post basic bachelor of sciences in nursing [b.sc.n.(pb)]

Post Basic Bachelor of Sciences

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

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OU

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UI

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School of Health Sciences

Indira Gandhi National Open University

Maidan Garhi, New Delhi-110 068

Assignments

2016

1st Year

2

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 Course Code Blocks Involved Assignment Code

Submission

31st July, 2016 BNS-101 1, 2 BNS-101/TMA-1

BNS-102 1, 2 BNS-102/TMA-1

BNS-103 1, 2 BNS-103/TMA-1

BNS-104 1, 2 BNS-104/TMA-1

BNS-105 1, 2 BNS-105/TMA-1

31st August, 2016 BNS-101 3, 4 BNS-101/TMA-2

BNS-102 3, 4, 5 BNS-102/TMA-2

BNS-104 3, 4 BNS-104/TMA-2

BNS-105 3, 4 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.

3

NURSING FOUNDATIONAssignment – 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

iv) Progressive Patient Care (3+12=15)

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. (2+8=10)

4

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) Law

ii) Legislation

iii) Malpractice

iv) Negligence

v) Informed consent

vi) Ethics

b) Describe the ethical principles and support with examples. (6+4=10)

Part-C

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

statement. (½x5=2½)

a) Child begins questioning, identify parents, explore own body and environment

in following stage of development:

i) Phallic phase

ii) Oral phase

iii) Latency phase

iv) Genital phase

b) Transferring emotions from a stressful situation to lessen an anxiety situation is known as:

i) Denial

ii) Regression

iii) Conversion

iv) Displacement

c) Termination phase of nurse patient relationship is also known as:

i) Reaction phase

ii) Resolution phase

iii) Restoration phase

iv) Relation phase

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d) Quieting the mind by focusing, sense of oneness with self can be achieved by:

i) Diversion

ii) Imagery

iii) Meditation

iv) Relaxation

e) Stimulation of various body locations to treat diseases, pain etc in done in:

i) Touch therapy

ii) Acupuncture

iii) Yoga

iv) Reiki

10) Match the items given in Column A with those given in Column B: (½x5=2½)

Column A Column B

a) Primary health care provider to community i) Ecological concept

b) Disease as a result of maladjustment of human ii) Empirical standard

and environment

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 ....................................................

12) Place tick mark (√√√√√) against ‘T’ if you consider the statement as true and

‘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)

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NURSING FOUNDATIONAssignment – 2 ( Block 3 & 4 ) Tutor Marked





Last date of submission: Aug 31st 2016

Note:





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.

d) Discuss the role of a nurse in delivery of health care services. (3+3+6+3=15)

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. (3+2+2+3=10)

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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

iii) Family planning (4+3+3=10)

Part-C

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

(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

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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: (½x5=2½)

Column A 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

12) Place tick mark (√√√√√) against ‘T’ if you consider the statement as true and

‘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)

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APPLIED SCIENCESAssignment 1 (Block 1&2) Tutor Marked

(Biochemistry and Biophysics)




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)

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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) Digestion

and proteins etc. ii) Electrolyte

b) Hydrolysis of fat with a strong alkali iii) Molecule

c) Heterogeneous group of organic substances soluble in iv) Substrate

organic solvents but insoluble in water v) Plasma

d) Substance whose solution in water conducts electricity vi) Hypertonic

e) The species on which the enzyme acts vii) Lipids

f) Smallest unit of element or compound that can exist viii) Denaturation

independently ix) Anaemia

g) The insoluble cross linked protein formed during clotting x) Saponification

of blood

h) Solution having higher osmotic pressure than blood xi) Enzyme

i) A condition characterised by inadequate RBC’s/ xii) Conjugated lipid

hemoglobin in blood xiii) Fibrinogen

j) Fluid portion of blood in which particulate components xiv) Serum

are suspended

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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 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. (5)

4) Differentiate between siphon and suction. Explain three situations of each where

you as a nurse have been able to use siphon and suction. (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

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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

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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)

14

APPLIED SCIENCES

Assignment 2 (Block 3,4&5) Tutor Marked

(Microbiology, Nutrition & Dietetics)



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.



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. (4+1=5)

b) Write the meaning of primary response and secondary response.

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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 ii) Robert Koch

iii) Louis Pasteur iv) Van Lecuwen Hook

c) Bacterial germs/genera of medical importance which produce spores is/are

i) Bacillus ii) Clostridium

iii) Both the above iv) None of the above.

d) Which of the following viral disease is tick borne

i) Kasanur Forest Disease (KFD) ii) Yellow fever

iii) Dengue fever iv) Japanese encephalitis

e) Bacteria which grow only in the absence of oxygen are called.

i) aerobes ii) Facultative anaerobes

iii) Microaerophilic iv) obligate anaerobe

9) Match the statement given in Column A with the terms given in Column B. (½ × 5 = 2½)

Column A 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) Herpes simplex virus type 2 (HSV-2)

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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)

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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 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. (½×10 = 5)

Column A 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) Growth failure, odema and moon face vi) vitamin B

g) Severe muscle wasting, growth failure and loss vii) Carbohydrate

of subcutaneous fat 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

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8) Fill in the blanks. (½× 10 = 5)

i) 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 ..................................

19

MATERNAL NURSINGAssignment – 1 (Block 1 & 2) Tutor Marked





Last date of submission: July 31st , 2016

Note:




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. (3+7=10)

20

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

21

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: (½x5=2½)

Column A 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)

22

COMMUNICATIVE ENGLISHAssignment – I (Block 1 & 2) ( Tutor Marked)





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. (10)

23

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.

24

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) : to make exact copy of some thing

j) : 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 in-

valuable 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). (5)

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.

25

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

26

COMMUNICATIVE ENGLISHAssignment – 2(Block 3 & 4) ( Tutor Marked)





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

27

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): (5+5+5)

a) Caged bird b) Asian Games c) 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, show, come be, change, need, try, want,

spend, speak

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.

28

6) Change the following into passive voice (10)

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.

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; (10)

a) i) Children in this orphanage are happy because they are well …………………

ii) Many trees in the jungles are now ……………by the forest department.

(Preserved, looked after)

b) i) Smoking in cinema halls is ……………………

ii) We are ………………….to speaks loudly in the library.

(Prohibited, forbidden)

c) i) Many trees in the forests have been………………..

ii) Standard of morality have…………………… (Destroyed, deteriorated)

d) i) We ………………… reading stories.

ii) It is a …………………. Walking in the hills. (Pleasure, enjoy)

e) i) They spent a lot of money of their daughter’s wedding, so their bank balance has

now been …………………………

ii) Mr. Lal has been unemployed for four years now. He and his family are quite

……………………… (Impoverished, depleted)

29

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) Stinging

f) Ignorance vi) Loud

g) Soothing vii) Pessimistic

30

Behavioural ScienceAssignment 1 (Block 1&2) Tutor Marked




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 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. (10)

4) Enlist the systems of social stratification. Discuss the influence of caste on availing

the Health Care facilities in our country. (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. (10)

8) Ennumerate the stresses faced by most women. Comment on Women’s status and

Nutritional Needs in the Modern Family of 21st Century. (6+4=10)

31

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

32


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 (½x5=2½)

Column A 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)

33

BEHAVIOURAL SCIENCESBNS-105 (Block 3, 4 & 5)

Assignment-2

(General Psychology and Educational Psychology)




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 -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)

34

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. (½ x 5=2½)

Column A 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) Cognitive theories of Personality

vi) Organism

35


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.


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

36

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-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

37

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 (½ × 5 = 2½)

Column A 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 ...................................................

38


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)

post basic bachelor of sciences in nursing [b.sc.n.(pb)]

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