Nursing MSc Solved Question Papers for 1st Year (2010-2014) Elakkuvana Bhaskara Raj D
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1 NURSING MSc Solved Question Papers for I Year 2010–2014 2
3 NURSING MSc Solved Question Papers for I Year 2010–2014
Examination Guide with Important Theory [As per the syllabus of Indian Nursing Council (INC)] Elakkuvana Bhaskara Raj D MSN MPhil (Psy) PGDHM PGD (Biostat) PhD in Nursing (Pursuing) RN RP Principal Indira Gandhi School of Nursing Amethi, Uttar Pradesh, India
4
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NURSING MSc Solved Question Papers for I Year
First Edition: 2015
9789351529163
Printed at
5Preface
The book is written with great attention and concentration keeping in mind the basic requirement of MSc Nursing students. It contains solved question papers of Nursing Education, Advanced Nursing Practice, and Nursing Research and Statistics for MSc Nursing with detailed explanation and important theory given in the subject. It is prepared based on Indian Nursing Council (INC) regulations for various universities.
The book will prove beneficial to students by enabling them to prepare well for the examinations. The students should incorporate this knowledge and write the theory examination.
I have made sincere and hard effort to bring out the book, in an organized and understandable manner, for MSc Nursing students. The comprehensive and accurate content, special features, attractive layout and student-friendly writing style combine to make this book an easy guide.
It gives me immense pleasure in bringing out first edition of this book. The book will prove really beneficial to nursing students to prepare well for their examinations. This serves as reference manual for nursing students and can be viewed as a practical guide.
Elakkuvana Bhaskara Raj D 6
7Acknowledgments
“Matha Pitha Guru Deivam”
I am very much indebted to my lovable parents, Mr Dasarathan and Mrs Sulochana, for their continuous guidance, support and encouragement for accomplishment of the dream, the release of this book.
I would like to extend heartful deep gratitude to my all teachers, who gave third eye for surviving in this world.
I am thankful to the Almighty God, who strengthens me in each and every second in all my work by showing his blessing abundantly through various resources, which helped me in the accomplishment of the entire task in my life.
I would like to express my gratitude to my lovable wife, Mrs Nima, who gave continuous cooperation, guidance, encouragement and support in bringing out this book.
Each and everyone born in this world are bonded with blood relationships. I extend heartful thanks to my brothers, Sri Rama and Vijaya Kumar, and my sister, Girija Rani, who have supported in all my endeavors. My special thanks go to Mrs Nimmy for her continuous support and care in brilliant manner in my growth.
My heartfelt thanks to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Tarun Duneja (Director-Publishing), Ms Samina Khan (Executive Assistant to Director-Publishing), Mr Kumar C (Senior Marketing Executive), Mr Vasudev (Commissioning Editor) and all staff of Bengaluru Production Unit, of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, for their help and support in publishing this book.8910
11INC MSc Curriculum
Paper I: NURSING EDUCATION
Placement: I Year
Units
Hours
Contents
Theory
Practical
I
10
INTRODUCTION
Education: Definition, aims, concepts, philosophies and their education implications
Impact of social, economical, political and technological changes on education:
  • Professional education
  • Current trends and issues in education
  • Educational reforms and National Educational Policy, various educational commissions’ reports
  • Trends in development of nursing education in India
  • Traditional and liberal movement in education
  • Freedom and authority in education
  • Agencies of education.
II
30
40
TEACHING-LEARNING PROCESS
  • Concepts of teaching and learning: Definition, theories of teaching and learning, relationship between teaching and learning
  • Educational aims and objectives, types, domains, levels, elements and writing of educational objectives
  • Competency-based education (CBE) and outcome-based education (OBE)
  • Instructional design: Planning and designing the lesson, writing lesson plan: meaning, its need and importance, formats
  • Instruction strategies: Lecture, discussion, demonstration, simulation, laboratory, seminar, panel, symposium, problem solving, problem-based learning (PBL), workshop, project, role-play (sociodrama), programmed instruction, self-directed learning (SDL), microteaching, computer-assisted instruction (CAI), computer-assisted learning (CAL), innovative teaching strategy
  • Clinical teaching methods.
INSTRUCTIONAL MEDIA AND METHODS
  • Key concepts in the selection and use of media in education
  • Developing learning resource material using different media
12
  • Instructional aids: Types, uses, selection, preparation, utilization
  • Teacher’s role in procuring and managing instructional aids—projected and non-projected aids, multimedia, video teleconferencing, etc.
III
10
MEASUREMENT AND EVALUATION
  • Concept and nature of measurement and evaluation, meaning, process, purposes, problems in evaluation and measurement
  • Measurement of cognitive, affective and psychomotor domine
  • Principles of assessment, formative and summative assessment, internal assessment, external examination, advantages and disadvantages
  • Criterion- and norm-referenced evaluation.
IV
12
10
STANDARDIZED AND NON-STANDARDIZED TESTS
  • Meaning, characteristics, objectivity, validity, reliability, usability, norms, construction of tests
  • Essay, short answer questions and multiple choice questions
  • Rating scales, checklist, objective structured clinical/practical examination (OSCE/OSPE)
  • Differential scales and summated scales, sociometry, anecdotal record, attitude scale, critical incident technique
  • Question bank: Preparation, validation, moderation by panel, utilization
  • Developing a system for maintaining confidentiality.
V
8
5
ADMINISTRATION, SCORING AND REPORTING
  • Administering a test, scoring, grading versus marks
  • Objective tests, scoring essay test, methods of scoring, item analysis.
VI
12
6
STANDARDIZED TOOLS
  • Tests of intelligence aptitude, interest, personality, achievement, socioeconomic status scale, tests for special mental/physical abilities and disabilities.
VII
5
6
NURSING EDUCATIONAL PROGRAMS
  • Perspectives of nursing education: Global and national
  • Patterns of nursing education and training programs in India. Non-university and University programs: ANM, GNM, Basic BSc Nursing, Post Certificate BSc Nursing, MSc Nursing, MPhil and PhD in Nursing, Post Basic Diploma, Nurse Practitioner.
13
VIII
12
25
CONTINUING EDUCATION IN NURSING
  • Concepts: Definition, importance, need, scope, principles of adult learning, assessments of learning needs, priorities, resources
  • Program planning, implementation and evaluation of continuing education programs
  • Research in continuing education
  • Distance education in nursing.
IX
10
10
CURRICULUM DEVELOPMENT
  • Definition, curriculum determinants, process and steps of curriculum development, curriculum models, types and framework
  • Formulation of philosophy, objectives, selection and organization of learning experiences—master plan, course plan, unit plan
  • Evaluation strategies, process of curriculum change, role of students, faculty, administrators, statutory bodies and other stakeholders
  • Equivalency of courses: Transcripts, credit system.
X
8
4
TEACHER PREPARATION
  • Teacher: Roles and responsibilities, functions, characteristics, competencies, qualities
  • Preparation of professional teacher
  • Organizing professional aspects of teacher preparation programs
  • Evaluation: Self and peer
  • Critical analysis of various programs of teacher education in India.
XI
10
5
GUIDANCE AND COUNSELING
  • Concept, principles, need, difference between guidance and counseling, trends and issues
  • Guidance and counseling services: Diagnostic and remedial
  • Coordination and organization of services
  • Techniques of counseling: Interview, case work, characteristics of counselor, problems in counseling
  • Professional preparation and training for counseling.
XII
15
10
ADMINISTRATION OF NURSING CURRICULUM
  • Role of curriculum coordinator: Planning, implementation and evaluation
  • Evaluation of educational programs in nursing course and program
  • Factors influencing faculty, staff relationship and techniques of working together
14
  • Concept of Faculty Supervisor (dual) position
  • Curriculum research in nursing
  • Different models of collaboration between education and service.
XIII
10
MANAGEMENT OF NURSING EDUCATIONAL INSTITUTIONS
  • Planning, organizing, staffing, budgeting, recruitment, discipline, public relation, performance appraisal, welfare services, library services, hostel
XIV
5
5
STANDARDS AND ACCREDITATION
  • Development and maintenance of standards and accreditation in nursing education programs
  • Role of Indian Nursing Council, State Registration Nursing Councils, Boards and University
  • Role of professional associations and unions.
PAPER II: ADVANCED NURSING PRACTICE
Placement: I Year
Units
Hours
Contents
I
10
NURSING AS A PROFESSION
  • History of development of nursing profession, characteristics, criteria of the profession, perspective of nursing profession—national, global
  • Code of ethics (INC), code of professional conduct (INC), autonomy and accountability, assertiveness, visibility of nurses, legal considerations
  • Role of regulatory bodies
  • Professional organizations and unions: Self-defense, individual and collective bargaining
  • Educational preparations, continuing education, career opportunities, professional advancement and role and scope of nursing education
  • Role of research, leadership and management
  • Quality assurance in nursing (INC)
  • Futuristic nursing.
II
5
HEALTHCARE DELIVERY
  • Healthcare environment, economics, constraints, planning process, policies, political process vis-a-vis nursing profession
  • Healthcare delivery system—national, state, district and local level
  • Major stakeholders in the healthcare system—government, nongovernment, industry and other professionals
  • Patterns of nursing care delivery in India
  • Healthcare delivery concerns, national health and family welfare programs, intersectoral coordination, role of non-governmental agencies
  • Information, education and communication (IEC)
  • Telemedicine.
15
III
10
GENETICS
  • Review of cellular division, mutation and law of inheritance, human genome project, the genomic era
  • Basic concepts of genes, chromosomes and DNA
  • Approaches to common genetic disorders
  • Genetic testing: Basis of genetic diagnosis, presymptomatic and predisposition testing, prenatal diagnosis and screening, ethical, legal and psychosocial issues in genetic testing
  • Genetic counseling
  • Practical application of genetics in nursing.
IV
10
EPIDEMIOLOGY
  • History, scope, aim of epidemiological approach and methods
  • Morbidity, mortality
  • Concepts of causation of diseases and their screening
  • Application of epidemiology in healthcare delivery, health surveillance and health informatics, uses of epidemiology
  • Role of nurse.
V
20
BIOPSYCHOSOCIAL PATHOLOGY
  • Pathophysiology and psychodynamics of disease causation
  • Life processes, homeostatic mechanism, biological and psychosocial dynamics in causation of disease, lifestyle
  • Common problems: Oxygen insufficiency, fluid and electrolyte imbalance, nutritional problems, hemorrhage and shock, altered body temperature, unconsciousness, sleep pattern and its disturbances, pain, sensory deprivation
  • Treatment aspects: Pharmacological, pre- and postoperative care aspects
  • Cardiopulmonary resuscitation
  • End-of-life care
  • Infection prevention (including HIV) and standard safety measures, biomedical waste management.
VI
20
PHILOSOPHY AND THEORIES OF NURSING
  • Values, conceptual models, approaches
  • Nursing theories: Nightingale’s, Hendersons’s, Roger’s, Peplau’s, Abdella’s, Lewine’s, Orem’s, Johnson’s, King’s, Neuman’s, Roy’s, Watson’s Parse’s, etc. and their applications
  • Health belief models, communication and management, etc.
  • Concept of self-health
  • Evidence-based practice model.
VII
10
NURSING PROCESS APPROACH
  • Health assessment: Approaches, illness status of patients/clients (Individuals, family, community), identification of health illness problems, health behaviors, signs and symptoms of clients
16
  • Methods of collection, analysis and utilization of data relevant to nursing process
  • Nursing diagnosis
  • Planning
  • Formulation of nursing care plans, health goals, implementation, modification and evaluation of care
  • Theory application in nursing process.
VIII
30
PSYCHOLOGICAL ASPECTS AND HUMAN RELATIONS
  • Human behavior, life processes, growth and development, personality development, defense mechanisms
  • Communication, interpersonal relationships, individual and group, group dynamics, and organizational behavior
  • Basic human needs, growth and development (conception through preschool, school age through adolescence, young and middle adult, and older adult)
  • Sexuality and sexual health
  • Stress and adaptation, crisis and its intervention
  • Coping with loss, death and grieving
  • Principles and techniques of counseling.
IX
10
NURSING PRACTICE
  • Framework, scope and trends
  • Alternative modalities of care, alternative systems of health and complementary therapies
  • Extended and expanded role of the nurse, in promotive, preventive, curative and restorative healthcare delivery system in community and institutions
  • Health promotion and primary health care
  • Independent practice issues, independent nurse-midwifery practitioner
  • Collaboration issues and models—within and outside nursing
  • Models of prevention
  • Family nursing, home nursing
  • Gender sensitive issues and women empowerment
  • Disaster nursing
  • Geriatric considerations in nursing
  • Evidence-based nursing practice—best practices
  • Transcultural nursing
  • Innovations in nursing.
X
25
COMPUTER APPLICATIONS FOR PATIENT CARE DELIVERY SYSTEM AND NURSING PRACTICE
  • Use of computers in teaching, learning, research and nursing practice
  • Windows, MS office—word, excel, powerpoint
  • Internet, literature search
  • Statistical packages
  • Hospital management information system—software.
17
Paper III: NURSING RESEARCH AND STATISTICS
Placement: I Year
Section A: Nursing Research
Content Outline
Units
Hours
Contents
Theory
Practical
I
10
INTRODUCTION
  • Methods of acquiring knowledge: Problem solving and scientific method
  • Research: Definition, characteristics, purposes, kinds of research
  • Historical evolution of research in nursing
  • Basic research terms
  • Scope of nursing research: Areas, problems in nursing
  • Health and social research
  • Concept of evidence-based practice
  • Ethics in research
  • Overview of research process.
II
5
5
REVIEW OF LITERATURE
  • Importance, purposes, sources, criteria for selection of resources and steps in reviewing literature.
III
12
RESEARCH APPROACHES AND DESIGNS
  • Type: Quantitative and qualitative
  • Historical, survey and experimental: Characteristics, types, advantages and disadvantages
  • Qualitative: Phenomenology, grounded theory, ethnography.
IV
10
5
RESEARCH PROBLEM
  • Identification of research problem
  • Formulation of problem statement and research objectives
  • Definition of terms
  • Assumptions and delimitations
  • Identification of variables
  • Hypothesis: Definition, formulation and types.
V
20
DEVELOPING THEORETICAL/CONCEPTUAL FRAMEWORK
  • Theories: Nature, characteristics, purpose and uses
  • Using, testing and developing conceptual framework, models and theories.
VI
6
SAMPLING
  • Population and sample
  • Factors influencing sampling
  • Sampling techniques
  • Sample size
  • Probability and sampling error
  • Problems of sampling
  • Characteristics of a good sampling design.
18
VII
20
10
TOOLS AND METHODS OF DATA COLLECTION
  • Concepts of data collection
  • Data sources, methods/techniques—quantitative and qualitative
  • Tools for data collection: Types, characteristics and their development
  • Item analysis
  • Validity and reliability of tools
  • Pilot study
  • Procedure for data collection.
VIII
5
IMPLEMENTING RESEARCH PLAN
  • Research plan (design), planning for data collection, administration of tool/interventions, collection of data.
IX
10
10
ANALYSIS AND INTERPRETATION OF DATA
  • Plan for data analysis—quantitative and qualitative
  • Preparing data for computer analysis and presentation
  • Statistical analysis
  • Interpretation of data
  • Conclusion and generalizations
  • Summary and discussion.
X
10
REPORTING AND UTILIZING RESEARCH FINDINGS
  • Communication of research results—oral and written
  • Writing research report purposes, methods and style (Vancouver), American Psychological Association (APA), Campbell, etc.
  • Writing scientific articles for publication—purposes
  • Style
  • Utilization of research findings.
XI
3
8
CRITICAL ANALYSIS OF RESEARCH REPORTS AND ARTICLES
XII
4
7
DEVELOPING AND PRESENTING A RESEARCH PROPOSAL
Section B: Statistics
Content Outline
Units
Hours
Contents
Theory
Practical
I
7
4
INTRODUCTION
  • Concepts, types, significance and scope of statistics, meaning of data
  • Sample, parameter
19
  • Type and levels of data, and their measurement
  • Organization and presentation of data—tabulation of data
  • Frequency distribution
  • Graphical and tabular presentations.
II
4
4
MEASURES OF CENTRAL TENDENCY
  • Mean, median, mode.
III
4
5
MEASURES OF VARIABILITY
  • Range, percentiles, average deviation, quartile deviation, standard deviation.
IV
3
2
NORMAL DISTRIBUTION
  • Probability, characteristics and application of normal probability curve, sampling error.
V
6
8
MEASURES OF RELATIONSHIP
  • Correlation—need and meaning
  • Rank order correlation
  • Scatter diagram method
  • Product moment correlation
  • Simple linear regression analysis and prediction.
VI
5
2
DESIGNS AND MEANING
  • Experimental designs
  • Comparison in pairs, randomized block design, Latin squares.
VII
8
10
SIGNIFICANCE OF STATISTICS AND SIGNIFICANCE OF DIFFERENCE BETWEEN TWO STATISTICS (TESTING HYPOTHESIS)
  • Non-parametric test: Chi-square test, sign, median test
  • Mann Whitney test
  • Parametric test—‘t’ test, ANOVA, MANOVA, ANCOVA
  • Advantage and disadvantages of non-parametric tests before Chi-square test
  • Mann-Whitney ‘U’ test
  • McNemar’s test, Fisher’s exact probability test.
VIII
5
5
USE OF STATISTICAL METHODS IN PSYCHOLOGY AND EDUCATION
  • Scaling: Z-score, Z-scaling
  • Standard score and T-score
  • Reliability of test scores: Test-retest method, parallel forms, split-half method.
IX
4
2
APPLICATION OF STATISTICS IN HEALTH
  • Vital and health statistics
  • Ratios, rates, trends
  • Vital health statistics—birth and death rates
  • Measures related to fertility, morbidity and mortality.
X
4
8
USE OF COMPUTERS FOR DATA ANALYSIS
  • Use of statistical package
  • Use of computers in research.