These are multiple choice questions. Choose the correct answers 47.True incontinence during the postnatal period is usually as a result of one of the under listed A.Pyelonephritis B.Acute renal disorder C.Vesicovaginal fistula 52.A 19-year-old female who often bites her nails presents with pain that she relates to a hangnail. On examination, there is a painful, fluctuant area with erythema at the proximal nail bed. She has full painless range of motion of the joints of her finger with intact sensation. What is the patient’s diagnosis? A.Paronychia B.Onychomycosis C.Herpetic whitlow 31.A 20-year old asthmatic patient was brought to the emergency unit as a result of asthmatic attack. After being resuscitated and made stable, the nurse teaches the patient how to use the respiratory inhaler. Which of the following actions by the patient indicate the need for further education? A.Press the carister down with her finger as she breathes in B.Inhales the mist and quickly exhales C.Waits 1 to 2 minutes between putts if more than one putts is required 30.Madam Zeba Dodzi brings her four month old baby to the paediatric unit of your hospital with redness of both eye and sore lump at the edge of the left eyelid. Baby was placed on antibiotics, what other treatment can be given? A.Applying salty water to the eye B.Apply cold compresses to the eye C.Applying warm compresses to the eye 19. Two weeks old twins-Akorkor and Akweley lost their mother when they were being delivered. Madam Cynthia, the sister of the deceased is now taking care of the twins. What key measures will you emphasize when providing education to Madam Cynthia about the care of the twins. i. Provision of warmth ii. Attendance of child welfare clinic iii. Administration of multivitamin to boost appetite IV. Train care giver on breast feeding the twins A.II, III and IV B.I, II and III C.I, II and IV 96.Normally, pregnancy in 2ND trimester is characterized by all of the following EXCEPT: A.Elevated fasting plasma glucose. B.Decreased fasting plasma glucose. C.Elevated postprandial plasma insulin. 39.A nurse disagrees with a physician over management of a patient’s longstanding back pain. The nurse believes the patient should see a surgeon, but the physician suggest prior to referral and will re-evaluate the patient in a month with referral if there is no improvement which the nurse agrees. Which of the following describes the Nurse’s actions in resolution of the conflict? A.Competing B.Compromising C.Avoiding 12.The nurse in the unit is loved by both staff and patients. This is as a result of her mode of practice. She recognized the family as the “constant” in her patient’s life and incorporates them in her care. This brings mind family ……. A.Centre Care Practice B.Involvement Care Practice C.Child Partnership Care 54.A nurse in your facility accidentally gives overdose of a narcotic medication to a patient which resulted in the death of the patient. With your knowledge in legal nursing the nurse can be convicted of A.Murder B.Battery C.Manslaughter 93.The most common symptom of rheumatic disease that causes a patient to seek medical attention is: A.Joint swelling. B.Limited movement. C.Pain 44.Nurse Gyedu is to collect data in Aboagyekwura using interview. Which of the following must she consider first when preparing for the interview? A.Objectives for the interview B.Structure the questions C.Venue and time 29.Madam Lydia Kofman 32-year old Primigravida came for antenatal clinic with the history of being 20 weeks pregnant and this was confirmed by fundal height measurement and scan. According to her, she had quickening 2 weeks ago. She was the given Tetanus Diphtheria (TD) vaccination. What other medication could be given to madam Lydia Kofman after confirming that she has had quickening? A.Sulphadoxine-pyremethamine B.Ferrous sulphate C.Folic Acid 94.The foetal head may undergo changes in shape during normal delivery. The most common aetiology listed is: A.Cephalohematoma. B.Molding. C.Hydrocephalus. 83.The following are risk factors that may arise during pregnancy EXCEPT. Option 1 A.Increasing maternal weight in association with increasing uterine size B.Head not engaged in primigravid woman at term C.Uterus large or small for gestational age 20.A 35 years old HIV/AIDS pregnant woman delivers a baby boy but refuses to screen the baby for HIV. She then leaves the ward against medical advice. The act of the woman possesses a risk to the community. To protect the public against preventable HIV, hospital policies must focus on………………… A.Mandatory HIV screening for all new borns B. Mandatory screening for only high risk groups C.Compulsory and voluntary screening for HIV for all clients 38. A nurse disagrees with a physician over management of a patient’s longstanding back pain. The nurse believes the patient should see a surgeon, but the physician suggest prior to referral and will re-evaluate the patient in a month with referral if there is no improvement which the nurse agrees. Which of the following describes the Nurse’s actions in resolution of the conflict? A.Competing B.Compromising C.Avoiding 60.Nurse Eshun, a newly qualified Nurse who has been posted to Kwamekrom, observed that community members were poor so they could not afford health care services as well as meet their nutritional and hygiene needs. She mobilized the community members to engage in faming which empower them financially. Nurse Eshun’s ability to solve the community member’s financial problems makers her……………… A.Respectful B.Educator C.Creative 92.A 13 year old neighbour's daughter came to access family planning services at your clinic. Another neighbour saw the girl and informed the parents. The parents came to your house to find out the problem the daughter came with. You did not give them the information. You are right by applying which of these ethical principles? A.Confidentiality B.Veracity C.Consent 85.The Nurse/Midwife who provides information to the individual and family of a disabled person to empower them to take up responsibility of care for the disable plays the role of a/an........................ A.Educator B.Facilitator C.Advocator 33.You are the midwife on duty at Abokiti CHPS Zone. A client who delivered days ago reported with retention of urine. The client wants to know the cause of her condition. Your BEST response would be……………….. A.It is as a result of urinary catheter passed during labour B.It may be due to bruising of the vulva during labour C.It is a sign of urinary tract infection 48.While Mr. Kankam was on admission, Nurse Koomson embarked on the home visit to Mr. Kankam’s home which of the following are the reason why nurse Koomson embarked on the home visit while Mr. Kankam was still on admission. i. To assess factors at home that could have contributed to Mr. Kankam’s condition ii. To put in place suitable measures prior to Mr. Kankam discharge from the hospital Iv.To identify areas in community for Mr. Kankam rehabilitation A.I and II B.II and III C.I and II 5.Baby jam is born with extra finger. His mother, Auntie Anita is told it is called Polydactyly. She enquire about the causes. One of the following would not be suggested to her as a cause. A.Genetic disorder B.History of epilepsy C.Alcohol abuse 71.Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt? A.“Addiction usually causes people to feel guilty. Don’t worry, it is a typical response due to your drinking behaviour.” B.“What have you done that you feel most guilty about and what steps can you begin to take to help you lessen this guilt?” C.“Don’t focus on your guilty feelings. These feelings will only lead you to drinking and taking drugs.” 73.A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child’s constantly saying “no” and his refusalto follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need? A.Trust B.Initiative C.Independence 55.A patient who has been told that he has cancer, subsequently speaks and acts as though not aware of it what type of defense mechanism will he exhbit A.Displacement B.Depression C.Denial 50.A 16 year old Sandra Adjei who has been sexually abused by her neighbour was referred to your facility for care. What will you do during your interaction to make her open up with her responses? i. Start with general conversation ii. Ensure adequate privacy Iii. Inform her about the duration of the interview A.I and II B.I and II C.II and III 3.The BEST way for a nurse to react to physical disfigurement in a patient she is admitting is to A.Ignore the disfigurement and carry on as usual B.Allow the subject to emerge naturally as possible C.Obtain full details of direct questioning 77.Which behavioural characteristic describes the domestic abuser? A.Alcoholic B.Over confident C.Low self-esteem 80.A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddlerruns to the mother, clings to her and begins to cry. What would be the initial action by the nurse? A.Arrange to change client care assignments B.Explain that this behaviour is expected C.Discuss the appropriate use of “time-out” 100. Which of the following terms refers to anything that prevents a patient from talking openly to an interviewer? A. Affect B. Catatonia C. Countertransference D. Resistance 79.Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized children? A.Sports and games with rules B.Finger paints and water play C.“Dress-up” clothes and props 23.A hospital at your community is having a large number of unreported incidents of needle stick injuries and work place violence. There is no reporting system or compensation for health care providers. In place

This history question requires analysis of historical events, causes, and consequences. The detailed answer below provides context, evidence, and a well-structured explanation.