SRI BALAJI VIDYAPEETH

(Deemed - to - be - University Declared u/s 3 of UGC Act - 1956)

Mahatma Gandhi Medical College Hospital & Research Institute Campus
Pillaiyarkuppam, Puducherry - 607 402. website : www.sbvu.ac.in

BACHELOR OF NURSING
(B.Sc(NURSING ) Four Years Course)
Syllabi & Regulations
As approved by the Academic Council meeting held on 21.11.2019
2019 - 2020
 SRI BALAJI VIDYAPEETH

4 Years – B.Sc. (N) Degree Syllabus

Rules, Regulations and Curriculum of this University have been placed before
the Standing Academic Committee, consisting of the following Faculty of this
Institution.

1. Dr.Renuka. K - Chairman

2. Dr. D. Karaline Karunagari - Member (External)

3. Prof.Malliga Kannan - Member (External)

4. Prof.Sumathy.P - Member

5. Prof. Annie Annal.M - Member

6. Prof. Rajeswari.S - Member

7. Asso.Prof.Prabavathy.S - Member

8. Asso.Prof.Bamalakshmi .V - Member

As approved by the Academic Council meeting held on 21.11.2019

Details of Syllabus revision in Board of Studies & Academic Council’s
Approval

Academic Council
S.No Year Syllabus revision BOS-Date
Approval Date
1 2016-2017 Foundation in Yoga Therapy 10.5.2016 11.8.2016
Incorporation of Palliative
2 2017-2018 08.03.2018 17.3.2018
Care in Nursing Curriculum
• Integration of middle level
health provider.
• Compliance to INC guide
3 2018-2019 13.05.2019 22.05.2019
lines for admission &
scheme
of examinations.
• Transgender inclusive
nursing curriculum
4 2018-2019 01.03.2019 21.11.2019
(Incorporation in INC
prescribed syllabus)
 B.Sc. (N) DEGREE COURSE
2019-20

Sl.No. Contents Page. No.

1 General Considerations and Teaching Approach 1-2
2 Philosophy, Aims and Objectives of B.Sc. Nursing Programme 3
3. Regulations of the University (Admission, Selection & Examination) 4-5
4 Duration & Course of Instruction 6-9
5 Scheme of Examinations 10-14
6 Examination Regulations 15-16
7 Academic Calendar 17
I-Year Curriculum (Subject - wise)
Anatomy 20-22
Physiology 23-30
Nutrition 31-34
Biochemistry 35-40
Nursing Foundation 41-61
Psychology 63-67
Microbiology 68-72
English 73-79
Introduction to Computers 80-83
II Year
Sociology 86-93
Medical-Surgical Nursing (Adult including geriatrics) - I 94-115
Pharmacology, Pathology & Genetics 117-134
Community Health Nursing – I 135-143
III Year
Medical-Surgical Nursing (Adult including geriatrics) - II 144-162
Child Health Nursing 163-172
Mental Health Nursing 173-185
Nursing Research & Statistics 186-192
IV Year
Midwifery and Obstetrical Nursing 193-208
Community Health Nursing – II 209-221
Management of Nursing Services and Education 222-229
Communication and Education Technology 230-235
Appendix
Pattern of Internal Assessment 236-237
Practical Examination Evaluation Forms 237-244
 SRI BALAJI VIDYAPEETH
Declared u/s 3 of UGC Act 1956

GENERAL CONSIDERATIONS AND TEACHING APPROACH

1. The training, though broad based and flexible should aim to provide an educational experience
required for health care in our country. Graduates trained for Health care has wide range
of career opportunities.

2. Toundertaketheresponsibilitiesofservicesituationswhichisachangingconditionandofvarious
types, it is essential to provide adequate placement training tailored to the needs of such
services as to enable the graduates to become effective instruments of implementation of those
requirements. To avail of opportunities and be able to conduct professional requirements, the
graduate shall endeavour to have acquired basic training in different aspects of nursing
care.

3. The importance of the community aspects of health care and of rural health care services is to be
recognized. This aspect of education & training of graduates should be adequately recognized
in the prescribed curriculum. Its importance has been systematically upgraded over the past
years and adequate exposure to such experiences should be available throughout all the three
phases of education &training. This has to be further emphasized and intensified by
providing exposure to field practice areas and training during the period. The aim of the
rural training is to enable the fresh graduates to function efficiently under such settings.

4. The educational experience should emphasize health and community orientation instead of
only disease and hospital orientation or being-concentrated-on-curative-aspects. As such
all the basic concepts of modern scientific nursing education are to be adequately dealt
with.

5. Theremustbeenoughexperiencestobeprovidedforselflearning.Themethodsandtechniquesthat
would ensure this must become a part of teaching-learning process.

6. Adequate emphasis is to be placed on cultivating logical and scientific habits of thought,

clarity of expression and independence of judgement, ability to collect and analyze
information and to correlate them.

7. The educational process should be placed in a historic background as an evolving process

and not merely as an acquisition of a large number of disjointed facts without a proper
perspective. The history of nursing with reference to the evolution of knowledge both in
this country and the rest of the world should form a part of this process.

8. Everyeffortshouldbemadetoencouragetheuseofactivemethodsrelatedtodemonstrationandon
first-hand experience. Students will be been courage to learn in small groups, through peer
interactions so as to gain maximal experience through contacts with patients and the
communities in which they live. While the curriculum objectives often refer to areas of
knowledge or science, they are best taught in a setting of clinical relevance and hands on
experience for students who as similate and make this knowledge a part of their own
working skills.

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9. The Clinical posting should be organized in small groups of preferably not more than 10
students so that a teacher can give personal attention to each student with a view to improve his
skill and competence in handling of the patients.
10. Properrecordsoftheworkshouldbemaintainedwhichwillformthebasisforthestudents'internal
assessment and should be available to the inspectors at the time of inspection of the college by
the Nursing Council of India.

11. Everyattemptistobemadetoencouragestudentstoparticipateingroupdiscussionsandseminarsto
enable them to develop personality, character, and expression, to function either
independently as a team leader.

12. Facultymembershouldavailallmoderneducationaltechnologywhileteachingthestudentsandto
attain this objective, Medical Educational units/Departments to established in all nursing
colleges for faculty development and providing learning resource material to teachers.

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 SBV VISION & MISSION

VISION:
Sri Balaji Vidyapeeth will strive to be a premier global health sciences university leading in the
frontiers of education, research and patient care.

MISSION:
To create an innovative ecosystem that facilitates the development of health care professionals.
To contribute to the health care workforce with competent and committed professionals.
To provide preventive, curative and palliative high-quality evidence-based care that is affordable
and accessible.
To foster a culture of scientific inquiry, research and innovation in contemporary and emerging
health and related sciences.
To be inclusive and committed in promoting wellness and empowerment of society.

VALUES:
Inclusiveness, Integration, Innovation
Engagement, Empowerment, Excellence

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 Philosophy

Health is a state of well-being that enables a person to lead a physically, psychologically, socially and
economically productive life. Health is a right of all the people. Individuals, families and communities
have a responsibility towards maintaining their health.

Nursing contributes to the health services in a vital and significant way in the health care delivery
system. It recognizes national health goals and it committed to participate in the implementation of
National Health Policies and programmes. It aims at identifying health needs of the people, planning
and providing quality care in collaboration with other health professional and community groups.

Scope of nursing practice encompasses provision of promotive, preventive, curative and rehabilitative
aspects of care to people across their life span in wide variety of health care settings. Practice of nursing
is based upon application of basic concepts and principles derived from the physical, biological and
behavioural sciences, medicine and nursing.

Nursing is based on values of caring, and aims to help individuals to attain independence in self-
care. It necessitates development of compassion and understanding of human behavior among its
practitioners to provide care with respect and dignity and protect the rights of individuals & groups.

Undergraduate nursing program is broad based education within an academic framework specifically
directed to the development of critical thinking skills, competencies & standards of required for
practice of professional nursing and midwifery as envisaged in National Health Policy 2002.

The teachers have the responsibility to be role models and create learning environment that enables
students to acquire inquiry driven, self-directed learning and foster an attitude of lifelong learning.

Under graduate nursing education program prepares its graduates to become exemplary citizen by
adhering to code of ethics and professional conduct at all times in fulfilling personal, social and
professional obligations so as to respond to national aspirations.

Aim

The aim of the undergraduate nursing program is to:

Prepare graduates to assume responsibilities as professional, competent nurses and midwives in

providing promotive, preventive, curative and rehabilitative services.

Prepare nurses who can make independent decisions in nursing situations, protect the rights and
facilitate individuals and groups in pursuit of health, function in the hospital, community nursing
services and conduct research studies in the areas of nursing practice. They are also expected to
assume the role of teacher, supervisor and manager in a clinical /public health setting

Objectives

On Completion of the two-year M.Sc. Nursing programme, the graduate will be able to: -

1. Apply knowledge from physical, biological and behavioral sciences, medicine including alternative
systems and nursing in providing nursing care to individuals, families and communities.

2. Demonstrate understanding of life style and other factors, which affect health of individuals and
groups.

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3. Provide nursing care based on steps of nursing process in collaboration with the individuals and
groups.

4. Demonstrate critical thinking skill in making decisions in all situations in order to provide quality
care.

5. Utilize the latest trends and technology in providing health care.

6. Provide promotive, preventive and restorative health services in line with the national health policies
and programmes.

7. Practice within the framework of code of ethics and professional conduct and acceptable standards of
practice within the legal boundaries.

8. Communicate effectively with individuals and groups and members of the health team in order to
promote effective interpersonal relationships and teamwork.

9. Demonstrate skills in teaching to individuals and groups in clinical / community health settings.

10. Participate effectively as members of the health team in health care delivery system.

11. Demonstrate leadership and managerial skills in clinical/community health settings.

12. Conduct needs-based research studies in various settings and utilize the research findings to improve
the quality of care.

13. Demonstrate awareness, interest and contribute towards advancement of self and of the profession.

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 REGULATIONS OF THE UNIVERSITY
(Admission/Selection/Examination)

These regulations shall be called the regulations for the Bachelor of Nursing Degree Course of Sri
Balaji Vidyapeeth, Puducherry.

They shall come into force from the academic year 2019-2020, as approved by the Academic
Council meeting held on 21.11.2019

The regulation and syllabi are subject to modification by the Standing Academic Committee Members.

1. ELIGIBILITY for ADMISSION /ADMISSION REQUIREMENT

Minimum age for admission 17 yrs on or before 31st Dec of the year of admission.

The minimum education requirement Higher Secondary School Certificate Examination (12 years
study) (or) Senior School Certificate Examination (10+2), Pre-degree examination (10+2) (or)

Any equivalent with 12 yrs schooling from recognized board or university with science (Physics/
Chemistry/ Biology/ English) with minimum of 45% marks.

5% of marks is relaxed for SC/ST Candidates

Married candidates are also allowed.

Candidate shall be medically fit.

2. SELECTION OF STUDENTS

ENTRANCE TEST

Selection of the candidate should be based on the merit of the entrance examination held by the
University or competent authority or as per regulation of the university from time to time.

3. DURATION OF THE COURSE & COURSE OF STUDY

Duration of course shall be four years including Internship.

4. MEDIUM OF INSTRUCTION

English shall be the medium of instruction.

5. MINIMUM WORKING DAYS IN ACADEMIC YEARS

Each academic year shall consist of not less than 200 working days.

6. REGISTRATION

A candidate admitted into B.Sc. (N) Degree Course in our institution of the SBV University, shall
submit the prescribed fee & declaration in the format to the university within the prescribed date. For
NRI candidates, the University has to issue an equivalent certificate as per the regulations.

7. ATTENDANCE REQUIRED FOR APPEARING EXAMINATION

a) Examination will be conducted in both theory and practical as prescribed. Candidates will be

6
 permitted to appear for the university examinations in the subject only if they secure not less than
85% of attendance in theory and 90% in practical in each subject of the respective years.

b) A candidate must complete 100% of hours notified in each of practical areas before award of degree.

8. CONDONATION FOR SHORTAGE OF ATTENDANCE

Condonation of shortage of attendance in aggregate upto 10% (between 75% - 85%) in each Year
may be granted by the college Academic Committee and as per the regulations of university.

9. INTERNAL ASSESSMENT Theory

Internal assessment will be done in each subject according to the scheme of examinations. The IA
marks will be on the basis of the performance in the assignments, class tests, and practical test in the
clinical areas. The methods can be followed by taking from 3 theory and 3 practical examinations
from sessional and model practicals.

10. EXAMINATIONS

a) The university examinations will be conducted in Annual pattern for all the 4 years.

b) The particulars of subjects for various examinations and distribution of marks are detailed in the
scheme of examination.

c) The examination for the main subjects will be conducted by the university and the marks for the
internal examination will be awarded by the concerned Head of the Department and the same
will be forwarded by the Principal, College of Nursing to the university.

d) The university practical examinations shall be jointly conducted by one internal & one external
examiner duly appointed by the university.

The university examination will be scheduled in the month of August.

Supplementary exam will be held in the month of February.

The maximum number of attempts has been waived off. However, to appear for the final year
examination, the student should have cleared all the paper in previous examination.

1) Anatomy & physiology question paper will consist of sec-A – Anatomy of 37 marks & B – Physiology
should be of 38 marks.

2) Nutrition & Bio-chemistry & question paper will consist of section-A – Nutrition of 45 marks and
section-B of Bio chemistry of 30 marks.

3) Pharmacology, Pathology, Genetics: Pharmacology with 38 marks, Pathology with 25 marks and
Genetics with 12 marks.

4) Nursing Research & Statistics – Nursing Research should be of 50 marks & statistics of 25 marks.

5) Minimum pass marks shall be 40% only for English.

6) Minimum pass marks for all other subjects shall be 50% in each of the theory & practical papers
separately.

7) Theory & practical examinations for Introduction to Computer to be conducted as college examination
and marks to be sent to the University for Inclusion in the marks sheet.

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8) A candidate must complete 100% of hours notified in each of the practical areas before award of
degree.

9) A candidate has to pass in theory and practical exam separately in both internal & external of each
paper.

10) If a candidate fails in either theory or practical paper he/she has to reappear for both the papers.

11) Maximum numbers of attempts are permitted for each paper with a condition that a student completes
her/ his course within 8 years.

12) Maximum number of candidates for practical examination should not exceed 20 /day for all the
subjects except Community Health Nursing (15 / day).

13) All practical examinations must be held in the respective clinical areas.

14) No institution shall submit internal marks of students more than 75% is if 40 students are admitted in
a course the average score of the 40 students shall not exceed 75% of total internal marks.

15). An examiner should be a lecturer or above in a college of nursing with M.Sc (N) in concerned subject
and minimum of 3 years of teaching experience. To be an examiner for nursing foundations course
faculty having M.Sc (N) with any specialty shall be considered.

11. VACATION

May 4 weeks

Dec 2 weeks

12. ELIGIBILITY / MAXIMUM DURATION FOR THE AWARD OF THE DEGREE

a) The candidates shall be eligible for the degree of bachelor of nursing when they have undergone
the prescribed course of study for a period of not less than four years in an institution approved
by the university and have passed the prescribed examination in all subjects.

b) The maximum period to complete the course successfully should not exceed 8 years.

13. MARKS REQUIRED FOR A PASS

i. 50% of marks in the university Theory examination.

ii. 50% of marks in the university Practical examination.

iii. 50% of marks in the internal examination both in each theory, practical & Viva-Voce examination.
If a candidate fails in either theory or practical paper, he/she has to re-appear for both the
papers

14. DECLARATION OF CLASS

A successful candidate obtaining 75% and more marks in the grand total aggregate in the first attempt
shall be declared to have passed with distinction.

A successful candidate obtaining 60% and more but less than 75% of marks in the grand total aggregate
shall be declared to have passed with first class.

8
A successful candidate obtaining 50% and more but less than 60% of marks in the grand total aggregate
shall be declared to have passed with second class.

A Candidate who has not appeared for examination in the first attempt, but has obtained more than 60
% in the grand total aggregate shall be awarded second class.

Ranks shall be declared on the basis of the aggregate marks obtained by the candidate in the university
examination subjects of the course. Only those candidates who have passed all the subjects in all
examination in the first attempt shall be eligible for the award of rank.

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 Revised - Course of Instruction
Duration
Course Duration - 4 Years
Weeks available per year - 52 weeks
Vacation - 6 weeks
Gazetted holidays - 15 days (2 weeks)
Examination (including preparatory) - 4 weeks
Available weeks - 40 weeks
Hours per week - 40 hours
Practical - 30 hours / week
Theory - 10 hours / week
Internship Practical - 48 hours / week
Hours available per academic year - 1600

Course of Instruction
FIRST YEAR
Theory (In Practical (In Hrs) In
Sl.No Subject
Hrs) (Class (Clinical) Hrs
and Lab)
1 English 60

2 Anatomy 60

3 Physiology 75

4 Nutrition 60 + 2*

5 Biochemistry 30

6 Nursing Foundations 265+200 450

7 Psychology 75

8 Microbiology 75

9 Introduction to Computers 45

10 Hindi/Regional Language** 30

11 Library Work / Self Study

12 Co-curricular Activities-Introduction to Yoga

Total 977 450 100

Total Hours = 1527

** Optional * EVS Hrs

10
Note: 73 Hrs Allotted for Unit Test / Sessional
Exams SECOND YEAR

Theory Practical
Sl.No Subject (In Hrs) (In Hrs) In Hrs
(Class and Lab) (Clinical)
1 Sociology 60 + 16*

2 Pharmacology 52

3 Pathology 38

4 Genetics 15 + 2*
Medical-Surgical Nursing
5 210 720
(Adult including geriatrics) - I
6 Community Health Nursing – I 90 + 17* 135

7 Library work / Self Study 50

8 Co-curricular Activities 35

Total 500 855 85

Total Hours = 1527

Internship

Community Health Nursing 120

Total Hours = 1560

*EVS Hrs
Note: 40 Hrs Allotted for Unit Test / Sessional Exams
THIRD YEAR
Theory Practical
Sl.No Subject (In Hrs) (In Hrs) In Hrs
(Class and Lab) (Clinical)
Medical-Surgical Nursing (Adult
1 120 270
including geriatrics) - II
2 Child Health Nursing 105 270
3 Mental Health Nursing 90 270
4 Nursing Research & Statistics 45 45
5 Library work / Self Study 50
6 Co-curricular Activities 50
Total 360 855 100
Internship 175
Medical-Surgical Nursing 80

Child Health Nursing

Total Hours = 1570

11
Note: 30 Hrs Allotted for Unit Test / Sessional Exams
FOURTH YEAR
Theory Practical
Sl.No Subject (In Hrs) (In Hrs)
(Class and Lab) (Clinical)
1 Midwifery and Obstetrical Nursing 90 360

2 Community Health Nursing – II 90 + 13* 135

3 Management of Nursing Services and Education 60+30

4 Communication & Education Technology 60+30

Total 373 495

Total Hours = 868

*EVS Hrs
Intern-ship (Integrated Practice)
Theory Practical
Sl.No Subject (In Hrs) (In Hrs)
(Class and Lab) (Clinical)
1 Midwifery and Obstetrical nursing - 240

2 Community Health Nursing – II - 75

3 Medical Surgical Nursing (Adult and geriatrics) - 255

4 Child Health Nursing - 65

5 Mental Health Nursing - 95

Total 730

Total Hours = 730

Note:

1. Internship means 8 hours of integrated clinical duties in which 2 weeks of evening and night shift
duties are included.

2. Internship should be carried out as 8 hours per day @ 48 hours per week.

3. Students during internship will be supervised by nursing teachers.

4. Fourth year final examination to be held only after completing internship.

5. As per INC, 50 hours of Environmental Science (EVS) are placed / incorporated in selected subjects
namely – Community Health Nursing – I & II, Nutrition, Genetics, Sociology.

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Scheme of Examination
FIRST YEAR

Assessment

Sl.No Subject Internal External Total

Hours
Min Max Min Max Min Max

1 Anatomy & Physiology 3 12 25 38 75 50 100

2 Nutrition & Biochemistry 3 12 25 38 75 50 100

3 Nursing Foundations 3 12 25 38 75 50 100

4 Psychology 3 12 25 38 75 50 100

5 Microbiology 3 12 25 38 75 50 100

6 English 3 10 25 30 75 40 100

7 Introduction to Computers 3 12 25 38 75 50 100

Practical and Viva Voce

1 Nursing Foundations 50 100 50 100 100 200

SECOND YEAR

Assessment

Sl.No Subject Internal External Total

Hours
Min Max Min Max Min Max

8 Sociology 3 12 25 38 75 50 100
Medical-Surgical Nursing
9 3 12 25 38 75 50 100
(Adult including geriatrics) - I
10 Pharmacology, Pathology, genetics 3 12 25 38 75 50 100

11 Community Health Nursing – I 3 12 25 38 75 50 100

Practical and Viva Voce

1 Medical Surgical Nursing – I 50 100 50 100 100 200

13
THIRD YEAR

Assessment

Sl.No Subject Internal External Total

Hours
Min Max Min Max Min Max

12 Medical Surgical Nursing – II 3 12 25 38 75 50 100

13 Child Health Nursing 3 12 25 38 75 50 100

14 Mental Health Nursing 3 12 25 38 75 50 100

15 Nursing Research & Statistics 3 12 25 38 75 50 100

Practical and Viva Voce

3 Medical Surgical Nursing – II 25 50 25 50 50 100

4 Child Health Nursing 25 50 25 50 50 100

5 Mental Health Nursing 25 50 25 50 50 100

FOURTH YEAR

Assessment

Sl.No Subject Internal External Total

Hours
Min Max Min Max Min Max

16 Midwifery and Obstetrical Nursing 3 12 25 38 75 50 100

17 Community Health Nursing – II 3 12 25 38 75 50 100

Management of Nursing Services
18 3 12 25 38 75 50 100
and Education
Communication and Education
19 3 12 25 38 75 50 100
Technology
Practical and Viva Voce

6 Midwifery and Obstetrical Nursing 25 50 25 50 50 100

7 Community Health Nursing – II 25 50 25 50 50 100

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 EXAMINATION REGULATIONS

Essentialities for qualifying to appear for professional examinations.

The performance is essential components of training are to be assessed, based on:

1. Attendance

85% of attendance in a subject for appearing in the examination is compulsory inclusive of attendance
in no lecture teaching. i.e. seminars, group discussions, demonstrations, practicals, hospital (Tertiary,
Secondary, Primary) postings and bed side clinics, etc.,

For appearing at the University Examination, student should have 85% attendance in theory and
90% in practical in each subject. Even if shortage is seen in one subject, he/she will be detained for
the entire examination. Students cannot appear separately for the individual subjects during the first
appearance at the professional examination.

2. Internal Assessment

i. It shall be based on day-to-day assessment (see note), evaluation of student assignment, preparation
for seminar, clinical case presentation etc.

ii. Regular periodical examinations shall be conducted throughout the course. The questions of
number of examinations are left to the institution.

iii. Day to day records should be given importance during internal assessment.

iv. Weightage for the internal assessment shall be as given in the working sheet.

Student must secure at least 50% marks of the total marks fixed for internal assessment in a
particular subject in order to be eligible to appear in final university examination of that subject

Note: Internal assessment shall relate to different ways in which student's participation in learning process
during semesters is evaluated. Some examples are as follows.

i. Preparation of subject for student's seminar.

ii. Preparation of a clinical case for discussion.

iii. Clinical case study / problem solving exercise.

iv. Participation in project for health care activities in the community (planning stage to evaluation)

v. Proficiency in carrying out a practical or a skill in small research project. No institution shall
submit average internal marks of the total students more than 75%, (i.e.,) if 40 students are
admitted in a course the average score of the 40 shall not exceed 75% of total internal marks.

Records to be maintained for evaluation

* Procedure book/Chart book/Log book

* Assignments

* Case Study

* Care plans

* Subject record
15
* Drug
Family care study Assessment forms

Time Limit for Passing

An B.Sc (N) student has to pass the 4 years course within eight years from the date of registration as per the
norms prescribed by the university.

University Examinations

Theory question papers will be set by the external examiners as prescribed. Nature of questions will be
essay and short answer type and marks for each part indicated separately. Model questions are attached for
each paper.

Practicals / clinicals (will be conducted in the laboratories or wards). The objective will be to assess
proficiency in skills, conduct of experiment, spotters such as instruments, articles, bones and nutrients and
problem-solving approach. Clinical cases should preferably include common diseases and not esoteric
syndromes or rare disorders. Emphasis should be on candidate's capability in eliciting physical signs and
their interpretation. Clinical cases / practicals shall take into account common diseases which the student is
likely to come in contact in practice.

Scrutiny of theory question papers received from Paper Setters

In order to ensure uniformity and minimum standards acceptable for evaluation, a vetting committee be
constituted by the Vice-Chancellor for various subjects.

The examinations are to be designed with a view to ascertain whether the candidates has acquired the
necessary knowledge, minimum skills along with clear concepts of the fundamentals which are necessary
for him to carry out his professional day to day work competently. Evaluation will be carried out on an
objective basis.

During evaluation (both Internal and External) it shall be ascertained if the candidate has acquired the skills.

There shall be one main examination in a year and a supplementary to be held not later than 6 months after
the publication of its results

Note: Results of all university examinations shall be declared before the start of teaching for next semester.
i.e., within 2 weeks after practical examination. Permission for retotaling and re-evaluation will be given
as per the rules of the university.

Grace Marks

Maximum of five grace marks for each subject is not permitted, and grace marks should not exceed five
marks in total marks for one academic year in theory paper only.

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 SRI BALAJI VIDYAPEETH
Pillaiyarkuppam, Puducherry.
Academic Calendar for B.Sc. (N) Degree Course

Sl.No Particulars Tentative Schedule

1 Beginning of the Academic Session August

2 Dead line for Admission October / November

3 Revision / preparation for University Examination July

4 University Examination (Theory & Practical) August

5 Vacation May

6 Supplementary Examination February

17
 UG PROGRAMME EDUCATIONAL OBJECTIVES-KGNC
PEO1: Nurse who provides preventive, promotive, curative, rehabilitative and palliative care to the
patients/clients in all the stages of life including transgender community with safety and
compassion.
PEO 2: Lifelong learner committed to recent advancements in health care delivery system including
alternative therapy to provide quality patient care.
PEO 3: Good listener and communicator with the patients, family members, health team members and
society.
PEO 4: Educator who teaches and counsels patients and family members.
PEO 5: Professional who provides high standards of care and maintains professional integrity.
PROGRAMME OUTCOME
At the end of the 4 year of training nursing graduates of KGNC Should be
PO1. Apply the preclinical, para clinical and basic sciences knowledge in all health care settings.
PO2. Perform history collection and physical examination to identify the needs and problems of
individuals of all age groups, families and communities including transgender in all health care
settings.
PO3. Provide nursing care based on steps of nursing process in collaboration with the individuals and
groups.
PO4. Demonstrate critical thinking skill in making decisions in all situations in order to provide quality
care.
PO5. Provide preventive, promotive, palliative and restorative health services in line with the national
health policies and programmes.
PO6. Practice within the framework of code of ethics and professional conduct and acceptable standards
of practice within the legal boundaries.
PO7. Participate and communicate effectively with individuals and groups and members of the health
team in order to promote effective interpersonal relationships and teamwork.
PO8. Prepare the patients for various investigations and identify the abnormal findings pertaining to
invasive and noninvasive diagnostic and therapeutic procedures.
PO9. Demonstrate skills in teaching individuals and groups and able to incorporate the latest trends and
technology in providing health care in all settings
PO10. Demonstrate leadership and managerial skills in clinical/community health settings.
PO11. Conduct needs-based research studies in various settings and utilize the research findings to
improve the quality of care.
PO12. Demonstrate awareness, interest and contribute towards advancement of self and the profession

18
I YEAR ANATOMY

19
Placement: FIRST YEAR Time: Theory – 60 Hrs.

Course Description:
The course is designed to enable students to acquire knowledge of the normal structure of various
human body systems and understand the alterations in anatomical structures in disease and practice
of nursing.
Time Assignment
Unit Objectives Skill Assignments
(hrs) Method
Describe the Introduction to Anatomical terms * Lecture Shortanswer
anatomical and organization of the Human Discussion questions
terms, Body * Explain using * Objective
organization of * Human cell structure charts, Type
human * Tissues – Definition, Types, microscopic
body and Characteristics, Classification, slides,
structure of Location,FunctionsandFormation Skeleton and
I 5 cell, tissues, * Membranes and glands – Torso
membranes classification and structure * Demonstrate
and glands Alterations in disease cells, types
applications and implications of tissues,
in nursing Membranes and
glands
* Record book
* Describe the The Skeletal System * Lecture * Short
structure and * Bones- types, structure, Axial Discussion answer
functions of & Appendicular Skeleton * Explain using questions
bones and * Bone formation and growth charts, * Objective
II 6 joints * Description of bones Skeleton Type
* Joints-classification and Loose bones
structure Alterations in disease and Joints
Applications and implications in * Record book
nursing
* Describe the The Muscular System * Lecture * Short
structure and * Types and structure of muscles Discussion answer
functions of * Muscle groups * Explain using questions
muscles Alterations in disease charts, * Objective
Applications and implications in microscopic Type
nursing slides,Skeleton
III 7 and Torso
* Demonstrate
cells, types
of tissues,
membranesand
glands
* Record book
The Nervous System * Lecture
* Describe the * Structure of neurologia & Discussion * Short
structure and neurons * Explain using answer
IV 7 functions of * Somatic nervous system chart, models, questions
nervous - Structure of brain, spinal cord, slides, * Objective
system cranial nerves, spinal nerves, specimens type
peripheral nerves * Record book

20
 * Autonomic Nervous System –
sympathetic, parasympathetic
- structure, location
Alterations in disease
Applications and implications in
Nursing

* Explain the The Sensory Organs * Lecture * Short

structure and * Structure of skin, eye, ear, nose, Discussion answer
functions of tongue (Auditory and Olfactory * Explain using questions
sensory apparatus) chart, models, * Objective
V 6
organs Alterations in disease slides, Type
Applications and implications in specimens
nursing * Record book

* Describe the Circulatory and Lymphatic system * Lecture * Short

structure & * The Circulatory System Discussion answer
Functions of - Blood- microscopic structure * Explain using questions
circulatory - Structure of the Heart chart, models, * Objective
and lymphatic - Structure of the blood slides, type
system vessels – Arterial and Venous specimens
system * Record book
- Circulation: systemic,
pulmonary, coronary
VI 7 * Lymphatic system
- Lymphatic vessels and lymph
- Lymphatic tissues
- Thymus gland
Lymphnodes,Spleen,Lymphatic
Nodules
- Alterations in disease
Applications and implications
in nursing

* Describe the The Respiratory System * Lecture * Short

structure & * Structure of the organs of Discussion answer
Functions of respiration * Explain using questions
respiratory Muscles of respiration: chart, models, * Objective
VII 5 system Intercostals and Diaphragm slides, torso type
Alterations in disease specimens
Applications and implications in * Record book
nursing

* Describe the The Digestive System Structure * Lecture * Short

structure & of Alimentary tract Discussion answer
Functions of and accessory organs of digestion * Explain using questions
VIII 6 digestive Alterations in disease chart, models, * Objective
system Applications and implications in slides, torso type
nursing specimens
* Record book

21
 * Describe the The Excretory System (Urinary) * Lecture * Short
structure & * Structure of organs of urinary Discussion answer
Functions of system: Kidney, Ureters, Urinary * Explain using questions
IX 4 excretory bladder, Urethra Alterations in chart, models, * Objective
system disease slides, torso type
Applications and implications in specimens
nursing * Record book

* Describe the The Endocrine System * Lecture * Short

structure & * Structure of Pituitary, Pancreas, Discussion answer
Functions of thyroid. Parathyroid, Thymus & * Explain using questions
X 3 endocrine adrenal glands. chart, models, * Objective
system Alterations in disease slides, torso type
Application and implications in specimens
nursing * Record book

* Describe the The Reproductive System * Lecture * Short

structure & including Breast Discussion answer
Functions of * Structure of female reproductive * Explain using questions
reproductive organs chart, models, * Objective
system * Structure of male reproductive slides, torso type
organs specimens
* Structure of the breast * Record book
Alterations in disease
XI 4 Applications and implications in
Nursing Transgender
Curriculum Transgender-
Inclusive Nursing Curriculum
* Introduction to terminologies
about Sex and Gender. LGB,
Intersex etc.
* Differences in sex development
* Application and Implication in
nursing

Bibliography
Textbook:
1. Singh (I), Anatomy & Physiology for Nurses, JP Brothers Publications, 2005.
Suggested References:
1. Kathleen (JW), Ross & Wilson Anatomy and Physiology in Health and Illness, Churchill
Livingston Publication, Philadelphia, 8th P Edition, 1999.
2. Tortora, Principles of Anatomy & Physiology, John Wiley & Sons, New York, 8th Edition, 2003

22
 PHYSIOLOGY
Placement: FIRST YEAR Time: Theory – 60 Hrs.

Course Description:
The course is designed to assist the students to acquire knowledge of the normal physiology of various
human body systems and understand the alterations in physiology in disease and in practice of nursing

Time Assignment
Unit Objectives Skill Assignments
(hrs) Method
* Describe the Cell Physiology * Lecture * Short
physiology of * Tissue formation, repair discussion answer
cell, tissues, * Membranes & glands – functions questions
membranes Alterations in disease * Objective
and Glands Applications and implications type
in nursing
I 5
Addition: -
* Introduction to physiology.
* Homeostasis.
* Membrane transport.
Resting membrane potential &
action potential.
* Describe the Skeletal System * Lecture * Short
formation and * Bone formation & growth discussion answer
growth and * Bones – Functions and * Explain using questions
movements of movements of bones of axial Charts, Models, * Objective
skeleton and appendicular skeleton, bone Specimen and type
II 4
system healing Films
* Joints and joint movement * Demonstration
Alterations in disease of joint
Applications and implications in movements
nursing
* Describe the Muscular System * Lecture * Short
muscle * Muscle movements, Muscle discussion answer
movements tone, Physiology of muscle * Explain using questions
and tone and contraction, levels and Charts, Models, * Objective
demonstrate maintenance of posture Specimen and type
muscle Alterations in disease Films
contraction Applications and implications * Demonstration
and tone in nursing of muscle
III 5 Addition: - movements,
* Structure of skeletal, smooth& tone and
cardiac muscle. contraction
* Neuromuscular junction.
* Mechanism of skeletal muscle
contraction.
* Excitation-contraction coupling.
* Mechanism of smooth muscle
contraction. Applied aspects.
* Describe the Nervous System * Lecture * Short
physiology of * Functions of Neuroglia discussion answer
IV 10 nerve &Neurons Stimulus * Explain using questions
stimulus, charts, films
reflexes,
brain,
23
 cranial and * Nerve – impulse definitions and * Demonstration * Objective
spinal nerves mechanism of nerve type
* Demonstrate * Functions of brain, spinal cord, stimulus,
reflex action cranial and spinal nerves reflex action,
and stimulus * Cerebrospinal fluid composition, reflexes
circulation and function
* Reflex arc, reflex action and
reflexes

PALLIATIVE CURRICULUM

* Autonomic functions Pain: Acute

& Chronic, Neuropathic pain,
Phantom pain.

* Autonomic learning and bio

feedback, Pruritis
Alterations in disease
Applications and implications in
nursing.

Addition: -

* Synapse.
* Functions of Thalamus,
Hypothalamus, Basal ganglia,
Cortex & cerebral cortex
* Sensory receptors, Ascending
tracts& sensory cortex.
* Motor cortex &Descending
tracts.
Sleep & EEG.

24
 * Describe the Circulatory System * Lecture * Short
physiology of * Blood formation, composition, discussion answer
blood and blood groups, blood coagulation * Explain using questions
functions of * Hemoglobin: Structure, charts, films * Objective
heart Synthesis and Breakdown, * Demonstration type
* Demonstrate Variation of molecules, of blood
blood cell estimation cell count,
count, * Functions of Heart, Conduction, coagulation,
coagulation, Cardiac cycle, circulation – grouping,
grouping, principles, control, factors Hemoglobin
Hb., influencing BP, and Pulse estimation,
BP and Pulse Alterations in disease heart
monitoring Applications and implications in conduction
V 12 nursing system
Addition: - * Measurement
* Blood Functions of pulse, BP
* RBC-Formation, Function &
fate.
* WBC-Types, Functions &
variations
* Phagocytosis &inflammation.
* Haemostasias –
Mechanism, disorders &
anti coagulants
* Hemoglobin-Anemia,
Polycythemia.
* Structure of Heart.
* ECG, Blood pressure & its
regulation
* Cardiac output & factors
affecting it Applied aspects.

25
 * Describe the The Respiratory System * Lecture * Short
physiology * Functions of respiratory organs discussion answer
andmechanism * Physiology of respiration * Explain using questions
of * Pulmonary ventilation, Volume charts, films * Objective
respiration * Mechanics of respiration * Demonstration type
* Demonstrate * Gaseous exchange in lungs of spirometry
spirometry * Carriage of oxygen and carbon-di
VI 7 oxide
* Exchange of gases in tissues
* Regulation of respiration
Alterations in disease
Applications and implications in
nursing
Addition: -
* Gas exchange in tissues
* Describe the The Digestive System * Lecture * Short
physiology of * Functions of organs of digestive discussion answer
digestive tract, movements of alimentary * Explain using questions
system tract, digestion in mouth, charts, films * Objective
* Demonstrate stomach, small intestines, large type
VII 7 BMR intestines, absorption of food,
functions of liver, gall bladder
and pancreas
* Metabolism of carbohydrates,
protein and fat
Addition: -
* Applied Aspects
* Describe the The Excretory System * Lecture * Short
physiology of * Functions of kidneys, ureters, discussion answer
excretory urinary bladder and urethra * Explain using questions
system * Composition of urine charts, films * Objective
* Mechanism of urine formation type
VIII 5 * Functions of skin
* Regulation of body temperature
* Fluid and electrolyte balance
Alterations in disease
Applications and implications in
nursing
* Describe the The Sensory Organs * Lecture * Short
physiology of * Functions of skin, eye, ear, nose, discussion answer
IX 4 sensory tongue Alterations in disease * Explain using questions
organs Applications and implications in charts, films * Objective
nursing Type
* Describe the The Endocrine system * Lecture * Short
physiology of * Functions of Pituitary, Pineal discussion answer
endocrine body, Thymus, Thyroid, * Explain using questions
glands Parathyroid, Pancreas, Suprarenal, charts, films * Objective
Placenta and Ovaries and Testes * Demonstration Type
X 7 Alterations in disease of BMR
Applications and implications in
nursing
Addition: -
* Introduction
* Functions of Growth Hormone,
26
 Posterior pituitary hormones,
Thyroxine, PTH, Insulin &
Glucagon, Glucocorticoids &
Mineralocorticoids.
* Applied aspects.
Transgender Curriculum
Transgender-Inclusive Nursing
Curriculum
Cross hormone therapy and it's
physiological effects in Transmen
and Transwoman
* Describe the The Reproductive system * Lecture * Short
physiology of * Reproduction of cells - DNA, discussion answer
male and Mitosis, Meosis, * Explain using questions
female Spermatogenesis, Oogenesis charts, * Objective
reproductive * Functions of female reproductive films, type
system organs: Functions of breast, models,
female sexual cycle specimens
* Introduction to embryology
* Functions of male reproductive
organs: Male function in
7
reproduction Male fertility
system Alterations in disease
Applications and implications in
XI nursing
Addition: -
* Sex Hormones &its functions.
* Pregnancy &Lactation.
* Spermatogenesis.
Male &Female Contraception
Methods
* Describe the Lymphatic and * Lecture * Short
physiology of Immunological System discussion answer
Lymphatic * Circulation of lymph * Explain using questions
and * Immunity charts, films * Objective
Immunolo -Formation of T-Cells and B- type
gical System Cells
- Types of Immune response
- Antigens
- Cytokines
- Antibodies

Bibliography:
1. Sembulingam (K), Essentials of Medical Physiology, J.P.Brothers Publications, New Delhi, 4th
Edition, 2006.
2. Chaudhuri, Concise Medical Physiology, New Central Book Agency Pvt. Ltd., Calcutta, 4th Edition,
2002.
3. Kathleen (JW), Ross & Wilson Anatomy and Physiology in Health and Illness, Churchil Livingston
Publication, Philadelphia, 8th Edition, 1999.
4. Tortora, Principles of Anatomy & Physiology, John Wiley & Sons, New York, 8th Edition, 2003
5. Thibodeau (GA), Anthony's Textbook of Anatomy & Physiology, Elsevier, 18th Edition, 2007.
27
 BLUE PRINT OF QUESTION PAPER- ANATOMY (SECTION A)
FIRST YEAR B.Sc. NURSING
Total marks: 37
1 Short answer questions (SAQ) of 5 marks each 5 x 5 = 25
2 Very short answer questions (VSAQ) of 2 marks each 6 x 2 = 12
Total = 37

Weight Knowledge Understanding Application

Marks
Unit Objectives/content area age (%) (recall) (interpretation) (problem solving)
allotted
SA VSA SA VSA SA VSA
Introduction of anatomical
I terms and organization of 2 5.4 1
the human body

II Skeletal system 2 5.4 1

III Muscular system 2 5.4 1

IV Nervous system 2(*5) 5.4 1*

V sensory organs 2 5.4 1

Circulatory and
VI 5 13.5 1
Lymphatic system

VII Respiratory system 5 13.5 1

VIII Digestive system 5 13.5 1

IX Excretory system 5 13.5 1

X Endocrine system 2 5.4 1

XI Reproductive system 5 13.5 1

Total 37 100% 5 SAQ & 6 VSAQ

Questions selected should be of

70% Understanding
15% Application
15% Recall
Note: questions accessing the students
Knowledge/Recall should not exceed 15%
Understanding should not exceed 70%
Application should not exceed 15%
*Denotes choice question

28
 BLUE PRINT OF QUESTION PAPER - PHYSIOLOGY (SECTION B)
I year B.Sc., Nursing
Total marks: 37
1 1. Short answer questions (SAQ) of 5 marks each 6x 5 = 30
2 2. Very short answer questions (VSAQ) of 2 marks each 4x 2 = 8
Total = 38

Weight- Knowledge Understanding Application

Marks
Unit Objectives/content area age (%) (recall) (interpretation) (problem solving)
allotted
SA VSA SA VSA SA VSA
I Cell physiology
2 5.2 1
II Skeletal & Muscular
2 5.2 1
system
III Nervous system
4 10.4 1 1
IV Blood
5 13.15 1
V Cardiovascular system
5 13.15 1
VI Respiratory system
5 13.15 1
VII Digestive system
5 13.15 1
VIII Excretory system
5 13.15 1
IX Endocrine system
5 13.15 1
X Reproductive system
2* - 1*
Total
38 100%

*Choice question can be taken from this unit.

29
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
I Year - B.Sc (Nursing) Degree Examination
ANATOMY & PHYSIOLOGY

Time: 1 1/2 Hrs Total Marks: 35

Answer Section A& B in separate answer books:
SECTION - A ANATOMY
Answer all the questions. Maximum marks - 37
Draw diagrams wherever necessary.
I. Short answer questions: (Any 5) 5 x 5 = 25
1. Describe the structure of the spinal cord.
2. Give the external features of stomach.
3. Describe parts and support of uterus. Mention a note on prolapse of uterus.
4. Describe the internal features of urinary bladder.
5. Describe interior of right atrium.
6. Name the parts of Respiratory system and describe left lung.

II Very short answer questions: 6 x 2 = 12

1. Enumerate Cranial Nervous.
2. Photoreceptors.
3. Name any four types of Synovial joint with example.
4. Draw a neat labelled diagram of a Human cell.
5. Deltoid muscle.
6. Name the hormones secreted by Pituitary gland

SECTION - B PHYSIOLOGY
Short answer questions (Any 6) 6 x 5 = 30
1. Draw a normal lead II ECG. Write the reasons for different waves
2. Name and explain the neuronal centers regulating respiration
3. Explain how insulin controls the blood glucose level
4. Describe the different stages of erythropoiesis. Add a note on factors affecting it.
5. Explain the different stages of deglutination.
6. Define GFR. What are the factors affecting it?
7. Explain the endometrial changes in menstrual cycle.

II. Very short answer questions: 4x2=8

8. Name any two functions of cell membrane
9. Draw and label the sarcomere
10. What is the purpose of collecting CSF sample?
11. What are the senses carried by dorsal column pathway?

30
 NUTRITION
Placement: FIRST YEAR Time: Theory – 62 Hrs

Course Description:
Course Description: The course is designed to assist the students to acquire knowledge of nutrition for
maintenance of optimum health at different stages of life and its application for the practice of nursing

Time Assignment
Unit (hrs) Objectives Skills Assignments Method
Th. Pr
* Describe the Introduction * Lecture * Short
I 4 relationship * Nutrition: Discussion answers
between * History * Explaining * Objective
nutrition & * Concepts using charts Type
health * Role of nutrition in * Panel
maintaining health discussion
* Nutritional problems in
India
* National Nutritional
Policy
* Factors affecting food and
nutrition: socioeconomic,
cultural, tradition,
production, system of
distribution, life cycle and
food habits etc.,
* Role of food and its
medicinal value
* Classification of foods
* Elements of nutrition:
macro and micro
* Calorie, BMR
* Describe the Carbohydrates * Lecture * Short
II 2 classification, * Classification Discussion answers
functions, * Caloric value * Explaining * Objective
sources and * Recommended daily using charts Type
recommended allowances
daily * Dietary Sources
allowances * Functions
(RDA) of * Digestion, Absorption,
Carbohydrates Storage and Metabolism
of carbohydrates
* Malnutrition: Deficiencies
and Over consumption
* Describe the Fats * Lecture * Short
III 2 classification, * Classification Discussion answers
functions, * Caloric value * Explaining * Objective
sources and * Recommended daily using charts Type
recommended allowances
daily * Dietary Sources

31
 allowances * Functions
(RDA) of Fats * Digestion, Absorption,
Storage and Metabolism
* Malnutrition: Deficiencies
and Over consumption
* Describe the Proteins * Lecture Short
IV 2 classification, * Classification Discussion answers
functions, * Caloric value * Explaining * Objective
sources and * Recommended daily using charts Type
recommended allowances
daily * Dietary Sources
allowances Functions
(RDA) of * Digestion, Absorption,
Proteins Storage and Metabolism
* Malnutrition: Deficiencies
and Over consumption
* Describe the Energy * Lecture * Short
V 3 daily calorie * Unit of Energy Kcal Discussion answers
requirement * Energy requirements of * Explaining * Objective
for different different categories of using charts Type
categories of people * Exercise
people * Measurements of energy * Demonstration
* Body Mass Index (BMI)
and basic metabolism
* Basal Metabolic Rate
(BMR)determination and
factors affecting
* Describe the Vitamins * Lecture * Short
VI 4 classification, * Classification Discussion answers
functions, * Caloric value * Explaining * Objective
sources and * Recommended daily using charts Type
recommended allowances
daily * Dietary Sources
allowances * Functions
(RDA) of * Absorption, synthesis,
Vitamins metabolism, storage and
excretion
* Deficiencies
* Hypervitaminosis
* Describe the Minerals Classification * Lecture * Short
VII 4 classification, * Caloric value Discussion answers
functions, * Recommended daily * Explaining * Objective
sources and allowances using charts Type
recommended * Dietary Sources
daily allowances * Functions
(RDA) of * Absorption, synthesis,
Minerals metabolism, storage and
excretion Deficiencies
* Over consumption and
toxicity

32
 * Describe the Water & Electrolytes * Lecture Short
VIII 3 sources, * Water: Discussion answers
functions and Daily requirements, * Explaining * Objective
requirements Regulation of water using charts Type
of Water & metabolism, distribution
Electrolytes of body water
* Electrolytes: Types,
Sources. Composition of
body fluids
* Maintenance of fluid &
electrolyte balance
* Overhydration, dehydration
and water intoxication
* Electrolyte imbalances
* Describe the Cookery rules and * Lecture * Short
IX 5 15 cookery rules preservation of nutrients Discussion Answers
and preservation * Principles, methods of * Demonstration * Objective
of nutrients cooking and serving * Practice Type
* Prepare and - Preservation of nutrients Session * Asses
serve simple * Safe Food handling sment of
beverages and toxicity practice
different types * Storage of food Sessions
of foods * Food preservation, food
Additives and its
principles
* Prevention of food
adulteration Act (PFA)
* Food standards
* Preparation of simple
beverages and different
types of food
* Describe the Balanced Diet * Lecture * Short
X 7 5 plan, balanced * Elements Discussion Answers
diet for * Food groups * Explaining * Objective
different * Recommended Daily using charts Type
categories of Allowance * Practice * Exercise
people * Nutritive value of foods session on Menu
* Calculation of * Meal Planning
balanced diet for different planning
categories of people
* Planning menu
* Budgeting of food
* Introductionto therapeutic
diets:
* Naturopathy – Diet
* Diet Counseling

33
 * Describe Role of Nurse in Nutritional * Lecture * Short
XI 4 Various Programs Discussion answers
national * National, programs * Explaining * Objective
programs related to nutrition with Slide / Type
related to nutrition * Vitamin A deficiency Film shows
* Describe the program * Demonstration
role of nurse in * National iodine of
assessment of deficiency disorders Assessment
nutritional (IDD) program of nutritional
status and * Mid-day meal program Status
nutrition * Integrated child * Case study
education development scheme
(ICDS)
* National and
International agencies
working towards food /
nutrition
* NIPCCD, CARE, FAO.
NIN, CFTRI (Central
food technology and
research institute) etc.,
* Assessment of nutritional
status
* Nutrition education and
role of Nurse
* World food problems,
changes caused by
agriculture and over
grazing, effects of
modern agriculture,
fertilizer – Pesticide
problems, water logging,
salinity

Reference:
1. Joshi (YK), Basics of Clinical Nutrition, Jaypee, Chennai, 2nd Edition, 2008.
2. Mahan (LK), Krause's Food, Nutrition, Diet & Therapy, Elsevier, 13th Edition, 2007.
3. Srilakshmi (B), Dietetics, New Age Int (P) Ltd., Publishers, Chennai, 5th Edition, 2007.

34
 BIOCHEMISTRY
Placement: FIRST YEAR Time: Theory – 62 Hrs

Course Description:
The Course is designed to assist the students to acquire knowledge of the normal biochemical
composition and functioning of human body and understand the alterations in biochemistry in diseases
for practice of nursing
Time Assignment
Unit Objectives Skills Assignments
(hrs) Method
* Describe the Introduction * Lecture * Short
structure, * Definition and discussion answer
composition and significance in nursing using charts, questions
functions of cell * Review of structure, slides * Objective
I 3 * Differentiate composition and * Demonstrate Type
between Prokaryote functions of cell use of
and Eukaryote cell * Prokaryote and Eukaryote microscope
* Identify techniques cell organism
of Microscopy * Microscopy
* Describe Structure and functions of * Lecture * Short
structure and cell membrane Discussion answer
functions of cell * Fluid mosaic model tight questions
membrane junction, Cytoskeleton * Objective
Transport mechanism: Type
II 6 diffusion, osmosis,
filtration, active
channel, sodium pump
* Acid Base balance
maintenance &Diagnostic
tests - PH Buffers

* Explain the Composition and metabo- * Lecture * Short

metabolism of lism of Carbohydrates discussion Answer
carbohydrates * Types, structure, * Demonstra- questions
composition and uses - tion of * Objective
Monosaccharides - Laboratory Type
Disaccharides tests
- Polysaccharides
- Oligosaccharides
* Metabolism
III 6 Pathways of glucose:
- Glycolysis –
- Gluconeogenesis:
Cori's cycle,
Tricarboxylic acid (TCA)
cycle - Glycogenolysis
- Pentose phosphate path-
ways (Hexose monophos-
phate)-Regulation of
blood glucose Level
Investigation and their
Interpretations
35
 * Describe the Composition of Vitamins * Lecture
types, and Minerals discussion
composition * Vitamins and minerals: * Demon-
and utilization of - Structure stration of
Vitamins & minerals - Classification Laboratory
VI 2 - Properties tests
- Absorption
- Storage & transportation
- Normal concentration
Investigations and their
interpretations

* Describe Immunochemistry * Lecture * Short an

Immunoche * Immune response discussion swer
mistry * Structure and * Demonst questions
classification of ration of * Objective
immunoglobins Laboratory Type
* Mechanism of antibody tests
production
* Antigens: HLA typing
* Free radical and Antioxi
dants
* Specialised Protein:
VII 3
Collagen, Elastin,
Keratin, Myosin, Lens
Protein
* Electrophoretic and
Quantitative
determination of
immunoglobins
–ELISA etc., Investigations
and their Interpretations
Transgender Nursing
Curriculum Targeted
hormone levels in
Transmen and
transwoman
Bibliography:
Textbook:
1. Vasudevan (DM), Text Book of Biochemistry, J.P.Brothers Publication New Delhi, 3rd Edition, 2001.
Suggested Reading:
1. Lehninger, Principles of Biochemistry, Worth Publishers, New York, 3rd Edition, 2002.
2. Striyer (L), (1988). Biochemistry, Freeman & Company, New York, 3rd Edition, 1988.
3. Muray (RK), Harper's Illustrated Biochemistry, McGraw Hill, New Delhi, 27th Edition, 2006

36
 MODEL OF A BLUEPRINT FOR BIOCHEMISTRY
QUESTION PAPER – B.Sc.(N)

Each paper shall contain Total marks: 30

4 Short Answer Questions (SAQ) for 5 marks 4 x 5 = 20
5 Very Short Answer Questions (VSAQ) for 2 marks 5 x 2 = 10

Knowledge/ Recall Understanding Application

Sl. Marks SAQ VSAQ SAQ VSAQ SAQ VSAQ
Unit Weightage
No Allotted (5) (2) (5) (2) (5) (2)

1. I & II 32.4% 9 1 1

2. III 32.4% 9 1 1

3. IV 5.7% 2 1 1#

4. V 11.4% 4 1 1

5. VI 5.7% 2 1

6. VII 11.4% 4 1

Total 100% 30 4 SAQ , 5 VSAQ

Note: - # choice question

Questions selected should be of
70% Understanding, 15% Application, 15% Recall
Note: Questions assessing the students
• Knowledge/ Recall should not exceed 15%
• Understanding should not exceed 70%
• Application should not exceed 15%

37
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
BIOCHEMISTRY
MODEL QUESTION PAPER I YEAR B.Sc (N) SECTION – B

Instructions:
Answer all the questions. Total Marks: 30
Draw diagrams wherever necessary

Short answer questions

Answer any 4 questions 4 x 5 = 20
1. Illustrate fluid mosaic model and its involvement in transport mechanisms. (2+3)

2. Write a note on any one organ and hormonal regulation of blood glucose level. (2.5+2.5)

3.What are lipoproteins? Name the different types and write their functions. (1+1+3)
4. How does metabolic alkalosis differ from respiratory alkalosis? Explain the cause and compensatory
mechanism involved. (2+3)
5. Describe the formation of urea from ammonia. (5)

Very short answer questions

Answer the following 5 x 2 = 10
6. Write the normal value for fasting and post prandial glucose. (1+1)

7. Give any 2 differences between prokaryotic & Eukaryotic cell. (2)

8. Write any two conditions of edema due to hypoproteinemia. (2)

9. Name any 2 serum enzyme marker in myocardial infarction. (2)

10. Recall any one abnormality of collagen structure & its function. (1+1)

38
 BLUE PRINT OF QUESTION PAPER – NUTRITION
I year B.Sc Nursing
Total Marks: 45
1. Short answer questions (SAQ) of 5 marks each 5x5 =25
2. Very short answer questions (VSAQ) of 2 marks each 10x2=20

Understanding Application
Marks Weightage Knowledge
Unit Objectives/content area (Interpretation) (Problem Solving)
allotted (%) (Recall)
SAQ VSAQ SAQ VSAQ SAQ VSAQ
I Introduction Nutrition 2 4.5 1* 1

II Carbohydrates 7 15.5 1 1

III Fats 7 15.4 1 1

IV Proteins 7 15.5 1 1

V Energy 5 11.1 1
VI Vitamins 2 4.5 1

VII Minerals 4 8.9 1 1

VIII Water & Electrolytes 2 4.5 1

IX Cookery rules and preservation of 2 4.5 1

nutrients
X Balanced Diet 2 4.5 1

XI Role of Nurse in Nutritional Programs 5 11.1 1

Total 45 100% 6 SAQ & 10 VSAQ

*Choice question can be taken from this unit.

Questions selected should be of 70% Understanding
15% Application
15% Recall
Note: questions accessing the students Knowledge/Recall should not exceed 15%
Understanding should not exceed 70%
39
Application should not exceed 15%
 SRI BALAJI VIDYAPEETH UNIVERSITY
KASTURBA GANDHI NURSING COLLEGE
Pillaiyarkuppam, Pondicherry- 607 402.
I YEAR B.SC NURSING DEGREE EXAMINATION
NUTRITION

Time: 1 1/2 Hrs Total Marks: 35

SECTION - A (45 Marks)
MAX Marks: 75
Time 3 hrs
I. Short answer questions (Any 5)
1. Explain Digestion of carbohydrate
2. Explain Factors affecting basal metabolic rate
3. Classify fats and brief recommended daily allowances
4. Explain Nutritional anthropometry
5. Explain Nutritional problems in India
6. Explain the functions of Proteins
II. Very Short answer questions 10X2=20
7. Write the unit of energy
8. List Dietary Sources of carbohydrate
9. Sources of visible fat
10. Define scurvy
11. List Function of calcium
12. Describe the Iodine Deficiency
13. Define dehydration
14. Explain steps under menu Planning
15. List out methods of cooking Construct some strategies to prevent Vitamin A deficiency

40
 NURSING FOUNDATIONS

Placement: FIRST YEAR Hours of Instruction:

Theory : 265 Hours
Lab : 200 Hours
Practical: 450 Hours
Course Description:
This course is designed to help the students to develop an understanding of the philosophy, objectives,
theories and process on nursing in various supervised clinical settings. It is aimed at helping the students
to acquire knowledge, understanding and skills in techniques of nursing and practice them in Supervised
Clinical Settings

Time Assignment
Unit Objectives Skills Assignments
(hrs) Method
* Describe the Introduction * Lecture *Essay type
concept of * Concept of Health: Health Discussion *Short
Health, Illness Illness continuum * Visit to answers
and Health Health *Objective
* Factors influencing Health
care agencies care type
* Causes and risk factors for agencies
developing illness
* Body defenses: Immunity
and Immunization
* Illness and Illness behaviour
* Impact of illness on patient
and family
* Health care services: Health
Promotion and Prevention,
Primary care, Diagnosis,
Treatment, Rehabilitation and
Continuing care
* Health care teams
I 10
* Types of health care agencies
* Hospitals: Types, Organiza
tion and Functions
* Health promotion and levels
of disease prevention
* Primary Health Care and its
delivery: Role of nurse
Palliative Curriculum
* Impact of illness on patient
and family.
* Disease as an experience
patient as a person with
physical, emotional,
psychosocial and spiritual
concerns.
* Health care services
Continuing care palliative care
end of life care Quality of life:
meaning, example.
41
 * Explain Nursing as a profession * Lecture * Essay type
concept and * Definition and Discussion * Short
scope of Characteristics of a * Demonstra- answers
nursing Profession tion * Objective
* Describe * Nursing: -Definition, Con * Labpractice type
values, code of cepts, Philosophy, * Supervised
ethics and Objectives clinical
professional * Characteristics, nature and practice
conduct for scope of nursing practice
nurses in India * Functions of nurse
* Qualities of a nurse
* Categories of nursing
personnel
II 16 * Nursing as a profession
* History of nursing in India
* Values: Definition, Types,
Values clarification and
values in professional
Nursing: Caring and
Advocacy
* Ethics:
* Definition and ethical
principles
* Code of ethics and
professional conduct for
nurses.
* Palliative Curriculum
Ethics underlying human
interaction, respect, trust and
confidentiality Ethical and

42
 * Explain the * Lecture * Essay type
admission and Hospital Admission and Discussion * Short
discharge Discharge * Demonstra- answers
procedure * Admission to the hospital tion * Objective
* Perform the * Unit and its preparation: * Lab practice type
admission and Admission bed * Supervised
discharge * Admission procedure clinical
procedure for all * Special considerations practice
age group of * Medico- legal issues
individuals * Roles and responsibilities of
including the nurse
III 4 transgender * Discharge from the hospital
* Types: Planned discharge,
LAMA and abscond,
Referrals and Transfers.
* Discharge Planning
* Discharge Procedures
* Special considerations
* Medico-legal issues
* Roles and responsibilities of
the nurse
* Care of the unit after
discharge Transgender
Curriculum Transgender-
Inclusive

43
 Nursing Curriculum
• Hospital admissions and dis-
charge of transgender
patients.
• Using gender neutral
terminologies verbally and
document wise.
* Communicating Communication and Nurse * Lecture * Essay type
effectively Patient relationship Discussion * Short
with patient, * Communication: Levels, * Role play & answers
families and Elements, Types, Modes, video * Objective
team members Process, Factors influencing film on the type
and maintain Communication Methods of nurses
effective effective communication: interacting
human * Attending skills with the
relations * Rapport building skills patient
(projecting * Empathy skills * Practiceses-
professional * Barriers to effective sion on
image) communication patient
* Appreciate * Helping teaching
the importance relationships * Supervised
of patient (NPR): Dimensions of clinical
teaching in Helping Relationships, practice
nursing Phases of a Helping
Relationship
* Communicating effectively
with patient, families and
IV 10 team members and maintain
effective human relations
with special reference to
communicating with
vulnerable group (children,
women, physically and
mentally challenged and
elderly)
Patient teaching: Importance,
Purposes, Process, Role of
Nurse and Integrating teaching
in Nursing Process Palliative
Curriculum Attending skills:
Active listening. Example of
good and poor communication
skill (role Play). Transgender
Curriculum Communication
with people from Transgender
community
Do's and Dont in
communication with
transgender patient.

44
V 15 *Explain the The Nursing Process * Lecture * Essay type
concept, uses, * Critical Thinking and Discussion * Short
format and Nursing Judgment * Demonstra- answers
steps of * Critical Thinking: Thinking tion
nursing and Learning * Exercise
process * Competencies, Attitudes for * Supervised
*Documents Critical Thinking, Levels of clinical
nursing critical thinking in Nursing practice
process * Nursing Process Overview:
as per the Application in Practice
format * Nursing process format: INC
Current format, Assessment:
* Collection of Data: Types,
Sources, Methods
* Formulating Nursing
judgment: Data
interpretation Nursing
Diagnosis:
* Identification of client
problems
* Nursing diagnosis statement
* Difference between medical
and nursing diagnosis
Planning: Establishing
Priorities. Establishing goals
and expected outcomes
* Selection of interventions:
Protocols and Standing
orders
* Writing the Nursing care plan
Implementation:
* Implementing the plan of
care Evaluation: Outcome
of care
* Review and Modify
Palliative Curriculum
Palliative care in functional
nursing assessment
VI 4 * Describe the Documentation and Reporting * Lecture * Essay type
purposes, types * Documentation: Purposes of Discussion * Short
and techniques Recording and reporting * Demonstra- answers
of recording * Communication within the tion * Objective
and reporting Health Care Team * Practical type
* Types of records: ward session
records, medical / nursing * Supervised
records clinical
* Common record keeping practice
forms, computerized documen-
tation
* Guidelines for reporting:
Factual basis, Accuracy,
Completeness, Correctness,
45
VII 15 * Describe the Vital signs * Lecture * Essay type
principles and * Guidelines for taking vital Discussion * Short
techniques of signs * Demonstra answers
monitoring and * Body temperature: tion * Objective
maintaining * Physiology, Regulation, * Practical type
vital signs Factors affecting body session
* Monitor and temperature * Supervised
maintain vital * Assessment of body clinical
signs temperature: sites, equipment practice
and technique, special
considerations
* Temperature alterations:
Hyperthermia, Heatstroke,
Hypothermia
* Hot and cold applications
* Pulse:
* Physiology and Regulation,
Characteristics of the pulse,
Factors affecting pulse
* Assessment of pulse: sites,
location, equipment and
technique, special
considerations
* Alterations in pulse
Respiration:
* Physiology and
regulation, mechanics
Of breathing, characteristics
of the respiration, factors
affecting respiration
assessment of respiration:
technique special
consideration alternations in
respiration
* Blood pressure:
Physiology & Regulation,
Characteristics of the blood
pressure, factors affecting
blood pressure
* Assessment of blood
pressure: sites
VIII 30 * Describe the Health assessment * Lecture * Essay type
purpose and * Purposes Discussion * Short
process of * Process of Health * Demonstra- answers
health assessment tion * Objective
assessment * Health history * Practice on type
* Describe the * Physical examination: simulators
health Methods: Inspection, Palpa- * Supervised
assessment tion, Percussion, Ausculta- clinical
of each body tion, Olfaction Preparation practice
system for examination.

46
 * Perform Patient and unit
health * General assessment
assessment of all * Assessment of each body
age group system
including * Recording of health
transgender assessment
Transgender Curriculum
Transgender-Inclusive Nursing
Curriculum
* Health assessment of Trans-
gender patients includes
Identity and Partner
confirmation social support
for transgender in history
taking format.
IX 5 * Identify the Machinery, Equipment * Lecture * Essay type
various and linen Discussion * Short an-
machinery, * Types: Disposables and * Demonstra- swers
equipment and reusable's Linen, Rubber tion * Objective
linen and their goods, Glass ware, type
care Metal, Plastics,
Furniture, Machinery
* Introduction:
* Indent
* Maintenance
* Inventory
X 60 * Describe the Meeting needs of patient * Lecture * Essay type
basic, * Basic needs Discussion * Short
physiological (Activities of Daily Living) * Demonstra- answers
and Providing safe and clean tion * Objective
psychosocial environment: * Practice type
needs of patient * Physical environment: sessions * Assess
* Describe the Temperature, Humidity, Noise, * Supervised with
principles and Ventilation, Light, Odour, clinical check list
techniques for Pest’s control practice and
meeting basic * Reduction of physical clinical
physiological hazards: fire, accidents practical
and psychosocial * Safety devices: Restraints, exami-
needs of patient Side rails, Airways, Trapez, nation
* Perform etc.,
nursing * Role of nurse in providing
assessment, plan, safe and clean environment
implement and Hygiene:
evaluate the * Factors influencing hygienic
care for practices
meeting basic, * Hygienic care: Care of the
physiological Skin
and * Bath and pressure points,
psychosocial Feet and Nail, Oral cavity,
needs of Hair care,
patient

47
Eyes, Ears and Nose
Assessment, principles,
types, equipment, procedure,
special considerations
* Patient environment: Room,
Equipment and Linen,
Making patient beds
* Types of beds and bed making
Comfort:
* Factors influencing comfort
* Comfort devices
Physiological needs:
Sleep and Rest:
* Physiology of sleep
* Factors affecting sleep
* Promoting rest and sleep
* Sleep disorders
Nutrition:
* Importance
* Factors affecting Nutritional
needs
* Assessment of nutritional
needs:
variables
* Meeting nutritional needs:
Principles, equipments,
procedure and special
considerations Oral
Enteral: Naso / Orogastric,
Gastrostomy Parenteral
Urinary elimination:
* Review of physiology of
urinary elimination,
composition and
characteristics of urine
* Factors influencing urination
* Alteration in urinary
Elimination
*Types and collection of urine
specimen: Observation,
* Facilitating urine
elimination: assessment,
types, equipments,
procedures and special
considerations
Providing urinal / bedpan
Condom drainage Perineal
care Catheterization
Care of urinary drainage
Care of urinary diversions
Bladder irrigation Bowel
elimination:
48
* Review of physiology of
bowel elimination,
composition and
characteristics of feces
* Factors affecting bowel
elimination
* Alterations in bowel
elimination
* Types and collection of
specimens of feces:
Observation
* Facilitating bowel
elimination: assessment,
equipment, procedures and
special considerations
Passing of flatus tube
Enemas Suppository
Sitzbath Bowel Wash Care
of ostomies
Mobility and Immobility:
* Principles of body mechanics
* Maintenance of normal body
alignment and mobility
*Factors affecting body
alignment and mobility
*Hazards associated with
immobility Alteration in
body alignment and
mobility
* Nursing interventions for
impaired body alignment
and mobility: Assessment,
Types, Devices used,
Method and Social
considerations,
Rehabilitation
* aspects Range of motion
exercises
* Maintaining body alignment:
positions Moving
Lifting
Transferring
Walking
Restraints
oxygenation:
* Review of cardio-vascular
and respiratory physiology
* Factors affecting
oxygenation
* Alterations in oxygenation
* Nursing interventions in
oxygenation: assessment,
types, equipments
49 used,
 procedure and special
considerations.
* Maintenance of patent
airway Oxygen
administration Suction
Inhalations: dry and moist
Chest physiotherapy and
postural drainage
Care of chest drainage Pulse
oximetry.CPR Basic life
support
* Review of physiological
regulation of Fluid and
Electrolyte and Acid- Base
balances. Fluid,Electrolytes
and Acid Base Balances.
Factors affecting fluid,
electrolytes and acid base
balances.Alterations in
Fluid and Electrolyte and
Acid- Base balances
* Nursing interventions in
Fluid and Electrolyte and
Acid-Base imbalances:
assessment, types,
equipment, procedure and
special considerations
Measuring fluid intake &
output Correcting fluid and
electrolyte imbalance:
Replacement of fluids: Oral
and Parenteral, Venipuncture,
Regulating IV Flow rates,
changing IV solutions and
tubing, changing IV
dressing Administering blood
transfusion Restriction of
fluids
* Psychosocial needs
Concepts of Cultural
diversity, stress and
adaptation, self-concept,
Sexuality.
LGBTQIA health concepts
needs healthcare,
discrimination inclusive
behavior nondiscriminatory
policies for LGBTQIA
confidentiality.
* Medico legal issues: NALSA
judgements, Decriminalization
of consensual same sex
relationship section 377
removal. 50
XI 20 * Describe Infection control in clinical * Lecture
principles and settings Discussion
techniques for * Infection control * Demonstra-
infection * Nature of infection tion
control and bio * Chain of infection * Practiceses-
medical waste transmission sions
management in * Defenses against infection * Supervised
supervised natural & acquired clinical
clinical * Hospital acquired infection Practice
settings (Nosocomial infection)
* Concept of asepsis: medical
asepsis, and surgical asepsis
* Isolation precautions
(Barriernursing):
* Hand washing : simple, hand
antisepsis and surgical
Antisepsis (scrub)
* Isolation:source &protective
* Personal protecting
equipments: types, uses and
technique of wearing and
removing
* Decontamination of
equipment and unit
* Transportation of infected
Patients
* Standard safety precautions
(Universal precautions)
* Transmission based
precautions
* Biomedical waste
management:
* Importance
* Types of hospital waste
* Hazards associated with
hospital waste
* Decontamination of hospital
waste
* Segregation and
Transportation and disposal

51
XII 40 * Explain the Administration of Medications * Lecture * Essay type
principles, * General principles / Discussion * Short an-
routes, effects considerations * Demonstra- swers
of administration * Purposes of medication tion * Objective
of medications * Principles: 5 rights, special * Practiceses- type
* Calculate considerations, prescriptions, sions * Assess
conversions safety in administering * Supervised with
of drugs and medications and medication clinical check list
dosages within errors Practice and
and between * Drug forms clinical
systems of * Routes of administration practical
measurement * Storage and maintenance of examina-
* Administer drugs and nurse's responsibil tion
drugs by the ity
following * Broad classification of drugs
routes- oral, * Therapeutic effects, side
intra dermal, effects, toxic effects,
subcutaneous, idiosyncratic reactions,
intramuscular, allergic reactions, drug
intra venous, tolerance, drug interactions
topical, * Factors influencing drug
inhalation. actions
* Systems of drug
measurement: Metric
system, Apothecary system,
Household measurements,
solutions
* Converting measurements
units: Conversion within one
system, conversion between
systems, dosage calculations
* Terminologies and
abbreviations used in
prescriptions of medications
* Oral Drugs Administration:
Oral, Sublingual and Buccal
equipment, procedure
* Parenteral General
principles; decontamination
and disposal of syringes and
needles
* Types of parenteral therapies
* Types of syringes, needles,
canula and infusion sets
* Protection from needle stick
injuries; Giving medications
with a safety syringe

52
* Routes of parenteral
therapies: Intra dermal:
purposes, site, equipment,
procedure, special
considerations Subcutaneous:
purposes, site, equipment,
procedure,
* Special considerations
Intramuscular: purposes,
site, equipment, procedure,
special considerations Intra
venous: purposes, site,
equipment, procedure,
special considerations
* Advanced techniques:
epidural, intra thecal, intra
osseous, intraperitoneal,
intra plural, intra-arterial
Role of nurse
* Topical Administration:
purposes, site, equipment,
procedure, special
considerations
* Application to skin
* Application to mucus
membrane: Direct
application of liquids
Gargles and swabbing the
throat Insertion of Drug
into body cavity:
* Suppository / medicated
packing in rectum /
vagina
* Instillation: Ear, Eye, Nasal,
Bladder, Vaginal, Rectal
* Irrigations: Ear, Eye, Nasal,
Bladder, Vaginal, Rectal
* Spraying: Nose and Throat
* Inhalation: Nasal, oral,
endotracheal/tracheal
(steam, oxygen and
medications)
* purposes, types equipment,
procedure, special
considerations
* Recording and reporting of
medications administered

53
XIII 10 * Describe the Meeting needs of peri operative * Lecture * Essay type
pre and post- patients Discussion * Short an-
operative care * Definition and concept of * Demonstra- swers
of patients perioperative nursing tion * Objective
* Explain the * Preoperative phase: * Practiceses- type
process of - Preparation of patient for sions * Assess
wound healing surgery * Supervised withcheck
* Explain the * Intra operative: clinical list and
principles and - Operation theatre setup and practice clinical
techniques of environment practical
wound care - Role of nurse examin
* Perform care * Post-operative phase: ation
of wounds - Recovery unit
- Post-operative unit
- Post-operative care
* Wounds:types,classifications,
wound healing process,
factors affecting wound,
complications of wound
healing
* Surgical asepsis
* Care of the wound: Types,
equipments, procedure,
special considerations
- Dressings, suture care
- Care of drainage
- Application of bandages,
binders, splints and slings
- Heat and Cold Therapy
XIV 15 * Explain the Meeting Special Needs of the * Lecture * Essay type
care of patients Patient Discussion * Short an-
having * Care of the patients having * Casediscus- swers
alterations in alteration in sion * Objective
body * Temperature (hyper and * Supervised Type
functioning hypothermia): Types, clinical
Assessment, Management practice
* Sensorium(unconsciousness):
Assessment, Management
* Urinary elimination
(retention and
incontinence): Assess-
ment, Management
* Functioning of sensory
organs (visual and hearing
impairment)
* Assessment of self-care ability
* Communication methods
and special considerations
* Mobility (physically
challenged, cast): Assessment
of self-care ability Commu-
nication methods and special
considerations
54
 * Mental status (mentally
challenged): Assessment of
self-care ability
* Communication methods
and special considerations
* Respiration (distress): Types,
Assessment, Management
* Comfort(pain): Nature,Types,
Factors influencing pain,
Coping, Assessment.
* Treatments related to gastro
intestinal system: Nasogastric
suctioning, Gastric irrigation,
Gastric analysis
Palliative Curriculum
Bed sore/pressure ulcer/
decubitus stages
&management.
XV 5 * Explain care Care of Terminally ill patients * Lecture * Essay
of terminally * Concepts of loss, grief, griev Discussion types
ill patient ing process * Demonstra- * Short an-
* Signs of clinical death tion swers
* Care of dying patient: special * Casediscus-
considerations, Advance sion/ Role
directives euthanasia, will, play
dying declaration, organ * Practiceses-
donation. sion
* Medico Legal issues * Supervised
* Care of dead body: clinical
equipment, procedure and practice
care of unit
* Autopsy
* Embalming
Palliative Curriculum
Advance Directives,
Euthenesia signs of dying-
clinical death cultural/ aspects
in case of dying religious
End of life care
Grief & Bereavement
XVI 6 * Explain the rofessional nursing concepts
P * Lecture * Essay
basic concepts and practices Discussion types
of conceptual * Conceptual and theoretical * Short
and theoretical models of nursing practice: answers
models of Introduction to models-holistic
nursing model, health belief model,
health promotion model
* Introduction to theories in
nursing-Peplau's,Handerson's,
Orem's,Neuman's,Rogers'and
Roy's
*Linking theories with
55
nursing process
Bibliography:
Textbook:
1. Potter & Perry, Fundamentals of Nursing, Elsevier, 6th P Edition.
Reference:
1. Hark reader, Fundamentals of Nursing: Catering and Clinical Judgment, Elsevier, 3rd Edition
2. Kozier, Fundamentals of Nursing: Concepts, Process & Practice, Pearson, 7th P Edition
3. Taylor, Fundamentals of Nursing: Arts and science of Nursing Process, Saunders, 7th Edition.
4. Fuller, Health Assessment: Nursing Approach, Lippincott, 3rd Edition
5. Ackley (BJ), Nursing Diagnosis Handbook: An evidence-based guide to planning care, Mosby,
8th Edition
6. Craven, Fundamentals of Nursing: Human health & function, LWW, 5th Edition.

56
 NURSING FOUNDATIONS - PRACTICAL

Placement: FIRST YEAR Hours of Instruction:

Practical: 450 hrs
Course Description:
This course is designed to help the students to develop an understanding of the philosophy, objectives,
theories and process of nursing in various clinical settings. It is aimed at helping the students to acquire
knowledge, understanding and skills in techniques of nursing and practice them in clinical settings

Time Assignment
Unit Objectives Skills Assignments
(hrs) Method
* Describe the Hospital admission and * Practice in * Evaluate
concept of discharge (III): Unit / with
Health, Illness * Admission hospital check list
and Health * Write * Assess-
care agencies * Prepare unit for new patient
* Prepare admission bed nursing ment of
process clinical
* Perform admission records of perfor
procedure patient mance
* New patient * Simulated withrating
* Transfer in -1 scale
* Prepare patient records * Actual -1 * Comple-
Discharge / Transfer out: * Observation tion of
study -2 Practical
* Give discharge counseling record
* Department
* Perform discharge procedure of Infection * Assess-
(Planned discharge, LAMA, control & ment
Abscond, Referrals and CSSD of Nursing
Transfers) * Visits Process
* Prepare records of CSSD, records
Write ob- with
discharge/ transfer checklist
I 650 servation
* Dismandle, and disinfect report -1 * Assess-
unit and equipment after * Collection ment
discharge/transfer of samples of actual
Perform assessment: for culture care given
* Do clinical withrating
* History taking, Nursing
posting in scale
diagnoses, Problem list, Assess
infection
Prioritization, Goals and control observa-
Expected outcomes, department tion study
Selection of interventions and write withcheck
* Write Nursing Care Plan report list
* Give care as per the plan * Practice in * Evaluate
lab / ward all
- Assist patient in moving, procedures
lifting, transferring, walking withcheck
- Restraints Oxygen adminis- list
tration Suctioning: Oral
pharyngeal, Naso pharyngeal
Chest physiotherapy and
postural drainage

57
Care of chest drainage CPR:
Basic life support
Intravenous therapy Blood
and blood component
therapy Collect/assist for
collection of specimens, for
investigations Urine,
sputum, feces, vomitus,
blood and other body fluids
Perform lab tests: Urine:
Sugar, Albumin, Acetone
Blood: Sugar (with strip
/ Glucometer) Hot and Cold
applications: Local and
general Sitzbath Com-
municating and assisting
with self-care of visually and
hearing impaired patients
Communicating and
assisting with self-care of
mentally challenged /
disturbed patients
Recreational and Diversional
therapies Caring of patients
with alterations in
sensorium Infection control
* Perform following
procedures:
- Hand washing techniques
- (Simple, hand antisepsis and
Surgical antisepsis (scrub)
- Prepare isolation unit in lab /
ward
- Practice technique of
wearing and removing
Personal protective
equipment (PPE)
- Practice Standard Safety
precautions (Universal
precautions)
Decontamination of equipment
and unit:
* Surgical asepsis:
- Sterilization
- Handling sterilized equipment
- Calculate strengths of lotions
- Prepare lotions
* Care of articles
Pre and post-operative care:
* Skin preparations for surgery:
Local
* Preparation of post-operative
58
* Pre and post-operative
teaching and counseling
* Pre and post-operative moni-
toring Care of the wound:
-Dressings, Suture care,
Care of drainage,
Application of Bandages,
Binders, Splints and Slings-
Bandaging of various body
parts Administration of
medications
* Administer medications in
different forms and routes
* Oral, Sublingual and Buccal
* Parenteral: Intra dermal,
Subcutaneous,Intramuscular,
etc.,
* Assist with Intravenous
medications
* Drug measurements and dose
calculations
* Preparation of lotions and
solutions
* Administer topical applications
* Insertion of drug into body
cavity: Suppository and
medicated packing etc.,
* Instillation of medicines and
spray into Ear, Eye, Nose and
Throat
* Irrigations: Eye, Ear,
Bladder, Vagina and
Rectum
* Inhalations: Dry and Moist
Care of dying patient
* Caring and packing of dead
body
* Counseling and supporting
grieving relatives
* Terminal care of the unit

59
 BLUE PRINT OF QUESTION PAPER NURSING FOUNDATION
Total Marks: 75 Placement I Year B.Sc. (N)

• Each paper shall contain

• 2 Long Answer Questions (LAQ) for 10 marks 10 x 2 = 20
• 7 Short Answer Questions (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75
KNOWLEDGE/ UNDERST
APPLICATION
RECALL ANDING
S.No UNIT MARKS LA SA VSA VSA LA SA
WEIGHT LA SA VSA
ALLOT Q10 Q5 Q2 Q2 Q10 Q5
AGE (%) Q10 Q5 Q2
TED
1 Introduction 2 2 1
Nursing as a Pro-
2 7 5 1
fession
Hospital Admis-
3 sion and Dis- 5 2+2=4 1 1
charge
Communication
4 And Nurse Pa- 2 2 (5*) 1 1*
tient Relationship
The Nursing Pro-
5 7 5 1
cess
Documentation
6 7 5 1
And Reporting
7 Vital Signs 9 5+2=7 1 1
Health Assess-
8 13 10 1
ment
9 Machinery, 3 2 1 `
Meeting Needs of
10 13 10 1
patient
Infection control
11 7 5 1
in clinical settings
Administration of
12 7 5 1
drugs
Meeting Needs
13 of Peri operative 3 2 1
Patients
Meeting special
14 need of the Pa- 3 2 1
tient
Care of Termi-
15 5 2+2=4 1 1
nally ill patients
Professional
16 Nursing concepts 7 5 1
and practices

*choice question may be taken from the same unit

60
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
MODEL QUESTION PAPER FOR I YEAR B.Sc (N)
NURSING FOUNDATION
Total Marks: 30
I. LONG ANSWERS: 2x10=20
1. a. Define Health assessment (2)
b. List purposes of health assessment (3)
c. Explain the steps involved in physical examination? (5)
2. a, Define Sleep (2)
b. Explain Urine elimination and Bowel elimination (3)
c. Explain the methods of oxygen administration? (5)
II. SHORT ANSWERS: (Answer any 7) 7X5=35
3. Explain the code of ethics?
4. Explain about the principles of communication?
5. Explain the types of record?
6. Construct the Nursing care plan for client with hyperthermia?
7. Explain principles of Administration of Medication?
8. Enumerate the measures to prevent cross infection
9. Explain Components of Nursing Process?
10. Explain Health Promotion Model?
II. VERY SHORT ANSWERS: 10X2=20
11. Define health?
12. List out the types of admission?
13. Classify the types of discharge?
14. Write the uses of IPR?
15. Formula for Fahrenheit to centigrade?
16. Define disposal with an example?
17. Define Peri-operative Nursing
18. Define Grief
19. Define urinary retention?
20. List out the Medico- Legal Issuses.

61
 PSYCHOLOGY

Placement: FIRST YEAR Hours of Instruction:

Time: Theory: 75 Hrs
Course Description:
Course Description: This course is designed to assist the students to acquire knowledge of fundamental
of psychology and develop an insight into behavior of self and others. Further it is aimed at helping them
to practice the principles of mental hygiene for promoting mental health in nursing practice.

Time Assignment
Unit Objectives Skills Assignments
(hrs) Method
Describe the history Introduction * Lecture * Essay type
scope & methods * History & origin of science of Discussion * Short
of psychology psychology Answers
* Definitions & scope of psy-
chology
* Relevance to nursing
I 5
* Methods of psychology
* Schools/thoughts of
psychology structuralism,
functionalism
,behaviourism, gestalt
psychology and
psychoanalysis emotion.
Explain the * Biology of behaviour * Lecture * Essay type
biology of * Body mind relationship – Discussion * Short
Human modulation process in health Answers
behaviour and illness
* Genetics and behaviour:
Heredity and environment
* Brain and behaviour:
Nervous System, Neurons
II 5
and synapse
* Association Cortex, Rt. And
Lt. Hemispheres Psychology
of Sensations
* Muscular and glandular
controls of behaviour
* Nature of behaviour of an
organism / Integrated
response
Describe various Cognitive Processes * Lecture * Essay type
cognitive * Attention: Types, determi- Discussion * Short
processes and nants, Duration & Degree, * Psychomet- answers
their Alterations ric assess-
ment
III 20 applications * Perception: Meaning, Prin- * Practiceses-
ciples, factors affecting, sions
Errors
* Learning: Nature, Types,
learner and learning, Factors
62 Laws and Theo
influencing,
 ries, process,
transfer, study habits
* Memory: Meaning, Types,
Nature, Factors influencing,
Development Theories and
methods of Memorizing and
Forgetting Thinking: Types
and levels, abstraction and
generalization, creative
thinking. Stages of
development, Relationship
with language and
communication Intel-
ligence: Meaning, Classifica-
tion, Uses, Theories
Aptitude; Concept, Types,
Individual differences and
Variability
* Psychometric
assessments of cognitive
processes
* Alterations in cognitive
processes
* Applications
* Describe motiva- Motivation and Emotional * Lecture * Essay
tion, emotions, Processes: Discussion type
stress attitudes * Motivation: Meaning, Con- * Role plays * Short
and their Casediscus- Answers
cepts, Types, Theories, Mo-
sion
influence on tives and behaviour, sex Demonst
behaviour motive and healthy attitude ration
to sex. Conflicts and
frustration, conflict
resolution
* Emotion & Stress
-Emotion:Definition,
concept, types components,
Changes in emotions,
IV 10
theories, emotional
adjustments,
Grief &Bereavement,
emotions in health and
illness - Stress: Stressors,
cycle, effect, adaptation &
coping
* Attitude: Meaning, nature,
development,factorsaffecting
- Behaviour and attitudes
-Attitudinal change
* Psychomentric assessments
of emotions and attitudes
* Alterations in emotions
* Applications
Personality
63
 * Explain the * Definitions, Topography, * Lecture * Essay type
concepts of Types, Theories – Freud, Discussion * Short
personality and Erickson,Sheldon,Dollard& * Demonstra- Answers
its influence on Miller’s tion
V 10 behaviour * Psychometric
assessments of personality
* Alterations in personality
* Applications
* Describe the Developmental Psychology * Lecture * Essay type
psychology of * Psychology of people at dif- Discussion * Short
people during ferent ages from infancy to * Case Dis- Answers
the life cycle old age cussion
* Psychology of vulnerable
individuals – challenged,
women, sick, etc.,
* Psychology of groups
VI 10 Transgender Curriculum
Transgender-Inclusive Nursing
Curriculum
* Recent terminologies:
Gender dysphoria, change to
gender incongruence,
theories of transgenderism
psychological assessment of
a Transgender patient
Describe the Mental Hygiene and Mental * Lecture * Essay
characteristics Health Discussion type
of Mentally * Concepts of mental hygiene * Case Dis- * Short
cussion Answers
Healthy person and mental health
* Role play
Explain Ego * Characteristics of mentally * Demonstra
defense healthy person tion
mechanisms * Warning signs of poor mental
health
* Promotive and preventive
VII 10 mental health–strategies and
services
* Ego defense mechanisms and
implications
* Personal and social adjust-
ments
* Guidance and Counseling -
Definition, Types, Principles
Characteristics of counselor
* Role of Nurse
* Explain the Psychological assessment &tests * Lecture Assessment
Psychological * Types, Development, Discussion of Practice
assessments Characteristics, Principles, * Demonstra-
VIII 5 tion
and role of nurse Uses, Interpretations and
* Practiceses-
Role of nurse in sions
psychological assessment

64
Bibliography :
Textbook:
1. Morgon (CT), Introduction to Psychology, Tata McGraw Hill, New Delhi, 20th edition, 2003.
Suggested References:
1. Atkinson (RL), Hilgard's Introduction to psychology, Harcourt college publishers, Philadelphia, 13th
edition, 2000.
2. Shelley, Taylor's Health Psychology, Tata McGraw hill publishing co. Ltd, Sidney, 6th
PEdition 006.
3. Santrock (JW), Educational Psychology, Tata McGraw Hill Pub. Co. Ltd., Sidney 2006.
4. Fernald (L.D) Introduction to Psychology A.I.T.B.S. Pub. New Delhi 2006.
5. Mangal (SK), Advanced Educational Psychology, Pentice Hall of India, New Delhi, 2nd dition, 006.
6. Gross (R), Psychology for Nurses and Allied Health Professionals, Hodder Arnold, London, 2007.
Bhatia, Elements of Educational Psychology & Mental Hygiene, Orient Longman, Hyderabad.

65
 •
•
•

•
Knowledge/ Recall Understanding Application
Sl. Marks LAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
Unit Weightage SAQ(5)
No Allotted (10) (2) (10) (5) (2) (10) (5) (2)

1
Total Marks: 75

1 Unit – I
7% 5
Introduction

Unit II – Biology
2 3% 2 1
Each paper shall contain

of behavior

Unit III –
3 Cognitive 12% 9 1* 1 2
processes

* Choice Question to be taken from that unit.

Unit IV –
Motivation
4 12% 9 1 1 1
& emotional
2 Long Answer Questions (LAQ) for 10 marks

processes

66
7 Short Answer Questions in 8 (SAQ) for 5 marks

Unit V –
10 Very Short Answer Questions (VSAQ) for 2 marks

5 25% 19 1 1 1 1
Personality
Placement I Year B.Sc. (N)

Unit VI –
6 Developmental 22% 17 1 1 1
psychology

Unit VII – Mental

7 hygiene & Mental 12% 9 1 1 1
BLUE PRINT OF QUESTION PAPER – PSYCHOLOGY

health

Unit VIII – 1
Psychological
8 7% 5
7 x 5 = 35

assessment and
2 x 10 = 20

75
10 x 2 = 20

test

Total 100% 75
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
I Year B.Sc (N) Degree Examination
PSYCHOLOGY
Model Question Paper

Time: 3 Hrs Max Marks: 75

I. LONG ANSWER QUESTIONS: 2X10=20

1. Define Personality, Explain the Development of Personality.
2. What is development? Explain the psychological needs of patients at various stages of development.
II. SHORT ANSWERS QUESTIONS: (Answer any 7) 7x5=35
3. Briefly explain the various fields of psychology.
4. Explain the factors of changing attention.
5. Explain how you will improve memory.
6. Explain various unlearned motives.
7. Briefly write note on psychoanalytic theory.
8. Explain the developmental aspects of childhood.
9. Explain the qualities of a counsellor.
10. Write a note on the role of staff nurse in application of psychological test.
III. VERY SHORT ANSWER QUESTIONS 10X2=20
11. What is hereditary endowment?
12. Define learning.
13. A 20 years old girl got a score of 13 in intelligence test. What is her IQ?
14. What is motivation?
15. Self-actualization.
16. What is meant by character?
17. Name the theory of personality proposed by Erickson.
18. What is meant by Juvenile Delinquency?
19. Define mental health.
20. Differentiate guidance and counseling.

67
 MICROBIOLOGY

Placement: FIRST YEAR Hours of Instruction:

Theory: 75 Hours
Course Description:
Course Description: This course is designed to enable students to acquire understanding of
fundamentals of Microbiology and identification of various micro-organisms. It also provides opportunities
for practicing infection control measures in hospital and community settings.

Time Teaching
(hrs) Learning Assignment
Unit Content Learning
Objectives Method
Th Prac Activities
* Explain Introduction: * Lecture * Short
concepts and * Importance and relevance to Discussion answers
principles of nursing on * Objective
I 5 5 microbiology type
* Historical perspective
and their
importance * Concepts and terminology
in nursing * Principles of microbiology
* Describe General Characteristics of *Lecture Short
structure, Microbes Discussion answers
classification * Structure and *Demonstra- Objective
morphology tion type
classification of Microbes
and growth of
bacteria * Morphological types
* Identify * Size and form of bacteria
Micro * Mortality Colonization
organism * Growth and nutrition of
microbes Temperature,
Moisture, Blood and body
fluids
* Laboratory methods for
II 10 5 Identification of Micro
organisms
* Staining techniques, Gram
staining, Acid fast stain- ing,
Hanging drop preparation
* Culture; various medias
* Identification of disease
producing
microorganism’s collection,
handling and transportation
of various specimens
* Sterilization types & methods
* Disinfection types
&methods
* CSSD

68
 Explain the * Immunology Lecture Short
concept of * Immunity – Types, Discussion answers
immunity, classification * Demonstra- * Objective
hyper * Antigen and antibody tion Type
sensitivity and * Visits to
reaction
immunization CSSD
* Hypersensitivity – skin test * Clinical
III 15 2 Serological test practice
* Immuno prophylaxis
* Vaccines & sera-Types &
Classification, storage and
handling, cold chain
* Immunization for various
diseases
* Immunization Schedule
* Describe the Infection control * Lecture * Short
methods of * Infection: Sources, portals of Discussion answers
infection entry and exit, transmission * Demonstra- * Objective
control tion type
* Asepsis Disinfection: Types
* Identify the * Visits to
role of nurse in and methods Sterilization; CSSD
hospital Types and methods * Clinical
Infection * Chemotherapy and antibiotics practice
Control * Standard safety measures
Programme * Biomedical waste
IV 15 4
management
* Role of Nurse Hospital
acquired infection
* Hospital infection control
programme Protocols,
collection of samples,
preparation of report and
status of rate of infection in
the unit/ hospital, nurse’s
accountability, continuing
education etc.,
Describe the Pathogenic organisms * Lecture * Short
different Micro-organisms Discussion answers
disease * Cocci-gram positive and * Demonstra- * Objective
producing tion Type
Gram Negative
organisms * Clinical
* Bacilli-gram positive Practice
and gram negative
* Spirochaete
* Mycoplasma
* Rickettsiae
V 10 4
* Chlamydiae
* Viruses
* Fungi-Superficial and Deep
mycoses
* Parasites
* Rodents & vectors
Characteristics, Source,
portal of entry, transmission
of infection
69
Bibliography:
Textbook:
1 Ananthanarayanan (R), Textbook of Microbiology, Orient Longman Ltd., Madras, 1994.
Suggested References:
1. Bhatia (R), Essentials of Medical Microbiology, J.P Brotheres Publishers, New Delhi, 3rd Edition,
004.
2. Ichhpujani (RL), Microbiology for Nurses, J.P Brotheres Publishers, New Delhi, 2nd Edition, 2003

70
 BLUE PRINT OF QUESTION PAPER -MICROBIOLOGY
I year B.Sc. NURSING

Total Marks: 75
EACH PAPER SHOULD CONTAIN
2 LONG ANSWER QUESTION (LAQ) FOR 10 MARKS 10X2=20
7 SHORT ANSWER QUESTIONS (SAQ) FOR 5 MARKS 7X5=35
10 VERY SHORT ANSWER (VSAQ) FOR 2 MARKS 10X2=20
Total 75

KNOWLEDGE/ UNDERST
APPLICATION
MARKS RECALL ANDING
WEIGHT
S.No UNIT ALLOT LA SA VSA LA SA VSA LA SA VSA
AGE (%) Q Q Q Q Q Q Q Q Q
TED
10 5 2 10 5 2 10 5 2
UNIT-I
1 Introduction of 7% 5 1
microbiology
UNIT-II
2 Classification of 1*
microbes
UNIT-III
3
Infection
control
Sterilization 16% 12 1 1
Hospital waste
management/
12% 9 1 1 1
Hospital Infection
control
UNIT-IV
4 Pathogenic
organisms
AppliedBacteriol
23% 17 1 1 1
ogy
Applied Virology 12% 9 1 1 1
Parasitology 9% 7 1 1
Mycology 9% 7 1 1
UNIT-V
5 12% 9 1 1 1
Immunology
100% 75

Note *-Choice question

Questions selected should be of 70% Understanding 15% Application 15% Recall
Note: Questions assessing the students
• Knowledge / Recall should not exceed 15%
• Understanding should not exceed 70%
• Application should not exceed 15%
71
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
I year B.Sc Nursing- Model Question paper
MICROBIOLOGY

Time: 3 Hrs Max Marks: 75

Instructions:
1. Answer the questions in order
2. Explain your answers with suitable diagrams wherever necessary.
I. Long Answer Question: (2x10=20)
1 Define the terms sterilization. Discuss the role of moist heat in sterilization and their sterility
control methods. (2+5+3)
2. Name various organism causing sore throat and discuss in detail the laboratory diagnosis of
diphtheria. Brief about prophylaxis of Diphtheria. (2+4+4)
II. Short Answer Question. Answer any seven: (7x 5 =35)
3. Describe the gram staining procedure.
4. Write a short note on Biomedical waste management.
5. Difference between active and passive immunity.
6. Describe the life cycle of roundworm.
7. Describe the prophylaxis of polio virus.
8. Describe the lab diagnosis of tuberculosis.
9. Describe the disinfectant.
10. Write short notes on universal precaution.
III. Very Short Answer Questions: Answer any ten (10x 2 = 20)
11 .Name the four RNA virus.
12. Define immunity.
13. Name two examples of enrichment media.
14. Name four live attenuated vaccine.
15. Dermatophytes.
16. Name four dimorphic fungus.
17. RPR.
18. List the hemorrhagic causing virus.
19. Needle stick injury.
20. List the causative agents of malaria.

72
 ENGLISH

Placement: FIRST YEAR Hours of Instruction:

Time: Theory: 60 Hrs
Course Description:
The Course is designed to enable students to enhance ability to comprehend spoken and written
English (and use English) required for effective communication in their professional work, Students will
practice their skills in verbal and written English during clinical and classroom experiences.

Time Assignment
Unit Objectives Skills Assignments
(hrs) Method
* Speak and * Review of Grammar * Demon- * Objective
write * Remedial study of Grammar strate use of Type
grammatically * Building Vocabulary dictionary * Fill in the
correct English * Class-room blanks
* Phonetics * Para
* conversa-
* Public Speaking tion phrasing
I 10
* Exercise
on use of
Grammar
Practice in
public
speaking
* Develop * Read the comprehend * Exercise: * Short
ability to read prescribed course book * Reading answers
understand * Summariz- * Essay
II 30 express ing type
meaningfully * Comprehen-
the prescribed text sion
* Develop * Variousformsofcomposition Exercises on Assessment
writing skills Letter writing writing of the skills
* Note taking - Letter writ- based on the
* Précis writing ing check list
- Nurses
* Nurses notes notes
* Anecdotal records - Precis
* Diary writing - Diary
* Reports on health problems - Anecdote
III 10 etc. Resume / CV - Healthprob
lems -Story
writing
- Resume/CV
Essay
writing
- Discussion
on written
reports/
documents

73
 Develop skill Spoken English Exercise on: Assessment
in spoken - Oral report - Debating of the skills
English - Discussion - Participating based on the
in seminar, check list
- Debate
IV 6 panel,
- Telephone conversation symposium
- Telephonic
conversa-
tion
Develop skill * Listening Comprehension Exercise on: Assessment
in listening -Media,audio,video,speeches -Listening to of skills
comprehension etc., audio, video based
V 4 tapes and on the check
identify the list
key points

References:
1. David (MT), English for Professional Nursing, BI Publications Pvt. Ltd., Chennai, 2007.
2. Koorkkakala (T), Communicative English for B.Sc., Nursing Students, KJ Publications, Kerala, 007.
3. Selvarose, Career English for Nurses, Orient Longmen, Hyderabad, 2008

74
 •
•
•

•
Knowledge/ Recall Understanding Application
Sl. Weight Marks LAQ SAQ VSAQ LAQ SAQ LAQ SAQ VSAQ
Unit VSAQ
No age Allotted (10) (5) (5x1=5) (10) (5) (10) (5) (2)
(5x1=5)
Total Marks: 75

1
Unit I – Grammar 46% 35 1 2 3 1
Each paper shall contain

Unit II –
2 26.66% 20 1 2
Comprehension

Unit III –
3 Composition, Nurses 20% 15 1 1
2 Long Answer Questions (LAQ) for 10 marks

reports

75
7 Short Answer Questions in 8 (SAQ) for 5 marks
10 Very Short Answer Questions (VSAQ) for 2 marks

Unit IV –
4 Communication & 6.66% 5 1
oral report

Total 100% 75
BLUE PRINT OF QUESTION PAPER – ENGLISH

7 x 5 = 35
2 x 10 = 20

10 x 2 =20
75
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
I YEAR B.Sc (N) DEGREE EXAMINATION
ENGLISH

Time: 3 Hrs Max Marks: 75

I. Long answer (2x10=20) Total = 75 marks

1. Read the passage carefully and answer briefly the questions below:

About 10 men in every 100 suffer from colour blindness in some way. Women are luckier ,since their
chance of being affected is 1 in 200 . There are different forms of colour blindness. In some case a
man may not be able to see deep red. He may think red, orange and yellow all are shades of
green. Some times a person cannot tell the difference between blue and green. In rare cases unlucky
man may see everything in shades of green- a strange world indeed. In certain occupations, colour
blindness can be dangers and candidates are tested most carefully . For example when fighting in the
jungle at night soldiers use coloured lights and flare signals to each other . A green light may advance
and red light danger keep back. You can see what will happen if somebody thinks that red is green .

Colour blindness in human beings is a strange thing to explain in a single eye, there are millions of
very things called “ cons “these help us to see things in bright light and tell the difference between
colours. There are also millions of “ rods “ and these are used for seeing when it is nearly dark. They
show as shapes but not colours.

Answer the questions (5*2= 10)

1. What is colour blindness

2. What is the ratio of its occurrence in men and women ?

3. In which occupation colour blindness dangers and how?

4. What are cones?

5. What are the functions of millions of rods?

2. Letter writing (1*10= 10)

Write a letter to your friend describing Nurses Day celebration in your college.

II. SHORT ANSWER

1. Convert the following simple sentences to compound sentences. (5x1=5)

a) You must start early to reach there in time.

b) Having gone to the college, I met the principal.

c) Being tired, we stopped the work.

d) Owing to illness, she could not attend the meeting.

76
e) Cutting an apple, I at it .

2. Rewrite the following sentences as to remove the adverb ‘too’. (5x1=5)

a) He is too proud to beg.

b) It is never too late to learn

c) Coffee is too hot to drink

d) He is too good to deceive anyone.

e) He is too old to work

3. Fill in the blanks with the suitable verbs (5x1=5)

a) One of Mr. Das’s Son a doctor

b) I speaking in English

c) Ramesh won many medal

d) yourself warm

e) off the light before you go to sleep.

4. Transform the following exclamatory sentences into assertive sentences. (5x1=5)

a) What an excellent opportunity!

b) What a piece of wood work!

c) How great Mother Teresa is!

d) What a great success!

e) How Blue her eyes are!

5. Write a precise of the following passage: (5)

Love your enemies. Do good to the who hate you. Bless those who curse you. Pray for those who
mistreat you. If someone strikes you one cheek, learn to give the other also. Give to everyone who
asks you and if anyone takes what belongs to you, do not demand it back. If you love those who love
what credit is that to you? And if you do good to those who are good to you what credit is that for you?
Even the siners do that . but love your enemies, do good to them and lend to them without expecting
back. Then your rewards will be great and you will be the sons of the most high.

6. Read the following passage and make notes: (5)

Water is more important to life than food, since man live without food for several weeks, but
can live for only a few days without water. The adult weight is approximately 70% water, the amount
varying in different parts of the body and in different tissues. It is distributed as blood, extracellular
fluids (Eg. Lymph, cerebrospinal fluid, eye fluid) and cellular fluids, which constitute 3.5%, 20%
and 50% of body weight, respectively. The gastrointestinal secretion amounts to about seven liters
per day, but most of this is reabsorbed in to the body. The cerebrospinal fluid is also secreted and
absorbed daily, but the exact quantity is unknown. Eye fluid are small amount, but there is a definite
circulation. Urine is formed continuously and is a fluid lost from the body. Sweat is also lost from

77
 the body, the amount varying with climate and work. edema, when it occurs, is a symptom of some
change in water metabolism in the body.

7. Report writing (5)

Write a detailed to the medical superintendent about the condition, who has been admitted in ICCU foe
cardiac problem.

VERY SHORT ANSWERS

1 Change the following sentences in the passive form (5x1=5)

a) I teach English to the nursing students

b) He plays cricket very well

c) He rubbed the ointment

d) The police took the jewels

e) I invited my mother

2 a) Give the antonyms (5x ½ =2 ½)

- Hate

- Heavy

- Death

- Busy

- create

b) Give the synonyms (5x ½ =2 ½)

- Kind

- Fatigue

- Lucky

- Precious

- Desire

3. Fill in with adjectives. (5x1=5)

a) This is food

b) It was a and dark night.

c) He is the person

d) English is spoken over the world.

e) The teacher has given as advice

78
4. Change the following in to Indirect speech. (5x1=5)

a) The principal said to jasper, “Have you finished the project”.

b) The teacher said to the students, “ don’t waste your time”

c) Somu said,” my mother cooks well”.

d) The teacher said to me, “You have not done well in the examination”.
e) Rama says ”I will help you tomorrow

79
 INTRODUCTION TO COMPUTERS
Placement: FIRST YEAR Time: Theory: 45 Hrs
Course Description: This course is designed for students to develop basic understanding of uses of
computer and its applications in nursing

Time Teaching
(hrs) Learning Assignment
Unit Content Learning
Objectives Method
Th Prac Activities
* Identify & Introduction: * Lecture * Short
define * Concepts of Computers Discussion answers
various Hardware and software * Demonstra- * Objective
concepts tion Type
trends and technology
used in
I 3 * Application of computers in
computer
* Identify nursing
application of
computer in
nursing
* Describe and * Introduction to disk * Lecture * Short
Use the Disk operating system Discussion answers
Operating * DOS * Demonstra- * Objective
System tion type
* Windows (all version)
* Demonstrate * Practiceses- * Practical
skill in the * Introduction sion Exam
II 6 20
use of MS * MS Word
Office * MS-Excel with pictorial
presentation
* MS-Access
* MS-Power point
* Demonstrates * Multimedia: Types and uses * Lecture * Short
skill in using * Computer aided teaching Discussion answers
multi-media and testing * Demonstra- * Objective
* Identify tion type
III 2 3 features * Practical
of computer exam &
aided Viva
teaching and Voce
testing
* Demonstrate * Use of Internet and: e-mail * Lecture * Short
use of internet Discussion answers
& Email * Demonstra- * Objective
IV 1 3 tion type
* Practiceses- * Practical
sion exam &
Viva Voce
* Describe and * Statistical packages: Types * Lecture * Short
use the statisti- and their Features Discussion answers
cal packages * Demonstra- * Objective
V 2 2 tion type
* Practice * Practical
Session exam &
Viva Voce

80
 * Describe the * Hospital Management * Lecture * Short
use Hospital System: Discussion answers
Management Types and Uses * Demonstra- * Objective
VI 1 2 System tion type
* Practical
exam &
Viva Voce

Bibliography

Textbook:

1. Jain (NC), Computer for Nurses, AITBS Publishers

2. Thacker (N), Computer for Nurses, Jaypee Publications, New Delhi, 2006.

81
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
I YEAR B.Sc (N) DEGREE EXAMINATIO
INTRODUCTION TO COMPUTERS

Time: 3 Hrs Max Marks: 75

Answer Section A & B in separate answer books

Section - A (40 Marks)

I Answer in detail: 2 x 10 = 20

1. (10)

a. What is Computer? (2)

b. List out the parts of computer (3)

c. Discuss application of computers in nursing (5)

2. (10)

a. Expand – DOS (2)

b. Define multimedia (3)

c. List out the types of multimedia (5)

I. Short Answers Question (any 5) 5 x 4 = 20

3. List out the concepts of computers

4. Define hardware & software

5. List out the uses of hospital management system

6. Define computer aided teaching & testing

7. List out the types of features of statistical packages

8. Trends & technology of computers

Section – B (35 Marks)

III. Answer any 5 of the following (short answers) 5 x 2 = 10

1. Expand MS-Power Point & MS-Word

2. How to save a document?

3. Uses of e-mail

4. Define hospital management system

82
5. Types of multimedia

6. Expand MS-Access

IV. Answer any 5 of the following (short answers) 5 x 3 = 15

7. Types of hospital system management

8. Uses of Internet

9. Features of statistical packages

10. List out the Windows version

11. How will you prepare a power point presentation?

12. Differentiate between hardware & software

V. Answer any 2 of the following (Short answers) 2x5 = 10

13. Concepts of computers

14. Uses of MS-Excel

15. Explain statistical packages

83
FOUNDATION IN YOGA THERAPY (FYT) COURSE FOR NURSING STUDENTS
SYLLABUS 90 Hrs
FIRST YEAR – During co-curricular hours

Hours Content
15 Introduction to Yoga philosophy, psychology and lifestyle
30 Introduction to Yogic techniques: Methods and practices

THEORY (15 hours)

Introduction to Yoga philosophy, psychology and lifestyle

A brief outline of the history of Yoga.

Cultivation of correct psychological attitudes.

Asanas: Definition, Types, scope and limitations of Asanas.

Pranayamas and their significance in Yogic curriculum, Types & phases of Pranayama.

Dharna and Dhyana as the keys to unlocking human potential.

Study of various aspects of Yoga: Kriyas, Bandhas, Mudras

Yoga defined as “Integration” and “Harmony”

Meaning of the term “Positive Health”

Yoga, a tool to restore homeostasis

Integration of Yoga into Health Professions Education

Order of teaching the Yogic practices. Do’s and Don’ts of specific Yoga techniques.

Applied aspects of Yoga in various human activities like therapeutics, education & sports

PRACTICAL SESSIONS (30 hours)

Introduction to Yogic techniques: Methods and practices

Surya Namaskar

Ardhakati Chakrasana

Pada Hasta

Pavana Muktasana

Trikona

Navasana

Shalabhasana

Makarasana

Bhujangasana

84
Dhanurasana

Vakrasana

Vrikshasana

Ushtrasana

Gomukasana

Yoga Mudra.

Natarajasana

Chakrasana

Sarvangasana

Matsyasana

Halasana

Shavasana

Pranayamas

Vibhaga

Pranava

Savitri

Chandra & Surya Nadi

Nadi Shuddhi
Sheetali & Sitkari

85
 II YEAR
SOCIOLOGY

Placement: SECOND YEAR Hours of Instruction:

Time: Theory : 76 Hrs
Course Description:
This course is designed to introduce the concepts of sociology related to community and social
institutions in India and its relationship with health, illness and nursing.

Time Assignment
Unit Objectives Skills Assignments
(hrs) Method
* State the Introduction * Lecture * Essay type
importance of * Definition of Sociology Discussion * Short
sociology in * Nature and Scope of the Answers
I 10 Nursing
discipline
* Importance and application
of Sociology in Nursing
* Describe the inter- Individual & Society * Lecture * Essay type
relationship of * Society and Community Discussion * Short
individual in * Nature of Society Answers
society
* Difference between Society
II 5
and Community
* Process of Socialization and
individualization
* Personal disorganization
* Describe the Culture * Lecture * Essay type
influence of * Nature of culture Discussion * Short
culture on * Evolution of culture * Panel Answers
health and Discussion
* Diversity and uniformity of
III 5 disease Culture
* Culture and socialisation
* Trans cultural society
* Influence on health and
disease
* Identify Social groups and Processes * Lecture * Essay type
various social * The meaning and Discussion * Short
groups and their classification of groups Answers
interactions * Primary & Secondary Group
* In-groupV/s.Out-group,Class
Tribe, Caste
* Economic, Political,
IV 10
Religious groups, Mob,
Crowd, Public and
Audience Interaction &
Social Processes.
* Co-operation, Competition,
Conflict
* Accommodation,
Assimilation & Isolation
86
 * Biodiversity and
its conservation
Introduction, definition, genetic
species and ecosystem
diversity.
* Biogeographical classification
of India-value of Biodiversity
- Biodiversity at global na-
tional & local levels. - India as
a mega diversity nation - Hot
spots of biodiversity - Threats
to Biodiversity: habitat loss,
poaching of wild life, man-
wild life conflicts.
-conservation of
biodiversity: In–situ and
Ex-situ conservation of
biodiversity
* Explain the * Population * Lecture * Essay type
growth of * Society and population Discussion * Short
population in * Population distribution in * Community answers
India and its identifica * Assess-
India-Demographic
tion ment of
impact on characteristics report on
V 6
health * Malthusian theory of community
Populations identi
* Population explosion in fication
India and its impact on
health status
* Family welfare programs
* Describe the Family and marriage *Lecture *Essay type
institutions of * Family-Functions Discussion *Short
family and * Types-Joint, Nuclear, *Family Case answers
marriage in Blended and extended study *Assessment
India of family
family:
case
Characteristics study
* The Modern Family-
Changes,
VI 5 Problems-Dowry
etc., Welfare Services.
* Changes & legislations on
family and marriage in India-
marriage acts
* Marriage: Forms and
functions of marriage,
* Marriage and family
problems in India Family,
marriage and their influence
on health and health
practices

87
 * Describe the Social Stratification * Lecture * Essay type
class and caste * Meaning & types of social Discussion * Short
system and stratification * Community answers
their influence survey * Assess-
* The Indian Caste System-
ment of
on health and origin & features report on
health * Features of Caste in India community
practices Today survey
* Social Class system and status
VII 5 Social Mobility –Meaning &
Types Race as a biological
concept, criteria of racial
classification
* Salient features of
Primary Races-
Racism
* Influence of Class, Caste and
Race on health and health
practices
* Describe the Types of Communities in India * Lecture * Essay type
types of (Rural, Urban and Regional) Discussion * Short
communities * Features of village * Visits to ru- answers
in India, their ral and urba * Assess-
community &
community ment of
practices and Characteristics of Indian * Community report on
the impact on village Panchayat system, survey community
health social dynamics survey
* Community Development
project & Planning
* Changes in Indian Rural Life
* Availability of health
facilities in rural and its
impact on health and health
practices
* Urban–Community–features
* The growth of cities
Urbanization and its impact
VIII 10
on health and health
practices
* Major Urban problems – Ur-
ban Slums
* Region; Problems and
impact on Health.

* Social issues & the environ-

ment from unsustainable to
sustainable development Ur-
ban problem related to
energy rain water
harvesting, water shed
management

88
* Resettlement &rehabilitation
of people, its problems and
concerns Environmental
ethics: issues and possible
solutions.

* public awareness related to

environmental legislation &
encountered issues in
enforcement

89
 Explain the Social Change * Lecture * Essay type
process of * Nature and process of Social Discussion * Short
Social Change Change Answers
* Factors influencing social
change: cultural
IX 5
change, Cultural lag
* Introduction to Theories of
social change: Linear,
Cyclical, Marxian,
Functional Role of nurse–
Change agents
Describe the Social organization and social * Lecture * Essay type
Social system system Discussion * Short
and inter – * Social organization: * Observation Answers
visits * Assess-
relationship of elements, types
ment of
social * Democratic and visitreport
organizations authoritarian modes of
X 5 participation,
* Voluntary associations
* Social system: Definition and
Types of social system
* Role and Status as structural
elements of social system
* Inter-relationship of institu-
tions
* Describe the Social Problems * Lecture * Essay type
role of the * Social disorganization Discussion * Short
nurse in * Control& Planning: poverty, * Institutional answers
dealing with visits * Assess-
housing, illiteracy, food sup-
ment
social plies, prostitution, rights of of visit
problems in women &children, reports
India vulnerable groups: Elderly,
DescribetheTrans- handicapped, minority
genderCommunity groups and other
and their demo- marginalized groups, child
graphics in India labour, child abuse,
delinquency and crime,
XI 10 substance abuse,
alcoholism, HIV / AIDS.
* Social Welfare programs in
India
* Role of nurse
* Human Rights, value
education
-Role of information
technology in environment
and human health
Transgender Curriculum
Transgender-Inclusive Nursing
Curriculum LGBTIQA Termi-
nologies : Basic to advanced-
gender, gender identity,
90
gender expression,
 sex, Intersex, differences in
sexdevelopment,transgender
community,Transgendercul-
ture,comingout,homosexual-
ity,homophobia,transphobia.
sexual orientation, lesbian,
gay, bisexual, differences in
sexual development, MSM,
WSW, cis- gender, trans-
gender, MTF, FTM, gender
dysphoria, gender incongru-
ence, gender reassignment
surgery, transsexual, queer,
pansexual,drag,gender
queer, indigenous
communities: thirunangai,
thirunambi, hijra, kinnar,
jogappa, shivashakthi,
maichiya,etc.heteronormativ-
ity, coming out.
* Transgender demographics
in India
* Accessing legal identity for a
Transgender
LGBTIQA related human
rights and laws in India.

Suggested References:

1. Bhushan (V), Introduction to Sociology, Kitab Mahan, 2002.

2. Madan (GR), Indian Social Problems, Allied Publishers, Chennai.

3. Mehta (SA), Study of Rural Sociolgy in India, Chand & Co.

4. Ogbern (F), Handbook of Sociology, Eurasoa Publishing, New Delhi.

5. Majmudar (DN), An Introduction to Social Anthropology, Asia Publishing House, Bombay.

6. Indrani (TK), Textbook of Sociology for Nurses, Jaypee Brothers, New Delhi, 2006.

7. Neeraja (KP), Textbook of Sociology for Nursing Students, Jaypee Brothers, New Delhi, 2005.

8. Rao (SD), Psychology and Sociology for Paramedicals, Jaypee Brothers, New Delhi, 2006

9. Ramaswamy (P), General and Medical Sociology, New Millennium Publications, Ch,2006.

91
 SOCIOLOGY BLUE PRINT OF QUESTION PAPER
Placement II Year B.Sc (N)

Total Marks: 75
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 10 x 2= 20
• 7 Short Answer Questions (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75

Knowledge/
Understanding Application
Weight- Marks Recall
S.No UNIT
age Allotted LA SA VSA LA SA VSA LA SA VSA
Q10 Q5 Q2 Q10 Q5 Q2 Q10 Q5 Q2
Unit–IIntroduc-
1 6.5% 5 1
tion
UnitII–Individ-
2 3% 2 1* 1
ual & Social

3 UnitIII–Culture 9% 7 1 1

Unit IV – Social
4 7% 5 1
Groups&process
UnitV –Popula-
5 16% 12 1 1
tion
Unit VI– Family
6 12% 9 1 1 1
& Marriage
Unit VII– Social
7 6.5% 5 1
Stratification
UnitVIII–Types
8 ofcommunitiesin 12% 9 1 2
India
Unit IX – Social
9 9% 7 1 1
Change
Unit X- Social
10 organization & 3% 2 1
social system
Unit XI – Social
11 16% 12 1 1
Problem
Total 100% 75 2 LAQ, 7 SAQ, 10 VSAQ

* Choice Question to be taken from that unit

92
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
II YEAR B.Sc (N) DEGREE EXAMINATION
SOCIOLOGY

Time: 3 Hrs Max Marks: 75

I Long Answer Questions (2X10=20)

1. Define Population, Population explosion in India and its impact on health.

2. Define social Problems, Discuss any three social problems

II Short Answer Questions : (any 7) (7x5=35)

3. Explain the nature of sociology.

4. Explain the characteristics of society.

5. Explain the influence of culture on personality development.

6. What is social process , explain two types of social process

7. Explain the various types of marriages.

8. Write a note on caste system in India.

9. “Social change is an inevitable occurrence in society”- Discuss.

10. Write a note on population

III Very Short Answer Questions : (10x2=20)

11. Define society.

12. What is cultural electicians?

13. List any two Family welfare programmes.

14. Name 4 legislations related to family.

15. Define family.

16. List out four village development programmes in India

17. What are the factors of social change?

18. What is Village Panchayat System?

19. What is Juvenile Delinquency?

20. What is meant by minority group?

93
 Medical Surgical Nursing (Adult including Geriatrics)-I

Placement: SECOND YEAR Hours of Instruction:

Time: Theory: 210 Hrs
Practical-720 hrs

Course Description:
The purpose of this course is to acquire knowledge and develop proficiency in caring for patients
with medical and surgical disorders in varieties of health care settings and at home.

Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
* Appreciate the Introduction: * Lecture * Short
trends in * Introduction to medical sur- discussion answers
medical and gical nursing-Evolution and Demonstra- Objective
surgical trends of medical and surgical tionPractice type
nursing nursing. session * Assess-
* Describe the Supervised ment of
role of a nurse * Review of Concepts of clinical skills
in caring for Health and illness Disease- practice with
adult patient in concepts, causations, check list
hospital and classification International
community. Classification Diseases
* Describe the (ICD -10 or later version),
concepts of Acute illness, chronic illness,
Medical terminal illness. stages of
Surgical illness,
asepsis.
* Review of concepts of
comprehensive nursing care
in medical surgical
conditions based on nursing
process.
I 15
* Role of Nurse, patient and
family in care of adult
Patient.

Role and responsibilities of

a nurse in medical surgical
settings:
* Outpatient department.
* In-patient unit.
* Intensive care unit
* Home and Community
setting
* Introduction to Medical
Surgical asepsis
* Inflammation and Infection
* Immunity
* Wound healing
* Care of Surgical Patient
* Pre-operative
* Intra operative
* Post-Operative
Palliative Curriculum
Wound: concept
94
 - Acute wound & management
-Chronic wound
&management CAM,
(rehabilitation, palliative
and End of life care to all
organ failure), Heart, Liver,
Lung, Renal, MOD, Neuro-
logical disorders. Pruritis
Integrated care for chronic
diseases Symptom manage-
ment in progressive diseases

- Leprosy, HIV and Fistula

Chronic dermatology-Psoriasis
Gastro-vomiting, diarrhea, con-
stipation - High up enema
Respiration-breathing difficulty

95
 * Describe the Common signs and symptoms * Lecture * Short
Common signs, and management discussion answers
symptoms, * Fluid and electrolyte * Demonstra- Objective
problems and imbalance tion Type
II 10 their Specific * Vomiting Dyspnea and * Practiceses-
nursing cough, respiratory sion
interventions obstruction Fever * Supervised
* Shock Unconsciousness, clinical
Syncope Pain Incontinence practice
* Edema
* Age related problems-
geriatric
* Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults including elder- discussion Short
pathophysiology, ly) with respiratory problems * Explain us- answers
clinical * Review of anatomy and ing Charts, Objective
manifestations, physiology of respiratory graphs type
diagnostic system Models, * Assess-
measures and * Nursing Assessment– films slides ment of
management of History and Physical * Demonstra- skills with
patients (adults assessment tionPractice check list
including * Etiology, Pathophysiology, session Assess-
elderly) with * Clinical manifestations, Case dis- ment of
disorders of diagnosis, treatment cussions / patient
respiratory modalities and medical, Seminar manage-
systems surgical, dietetics & nursing * Health ment
management of adult education problem
including elderly with – * Supervised
* Upper Respiratory tract clinical
infections. Bronchitis practice
III 20 * Asthma Drug book/
* Emphysema presentation
* Empyema
* Atelectasis
* Chronic obstructive
* Pulmonary Diseases(COPD)
* Bronchiectasis
* Pneumonia
* Pulmonary tuberculosis
* Lung abscess
* Pleural effusion
* Cysts and Tumours
* Chest injuries
* Respiratory arrest and
insufficiency
* Pulmonary embolism
special therapies, alternative
therapies Nursing procedures
* Drugs used in treatment
of respiratory disorders

96
 * Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults including discussion Short
pathophysioloy elderly) with disorders of Explain using answers
clinical digestive system Charts,graphs Objective
manifestations, * Review of anatomy and Models, films type
diagnostic physiology of digestive slides * Assess-
measures and system, * Demonstra- ment
management * Nursing Assessment– tion of skills with
of patients History and Physical Practice ses- check list
(adults including assessment sion * Assess-
elderly) with * Etiology, Pathophysiology, * Casediscus- ment
disorders of * Clinical manifestations, sions/ of patient
digestive systems diagnosis, treatment * Seminar management
modalities and medical, * Health problem
surgical, dietetics & nursing education
management Supervised
* Disorders of Oral cavity- lips, clinical prac-
gums, tongue, salivary glands tice
and teeth Drug book/
* Oesophagus- inflammation, presentation
stricture, obstruction,
bleeding and tumours
* Stomach and deudenum
hiatus hernia, gastritis,
peptic and duodenal ulcer,
IV 30 bleeding, tumours, pyloric
stenosis abdomen TB
* Small intestinal disorders
inflammation and infection,
enteritis, malabsorption,
obstruction, tumour and
perforation
* Large intestinal disorders-
Colitis, inflammation and
infection, obstruction and
tumour and lump
* Hernias
* Appendix-inflammation, mass,
abscess, rupture
* Anal &Rectum;
hemorrhoids, fissures,
Fistulas
* Peritonitis / acute abdomen
Pancreas; inflammation,
cyst, abscess and tumours
* Liver; inflammation, cyst,
abscess, cirrhosis, portal
hypertension, hepatic
failure, tumours
* Gall Bladder;
inflammation, obstruction,
stones and tumours Special
therapies, alternative
therapies Nursing
procedures
Drugs used in treatment of
disorders of digestive system

97
 * Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults including discussion * Short
pathophysiology elderly) with blood and cardio * Explain us- answers
clinical vascular problems ing Charts, * Objective
manifestations, * Review of anatomy and graphs type
diagnostic physiology of blood and * Models, * Assess-
measures and cardio vascular system films slides ment of
management of * Nursing Assessment-History * Demonstra- skills with
patients (adults and Physical assessment tion check list
including elderly) * Etiology, * Practiceses- Assess-
with blood and * Pathophysiology, clinical sion ment of
cardio vascular manifestations, diagnosis, * Case dis- Patient
problems treatment modalities and cussions/ manage-
* Describes the medical, surgical, dietetics& Seminar ment
Vascular nursing management of Healthedu- problem
conditions and Vascular system cation
its nursing * Hypertension, Hypotension Supervised
management * Arteriosclerosis clinical
* Raynaud's disease Aneurism practice
and Peripheral vascular Drug book/
disorders presentation
Heart: Visit to
* Heart Coronary artery blood bank
diseases Participa-
* Ischemic Heart Disease tion in
blooddona-
* Coronary atherosclerosis
tion camps
* Angina pectoris Counseling
* Myocardial infarction
V 30 *Valvular disorders of the heart
* Congential and acquired
* Rheumatic Heart diseases
*Endocarditis, Pericarditis
Myocarditis Cardio Myopathies
Cardiac dysrhythmias, Heart
Block
*Congestive cardiac failure
* Cor-pulmonale, Pulmonary
edema, cardiogenic shock,
cardiac tamponade Cardiac
emergencies and arrest Car-
dio Pulmonary Resuscitation
(CPR) Blood
* anaemias
* Polycythemis
* Bleeding disorders; clotting
factor defects and platelets
defects
* Thalassemia
* Leukopenias and agranulocyto-
sis
* Myelomas Special therapies
* Blood transfusion, safety-
checks, procedure and
requirements, management of
adverse transfusion reaction,
records for blood
transfusion.

98
 * Management and counseling
of blood donors, phlebotomy
procedure, and post donation
management. Blood bank
functioning and hospital
transfusion committee.
Biosafety and waste
management in relation to
blood Transfusion
* Role of a nurse in Organ
donation, retrieval and
Banking Alternative
therapies Nursing
procedures Drugs used in
treatment of blood and cardio
vascular disorders
* Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults, elderly discussion * Short
pathophysiology Including transgender) with * Explain us- answers
clinical genito-urinary problems ing Charts, * Objective
manifestations, * Review of anatomy and graphs type
diagnostic mea- physiology of genitor-urinary * Models, * Assess
sures andmanage- system Nursing Assessment – films ment of
ment of patients History and Physical assess- slides skills with
(adults, elderly ment Demonstra- check list
Includingtransgen- * Etiology, Pathophysiology, tion Assess-
der) with genito clinical manifestations, diag * Practiceses- ment of
urinary system nosis, treatment modalities sion patient
and medical, surgical, * Case dis- manage-
dietetics & Nursing cussions/ ment
management of – Seminar problem
* Nephritis * Healthedu-
* Nephrotic syndrome cation
* Nephrosis * Supervised
* Renal calculus clinical
* Tumours practice
VI 10 * Acute renal failure, Chronic Drug book/
renal failure presentation
* End stage renal transplant
* Congenital disorders, urinary
infections, Benign prostate
hypertrophy
* Disorders of ureter, Urinary
bladder and urethera
inflammation, infection,
stricture, obstruction,
tumour, prostrate
* Special therapies, alternative
therapies Nursing procedures
Drugs used in treatment of
genito-urinary Disorders.
Transgender Curriculum
Transgender-Inclusive Nursing
Curriculum Urogenital
system disorders in
transgender
* Urinary tract infections
* Cancer screening: breast,
cervical
99
 * Prostate in transwoman: As-
sessment, diagnosis and
treatment of malignancy
* Understanding misconceptions
of health care providers
* Understanding life time
stigma, discrimination and
violence on geriatric LGBT
I. Medical transition of trans-
gender patients
* Hormone replacement
therapy in Transgender
patients
* Physiological effects
* Adverse reactions and risks:
cancer, dyslipidemia, cardio-
vascular, skin, hyperprolac-
tinemia, osteoporosis,
thrombo embolism, need of
breast and cervical cancer
screening
* HIV and other STI medica-
tions:Drugs, dosage,
common sideeffects,
treatment therapy
* WPATH guidelines on
HRTII Surgical transition of
transgender patients
* Gender affirmative surgeries
(men and women)
* WPATH guidelines: pre
surgical requirements
* Pre, intra, postoperative care
of all surgical procedures
(genital
/ Non-genital) Postoperative
complications-Genito-urinary,
malignancies
* Describe the Nursing management of * Lecture *Essay type
etiology, patients (adults including discussion *Short
pathophysioloy elderly) reproductive system * Explain us- answers
clinical * Review of anatomy and ing Charts, *Objective
manifestations, physiology of male graphs type
diagnostic Reproductive system. * Models, *Assessment
measures and * Nursing Assessment – films slides of skills with
management of History and Physical assess- Demonstra- check list
patients(adults ment tionPractice Assessment
including elderly) * Etiology session of patient
VII 5 with disorders * Pathophysiology, clinical * Casediscus- management
of male reproduc- manifestations, diagnosis, sions/ problem
tive system treatment modalities and Seminar
medical, Surgical * Health
management of disorders of education
male reproductive system * Supervised
* Congenital malformation; clinical
cryptorchidism practice
* Hypospadisasis, Epispadiasis Drug book/
* Infections presentation

100
 * Testis and adjacent structures
* Penis
* Prostate: inflammation,
infection, hypertrophy,
tumor
* Sexual Dysfunction
* Infertility
* Contraception
* Breast; gynecomastia,
tumour
* Climacteric changes special
therapies, alternative
therapies Nursing
procedures
Drugs used in treatment
of disorders of male
reproductive system
* Describe the * Nursing management of pa- * Lecturer * Essay type
etiology, tients (adults including discussion * Short
pathophysiology elderly) with disorders of * Explain us- answers
clinical endocrine system ing Charts, * Objective
manifestations, * Review of anatomy and graphs type
diagnostic physiology endocrine system. * Models, * Assess-
measures and * Nursing Assessment– films slides ment
management of History and Physical * Demonstra- of skills
patients (adults assessment Etiology, tion withcheck
including Pathophysiology, clinical * Practiceses- list
elderly) with manifestations, diag- nosis, sion * Assess-
VIII 10 disorders of treatment modalities and * Case dis- ment of
endocrine medical, surgical, dietetics & cussions/ patient
system nursing management of Seminar manage-
disorders of Thyroid and * Healthedu- ment
Parathyroid cation problem
* Diabetes mellitus * Supervised
* Diabetes insipidus clinical
* Adrenal tumor practice,
* Pituitary disorders, special Drug book/
therapies, alternative presentation
therapies Nursing procedures
Drugs used in treatment of
disorders of
endocrine system
* Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults including discussion * Short
patho elderly) with disorders of Explain us- answers
physiology Integumentary system ing Charts, * Objective
clinical * Review of anatomy and graphs type
manifestations, physiology of skin and its Models, * Assess-
diagnostic appendages. films slides ment of
measures and * NursingAssessment–History * Demonstra- skills with
IX 10 management of tion
and Physical assessment check list
patients (adults Etiology, Pathophysiology, * Practiceses- Assess-
including elderly) clinical manifestations, diag sion ment of
with disorders of nosis, treatment modalities * Case dis- patient
Skin and medical, surgical, cussions/
dietetics & nursing Seminar
management of disorders of * Healthedu-
skin and its appendages. cation

101
 * Lesions and abrasions * Supervised
* Infection and infestations; clinical
Dermatitis practice,
* Dermatoses; infectious and Drug book/
Noninfectious “inflammatory presentation
dermatoses”
* Acne Vulgaris
* Allergies and Eczema
* Psoriasis
* Malignant melanoma
* Alopecia Special therapies,
alternative therapies Nursing
procedures Drugs used in
treatment of disorders of
Integumentary system
Describe the Nursing management of Lecturer * Essay type
etiology, patients (adults including discussion * Short
patho elderly) with Musculoskeletal Explain using answers
physiology problems Charts,graphs * Objective
clinical * Review of anatomy and * Models, type
manifestations, physiology of films * Assess-
diagnostic musculoskeletal system. * slides ment
measures and Nursing Assessment– * Demonstra- of skills with
management of History and Physical assess- tion check list
patients (adults ment * Practiceses- * Assess-
including * Etiology, Pathophysiology, sion ment
elderly) with clinical manifestations, diag- * Case dis- of patient
disorders of nosis, treatment modalities cussions/ management
musculoskeleto and medical, surgical, Seminar problem
l system dietetics & nursing * Healthedu-
management of–Dis- orders cation
of: * Supervised
X 15 * Muscles, Ligaments and clinical
joints- inflammation, infection, practice,
trauma Bones-inflammation, Drug book/
infection, dislocation, presentation
fracture, tumour and
trauma
* Osteomalacia and
* Osteoporosis
* Arthritis
* Congenital deformities
* Spinal column-defects and
deformities, Tumor,
Prolapsed intervertebral disc,
* pott's spine
* Paget's disease Amputation
Prostheses
* Transplant & replacement
surgeries
* Rehabilitation, Special
therapies, alternative
therapies Nursing procedures
Drugs used in treatment of
disorder of musculoskeletal
system

102
 Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults including discussion * Short
patho elderly) with Immunological Explain us- answers
physiology problems ing Charts, * Objective
clinical * Review of Immune system. graphs Type
manifestations, Nursing Assessment– * Models, * Assess-
diagnostic History and Physical films Slides ment
measures and assessment * Demonstra- of skills with
management of * Etiology, Pathophysiology, tionPractice check list
patients (adults clinical manifestations, diag session * Assess-
including nosis, treatment modalities * Casediscus- ment
elderly) with and medical, surgical, sions/ of patient
disorders of dietetics & nursing Seminar management
Immunological management of – * Healthedu- problem
* Immunodeficiency disorder cation
problems
* Primary immuno deficiency * Supervised
* Phagocytic dysfunction clinical
* B-cell and T-cell deficiencies practice,
XI 10 * Secondary immune deficien * Drug book/
cies presentation
* Acquired immune
deficiencies
* Acquired immunodeficiency
syndrome (AIDS)
* Incidence of HIV & AIDS
* Transmission-Prevention of
Transmission
* Standard safety precautions
* Role of Nurse; Counseling
* Health education and home
care consideration
* National AIDS Control
Programe-NACO, various
National and International
agencies Infection control
program Rehabilitation
Special therapies, alternative
therapies Nursing procedures
Drugs used in treatment of
disorders of Immunological
system

103
 Describe the Nursing management of * Lecturer * Essay type
etiology, patients (adults including discussion * Short
patho elderly) with Communicable * Explain us- answers
physiology Disease Overview of ing Charts, * Objective
clinical infectious disease, the graphs type
manifestations, infectious process , Nursing * Models, * Assess-
diagnostic assessment –History & Physical films slides ment of
measures and assessment.Epidemiology,infec * Demonstra- skills with
management of tious process, clinical tion check list
patients (adults manifestations, diagnosis, * Practiceses- Assess-
XII 20 including treatment, prevention and sion ment of
elderly) with dietetics. * Case dis- patient
communicable Control and eradication of cussions/ manage-
common Seminar ment
Disease
Communicable Diseases * Healthedu- problem
* Tuberculosis cation
* Diarrhoeal diseases * Supervised
* Hepatitis A-E clinical
* Herpes practice,
Drug book/
* Chickenpox
presentation
* Smallpox
* Typhoid

104
 * Meningitis
* Gas gangrene
* Leprosy'
* Dengue
* Plague
* Malaria
* Diphtheria
* Pertussis
* Poliomyelitis
* Measles
* Mumps
* Influenza
* Tetanus
* Yellow fever
* Filariasis
* HIV, AIDS
* Reproductive Tract
Infections
* Emerging diseases – Ebola
infection, Zika infection.
* Special Infection control
measures:Notification,Isola-
tion, Quarantine,
Immunization,InfectiousDis-
eases Hospitals Special thera-
pies, alternative therapies
Nursing Procedures
Drug used in treatment of
Communicable diseases
* Palliative Curriculum
Colostomy care:
- long term management
- irrigation.
Home care, Rehabilitation
Palliative care
Describe the Peri Operative nursing: * Lecturer * Essay type
Organization and Organization and Physical set discussion * Short
physical set up of up of the Operation Theatre Explain us- answers
the operation (OT): ing Charts, * Objective
theatre (OT) * Classifications graphs type
* Identify the * O.T. DESIGN Models, * Assess-
various * Staffing films slides ment of
instruments and * Members of the OT team Demonstra- skills with
Equipment used Duties and responsibilities of tionPractice check list
for common nurse in O.T. session
surgical * Principles of Health and Supervised
XIII 25 procedures operating room attire. clinical
* Describe the * Instruments, practice
infection control * Sutures and suture materials Drug book
measures in OT * Equipments presentation
O.T. tables and sets for com-
* Describe the role mon surgical procedures
of nurse in * Positions and draping; for
perioperative common surgical procedures
nursing care * Scrubbing procedures
* Gowning and gloving
* Preparation of O.T. Sets
* Monitoring the patient
during
105
 surgical procedures
* Maintenance of therapeutic
environment in O.T.
Standard Safety measures
Infection control;
fumigation, disinfection and
sterilization
* Biomedical waste
management
* Prevention of accidents and
hazards in O.T.
* Anaesthesia
* Types
* Methods of administration
* Effect and stages
* Equipments
* Drugs
* Cardio Pulmonary Resuscita
tion (CPR)
* Pain management techniques
* Legal Aspects

Bibliography:

Textbook:

1. Brunner (V), Medical Surgical Nursing, LWW, 10th Edition.

Suggested References:

1. Black, Medical Surgical Nursing: Clinical Management for positive outcomes, Elsevier, 7th edition.

2. Willams, Understanding Medical Surgical Nursing, Jaypee, 3rd edition.

3. Timby, Introductory Medical Surgical Nursing, LWW, 9th edition.

4. Lewis, Medical Surgical Nursing Assessment & Management of Clinical Problems, Elsevier, 7th
edition

5. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th edition.

6. Monahan, Phipp's Medical Surgical Nursing: Health & illness perspectives practice, Jaypee, 8th
edition.

7. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th edition

8. Lippincott's Manual of Nursing Practice, Jaypee, edition.

9. Ulrich, Nursing Care Planning Guides: For adults in acute extended & Home care settings, Elsevier,
6th edition.

10. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.

11. Redfern, Nursing Older People, Churchill Livingstone, 4th edition.

12. Phillip, Berry & Kohn's Operating room techniques, Elsevier, 11th edition.

13. Marks, Roxburgh's Common Skin Diseases, Arnold, 17th edition.

14. Thappa, Essential in Dermatology with MCQ's, Ahuja publishing

106
 Medical Surgical Nursing
(Adult including Geriatrics)-I – Practical

Placement: SECOND YEAR Hours of Instruction:

Time: Theory: 76 Hrs
Practical-720 hrs

Duration
Assignment
Areas in Objectives Skills Assign
Method
weeks ments
* General 6 * Provide * Assessment of the patient * Plan * Assess
Medical nursing * Taking history and perfor
Ward care to adult * Perform general and give mance
(*Re patients with specific physical care withrating
piratory, medical examination to 3- scale
GI, disorders * Identify alterations and 4assig Assess
Endo- * Counsel and deviations Practice medical ned each skill
crine, educate pa surgical asepsis-Standard Patien with
Renal, tients and safety measures Administer ts checklist
Hematol- families medications * Nursi Evaluation
ogy) I * Oral, IV, IM, Subcutaneous ng of case
IV therapy IV canulation care study/
* Maintenance and plan - presenta-
Monitoring 2 tion
* Oxygen therapy by * Nursi Comple-
different methods ng tion of
* Nebulization case practical
* Chest physiotherapy study record
* Naso gastric feeding /
* Assist in common prese
diagnostic nta-
* Perform/Assist in tion-
therapeutic procedures 1
* Blood and component * Drug
therapy pres
* Throat Suctioning enta
* Collect specimens for -
commoninvestigations. tion
* Maintain elimination -1
* Catheterization * Mai
ntain
* Bowel wash
drug
* Enema book
* Urinary drainage * Maint
* MaintainIntake,output and ain
documentation Practi
* Counsel and teach cal
relatedtospecificdisease recor
conditions dbook

107
General 6 * Provide pre * Practicemedicalsurgical * Plan and * Assess
Surgical &postopera- asepsis-Standard safety give care to * perfor-
Ward (GI, tive nursing measures 3-4assigned mance
care to adult * Preoperativepreparation Patients withrating
Urinary, patients with of patients * Nursing * scale
CTVS) surgical * Post operative care- care plan -2 Assess
disorders Receivingpt,assessment, * Nursing each skill
Counsel and monitoring, care case study/ with
educate pa * Care of wounds and presenta- checklist
tients drainage tion-1 Evaluation
and families * Suture removal * Drug of case
Ambulationandexercise presenta- study/pre-
* Naso gastric aspiration tion-1 sentation
* Care of chest drainage * Maintain Comple-
* Ostomy care drug book tion of
* GastrostomyColostomy activity
Enterostomy record
* Blood and component
therapy
* Practice universal
precautions

Cardiology 2 * Provide * Physical examination of * Plan and * Assess

ward nursing care the cardio vascular sys give perfor-
to patients temRecordingandinter- care to 2-3 mance
with cardiac preting ECG assigned withrating
disorders * Monitoring of patients patients scale
* Counsel and Preparationandassisting * Nursing * Assess
educate pa in non-invasive and in- care Plan-1 each
tients vasive diagnostic proce- * Nursing skill with
and families dures case study/ checklist
* Administercardiacdrugs * Presenta * Evaluation
Cardio pulmonary tion/Health of case
Resuscitation talk-1 study/pre-
* Teach patients and Maintain sentation/
families drug book health talk
* Practice medical and
surgical asepsis-
Standard safety
measures
Skin & 1 * Identify skin * Assessment of the * Plan and * Assess
Commu- problems patient with skin give perfor-
nica ble * Provide disorders care to 2-3 mance
nursing * Assist in diagnostic and assigned withrating
diseases
care to pa- therapeutic procedures Patients scale
Ward tients with Administer topical * Healthtalk/ * Assess
Skin disor- medication Counseling each
ders & * Practice medical HIV skill with
surgical positive checklist
atients and * Evaluation
families –1

108
 Communicable asepsis-Standard safety Maintaindrug ofcasestudy/
diseases measures book presentation/
* Counsel and * Use of personal protec- health talk
educate pa tive equipment (PPE)
tients * Give Medicated baths
and families CounselingHIV,positive
Patients , teach preven-
tionofinfectiousdiseases
Orthopedic 2 Providenursing * Assessmentoforthopae- * Plan and * Assess
ward care to patients dic patients give care to each per-
with * Assist in application of 2-3assigned formance
musculoskeletal plaster cast and removal patients With rat-
disorders of cast * Nursing ing scale
Counsel and * Apply skin traction- care plan -1 Evaluation
educatepatients buck'sextensiontraction * Nursing of Nursing
and families * Assist in application and case study/ care plan
removal of prosthesis presentation and Nurs-
* Physiotherapy-Rangeof –1 ing case
motionexercises(ROM), * Maintain study/
muscle strengthening drug book presen-
exercises tation
* Crutch maneuvering Comple-
technique tion of
* Activities of daily living activity
* Ambulation Teach and record
counsel patients and
families
Operation 6 * Identify * Scrubbing, gowning, * Assist as a * Assess
Theatre instruments gloving circulatory perfor-
used in * Identify instruments, nurse in mance
common suturing materials for * Major withrating
operations common operations cases-10 scale
* Participatein * Disinfection,Carboliza- * Minor * Comple
infection tion, fumigation cases-5 tion
control * Preparationofinstrument * Assist as a of activity
* practices in sets for common opera- scrub nurse record
the tions in
Operation * Sterilization of sharps * Major
Theatre and other instruments cases-10
* Set-up the * Prepare the OT table * Minor
table/ trolleys depending upon the cases-5
for common operation * Maintain
operative * Positioningandmonitor- drug book
procedures ing of patients
* Assist ingiv- * Endotrachealintubation
ing * Assisting in minor and
anesthesia major operations
* Assist in the * Handling specimens
Operative * Disposal of waste as per
procedures the guidelines
* Provide
perioper- ative
nursing care

109
ICU,CCU 2 To gain * Assistinarterialpuncture * Arterial Record book
Cardiac proficiency in for blood gas analysis. puncture-5 Checking
Ot. ICU nursing * PerformECGandinter- * Taking with
* Develop pret accordingly out ECG supervisor
advance * Conduct and analysis stripe-5
skill in spe- pulse oximetry * Tracheal
cial proce- * Carewithartificalairway suction-5
dures used in * Assist in endotracheal * For all as-
critical care intubation signed
unit Identify * Setting up ventilator patients
potential * Giving care in ventilator * Oxygen
problemsand * Drug sheet Adminis-
provide * Observation of special tration by
accordingly procedure in ICU CPAPmask
Skill in and use
setting and Ambu bag
handling * Assess-
ventilator ment for all
* Administer assigned
injection in Patient
infusion * Nursing
pump. care in
* Record ventilator
accurately * Drug sheet
findings and
medications
* DevelopIPR
with family
members
* Acquaint
with OT
technique
NeuroICU, 2 *Develop skill *Assess neurological status *Assessment * Record
ITU, OT in *Implement care to head for book
neurological injuryspinalinjurypatients all assigned observation
assessment. *Drug sheet patients Checklist
* Give care to *Preandpostoperativecare *Nursing care
the withneurosurgerypatients plan-2
pt with head *Drug sheet
injury and spi-
nal
injury
* Care with
chest
surgery and
cranial surgery.
Burns and 2 *Assess the *Nursing care
plastic severity of
Reconstr burns
ctive Administer
rehydration
surgery therapy
*Observe
reconstructive
surgery

110
OT 3 Identify Assist -5 cases Record book
Laparo instruments
scoic Assist in OT
Orthopedic setup
Supervise
Eye sterilization
ENT Assist in OT
table lay out
Observe
immediately
after operation
Supervise
infection con-
trol.

111
 BLUE PRINT OF QUESTION PAPER – MEDICAL
SURGICAL NURSING - I
Total Marks: 75
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 10 x 2= 20
• 7 Short Answer Questions (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75

Knowledge/
Understanding Application
Recall
Weight- Marks
S.No UNIT LA SA LA
age Allotted VSA SA VSA LA SA VSA
Q Q Q
Q2 Q5 Q2 Q10 Q5 Q2
10 5 10
Unit–IIntroduc-
1 2.6% 2 1
tion
Unit II – Individ-
2 2.6% 2 1
ual & Social
3 Unit III – Culture 9.3% 7 1 1
Unit IV – Social
4 16% 12 1 1
Groups & process
Unit V – Popula- 1 1
5 20% 15
tion (H) (C)
Unit VI – Family
6 9.3% 7 1 1
& Marriage
Unit VII – Social
7 2.6% 2 1
Stratification
Unit VIII – Types
8 of communities in 9.3% 7 1 1
India
Unit IX – Social
9 2.6% 2 1* 1
Change
Unit X – Muscu-
10 6.6% 5 1
loskeletal System
Unit – XI - Im-
11 munological 9.3% 7 1 1
Disorders
Unit XII - Com-
12 municable dis- 6.6% 5 1
eases
Unit – XIII - Peri-
13 2.6% 2 1
operative Nursing
Total 100% 75

112
* Choice Question to be taken from that unit.

C- Cardiovascular System
H – Hematological System

Distribution:
Knowledge – 15%
Understanding – 59%
Application – 26%

113
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
II Year B.Sc (N) Degree Examination
MEDICAL SURGICAL NURSING I

Time: 3 Hrs Max Marks: 75

I. Long Answer Question : 10X2=20

1. Mr. X aged 70 years, got admitted in medical ward with the diagnosis of COPD. (2+3+5)

a) Give few points that you note in X-rays of COPD patients.

b) Differentiate Emphysema & Empyema.

c) Construct the Nursing care plan for patients with COPD

2. Mr. X admitted in ICU with complaints of chest pain radiating to shoulder & neck, diaphoresis and
diagnosed as Myocardial Infarction (2+3+5)

a) What could be the risk factors causing Myocardial Infarction

b) Explain the pathophysiology of Myocardial Infarction

c) Discuss the collaborative nursing management of patient with Myocardial Infarction

II. Short answer questions (Any 7) 7X5=35

3. Classify the types of anemia & its management

4. Explain the clinical features and management of patient with BPH

5. Comprehend the multidisciplinary approach in managing the patients with diabetes mellitus

6. Illustrate the different types of fracture with supportive diagram

7. Discuss the pathophysiological changes found in HIV infected patients.

8. Identify the clinical features of Dengue fever and explain the preventive measures for dengue fever

9. Describe the pathophysiology of pancreatitis

10. Explain the management of Tuberculosis.

II. Very short answer Questions: 10X2=20

11. List down the stages of wound healing

12. Define Trousseau’s sign and Chvostek’s sign

13. Specify any four complications of hyper oxygenation.

14. Differentiate Billroth I and Billroth II

15. Outline the cardinal features in Nephrotic Syndrome.

16. Expand TURP & TUMT

114
17. Outline the indications for starting antiretroviral drugs therapy for HIV infected patients

18. What type of vital charting should a nurse maintain for a patient with hyperthyroidism and why

19. What are the medications used in the treatment of psoriasis

20. Specify the dietary modification to be followed by the patient with peptic ulcer

115
 FOUNDATION IN YOGA THERAPY (FYT) COURSE FOR NURSING STUDENTS
SYLLABUS

Medical Surgical Nursing hours (30 Hrs)

Unit Hours Content

I 2 Introduction to yogic concept of health and disease

III 5 Yogic principles and practices for Respiratory disorders

IV 3 Yogic principles and practices for Digestive disorders

V 5 Yogic principles and practices for Cardiovascular problems

VI 1 Yogic principles and practices for Genito - Urinary Problems

VII 1 Yogic principles and practices for Reproductive disorders

VIII 5 Yogic principles and practices for Endocrine disorders

IX 1 Yogic principles and practices for Integumentary system

X 5 Yogic principles and practices for Musculo skeletal problems

XI 2 Yogic principles and practices for Immunological problems

116
 PHARMACOLOGY, PATHOLOGY AND GENETICS
PART – A - PHARMACOLOGY

Placement: SECOND YEAR Hours of Instruction:

Time: Theory: 76 Hrs

Course Description:
This course in designed to enable students to acquire understanding pharmacodynamics,
pharmacokinetics, principles of therapeutics and nursing implications.
Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 7 * Describe Introduction to * Lecture * Short
Pharmacodynam pharmacology Discussion answers
ics, Pharma * Definitions * Objective
cokinetics * Sources type
classification * Terminology used
and the principles * Types: Classification
of drug * Pharmacodynamics:Actions,
administration therapeutic,
* Adverse, toxic
* Pharmacokinetics:absorption,
distribution, metabolism,
interaction, excretion
* Review:Routesandprinciples
of administration of drugs
* Indianpharmacopoeia:Legal
issues
* Rational use of drugs
* Principles of therapeutics
II 7 * Explain Chemotherapy * Lecture * Short
chemotherapy Pharmacology of commonly Discussion answers
of specific used ; * Drug * Objective
infections * Penicillin * study type
and infestations * Cephalosporin's * presentation
and nurse's * Amino glycosides
responsibilities * Macrolide& Broad-Spectrum
Antibiotics
* Sulfonamides
* Quinolones
* Antiamoebic
* Antimalarials
* Anthelmintics
* Antiscabies agents
* Antiviral & antifungal agents
* Antitubercular drugs
* Anti-leprosy drugs
* Anticancer drugs
* Immunosuppressant's
Drugs for Rheumatoid
arthritis and Gout
Autacoids –

117
 Nonsteroidalanti-inflammatory
(NSAID) drugs, Histamines,
AntihistaminesComposition,
action, dosage, route, indica-
tions,contraindications,drug
interactions, side effects, ad-
verse effects, toxicity and role
of nurse
III 2 * Describe Pharmacology of commonly * Lecture * Short
Antiseptics, used antiseptic, disinfectants discussion answers
disinfectants, and insecticides * Drugstudy/ * Objective
insecticides * Antiseptics;Composition,ac- presentation type
and nurse's tion, dosage, route,
responsibilities. indications,contraindications,
druginteractions, side effects,
adverse effects, toxicity and
role of nurse
* Disinfectants
* Insecticides
IV 4 * Describe Drugs acting on G.I. system * Lecture * Short
drugs action on * Pharmacology of commonly Discussion answers
Gastro used * Drugstudy/ * Objective
Intestinal * Antiemetic presentation type
system and * Emetics
nurse's * Purgatives
responsibilities * Antacids
* Cholinergic
* Anticholinergics
* Fluid and electrolyte
* Anti diarrheal
Composition,
action, dosage, route, indica-
tions,contraindications,drug
interactions, side effects, ad-
verse effects, toxicity and role
of nurse
V 2 Describe drug Drugs used on Respiratory * Lecture * Short
used on Systems Discussion answers
Respiratory * Pharmacology of commonly * Drugstudy/ * Objective
Systems and used presentation type
nurse's * Antiasthmatics
responsibilities * Mucolytics
* Decongestants
* Expectorants
* Antitussives
* Bronchodilators
* Broncho constrictors
Composition,action,dosage,
route, indications,
contraindications, drug
interactions, side effects, ad
verse effects, toxicity and role
of nurse

118
VI 2 * Describe Drugs used on Urinary * Lecture * Short
Drugs used System Discussion answers
on Urinary * Pharmacology ofcommonly * Drugstudy/ * Objective
System and used presentation type
nurse's * Diuretics andantidiuretics
responsibilities * Urinary antiseptics
* Cholinergicandanticholiner-
gics
* Acidifiers andalkalanizers
Composition, action,dosage,
route,indications,contraindi-
cations, drug interactions,
side effects, adverse
effects, toxicity and role of
nurse
VII 4 * Describe Miscellanoeous * Lecture * Short
Drugs used in * Drugs used in de-addiction Discussion answers
dead diction, * Drugs used in CPR and * Drugstudy/ * Objective
emergency, emergency presentation type
deficiency of * Vitamins and minerals
vitamins and * Immunosuppressant's
minerals, * Antidotes
poisoning, for * Antivenom
immunization * Vaccines and sera
and immunosup
pres sant and
nurse's
responsibilities
VIII 1 Describe Drugs used on skin and * Lecture * Short
Drugs used on mucous membranes Discussion answers
skin and * Topical applications for skin, * Drugstudy/ * Objective
mucous eye,ear,noseandbuccalcavity presentation type
Membranes and Antipruritics Composition,
nurse's action, dosage, route, indica-
responsibilities tions,contraindications,drug
interactions, side effects, ad-
verse effects, toxicity and role
of nurse

119
IX 8 * Describe drugs Drugs acting on Nervous
used on system
Nervous Basicandappliedpharmacology
system and of commonly used:
Nurses * Analgesics and Anesthetics
responsibilities * Analgesics
Palliative Curriculum
- WHO ladder Drugs
- Applicationofweekandstrong
opioids
* Antipyretics
* Hipnotics and sedatives
* Opioids
* Non-opioids
* Tranquilizers
* General and local anesthetics
* Gases
* Oxygen
* Nitrous Oxide
* Carbon dioxide
* Muscle relaxants
* Major tranquilizers
* Ant-psychotics
* Antidepressants
* Anticonvulsants
* Mood stabilizers
* Acetylcholine
* Stimulants
Autonomic Nervous System
AdrenergicandNoradrenergic
Cholinergic and anticholin-
ergics: Composition, action,
dosage, route, indications,
contraindications, drug
interactions, side effects, ad-
verse effects, toxicity and role
of nurse
X 5 Describe Drugs Cardiovascular drugs * Lecture * Short
Used on Cardio * Haematinics Discussion answers
Vascular system * Cardio tonics * Drug study/ * Objective
s and nurse's * Anti anginals presentation type
responsibilities * Anti-hypertensives
&Vasodilators
* Anti-arrhythmics
* Plasma expanders
* Coagulants & anticoagulants
* Antiplatelets & thrombolytics
* Hypolipidemics
Composition, action,
dosage, route, indications,
contraindications, drug
interactions, side effects,
adverse effects, toxicity
and role of nurse

120
 XI 4 Describe drugs used Drugs used for hormonal * Lecture * Short
For hormonal disorders and supplementation, Discussion answers
disorders and contraception and medical * Drugstudy/ * Objective
supplementation, termination of pregnancy presentation type
contra eptionand * Insulin's&Oralhypoglycemic
Medical terminat * Thyroid supplements and
ion of pregnancy suppressantsSteroids,Anabol
and nurse's ics
responsibilities * Uterine stimulants and
relaxants
* Oral contraceptives
* Other estrogen progestrone
preparations
* Corticotrophine &
Gonadotropines
* Adrenaline
* Prostoglandins
* Calcitonins
* Calcium salts
* Calcium regulators
composition,action,dosages,
route, indications,
contraindications, drug
interactions, side effects, ad
verse effects, toxicity and role
of nurse
XII 6 * Demonstrate Introduction to drugs used in * Lecture * Short
awareness of alternative systems of medicines Discussion answers
the common * Ayurveda,Homeopathy,Unani * Observa- * Objectiv
drugs used in and Siddha etc tional visits etype
alternative
system of
medicine

Bibliography:

1. Satoshkar, Pharmacology & Pharmacotherapeutics, 20th Edition, 2007.

2. Bennett (PN), Clinical Pharmacology, Churchil Livingston, New Delhi, 9th Edition, 2003.

3. Tripathi (KD), Essential of Medical Pharmacology, Jaypee Brothers, New Delhi, 6th Edition, 2007.

4. Craig (CR), Modern Pharmacology with Clinical Application, Little Brown & Co., Newyork, 5th

5. Edition, 1997.

6. Goodman & Gilman's Pharmacological Basis of therapeutics, McGrawhill, Newyork, 10th

Edition, 2001.

121
 PART - B - PATHOLOGY
Placement: SECOND YEAR Time : Theory : 38 Hrs

Course Description: This course is designed to enable students to acquire knowledge of pathology of
various disease conditions and apply this knowledge in practice of nursing.

Time Assignment
Unit
(hrs) Objectives Skills Assignments Method
Th. Pr
I 1 5 * Define the Introduction: * Lecture * Short
Common terms * Importance of the study Discussion answers
used in pathology of pathology * Explain us * Objective
* Appreciate the * Definition of terms ing Charts Type
Deviations from * Methods and techniques
normal to * Cellular and Tissue
abnormal changes
structure and * Infiltration and
functions of the regeneration
body system * Inflammations and
infections
* Wound healing
* Vascular changes
* Cellular growth, Cell in-
jury & cellular
damage Neoplasm's
* Normal and Cancer cell
* Benign and Malignant
growths
* In situ carcinoma
* Disturbances of fluid and
electrolyte imbalance
* Meaning of the terms –
etiology, pathogenesis,
morphology & clinico-
pathological correlation
* Causes : Ischemic ,
Toxic,Free-radicalinduced
* Reversible cell injury :
types , morphology
* Irreversibleinjury:Necro-
sis ,Gangrene, Apotosis
* Calcification:Dystrophic
& metastatic – examples

122
II 10 5 * Explain Special pathology
Pathological * Pathological changes in
changes in diseaseconditionsofvari-
disease ous systems.
conditions of * Respiratory tract
various systems * Tuberculosis,Bronchitis,
PleuraleffusionandPneu-
monia
* Lung abscess, Emphy-
sema, Bronchiectasis
* Bronchialasthma,COPD
&TumorsCardio-vascular
system
* Pericardial effusion
Rheumatic heart disease
* Infective endocarditis,
atherosclerosis
* Ischemia, infarction &
aneurysm
* Gastro Intestinal Tract
* Peptic ulcer, typhoid
* Carcinoma of GI tract
buccal,
Esophageal,
* Gastric&intestinalLiver,
Gall bladder & pancreas
* Hepatitis, Chronic liver
abscess, cirrhosis
* Tumours of liver, gall
bladder
and pancreas,
* Cholecystitis
Hematopathology
* Constituents of blood
& bone
marrow, hematopoiesis
* Anemia: definition,
types & clinical features,
laboratory approach
* Nutritional anaemia:
Iron deficiency,
Vitamin B12 & Folate
deficiency, lab diagnosis
* Hemolytic anemia:
examples, lab diagnosis
* Leucocyte disorders
like Leucocytosis,
Leucopenia-causes
* Leukemia: Acute and
Chronic-Classification
* Bleeding and
Coagulation disorders:
Causes
Kidneys & Urinary tract
* Glomerulonephritis,
pyelonephritis

123
* Calculi, renal failure,
renalcarcinoma&cystitis
* Male genital systems
* Cryptorchidism,testicular
atrophy
* Prostatichyperplasia,car-
cinoma penis & prostate
* Female genital system
* Fibroids
* Carcinoma cervix and
Endometrium
* Vesicularmole,choriocar-
cinoma
* Ectopic gestation
* Ovarian cyst & tumous
* Cancer Breast
* Central Nervous system
* Hydrocephalus,Meningi-
tis,
encephalitis,
* Vascular disorders
– thrombosis, embolism
* Stroke,paraplegia,quad-
riplegia
* Tumours,meningiomas–
gliomas
* Metastatic tumour
* Skeletal sytem
* Bonehealing,osteoporo-
sis, osteomyelitis
* Arthritis & tumours
Lymphotorecticular Pa-
thology
* Lymphadenopathy –
causes, lympadenitis-
causes
* Diseases of spleen –
Splenomegaly – causes,
hypersplenism
Endocrine Pathology
* Non neoplastic lesions of
thyroid:goiter–etiology,
grossappearance,thyroid-
itis – examples
* Tumorsofthyroid-names

124
III 6 5 * Describe Clinical pathology
Various * Various blood and bone
laboratory marrow tests in assess-
tests in ment and monitoring of
assessment and disease conditions.
monitoring of * Hemoglobin
disease conditions * RBC,WhiteCell& plate-
let counts
* Bleeding time, clotting
time and prothrombine
time Blood Transfusion
Practice:Grouping,Cross
matching, Donor Selec-
tion,ComponentTherapy,
Rational Use of blood
transfusion,Adversereac-
tions and transmissible
infections.
* Blood chemistry
* Blood culture
* Serological and
immunological test
* Other blood tests
* Examination of Bone
marrow
* Methods of collection of
blood specimen for vari-
ous clinical pathology,
biochemistry,
microbiology tests, infer-
ence and normal values
IV 4 1 * Describe Examination of body cavity * Lecture * Short
Various fluids, transudates and Discussion answers
laboratory exudates * Demonstra- * Objective
tests for examina- * Thelaboratoriestestsused tion type
tion of body cavity in CSF analysis
fluids, transudates * Examinationofotherbody
and exudates cavity fluids, transudates
and exudates
–sputum, wound discharge
* Analysis of gastric and
duodenal contents
* Analysis of semen-sperm
count, motility and
morphology and their
importance in infertility
* Methods of collection of
CSF and other cavity
fluids specimen for
variousclinicalpathology,
biochemistry, microbiol
ogy tests, inference and
normal values

125
 V 1 1 * Describe Urine and faeces * Lecture * Short
Various Urine Discussion answers
laboratory * Physical characteristics * Demonstra- * Objective
tests for examination * Analysis tion type
of urine and faeces * Culture and sensitivity
Faces
* Characteristics
* Stool examination: occult
blood,ova,parasiteandcyst,
reducing substance etc,
Methods of collection for
various tests, inference and
normal values

Bibliography:

Textbook:

1. Mohan (H), Textbook of Pathology, JP Publishers, Chennai, 5th Edition, 2005.

Suggested References:

1. Underwood, General and systemic Pathology, Churchill Livingstone, London, 3rd Edition, 2000.

2. Kumar, Pathologic Basis of Disease, WB Saunders Co., New Delhi, 6th Edition, 1999.

3. Cotton (RE), Lecture Notes on Pathology, Blackwell Scientific Publication, London, 4th Edition,
1992.

4. Krishna (V), Textbook of Pathology, Orient Longman, 4th Edition, 1999.

126
 PART - C - GENETICS
Placement: SECOND YEAR Time: Theory : 17 Hrs

Course Description: This course in designed to enable students to acquire understanding of Genetics, its
role in causation and management of defects and diseases.

Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 3 * Explain Introduction: * Lecture * Short
nature, * Practical application of discussion answers
Principles and genetics in Nursing Explain * Objective
perspectives of * Impact of genetic condition using type
heredity on families * charts,
* Review of cellular division slides
mitosis and meiosis.
* Characteristics and structure
of genes Chromosomes –
sex determination
* Chromosomal aberrations
Patterns of inheritance
* Mendalian theory of
inheritance
* Multiple allots and blood
groups
* Sex linked inheritance
* Mechanism of inheritance
* Errors in transmission
(Mutation)
II 3 * Explain Maternal, prenatal and genetic * Lecture * Short
Maternal, influences on development of Discussion answers
prenatal and defects and diseases * Explain * Objective
genetic * Conditions affecting the using type
influences on mother;genetic and charts,
development infections slides
of defects and * Consanguinity atopy
disease * Prenatal nutrition and food
allergies.
* Maternal age
* Maternal drug therapy
* Prenatal testing and diagnosis
* Effect of Radiation, drugs and
chemicals
* Infertility
* Spontaneous abortion
* Neural Tube Defects and the
role of folic acid in lowering
the risks Down syndrome
(Trisomy 21)

127
 III 2 Explain the Genetic testing in the neonates * Lecture * Short
screening and children discussion answers
methods for * Screening for * Explain us- * Objective
genetic defects * Congenital abnormalities ing type
and diseases in * Developmental delay charts, slides
neonates and * Dysmorphism
children Transgender Curriculum
Transgender-Inclusive Nursing
Curriculum
• Intersex: Differences in
development conditions
Parental counseling issues in
Intersex children.
IV 2 Identify genetic Genetic conditions of Lecture * Short
disorders in adolescents and adults discussion answers
adolescents and * Cancer genetics – Familial * Explain us- * Objective
adults Cancer ing type
* Inborn errors of metabolism charts, slides
* Blood group alleles and
hematological disorder
* Genetic haemochromatosis
* Huntington's disease
* Mental illness
V 7 Describe the Services related to Genetics * Lecture * Short
role nurse in * Genetic testing * discussion answers
genetic services * Human genome project * Case study * Objective
and counseling * Gene therapy type
* The Eugenics movement
* Genetic Counseling Legal and
* Ethical issues Role of nurse
Energy Resources: Growing
energyneeds,renewable&non
renewableenergysources,use
of alternate energy sources.

Bibliography:

Textbook:

1. Read (A), New Clinical Genetics, Scion Publishers, New Delhi, 2007

2. Gangane (SD), Human Genetics, J. P. Brothers Publication, New Delhi, 2

128
 PHARMACOLOGY –BLUEPRINT FOR QUESTION PAPER
II – B.Sc. (NURSING)

Each paper shall contain Total Marks: 38

6 SHORT ANSWER QUESTIONS (SAQ) FOR 30 MARKS 6 × 5 = 30
4 VERY SHORT ANSWER QUESTIONS (VSAQ) FOR 8 MARKS 4×2=8

Sl. Knowledge Understanding Application

Unit Marks
No SAQ VSAQ SAQ VSAQ SAQ VSAQ

1 GENERAL PHARMACOLOGY 10 2

2 CHEMOTHERAPY 7 1 1

3 MISCELLANEOUS 1*

DRUGS ACTING ON GASTROIN-

4 2 1* 1
TESTINAL SYSTEM
DRUGS ACTING ON RESPIRA-
5 2 1 1*
TORY SYSTEM
DRUGS ACTING ON URINARY
6 1*
SYSTEM
DRUGS ACTING ON SKIN AND
7 1*
MUCOUS MEMBRANE
DRUGS ACTING ON NERVOUS
8 5 1
SYSTEM
DRUGS ACTING ON CAR-
9 DIOVASCULAR SYSTEM AND 7 1 1
BLOOD
HORMONES AND ANTI-HOR-
10 5 1
MONES
ALTERNATIVE SYSTEM OF
11 1*
MEDICINE

*denotes choice question

129
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
DEPARTMENT OF PHARMACOLOGY
SECTION –A
MODEL QUESTION PAPER

Marks: Thirty Eight (38)

I Short Answer (answer any Six only) 6 × 5 =30

1 Define Pharmacokinetics, Write principles of Administration of drugs

2 Write the Principles of Therapeutics

3 List the first line Anti-Tubercular drugs. Write two important adverse effects of Isoniazid (INH).
Add a note on Directly Observed Treatment Short course chemotherapy (DOTS). (Understanding +
Application based question)

4 Explain one HAART Regimen (Application based question)

5 Classify drugs used in angina pectoris with examples for each group. Describe the therapeutic uses
and adverse effects of nitrates (Understanding based question)

6 Classify general anesthetics. Discuss the advantages and disadvantages of halothane as a general
anaesthetic agent (Recall + Understanding based question)

7 Describe the uses and adverse effects of omeprazole. Write one regimen for Pylori infection
(Understanding based question)

8 Define Plasma t-half and clinical significance (Knowledge based question)

II Very short answer questions (VSAQ) 4×2=8

7 Broad spectrum Antibiotics(Understanding/Moderately easy question)

8 Rationale of adding adrenaline with lignocaine (Understanding/Easy question)

9 What is prodrug? Give one example (Recall /Easy question)

10 List two uses of Antifibrinolytics (Application/Moderately Easy question)

130
 PATHOLOGY – II Year B.Sc (N)
Blue Print for Question Paper

Total Marks-25
Knowledge/
Understanding Application
Weight- Marks Recall
S.No UNIT
age Allotted SA VSA SA VSA SA VSA
Q Q Q Q Q Q
General Pathol-
1 20 5 1
ogy/Infections
2 Haematology 8 2 1

Cardiovascular
system/Hyperten-
3 sion/Respiratory 20 5 1
system/Gastroin-
testinaltract/liver

Male Genital
Tract /Female
4 8 2 1
Genital Tract /
Breast

5 Bone/Softtissues 20 5 1

Thyroid/Oral
6 cavity/Salivary 8 5
Gland.

7 Diabetes/kidney 8 2 1

Clinical Pathol-
8 8 2 1
ogy

Central Nervous
9 1*
system/Skin*

*choice question can be taken from this unit

131
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
PATHOLOGY
MODEL QUESTION PAPER FOR II YEAR B.Sc (N)

Total :25 Marks

I Short Answer (answer any Six only) 6 × 5 =30

1. Define Neoplasia. Enumerate four differences between benign & Malignant tumors.

2. Describe in brief morphological features in Rheumatic heart disease.

3. Define Osteomyelitis and explain the treatment modalities for Osteomyelitis

4. Define Meningitis. Describe its types

Very short Answer Questions (5X2= 10 marks)

5. Classify tumors of breast

6. List any four sclinical manifestations of Anemia.

7. Mention complications of Diabetes.

8. Explain in brief morphological features of multinodular goiter.

9. Mention causes of proteinuria.

132
 SECTION – ‘C’ GENETICS – BLUE PRINT (2 SAQ, 1VSAQ)

TOTAL = 12 MARKS

Knowledge/
Understanding Applicatio N
Marks Recall
S.No UNIT Weightage
Allotted SAQ VSAQ SAQ VSAQ SAQ VSAQ
(5) (2) (5) (2) (5) (2)

1 I 58.3 5+2 1 1

2 II 41 5 1*

3 III

4 IV 16.7 2 1

5 V 41 5 1

157-57
(57 EXTRA
TOTAL QNS as
choices) =
100%

Saq – Answer Any Two Out Of Three [From Unit I, Ii & V) = 2x5=10 Marks Vsaq - Answer One Question
[From Unit I / Iv) = 1x2=2 Marks

133
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
SECTION – ‘C’ GENETICS
Model Question Paper

Total :12 Marks

I. Short answer questions(Answer Any Two): 2X5 = 10 marks

1. Explain with a suitable example of any two Sex chromosomal aberrations in man.

2. Explain with a suitable diagram the five invasive techniques of prenatal diagnosis.

3. Explain the Role of Nurses in Genetic Counseling

II. Very Short Questions: 1X2=2 marks

1. Huntington’s Chorea

134
 COMMUNITY HEALTH NURSING – I
Placement: SECOND YEAR Time : Theory : 107 Hrs
Time: Practical : 135+120 Hrs
Course Description: This course is designed for students to appreciate the principles of promotion and
Maintenance of health.
Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 2 * Describe the Introduction * Lecture * Short
concept and * Community health nursing Discussion answer
dimensions of * Definition, concepts, and questions
health dimensions of health * Objective
* Promotion of health Type
* Maintenance of health
II 35 * Describe Determinants of health * Lecture * Short
Determinants of * Eugenics Discussion answer
health * Environment: * Explain us questions
* Definition, Scope, importance ing charts, * Objective
& need for public awareness of graphs, Type
environmental studies. models,
* Physical: Air, Light Ventila- films, slides
tion,Water,waterconservation * Visits to
Housing,Sanitation,Disposal water
ofwaste,Disposalofdeadbod- supply,sew-
ies,Forestation,Noise,Climate age dispos-
Communication:Infrastructure al, milk
facilities and Linkages plants,
* Acts regulating the slaughter
environment: National house etc.,
Pollution Control Board
* Environmental pollutions
Cause,effectsandcontrolmea-
sures of :- Air pollution,Water
pollution , Soil pollution ,
marine pollution, noise
pollution, thermal pollution,
nuclear pollution Solid waste
management: causes ,effects
and control measures of
urban and industrial wastes
Role of an individual in
prevention of pollution
Disaster management :
floods, earthquake, cyclone
and land slides
* Bacterial and Viral: Agents,
host carriers and immunity
-Arthropods and Rodents
* Food hygiene: Production,
Preservation, Purchase,
Preparation, Consumption
135
* Acts regulating
foodhygiene– Prevention of
food adulteration Act, Drugs
and cosmetic Act
* Socio – cultural
* Customs, taboos
* Marriage system
* Family structure
* Status of special groups:
Females,Children, Elderly,
Challenged groups and Sick
persons
* Life Style
* Hygiene
* Physical activity
* Recreation and sleep
* Sexual life
* Spiritual life philosophy
* Self-reliance
* Dietary pattern
* Education
* Occupation
* Financial Management
* Income
* Budget
* Purchasing power
* Security
* Natural resources-
Forest resources – Use
and over exploitation
,deforestation,timberextraction
,mining,damsandtheireffects
on forest and tribal people.
Water resources – Use and
over utilization of surface and
ground water,floods,drought
, conflicts over water, dams-
benefits and problems.
Mineral resources- Use and
exploitation, environ- mental
effects of extracting and
using mineral resources.
Land resources- Land as a re-
source,land degradation,
man induced land slides,soil
erosion and desertification
* Role of an individual in
conservation of natural
resources.
* Equitable use of resources for
sustainable lifestyle
* Concept of an ecosystem

136
 * Structure & functions of an
ecosystem
* producers, consumers &
decomposers
* energy flow in the ecosystem
* ecological suggestion
* food chain, food webs &
ecological pyramids
introduction,types,character-
istic features , structure and
function of the following eco-
system;- a. Forest ecosystem
b. Grassland ecosystem
c. Desert ecosystem
d. Aquatic ecosystem (ponds
streams, lakes, rivers, oceans,
estuaries)
III 12 * Describe Epidemiology * Lecture * Essaytype
concepts, scope, * Definition, concept, aims, Discussion * Short an
uses, methods scope, uses and terminology * Explain us swers
and approaches used in epidemiology ing charts,
of epidemiology * Dynamics of disease graphs,
Transmission: models,
Epidemiological triad films,
* Morbidity and mortality: slides
Measurements
* Levels of prevention
* Methods of epidemiology of
* Descriptive - Analytical:
Epidemic investigation -
Experimental
* Endangered&endemicspecies
of India Climate change ,
global warming , acid rain
ozonelayerdepletion,nuclear
accidents and holocaust
Wasteland reclamation
Consumerismandwasteprod-
ucts Environment protection
act ,air & water ( prevention
and control of pollution ) act,
wildlife protection act, forest
conservation act
IV 20 Describe Epidemi- Epidemiology and nursingman- * Lecture * Essaytype
ology & nursing agement of common commu- Discussion * Short an-
management of nicable diseases * Explain us- swers
commoncommuni- * Respiratory infections ing charts, * Objective
cable diseases * Small pox - Chicken pox graphs, Type
* Measles - Influenza models,
* Rubella - ARI's & Pneumonia films, slides
* Mumps - Diphtheria
* Whooping cough
137
 Meningococcal meningitis healthcenters,
* Tuberculosis clinics and
* SARS homes
* Intestinal Infections *Group proj-
* Poliomyelitis ects
* Viral Hepatitis Cholera /Healtheduca-
* Diarrhoeal diseases tion
* Typhoid fever
* Food poisoning
* Amoebiasis
* Hook worm infection
* Ascariasis
* Dracunculiasis
* Arthropod infections
* Dengue
* Malaria
* Filariasis
* Zoonoses
Viral
* Rabies
* Yellow Fever
* Japanese encephalitis
* Kyasnur Forest Disease
* Bacterial
* Brucellosis
* Plagues
* Human Salmonellosis
* Anthrax
* Leptospirosis
* Rickettsial disease
* Scrub typhus
* Murine typhus
* Tick typhus
* Q fever
* Parasitic zoonoses
* Taeniasis,Hydatid diseases,
Leishmaniasis
* Surface infections
* Tetanus
* Leprosy
* STD & RTI
* Yaws
* HIV/AIDS, Any other
V 10 * Describe the Epidemiology and nursing * Lecture Essay type
Epidemiology management of common Non - Discussion * Short an-
and nursing man- communicable diseases * Explain us swers
agmentofcommon * Malnutrition:Undernutrition, ing charts,
Non -communi- over nutrition, nutritional graphs,
cable Diseases deficiencies models,
* Anaemia films, slides

138
 * Hypertension
* Stroke
* Rheumatic Heart Disease
* Coronary Heart Disease
* Cancer
* Diabetes mellitus
* Blindness
* Accidents
* Mental illness
* Obesity
* Iodine deficiency
* Fluorosis
* Epilepsy
VI 5 * Describe the Demography * Lecture * Essaytype
concepts and * Definition,conceptsandscope Discussion * Short an-
scope of * Methodsofcollection,analysis * Community swers
demography and interpretation of demo- identifica- * Objective
* Describe graphic data tion survey type
methods of data * Demographic rates and ratios * Assess-
collection,analysis ment of
and interpretation Survey
of demographic report
data

VII 15 * Identify the Population and its control * Lecture * Essaytype

impact of * Population explosion and its Discussion * Short an-
population impact on social, economic * Counseling swers
explosion in development of individual, * Demonstra- * Objective
India society and country tion type
* Describe Family welfare programme * Practice * Assess
methods of * Population growth, variation session ment
population among nations. * Supervised of Survey
* Population control: field prac- report
* Overalldevelopment,Women tice
empowerment, Social, Eco-
nomicandEducationaldevel-
opment
* Limiting family size;
* Promotion of small family
norm
* Methods: spacing (Natural,
Biological,Chemical,Mechan-
ical methods, etc.,)
* Terminal: Surgical methods
* Emergency contraception

139
 VIII 8 * Identify the Family Health Nursing * Lecture * Essaytype
problems / felt Home visit – Principles Discussion * Short an-
needs of the advantages * Counseling swers
individual & BagTechniques,PrimaryHealth * Demonstra- * Objective
community Care – Concept, Principles, tion type
elements * Practice * Assess
Records & reports session ment of
Standing orders * Supervised Survey
Health education – Objective, field report
content,principles,approaches& practice
techniques

Bibliography:

Textbook:

1. Park (JE), Text Book of Preventive and Social Medicine, Bhanarsidas Bhanot Publishers, Jabalpur,
19th P Edition, 2007.

Suggested Reference:

1. Park (JE), Text Book of Preventive and Social Medicine, Bhanarsidas Bhanot Publishers, Jabalpur,
19th P Edition, 2007.

1. Stanhope(M),PublicHealthNursing:Population-centeredHealthCareintheCommunity,Elsevier,
7th Edition, 2008.

2. Rao (KS), Introduction to Community Health Nursing, S.I.Publications, Chennai, 1989.

3. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi, 1989.

4. Kamalam (S), Essentials in Community Health Nursing Practice, JP Brothers, New Delhi.

4. Gupta Text Book of Preventive and Social Medicine, JP Brothers, New Delhi.

140
 COMMUNITY HEALTH NURSING – I
Placement: SECOND YEAR Time: Practical: 135+120 Hrs
Course Description: This course is designed for students to appreciate the principles of promotion and
maintenance of health.

Duration
(in Assignment
Areas Objectives Skills Assignments
weeks) Method

Com- 2 Wks * Build and * Use Techniques of * To work * Assess

muni * urban Maintain interpersonal relationship with 2 clinical
tyhealth and rapport * Identification of health assigned perfor-
nursing * 2wks * Identify determinantsofcommunity families mance
rural demograph- * History taking each in withrating
iccharacter- * Physical examination urban and scale
istics,health * Collectspecimens–sputum, rural * Assess
determinants malaria smear * Family each
and * Perform simple lab tests at study skill with
community centre-bloodforHemoglobin * Family checklist
health and sugar, urine for albumin study-1 * Evaluation
resources and sugar * Observation of Family
-Diagnose * Administer vaccines and report of study,
health medications to adults commu- observa-
needs of * Counsel and teach nity-1 tionreport
individual individual, family and * Health andhealth
and families community Nutrition talks- 2 (1 in talk
* Provide Hygiene Self health urbanandin * Comple
primarycare monitoring rural) tion
in health -Seeking health services of activity
centre -Healthy life style record
* Counseland -Family welfare methods
educate -Health promotion
individual,
family and
community

141
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

COMMUNITY HEALTH NURSING I

B.Sc.(N) II YEAR
Total Marks-75

KNOWLEDGE/ APPLICATION
UNDERSTANDING
RECALL
MARKS LAQ SAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
S .No UNIT WEIGHTAGE
ALLOTTED
10 5 2 10 5 2 10 5 2

1 Introduction 9.3% 7 1 1
Determinants of Health 1* 1
2 12% 9 1 1 Evs Optional Evs
3 Epidemiology 19% 10 1 1*
Epidemiology of
4 16% 16 1 1 1 1 1
communicable Diseases
Epidemiology of Non-
5 16% 12 1
communicable Diseases
6 Demography 9.3% 7 1 1
Population and Its 1
7 9.3% 7 2
Control Evs
8 Family Health Nursing 9.3% 7 1* 1 1

*Choice Question Can Be Taken From This Unit

142
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
COMMUNITY HEALTH NURSING - I
MODEL QUESTION PAPER FOR B.Sc (N)-II YEAR

Long answer Question 2 x 10 = 20

1.a). Define Epidemiology.
b). List down the methods of epidemiology
c). Explain briefly about descriptive method of epidemiology.
2. a). Define Malnutrition.
b) List out the types of malnutrition.
c). Differentiate between marasmus with kwashiorkor.
Short answer questions: (any 7) 7 x 5 = 35
3. State the dimensions of health.
4. Explain the role of an individual in conservation of natural resources.
5. Describe the treatment modalities of tuberculosis.
6. Find out the causes of diarrheal diseases & assess the level of dehydration.
7. Explain the methods of data collection.
8. Explain the population growth.
9. Explain the Role of nurses in primary health care
10. Differences between case control study and cohort study
Very short answers: 10 x 2 = 20
11. Define community health nursing.
12. List out the Ecological pyramids.
13. Label the epidemiological triad for chicken pox.
14. Identify the mode of transmission of HIV/ AIDS.
15. Mention 4 important Role of nurse in prevention of dengue.
16. Classify the risk factors of hypertension.
17. List out the 4 causes of population explosion
18. Complications of measles in measles
19. Contraindication of copper T insertion.
20. State the principles of primary health care.

143
 MEDICAL SURGICAL NURSING (ADULT INCLUDING GERIATRICS) – II

Placement: THIRD YEAR Time: Theory: 120 Hrs

Time: Practical: 270 + 175 Hrs
Course Description: The purpose of this course is to acquire knowledge and develop proficiency in caring
for patients with medical and surgical disorders in varieties of health care settings and at home
Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 15 * Describe the Nursing management of * Lecture * Essaytype
etiology, patient discussion Short
pathophysiology, with disorders of Ear Nose and * Explain us answers
* clinical Throat ing Charts, * Objective
manifestations, * Review of anatomy and graphs type
diagnostic physiology of the Ear Nose * Models, Assess-
* measures and and Throat- films, slides ment of
management of * Nursing Assessment-History * Demonstra- skills with
patients with and Physical assessment tion check list
* disorders of Ear * Etiology, Pathophysiology, * Practiceses- * Assess
Nose and Throat clinical manifestations, sion ment of
diagnosis, treatment * Casediscus- patient
modalities and sion/ Semi- manage
medical&surgical nursing nar ment
management of Ear Nose and * Healthedu-
Throat disorders; cation
* External ear: deformities * Supervised
* Otalgia, foreign bodies, and Clinical
tumours practice
* Middle Ear-Impacted wax, Drug
Tympanic membrane book / pre-
perforation, otitismedia, sentation
otosclerosis, mastoidities,
tumours
* Inner ear-Meniere's Disease,
labyrinthitis, ototoxicity,
tumours
* Upper airway infections-
Common cold, sinusitis,
Ethinitis, rhinitis,
pharyngitis, tonsillitis and
adenoiditis, peritonsilar ab-
scess, laryngitis
* Upper respiratory
Airway epistaxis,
Nasal obstruction, laryngeal
obstruction, cancer of the lar-
ynx Cancer of the oral cavity
Palliative Curriculum
* Oral fistula
* Oral issues in cancer
treatment
- Mucositis
- Xerostomia
- Glossitis144
 Speech defects and Speech ther-
apy
*Deafness –
*Prevention, control and
Rehabilitation
*Hearing Aids, implanted
hearing devices
SpecialtherapiesNursingproce-
dures Drugs used in treatment
of disorders of Ear Nose and
ThroatRoleofnurseCommu-
nicatingwithhearingimpaired
and muteness.
II 15 * Describe the Nursing management of patient Lecture * Essaytype
etiology, path with disorders of eye discussion Short
physiology, * Review of anatomy and Explain using answers
clinical physiology of the eye Charts,graphs * Objective
manifestations Nursing Assessment-History Models,films, type
diagnostic and Physical assessment slides Assess-
measures and * Etiology, pathophysiology, Demonstration ment of
management of clinical manifestations, Practice ses- skills with
patients with diagnosis,treatmentmodalities sion Case check list
disorders of eye. andmedical&surgicalnursing discussion/ * Assess-
management of eye disorders: Seminar ment of
* Refractive errors Eyelids- Healtheduca- patient
infection, tumours and tion Super- manage
deformities vised ment
* Conjunctiva- inflammation clinical prac- problem
and infection, bleeding tice/presenta-
* Cornea-inflammation tion Visit to
and infection eye bank
* Lens-Cataracts Participation
* Glaucoma in eye - camps
* Disorder of the uveal tract,
* Ocular tumours
* Disorders of posterior
chamberandretina:Retinaland
vitreous problems.
* Retinal detachment
* Ocular emergencies and their
prevention
* Blindness
* National blindness control
program
* Eye Banking Eye prostheses
and Rehabilitation Role of a
nurse- Communication with
visually impaired patient,
Eye camps Special therapies
NursingproceduresDrugsused
intreatmentof disordersof eye

145
III 16 * Describe the Nursing management of Lecture Essay type
etiology, patient with neurological discussion * Short an-
pathphysiology, disorders Review of anatomy * Explain us- swers
clinical and physiology of the neuro- ing Charts, * Objective
manifestations logicalsystemNursingAssess- graphs type
diagnostic ment-HistoryandPhysicaland * Models, * Assess-
measures and neurological assessment and films, slides ment of
management of GlasgowComaScale.Etiology, * Demonstra- skills with
patients with pathophysiology, clinical tion check list
neurological manifestations, diagnosis, * Practice ses- * Assess-
disorders. treatmentmodalitiesandmedi sion Case- ment of
cal&surgicalnursingmanage- discussion/ patient
mentofneurologicaldisorders: Semi nar Manage-
Congenital malformation Healthedu- ment
Headache Spinal Injuries: cation problem
* Paraplegia Hemiplegia * Supervised
* Quadraplegia Spinal cord problem
compression herniation of clinical-
intervertebral disc Tumors practice/
of the brain & spinal cord Intra presentation
cranialandcerebralaneurysms Drugbook/
Infections: presentation
* Meningitis,Encephalitis,Brain * Visit to
abscess, neurocysticercosis rehabilita-
Movement disorders tion center
* Chorea Seizures
* Epilepsies
* Cerebro Vascular Accident
(CVA) Cranial, Spinal
Neuropathies
* Bell's palsy, trigeminal
neuralgia
* Peripheral Neuropathies;
Guillain Barr’s Syndrome
* Myasthenia gravis
* Multiple sclerosis
* Degenerative disease
* Delirium
* Dementia
* Alzheimer's disease
* Parkinson's disease
Management of unconscious
patients and patients with
stroke Role of the nurse in
communicating with patient
having neurological deficit
Rehabilitationofpatientswith
neurological deficit Role of
nurse in long stay facility
(institutions)andathomeSpe-
cial therapies Nursing
procedures Drugs used in treat

146
 ment of neurological disorders
Palliative Curriculum Long
termcareRehabilitation&pal-
liative care
IV 16 * Describe the Nursing management of * Lecture Essay type
etiology, path patient discussion * Short
physiology, with disorders of female * Explain answers
clinicalmanifesta- reproductive system using * Objective
tions diagnostic * Review of anatomy and Charts, type
measures and physiology of the female graphs Assess-
nursing manage- reproductive system * Models, ment of
ment of patients * Nursing Assessment-History films, slides skills with
with disorders of and Physical assessment. * Demonstra- check list
female reproduc * Breast Self Examination tion Assess-
tive system * Etiology, pathophysiology, * Practice ment of
* Describe clinicalmanifestations,diagno- session patient
concepts of sis, treatment modalities Casediscus- mana
reproductive andmedical&surgicalnursing sion/Sem gement
health and family management of disorders of nar problem
welfare female reproductive system * Healthedu-
programme. * Congenital abnormalities of cation
* Describetheman- female reproductive system * Supervised
agementofpatients * Sexuality and Reproductive Clinical
in emergency Health practice/
palliative care * Sexual Health Assessment preentation
* Menstrual Disorders; * Drug
Dysmenorrhea,Amenorrhea, book /
Premenstrual Syndrome presentation
* Abnormal Uterine Bleeding;
Menorrhagia, Metrorrhagia
Pelvic Inflammatory Disease
* Ovarian and fallopian tube
disorders; infections, cysts,
tumours Uterine and cervi-
cal disorders, Endometriosis,
polyps, Fibrodis, Cervical and
uterine tumours, Uterine dis-
placement,Cystocele/Urethro-
cele/Rectocele
* Vaginal disorders; Infections,
and discharges, fistulas, vulval
disorders, infections, cysts,
tumours
* Diseases of breasts; Defor-
mities, Infections, Cysts and
Tumours
* Menopause and Hormonal
Replacement Therapy
* Infertility

147
 * Contraception;TypesMethods,
Risk and effectiveness
* Spacing Methods Barrier
methods, InteraUterine De
vices,Hormonal,PostConcep-
tional Methods, etc Terminal
methods Sterilization
* Emergency Contraception
methods Abortion – Natural,
Medicalandsurgicalabortion–
MTP Act
* Toxic Shock Syndrome
* Injuries and Trauma; Sexual
violence Special therapies
Nursing procedures
Drugs used in treatment of
gynecological disorders
Nation- al family welfare
Programme Palliative
Curriculum Palliative care vs
hospice care. Emergencies in
palliative care
V 10 * Describe the Nursing management of * Lecture * Essaytype
etiology, path patient discussion * Short
physiology, with Burns, reconstructive and * Explain answers
clinical cosmetic surgery using * Objective
manifestations * Review of anatomy and Charts, type
diagnostic physiology of skin and graphs * Assess-
measures and connective tissues and various * Models, ment of
nursing deformities films, slides skills with
management of * Nursing Assessment-History * Demonstra- check list
patients and Physical assessment and tionPractice Assess
with Burns, Assessment of burns and fluid session ment of
reconstructive and electrolyte loss. Etiology, * Casediscus- patient
and cosmetic Classification, pathophysiol- sion/ mana
surgery ogy,clinicalManifest-tations, Seminar gement
diagnosis,treatmentmodalities * Healthedu- problem
and medical & surgical Nurs- cation
ing management of Burns and * Supervised
Re-constructiveandCosmetic clinical
surgery; practice
* Types of Re-constructive and * Drug book/
Cosmetic surgery; for burns, presentation
congenitaldeformities,injuries
and cosmetic purposes
* Role of Nurse
* Legal aspects
* Rehabilitation
* Special therapies
* Psycho social aspects Nursing
proceduresDrugsusedintreat-
ment of Burns, reconstructive
and cosmetic surgery
148
VI 10 Describe the Nursing management of Lecture Essay type
etiology, patient discussion * Short
path physiology, with oncological conditions * Explain us- answers
clinical * Structure & characteristics of ing Charts, * Objective
manifestations normal & cancer cells graphs type
diagnostic * Nursing Assessment-History * Models, Assess-
measures and and Physical assessment films, slides ment of
nursing * Prevention, Screening, Early * Demonstra- skills with
management of detection, Warning signs of tion check list
patients with cancer * Practiceses- * Assess
oncology condition * Epidemiology, Etiology, sion ment
Classification, Pathophysiol- * Casediscus- of patient
ogy,Staging,clinicalmanifes- sion/ manage-
tations, diagnosis, treatment Seminar ment
modalities and medical and * Healthedu- problem
surgical,nursingmanagement cation
of oncological conditions * Supervised
* Common malignancies of clinical
various body systems; Oral, practice/
larynx, lung, Stomach and presentation
Colon, Liver, Leukemias and * Drug book/
lymphomas, Breast, cervix, presentation
Ovary,Uterus,Sarcoma,Brain,
Renal, Bladder, Prostate etc
* Oncological emergencies
* Modalities of treatment
* Immunotherapy
* Chemotherapy
* Radiotherapy
* Surgical Interventions
* Stem cell and Bone marrow
transplants
* Gene therapy
* Other forms of treatment
* Psychosocialaspectsofcancer
* Rehabilitation
* Palliative care; Symptom and
Painmanagement,Nutritional
support
* Home care
* Hospice care
* Stomal Therapy
* Special therapies
* Psycho social aspects
* Nursing procedures

149
VII 10 * Describeorganiza- Nursing management of * Lecture * Essaytype
tion of emergency patients in Emergency & discussion * Short
and disaster care Disaster situations Disaster * Explain answers
services Nursing: usingCharts, * Objective
* Describe the role * Concepts and principles of graphs type
of nurse in disaster Disaster Nursing * Models, * Assess-
management * Causes and Types of Disaster: films, slides ment of
* Describetheroleof Natural and Man made * Demonstra- skills with
nurse in manage- * Earthquakes,Floods,Epidem- tion check list
ment of common ics, Cyclones * Practiceses- * Assess-
Emergencies * Fire, Explosion, Accidents sion ment
* Violence,Terrorism,Biochem- * Case dis- of patient
ical, War cussion/ manag
* Policies related to emergency Seminar ement
/ disaster management: Inter- * Healthedu-
national, National, State and cation
Institutional * Supervised
* Disaster preparedness problem
* Team, Guidelines, Protocols, clinical
Equipments, Resources *Co- practice/
ordinationandinvolvementof presentation
Community,variousGovern- * Drug book/
mentdepartments,NonGovt. Presentation
organizationsandInternational * Disaster
Agencies Manage-
* Role of nurse : working ment Drills
* Legal Aspects of Disaster
Nursing
* Impact of Health after effects:
Post traumatic stress disorder
* Rehabilitation:Physical,Psy-
chosocial,Financial,Reloca-
tion Emergency Nursing
* Concept,priorities,principles
and scope of emergency
nursing
* Organization of emergency
services: physical set up,
staffing, equipment and
supplies,protocols,conceptsof
triage and role of triage nurse
* Coordinationandinvolvement
of different departments and
facilities
* Nursing assessment - History
and Physical assessment
* *Etiology, Pathophysiology,
Clinical manifestations,
Diagnosis, Treatment
modalities and medical
surgical nursing
management of patient with
medical surgical emergency
150
 * Principles of emergency
management
* Common emergencies
* Respiratory emergencies
* Cardiac emergencies
* Shock and Hemorrhage
* Pain
* Poly trauma, road accidents,
crush injuries, wound, bites,
poisoning – food, gas, drugs
and chemical poisoning.
* Seizures
* Thermal Emergencies: Heat
stroke & cold injuries
* Pediatric emergencies
* Psychiatric emergencies
* Obstetrical emergencies
* Violence, Abuse, Sexual as-
saultCardiopulmonaryresusci-
tation Crisis intervention
* Roleofnurse:Communication
and Inter Personal Relations
* Medico- legal Aspects
VIII 10 *Explain the Nursing care of the elderly Lecture Dis- * Essaytype
concept and * Nursing assessment –history cussion * short an-
problems of and physical assessment * Explain swers
aging * Aging; usingcharts, * objective
* Demography; Myths and graphs, type
realities Models, * Assess-
* Conceptsandtheoriesofaging films,Slides ment of
* Cognitive aspects of aging * Demonstra- skills with
* Normal biological aging tion checklist
* Age related body systems * practice * assess-
changes session ment
* Psychosocial aspects of aging * case patient
* medicationsandelderly-Stress discussion manage-
and coping in older adults /seminar ment
* Commonhealthproblemsand * health edu- problems
nursing management; cation
* Cardiovascular, respiratory, * supervised
Musculoskeletal, clinical
* Endocrine, genitourinary, practice
gastrointestinal * Drug book
* Neurological, skin and other /presenta-
sensory organs tion
* Psychosocial and sexual * Visit to old
* Abuse of elderly-Roleof nurse age home
forcareofelderly:ambulation,
Nutritional,communi-cational,
psychosocial, and spiritual
* Role of nurse for caregivers of
Elderly
151
 * Role of family and formal and
non-formal care givers
* use of aids and prosthesis
(hearing aids, dentures)
* legal and ethical issues
* Provisionsandprogrammesfor
elderly;privileges,community
programmes and health ser
vices; home and institutional
care
IX 10 * Describe Nursing management of Lecture * Essaytype
organization of patient in critical care units Discussion * short
critical care units * Nursing assessment-History * Explain us- answers
* Describe the and physical assessment ing charts, * objective
role of nurse in * Classification graphs, type
Management of * Principles of critical care Models, * Assess-
patients critical nursing films,Slides ment of
care units * Organization; Physical setup, * Demonstra- skills with
policies, Staffing norms, tion checklis
* protocols, equipment and * practiceses- * Assess-
supplies sion ment
* Special equipments; * case discus- patient
ventilators, cardiac monitors, sion manage-
defibrillators, /seminar ment
* Resuscitation equipments * health edu- problems
* Infection control protocols cation
* Nursing management of * supervised
Critically ill patients; clinical
* Monitoring of critically ill practice
patient * Drug book
* CPR-Advance cardiac Life presentation
support * Visit to old
* Treatments and procedures age home
* Transitional care
* Ethical and legal Aspects
* Communication with patient
and family
* Intensive care records
* Crisis Intervention
* DeathandDying–copingwith
* Drugs used in critical care unit
X 8 -Describe the Nursing management of Lecture Dis- * Essaytype
etiology, patho patients adults including cussion * short
physiology, elderly with occupational and * Explain us- answers
clinical Industrial disorders ing charts, * objective
manifestations, -Nursing assessment – History graphs, type
assessment, and physical assessment Models, * Assess-
diagnostic -Etiology, pathophysiology, films,Slides ment of
measures and clinicalmanifestations,diagnosis * Demonstra- skills with
management of ,treatment modalities and tion checklis
patients with medical & surgical nursing

152
 occupational managementofoccupationaland * practice ses- * Assess-
and industrial industrial health disorders sion ment
health disorder -Role of nurse * case discus- patient
. Special therapies, alternative sion manage-
therapies, Nursing procedures /seminar ment
-Drug used in treatment of *healtheduca- problems
occupational and industrial tion
disorders

Bibliography:

1. Brunner, Medical Surgical Nursing, Elsevier , 11th edition

2. Hughes (P), Clinical Practice Protocols in Oncology Nursing, Jones & Bartlet, 2007

3. Hickey, The Clinical Practice of Neurological & Neurosurgical Surgical Nursing, Lippincott, 5th
Edition.

4. Hudak, Critical Care Nursing: A Holistic Approach, Lippincott, 7th edition.

5. Kaplow, Crictal Care Nursing: Surgery for Optimal Outcomes, Jones & Bartlet, 2007.

6. Dhiagra, Ear Nose and Throat

7. Maqboal,Textbook of Ear, Nose & Throat Diisease, Jaypee,10th edition.

8. Nema (HV), Textbook of Opthmology, Jaypee, 4th edition.

9. Padmini (HR), Opthamology, Ahuja Publishing House, 2nd edition.

10. Bhihoto, Parson's Disease of the Eye, Elsevier, 19th edition.

153
 MEDICAL SURGICAL NURSING (ADULT AND GERIATRICS) – II PRACTICAL
Placement: THIRD YEAR Time: Practical: 270 + 175 Hrs

Dura-
tion Objectives Assignment
Areas Skills to be Developed Activities
(in of Posting Method
weeks
ENT 1 * Provide care to * Perform examination of * Providecare * Assess
patients with ear, nose and throat to 2 -3 as- each
ENT disorders * Assist with diagnostic signed skill with
* Counsel and procedures patients checklist
educate patient * Assist with therapeutic * Nursing * Assess
and families procedures care plan perfor-
* Instillation of drops –1 mance
* Perform / assist with * Observation withrating
irrigations reports of scale
* Apply ear bandage OPD * Evaluation
* Perform tracheostomy care * Maintain of obser-
* Teach patients and families drug book vation
report of
OPD
* Comple
tion of
activity
record
Oph 1 * Provide care to * Perform examination of * Providecare * Assess
thalm patients with eye to 2 -3 as- each skill
ology Eye disorders * Assist with diagnostic signed withcheck-
* Counsel and procedures Patients list Assess
educate patient * Assist with therapeutic * Nursing perfor-
and families procedures care plan mance
* Perform / assist with –1 withrating
irrigations * Observation scale
* Apply eye bandage reports of * Evaluation
* Apply eye drops/ointments OPD and of obser-
* Assist with foreign body eye bank vation
removal * Maintain report of
* Teach patients and families drug book OPD/ eye
* Comple-
tion of
activity
record
Neu- 2 * Provide care to * Perform Neurological * Providecare Assess each
rology patients with examination to 2 -3 as skill with
Neurological * Use Glasgow Coma Scale signed checklist
disorders * Assist with diagnostic Patients * Assess
* Counsel and procedures with neu- perfor
educate patient * Assist with therapeutic rological mance
and families procedures disorders withrating
* Teach patients and families * case study / scale
* ParticipateinRehabilitation casepresen-
program tation - 1

154
 * Perform active & passive * Maintain * Evaluation
exercises drug of Case
* Practice medical & surgical Book Study and
asepsis Health Health
* Counsel & Teach patients Teaching Teaching
and families * Comple-
* Participate in tion of
rehabilitation program activity
record
Gyne- 1 Provide care to * Assist with Gynecological Provide care Assess each
cology patients with examination Assist with to 2 -3 as- skill with
ward Gynecological diagnostic procedures signed check list.
disorders. * Assist with therapeutic Patients Assess
Counsel procedures * Nursing performance
and educate * Teach patients and families Care with rating
patient and Teaching self-breast ex- Plan - 1 scale.
families amination Assist with PAP * Maintain Evaluationof
Smear collection drug Book care plan
Completion
of activity
record.
Burns 1 Provide care to * Assessment of burns patient Provide care Assess each
Unit patients with B * Percentage of burns to 1 -2 as- skill with
urns. * Degree of burns signed check list.
Counsel * Fluid and electrolyte re- Patients Assess
and educate placement therapy * Nursing performance
patient and * Assess Care with rating
families * Calculate Plan - 1 scale.
* Replace * observation Evaluationof
* Record intake/ output report of careplanand
* Care of Burn Wounds Burns unit observation
* Bathing report.
* Dressing Completion
* Perform active & passive of activity
exercises record.
* Practice medical & surgical
aspesis
* Counsel&teachpatientsand
families
* Participateinrehabilitation
program
Oncol- 1 Provide care to * Screen for common Providecareto Assess each
ogy patients with cancers – TNM 2-3 assigned skill with
Unit cancer Counsel classification Assist with patients. check list.
and educate diagnostic procedures Nursing care Assess
patient and * Biopsies plan – 1 performance
families * Pap smear Observation with rating
* Bone – report of scale.
cancer unit

155
 marrow aspiration Evaluationof
Breast examination careplanand
Assist with therapeutic observation
Participates in various report.
modalities of treatment Completion
* Chemotherapy of activity
* Radiotherapy record.
* Pain management
* Stomaltherapy
* Hormonal therapy
* Immuno therapy
* Gene therapy
* Alternative therapy
Participate in
palliative care
Counsel and teach
patients families
* Self Breast Examination
* WarningsignsParticipatein
rehabilitation program
Critical 2 Provide care to Monitoring of patients in Provide care Assess each
Care critically ICU Maintain flow sheet to 1 skill with
Unit illpatients Care of patient on ventilators assigned check list.
Counsel patient Perform Endotracheal paient. Assess
and families for suction Demonstrates use of Observation performance
grief and ventilators, cardiac monitors report of with rating
bereavement etc. Collect specimens and critical scale.
interprets ABG analysis care unit Evaluationof
Assists with arterial puncture Drug book. observation.
Maintain CVP line Pulse
Oximetry
CPR – ALS
Defibrillators
Pace makers
Bag-mask ventilation
Emergency tray / trolly
* Crash Cart
Administration of drugs
* Infusion pump
* Epidural
* Intra thecal
* Intracardiac
* Total parenteral therapy
* Chest physiotherapy
* Perform active & passive
exercises
* Counsel the patient and
family in dealing with
grieving and bereavement

156
Casu- 1 Provide care to Practice ' triage”. Observation Assess
alty / patients in Assist with assessment, report of performance
Emer- emergency and examination, investigations Emergency with rating
gency disaster situation. & their interpretations, unit scale.
Counsel patient in emergency and Evaluationof
and families for disaster situations. observation
grief and Assist in documentations report.
bereavement Assist in legal procedures in Completion
emergency unit Participate in of
managing crowd activity
Counsel patient and families record.
in grief and bereavement.

Placement : Time : 9 Weeks

Dura-
Assess Clinical
tion Objectives
Areas Skills to be Developed performance with
(in of Posting
rating scale
weeks
Medical 2 Provide compre- Integrated Practice Assess Clinical
Ward hensive performance with
care to patients rating scale
with medical
and surgical
conditions
including
Surgical 2 emergencies
ward
Criticalcare 1 Assist with
unit/ICCU common opera-
tions
Operation 2
Theatre
(Eye, ENT,
Neuro)

157
 •
•

•
•
Total Marks: 75
Knowledge/ Recall Understanding Application
Weight Marks LAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
Sl.No Unit SAQ(5)

10 Very Short Answer Questions (VSAQ) for 2 marks

7 Short Answer Questions in 8 (SAQ) for 5 marks

2 Long Answer Questions (LAQ) for 10 marks

Each paper shall contain
age Allotted (10) (2) (10) (5) (2) (10) (5) (2)

BLUE PRINT FOR QUESTION PAPER – MEDICAL SURGICAL NURSING - II

1

Unit – I Disorders
of Ear, Nose & 12% 9 v 1 2
Throat

Placement III Year B.Sc (N)

2 Unit II – Disorders
16% 12 1 1
of Eye
3 Unit III –
Neurological 18.67% 14 1 1 1
Disorders
4 Unit IV – Disorders
of Female
2.67% 2 1# 1
Reproductive
System
5 Unit V – Burns,
reconstructive &
9.33% 7 1 1
cosmetics surgery

6 Unit VI-

10 x 2 = 20
7 x 5 = 35
2 x 10 = 20
Oncological
9.33% 7 1 1
Disorders

75
7 Unit VII -
Emergency &
9.33% 7 1 1
Disaster Nursing

158
 8 Unit VIII - Nursing
care of Elderly 6.67% 5 1

BLUE PRINT FOR QUESTION PAPER – MEDICAL SURGICAL NURSING - II

Unit IX - Critical
9.33% 7 1 1+1* 1*
care Nursing

Unit X –
Occupational
10 6.67% 5 1
& Industrial
Disorders

Total 100% 75

Placement III Year B.Sc (N)

*Optional [units that could be considered in the consequent years]
#Choice Question could be taken from that unit.

Distribution:
Knowledge – 26.67%
Understanding – 61.33%
Application –12%
159
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
III Year B.Sc (N) Degree Examination
MEDICAL SURGICAL NURSING II
Model Question Paper
I. Answer in Detail: 10X2=20
1. Mr. X admitted in casualty with complaints of Right hemiplegia, slurred speech and loss of memory
(2+3+5)
a) Define Cerebro Vascular Accident.
b) How will assess the patient with Cerebro Vascular Accident.
c) Construct a nursing care plan for a patient with Cerebro Vascular Accident.
2. Mr. Y admitted in ophthalmic ward with the diagnosis of glaucoma (2+3+5)
a) What are the characteristic changes observed in glaucoma patient
b) Classify glaucoma
c) Explain the surgical and nursing intervention done for patients with glaucoma
II. Answer any 7 of the following : (Short answer questions) 7X5=35
3. Explain different types of hearing aids with its purpose
4. Discuss the cause and management of patient with infertility
5. Construct a fluid resuscitation for a patient with 45% burns with consensus formula
6. Elaborate the collaborative management of patients with lung cancer
7 .Explain the legal aspects of disaster nursing
8. Describe the theories of ageing process
9 .Describe the nursing care of patient in ventilator
10. Enumerate the health problems due to industrialization
III. Very short answer Questions: 10X2=20
11. Define quinsy
12. Indicate the need for tracheostomy
13. Name the types of refractive errors
14. Specify any 4 infectious disease of the brain.
15. Outline the cardinal features in Parkinson’s disease
16. Define uterine prolapsed
17. Justify Rule of Nine
18.Name any four tumor markers?
19.List down any four natural disasters
20.Outline the criteria for weaning a patient from ventilator

160
THIRD YEAR - During the Medical Surgical Nursing (15 Hrs)

Unit Hours Content

Yogic management for Ear Nose and
I 2
Throat disorders
II 1 Yogic management for Eye problems
Yogicmanagementforneurologicaldisor-
III 3
ders
YogicmanagementforFemalereproduc-
IV 2
tive disorders
Yogicmanagementforpatientswithonco-
VI 2
logical conditions

VIII 3 Yogic management for the elderly

Yogic management for occupational and

IX 2
industrial disorders

161
EVALUATION
➢ Written Test
➢ Practical Evaluation
PRESCRIBED TEXT BOOKS
1. A primer of Yoga Theory by Dr Ananda Balayogi Bhavanani by, Pondicherry
2. Basic Hatha Yoga lessons by Dr Ananda Balayogi Bhavanani and Dr Meena Ramanathan,
Pondicherry
3. Fundamentals of Yoga History compiled by Dr Meena Ramanathan, Pondicherry
4. Principles and methods of Yoga notes compiled by Dr Ananda Balayogi Bhavanani,
Pondicherry
5. Practical notes 1 & 2 compiled by Dr Ananda Balayogi Bhavanani, Pondicherry
6. Yoga Chikitsa by Dr Ananda Balayogi Bhavanani, Pondicherry
BOOKS FOR REFERENCE
• A yogic approach to stress by Dr Ananda Balayogi Bhavanani, Pondicherry
• Asana, Pranayama, Mudra and Bandha by Swami Satyananda, BSY, Munger
• Asanas : Why? And how? by Shri. O.P. Tiwari. Kaivalyadhama, Lonavla.
• Ashtanga Yoga of Patanjali by Dr Swami Gitananda, Ananda Ashram, Pondicherry
• History of Yoga from Ancient to Modern Times by Meenakshi Devi Bhavanani, Ananda
Ashram, Pondicherry
• Pranayama by Swami Kuvalayananda. Kaivalyadhama, Lonavla.
• The Yoga Tradition by George Feuerstein. Shambala Pub. USA
• Thiruvalluvar on Yogic Concepts- Meena Ramanathan, Puducherry-13
• Yoga Life, Journal of ICYER at Ananda Ashram, Pondicherry
• Yoga Mimamsa, Journal of Kaivalyadhama, Lonavla.

162
 CHILD HEALTH NURSING

Placement: THIRD YEAR Time: Theory: 105 Hrs

Time: Practical: 270 + 80 Hrs
Course Description : This course is designed for developing an understanding of the modern approach
to child- care, identification, prevention and nursing management of common health problems of neonates
and children
Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 20 * Explain the Introduction * Lecture * Short
modern concept Modern concepts of child care Discussion answers
of child care and * Internationally accepted * Demonstra- * Objective
principles of rights of the child tion of type
child health * National policy and common * Assess-
nursing legislations in relation to paediatric ment of
* Describe national child health and welfare procedures skills with
Policyprogrammes * National programmes related Checklist
and legislation in to child health and welfare
relation to child * Agencies related to
health and welfare welfare services to the
* List major children
causes of death * Changing trends in hospital
during infancy, care, preventive, promotive
early and late and curative aspects of child
childhood health.
* Describe the * Child morbidity and
major functions mortality rates
and role of the * Differences between an adult
paediatric nurse and child
in caring for a * Hospital environment for a
hospitalized sick child
child. * Impact of hospitalization on
* Describe the child and family
the principles * Grief and bereavement
of child health * The Role of a child health
nursing Describe nurse in caring for a hospital-
thecareofchildren ized child
interminalillness/ - Palliative care for children
dying - Needs of family when child
is terminally ill/ dying Play
therapy for terminally ill child
* Principles of pre and post
operative care of infants and
children
* Child health nursing
Procedures

163
II 20 * Describe the The healthy child * Lecture * Short
normal growth & * Principles of growth & Discussion answers
development of development * Develop- * Objective
children at * Factors affecting growth & mental type
different ages development study of * Assess-
* Identify the * Growthanddevelopmentfrom infants and ment of
needs of children birth to adolescence children visits and
at different ages * The needs of normal children * Observa- develop-
&provideparental through the stages of tionstudyof mental
guidance developmental and parental normal and study
* Identify the guidance sick child reports
nutritional needs * Nutritionalneedsofchildren& * Fieldvisitto
of children at infants: breast feeding, exclu Anganwadi,
different ages and sive breast feeding, supple- child
ways of meeting mentary/artificialfeedingand guidance
the needs weaning clinic
* Appreciate the * Babyfriendlyhospitalconcept * Film show
role of play for * Accidents: causes and on breast
normal & sick prevention feeding
children. * Value of play and selection of * Clinical
* Appreciate the play material practice /
preventive * Preventive immunization, field
measures and immunization program and
strategies for cold chain
children * Preventive peadiatrics
* Careof under five & under five
clinics/ well baby clinics
III 15 * Provide care to Nursing care of a neonate * Lecture * Short
normal & high * Nursing care of a normal Discussion answers
risk neonates newborn /Essential newborn * Workshop * Objective
* Perform care on neonatal type
neonatal * Neonatal resuscitation resuscitation * Assess
resuscitation. * Nursing management of a low * Demonstra- ment of
* Recognize and birth weight baby tion skills
manage * Kangaroo mother care * Practice ses with
CommonNeonatal * Nursing management of sion checklist
problems common neonatal disorders * Clinical
* Organization of neonatal unit practice
* Identification and nursing
management of common
congenital malformations.
IV 10 Describe the inte- * Integrated management of * Lecture * Short
gratedmanagement neonatal and childhood * Discussion answers
of neonatal and Illnesses (IMNCI) * Demonstra- * Objective
childhood illness tion type
(IMNCI) * Assess
ment of
skills
with
checklist

164
V 30 * Provide nursing Nursing management in com- * Lecture * Short
care in common mon childhood diseases Discussion answers
childhood * Nutritional deficiency * Demonstra- * Objective
diseases disorders tion type
* Respiratory disorders and * Practiceses-
Infections sion

* Identify * Gastrointestinal infections, * Clinical * Assess-

measures to infestations and congenital practice ment of
preventing disorders. skills
common * Cardiovascular Problems,con- with
childhood genital defects and rheumatic checklist
diseases fever, rheumatic heart disease
including * Genito-urinary disorders:acute
care of intersex glomurulonephritis, Nephrotic
children syndrome, Wilms' tumor,
infection and congenital
disorders.
* Neurological infections and
disorders: convulsions,
epilepsy, meningitis,
hydrocephalous,spina-bifida.
* Haematological disorders:
Anaemia, ,thalasemia, ITP,
Leukemia, hemophilia
* Endocrine disorders: Juvenile
Diabetes Mellitus
* Orthopedicdisorders:clubfeet,
hip dislocation and fracture.
* Disordersofskin,eye,andears
* Common communicable
diseases in children, their
identification, nursing
management in hospital and
home and prevention
* Child health emergencies:
Poisoning, foreign bodies,
haemorrhage, burns and
Drowning
* Nursing care of infant and
children with HIV/AIDS.
VI 10 * Manage The child Management of behavioral and * Lecture * Short
With behavioral social problems in children Discussion answers
and Social prob- * Management of Common * Field vis- * Objective
lems behavioral disorders its to child type
* Management of common guidance
psychiatric problems clinics,
school for

165
 Transgender Curriculum
* Transgender-Inclusive Nursing
Curriculum
* Gender-non conforming
children
* Children of LGBT Parents:
social, mental issues
* Medical and surgical
treatment in Intersex
condition Care of Intersex
child
* Identify * management of Challenged mentally and *Assesme
The social and children: Mentally, physically, nt of
welfare services physically, & socially chal- socially field
for challenged lenged challenged Reports
Children * Welfare services for
challenged children in India
-Child guidance clinics

REFERENCES:

1. Whaley & Wong’s, Nursing Care of Infants & Children, Mosby, Philadelphia.

2. Marlow, Textbook of Pediatric Nursing, Harecourt (India) Ltd.

3. Nelson, Textbook of Paediatrics, Harecourt India private Ltd.

4. Parthasarathy, IAP Textbook of Paediatrics, Jaypee Brothers Medical

Publishers, New Delhi.

5. Hockenberry, Wong's Maternal Child Nursing Care, Mosby.

6. Kenner (C), Comprehensive Neonatal Nursing, Saunders.6. Pilltteri (A),

Maternal and Child Health Nursing Care, LWW, Philadelphia,

166
 CHILD HEALTH NURSING –PRACTICAL

Placement: THIRD YEAR Time: Theory : 270+80 Hrs

Duration
Assignment
Areas (in Objectives Skills Assignments
Method
weeks
Paediat 3 * Provide * Taking pediatric History * Give care to * Assess
ric nursing care * Physical examination and three as- clinical
Medi to children assessment of children signed perfor-
cine with various * Administer of oral, I/M & paediatric mance
Ward medical IV medicine/ fluids patients with rating
disorders * Calculation of fluid * Nursing scale
* Counsel and requirements care plan-1 * Assess
educate * prepare different strengths * Case study/ each
parents of I.V fluids presentation skill with
* Apply restraints -1 checklist
* Administer O2 inhalation * Health OSCE/
by different methods talk-1 OSPE
* Give baby bath * Evaluation
* Feed children by Katori of case
spoon,etc. study/
* collect specimens for presenta-
common investigations tion
* Assist with common and health
Diagnostic procedures education
* Teach mothers/ parents session
* Malnutrition. Oral * Comple
rehydration therapy tion of
* Feeding & weaning activity
record.
* Immunization schedule
* Play therapy
* Specific Disease
Conditions
Paediat- 3 * Recognize * Calculate, prepare and * Give care to * Assess
ric different administer I/V fluids three as- clinical
surgery pediatric * Do bowel wash signed Perfor-
ward surgical * Care for ostomies paediatric mance
conditions/ * Colostomy irrigation surgical with rating
malforma- Ureterostomy , Gastros- patients scale
tions tomy, enterostomy. * Nursing * Assess
* provide pre * Urinarycatheterizationand care plan-1 each
and post drainage * Case study/ skill with
operative * Feeding presentation checklist
care to chil- * Naso-gastric OSCE/
dren with * Gastrostomy OSPE
Common * Jejunostomy * Evalution
paedatric * Care of surgical wounds of case
surgical * Dressing study/
conditions/ presenta-
* Suture removal
malforma- tion
tion

167
 * Counsel and * Comple-
educate tion of
parents activity
record.
Pedi- 1 * Perform * Assessment of children *Developmen- -Assess
atric assessment of * Health assessment tal clinical
OPD/ children: * Developmental assessment study-1 performance
Immu- Health, * Anthropometric with rating
niza- developmental assessment scale
tion and * Immunization *Completion
Room Anthropometric * Health/ Nutritional of activity
* Perform Education record
Immunization
* Give health
Education/
Nutritional
Education
Paediat- 1+1 -Provide * Care of a baby in * Nursing care * Assess
ric nursing care to incubator/ warmer Plan-1 clinical
Medi- critically ill Care of a child on ventilator * Observation performance
cine children * Endotracheal suction report-1 with rating
and * Chest physiotherapy scale
surgery * Administer fluids with *Completion
ICU infusion pump of activity
* Total parenteral nutrition record
* Phototherapy * Evaluation
* Monitoring if babies of observa-
* Cardio pulmonary tion
resuscitation report
Padiatric 1 -Provide -Assess clinical
medicine comprehensive performance
ward/ ICU care to children -Integrated practice with rating scale
with medical
conditions
Pediatric 1 -Provide -Assess clinical
Surgery comprehensive performance
ward/ICU care to children -Integrated practice with rating scale
with surgical
conditions
NICU 1 -Provide -Assess clinical
intensive care to -Integrated practice performance
neonates with rating scale

168
 BLUE PRINT OF QUESTION PAPER – CHILD HEALTH NURSING

Placement III Year B.Sc (N)

Total Marks: 75
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 2X10= 20
• 7 Short Answer Questions (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75
Knowledge/ Recall Understanding Application
Sl.
Unit Weightage Marks
LAQ SAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
No Allotted
(10) (5) (2) (10) (5) (2) (10) (5) (2)
1 Unit – I Introduction 5% 4 01 01

2 Unit II – The Healthy Child 9% 7 01 01

3 Unit III – Nursing care of a neonate 9% 7 01 01

4 Unit IV – Integrated Management of neonatal & childhood illness 7% 5 01

5 Unit – V
01 01* 01
• Nutritional Deficiency 12% 9
• Respiratory Disorders 01* 01

• Gastro Intestinal System Disorders 01

20% 15
• Genito Urinary Disorders 01

• Cardio Vascular System Disorders 01

20% 15
01* 01
• Neurological Disorders

169
 • Hematological Disorders 01
9% 7
• Endocrine Disorders 01
• Orthopedic & Skeletal Disorders 01
3% 2
• Disorders of Eye, Skin, Ears

• Common communicable diseases 3% 2 *01 01

• Child Health Emergencies
6
Unit VI – Behavioral & Social problems 3% 2 01* 01

LAQ (2), SAQ (7), VSAQ (10)

• *SAQ can be taken from common communicable diseases/
Total 100% 75 child health emergencies / Behavioral & Social problems/
Nutritional Deficiency.
• *LAQ can also be taken from Respiratory disorders/
Neurological disorders.

NOTE: DISTRIBUTION

Knowledge 14%
Understanding 72%
Application 13%

170
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
III YEAR B.Sc Nursing - CHILD HEALTH NURSING

Time: 3 Hrs Max Marks: 75

I. Long Answer questions (10x2=20)

1. Baby .Anu, 8 months old is admitted with the diagnosis of Acute Gastro Enteritis (AGE) WITH
10%dehydration.
a) List the causes of AGE (2)
b) Describe the degree of dehydration according to IAP (3)
c) Describe the nursing management of baby Anu (5)
2. Baby Banu 4 months old baby admitted in PICU with the complaints of blue spells and diagnosed as
Tetralogy of Fallot.
a) What are the 4 conditions involved in TOF (2)
b) Explain the hemodynamic change in TOF (3)
c) Draw the nursing care plan for Baby Banu (5)
II . Short Answer questions (7x5=35) (Any seven)
3) Describe the types of Spina bifida and its management
4) Write the cardinal features and Pathophysiology of Nephrotic Syndrome
5) Write the Nursing Management of child with Asthma
6) Write the factors Influencing Growth and Development
7) Explain APGAR
8) Nursing management of child with Juvenile Diabetes
9) Draw the IMNCI care Management Process
10) Nursing management of child with Near drowning
III . Very short Answer Questions: (10x2=20)
11) Define Primary Complex
12) List down any four Newborn Reflexes
13) What is protein Energy Malnutrition?
14) List out the Types of Fracture
15) List down the fat soluble vitamins and their deficiencies.

171
16) Define High Risk newborn
17) What is Child Guidance Clinic?
18) List any 4 Clinical Manifestations of Leukemia
19) List down the Techniques of Breast Feeding
20) Write any four Voluntary Agencies

172
 MENTAL HEALTH NURSING

Placement: THIRD YEAR Time: Theory: 90 Hrs

Time: Practical: 270 Hrs
Course Description: This course is designed for developing an understanding of the modern approach to
mental health, identification, prevention and nursing management of common mental health problems with
special emphasis on therapeutic interventions for individuals, family and community.

Teaching Assign-
Time Learning
Unit Content Learning ment
(hrs) Objectives
Activities Method
I 5 * Describe the Introduction Lecture * Short
historical * Perspective of Mental Health Discussion answers
development & and Mental Health Nursing: * Objective
current trends in evolution of mental health type
mental health services, treatments and * Assess-
nursing nursing practices. ment of
* Describe the * Prevalence and incidence of Field
epidemiology of mental health problems and visit
mental health disorders. reports
problems * Mental Health Act
* Describe the * NationalMentalHealthPolicy
National Mental visavisNationalHealthPolicy
Health Act, pro- National Mental Health
gramme and men- Programme
tal health policy * Mental health team
* Discuss the * Nature and scope of mental
scope of mental health nursing
health nursing * Role and functions of mental
* Describe the healthnurseinvarioussettings
concept of and factors affecting the level
normal & of nursing practice.
abnormal * Concepts of normal and
behaviour abnormal behaviour

173
II 5 * Define the Principles and Concepts of * Lecture * Essay
various terms Mental Health Nursing discussion type
used in mental * Definition: Mental health * Explain * Short
health Nursing nursing and terminology used usingCharts answers
* Explain the * Classification of mental * Review of * Objective
classification of disorders: ICD personality type
mental disorders * Review of personality develo
* Explain psycho development,defensemecha- pment
dynamics of nisms
maladaptive * Maladaptive behavior of
behaviour individuals and groups: stress,
* Discuss the crisis and disaster
Etiological * Etiology: Bio-psycho-social
factors, factors
psychopathology * Psychopathology of mental
of mental disorders: Review of structure
disorders and functions of brain, limbic
* ExplainthePrinci- system and abnormal neuro
ples and standards transmission
of mental health
nursing
* Describe the * Principles of Mental health
conceptual nursing practice
models of mental * Standards of mental health
health nursing nursing practice
* Conceptualmodelsandtherole
of nurse:
* Existential Model
* Psycho –analytical models
* Behavioural models
* Inter personal model
* Palliative Curriculum
Distress of chronically ill
& distress thermometer Ap-
proachtoemotionalresponses
tobadnewAnxietyanddepres-
sion in advanced illness
III 8 * Describe nature, Assessment of mental health * Lecture * Short
purpose and status discussion answers
process of * History taking * Demonstr * Objective
assessment of * Mental status examination ation type
mental health * Minimentalstatusexamination * Practiceses- * Assess-
status * Neurological examination sion ment of
review * Clinical skills
* Investigations: Related Blood practice with
chemistry, EEG, CT,& MRI checklist
* Psychological tests Role and
responsibilities of nurse

174
IV 6 * Identify Therapeutic communication * Lecture * Short
therapeutic and nurse-patient relationship discussion answer
communication * Therapeutic communication: * Demonstra- * Objective
techniques Types, Techniques, tion type
* Describe Characteristics * Role Play
therapeutic * Types of relationship, * Process
relationship * Ethics and responsibilities Recording
* Describe * Elements of nurse patient
therapeutic contract
impasse and its * Review of technique of IPR –
intervention Johari Window
* Goals, phases, tasks, therapeu
tic techniques
* Therapeutic impasse and its
Intervention
Palliative Curriculum
- Breaking bad news
- Collusion
V 14 * Explain Treatment modalities and * Lecture * Essay
treatment therapies used in mental discussion Type
modalities and disorders * Demonstra- * Short
therapies used in * Psycho pharmacology tion answers
mental disorders * Psychological therapies: * Groupwork * Objective
and role of the Therapeuticcommunity,psy- * Practice type
nurse chotherapy,individual,psycho session
analytical, cognitive and * Clinical
supportive, family, group, practice
behavioural, play, psycho –
drama, music, dance, recre-
ational and light therapy
Relaxation therapies: Yoga,
Meditation, Bio – feedback
* Alternative systems of medi-
cine
* Occupational therapy
* Physical therapy: electro
convulsive therapy
* Geriatric considerations
Role of nurse in above
therapies

175
VI 5 * Describe the Nursing management of * Lecture * Essay
etiology, Patient with Schizophrenia, discussion Type
psychopathology, and other psychotic disorders * Case Dis- * Short
clinical * Classification: ICD cussion answers
manifestations, * Etiology, psycho-pathology, * Case pre- * Assess-
diagnostic types, clinical manifestations, sentation ment of
criteria and diagnosis * Clinical Patient
management of * NursingAssessment–History, practice manage-
patients with Physical and Mental assess- ment
Schizophrenia, ment problem
and other * Treatment modalities and
psychotic
nursingmanagementofpatients
disorders
withSchizophrenia,andother
psychotic disorders
* Geriatric considerations
* Follow-up and home care and
Rehabilitation
VII 5 * Describe the Nursing management of *Lecture dis- *Essay
Etiology, patients with mood disorders cussion Type
Psychopathology, * Mood disorders: Bipolar *Demonstra- * Short
Clinical affectivedisorder,Mania,De- tion answers
Manifestations, pression and Dysthamia etc., *Role play *Assess-
Diagnosticcriteria * Etiology, psycho-pathology, *Process ment of
And management clinical manifestations, Recording Patient
Of patients with diagnosis manage-
mood disorders * NursingAssessment–History, ment
Physical and Mental problem
assessment
* TreatmentmodalitiesandNurs-
ing management of patients
with
mood disorders
* Geriatric considerations
* Follow-up and home care and
Rehabilitationmanagementof
patients with mood disorders

176
VIII 8 * Describe the Nursing management of * Lecture * Essay
etiology, patients with neurotic, stress discussion Type
psychopathology, related and somatization * Case Dis- * Short
clinical disorders cussion answers
manifestations, * Anxiety disorders, phobias, * Case pre- * Assess-
diagnostic Dissociation and Conversion sentation ment of
criteria and disorders, Obsessive compul * Clinical Patient
management of sive disorders, Somatoform practice manage-
patients with disorders,Posttraumaticstress ment
neurotic, stress disorders problem
related and * Etiology, psychopathology,
somatization clinical manifestations, diag-
disorders nosis
* NursingAssessment–History,
Physical and Mental assess-
ment
* Treatment modalities and
nursingmanagementofpatients
withneurotic,stressrelatedand
somatization disorders
* Geriatric considerations
* Follow-up and home care and
rehabilitation
IX 5 * Describe the Nursing management of * Lecture * Essay
etiology, patients with substance use discussion Type
psychopathology, disorders * Demonstra- * Short
clinicalmanifesta- * Commonlyusedpsychotropic tion answers
tions, diagnostic- substance:Classification,forms * Role play * Assess-
criteria and man- routes,action,intoxicationand * Process ment of
agementofpatients withdrawal Recordin Patient
with substance use * Etiology of dependence: manage-
disorders Tolerance, psychological and ment
physical dependence, with- problem
drawal syndrome, diagnosis,
* Nursingassessment–History,
physical, mental assessment
and drug assay
* Treatment (Detoxification,
antabuse and narcotic
antagonist therapy and harm
reduction) and nursing
management of patients with
substance use disorders
* Geriatric considerations
* Follow-up and home care and
rehabilitation

177
X 4 * Describe the * Nursing management of * Lecture * Essay
etiology, patients with Personality, discussion Type
psychopathology, Sexual and Eating disorders * Case Dis- * Short
clinical * Classification of disorders cussion answers
manifestations, * Etiology, psycho-pathology, * Case pre- * Assess-
Diagnosticcriteria characteristics & diagnosis sentation ment of
And management * Nursingassessment–History, * Clinical Patient
Ofpatientsinclud- physical, mental assessment practice manage-
ing transgender ment
* Treatment modalities and
with Personality, problem
nursingmanagementofpatients
Sexua l and Eating
with Personality, Sexual and
disorders
Eating disorders
* Geriatric considerations
* Follow-up and home care and
rehabilitation Transgender
CurriculumTransgender-Inclu-
sive Nursing Curriculum
• Harmful Psychiatry practices
to LGBTQI
• Mental health issues selec-
tive to LGBTQI Good mental
health practices for LGBTQI
XI 6 * Describe the Nursing management of * Lecture * Essay
etiology, childhood and adolescent discussion Type
psychopathology, disorders including mental * Case Dis- * Short
clinical deficiency cussion answers
Manifestations, * Classification: * Case pre- * Assess-
diagnostic * Etiology, psycho-pathology, sentation ment of
criteria and characteristics & diagnosis * Clinical Patient
management of Nursingassessment–History, practice manage-
childhood and ment
physical, mental and IQ
adolescent problem
assessment
disorders
* Treatment modalities and
including
nursingmanagementof child-
mental deficiency
hooddisordersincludingmen-
tal deficiency
* Follow-up and home care and
rehabilitation

178
XII 5 * Describe the Nursing management of * Lecture * Essay
etiology, patients with organic brain discussion Type
psychopathology, disorders * Case Dis- * Short
clinical * Classification: ICD cussion answers
* Case pre- * Assess-
sentation ment of
* Clinical Patient
practice manage-
ment
problem
manifestations, * Etiology, psycho-pathology
diagnostic clinicalfeatures,diagnosisand
criteria and differential diagnosis
management of (Parkinson's and Alzheimers)
patients with * Nursingassessment–History,
organic brain physical,mentalandneurologi
disorders cal assessment
* Treatment modalities and
nursingmanagementofpatients
with organic brain disorders
* Geriatric considerations
* Follow-up and home care and
rehabilitation

XIII 6 * Identify Psychiatric emergencies and * Lecture * Short

psychiatric crisis intervention discussion answers
Emergencies and * Typesofpsychiatricemergen- * Demonstra- * Objective
carryout crisis cies and their management tion type
intervention * Stressadaptationmodel:Stress * Practice
andstressors,coping,resources session
and mechanism * Clinical
* Grief: Theories of grieving practice
process,principles,techniques
of counseling Types of crisis
* Crisisintervention:principles,
techniques and process
* Geriatric considerations Role
and responsibilities of nurse

XIV 4 * Explain legal Legal issues in mental health * Lecture * Short

aspects applied nursing discussion answers
in mental health * The Mental Health Act 1987: * Casediscus- * Objective
settings and role Act,Sections,Articlesandtheir sion type
of the nurse implications etc.,
* Indian Lunacy Act 1912
* Rights of Mentally ill clients
* Forensic psychiatry
* Acts related to narcotic and
psychotropic substances and
illegal drug trafficking
* Admission and Discharge
proceduresRoleandresponsi-
bilities of nurse

179
 * Describe the Community Mental Health * Lecture * Short
model of Nursing discussion answers
preventive * Development of community * Clinical / * Objective
psychiatry mental health services field type
* Describe * National Mental Health practice * Assess-
Communitymental Programme * Field ment of
Health services * InstitutionalizationVersusDe visits to the field
and role of the nurse institutionalization mental visit
* Model of Preventive psychia- health ser- reports
try: Levels of Prevention vice agen
* Mental Health Services cies
available at the primary,
secondary, tertiary levels
XV 4
including rehabilitation
and role of nurse
* Mental Health Agencies:
Government and Voluntary,
National and Inter national
* Mental Health Nursing issues
for special populations: Chil
dren, Adolescence, Women,
Elderly, Victims of violence
andabuse,Handicapped,HIV/
AIDS,etc., PalliativeCurricu-
lumHomecareRehabilitation
Palliative care

Bibliography
Textbook:
1. Whaley & Wongs, Nursing Care of Infants & Children, Mosby, Philadelphia.
Suggested References:
1. Boyd (MA), Psychiatric Nursing, LWW, London, 3rd Edition, 2005.
2. Bhatia (MS), Essentials of Psychiatry, CBJ publishers and distributors, NewDelhi, 3rd Edition, 2000.
3. Sadock (BJ), Textbook of Psychiatry, LWW, Philadelphia.
4. Straight A's Psychiatric and Mental Health Nursing, LWW, Philadelphia.
5. Fortinesh (KM), Psychiatric Nursing Care, Mosby, 4th Edition, 2000.
6. Shives (LS), Basic Concepts of Psychiatric Mental Health Nursing LWW, Philadelphia, 7th Edition,
2005.
7. Mohr (WK), Psychiatric Mental Health Nursing, LWW, Philadelphia, 6th Edition, 2007.
8. Stuart (GW), Principles and Practice of Psychiatric Nursing, Elsevier, 8th Edition, 2005

180
 MENTAL HEALTH NURSING – PRACTICAL

Placement: THIRD YEAR Time: Practical : 270 Hrs

Duration
Assignment
Areas (in Objectives Skills Assignments
Method
weeks
Psychi 5 * Assess * History taking * History * Assess
atric patientswith * Perform mental status taking and perfor-
OPD mentalhealth examination (MSE) Mental mance
problems * Assist in Psychometric status with rating
* Observe and assessment examination scale
assist in * Perform Neurological –2 * Assess
therapies examination * Health each
* Counsel and * Observe and assist in education skill with
Educate therapies –1 checklist
patient, and * Teach patients and family * Observation * Evaluation
families Members report of of health
OPD education
* Assess-
ment of
observa
tion report
* Comple
tion of
activity
record.
Child 1 * Assessment * History taking * Case work * Assess
Guid of children * Assist in psychometric -1 perfor-
ance with various assessment * Observation mance
Clinic mentalhealth * Observe and assist in report of with rating
problems various therapies different scale
* Counsel and * Teach family and therapies -1 * Assess
Educate significant others each skill
children, with
families checklist
and signifi- * Evaluation
cant others of the
observa-
tion report

181
Inpa 6 * Assess * History taking * Give care to * Assess
tient patientswith * Perform mental status 2-3patients perfor-
Ward mentalhealth examination (MSE) withvarious mance
problems * Perform neurological mental with rating
* To provide examination disorders scale
nursing care * Assist in psychometric * Case study * Assess
for patients Assessment -1 each skill
with various * Record therapeutic * Care plan – with
mentalhealth communication 2 checklist
problems * Administer medications * Clinical * Evaluation
* Assist in * AssistinElectroconvulsive presentation of the case
various Therapy (ECT) -1 study Care
therapies * Participate in all therapies * Process plan, clini
* Counsel and * Prepare patients for recording 2 calpresenta
Educate Activities of Daily living * Maintain tion,
patients, drug book process
families and recording
signifi cant * Comple-
others tion of
activity
record
(ADL)
* Conduct admission and
discharge counseling
* Counselandteachpatients
and families
Com 1 * To identify * Conduct case work * Case work * Assess
munity patientswith * Identify individuals with -1 perfor-
Psychi- Various mental health problems * Observation mance
atry mental * Assist in mental health report on with rating
disorders camp and clinic field visits scale
* To motivate * Counsel and Teach family * Evaluation
patients for members, patients and of case
early community work and
treatment observa-
and follow tion report
up * Comple-
* To assist in tion of
follow up activity
clinic record
* Counsel and
educate pa-
tient, family
andcommu-
nity
Psychi 2 * Provide Integrated Practice * Assess
atry comprehen- clinical
Ward sive care to perfor-
patients mance
with mental with rating
health scale
problems
182
 *BLUE PRINT OF QUESTION PAPER – MENTAL HEALTH NURSING
Placement III Year B.Sc (N)

Total Marks: 75
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 10 x 2= 20
• 7 Short Answer Questions (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75

Knowledge/
Understanding Application
Marks Recall
Weight-
S.No UNIT Allot- LA SA LA
age VSA SA VSA LA SA VSA
ted Q Q Q
Q2 Q5 Q2 Q10 Q5 Q2
10 5 10
Unit–I
1 2.7% 2 1
Introduction
Unit II – Prin-
ciples
2 6.7% 5 1
&concepts of
Mental health
nursing
Unit III–Assess-
3 ment of mental 2.7% 2 1
health status
Unit IV – Thera-
4 peutic 2.7% 2 1* 1
communi-
cation
Unit–V–Treat-
ment modalities
5 & therapies used 9.3% 7 1 1
in mental disor-
ders
Unit VI–Schizo
6 9.3% 7 1 1
phrenia
Unit VII– Mood
7 13.3% 10 1
disorders
Unit VIII–Neu-
8 rotic&somatiza- 2.7% 2 1*
tion disorders
Unit IX – Sub-
9 stance use disor- 13.3% 10 1
ders
Unit X – person-
10 ality, sexual & 9.3% 7 1* 1
eating disorders

183
 Unit XI – child-
hood & adoles-
11 2.7% 2 1
cent disorder,
Mental
deficiency
Unit XII–
12 2.7% 4 1* 1 1*
Organ- ic brain
disorder
Unit XIII – Psy-
chiatric emer-
13 6.5% 5 1
gencies & crisis
intervention
Unit XIV–Legal
14 issues in mental 6.7% 5 1
health
Unit XV – Com-
15 munity mental 6.7% 5 1
health nursing

Total 100% 75

*Optional [units that could be considered in the consequent years]

Distribution:
Knowledge – 16%
Understanding – 68%
Application – 16%

184
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
III Year B.Sc (N) Degree Examination
MENTAL HEALTH NURSING
Model Question Paper

Time: 3 Hrs Max Marks: 2x10=20

I. Long Answer questions (10x2=20)
1. a) Define Mood Disorder (2)
b) List out the clinical features of bipolar disorder (3)
c) Describe nursing Management of patient with BPAD (5)
2. a) Define substance abuse (2)
b) List out the classification of psychoactive substances (3)
c) Explain in detail about management of patient with alcohol dependence syndrome (5)
IV. Answer any 7 of the following: (Short answer questions) 7X5=35
3. Explain the principles of Mental Health Nursing
4. Explain about Types of Schizophrenia
5. Explain behavioral therapy
6. Disorder of sexual preference
7. Difference between Anorexia Nervosa & Bulimia Nervosa
8. Types of Psychiatric Emergencies and its Management
9. Explain about Admission and Discharge Procedures
10. NMHP
V. Very short answer Questions: 10X2=20
11. Explain scope of Mental Health Nursing
12. Enlist the components of Mental Status Examination
13. Name some SSRI
14. List out positive & Negative Symptoms of Schizophrenia
15. List out the barriers of therapeutic communication
16. List out types of phobia
17. Explain DER
18. Define korasakoff psychosis
19. Name any two drug used for management of ADHD.
20. Define fetishism

185
 NURSING RESEARCH AND STATISTICS

Placement: THIRD YEAR Time: Theory: 45 Hrs

Time: Practical: 45 Hrs
Course Description: The course is designed to enable students to develop an understanding of basic
concepts of research, research process and statistics. It is further, structured to conduct/ participate in
need-based research studies in various settings and utilize the research findings to provide quality nursing
care. The hours for practical will be utilized for conducting individual/group research project
Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 4 * Describe the Research and research process * Lecture * Short
concept of * Introduction and need for Discussion answers
research, terms, nursing research * Narrate * Objective
need and areas of * Definition of Research and steps of type
researchinnursing nursing research research * Assess-
* Explain the * Steps of scientific method process ment of
steps of research -Characteristics of good re- followed Fieldvisit
process search from reports
* Steps of research process examples of
overview published
studies
II 3 * Identify and Research Problem/Question * Lecture * Short
state the research * Identificationofproblem area Discussion answer
problem and * Problem statement * Exercise * Objective
objectives * Criteria of a good research on writing type
problem statementof
* Writing objectives problemand
objectives
III 3 * Review the Review of Literature * Lecture * Short
related literature * Location Discussion answer
* Sources * Exercise on * Objective
* Onlinesearch:CINHAL,CO- reviewing type
CHRANE etc oneresearch
* Purposes report/
* Method of review article for a
selected
research
problem
* prepare an-
notated
Bibliogra-
phy
IV 4 * Describe the Research approaches and de- * Lecture * Short
research signs Discussion answer
approaches and * Historical, Survey and * Explain * Objective
designs Experimental types of type
* Qualitative and researchap-
quantitative designs proaches
used from

186
 examples
of published
and
unpublished
research
studies with
rationale
V 8 * Explain the Sampling and data collection * Lecture * Short
Sampling process * Definition of population, Discussion answer
* Describethemeth- Sample, sampling criteria, * Reading * Objective
ods of data collec- factors influencing sampling assignment type
tion process, types of sampling onexamples
techniques. of data
* Data-why, what from whom, collection
when and where to collect tools
* Data collection methods and * Preparation
instruments of sample
* Methods of data collection data collec-
-Questioning, interviewing tion tool
-Observations,recordanalysis * Conduct
and measurement group
* Types of instruments research
* Validity & Reliability of the project
instrument
* Pilot study
* Data collection procedure
VI 4 Analyze, Analysis of data * Lecture * Short
interpret * Compilation, Discussion answer
and summarize Tabulation,classification * Preparation * Objective
the research data Summarization,presentation, of sample type
interpretation of data tables
VII 15 * Explain the use Introduction to Statistics * Lecture * Short
of statistics, * Definition, use of statistics, Discussion answer
scales of scales of measurement * Practice on * Objective
measurement and * Frequency distribution and graphical type
graphicalpresenta- graphical presentation of data presenta-
tion of data * Mean,Median,Mode,Standard tions
* Describe the deviation * practice on
measures of * Normalprobabilityandtestsof computation
central tendency significance of measures
and variability * Co-efficient of correlation of central
and methods of * Statistical packages and its tendency,
correlation application variability
and
correlation

187
 VIII 4 * Communicate Communication and utilization * Lecture * Short
and utilize the of Research Discussion answer
research findings * Communication of research * Read/ pre- * Objective
findings sentation of type
* Verbal report samplepub- * Oral
* Writing research report lished/ presenta-
* Writingscientificarticle/paper unpublished tion
* Critical review of published research * Assess-
research report ment of
* Utilizationofresearchfindings * Writing group
group research
research
project project

Bibliography:
Textbook:
1. Mahajan (BK), Methods in Biostatistics, Jaypee, 6th Edition.
Suggested Reference:
1. Rao (S), Introduction to Biostatistics & Research methods, Riachard, 4th Edition.
2. Rao (V), A manual of Statistical and Anthropology, Jaypee, 2nd Edition.
3. Norman, Biostatistics,B.C Decker, 2nd Edition.
4. Rao, Applied Statistics in Health Sciences, Jaypee.
5. Neg (KS), Biostatistics, AITBS.

188
 BLUE PRINT OF QUESTION PAPER – NURSING RESEARCH
Placement III Year B.Sc (N)

Total Marks: 50
• Each paper shall contain
• 6 Short Answer Questions (SAQ) for 5 marks 6 x 5 = 30
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
50

Knowledge/ Recall Understanding Application

Sl.No Unit Weightage Marks LAQ SAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
Allotted (10) (5) (2) (10) (5) (2) (10) (5) (2)

1 Unit – I Research & research process 14% 7 1 1

2
Unit II – Research problems/ Questions 14% 7 1 1

3
Unit III – Review of literature 22% 11 1 1 2

4 Unit IV – Research approach & design 18% 9 1 1 1

5 24% 12 2 1
Unit – V –sampling & data collection
6 1
Unit VI - Analysis of data
8% 4
7 Unit VIII - communication of research finding 1* 1

Total 100% 50

*Optional Question

189
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

NURSING RESEARCH

Section - A
Time: 3 Hrs Max Marks: 50

I. Short answer questions: (any 6) 6X5=30

1. Explain the need for doing research in Nursing

2. Explain the criteria of a good research problem.
3. List out the purposes of writing the review of literature
4. Explain the types of experimental research design.
5. Describe the non-probability sampling techniques.
6. Discuss the types of questions that can be used for data collection with examples.
7. Explain the steps in writing a research report.
II. Very short answer Questions: 10X2=20

8. List the purposes of Nursing Research.

9. Frame Research Objectives for the study titled effect of relaxation therapy for labor pain among primi
mothers
10. Mention the sources of literature review.
11. Differentiate quantitative and qualitative research with examples.
12.A study to assess the knowledge on dengue fever among III year B.Sc (N) student in KGNC.
13.Identify the research design.
14. Define reliability & validity
15. State the purposes of communicating research finding.
16. Identify the type of design which starts with a presumed cause and goes forward to the presumed effect
and give an example for it.
17. Identify the sampling method which involves the selection of every 10th person on a patient list. Give an
example

190
 BLUE PRINT OF QUESTION PAPER – BIO-STATISTICS

III – B.Sc(Nursing)

Total Marks: 35

• Each paper shall contain

• 3 Short Answer Questions (SAQ) for 5 Marks 3 x 5 = 15
• 10 Very Short Answer Questions (VSAQ) for 2 Marks 10x2 = 20

Knowledge/Reca
Sl Mark Understanding Application
ll
. Weighta s
Unit LQ SA LQ SA LQ SA
N ge Allott VSA VSA VSA
A Q A Q A Q
o ed Q (2) Q (2) Q (2)
(10) (5) (10) (5) (10) (5)
Unit VI -
1+1
1 Analysis 30% 11 3
*
of Data
Unit VII
-
2 Introducti 70% 24 2 1 5 1 1*
on to
Statistics
Total 100% 35 2 2 8 1

* Choice Question could be taken from that unit.

191
 BIO-STATISTICS
MODEL QUESTION PAPER
III – B.Sc(Nursing)

MAX MARKS: 25

I. Short answer questions (any 3) 3X5=15

1. Explain classifications of data

2. Construct a frequency table for the following data:
1 5 1 3 2 4 0 1 4 2 3
3 2 2 3
3. Draw a Histogram and frequency polygon for the following data:
Hb 4-6 6-8 8-10 10-12 12-14 14-16
No of
5 12 7 5 3 1
Patients
4. Short note on Correlation

II. Very short answer questions 5X2=10

1. Types of data
2. Importance of Tabulation
3. Merits of presentation
4. Frequency curve
5. Find out Median: 22 27 25 26 28 29 24

192
 IV YEAR
MIDWIFERY AND OBSTETRICAL NURSING
Theory: 90 Hrs
Placement: Fourth Year Practical: 360 Hrs
Course Description: This course is designed for students to appreciate the concepts and principles of
midwifery and obstetrical nursing. It helps them to acquire knowledge and skills in rendering nursing care
to normal and high-risk pregnant women during antenatal, natal and postnatal periods in hospitals and
community settings. It also helps to develop skills in managing normal and high-risk neonates and
participate in family welfare programme.

Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 3 - Recognize the Introduction to midwifery and * Lecture, * Short
trends and issues obstetrical Nursing Discussion answers
in midwifery and * Introduction to concepts of * Explain us- * Objective
obstetrical midwifery and obstetrical ing Type
nursing nursing Trends in midwifery charts and
and obstetrical nursing graphs
Historical perspectives and
current trends
Legal and ethical aspects
Pre-conception care and
preparing for parenthood
Role of nurse in midwifery
and obstetrical care National
policy and legislation in
relation to maternal health
and welfare Maternal,
morbidity, mortality and
fertility rates Perinatal,
morbidity and mortality rates
II 8 * Describe the Review of anatomy and * Lecture, * Short
anatomy and Physiology of female reproduc- Discussion answers
physiology of tive system and fetal * Review with * Objective
female development charts Type
reproductive * Female pelvis-general and models
system description of the bones,
joints, ligaments, planes of
the pelvis diameters of the
true pelvis, important
landmarks, variations in
pelvis shapes Female organs
of reproduction external
genetalia, internal genital
organs and their anatomical
relations, Musculature -
blood supply, nerves,
lymphatic's, pelvic
cellular tissue, pelvic
peritoneum.

193
196

194
 Physiology of menstrual cycle
Human sexuality
Fetal development
Conception
Review of fertilization,
implantation (embed ding of
theovum), development of
the embryo and placenta at
term- functions,
abnormalities, the fetal sac,
amniotic fluid, the umbilical
cord
Fetal circulation, fetal skull,
bones, sutures and
Measurements.
Review of genetics
III 8 * Describe the Assessment and management Lecture * Short
diagnosis and of pregnancy(ante-natal) discussions answers
management of Normal pregnancy Demonstra- * Objective
women during Physiological changes during tion Case type
antenatal period pregnancy discussion/ * Assess-
Reproductive system presentation ment of
Cardio vascular system Health talk skills with
Respiratory system Practiceses- checklist
Urinary system sion Coun- * Assess-
Gastro intestinal system seling ment of
Metabolic changes session patient
Skeletal changes Supervised manage-
Endocrine system clinical ment
Psychological changes practice problems
Discomforts of pregnancy * Essaytype
Diagnosis of pregnancy * Short
* signs answers
* Differential diagnosis * Objective
Confirmatory tests type
Ante-natal care * Assess-
* Objectives ment
* assessment of skills
Historyandphysicalexamina- with
tion Antenatal examination check list
Signs of previous child-birth * Assess-
Relationship of fetus to uterus ment
andpelvis:lie,attitude,presen- of patient
tation, manage-
ment
problems

195
 position.
Per vaginal Examination
Screening and assessment for
high risk
Risk approach
Historyandphysicalexamination
Modalitiesofdiagnosis, invasive
and non-invasive, ultrasonic's,
cardio
tomography, NST, CST
Antenatal preparation
* Antenatal counseling
* Antenatal exercise
* Diet
* Substance use
* Education for child birth
* HusbandandfamiliesPrepara-
tion for safe confinement
* Prevention from radiation
Psychosocialculturalaspectsof
pregnancy
* Adjustment to pregnancy
* Unwed mother
* Single parent
* Teen age pregnancy
* Sexual violence Adoption
IV 12 Describe the Assessment and management of * Lecture,
physiology and intranatal period Discussion
stages of labour. * Physiology of labour, * Demonstra-
Describe the mechanism of labour tion
management of * Management of Labour * Case
women during * First stage discussion /
intranatal period * Signs and symptoms of onset Presentation
* of labour; * Simulated
* normal and abnormal Practice
* Duration * Supervised
* Preparation of labour room Clinical
* women Practice
* Assessmentandobservationof
* women in labour; partogram-
* maternal and fetal monitoring
* Activemanagementoflabour,
* induction of labour
* Pain relief and comfort in la-
bour
* Second stage
* Signs and symptoms, normal
* and abnormal
* Duration

196
 * Conductofdelivery;principles
* and techniques
* Episiotomy(only if required)
* Receiving the newborn
* Neonatalresuscitation; initial
* steps and subsequent
* resuscitation
* Care of umbilical cord
* Immediate assessment
* including
* screening for congenital
* anomalies
* Identification
* Bonding
* Initiate feeding
* Screeningandtransportationof
the neonate
* Third stage
* Signs and symptoms normal
and abnormal
* Duration
* Methodsofplacentalexpulsion
* Management–principlesand
techniques
* Examination of placenta
* Examination of perineum
* Maintain records and reports
* Fourth stage
V 5 * Describe the Assessment and management of Lecture Essay type
physiology of women during postnatal period discussion * Short
pureperium * Normal pureperium; * Demonstra- answers
* Description the physiology Duration tion * Objective
management of * Postnatal assessment and * Health talk type
women during management * Practice * Assess-
postnatal period * Promoting physical and Session ment
* Describe the emotional well-being * Supervised of skills
assessment and * Lactation management Clinical with
management of * Immunization practice check list
* Family dynamics after child- Lecture * Assess-
birth discussion ment
* Family welfare * Demonstra- of patient
services; methods, counseling tion manage-
* Follow-up ment
* Records and reports problems
Essaytype
* Short

197
VI 6 Normal Neonate Assessment and management of *PracticeSes- answers
normal neonates –Normal sion * Objective
Neonate; Physiological * Supervised type
adaptation, Initial and daily Clinical * Assess-
assessment Essential newborn Practice ment
care; thermal control Breast of skills with
feeding, preventionofinfections check list
* Immunizationminordisorders * Assess-
of newborn and its manage ment
ment - Levels of neonatal care of patient
(level I,II,&III) management
* At primary, secondary and problems
tertiary levels -Maintenance
of reports and records
VII 10 * Describe the High – risk pregnancy- * Lecture * Essaytype
Identification assessment and management discussion * Short
and * Screening and assessment * Demonstra- answers
management of * Ultrasonics , cardiotomogra- tion using * Objective
women with high phy,NST,CST,non–invasive video films, type
risk pregnancy and invasive scanreports, * Assess-
* Newer modalitiesofdiagnosis partograph ment
* high- risk approach etc of skills
* Levels of care; primary, * case discus- withcheck
secondary and tertiary levels sion/ pre- list
* Disorders of pregnancy sentation * Assess-
* Hyper-emesis gravidarum , * Healthtalk- ment
bleeding in early pregnancy, Practice of patient
abortion, ectopic Session manage-
* Pregnancy, vesicular mole, * Supervised ment
* Antepartum hemorrhage Clinical problems
Uterine abnormality and practice
displacementDiseasescompli-
cating pregnancy
* Medicalandsurgicalconditions
* Infections, RTI (STD),UTI,
HIV,TORCH
* Gynecological diseases
complicating pregnancy
* pregnancy induced
hypertension and
Diabetes ,Toxemia of
pregnancy, hydramnios
* Rh incompatibility
* Mental disorders
* Adolescent pregnancy, Elderly
primi and grand multipara
* Multiple pregnancy
* Abnormalities ofplacenta and
cord

198
 * Intra-uterinegrowth-retardation
* Nursing management of
mothers with high-risk
pregnancymaintenanceofre-
cordsandreportPalliativeCur-
riculumPalliativecareinBOH
(Bad Obstetrical History)
VIII 10 * Describe Abnormal labour-assessment Lecture dis Essay type
management of and management cussion * Short
abnormal labour * Disorders in labour * Demonstra- answers
and * CPD and contracted pelvis tion * Objective
* Obstetrical * Malpositions and * case discus- type
Emergencies malpresentations sion/ * Assess-
* Prematurelabour,disordersof presenta- ment of
uterineactions-precipitatela- tion-Health skills with
bour, prolonged labour talkPractice check
* Complications of third stage: Session list
injuries to birth canal * Supervised -Assess-
* Obstetrical emergencies and Clinical ment
their management; practice of patient
* presentation and prolapsed of manage-
cord, vasa praevia, amniotic ment
fluid embolism, rupture of the problems
uterus, shoulder dystocia,
obstetrical shock Obstetrical
procedures and operations
* Induction of labour, forceps,
vacuum version, manual re-
moval of placenta, caesarean
section,destructiveoperations
* Nursing management of
womenundergoingobstetrical
operations and procedures
* Advanced life support in Ob-
stetrics
IX 4 * Describe Abnormalities during postnatal * Demonstra- * Objective
management of Periods tion type
postnatal * Assessment and management * Casediscus- * Assess-
complications of women with postnatal sion/ ment of
complications -Puerperal presentation skills with
infections,Breastengorgement * Supervised check list
&infections, UTI , Thrombo- clinical * Assess-
Embolicdisorders,post-partum practice ment of
hemorrhage, Eclampsia and patient
subinvulations manage-
* Psychological complications: ment
Postpartum blues problems
Post-partum depression
Post-partum psychosis

199
X 10 Identify the risk Assessment and management of Lecture dis Essay type
neonates and their High-risk newborn cussion Short an-
nursing managment * Admission of neonates in the Demonstration swers
Neonatal intensive care * Practice * Objective
units’ protocols Session type-
* Nursing management of: * case Assess-
* Low birth weight babies discussion/ ment
* Infections presentation of skills
* Respiratory problems * Supervised withcheck
* Haemolytic disorders Clinical List As-
* Birth injuries Practice sessment
* malformations * of patient
* Monitoring highriskneonates manage
* Feeding of high risk neonates ment
* organizationandmanagement problems
ofneonatalintensivecareunits
* infection control in neonatal
intensive care units
* maintenance of reports and
Records
XI 4 * Describe * Pharmaco – therapeutics in Lecture dis- * Short
indication, obstetrics -Indication,dosage, cussion answers
dosage, action, action, contraindication and * Drug book * Objective
side effects and side effects of drugs * Drug pre- Type
nursesresponsibili- * Effect of drugs on pregnancy, sentation Essaytype
ties in the labour and puerperium Lecture * Short
administration * Nursing responsibilities in the discussion
of drugs used administration of drugs in Demonstra-
for mothers obstetrics oxytocin, tionPractice
antihypertensive, diuretics, Session
tocolytic agents ,anticonvul- * Supervised
sants; practice
* Analgesics and anesthetics in * Group
obstetrics project
* Effectsofmaternalmedication * Counseling
on foetus and neonate session
* Field visit
XII 10 * Describe the Family welfare programme answers
methods of * Populationtrendsandproblem * Objective
contraception in India concepts, aims, im- type
among all genders portance and history of family * Assess-
* Appreciate the welfare programme ment
importance of * Nationalpopulation:dynamics, of skills
family welfare policy and education withcheck
programme * National family welfare list, proj-
* role of nurse in programme; RCH, ICDS, ect and
family welfare MCH, safe motherhood field visits
programme. reports
* Describe the As-
sistedreproductive
techniquesadopted
amongtransgender
200
* Organization and
administration; at national,
state, district, block and
village levels
* Methods of
contraception; spacing,
temporary and permanent,
Emergency contraception
* Infertilityanditsmanagement
* Counseling for family welfare
* Latestresearchincontraception
* maintenance of vital statistics
* Roleofnational,international
and
* voluntary organizations
* Role of nurse in family welfare
programme
* Training/supervision/collabo-
ration with other functionar-
ies in community like ANMs,
LHVs, Anganwadi workers,
* TBAs(Traditionalbirthatten-
dant-Dai) Transgender Cur-
riculumAssistedreproduction
inLGBT-Adoption,surrogacy
andartificialinseminationPre
Hormone therapy counseling
forreproduction:sperm,ovum
banking Barrier protection,
contraception, unwanted
pregnancy

201
Bibliography
1. Dutta (DC), Textbook of Obstetrics, New Central Book Agency.
2. Lowdermilk, Maternity Nursing, Mosby, 7th Edition.
3. Williams, Obstetrics, McGraw-Hill, 22nd Edition.
4. Bobak, Maternity Nursing Care, Elsevier.
5. Orshan .(SA), Maternity, Newborn & Women Health Nursing, LWW, 2008.
6. Wong, Maternity Child Nursing Care, Mosby, 3rd Edition.
7. Henderson (C), Essentials Midwifery, Mosby, 1st Edition
8. Doshi (H), Clinical Cases in Obstetrics & Gynecology, Arihant PU, 2nd Edition
9. Pauline Mccabe, Complementary Therapies in Nursing & Midwifery, Ausmed Pu, 1st Edition
10. Ratcliffe (SD), Family Practice Obstetrics, Hanley & Belfus, 2nd Edition
11. Kevin P. Hanretty, Obstetrics Illustrated, Churchill Livingstone, 6th Edition
12. Lippincott, Maternal Neonatal Nursing Made Incredibly Easyu, LWW, 2nd Edition
13. Sisir .K Chattopadhyay, Midwifery, B.I.Publication, 1st Edition
14. Shirish .N Daftary, Manual of Obstetrics, Elsevier
15. Vimal Thakkar, Practical Midwifery, VMP Publication

202
 MIDWIFERY AND OBSTETRICAL NURSING-PRACTICAL

Placement: FOURTH YEAR Practical:360 Hrs

Duration
Assignment
Areas (in Objectives Skills Assignments
Method
weeks
Antena- 5 Assessment of * Antenatal History Taking Conductante- * verification
tal pregnant * Physical examination natalexami- of findings
clinic/ women * Recording of weight& B.P nations -30 ofAntena-
OPD * Hb&Urinetestingforsugar Healthtalk- tal exami-
and albumin 1 Case book nations
* Antenatal examination – recordings * Comple-
abdomen and breast tion of
* Immunization case book
* Assessment of risk status recordings
* Teachingantenatalmothers
* Maintenance of antenatal
records
Labour 4 * Assess * Assessment of women in * Conduct Assessment
Room/ women labour normal of clinical
OT In labour- * Pervaginal examinations deliver- perfor-
Carry out and interpretation ies-20 mance
per-vaginal * Monitoring and caring of * Pervaginal with rating
examinations women in labour examina- scale
* Conduct * maintenanceofpartograph tions-5 * Assess
Normal * Conduct normal delivery * Performand ment
deliveries- * Newborn assessment and suture the of each
Performepi- immediate care episioto- skill
siotomy * Resuscitation of newborns mies-5 with
and suture * Assessment of risk status * resuscitate checklists
it- Resus- of newborn newborns-5 * Complic
citate new- * Episiotomy and suturing * Assist with ation
borns-Assist * Maintenanceoflabourand caesarean of case
withCaesar- birth records sections-2 book
eansections, * Arrange for and assist with * Witness recordings
MTP and caesarean section and care abnormal
other surgi forwomenandbabyduring deliveries-5
cal proce caesarean * Assist with
dures MTP and
* Arrange for and assist with
MTP and other surgical other
procedures surgical
proce-
dures-1
* Case book
recordings

203
Postna- 4 * Provide * Examination and * Give care to Assessment
tal nursing assessment of mother and postnatal of clinical
ward care to Baby mothers-20 perfor-
postnatal * Identificationofdeviations * Health mance
mother and * Care of postnatal mother talks-1 with rating
baby and Baby * Case scale
* Counsel and * Perineal care -Lactation study-1- * Assess-
teachmother management Case ment of
and family * Breast feeding presenta- each skill
for parent * Baby bath tion-1 with
hood * Immunization * Case book checklists
* Teachingpostnatalmother: Recordings * Complica-
* Mother craft tionofcase
* Postnatal care & book
* Exercises Recordings
* Immunization Evaluation
of case
study and
presenta-
tion and
health
education
sessions
New- 2 -Provide * Newborn assessment * Case Assessment
born nursing care to * Admission of neonates study-1 of clinical
Nursery newborn at * Feeding of at risk neonates * Observation perfor-
risk * Katorispoon,paladin,tube study-1 mance
feeding, total parenteral with rating
nutrition scale
* Thermal management- * Assess-
kangaroomothercare,care ment of
of baby in incubator each skill
* Monitoring and care of with
neonates checklists
* Administeringmedications * Complica-
* Intravenous therapy tionofcase
* Assisting with diagnostic book
procedure -Assisting with recordings
exchange transfusion
* Care of the baby on
Ventilator
* Phototherapy
* Infectioncontrolprotocols
in the nursery
* Teaching and counseling
of parents
* Maintenance of neonatal
records

204
Family Rotation * Counsel for * Counseling technique * IUD Assessment
Plan- from and provide * Insertion of IUD insertion-5 of each skill
ning post natal family * Teaching on use of family * Observation with
Clinic ward welfare planning methods study-1 checklists
1 wk services * Arrange for and Assist * Counseling- * Evaluation
with family planning 2 of and ob-
operations * Simulation servation
* maintenance of records exercise on study
and reports recording
and
reporting-1

205
 BLUE PRINT OF QUESTION PAPER – Midwifery and Obstetrical Nursing
Placement: IV Year B.Sc (N)
Total Marks: 75
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 2 x 10 = 20
• 7 Short Answer Questions in 8 (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75

Knowledge/ Recall Understanding Application

Sl. Weight Marks LAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
Unit SAQ(5)
No age Allotted (10) (2) (10) (5) (2) (10) (5) (2)

1
Unit I – Introduction 2.66% 2 1

2 Unit II - Review 1
of anatomy &
physiology of female 5.33% 4 1
reproductive system
& fetal development
3 Unit III – Assessment
& management of
13.33% 10 1
pregnancy (ante –
natal)
4 Unit IV – Assessment 1
& management of 12% 9 1 1
intra-natal period
5 Unit V - Assessment
& management of
6.66% 5 1
women during post
natal period
6 Unit VI - Assessment
& management of 2.66% 2 1
normal neonates
7 Unit VII – High-
risk pregnancy
13.33% 10 1
– assessment &
management
8 Unit VIII- Abnormal 1
Labour- assessment 16% 12 1 1
& management
9 Unit IX – 1
Abnormalities during 9.33% 7 1 1*
postnatal periods
10 Unit X- Assessment &
management of high 2.66% 2 1
risk newborn

206
11 Unit XI – Pharmaco-
therapeutics in 6.66% 5 1
obstetrics
12 Unit XII – Family
9.33% 7 1 1
welfare programme

Total 100% 75

207
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
IV Year B.Sc (N) Degree Examination
Midwifery and Obstetrical Nursing
Model Question Paper

Time: 3 Hrs Max Marks: 75

I. Answer in Detail: 10X2=20
1. a) Define antenatal care (2)
b) List out the objectives of antenatal care (3)
c) As a nurse formulate antenatal care plan to a gravid mother labour (5)
2. a) Define Ante Partum Haemorrhage (2)
b) Classify the types of Placenta Previa (3) Identify the features of placental separation (3)
c) Demonstrate the care required to a mother with Placenta Previa (5) Justify the mechanism of bleeding
control on placental separation & the immediate postnatal care (5)
II. Short answer questions: (Any 7) 7X5=35
3. Specify the fetal circulation
4. Identify the stages of normal labour
5. Explain the physiology of puerperium
6. Name the uterotonic agents and its effect
7. List down the types of perineal tear
8. Write about the psychological complications & its management during puerperium
9. Explain asphyxia neonatarum in newborn
10. List down the activities of RCH programme.
III. Very short answer Questions: 10X2=20
11. List down the direct causes of MMR
12. Name the pelvic ligaments
13. List out the placental abnormalities
14. Name the parameters used in bishops score
15. Define involution
16. Sate the composition of breast milk
17. Define contracted pelvis
18. List intrapartum causes of Peurperal Sepsis
19. Define low birth weight babies
20. Classify the types of barrier methods of contraception

208
 COMMUNITY HEALTH NURSING – II
Placement: Fourth Year Time: Theory: 90 Hrs
Time: Theory: 135 Hrs
Placement: Fourth Year Practical: 360 Hrs
Course Description: This course is designed for students to practice community health nursing for the
individual, family and groups at both urban and rural settings by using concept and principles of health and
community health nursing.
Teaching
Time Learning Assignment
Unit Content Learning
(hrs) Objectives Method
Activities
I 5 * Define concepts, Introduction Lecture Dis- * Essay
scope, principles * Definition, concept &scope cussion type
and historical of community Health and * Short
development of Community Health Nursing answers
communityHealth * Historical development of
and community Community health
health Nursing Community health Nursing.
* Pre - independence
* Post-independence
II 10 * Describe health Health planning and Lecture * Essay
plans, policies, policies and problems discussion type
various health * National health planning in Panel * Short
committees and India discussion answers
health problems * Five Year Plans Essay
* Various committees and type
commissions on health and Short
familywelfare Centralcouncil answers
for health and family welfare
(CCHandFW)Nationalhealth
policies (1983, 2002)
* National population policy
women and child welfare
Health problems in India
III 23 Describe the Delivery of community Lecture dis-
system of delivery of health services cussion
communityhealth * Planning,budgetingandmate- Visits to
services in rural rialmanagementof SCs, PHC various
and urban areas and,CHC healthdeliv-
* List the functions Rural : Organization, staffing ery systems
of various levels And functions of rural health Supervised
and their staffing services provided by govern- field prac-
patternExplainthe mentat:VillageSubcentrePri- tice Panel
components of maryhealthcentreCommunity discussion
health services health center / sub divisional
Describe HospitalsDistrictStateCentre

209
 health services Urban : Organization, staffing
Describe and functions of urban health
alternative services provided by govern-
systems of health ment at: Slums Dispensaries
Promotion and Maternalandchildhealthcen-
health ters Special Clinics Hospitals
maintenance Corporation / Municipality /
Describe the Board
chain of referral * Componentsofhealthservices
system * Environmental sanitation
* Health education
* Vital statistics
* M.C.H – antenatal, natal,
postnataMTPAct,femalefoe-
ticide act, child adoption act
* Family Welfare
* National health programmes
* School health services
* Occupational health
* Defence services
* Systems of Medicine and
health care Allopathy
* IndianSystemofMedicineand
* Homeopathy
* Alternativehealthcaresystems
like yoga, meditation, social
and spiritual healing etc.
Referral system
IV 25 * Describe Community health nursing * Lecture * Essay
Community approaches, concepts and roles discussion type
Health Nursing and responsibilities of nursing Demonstra- * Short
approaches and personnel. tion * Answers
concepts * Approaches * Practice
* Describe the * Nursing theories and Nursing session
roles and process Supervised
responsibilities of * Epidemiological approach field
Community * Problem solving approach practice
Health Nursing * Evidence based approach * Participa-
Personnel * Empoweringpeopletocarefor tion in
themselves camps
* Concepts of Primary Health Group
Care: Project
* Equitable distribution
* Community participation
* Focus on prevention
* Useofappropriatetechnology
* Multi-sectoral approach
* Roles and responsibilities of
Comm-unity health nursing
personnel in

210
 * Family health services
* Information Education
* Communication (IEC)
* Management information
(MIS):MaintenanceofRecords
& Reports
* Training and supervision of
various categories of health
workers
* National Health Programmes
* Environmental sanitation
* MaternalandChildhealthand
Family welfare
* Treatment of minor ailments
* School Health Services
* Occupational Health
* Organizationofclinics,camps:
Types,Preparation,Planning,
conduct and evaluation
* Waste management in the
center, clinics etc.,
* Home visit: Concept,
Principles & process
Techniques: Bag technique
home visit
* QualitiesofCommunityHealth
Nurse
* JobdescriptionofCommunity
health nursing personnel
V 15 * Describe and Assisting individuals and * Lecture * Essay
appreciate groups to promote and discussion type
the activities of maintain their health. * Demonstra- * Short
community Empowerment for self care of tionPractice * Answers
health nurse in individual,familiesandgroupsin session
assisting Assessment of self and family * Supervised
individuals groups Monitoring growth and field
communities development practice
includingtransgen- * Mile stones * Individual/
der to promote * Weight measurement group
and maintain /family/
* Social development
their health Community
* Temperature and Blood
pressure monitoring health
* Menstrual cycle education.
* Breast self examination and
testicles
* Warning signs of various
diseases
* Tests : Urine for sugar and
albumin, blood sugar

211
Seek health services for
Routine checkup
Immunization
Counseling
Diagnosis
Treatment
Follow up
C. MaintenanceofHealthrecords
for self and family
D. Continue medical care and
follow up in community for
variousdiseasesanddisabilities
E. Carryout therapeutic proce-
dures as prescribed / required
for self and family
F. Waste Management
Collection and disposal of waste
at home and community
G. Sensitize and handle social
issues affecting health and
development for self and family
* Women Empowerment
* Women and child abuse
* Abuse of elders
* Female Foeticide
* Commercial sex workers
* Food adulteration
* Substance abuse
H.Utilizecommunityresources
for self and family
* Trauma services
* Old age homes
* Orphanage
* Homes for physically and
mentallychallengedindividuals
* Homes for destitute Palliative
Curriculum Palliative care in
Rehabilitation Transgender
Curriculum Transgender
-InclusiveNursingCurriculum
Determinants of health:
* Transgender culture, taboos,
family structure, spirituality,
education,occupation,econom-
ical status, demographics
LGBT lifestyle, sexual life
Workplace and LGBTQI

212
VI 20 * Describe and National health and family * Lecture * Essay
National health welfare programmes and the discussion type
and family welfare role of a nurse. * short
Programmes and 1) National ARI Programme Answers
role of a nurse 2) RevisedNationalTuberculosis
* Describe the vari- ControlProgramme(RNTCP)
oushealthschemes 3) National Anti-Malaria Pro
in India gramme
4) National Filaria control
programme
5) National Guinea worm
eradication programme
6) National Leprosy eradication
Programme
7) National AIDS control
programme
8) STD control programme
9) National programme for
control ofblindness
10) Iodine deficiency disorder
programme
11) Expanded programme on
immunization
12) National Family Welfare
Programme – RCH Pro
gramme historical
develop-ment, organization,
administration, Research,
constraints
13) National water supply and
sanitation programme
14) Minimum Need programme
15) National Diabetics control
programme
16) Polio Eradication : Pulse
Polio Programme
17) National cancer control
Programme
18) YawsEradicationProgram
me
19)NationalNutritionalAnemia
prophylaxis programme
20) 20 point programme
21) ICDS programme
22) Mid-day meal applied
nutritional programme
23) National mental health
programme Helath
* ESI
* CGHS
* Health insurance

213
VII 5 * Explain the Health Agencies * Lecture * Essay
roles and International–WHO,UNFPA, discussion type
functions of UNDP, * Participa- * short
Various national World Bank, FAO, UNICEF, tion in Answers
and international DANIDA, National
health agencies European Commission Health
(EC). Red cross, USAID, Programmes
UNESCO,ColomboPlan,ILO, * Field visits
CARE etc.
National - Indian Red Cross,
Indian
Council for child
welfare, Family Planning
Association of India
(FPAI), Tuberculosis
Association of India,
Hindu Kusht Nivaran
Sangh, Central
Social Welfare Board,
All India Women's
conference, Blind
Association of
India etc.

214
Bibliography
Textbook:
1. Park (JE), Text Book of Preventive and Social Medicine, Bhanarsidas Bhanot Publishers, Jabalpur,
19th Edition, 2007.
Suggested Reference:
1. Stanhope(M), Public Health Nursing: Population-centered Health Care in the Community, Elsevier,
7th Edition, 2008.
2. Rao (KS), Introduction to Community Health Nursing, S.I.Publications, Chennai, 1989.
3. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi, 1989.
4. Allender, Community Health Nursing: Promoting & protecting the Public's Health, Lippincott,
6th Edition.
5. Piyush, Textbook of Preventive and social Medicine, CBS, 2nd Edition.
6. Clark, Community Nursing, Reston Publishing Company Inc., Virginia.
7. Freeman, Community Health Nursing Practice, W.B.Saunders Company, Philadelphia.
8. Ghosh, Manual of Social and Preventive Medicine, Vijaya Publishing House, Calcutta.
9. Kamalam (S), Essentials in Community Health Nursing Practice, JP Brothers, New Delhi.

215
 COMMUNITY HEALTH NURSING–II – PRACTICAL
Placement : FOURTH YEAR Time : Practical 135 Hrs
Internship – 195 Hours
Time Assignment
Unit Objectives Content Assignments
(hrs) Method
Com 5 Hrs Identify * Community health survey * Community Assess
mu- Community * Community diagnosis survey clinical
nity profile * Familycare:Homeadapta- report – 1 performance
Hea * Identify tionofcommonprocedures * Family care with rating
lth prevalent Home visit : Bag technique study – 1 scale
nurs communica- * Organizeandconductclin- * Project – 1 * Evaluation
ing ble and non ics antenatal, post natal, * Health talk ofcommu-
communica- wellbabyclinic,campsetc. –1 nitysurvey
ble diseases * Screen manage and refer- * Case book report,
* Diagnose ralsfor:oHighriskmothers * recording familycare
health needs and neonates study,
of Individu- * Accidentsandemergencies projectand
al, families * Illnesses : Physical and health talk
and mental Comple-
community * Disabilities tion of
* Plan,provide * Conductdeliveryatcentre/ case book
and evaluate home : episiotomy and recording
care Suturing
* Participatein * Resuscitate newborn
schoolhealth * SchoolHealthProgramme
program * Screen,manage,referchil-
* Participatein dren
National * Collaboratewithhealthand
health allied Agencies
programmes * Train and Supervise health
* Organize workers
group for * Provide family welfare
self help and services
involve cli- * insertion of IUD
ents in their * Counsel and teach
own health individual, family and
activities community about :
* Provide HIV, TB, Diabetes,
family Wel- hypertension, Mental
fare services health, adolescents,
* Counsel and elderly's health, physically
Educate and mentally challenged
Individual, individuals etc.
family and * Collect and Calculate Vital
community healthstatisticsDocument
* CollectVital and maintain Individual
health ,family and administra-
statistics tive records . Write reports
* Maintain –centre ,disease ,national
Records & healthprogramme/projects
Reports

216
 Duration
Areas Objectives Skills Assessment
(in weeks)
Urban 4Weeks Provide comprehensive * Integrated Practice and Assess clinical
care to individual, fam- group project 1 in each Performance with
ily and community rural and urban rating scale
* Evaluation of
project

Note :
During the rural posting they should stay in health centers under the supervision of teachers.

217
 •
•
•
•
Total Marks: 75
*Optional (Units that could be considered in the consequent years)
#Choice Question to be taken from that unit. S.N Unit Weight Marks Knowledge /Recall Understanding Application
age Allotted
LAQ SAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ

10 Very Short Answer Questions (VSAQ) for 2 marks

7 Short Answer Questions in 8 (SAQ) for 5 marks
2 Long Answer Questions (LAQ) for 10 marks
Each paper shall contain
(10) (5) (2) (10) (5) (2) (10) (5) (2)

BLUE PRINT OF QUESTION PAPER – COMMUNITY HEALTH NURSING -II

1 Unit-I 9.3 7 1 1
Introduction
2 Unit-II Health 9.3 7 1 1
planning &
Policies &
Problems
3 Unit-III Delivery 31 23 1 1 1 1 2
of Community

4 Unit-IV 20 15 1 1* 1
Community
health nursing
approaches,
concepts & role &
responsibilities of
nursing personnel
health service
5 Unit-V Assisting 5 4 1 1
individual &
groups to promote
& maintain their
health
6 Unit-VI National 16 12 1 1 1

10 x 2 = 20
7 x 5 = 35
2 x 10 = 20
health &
family welfare
programme & the

75
role of nurse
7 Unit-VII Health 9.3 7 1 1
agencies
Total 75
100%
218
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
IV YEAR B. Sc (N) DEGREE EXAMINATION
COMMUNITY HEALTH NURSING

Time: 3 Hrs Max Marks: 75

I. Long Answer Questions: (2x10=20)
1. a, Define Health Care Delivery System.(2)
b, Write in detail about Health Care Delivery System in India.(8)
2.a. Define School Health.(2)
b. Explain the role of nurse in School Health Programme.(8)
II. Short Answer Questions: (Any 7 ) (7x5=35)
3. Explain about Qualities of Community Health Nurse.
4. Principles of Community Health Nurse.
5. Explain about Principles and Steps in Home visit.
6. National Population Policy.
7. Explain about MTP Act.
8. Explain about UNICEF.
9. Describe about ESI Scheme.
10. Explain about DOTS.
III. Very Short Answer Questions: (10x2=20)
11. List down the functions of WHO.
12. Define Community Health Nursing.
13. Enlist the Components of RCH Programme.
14. Define Female Foeticide
15. Mention any four preventive aspects of Child abuse.
16. State any two system of alternative health care system.
17. Enlist any four Nutritional problems existing in India.
18. Define Vital statistics.
19. Define Primary health care.
20. Define Referral system.

219
 Integration of Middle-Level Health Provider (MLHP)
in B.Sc Nursing Curriculum

The following topics to be incorporated in the Community Health Nursing subject of B.Sc Nursing Syllabus
and also in Post Basic B.Sc Nursing:-
1. Roles and responsibilities of Mid-Level Healthcare Providers (MLHP)
2. New national health programmes
3. AYUSHMAN BHARAT- The up gradation of sub-centers into of health and wellness centers,
Concept of Comprehensive primary health care and key elements of CPHC, Service delivery and
continuum of care and Roles of Mid-level health care providers(MLHP)
4. Diagnosing and treatment skills essential at sub-centre level using Standard treatment protocols
as per national health programmes
5, Introduction to Rashtriya Bal Sureksha Karyakaram (RBSK)
6. Social mobilization skills
7. Drug dispensing
8. Programme management including supervision and monitoring
9. Investigation of an outbreak
10. Behavior change communication and soft skills
11. Integrated Disease Surveillance Project (IDSP)
12. Mother and Child Tracking System (MCTS)
13. Chikungunya
14. Organization of labour room
15. Safe child birth checklist
16. Postpartum visits by health workers
17. Family planning 2020
18. National family planning programmes
19. Food born diseases
Following topics to be reviewed:-
1. Health planning and health care delivery system in India (IPHS guidelines)
2. Health Management Information System(HMIS)
3. Electronic Medical Records(EMR)
4. Micro birth planning
5. Adolescent counseling
6. Sources of vital statistics

220
7. Financial Management, Accounts and Computing at Sub - Centre
8. Mental health act, drug de-addiction programmes
9. Time trends in disease occurrence in epidemiology
10. Infant and young child feeding and counseling
11. Nutrition across life cycle and update on national nutritional programmes
12. Use of Equipment
13. Throat problems and febrile seizure in children
14. Transportation of baby and common accidents and mishaps in labour room
15. Counselling-GATHER Approach
16. Update biomedical waste management by specifying biomedical waste management
rules 2016
17. Suturing of superficial wounds
18. Postpartum Intra Uterine Contraceptive Device (PPIUCD)
19. All the national health programmes on Communicable, non communicable

221
 MANAGEMENT OF NURSING SERVICES AND EDUCATION

Placement: Fourth Year Time: Theory: 90 Hrs

Course Description: This course is designed to enable students to acquire understanding of management
of clinical and community health nursing services, nursing educational programs. This is also designed to
enable students to acquire understanding of the professional responsibilities, prospects and contribution to
the growth of the profession

Time Assignment
Unit
(hrs) Objectives Skills Assignments Method
Th. Pr
I 6 * Explain the Introduction to * Lecture * Short
principles and management in nursing Discussion answers
functions of * Definition, concepts and * Explain * Objective
management theories Using Type
* Functions of organization
management chart
* Principles of
management
* Role of nurse as a
manager
II 10 * Describe the * Management Process * Lecture * Short
elements and * Planning: mission Discussion answers
process of Philosophy, objectives * Simulated * Objective
management operational plan exercises type
* Staffing: Philosophy, * Casestudies * Practical
Staffing study, Norms, Exam
Activities, Patient
classification systems,
Scheduling
* Human resource
management: recruiting,
selecting, deployment,
retaining, promoting,
super annuation etc.,
* Budgeting: Concept,
principles, types, cost
benefit analysis, audit
* Material management:
equipment and supplies
* DirectingprocessLeading
* Controlling: Quality
management
* Program Evaluation Re-
view Technique(PERT),
bench marking, Activity
Plan (Gantt Chart)

222
III 10 20 * Describe the Management of Nursing
Management of Services in the Hospitals
nursing services and Community
in the hospital * Planning:
and community -Hospitalandpatientcare
exercises Case of Management
studies * Emergency and disaster
* Supervised management
practice in ward – * Humanresourcemanage-
writing indents, ment:
preparing duty * Recruiting, selecting,
roster, ward deployment, retaining,
supervision promoting,superannuation
* Assignment on etc.,
duties and * Categories of nursing
responsibilities of personnel including job
ward sister description of all levels
* Writing report * Patient/populationclassifi-
cation systems
* Patients/population as-
signmentandnursingcare
responsibilities
* Staff development and
welfare
* Budgeting: Proposal,
projecting requirements
for staff, equipments and
supplies for
* Hospital and patient care
units Management units
including ward
* Material management:
Procurement, inven-
torycontrol,auditingand
maintenance in
* Emergency and disaster
* Hospital and patient care
units
* Emergency and disaster
management
* Directing and leading:
Delegation,participatory
management
* Assignments, rotations,
delegations
* Supervisionandguidance
* Implement standards,
policies, procedures and
practices

223
 * NABH & JCI Accredita-
tion process
* Staff development and
welfare
* Maintenanceofdiscipline
* Controlling / evaluation:
* Nursing rounds / Visits,
Nursingprotocols,Manu-
als - Quality assurance
model, documentation
* Record and reports
Performance appraisal
IV 8 * Describe the Organizational behaviour * Lecture solving
concepts, and human relations Discussion exercises
theories and * Concepts and theories of * Role plays * Assess-
techniques of organizationalbehaviours * Group ment of
organizational * Review of channels of games the
behaviour and communication * Self assign-
human * Leadership styles Assessment ments
relations * Review of motivation: * Case * Perfor-
Concepts and Theories discussion mance
* Group dynamics * Practice Evalua-
* Techniques of session tion by
* Communication and wardsister
* Inter personal withrating
relationships scale
* Human relations
* Publicrelationsincontext
of nursing
* Relations with profes-
sional associations and
employee unions and
collective bargaining
V 8 5 *Participate in In service education * Lecture * Short an-
planning and * Nature and scope of in discussion swer
organizing serviceeducationprogram * Plan and * Objective
in-service * Organizationofinservice conduct an type
education education educational * Assess the
program * Principles of adult * session for planning
learning in service and
* Planning for in service nursing conduct
education program, personnel of the
techniques, methods and educa-
evaluation of staff tional
education program session
* Preparation of report

224
VI 10 * Describe Management of Nursing * Lecture * Essay type
management of Educational Institutions Discussion * Short an-
nursing * Establishment of nursing * Role plays swers
educational educational institution – * Counseling
institutions INCnormsandguidelines sessions
* Co ordination with * Group
* Regulatory bodies exercises
* Accreditation
* Affiliation Philosophy /
objectives Organization
* Structure
* Committees Physical
facilities
* College / School
* Hostel Students
* Selection
* Admission
* GuidanceandCounseling
* Maintaining discipline
Faculty and staff
* Selection
* Recruitment
* Job description
* Placement
* Performance appraisal
* Developmentandwelfare
* Budgeting
* Equipmentsandsupplies:
audio visual equipments,
laboratory equipments,
books, journals etc.,
* Curriculum: Planning,
Implementation and
Evaluation
* Clinical facilities
* Transport facilities
* Institutional records and
reports – administrative,
faculty, staff and students
VII 10 * Describe the Nursing as a Profession * Lecture * Short
ethical and legal * Nursing as a Profession Discussion answers
responsibilities * Philosophy: Nursing * Case * Assess-
of a professional practice discussion ment of
nurse * Aims and objectives * Panel critical
* Explain the VCharacteristics of a discussion incidents
nursing practice professional nurse * Role plays
standards * Regulatory bodies: INC, Critical
SNCActs–Constitution, incidents
Functions * Visit to
INC/SNRCs

225
 * Current trends and issues
in Nursing
* Professional ethics
* Codeofethics:INC,ICN
* Code of professional
conduct: INC, ICN
* Practice standards for
Nursing: INC
* ConsumerprotectionAct
* Legal aspect in Nursing
* Legal terms related to
practice:Registrationand
Licensing
* Laws related to Nursing
practice; Breach and
Penalties
* Malpractice and
Negligence
VIII 3 * Explain the Professionaladvancements: * Lecture * Short
various * Continuing education Discussion answers
opportunities for * Career Opportunities * Case * Assess-
* professional * Collective bargaining discussion ment of
advancement * Membership with * Panel critical
Professional organiza- discussion incidents
tions:NationalandInter- * Role plays
national Critical
* Participation in research incidents
activities * Visit to
* Publications: Journals, INC/SNRCs
Newspapers, etc.,
* Role of Information
Technology in environ-
ment & human health

226
Bibliography
Textbook:
1. Basavanthappa (BT), Nursing Administration, Jaypee Brother, New Delhi, 2002.
Reference:
1. Stanhope(M), Public Health Nursing: Population-centered Health Care in the Community, Elsevier,
7th Edition, 2008.
2. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi, 1989.
3. Bersie (L) and Carol (J), Leadership Roles & Management Functions in Nursing, Lippincott Williams
& Williams, Wolters Kluwer Pvt Ltd., New Delhi – 19.

227
 BLUE PRINT OF QUESTION PAPER – MANAGEMENT OF NURSING SERVICES &
EDUCATION
Total Marks: 75 Placement IV Year B.Sc (N)
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 2 x 10 = 20
• 7 Short Answer Questions in 8 (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75
Knowledge/
Understanding Application
Sl. Weight Marks Recall
Unit
No age Allotted LAQ SAQ VSAQ LAQ SAQ VSAQ LAQ SAQ VSAQ
(10) (5) (2) (10) (5) (2) (10) (5) (2)

1 Unit I - Introduction 13.3% 10 1

Unit II - Management 12% 9 1 1* 1 1

2
Process
Unit III 22.7% 17 1 1
-Management Of
3 Nursing Services In 1
The Hospital And
Community
Unit IV - 12 % 9 1 1 1
Organizational
4
Behavior And
Human Relations
Unit V- In service 6.6% 5 1 1*
5
Education
Unit VI - 14.6 % 11 1 1 1 1
Management Of
6
Nursing Educational
Institutions
Unit VII - Nursing as 9.3 % 7 1 1
7
a Profession
Unit VIII- 9.3 % 7 1 1
8 Professional
Advancements

Total 100% 75

* Choice Question to be taken from that unit

228
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
IV Year B.Sc (N) Degree Examination
MANAGEMENT OF NURSING SERVICES & EDUCATION
Model Question Paper

Time: 3 Hrs Max Marks: 75

I. Answer in Detail: 2X10=20
1. Define management, explain functions of management and describe principles of management
2. Explain the different method of patient assignment and its nursing care responsibility
II. Answer any 7 of the following: (Short answer questions) 7X5=35
3. Explain the patient classification system.
4. Role of the nurse in purchasing supplies and equipment.
5. Explain Group Dynamics.
6. Discuss the methods and evaluation of staff education program.
7. Describe the steps of job recruitment process.
8. Discuss the current trends and issues in nursing profession.
9. Explain the standards of NABH.
10. Explain the various career opportunities of nursing.
III. Very short answer Questions: 10X2=20
11. List down the types of budget.
12. Outline the types of planning Define nursing rounds.
13. Define nursing rounds.
14. Identify the elements of communication.
15. List the four types of leadership styles.
16. Mention the purposes of accreditation process.
17. Write down the four principles of counseling.
18. Mention four student welfare activities.
19. Differentiate malpractice and negligence.
20. Write the importance of membership in professional organization

229
 COMMUNICATION & EDUCATIONAL TECHNOLOGY
Placement: Fourth Year Time: Theory: 90 Hrs
Course Description: This course is designed to help the students acquire an understanding of the principles
and methods of communication a teaching. It helps to develop skills in communicating effectively,
maintaining effective interpersonal relations, teaching individuals and groups in clinical, community
health and educational settings.
Teaching
Time Assignment
Unit Objectives Content Learning
(hrs) Method
Activities
I 5 * Describe the Review of Communication * Lecture * Respond
communication Process Discussion to critical
process * Process; elements and * Role plays incidents
* Identify channel Facilitators * Exercises * Short
techniques of * Barriers and methods of with audio/ answers
effective overcoming video tapes * Objective
communication * Techniques type
II 5 * Establish effective Interpersonal relations * Lecture * Short
interpersonal * Purpose & types Discussion answers
relations * Phases * Role plays * Objective
With patients, * Barriers & methods of * Exercises type
families & overcoming with audio/
coworkers * Johari Window video tapes
* Process
recording
III 3 * Develop Human Relations * Lecture * Short
effective human * Understandingself,social Discussion answers
relations in behavior,motivation,social * Sociometry * Objective
context of attitudes * Group type
nursing * Individual and groups games * Respond
* Groups & individual * Psychomet- to test
* Human relations in con- ricexercises based on
text of nursing followed by critical
* Group dynamics discussion incidents
* Team work

230
IV 10 5 * Develop basic Guidance & Counselling * Lecture * Short
skills of counseling * DefinitionPurpose,scope Discussion answers
and guidance and need Basic principles * Roleplayon * Objective
* Organization of counsel- counseling type
ing services Types of in different * Assess
counselling approaches situations perfor-
* Role and Preparation of followed by mance
counselor discussions in role
* Issues for counseling in play
Nursing: students and situations
practitionersCounselling
process-steps & tech-
niques,toolsofcounselor
* Managing disciplinary
problems
* Management of crisis &
referral
V 5 * Describe the Principles of Education & * Lecture * Short
philosophy & Teaching Learning Process Discussion answers
principles of * Education: meaning, * Prepare * Objective
education philosophy,aims,functions lesson plan Type
* Explain the & principles * Micro * Assess les
teaching learning * Natureandcharacteristics teaching sonplansand
process of * Exercise teaching ses
learning Principles andmax on writing sions
ims of teaching objectives
* Formulating objectives;
general and specific
* Lesson planning
* Classroom management
VI 10 10 * Demonstrate Methods of Teaching * Lecture * Short an
teaching skill * Lecture, demonstration, Discussion swers
using various group discussion, seminar, * Conduct 5 * Objective
teaching symposium, panel discus teaching ses type
methods in sion, role play, project, field sions using * Assess
clinical, trip, workshop, exhibition, different teaching
classroom and programmed instruction, methods & situations
community computer assisted learning, media
settings micro teaching problem
based learning, self instruc
tionalmodule-elearning,and
simulation etc.
* Clinical teaching meth-
ods:Casemethod,nursing
round & reports, bedside
clinic, conference (indi-
vidual & group) process
recording

231
VII 10 8 * Prepare and Educational Media * Lecture * Short
use different types * Purposes & types of A.V Discussion answers
of educational Aids,Principlesandsources * Demonstra * Objective
media effectively etc. Graphic aids: chalk tion type
board, chart, graph, poster, * Prepare dif * Assess
flash cards, flannel graph, ferent teachingaids
bulletin, cartoon teaching aids prepared
* Three dimensional aids: projected &
objects,specimens,models, non projected
puppets
* Printed aids: Pamphlets,
& leaflets Projected aids;
slides, overhead, projec-
tor,films,TV,VCR/VCD,
camera,microscope,LCD,
* Audio aids: tape recorder
Public address system
* Computer Interaction
board with document
camera
VIII 5 7 * Prepare different Assessment * Lecture * Short an
types of questions for * Purpose and scope of Discussion swers
assessment of evaluation & assessment * Exercise on * Objective
knowledge,skillsand * Criteria for selection of writing differ type
attitudes assessmenttechniquesand ent types of * Assess
MethodsPortfolioassess- assessment strategies
ment tools used in
* Assessmentofknowledge: practice
essaytypequestions,short teaching
answer questions(SAQ), sessions and
Multiple choice exercise
questions(MCQ) sessions
* Assessment of skills:
observation checklist,
practical exam, viva, ob-
jective structured clinical
examination (OSCE)
* Assessment of Attitudes:
Attitude scales
IX 5 2 Information, Education & Lecture * Short
* Teaching
Communication for Health Discussion answers
individuals,
(IEC) * Plan and * Objective
group and
* Health behavior and health conduct type
communities
education health * Assess the
about health
* Planning for health education planning &
With their
education sessions for conduct of
Active participation
* Health education with individuals, the
individuals, group educational
groups & communities & Communities session
*Communicating health
messages
*Methods & media for
communicating health
messages
232
*Using mass media
Bibliography
Textbook:
Heidgerkahn (DE), Teaching and Learning in School of Nursing, Philadlphia, J.O. Billioet Co.
W.H.O. Curriculum Guide for the Schools of Nursing in India, Delhi WHO.
Reference:
1. Neeraja, Textbook of Nursing Education, Jaypere Brothers.
2. Tyler (RW), Basic of Curriculum and Instruction, Chicago, The university of Chicago press

233
 BLUE PRINT OF QUESTION PAPER – COMMUNICATION AND EDUCATION TECHNOLOGY
Placement IV Year B.Sc (N)
Total Marks: 75 Placement IV Year B.Sc (N)
• Each paper shall contain
• 2 Long Answer Questions (LAQ) for 10 marks 2 x 10 = 20
• 7 Short Answer Questions in 8 (SAQ) for 5 marks 7 x 5 = 35
• 10 Very Short Answer Questions (VSAQ) for 2 marks 10 x 2 = 20
75
VSAQ

1
2
APPLICATION

SAQ

1*
1

1
5
LAQ
10
VSAQ

1
2
UNDERSTANDING

SAQ
5

1
LAQ
10

1
VSAQ

1
2
KNOWLEDGE/
RECALL

SAQ

1
5
LAQ
10
ALLOTTED
MARKS

12

14
7

5
WEIGHT

18.6
AGE

9.3

9.3

9.3

9.3

9.3

6.6
12

16

Educational
Methods of

8 Evaluation
counseling

Education
Communi

Principles
Guidance
Personal
Relation

Relation

teaching
UNIT

Human

Media
cation
Inter

ship

9 IEC
4 and

5 of
No
S.

234
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, MGMC & RI CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.
COMMUNICATION & EDUCATION TECHNOLOGY
MODEL QUESTION PAPER FOR IV YEAR B.Sc (N)

Time: 3 Hrs Max Marks: 75

Long answers: (2X10= 20 Marks)
1. a) Define Teaching.(2)
b)Describe Clinical teaching method used in Nursing.(8)
2. a)List down the guidelines for using AV aids (5)
b) Explain the need of AV aids in Education.(5)
Short answer: Answer any 7 of the following (7X5= 35 Marks)
3. Find out the methods used to overcome the barriers in communication.
4. List down the types of Interpersonal relationship.
5. State the principles of group dynamics.
6. Differentiate guidance & Counselling.
7. What are the points to be remembered while preparing lesson plan.
8. Explain maximum of teaching.
9. Identify the methods of Performance appraisal.
10. Explain the models of health Education.
Very short answers: (10X2= 20 Marks)
11. List out the elements of communication.
12. Uses of Johari window model.
13. List down the phases of Nurse Client relationship.
14. State the purposes of Counselling services.
15. Identify the factors responsible for Positive clean room management.
16. Mention the 3 domains of education objectives.
17. Define field trip.
18. State the principles of reporting.
19. Outline the guidelines in preparing Poster.
20. List down any 4 principles of evaluation.

235
 KASTURBA GANDHI NURSING COLLEGE
Pillaiyarkuppam, Pondicherry 607 402.

PATTERN OF INTERNAL ASSESSMENT - THEORY

Sl. Name of the Test (Unit / Sessional / Record / Discipline & Final
No UIN No Students Revision / Model Assignment Class Teaching
Attendance Conduct Total Score

10

11

12
236
 KASTURBA GANDHI NURSING COLLEGE
Pillaiyarkuppam, Pondicherry 607 402.

PATTERN OF INTERNAL ASSESSMENT - PRACTICAL

Sl. Name of the Practical Exam & Record Clinical Case Final
No UIN No Students VIVA Completion Evaluation Spotters Study Assignment Total Score

10

11

12
237
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH
Pillaiyarkuppam, Pondicherry- 607 402.
B.Sc (N) EVALUATION FORMAT NURSING FOUNDATION
Date: Total: 100
Nursing Assessment Planning Implementation Evaluation Spotters
Knowledge
S. Register History Physical Nsg. Procedure Health Tray Instru Nutrie Int. Ext.
About the Objectives Cathe ters Bones Drug s Viva Total
No Number Collection Assessment Diagnosis Demonstration Education Setting ments nts Exam Exam
patient (4) (2) (2) (2) (5) (100)
(5) (5) (5) (5) (3) (5) (2) (2) (50) (50)
(3)

SIGNATURE OF THE EXAMINER

238
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH
Pillaiyarkuppam, Pondicherry- 607 402.
B.Sc(N) EVALUATION FORMAT MEDICAL SURGICAL NURSING - I
Date: Total: 100
Nursing Assessment Spotters
Problem
Clinical Nursing Clinical Health Differential Nutritive
S. Register Bed side Nursing Planning Records Tray solving Viva Total
Exam Care reasoning Education Diagnosis Instruments Drugs Items
No Number presentation history (5) (5) Setting approach (5) (100)
findings (10) (5) (5) (10) (5) (5) (5)
(5) (5) (10) (10)
(10)

SIGNATURE OF THE EXAMINER

239
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, SBV CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

B.Sc(N) EVALUATION FORMAT

B.Sc. NURSING III-YEAR MEDICAL SURGICAL NURSING - II

Health education
Implementation
Nursing assessment Critical Thinking Spotters
Recording

/skill
Viva Total

Instruments
&

Differential
(4)

(2)

Diagnosis
S.No Register Number

Mapping

Nutritive
Concept
Setting
Nursing Physical Nursing Reporting (5) (50)

Drugs

Items
Tray

(5)
(5)

(4)

(4)

(2)
History Examination care Plan (2)
(4) (4) (4)

SIGNATURE OF THE EXAMINER

240
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, SBV CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

B.Sc (N) EVALUATION FORMAT MATERNAL NURSING

Sl.No Register Nursing Assessment Planning Nursing Clinical Differen- Mecha- Pelvis & Tray Spotters Problem Viva Total
Number of the Care reasoning tial nism Fetal Skull Setting solving (5) (50)
Bed side Nursing Clinical objec- (4) (4) Diagnosis of labor (2) (4) Instruments Drugs Nutritive approach
presentation history Exam findings tives (4) (4) (4) (4) Items (3)
(2) (2) (4) (2) (2)

SIGNATURE OF THE EXAMINER

241
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, SBV CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

B. Sc (N) EVALUATION FORMAT

CHILD HEALTH NURSING

Nursing Assessment Spotters

Health Tray Problem
Clinical Exam Nursing Clinical Recording & Differential
S. Register Bed side Nursing Planning Education/ Setting Nutritive solving Viva Total
findings/ Growth & Care reasoning Reporting Diagnosis Instruments Drugs
No Number presentation history (3) Play (4) Items approach (5) (50 )
Development (4) (3) (3) (4) (3) (3)
(2) (2) Therapy (4) (2) (4)
(4)
1.

2.

3.

4.

5.

6.

7.

8.

242
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, SBV CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

B.Sc (N) EVALUATION FORM

MENTAL HEALTH NURSING
Assessment Spotters
Process Nursing process Psycho Therapeutic Viva
History Psychological
Register no. MSE recording education Activities Medication voice
Taking Planning Implementation Evaluation (5) test Total
(7) (5) (5) (2) (10)
(5) (3) (4) (2) (2) (50)

243
 KASTURBA GANDHI NURSING COLLEGE
SRI BALAJI VIDYAPEETH, SBV CAMPUS
Pillaiyarkuppam, Pondicherry- 607 402.

B.Sc (N) EVALUATION FORMAT

COMMUNITY HEALTH NURSING

Register Nursing Assessment Objec- Proce- Clinical Health Records Differential Bag Spotters Problem Viva Total
Sl.No Number Family Clinical Nutritional
tives dure reasoning Education (5) Diagnosis technique solving (5) (100)
(5) (10) (5) (5) (10) (10) Vaccine Drugs Nutritive approach
presentation Exam findings (5) (10)
(5) (5) Items
(5) (10)
(5)

244