conference in: i) 1975 ii) 1976 iii) 1977 iv) 1978 b) Health indicator which specifies proportion of pregnant women receiving antenatal care and institutional delivery is: i) Utilization rate ii) Nutrition status iii) Health care delivery iv) Social health c) Child suffering with measles will show kopliks spots on: i) Day 1 ii) Day 2 iii) Day 3 iv) Day 4 7 d) Viral hepatitis is transmitted through: i) Droplet infection ii) Water contamination iii) Faecal oral route iv) Food contamination e) Goitre is endemic disease present in areas where soil is rich in: i) Iodine and calcium ii) Iodine and lime iii) Calcium and lime iv) Calcium 10) Match the items given in Column A with those given in Column B: Column A (½x5=2½) Column B a) Polio vaccine is available in the form i) Dried b) DT vaccine is available in the form ii) 1000 population c) Measles vaccine is stored iii) 5000 population d) Anganwadi workers cover iv) Solution e) Sub-centre covers v) Below 10 degree C vi) At 8 degree C vii) Suspension 11) Fill in the Blanks: (½x5=2½) a) National health policy was formulated in .................................................................. b) Comprehensive health care term was first used by ........................................ committee. c) Combination of knowing a thing and forming tendency to react to it is known as ................ d) Communication barrier like belief, attitude, knowledge and understanding is a part of ............................................. barriers e) Water seal type latrine is an example of ................................................. laterine √) against ‘T’ if you consider the statement as true and 12) Place tick mark (√ ‘F’ if you consider the statement as false: (½x5=2½) a) Bhore Committee is also known as Health Survey & Development Committee. (T/F) b) Doctor population ratio is an utilization rate indicator. (T/F) c) Oxytocin is also known as ergometrine. (T/F) d) DPT vaccine can cause fever, irritability, loss of appetite, vomiting etc. (T/F) e) Polio oral vaccine can be given to child with fever and GI infection. (T/F) 8 APPLIED SCIENCES Assignment 1 (Block 1&2) Tutor Marked (Biochemistry and Biophysics) Programme Code : B.Sc.N (PB) Course Code : BNS 102 Assignement Code: BNS 102/ TMA-1/2016 Maximum Marks = 100 Last date of submission: July 31, 2016 (Do Biochemistry and Biophysics on separate sheets) Note: This Assignment has three parts — Part A, B and C Part A consists of one long answer questions and carries 15 marks. Part B consists of five short answer questions. Each question carries 5 marks. Part C consists of two objective type questions. Each question carries 5 marks. Section A: Biochemistry Max. Marks: 50 Part-A 1) a) Absorption of the digested food is crucial for the health of an individual. Give an account of the absorption in terms of the routes and mechanisms involved. b) The biosynthesis as well as catabolism of proteins is crucial for the body. Discuss the anamolies associated with protein metabolism. c) Cerebrospinal fluid (CSF) is an important body fluid. List the functions of CSF and discuss the diagnostic significance of its biochemical analysis. (5+5+5=15) Part-B 2) a) What is meant by hardness of water? How can the temporary hard water be softened? b) Define dialysis and state its importance. (2+ 3=5) 3) a) What are nucleic acids? Outline the differences between the DNA and RNA. b) What is meant by protein denaturation? Give two examples of denaturing agents. (3+2=5) 4) a) State the importance of biochemical analysis of blood. b) Briefly, discuss the anomalies associated with protein metabolism. ( 2+3=5) 5) a) Define lipids. List any four biological functions of lipids. b) List the biological functions of Cholesterol. ( 3+2=5) 6) What is gluconeogenesis? Outline the physiological significance of this metabolic pathway. ( 2+3=5) 9 Part-C 7) Fill in the blanks: (½ X10=5) a) In ................................................... state the particles of matter are tightly packed b) Helium, neon and argon are examples of ........................................... gases. c) The process in which only the solvent molecules move selectively from a solution of lower concentration to that of higher concentration,through a semi-permeable membrane is called ......................................................................... d) The number of outer shell electrons in an atom that it can lose or gain to complete a stable outer shell electronic structure is called its .................................................. e) Only ............................................. simple sugars undergo fermentation. f) ..................................... are the organic acids with a linear hydrocarbon chain with a carboxyl group at one end. g) ..................................... refers to the development of unpleasent odour and taste of fats when exposed to air. h) The process of linking of the carboxyl group of one amino acid with the amino group of other amino acid is called ........................................ bond formation i) The Coenzymes themselves are biologically ............................................. j) ................................................... is an abnormal constituent of urine whose level increases in Nephrotic syndrome. 8) Match the statements given in Column A with the terms given in Column B (½ ×10=5) Column A Column B a) Complexes of lipids with other substances like carbohydrates i) and proteins etc. ii) Digestion Electrolyte b) Hydrolysis of fat with a strong alkali iii) Molecule c) Heterogeneous group of organic substances soluble in organic solvents but insoluble in water iv) Substrate v) Plasma d) Substance whose solution in water conducts electricity vi) Hypertonic e) The species on which the enzyme acts vii) Lipids f) viii) Denaturation ix) Anaemia Smallest unit of element or compound that can exist independently g) The insoluble cross linked protein formed during clotting of blood x) h) Solution having higher osmotic pressure than blood xi) Enzyme i) A condition characterised by inadequate RBC’s/ hemoglobin in blood xii) Conjugated lipid xiii) Fibrinogen j) Fluid portion of blood in which particulate components are suspended xiv) Serum 10 Saponification Note: This assignment has three parts i.e. Part A, B and C. Part A consists of one long answer questions. It carries 15 marks. Part B consists of five short answer questions. Each question carries 5 marks. Part C consists of two objective type questions. Each question carries 5 marks. Section B : Biophysics Maximum Marks : 50 Part-A 1) a) Define the term power and body mechanics. b) Explain about levers of Class I, II and III in the following parts of human body with the help of diagrams of each. i) Action of the jaw ii) Action of the foot iii) Action of the forearm c) List the functions of human body which depends on the fluid pressure. (2+9+4=15) Part-B 2) Explain about Speed, Velocity and Acceleration. Give examples from nursing of each of the above concepts. (1½+2+1½=5) 3) Explain Newton’s laws of Motion with examples of each Law from nursing. 4) Differentiate between siphon and suction. Explain three situations of each where you as a nurse have been able to use siphon and suction. (5) (1+1+3=5) 5) a) Heat transfer occurs due to conduction, convection and radiation. Explain. b) Describe how these methods help in reducing high temperature of patient. (3+2=5) 6) The Doppler effect finds applications in medical/clinical situations. Illustrate this with suitable examples. (5) Part-C 7) Place tick mark (√) against the most appropriate answer given under each statement. (½ × 10= 5) a) Candela is the unit of height intensity measured in: i) MKS System ii) SI System ii) FPS System iii) CGS System 11 b) Use of ultracentrifuge helps in determining: i) Volume of large molecules ii) Shape of large molecules iii) Molecular weight of large molecules iv) Volume of small molecules c) A unit to measure Kilowatt – hour is: i) Electrical energy ii) Thermal energy iii) Mechanical energy iv) Chemical energy d) All of these are advantages of mercury in the thermometer except: i) It does not wet glass ii) It is a very heavy liquid iii) It can conduct heat rapidly iv) It expends uniformly with rise in temperature. e) Different musical sounds can be distinguished from one another by all of these parameters except: i) Pitch ii) Quality iii) Density iv) Intensity f) Wavelength of visible light is longer than: i) Radio waves ii) Infra red waves iii) Gamma rays iv) Microwaves g) When height falls on the interface separating two media, one of these does not happen: i) Light wavelength changes ii) Light is reflected into the first medium iii) Light is absorbed by the second medium iv) Light is refracted in the second medium 12 h) All of these exhibit specific (positive or negative) chargeexcept: i) Ions ii) Protons iii) Electrons iv) Neutrons i) Electrical energy can be transformed into all of these except: i) Frictional energy ii) Mechanical energy iii) Chemical energy iv) Heat energy j) One of the following is a good conductor of heat: i) Wood ii) Glass iii) Copper wire iv) Rubber 8) Place tick mark (√) against ‘T’ if you consider the statement as True and ‘F’ if you consider the statement as False. (½ × 10= 5) a) The mass and weight of an object are one and the same measurement. (T/F) b) Error in measurement arises due to incorrect calibration of the instrument. (T/F) c) The lubricant action of synovial fluid prevents damage to joints. (T/F) d) Patient’s developing bed sore can be explained by the second law of Newton. (T/F) e) Lactometer’s function is based on the law of floatation. (T/F) f) One calorie is the energy needed to raise the temperature of 10 grams of water by 10C. (T/F) g) Thermography uses ultraviolet radiation. (T/F) h) Presbyopia can be corrected by use of lenses ground with different curvature. (T/F) i) Motion of charges in materials is responsible for the properties of magnetism. (T/F) j) Leukemia responds to treatment by radiation from radio isotopes of sulphur. (T/F) 13 APPLIED SCIENCES Assignment 2 (Block 3,4&5) Tutor Marked (Microbiology, Nutrition & Dietetics) Programme Code : B.Sc.N (PB) Course Code : BNS 102 Assignment Code: BNS 102/ TMA-2/2016 Maximum Marks = 100 Last date of submission: 31st Aug. 2016 Note :Sections C D are to be attempted on separate answer sheets. Each section of this assignment has three parts i.e. Part A, B and C. Part A consists of two long answer questions. Each question carries 7 ½ marks. Part B consists of five short answer questions. Each question carries 5 marks. Part C consists of four objective type questions. Each question carries 2½ marks. Section-C- Microbiology Max. Marks = 50 Part A 1) Define infection. Differentiate between endogenous and exogenous infections. What is the role of bacterial toxins in causation of diseases. (1+3½+3=7½) 2) a) Define the term sterilization and disinfection. b) Explain their usefulness in medical /nursing practice. c) Explain various methods of sterilization using moist heat as a sterilizing agent. d) Give principles and applications of an autoclave? (2+1½+2½+1½=7½) Part – B 3) Name the causative agents of the following diseases. How are they transmitted from the patient to a healthy person? (1 × 5=5) a) Gonorrhoea b) Whooping Cough c) Plague d) Typhoid e) Cholera 4) a) Define allergy and explain types of allergic reactions. b) Write the meaning of primary response and secondary response. 14 (4+1=5) 5) With the help of a diagram, describe the life cycle of malarial parasite. How do you make laboratory diagnosis of a case of malaria. (4+1=5) 6) Define mycosis. Explain the classification of mycosis. (1+4=5) 7) Tabulate the differences between bacteria and viruses. Name three DNA and three RNA viruses. (3+2=5) Part – C 8) Place a tick mark (√) against the most appropriate answer given under each statement. (½×5 = 2½) a) Streptococci are arranged in i) Chains ii) Clusters iii) Pairs iv) Packets b) Rabies vaccine was developed for the first time in 1885 by i) Edward Jenner iii) Louis Pasteur ii) Robert Koch iv) Van Lecuwen Hook c) Bacterial germs/genera of medical importance which produce spores is/are i) Bacillus iii) Both the above ii) Clostridium iv) None of the above. ii) Yellow fever iv) Japanese encephalitis d) Which of the following viral disease is tick borne i) Kasanur Forest Disease (KFD) iii) Dengue fever e) Bacteria which grow only in the absence of oxygen are called. i) aerobes iii) Microaerophilic ii) Facultative anaerobes iv) obligate anaerobe 9) Match the statement given in Column A with the terms given in Column B. Column A (½ × 5 = 2½) Column B a) Dimorphic fungus i) Fimbria b) Organelles for motility in bacteria ii) Histoplasmacapsulatum c) Albert Staining iii) capsule d) Venereal disease iv) Flagella e) Food poisoning v) Mycobacterium tuberculosis vi) Coryne bacterium diphtheriae vii) Dengue fever viii) Clostridium botulinum ix) 15 Herpes simplex virus type 2 (HSV-2) 10) Fill in the blanks:(½×5 = 2½) a) Two common diseases chicken pox and shingles are caused by a Herpes Virus named ................................................................. b) A small tapeworm causing hydrated disease is called as .................................................... c) The infections that are frequently spread by sexual intercourse are referred as ................... d) The smallest and simplest DNA viruses without envelope are ............................................ e) The science or study of the blood serum with reference to the antibodies is known as ................................................................................................ 11) Place tick mark (√) against ‘T’ if you consider the statement as True and ‘F’ if you consider the statement as False. (½× 5 = 2½) a) Immunoglobulin M (IgM) can pass through the placental barrier easily (T/F) b) Both Hepatitis A virus (HAV) and Hepatitis E virus (HEV) are commonly transmitted by orofecal route (T/F) c) Malaria is spread by the bite of female anophelese mosquito (T/F) d) Pasteurization is a very efficient method of sterilization and destroys all forms of microes (T/F) e) Infection with hookworm occurs due to the penetration of larvae through skin of hands and feet in man (T/F) 16 Section D : Nutrition and Dietetics Maximum Marks : 50 Note : This assignment has three parts i.e. Part A, B and C. Part A consists of one long answer questions. It carries 15 marks. Part B consists of five short answer questions. Each question carries 5 marks. Part C consists of two objective type questions. Each questions carries 5 marks. Part-A 1) a) Explain the concept of community nutrition and list its objectives. b) Give the classification of Nutrients. Give four examples of each nutrients. c) Describe the role of food in health & disease (2+5+3+5=15) Part-B 2) a) Explain the concept of Diet Planning in Disease. b) Discuss the dietary modification needed in disease conditions. (2+3=5) 3) Describe the importance & need for assessment of nutritional status of an individual by a nurse. (5) 4) Describe the role of a nurse in dietary management of a patient with cardio vascular disease. (5) 5) Explain the role of a nurse in meeting the nutritional needs of a patient suffering from fever. (5) 6) Enlist the measures to promote food sanitation. Support your answer with suitable examples. (5) Part-C 7) Match the statement given in column A with the terms given in column B. Column A (½×10 = 5) Column B a) Sugar, Starches and Fibre i) Cholesterol b) Development of bones and teeth i) Marasmus c) Regulation of intracellular and extra cellular fluid ii) Tissue deptetion d) Fatty substance essential for the body iv) Phosphorus e) Facilitates wound healing v) Nutritional deficiency f) vi) vitamin B Growth failure, odema and moon face g) Severe muscle wasting, growth failure and loss of subcutaneous fat vii) Carbohydrate viii) Kwashiorkor h) Lowered level of nutrients in the tissue. ix) Vitamin C i) Lack of nutrients in the diet. x) Potassium j) Amount of energy per unit weight of food. xi) Energy density 17 8) Fill in the blanks. i) (½× 10 = 5) A diet for a patient suffering from a specific disease is called as “...................................” ii) The administration of nutrients of verifying strengths directly into the circulation is called .................................................................................... iii) A low purine, Low fat easily digestible diet with liberal fluid intake is good for .................................................................................... iv) The condition of health of an individual as influenced by the intake and utilization of nutrients isknown as .................................................. v) A dietary survey involving talking to people and recording which foods they eat and its quantity iscalled ..................................................... survey. vi) The regular or periodical collection and evaluation of measurements that can be used to indicatepresent or future changes in nutritional status is .......................................... vii) Nutritional anaemia is caused mainly due to deficiency of Iron, Vit B12 and ...................... viii) A low sodium, high potassium, low cholesterol diets and weight reduction if overweight is recommended in ...................................................................................... ix) Patient with renal calculi must eat less of foods containing oxalate, phosphate, carbonate and ............................................................................. x) Argemone present in mustard seeds leads to Epidemic .................................. 18 MATERNAL NURSING Assignment – 1 (Block 1 & 2) Tutor Marked Programme Code : B.Sc.N (PB) Course Code : BNS 103 Assignement Code: BNS 103/ TMA-1/2016 Maximum Marks – 100 Last date of submission: July 31st , 2016 Note: This Assignment has three parts i.e. Part A, B and C. Part A consists of two long answer questions. Each question carries 15 marks. Part B consists of six short answer questions. Each question carries 10 marks. Part C consists of four Objective type questions. Each question carries 2½ marks. Part-A 1) a) Explain obstetric emergencies. b) List common obstetric emergencies. c) Discuss any two obstetric emergencies under the following headings: i) Causes ii) Signs and symptoms iii) Nursing management (3+2+10=15) 2) Mrs. Seema, 25yrs old primigravida is admitted with 36wks of pregnancy having severe pre exlampsia. a) Define eclampsia and pre-eclampsia b) Enlist the clinical features of eclampsia. c) Explain the stages of seizures. d) Discuss the nursing care of Mrs. Seema. (2+3+3+7=15) Part B 3) a) Describe the modes of transmission of HIV. b) Discuss the nursing care of a woman with HIV and her baby during labour and delivery. (3+7=10) 4) a) Describe nursing diagnosis of a woman with obstructed labour b) Explain the nursing intervention of each of the nursing diagnosis. (5+5=10) 5) a) List the common medical problems of newborn. b) Discuss in detail the nursing management of hypothermia in newborn. 19 (3+7=10) 6) a) Explain Family Welfare Service. b) Discuss your role as a nurse in family welfare service. (5+5=10) 7) a) Define the mechanism of labour. b) Discuss the normal mechanism of labour in breech presentation (Draw diagram) (2+8=10) 8) a) Differentiate between Ergot derivatives and oxytocin. b) Explain your role as a nurse for a patient with oxytocin infusion during labour. (4+6=10) Part C 9) Place a tick mark (√) against the most appropriate answer given under each statement (5x ½ =2½) a) All the signs are positive signs of pregnancy except: i) Foetal heart sounds are heard ii) Foetal parts are palpable iii) Foetal movements are easily palpable iv) Breast changes b) The anterior surface of the sacrum is : i) Convex ii) Concave iii) Straight iv) Round c) Retention of a dead fetus for a variable period of time is: i) Recurrent abortion ii) Incomplete abortion iii) Missed abortion iv) Complete abortion d) All the following are oxytocic agent except: i) Ergometrine ii) Prostaglandin iii) Methergin iv) Ritodrine e) One of the following manifested by impaired carbohydrate tolerance during pregnancy as is: i) Jaundice ii) Diabetes iii) Anaemia iv) Hypertension 20 10) Fill in the blanks: (½x5=2½) a) Interruption or more often termination of pregnancy before viability of the foetus is called ............................................................................................................ b) Lactational Amenorrhoea Method (LAM) prevents pregnancy by cessation of ................................................................................................................. c) The upper border of the first sacral vertebrae projecting forward is known as .................................................................................................................... d) Prevention and control of spread of sexually transmitted diseases can be achieved by .................................................. and ..................................................... e) Process in which the pelvic reproductive organs return to their pre-pregnant size is known as .................................................................................................... 11) Match the statements given in Column A with the statement given in Column B: Column A (½x5=2½) Column B a) Membranous space between the bones i) Glabella b) Membraneous spaces where two or more sutures join together ii) Vertical point c) Bregma iii) Fontanelle d) Root of the nose iv) Suture e) Forehead v) Sagittal Suture vi) Sinciput 12) Place a tick mark (√) against “T” if you consider the statement as true and “F” if you consider the statement as false. (½x5=2½) a) The turning of the head to undo the twist in the neck during internal rotation of head is restitution. (T/F) b) The umbical sepsis is called omphalitis (T/F) c) The hormone responsible for milk production after delivery is oxytocin. (T/F) d) Twin pregnancy is the most common multiple pregnancy in a woman. (T/F) e) Fibroid uterus in pregnancy is a condition in which there are benign tumours of muscular and fibrious tissue. (T/F) 21 COMMUNICATIVE ENGLISH Assignment – I (Block 1 & 2) ( Tutor Marked) Programme Code : B.Sc.N (PB) Course Code : BNS 104 Assignment Code: BNS 104/ TMA-1/2016 Maximum Marks – 100 Last date of submission : July 31, 2016 This assignment has 10 questions. Answer all the questions. 1) Read the passage carefully and answer the following questions. (15) Kanpur is one of the big and important city of India. Unfortunately, it is also one of the dirtiest. The streets of the city remain covered with litter; the station remains filthy; the water supply is polluted and the sewers remain choked. Isn’t it the duty of all of us to keep our city clean? First of all we all have a duty to dispose our rubbish in the proper way. This means that we must not throw our rubbish in the open or our street. We must take it to the rubbish dump set up by the Corporation in our area. Second we also must stop littering! Do you throw chocolate bar wrappers and empty cartons on your living room floor? Of course not! And you should not throw these things on the street or in to the gutter, also! When you go to a city park, do you want to step on a piece of glass? Of course not! But would you do that such a thing did not happen to you or any body? Have you ever thought about it? If we want to live in a clean environment, we have to work together to make it possible. This weekend you have the chance to do that. Join us in our Cleaning up Operation on Sunday. And at the end of the day, you’ll see the difference! You needn’t bring any thing with you ; we will provide every thing you’ll need to help us clean up our city. If we do it more often, we shall all live in a clean city. a) How should we dispose our rubbish? b) What does the city corporation provide? c) What do we all have to stop? d) What is wrong with the drainage system? e) What is the duty of each one of us towards our city? 2) Write a paragraph on any one of the following topics (150 – 200 words) (15) a) Common Wealth Games b) Importance of nursing education in India 3) Write a letter applying for the job of a staff nurse (Sister Grade-II) in a private hospital. (15) Or Write a letter to your friend inviting him/her to attend a conference organized by 4) Write a referral letter to a physician for a patient who has acute abdominal pain. 22 (10) 5) Fill in the blanks: (10) a) With the right form of verb: i) I ........................................................ an Indian (be). ii) We think that this ................................ a very interesting story (be). iii) There .................................................. fifty student in the class (be). iv) Rajeev ................................................. not speak English well (do, does). v) She .................................................... many employees working for her (has, have). b) With the correct article (a, an, the): i) …………….apple is ………fruit. ii) I shall be back in half ……………hour. iii) This is …………best book on English grammar. iv) Srilanka is …………..Island. v) Buildings all over………..world are very much ……….same. 6) Change the following into passive voice: (10) a) Who built this house? b) The boys painted the gate, red. c) We can solve this problem. d) Akash opened the door. e) The cat killed the mouse. f) I have sold my jewelry. g) The teacher will punish him. h) Peon cleans this table every day. i) Rahul has written this book. j) They sell all variety of garments in this market. 23 7) There are many words that end in ( -cate) . The list has been started for you. Look at the clue to solve the rest. (5) (Vacate, indicate, reciprocate, masticate, lubricate, educate, dedicate, suffocate, duplicate, complicate) a) masticate : to chew b) : to teach c) : to leave a place or position d) : to have difficulty in breathing e) : to show some thing by pointing f) : to devote one self to a good cause g) : to put oil and grease on or in a machine to make it run smoothly h) : to make something more difficult to do i) j) : to make exact copy of some thing : to give and receive something in return 8) Read the passage below and fill in the blanks with the correct preposition (10) Here are some prepositions for your help: in, on, at, during, for, about, by. Kanta is a nurse …………..1) a Mumbai hospital. She lives……………..2) Vashi and has to take a train to go to work. The journey take over an hour…………….3) which Kanta usually sleeps and reads. For once……………….4) the hospital, she hardly has any time to rest and has to be ……………5) her toes. But Kanta enjoys her work and does not mind. Of course certain days are very taxing even …………..6) her. She feels that the best time …………….7) the day is lunch break. Then she and her colleagues relax and talk ……………..8) their work…………….9) the time she reaches home is quite late, yet Kanta manage to by fruits and vegetables……………10) her way back. Doctors……………..11) the hospital know how invaluable she is and like and respect her. Her patients love her dearly, through she is quite strict……………….12) them …………..13) times. “I can’t think of another job that is more satisfying,” says Kanta and you can’t but agree. 9) Write the questions for the following answers starting with (who, when, where, what). a) We came by train b) The accident happened at midnight c) It is very hot here, during the day time. d) The shop close at 7 o’clock. e) I study in the central school. 24 (5) 10) Match the following. (5) Column (A) Column (B) a) Willed i) Complete change b) Assignable ii) Adaptability to change so as to be suitable for different conditions c) Transformation iii) Made by power of mind d) Adaptability iv) Completely destructive e) Devastating v) Which can be fixed 25 COMMUNICATIVE ENGLISH Assignment – 2(Block 3 & 4) ( Tutor Marked) Programme Code : B.Sc.N (PB) Course Code : BNS 104 Assignment Code: BNS 104/ TMA-2/2016 Maximum Marks – 100 Last date of submission : Aug. 31st , 2016 This assignment has 10 questions. Answer all the questions. 1) Read the passage carefully and answer the following questions. (15) Science News Do you want to keep up with the latest research and discoveries in science? There are many good websites that you can visit to make that easy. One great site is called Science News for Kids. This site reports science news covering a wide range of subjects. The articles are written with the interests and educational experience of younger readers in mind, but adults will find this site suitable for them as well. Another wonderful site, one that I check out every day, is called Science Daily. The site is constantly updated with news, often about exciting findings that change how we look at the world and the universe. Whether it’s newly unearthed discoveries about creatures that have been extinct for millions of years or the latest advances in cures for human diseases, you’ll find it at Science Daily. These sites post stories as they become news and also archive all the past articles. That way you can enter a search term and find articles on just about anything related to science that they’ve ever published. a) The author believes that adults............................. i) Won’t understand a site for kids. ii) Will find Science News for Kids useful. iii) Don’t like science as much as kids. b) What does “daily” mean? i) Never at night ii) Only for scientists i ii) Every day c) What does “unearthed” mean in the paragraph? i) Dug up ii) From another planet iii) Shot into space 26 d) What does “archive” (AR-Kiev) mean? i) A nest in a boat ii) Read carefully iii) Keep in a safe place e) What does “publish” mean? i) To get printed and distributed in public ii) Number of people iii) Related to public property 2) Write a paragraph on two of the following three topics (150 - 200): a) Caged bird b) Asian Games c) (5+5+5) Patriotism 3) Write a letter resigning from the job of an staff Nurse from a private hospital. (15) Or Write a letter to a spectacle frame producing company asking for quotation of various types of frames they make. 4) Write a report on anyone of the following (10) a) You have attended a symposium on non communicable diseases (NCDs) Or Patient having blurring of vision and suffering from hypertension 5) Fill in the blanks with the correct present tens forms of the verbs given below. (10) Word List say, spend, show, speak come be, change, need, try, want, 1) Animal lovers………………..to find a shelter for injured animals. 2) There ……………………a number of good school in this city. 3) What we ……………………is a sound philosophy of education. 4) You………………………. advised not to be too generous with your sentiments. 5) He ……………………….no English at all. 6) He………………………..more time in India than anywhere else in the world. 7) Faith, they …………………….can move mountain. 8) They ………………………… here to satisfy their curiosity. 9) He ………………………….to come hare as a guest. 10) My watch ……………………the data as well as the time. The date ………………. Automatically at midnight. 27 6) Change the following into passive voice a) The students write reports. b) The students wrote reports. c) The students will write reports. d) The students are writing reports. e) The students were writing reports. f) The students have written reports. g) The students had written reports. h) The students are going to write reports. i) The students can write reports. j) The students could write reports. (10) 7) Fill in the blank with proper word. (10) a) This train travels from London................................. Paris. (At, to) b) We stood at the back ................................. the theater. (Of, on) c) She went to Rome................................. France. (Versus, via) d) The store is open daily. ................................. Monday to Friday. (For, from) e) I took my hat ................................. the table. (Of, off) f) He looks ................................. his brother. (Despite, like) g) The children ran ................................. the school. (Of, out of) h) He opened the box................................. a screwdriver. (At, with) i) I will work ................................. five o’clock. (Until, up) j) We walked ................................. the restaurant. (Despite, past) 8) Fill in the blanks with suitable words out of those given in brackets; a) i) ii) b) i) ii) c) i) ii) d) i) ii) e) i) ii) Children in this orphanage are happy because they are well ………………… Many trees in the jungles are now ……………by the forest department. (Preserved, looked after) Smoking in cinema halls is …………………… We are ………………….to speaks loudly in the library. (Prohibited, forbidden) Many trees in the forests have been……………….. Standard of morality have…………………… (Destroyed, deteriorated) We ………………… reading stories. It is a …………………. Walking in the hills. (Pleasure, enjoy) They spent a lot of money of their daughter’s wedding, so their bank balance has now been ………………………… Mr. Lal has been unemployed for four years now. He and his family are quite ……………………… (Impoverished, depleted) 28 (10) 9) Fill in the blanks with a/an, some, much, little, any: (5) a) She didn’t like my going to her and gave me ………………..help. b) May I borrow ………………………milk please? c) There isn’t ………………….. money in the box. d) I listed to ………………fine music in the afternoon. e) The butcher gave me ……………..fine piece of mutton. f) There isn’t even ……………….ounce of milk in the bottle. g) Didn’t you buy ………………..jar of honey last week. h) We wasted………………..lot of time waiting for the bus. i) The patient has shown………………….lot of progress. j) he has gone away to Bombay on …………………urgent work. 10) Word under A means the opposite of those under B. (5) Example: empty - full Column A Column B a) Empty i) Sighted b) Optimistic ii) Drop c) Blind iii) Full d) Quite iv) Knowledge e) Lift v) f) vi) Loud Ignorance g) Soothing Stinging vii) Pessimistic 29 Behavioural Science Assignment 1 (Block 1&2) Tutor Marked Programme Code : B.Sc.N (PB) Course Code : BNS 105 Assignment Code: BNS 105/ TMA-1/2016 Maximum Marks = 100 Last date of submission: 31st July 2016 Note: This assignment has three parts – Part A, B and C. Part A consists of two long questions. Each question carries 15 marks. Part B consists of six short answer questions. Each question carries 10 marks. Part C consists of four objective type questions. Each question carries 2½ marks. Part A 1) a) Define Behavioural Sciences. b) Discuss the relevance of Behavioural sciences in Health. c) Describe the role of Nurse as a change agent. (2+3+10=15) 2) Describe the utilization and accessibility of Health Care Services after Independence in our country. Discuss the Perception of Nurse about utilization of Health Services in current health scenario. (8+4+3=15) Part B 3) Explain the Sociological Approach to understand the Human Society. 4) Enlist the systems of social stratification. Discuss the influence of caste on availing the Health Care facilities in our country. (10) (8+2=10) 5) List the Health for All Indicators of Social Development. Enumerate the uses of these Indicators. (5+5=10) 6) Differentiate society and community. Describe the phases of Community Participation. (3+7=10) 7) Discuss the ‘Holistic View’ of Health in detail. 8) Ennumerate the stresses faced by most women. Comment on Women’s status and Nutritional Needs in the Modern Family of 21st Century. 30 (10) (6+4=10) Part C 9) Place a tick mark (√) against the most appropriate answer given under each statement (½x5=2½) a) Ethnomedicine is also called as: i) Medical Anthropology ii) Health Sociology iii) Popular Medicine iv) Professional Health Culture b) All of the following are essential elements of State except: i) Population ii) Defined Territory iii) Sovereignty iv) Family c) The common characteristics of Indian villages are all except: i) Social Mobility ii) Jajmani System iii) Simple Living iv) Homogeneity d) Aril-Hydrocardbon hydroxilase causing cancer is found in high concentrations in: i) Alcohol ii) Tobacco iii) Smoke iv) Junk Food e) ‘Palna Ghar’ cares for children upto the age of : i) 0-4 years ii) 0-2 years iii) 1-3 years iv) 3-4 years 31 10) Fill in the blanks: (½x5=2½) a) A number of individuals having ............................................... relationship form a Group. b) .............................................. socialization is most crucial stage of socialization for a child. c) White collar workers and professionals fall in ......................................................... class. d) Industrialization gave way to .......................................................... system of production. e) The ............................................. model is of utmost importance for a correctional facility. 11) Match the items given in Column A with those given in Column B Column A (½x5=2½) Column B a) Non-Conformity to a given norm i) Study on higher level b) Culture ii) Vertical Mobility c) Logy iii) Stringent Customs d) Gain in property iv) Social Heritage e) Mores v) Folkways vi) Deviance 12) Place a tick mark (√) against “T” if you consider the statement as true and “F” if you consider the statement as false. (½x5=2½) a) Physiological Psychology is a part of Behavioural Sciences. (T/F) b) Religion is a way by which informal social control is exercised on individuals. (T/F) c) Urban slum population is heterogeneous ‘floating’ migratory group. (T/F) d) Illness is objective evaluation by an individual that something is wrong with him. (T/F) e) ICDS was initiated in 6th Five year plan to alleviate poverty. (T/F) 32 BEHAVIOURAL SCIENCES BNS-105 (Block 3, 4 & 5) Assignment-2 (General Psychology and Educational Psychology) Programme Code : B.Sc.N (PB) Course Code : BNS 105 Assignment Code: BNS 105/ TMA-2/2016 Maximum Marks = 100 Last date of submission: 31st August 2016 (Do General Psychology and Educational Psychology on separate sheets.) Section A General Psychology Maximum Marks: 50 Note: This Assignment has three parts—Part A, Band C. Part A consists of one long answer question and it carries 15 marks. Part B consists of five short answer questions. Each question carries 5 marks. Part C consists of four objective type questions. Each question carries 2½ marks. Part -A 1) a) Describe the Coorelational Method of Psychology. b) Discuss the Importance of Psychology in Nursing. (3+12=15) Part-B 2) Explain the Cognitive Theory of Human Development. (5) 3) Discuss the importance of Motivation in Nursing Students with suitable examples. (5) 4) a) Enlist the sources of Frustration. b) Enumerate the reaction to Frustration. (2 ½ +2 ½ =5) 5) Describe the common sensory disorders. (5) 6) Define Personality and list its traits. Discuss the implication of study of Psychology of Personality for Nurses. (1+2+2=5) 33 Part C 7) Place a tick mark (√) against the most appropriate answer given under each statement. (½×5=2 ½ ) a) Applied side of Psychology makes it : i) An art ii) A science iii) A study iv) None of the above b) Growth involves all except: i) Increase in number of cells ii) Change of Size iii) Metabolic Processes from within iv) Sexual Maturity c) Traditional counseling behavior strategy for Stress Management is : i) Behavioral assistance ii) Guidance iii) Intimate Interaction iv) Breathing exercises d) Tendency to organize things to make balanced or symmetrical figure including all parts: i) Organization ii) Law of Good Figure iii) Law of Continuation iv) Similarity e) The Death Instinct driving people towards destructive behavior according to Freud is: i) Eros ii) Libido iii) Super Ego iv) Thanatos 8) Match the statements given in Column A with the statement given in Column B. Column A (½ x 5=2½) Column B a) ”O” variable stands for i) Middle age slump b) Lose of Youth ii) Seen in Cinemas c) Trying to respond to a Disaster iii) Learning Theories of Personality d) Stroboscopic Motion iv) Automatic Action e) Man is a creature of habit or response tendencies v) vi) 34 Cognitive theories of Personality Organism 9) Fill in the blanks: (½x5=2½) a) Clinical Method helps solve ......................................................... issues. b) Girls attain puberty ............................................... years before the boys. c) Schacter Singer theory of Emotion states that emotion is interpretation of ....................... d) Subjective Perception is also called .............................................................................. e) ....................................... helps to take out strong conflicts created by Id into privacy of unconscious. 10) Place a tick mark (√) against “T” if you consider the statement as true and “F” if you consider the statement as false. (½× 5= 2 ½ ) a) Psychology is a normative Science. T/F b) Paiget believed that ‘child is the father of man’. T/F c) Thalamus relays and translates incoming messages from sense receptors of cells. T/F d) Inaccurate Perception occurs when our receptors are not stimulated adequately. T/F e) MMPI is interpreted by a skilled expert. T/F 35 Section B: Educational Psychology Maximum Marks: 50 Note: This Assignment has three parts - Part A, Band C. Part A consists of one long answer question and it carries 15 marks. Part B consists of five short answer questions. Each question carries 5 marks. Part C consists of four objective type questions. Each question carries 2½ marks. Part-A 1) a) Define Educational Psychology. b) Enlist the methods of Educational Psychology. c) Discuss any two methods of Educational Psychology in detail. (2+4+9=15) Part-B 2) Describe the measurement of Individual Differences. (5) 3) Discuss the different theories of Intelligence . (5) 4) Explain the significance of learning in nursing with suitable examples. (5) 5) Differentiate Short Term and Long Term Memory (five points of difference) (5) 6) a) List the factors affecting the development of attitudes. b) Enumerate the methods to change attitudes. (2+3=5) Part - C 7. Place a tick mark (√) against the most appropriate answer given under each statement. (½×5 =2½) a) Modification of Behavior is basic aim of : i) Education ii) Sports iii) Society iv) Memory b) Uniformity of procedure for administering and scoring the test is called: i) Standardization ii) Reliability iii) Validity iv) Usability 36 c) The instability of IQ may occur due to : i) Drastic noise ii) Poor diet iii) Environmental Changes iv) Accidents d) When a person forgets his name , where they come from and who their spouse is, he/she suffers from : i) Anterograde Amnesia ii) Defensive Amnesia iii) Repressive Amnesia iv) Senile Amnesia e) New learning which interferes with old material learnt is: i) Proactive inhibition ii) Retrieval Cues iii) Motivated Forgetting iv) Retroactive inhibition 8) Match the statements given in Column A with the statement given in Column B Column A (½ × 5 = 2½) Column B a) Efficient learning i) Bhatia Battery of Performance test b) Packets of Chemicals ii) Related to Mental Health c) Koh’s Block Design iii) Amnesia d) Remembering Incomplete task iv) Dementia e) Applying what has been learned v) Social learning vi) Crystallized learning vii) Genes viii) Moderate retardation 9) Fill in the blanks (½×5=2½) a) Views people have about something are called ................................................................. b) ................................................................ determines our reactions to people. c) Visualizing the scene and fitting to be remembered is called method of ............................... d) Intelligence is global capacity for ........................... and ................................................... 37 10) Place a tick mark (√) against “T” if you consider the statement as true and “F” if you consider the statement as false. (½ ×5 = 2½) a) Psychological principles help to formulate curriculum. (T/F) b) There is a gradual decrease in intellectual ability after forty. (T/F) c) With aging , memory problem is retrograde in nature. (T/F) d) Striving towards balance causes attitude formation. (T/F) e) Rhyming is a technique used in behaviour therapy. (T/F) 38