UNASNM QUESTIONS 2016, LIRA
UGANDA NATIONAL ASSOCIATION OF STUDENT NURSES AND MIDWIVES DISCUSSION QUESTIONS OF THE SEPTEMBER NATIONAL ACADEMIC SEMINAR SCHEDULED FOR 1ST-4TH /09/2016 AT JERUSALEM SCHOOL OF NURSING AND MIDWIFERY LIRA. MEDICINE KALORI LWANGA SCHOOL OF NURSING AND MIDWIFERY, RUKUNGIRI. Qn.1 A 35 year old patient has presented to OPD with signs and symptoms of pulmonary tuberculosis. a) […]
UGANDA NATIONAL ASSOCIATION OF STUDENT NURSES AND MIDWIVES DISCUSSION QUESTIONS OF THE SEPTEMBER NATIONAL ACADEMIC SEMINAR SCHEDULED FOR 1ST-4TH /09/2016 AT JERUSALEM SCHOOL OF NURSING AND MIDWIFERY LIRA.

MEDICINE

KALORI LWANGA SCHOOL OF NURSING AND MIDWIFERY, RUKUNGIRI.

Qn.1 A 35 year old patient has presented to OPD with signs and symptoms of pulmonary tuberculosis. a) List at least seven signs and symptoms of pulmonary tuberculosis. b) Mention at least five investigations which can be done to confirm the diagnosis of pulmonary tuberculosis. c) With the use of a nursing process, describe his management from admission up to discharge.

BUGEMA UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY LUWEERO.

Qn.2 Mrs. M a 60yr. known Hypertensive patient has been brought to OPD with suggested features of stroke. a) Describe her management from admission up to discharge. b) Outline at least five complications of stroke. c) Explain five preventive measures of stroke.

IUIU NURSING SCHOOL MBALE.

Qn.3 A forty five year old female patient has been admitted to a medical ward with congestive cardiac failure. a) With a well labeled diagram of the heart, explain the flow of blood through the heart. b) Describe her management from admission up to discharge. c) List seven complications of CCF.

JERUSALEM SCHOOL OF NURSING AND MIDWIFERY, LIRA.

Qn.4 Madam x a fifty year old patient has been diagnosed with nephritic syndrome. a) With a well labeled diagram of a microscopic structure of the kidney, explain the formation of urine. b) Describe the management of this patient from admission up to discharge. a. Outline at least five complications of nephritic syndrome.

KULVA SCHOOL OF NURSING

Qn.5 An old female patient has been brought to OPD with suggested features of Hyperglycemic coma, a) Outline at least six causes of hyperglycemic coma. b) Differentiate between hyperglycemia and hypoglycemia. c) Describe her management with a use of the nursing process from admission up to discharge. d) Explain ten ways in which a nurse can help this patient to prevent the occurrence of a diabetic foot. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com

NTUNGAMO SCHOOL OF NURSING AND MIDWIFERY.

Qn.6 Mr. R a 25 year old male has been diagnosed with severe broncho pneumonia, a) Outline the signs and symptoms of broncho pneumonia. b) Describe his management from admission up to discharge. c) List five complications of severe broncho pneumonia.

ST. JOSEPHS KITIGUM SCHOOL OF NURSING AND MIDWIFERY.

Qn.7 A female adult patient has presented to OPD in asthmatic attack. a) Outline five cardinal signs and symptoms of asthma disease. b) Describe her management from admission up to discharge. c) Explain at least seven measures in which this patient will prevent further asthmatic attacks.

BWEYALE SCHOOL OF NURSING AND MIDWIFERY

Qn.8 A five year old girl has been brought to emergency outpatient department with suggested features of measles. a) Outline the signs and symptoms of measles in their stages. b) Describe her management from admission up to discharge. c) Out line at least five complications of measles in children under five years.

GOOD SAMARITAN INTERNATIONAL SCHOOL OF NURSING AND MIDWIFERY, LIRA.

Qn. 9 An outbreak of Ebola disease has occurred in Kasese district. a) Define Ebola b) Explain the routes of transmission of Ebola disease. c) Mention at least ten signs and symptoms of Ebola. d) As a nurse how would you health educate this community to prevent further transmission of Ebola in the area.

IBANDA SCHOOL OF NURSING AND MIDWIFERY.

Qn.10 Outline effects of high temperature on different systems of the body.

PSYCHIATRIC NURSING.

BUTABIKA PSYCHIATRIC SCHOOL OF NURSING, KAMPALA.

Qn.11 Using medical legal issues in mental health care, explain all the sections of the mental treatment act you would use as a psychiatric Nurse to admitted Mr. R (A CIVIL PATIENT) with features of mania who is violent and aggressive not fit to stay in the community. b) Which section of the mental treatment act would you use to discharge mr R (a civil patient) from the psychiatric unit back to the community. c) How is a criminal lunatic (class B patient) admitted and discharged from the psychiatric unit after treatment? P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com

UGANDA SCHOOL OF NURSING.

Qn.12Mention the general symptoms of mental illness affecting; i. Perception ii. Memory iii. Mood iv. Thinking v. Motor function vi. Belief

KISIZI SCHOOL OF NURSING AND MIDWIFERY

Qn.13 Mrs. G is admitted at the psychiatric unit with all the signs and symptoms of schizophrenia. a) Explain how you would carry out a mental state exam to determine how schizophrenia has affected Mrs, Gs mental health. b) Using the nursing process approach, come up with three nursing diagnoses Mrs. G (a patient with schizophrenia) is likely to have and manage her giving priority to the one which indicates severity of her condition.

IGANGA SCHOOL OF NURSING AND MIDWIFERY.

Qn.14 Explain how you would resettle in a community Mr. O a class B patient (criminal lunatic) who had been admitted in a psychiatric unit (forensic unit) with mania, after finding him with unsound mind by the courts of law when he raped his neighbors child. c) How would you prevent child abuse in the community?

ST. MARYS NYENGA SCHOOL OF NURSING AND MIDWIFERY.

Qn.15 Emergency psychiatric nursing. a) What is a psychiatric emergency? b) State all psychiatric emergencies you know.

RWENZORI SCHOOL OF NURSING AND MIDWIFERY.

Qn.16 What is depression? a) Mention the predisposing, perpetuating, and actual causes of depression. b) Explain the management a psychiatric nurse would give Mr. OR with a provisional diagnosis of depression intending to commit suicide c) Madam X a mentally ill patient “aggressive and violent” is admitted in the psychiatric unit in Butabika. a) Mention the signs and symptoms of aggression and violence. b) What are the causes of aggression and violence among mentally ill patients? c) How would a psychiatric nurse manage a patient with aggression and violence? P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com

SALEM BROTHERHOOD SCHOOL OF NURSING AND MIDWIFERY MBALE.

Qn.17 A lady broke down after delivering a girl child because the husband wanted her to deliver a boy child. a) What is puerperal psychosis? b) What are the causes of puerperal psychosis? c) Explain how you would manage this lady presenting with puerperal psychosis.

MIDWIFERY

KABAALE INSTITUTE OF HEALTH SCIENCES

Qn.18 Ante partum hemorrhage is one of the major causes of maternal mortality and morbidity in Uganda. a) Give the causes of ante partum hemorrhage b) Give the signs and symptoms of the reveled type of hemorrhage experienced by a pregnant woman with a history of domestic violence at 37 weeks of gestation. c) Explain the management of a pregnant woman at 37 weeks of gestation with grade 3 classification of bleeding in a reveled type in he hospital.

JINJA INTERNATIONAL SCHOOL OF NURSING AND MIDWIFERY.

Qn.19 A22 year old pregnant woman with a single fetus at 38 weeks was admitted in labor with type 1 diabetes. a) Give the for cardinal symptoms of diabetes mellitus this woman may present with. b) Outline eight(8) effects of diabetes on pregnancy. c) Explain how you would manage this woman in first stage of labor with type one diabetes.

MAYANJA MEMORIAL MEDICAL TRAINING INSTITUTE, MBARARA

Qn.20 A nullparrous woman at thirty nine (39) weeks gestation reports with her husband in labor with a prepared birth plan. a) Outline the process of admission and assessment that you should follow. b) Give the non pharmacological measures that you would use to help reduce the woman’s pain and discomfort. c) Explain the components of the ongoing assessment, the recommended frequency during the active phase and the expected findings.

KALUNGI SCHOOL OF NURSING AND MIDWIFERY

Qn.21 Explain the following. a) Change in height of funds from end of third stage up to two weeks. b) Cause of physiological weight loss in a new born and how the weight alters during the first week of life.

KIBULI SCHOOL OF NURSING AND MIDWIFERY, KAMPALA.

Qn.22 Role play on conducting second stage of labor. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com

KIBULI SCHOOL OF NURSING AND MIDWIFERY, KAMPALA.

Qn.23 During postpartum examination one and half hours after birth, a woman’s funds was not firm, her lochia flow was increased in amount, saturating her pad. a) State in order of priority the action that you would take in response to the findings.

JINJA SCHOOL OF NURSING AND MIDWIFERY.

Qn.24 A prime gravid is 36 years old admitted in the hospital with severe pre-eclampsia at 30 weeks gestation. A magnesium sulphate intravenous treatment is initiated. a) State the expected outcome associated with magnesium sulphate. b) Give the recommended dose of magnesium sulphate. c) Explain the management that you would give this woman until discharge.

KABAALE SCHOOL OF COMPREHENSIVE NURSING

Qn.25 A midwife managing a prenatal clinic for pregnant women must observe the activities and supervise the work carried out at the clinic. a) Explain the barriers this midwife should recognize for the pregnant woman to access the pre natal health services. b) Give 6 strategies the government of Uganda has put in place to address the above mentioned barriers/

BWINDI SCHOOL OF NURSING, KANNUNGU.

Qn.26 A health worker to effectively teach the mechanism of action for natural family planning must have adequate knowledge of the menstrual cycle. a) Give the four major hormones responsible for the menstrual cycle. b) With a help of a diagram, explain the menstrual cycle. c) Give the factors that affect the menstrual cycle ST. JOHNS SCHOOL OF NURSING, RWASAMIRE Qn.27 Caesarian section involves delivery of the fetus through a direct incision in the abdominal wall and the uterus a) Explain the preoperative phase for elective caesarian section. b) Give the specific nursing care in the post operative phase of a woman after C/S due to obstructed labor. REPRODUCTIVE HEALTH MITYANA INSTITUTE OF NURSING AND MIDWIFERY. Qn.28 Define safe motherhood. b) Write short notes on pillars of safe motherhood. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com ST. ELIZA SCHOOL OF NURSING AND MIDWIFERY. Qn. 29 Outline five keys of social determinants of health. i. Briefly explain how each of these factors contribute to health outcomes. MUTOLERE SCHOOL OF NURSING AND MIDWIFERY. Qn.30 Define post abortion care. ii. Describe the components of post abortion care giving at least two relevant examples of each component. BWERA SCHOOL OF NURSING AND MIDWIFERY. Qn. 31 Define reproductive health. b. explain the four rights of reproductive health. c. List components of reproductive health. JOHNASS INTERNATIONAL COLLEGE OF HEALTH SCIENCES. Qn.32 Outline the ethical dilemmas that can be faced while offering family planning services. VILLA MARIA SCHOOL OF NURSING AND MIDWIFERY. Qn.33 Outline the female’s gender roles in maintaining health of the family. GYNAENACOLOGY MATANYI SCHOOL OF NURSING Qn.34 Out line ten(10) predisposing factors to cervical cancer. Describe the classification of cancer using CIN. TUMU SCHOOL OF NURSING AND MIDWIFERY. Qn.35 With a well labeled diagram explain the different sites of uterine fibroids. c) Describe the post operative management of a mother following myomectomy. MOUNTAIN OF THE MOON UNIVERSITY, NURSING DEPARTMENT. Qn.36 Infertility is one of the major causes of divorce among many couples in Uganda 1) Outline 8 causes of infertility. 2) Describe 10 preventive measures of infertility. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com MUKONO DIOCESE SCHOOL OF HEALTH SCIENCES. Qn.37 Define ectopic pregnancy. 1) Outline signs of tubal pregnancy 2) Describe the management of a mother who presents with tubal pregnancy. PEADIATRIC NURSING KIU WESTERN CAMPUS, BUSHENYI. Qn.38 Define the term prematurity. 1) Outline 10 characteristics of a premature baby. 2) Describe the six principles followed when managing a premature baby born at 32 weeks of gestation weighing 1.2kg. VIRIKA SCHOOL OF NURSING AND MIDWIFERY, FORTPORTAL. Qn.39 Define the term neonatal sepsis. a) Describe the management of a neonate who was born before arrival presenting with neonatal sepsis. b) Explain 5 ways of preventing neonatal sepsis. ST. MARYS MIDWIFERY TRAINING SCHOOL AGAGO. Qn.40 Define the term Caput succedaneum. a) Outline five differences between a caput succedaneum and a cephalo haematoma. b) Describe the management or a one day old baby presenting with a caput succedaneum. JINJA SCHOOL OF PEADIATRIC NURSING. Qn.41 Define the term immunity. a) Describe the current immunization schedule. b) Outline three reasons why IPV replaced OPV. KAMULI SCHOOL OF NURSING AND MIDWIFERY. Qn.42 define the term rhesus incompatibility. a) Outline five causes of neonatal jaundice. b) Describe the management of a five day old baby presenting with jaundice. NYENGA SCHOOL OF NURSING. Qn.43 Write notes on sudden infant death/cot death. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com ARUA SCHOOL OF COMPREHENSIVE NURSING. Qn.44Out line the Milestones you expect the baby of 12 months to have. a) Give ways that help a healthy worker to monitor growth and development in children. b) Out line factors that affect growth and development. NGORA SCHOOL OF NURSING AND MIDWIFERY. Qn.45 Define asphyxia neonatorium. a) Out line causes of asphyxia neonatorium. b) Describe the management of a neonate with APGAR score 5. RUGARAMA SCHOOL OF NURSING AND MIDWIFERY, KABAALE. Qn.46 Define the term malnutrition. a) Give differences between SAM and MAM. b) Describe the management of a two year old baby with SAM. PHARMACOLOGY MBALE SCHOOL OF NURSING AND MIDWIFERY. Qn.47 Define the following terms; a) Antiseptic b) Disinfectant. 2. State any four examples of commonly used disinfectants in the hospital. 3. Outline the for characteristics of a good disinfectant. ISHAKA ADVENTIST NTS BUSHEENYI. Qn.48 Write short notes about the following drugs. a) Mebendazole b) Albendazole c) Metronidazole Note; Focus on dosage forms, pharmacological classification, mode of action, indications, side effects and contra indications. LACHOR ST.MARYS SCHOOL OF NURSING AND MIDWIFERY, GULU. Qn.49 What are Combined Oral Contraceptives? iii. Give any four common brands of combined oral contraceptives available in Uganda. iv. Mention any three uses of COCS. v. List any five common side effects associated with the use of COCS vi. Explain how the above side effects can be managed. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com MASAKA SCHOOL OF COMPREHENSIVE NURSING. Qn.50 Define pulmonary tuberculosis. a) State any four risk factors that promote the spread of tuberculosis in the community. b) Mention any four oral drugs used as first line in the treatment of tuberculosis. c) Give two common side effects of each of the above mentioned drugs. d) Explain how the above side effects can be minimized. UGANDA CHRISTIAN INSTITUTE SCHOOL OF NURSING AND MIDWIFERY. LIRA. Qn.51 Write short notes about the following drugs. a) Griseofulvin b) Fuluconazole c) Amphotericin B. Note; Focus on dosage forms, legal classifications, indications, side effects and contra indications. KAMPALA UNIVERSITY SCHOOL OF NURSING. Qn,52 Define infertility. a) State the common causes of infertility among women in Uganda. b) State the indications, side effects and contraindications of Clomiphene and Bromocriptine. LUBAGA HOSPITAL TRAINING SCHOOLS, KAMPALA. Qn.53 Give any three examples of tricyclic anti depressants. a) Apart from depression, give any other three clinical uses of tricyclic anti depressants. b) Mention four side effects associated with the use of tricyclic anti depressants c) What information can you give to the patient who has been prescribed one of the tricyclic anti depressants. ST. KIZITO HOSPITAL,MATANYI SCHOOL OF NURSING. Qn.54 Mention the three drugs recommended for the treatment of severe malaria in Uganda. a) Outline the cardinal symptoms of severe malaria. b) Describe the procedure for dilution of the first line intravenous inject able drug for severe malaria GULU SCHOOL OF NURSING AND MIDWIFERY Qn 55 what are class A drugs? a) Mention any four examples of class A drugs that belong to the group of narcotics. b) List five common side effects of narcotics. c) Explain how inject able narcotics are obtained from the main hospital pharmacy and how they are stored on the ward. ALICE ANNUME SCHOOL OF NURSING AND MIDWIFERY, PALLISA. Qn.56 Give any four (4) examples of parenteral route of drug administration used by nurses. a) Explain the five rights of drug administration. b) State four (4) advantages and di advantages of parenteral route. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com SURGICAL NURSING FLORENCE NIGHTIGALE SCHOOL OF NURSING AND MIDWIFERY, APACH. Qn.57 An adult patient has sustained severe burns of the neck, chest and abdomen. a) Describe the management of this patient from admission up to discharge. b) Explain at least ten preventive measures of burns in children under five years. c) Outline the first aid management you would give to a patient of burns. d) Outline the complications of burns. LIRA SCHOOL OF COMPREHENSIVE NURSING (LSCN) Qn.58 A forty five year old male patient has been brought to QPD with features of strangulated hernia. a) Define hernia. b) Outline the predisposing factors of hernia. c) Describe his management from admission up to discharge. BISHOP STEWART NURSING SCHOOL MBARARA. Qn.59 A man aged 30 years has been involved in a road traffic accident and sustained a compound fracture of the left femur. a) Draw a well labeled diagram of a femur. b) Explain born healing. c) Outline the signs and symptoms of a fracture. d) Describe his management from admission up to discharge. e) List at least 10 complications of a fracture. ANNIE NEHEMA SCHOOL OF NURSING AND MIDWIFERY JINJA. Qn.60 A forty five year old patient has been brought to OPD with features of an acute intestinal obstruction. a) Outline at least seven signs and symptoms of intestinal obstruction. b) Mention ten(10) causes of intestinal obstruction. c) Describe his management from admission up to 72 hours. AGULE SCHOOL OF NURSING AND MIDWIFERY PALISA Qn.61 An adult patient has been brought to OPD with features of toxic Goiter. a) Define goiter. b) Differentiate between hyperthyroidism and hypothyroidism. c) Outline the five cardinal features of toxic goiter. d) Describe his management from admission up to discharge. ST. GATRUDE SCHOOL OF NURSING AND MIDWIFERY WAKISO Qn.62 A 28 year old lady has presented to surgical OPD with suspected features of peritonitis. a) Define peritonitis. b) Describe her management from admission up to discharge. c) Outline at least five preventive measures of peritonitis. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com KYETUME SCHOOL OF NURSING AND MIDWIFERY, MASAKA. Qn.63 A35 year old male patient has been involved in a car accident and sustained an open head injury. a) Describe his management from admission up to discharge. b) Outline at least five complications of head injury. c) As a nurse, how would you educate the community members on prevention of head injury ACCESS SCHOOL OF NURSING AND MIDWIFRY NAKASEKE Qn.64 A 20 year old male patient was admitted on surgical ward with features of tetanus. a) Define tetanus. b) Describe his management from the time of admission up to discharge. c) Outline the preventive measures of tetanus. KING JAMES SCHOOL OF NURSING LIRA Qn.65 What do you understand by the term “Nasal comical infections?” a) As a nurse on duty, how would you prevent the above infections on a surgical ward? COMMUNITY HEALTHY NURSING MULAGO SCHOOL OF NURSING AND MIDWIFERY, KAMPALA. Qn.66 One of the activities of the community nurse is to carry out a home visit. a) Define a home visit. b) Explain how you would apply a nursing process during a home visit. c) Outline merits and demerits of a home visit. FINS SCHOOL OF NURSING Qn.67 What is community assessment? a) Explain how you would identify healthy problems in a given community. b) Outline the important information you would find out in a given home during assessment. MENGO SCHOOL OF NURSING AND MIDWIFERY, KAMPALA. Qn.68 Define: “vital statistics” in health. a) Explain the importance of vital statistics in health. b) Outline six key vital statistics used to determine the health status of a community or country. NSAMBYA SCHOOL OF NURSING AND MIDWIFERY. Qn.69 Explain the relationship between PHC and CBHC. a) outline 8 principles of PHC. b) Explain the role of a community nurse or midwife in the implementation and achievement of any four of the above principles. P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com SOROTI SCHOOL OF COMPREHENSIVE NURSING Qn.70 Explain the relationship between disease prevalence and incidence. a) How would you determine that Hepatitis B virus has become an epidemic? b) There has been confirmed reports that hepatitis B virus is an epidemic in some parts of northern Uganda. Describe the role of a nurse in the management of the above community health problem. NURSING MANAGEMENT AND ADMINISTRATION. KAGANDO SCHOOL OF NURSING AND MIDWIFERY. Qn.71 Define staff delegation 1. Explain the importance of staff delegation. 2. Give reasons why a nurse manager may fear to delegate to his or her junior. 3. Explain the process of effective staff delegation. INTERNATIONAL INSTITUTE OF HEALTH SCIENCES, JINJA. (IIHS) Qn.72 Staff scheduling is one of the key role of a nurse manager in the smooth running of nursing services. a) Define staff scheduling. b) Explain factors you would consider when caring out staff scheduling. c) Discuss challenges that you may encounter during staff scheduling. NSAMBYA SCHOOL OF NURSING AND MIDWIFERY, KAMPALA. Qn.73 A nurse manager may have a conflict with his or her juniors. a) Define the term “conflict.” b) What are the causes of conflicts between managers and their juniors in a ward setting? c) Outline the approaches or modules used in conflict resolution. d) Which of the above approaches is the most suitable for conflict resolution? (Give five reasons to support your choice.) HOIMA SCHOOL OF NURSING AND MIDWIFERY. Qn.74 How would you solve the following problems? a) Your relative dies through negligence by your OG. b) You are the principle and a student steals equipments from the skills lab. c) As the principle, a male student impregnates a fellow student in your school. BUSOGA UNIVERSITY NURSING DEPARTMENT IGANGA. Qn.75 According to your experience, why do people fear hospital admissions? P.O BOX 9502, Kampala Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website; www.unasnm.com PALLIATIVE CARE DAF SCHOOL OF NURSING AND MIDWIFERY LIRA Qn.76 In order to asses pain effectively, the health worker must first understand the classifications of pain for therapeutic implications. a) Give the tow major classifications of pain. b) Differentiate between nocleptive and neuropathic pain. c) Explain the steps used when assessing for physical pain. LUBAGA HOSPITAL TRAINING SCHOOLS Qn.77 Communicating with the patient in palliative care situations is one of the greatest need of heath workers. a) What is communication? b) Give six reasons why we need to communicate in palliative care. c) Explain the six steps using the SPIKES models of breaking bad news. LUGAZI SCHOOL OF NURSING AND MIDWIFERY, MUKONO. Qn78in palliative care, the aim of pain assessment is to determine what is causing the pain in order to be able to find out which management is most likely to work. a) Give the types of pain that cancer patient’s experience. b) Outline the areas of focus in assessing pain. c) Explain the two different pain assessment tools commonly used for assessing pain. KYAMBOGO COLLEDGE SCHOOL OF NURSING AND MIDWIFERY, KAMPALA. Qn.79 WHO advocates for effective pain management and recommends the use of the analgesic ladder. a) Give the four basic principles of analgesic ladder. b) With the help of an illustration, explain the WHO analgesic ladder. c) Explain the non drug modalities in control of pain in cancer and HIV/AIDS patients. KIWOKO SCHOOL OF NURSING AND MIDWIFERY, LUWEERO. Qn.80 When patients are allowed to die naturally, the body begins to shut down and the syndrome of imminent death can be recognized. a) Identify the fears and feelings that surround death to both the care givers and the patient. b) Give the dyeing stages that can be recognized by both the health workers and the family. c) Explain the measures that a heath worker may take or use to help the family cope with the availing situation. P.O BOX 9502, Kampala, Lubaga. Tel. +256783414651, +256705459775 E-mail: unasnmnec@gmail.com unasnm@yahoo.com , Website.www.unasnm.com Source: UNASNM NATIONAL SEMINAR 2016
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