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Alice Lee Centre for Nursing Studies

NUR1116 PSYCHOLOGY FOR HEALTH PROFESSIONALS

AY2013-2014: Semester II Examination

Name of Examiner: Mr Sunil Selvarajan

Date: 07 MAY 2014

Time Allowed: 2 Hours (0900-1100)

INSTRUCTIONS TO CANDIDATES

1. This examination paper contains TWO(2) sections and NINE (9)printed

pages (including this page):

Section A THIRTY (30) Multiple Choice Questions (30 marks)

Section B THREE (3)Short Answer Questions (30 marks)

2. AnswerALLquestions.

3. For Section A, use the OMR form to answer question 1 - 30. Please darkenthe circle of the correct answer completely .

4. For Section B, use the answer book for question 1 - 3. Answer each questionon a new page of the answer book.

5. This is a CLOSED BOOK examination.

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SECTION B SHORT ANSWER QUESTIONS (30 marks)Answer ALL questions (Use Answer Book)

Question 1 (10 marks)

Mazlan is a 68-year-old retiree who had suffered from Type II diabetes mellitus since hewas in his late 30s. He is currently admitted to your ward for wound infection over his leftfoot after he stepped on a broken glass three weeks ago at the park. You noticed that heappeared to be downcast. He was told by his team doctor that his wound is no longerresponding to the wound debridement and may soon require a below knee amputation.

Mazlan is married with no children and stays with his wife in a rented HDB flat. Pre-morbid status, Mazlan is a community ambulant without any aid.

(a) Identify FOUR (4) potential challenges faced by Mazlan when he is beingdischarged from the hospital. Provide rationales for each challenge. (4 marks)

(b) One week after his admission to the hospital, Mazlan is going for a left below kneeamputation. Discuss the coping process which might happen after Mazlan hasbeen discharged from the hospital. (6 marks)

Question 2 (12 marks)

Social Cognitive Theory consists of 6 concepts. They are reciprocal determinism,behavioural capability, expectations, self-efficacy, observational learning andreinforcements. Briefly define each of these six concepts and elaborate on potentialchange strategies you could apply to promote each of these six concepts. (12 marks)

Question 3(8 marks)

John is 35 years old and has been a smoker for the past 15 years. However, recently hehas been suffering from some breathing difficulties and the doctor has advised him tostop smoking. As a result of the doctors advice, he has been gradually reducing thenumber of cigarettes he has been smoking and he intends to quit smoking within thenext five days.

(a) According to Prochaska and DiClementes (1983) Transtheoretical model ofchange, which stage is John currently in? Explain why you selected your answer?(2 marks)

(b) As a healthcare professional, use the Transtheoretical model of change to assistJohn to permanently quit smoking? (6 marks)

-- END OF SECTION B ---- END OF PAPER