post basic bachelor of sciences i g n o u in nursing [b.sc ...ignou.ac.in/userfiles/bscn-3rd.pdf ·...

Post Basic Bachelor of Sciences

in Nursing [B.Sc.N.(PB)]I

G N

O U

School of Health Sciences

Indira Gandhi National Open University

Maidan Garhi, New Delhi-110 068

Assignments

2013

3rd Year

2

Dear Student,

As explained in the Programme Guide, there are six 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 Course Code Blocks Involved Assignment Code

Submission

31st July, 2013 BNS-109 1, 2 BNS-109/TMA-1

BNS-110 1, 2 BNS-110/TMA-1

BNS-111 1, 2 BNS-111/TMA-1

31st August, 2013 BNS-109 3, 4 BNS-109/TMA-2

BNS-110 3, 4 BNS-110/TMA-2

BNS-111 3, 4 BNS-111/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.

3

COMMUNITY HEALTH NURSINGAssignment – 1 ( Block 1 & 2 ) (Tutor Marked)

Programme Code : B.Sc.N (PB)

Course Code : BNS 109

Assignement Code: BNS 109/ TMA-1/2013

Maximum Marks – 100

Last date of submission: July 31,2013

Note:

This Assignment has three parts i.e. Part A, B and C

Part A consist of two long answer questions. Each question carries 15 marks.

Part B consist of six short answer questions. Each question carries 10 marks.

Part C consist of four objective type questions. Each question carries 2½ marks.

Part-A

1. a) List the purpose of community identification.

b) Describe steps you would adopt for community diagnosis. Support your

answer with examples.

c) Describe the prerequisite and functions of community health nurse.

(3+6+6=15)

2. a) Define drug abuse.

b) Describe the various reason for abusing drugs.

c) List general characteristics of drug abusers.

d) Discuss role of a nurse in different levels of prevention of drug abuse.

(1+4+4+6=15)

Part –B

3. Explain family in health and disease with help of examples. (10)

4. Define Epidemiology. Explain epidemiological model of causation of

disease with help of example of specific disease. (2+8=10)

5. Explain difference between data and information. Describe components and

uses of health information system with help of examples from nursing studies.

(3+7=10)

6. a) Define child abuse and explain its causes.

b) Describe role of nurse in assessment and management of child abuse.

(2+3+5=10)

4

7. Explain impact of poverty on health. Describe role of community health nurse in

implementing different solutions of the problem of poverty. (4+6=10)

8. Define infertility. Explain causes of infertility. Describe role of community

health nurse in primary prevention of infertility. (1+4+5=10)

Part – C

9. Place a tick mark (√) against the most appropriate answer given under each statement

(½x5=2½)

a) Epidemiological Traid includes;

i) Agent, host, environment

ii) Agent, host, infection person

iii) Masquito, environment, man.

iv) Agent, human, paracite.

b) Mass screening means;

i) Search for unrecognized disease for whole population.

ii) Screening of high risk group.

iii) Numbers of test carried out for various diseases.

iv) Identifying new cases in specific population.

c) National Rural Health Mission was launched in;

i) 2002

ii) 2005

iii) 1975

iv) 2004

d) Epidemic result from person to person contact is known as;

i) Propagated epidemic

ii) Common source epidemic

iii) Communicable epidemic

iv) Emerging Epidemic

e) Drugs used for long duration and sufficient dosage can be termed as;

i) Drug dependence

ii) Drug addiction

iii) Drug tolerance

iv) Physical dependence

5

10. Match the statements given in column A with terms given in column B (½ ×5=2½)

Column A Column B

a) Information in relation to human population i) Ecology

b) Decision to seek health care ii) Ergonomics

c) Interrelationship of organism to its environment iii) Sample registration survey

d) Adaptation of work to improve human efficiency. iv) Demography

e) Survey done every six months for death and birth v) Health task of family

vi) Epedemiology

vii) National Health Servey

viii) Health economics.

11. Fill in the blanks. (½ ×5=2½)

a) A circle in a family genogram indicates ____________.

b) The phase of natural history of disease before the onset of disease in known as

___________.

c) Specific protection is a measure for ____________ level of prevention.

d) Physiology ability of a women of reproductive age to produce children is known as

___________.

e) The number of daughter a new born girl will bear during her life time is known as

____________.

12. 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) Preventive epidemiology is concerned with identification of population at risk. T/F

b) Cancer is notifiable disease under international health regulation. T/F

c) The purpose of tertiary level prevention is to limit the disability. T/F

d) Under milleu therapy nurse can make use of standing orders for antidotes. T/F

e) Drug or alcohol use of parent comes under for radar alert –I type of T/F

behaviour pattern of family.

6

COMMUNITY HEALTH NURSINGAssignment – 2 ( Block 3 & 4 ) (Tutor Marked)





Last date of submission: August 31,2013

Note:





Part-A

1. a) Explain the concept of child survival and safe motherhood programme.

b) Discuss the programme strategies for child survival and safe motherhood.

(5+10=15)

2. a) Discuss the organisation of community health services in your country.

b) Explain the need for nursing manpower development planning for

effective nursing services to the community. (10+5=15)

Part –B

3. Discuss the methods of supervision in the field work. Support your answer with

example. (10)

4. Describe the roles and functions of community health nurse in providing

comprehensive health care. (10)

5. Explain the methods of evaluation of health services. Support your answer with

example. (10)

6. a) Explain the components of school health programme.

b) Enumerate the role of CHN in school health programme. (5+5=10)

7. Malnutrition is one of the major health problem in any country “Discuss the

various nutritional programs initiated by your govt.” (10)

8. a) Discuss the programme activity and role of nurse in National AIDS Control Programme.

b) Discuss the programme activity and role of nurse in National Malaria Control

Programme. (5+5=10)

7

Part – C


(½ x5=2½ )

a) Which of the following is not a vector borne disease;

i) Malaria

ii) Filaria

iii) Kala-azar

iv) Leprosy

b) Xerophthalmia is caused due to;

i) Vit A deficiency

ii) Vit B deficiency

iii) Vit C deficiency

iv) Iodine deficiency

c) Important objectives of multi drug therapy in tuberculosis is;

i) Convenient for patient

ii) Cheaper than other therapies

iii) Prophylectic therapy

iv) Prevent drug resistent

d) Components of child survival includes all of the following except

i) Universal immunization programme

ii) ORT programme

iii) Prevention of anemia

iv) Vector borne disease

e) Causative organism of malaria is;

i) Micobacterium tuberculosis

ii) Female anopheles mosquito

iii) P. falciparum

iv) Microfilaria

8

10. Fill in the blanks. ( ½×5=2½)

a) National Goitre control programme is renamed as ____________ deficiency

control programme.

b) Children suffering from Vit. A deficiency be administered ______________

I. U. of vit A, immediately after diagnosis.

c) Best treatment for dehydration is ORT solution which contains _____________ gm

of sodium chloride.

d) HIV leads to ____________ syndrome.

e) Community health centre covers ____________ population with 30 beds.

11. Match the statements given in column A with terms given in column B (½ x5=2½)

Column A Column B

a) UNICEF i) Diabetic, hypertension and cancer

b) Non Communicable disease ii) The first step of evaluation of health services

c) Setting of objectives iii) Community health centre

d) Rockfeller foundation iv) Evaluation of job performance of individual

in based on

e) Observation of staff in field v) Feedback

vi) Child development and nutrition

vii) To help disabled

viii) To promote well being of mankind

through out the world


consider the statement as false. (½×5=2½)

a) World health assembly, is a WHO division. T/F

b) Most deliveries in rural areas are still handled by untrained dais . T/F

c) Primary health care is provided by sub center. T/F

d) Evaluation of health care differs from monitoring. T/F

e) Autocratic leader is the one who depends on their own capabilities but encourage

consultation. T/F

9

NURSING ADMINSTRARTION Assignment – 1 ( Block 1 & 2 ) (Tutor Marked)






Note:





Part-A

1. a) Define administration and management.

b) Explain the relationship between administration and management.

c) Planning is important for effective administration. Discuss the importance

of planning in nursing administration. (4+3+8=15)

2. a) List the methods of supervision.

b) Explain seven tools and techniques of supervision. Support your answer with examples.

c) Discuss the role of a nurse manager in supervision of nursing staff posted in hospital

and community setting. (11/2+31/

2+10=15)

Part –B

3. Explain the case method and team method of patient assignment. Discuss advantage

& disadvantages. (4+6=10)

4. Describe the various means of evaluating nursing care. (10)

5. a) Explain the functions of advisory committee.

b) Describe the committees which are formed from among the school staff for

effective management of a nursing school. (4+6=10)

6. Prepare proposal based on the minimum infrastructure facilities suggested by

nursing council to start a school of nursing. (10)

7. a) Define curriculum. Explain the importance and pre-requisites of curriculum

development.

b) Describe its steps of curriculum development. (2+4+4=10)

8. Discuss in detail the issues related to areas of nursing practice. Support your answer

with examples. (10)

10

Part – C


(½ x5=2½)

a) The level of administration consists of :-

i) Technique of supervision

ii) First management or operation management level

iii) Leadership

iv) Knowledge of organization policies and rules

b) Safe measures while working in hospital are essential and consists of :-

i) Biomedical and waste management

ii) Primary care

iii) Team method

iv) Functional method

c) One of the important feature of the administrative process is :-

i) Inter relationship

ii) Frequent change

iii) Unitary function

iv) Innovation

d) Characteristics of planning involves :-

i) Primary concerns

ii) Long range planning

iii) Flexibility and Dynamism

iv) Programming

e) NSG service audit is an official examination of Nsg records, because it helps in:-

i) Consuming, lot of time

ii) Requirements of trained nursing auditors

iii) Medical legal value in court of law

iv) Retrospective analysis

11

10. Fill in the blanks. (½ x5=2½)

a) The term delegation is defined as assigning responsibilities without ___________.

b) Documents of facts is maintained in _____________.

c) Budgeting can be prepared based on the previous ___________ documents.

d) The methods of audits involve retrospective view and the ________view.

e) The written basic guide to action is called ____________.

11. Match the statements given in column A with terms given in column B (½ ×5=2½)

Column A Column B

a) Devotes general direction and tendencies especially i) Work Schedule

of events of opinion

b) Budget items ii) Organisation

c) Newer emerging expanded role of nursing iii) Trends in nursing

d) One of the potential injury during hospitalization iv) Audit

e) Efficient time management in a congruent and v) Primary Health Care

continuous manner

vi) Radiation

vii) Decentralized staffing


consider the statement as false. (½×5=2½)

a) Duty roster is a list of items or description of actions to be looked at, one at a time.

T/F

b) Norm is an authoritative standard or model and typical pattern of behaviour of a

group. T/F

c) Decision is a choice made between two or more alternatives. T/F

d) Formulation of realistic objectives for the present taking into account is T/F

called WOTS.

e) Coordinating is dealing with humans beings having different human factors. T/F

12

NURSING ADMINSTRARTION Assignment – 2 ( Block 3 & 4 ) (Tutor Marked)






Note:





Part-A

1. Explain personnel management. Discuss the features of effective personnel

management in nursing. (5+10=15)

2. a) Discuss the purpose of hospital information system.

b) Write about the benefits of computerized hospital information system.

c) Explain personnel management system being used by nursing personnel in

the hospital. (5+5+5=15)

Part –B

3. List the various types of leadership models and explain the application of the

models in nursing setting. (2+8=10)

4. Explain the concept of power. Discuss four types of power that can be utilized

by nursing leader. Support your answer with examples. (4+6=10)

5. Enumerate the purpose of material management in nursing administration.

Prepare a flow chart on process of purchase of material in an institution and

compare it with the process followed in your organization. (3+7=10)

6. Write characteristics of communication. Discuss the principles of effective

communication. Explain four situation in which you have used the principles

of effective communication. (3+5+2=10)

7. Explain stages of group development. Discuss the forces affecting group

dynamics and its significance in nursing. (5+5=10)

8. Explain the concept of ’Tele Nursing’. Describe the characteristics for

development of computer application in nursing. (3+7=10)

13

Part – C

9. Place a tick mark (√) against the most appropriate answer given under each

statement (½ x5=2½)

a) Streamlining of operations in computerized hospital information system includes;

i) Proper billing and charging

ii) Elimination of unnecessary documentation flow and duplication of entries

iii) Admission and discharge procedure are handled in no time

iv) Proper information details on medical and nursing evaluation

b) The activities of patient administration system for smooth functioning of the

hospital are

i) Medical information system statistics for management control;

ii) Pay roll system

iii) Job description

iv) Reduction in manpower

c) The reason for group affiliation is for;

i) Secondary groups

ii) Un organized group

iii) Accidental and purposive group

iv) For personal gain motivation

d) The technique of effective leadership include all the following except;

i) Intellectual skills

ii) Enthusiasm

iii) Co operative and coordination

iv) Technical mastery

e) The scope of external audit is to

i) review of internal checks and examining the financial statement

ii) include review of administration control

iii) increase the work of external auditors

iv) enhance the system of internal control and checks

14


a) The Success of a personal relation with person depends upon the fact that

nothing happens by ___________.

b) The group dynamics is to groups what personality dynamics is to __________.

c) The sender should be aware of ____________ before sending message for

someone who do not share the same language.

d) The communication media is the use of different ____________ to convey

messages between participants.

e) The principles of communication followed by administrator helps in __________

leadership.


Column A Column B

a) Benevolent approach i) Procurement

b) Indentify the individuals capacity to function ii) Budget

c) Rules and regulation regarding ordering materials iii) Nursing Audit

d) Structure plan for managing income and expenses iv) Supervision

e) Auditing of nursing services v) Leadership style

vi) Budgetary control

vii) Audit report


consider the statement as false. (½ x5=2½)

a) The overall aim of problem solving approach is to seek conflict resolution. T/F

b) Increase in duplication of data entries will help in streamlining hospital

information system. T/F

c) Use of brain storming approach is to think of as many as ideas possible for

solution to a problem. T/F

d) Evaluating the sender on personal opinions and beliefs help in receiving the

message objectively. T/F

e) Decoding is the responsibility of receiver to bring out the original meaning as

has been sent by the sender. T/F

15

NURSING EDUCATION AND RESEARCH Assignment – 1 ( Block 1 & 2 ) Tutor Marked






Note:





Part-A

1. a) Differentiate between formal and informal education.

b) Describe factors determining educational aims with help of examples from nursing.

c) Discuss aims of nursing education, give examples of nursing education of your

institution. (3+6+6=15)

2. a) Explain relationship between purpose and educational objective.

b) Describe data necessary for formulation of educational objective.

c) Discuss domains of educational objective. Give two examples of objectives

from nursing under each domain. (15)

Part –B

3. Describe principles and maxims of good teaching with help of examples from nursing

Situation. (5+5 = 10)

4. Discuss guidelines you will follow for selection and use of classroom teaching and

learning methods in nursing. (10)

5. a) Define guidance and counseling.

b) Describe the need for guidance and counseling for nursing students in a school

of Nursing. (3+7=10)

6. a) Explain concept of curriculum.

b) Describe factors influencing curriculum development for nursing programs.

(3+7=10)

16

7. a) List the principles of selection of learning experiences for nursing programme.

b) Explain criteria for selection of learning experience for 2nd year nursing students.

(4+5=10)

8. a) Describe the process of course planning.

b) Prepare a sample course plan of any subject of your choice from nursing. (6+4=10)

Part – C


Column A Column B

a) Learning related to knowledge i) Panel discussion

b) Method of teaching in which 4 to 6 person discuss ii) Remedial

assigned topic

c) Record of incident giving actual information iii) Curriculum

d) Facilitative counseling iv) Guidance

e) Sum total of selected experience planned by school v) Unit planning

vi) Cognitive learning

vii) Anacdotal record


a) Humanistic type of approach is used in ____________ centered counseling..

b) Education is sum total of change in a ____________ of an individual.

c) Visual models are _____________ dimensional aids.

d) Desirable outcome of intended action are called as ____________.

e) Comprehensive clinical experience plan prepared for all the groups is

called _________ plan.


(½ x5=2½)

a) Synthesis or harmonious blend of the diverse philosophy of education is referred as;

i) Idealism

ii) Naturalism

iii) Pragmatism

iv) Eclacticism

17

b) Permanent modification of behaviour takes place when there is;

i) Teaching

ii) Learning

iii) Education

iv) Evaluation

c) Planning of subject online by the teacher before teaching is referred as

i) Course planning

ii) Unit planning

iii) Lesson planning

iv) Curriculum plan

d) A device used to evaluate behaviour that occurs in varying degree is

i) Checklist

ii) Rating scale

iii) Opinoninaire

iv) Anacdotal

e) Objectives which corrospond to precise professional tasks whose results are

measurable are:

i) General objective

ii) Intermediate objective

iii) Specific objective

iv) Institual objective



a) Maxims of good teaching proceeds from induction to deductive approach. T/F

b) Charts can be used for very large group. T/F

c) Objectives dealing with emotions and feelings are affective domain objective. T/F

d) Description of single class content for the course is unit plan. T/F

e) Degree to which it measures what it is intended to measure is referred as

reliability. T/F

18

NURSING EDUCATION AND RESEARCHAssignment – 2 ( Block 3 & 4 ) (Tutor Marked)






Note:





Part-A

1. a) Explain meaning and characteristics of experimental research.

b) Discuss types and design of experimental research with help of examples of

nursing studies. (5+10=15)

2. a) Define research.

b) Discuss the legal and ethical issues related to nursing research.

c) Describe and explain the major sections of research proposal you would

plan before conducting research. (2+8+5=15)

Part –B

3. a) Describe the purpose and scope of review of literature.

b) Discuss the content which should be included in literature review. (4+6=10)

4. a) Define sampling.

b) Explain purpose of sampling.

c) Discuss the merits and demerits of probability sampling. (2+4+4=10)

5. Enlist different methods used for data collection. Explain steps of developing,

questionnaire and interview schedule. (4+6=10)

19

6. a) Draw a sequence polygon for the data given below.

Scores Frequency

90 – 99 4

80 – 89 8

70 – 79 15

60 – 69 17

50 – 59 16

40 – 49 14

30 – 39 9

20 – 29 4

b) Calculate mean and median of above data. (10)

7. a) Draw pie graph for the data given below indicating deaths due to communicable

diseases.

Malaria – 49%

Filaria – 20%

Diarrhoea – 22%

Tuberculosis – 9%

b) Draw bar graph for the above given data. (5+5=10)

8. a) Define data analysis.

b) Explain steps of descriptive type of data analysis. (2+8=10)

Part – C


Column A Column B

a) Statement or declaration of expected outcome of research i) Mortality rate

b) Number of deaths in one year in total population per ii) Health statistics

thousand

c) Facts systematically collected in numerical form related iii) Generalization

to records

d) Application of findings to particular population. iv) Data analysis

e) Categorizing, ordering and summarizing of information v) Hypothesis

collected.

vi) Standard

vii) Morbidity rate

viii) Random sampling

20

10. Fill in the blanks. ( ½ x5=2½)

a) The systematic search for answer to questions about facts and relationship

between facts is called _________.

b) All these variable which may effect the variable under study are _____________.

c) Looking through the data from the past situations is called ___________.

d) Inferences drawn on the occurrence of relations is referred as __________ statistics.

e) Study of effectiveness of particular method is known as _________ survey.



a) Facts generally accepted are described known as assumptions. T/F

b) Effective research method to find cause and effect relationship is survey research. T/F

c) Gathering of data from the first hand is known as primary data. T/F

d) Central position with reference to group performance is named as median. T/F

e) Theoretical frame work of variables is termed is constructed based on

assumption. T/F


(½ x5=2½)

a) All the following are types of non- probability sampling except:-

i) Convenience sampling

ii) Purposing sampling

iii) Quota sampling

iv) Systematic random sampling

b) Large sample can be covered for data collection by use of :-

i) Questionnaire

ii) Interview

iii) Observation

iv) Physiological measurement

21

c) Distortion that arise from selection of sample is :-

i) Sampling process

ii) Sampling bias

iii) Sampling errors

iv) Probability sampling

d) Discrete categories of variables that are ranked, order to predetermined standard:-

i) Nominal data

ii) Ordinary data

iii) Interval data

iv) Dichotomous data

e) Reliability is measured by all of the following except:-

i) Co efficient of stability

ii) Co efficient of equilance

iii) Co efficient of inter consistency

iv) Co efficient of criterion