Detailed Syllabus For Kerala PSC STAFF NURSE GRADE II HEALTH SERVICES

STAFF NURSE GRADE II

HEALTH SERVICES

Category Number: 418/2019 & 114/2020

MODULE – 1

BEHAVIOURAL SCIENCES

1. ANATOMY & PHYSIOLOGY

Anatomical terms

Circulatory System: Structure & function of heart and blood vessels

Lymphatic System: Structure and function of lymph vessels, lymph circulation, and lymphatic tissues – spleen and thymus.

Respiratory System: Structure and function of respiratory organs and characteristics of normal respiration and deviation

Digestive System: Structure and function of the alimentary tract

Excretory System: Structure and function of kidney, formation, and composition of urine, fluid, and electrolyte balance

Endocrine System: Structure and function of the thyroid, parathyroid, pituitary, adrenal gland, and pancreas

Reproductive System: Structure and function of the male and female reproductive system, Structure and function of breast and Reproductive health.

Nervous System: Structure and function of the brain, cranial nerves, the spinal cord, motor and sensory pathways of the spinal cord, and autonomic nervous system.

Sense organs: Skin, eye, ear, nose, and tongue. Physiology of vision, hearing, smell, touch, taste, and equilibrium.

Skeletal & Muscular System: Formation and growth of bones, tendons, ligaments, and cartilages, classification of bones, axial and appendicular skeleton. Structure and function of muscle

2. MICROBIOLOGY

History of bacteriology and microbiology, types of microorganisms, normal flora of body, pathogenesis and common diseases, culture and isolation of microbes.
Sources and types of infection, factors affecting the growth of microbes, the cycle of transmission of infection, the reaction of the body to infection, mechanism of resistance, and collection of specimen.
Society – definition, social groups-types, structures, intergroup relationship, group cycle, group behavior, and group morale.
Social change – factors affecting and effect on society and institution leading to social problems.
Social control, social stratification, social problems – prostitution, crime divorce, dowry system, juvenile delinquency, drug addiction, alcoholism, handicapped, overpopulation, and slum.
Social agencies and remedial measures.
Culture and characteristics of community – definition, rural and urban, cultural, and characteristics.

MODULE II

BEHAVIOURAL SCIENCES

PSYCHOLOGY

Concept, scope, and significance of psychology for nurses.
Structure of mind – conscious, preconscious, id, ego, and superego.
Psychology of human behavior, the concept of mental health – Basic human needs, dynamics of behavior, the motivation of drives. body-mind relationship, mental health.
Mental mechanisms – uses and importance. Attitudes- meaning, development, changes in attitude, effects of attitude on behavior, the importance of positive attitude for the nurse.
Habits – meaning and formation, breaking of bad habits, the importance of good habit formation for the nurse.
Learning – nature, types, laws of learning, factors affecting learning, memory, and forgetting.
Thinking and Reasoning – nature and types of thinking, reasoning, problem-solving, the importance of creative thinking for the nurse.
Observation and Perception – Attention, perception, laws of perception, factors affecting attention and perception, errors in perception.
Concept and development of personality, assessment of personality, characteristics of various age groups, will, and character.
Nature and measurement of intelligence, mental ability, nature of intelligence, and development. Individual difference in intelligence.

SOCIOLOGY

Nature, scope, and significance of sociology in nursing
Socialization process, the influence of environment on individual development, rights, and responsibilities of the individual in society- socialization process, the effect of the environment on human growth and development.
Concept, characteristics and type of family, family cycle, and basic needs of the family, functions of family, the importance of the interdependence of family members, important functions of family and their problems. and problems, types of marriage, medical and sociology aspects of marriage.

MODULE III

FUNDAMENTALS OF NURSING

Concept, scope, ethics, and principles of nursing, history of nursing in India, health care agencies
Holistic approach in nursing, determinants of health, effects of illness
Therapeutic Environment-physical, psychological and aesthetic factors, prevention of environmental hazard
Patient’s adjustment to hospital-person, socio-economic and cultural background
Admission, transfer, and discharge procedures
Basic nursing skills-Communication, interview, recording, and reporting
Nursing process-assessment, diagnosis, planning, implementation, and evaluation
Meeting the basic needs of the patient- Physical needs, hygienic needs, elimination needs, nutritional needs, psychological and spiritual needs.
Diversional and recreational therapy, care of the terminally ill and dying patient.
Assessment of patient – Physical, physiological, and psychological assessment.
Infection control methods – nature and type of infection, chain of infection transmission,
Medical and surgical asepsis, isolation precaution, barrier nursing, hand washing, isolation, personal protective equipment, its uses, types, techniques of wearing and removing. transportation of the infected patient.
Biomedical waste management-importance, types, hazards, decontamination of hospital waste, segregation, and transportation and disposal.
Therapeutic nursing care-Care of a patient with a respiratory problem, altered body temperature, fluid-electrolyte imbalance, body elimination deviation, care of the unconscious patient, bedridden patient, and care of patients with pain.
Clinical Pharmacology – Principles, routes, effects and storage of medications, medication errors, Broad classification of drugs, systems of drug measurements, dosage calculations, terminologies, and abbreviations used in the prescription of medications. Oral and parenteral therapies, advanced techniques epidural, intrathecal, intraosseous, intraperitoneal, intrapleural, intraarterial. Topical administration, direct applications, inhalations, recording, and reporting of medications administered.

FIRST AID

Importance and principles of first aid, Procedures, and techniques in first aid, Transportation of the injured, CPR
First aid in emergencies – asphyxia, drowning, shock, wounds and bleeding, Injuries to the bones, joints and muscles, fractures, sprains, strains, hanging, falls.
Burns and scalds,poisoning-ingestion, inhalation, bites, and stings.
Foreign body in the eye, ear, nose, and throat.
Various community emergencies and community resources – fire, explosions, floods, earthquakes, Role of nurse in disaster management, Rehabilitation.
Community resources-Police, Ambulance services, Voluntary agencies – local, state, national, and international.

MODULE 1V

COMMUNITY HEALTH NURSING

Concept of health and disease, Primary health care, Promotion, and maintenance of health.
Philosophy, goals, objectives, principles, concept, and importance of community health nursing, qualities, and functions of community health nurse, steps of the nursing process.
Health system in India, the health care delivery system, health planning in India.
National health and family welfare programs, major health problems in India.
Specialized community health services and nurses' role.
Concept and function of the health team, Role of nursing personnel at various levels.
Health information system, health agencies-International, and national.
Health assessment of infant, preschool, school going, adolescent, adult, antenatal, postnatal women, and elderly.
Principles and uses of epidemiology, levels of prevention f disease, disease transmission, immunization, control of the infectious disease.
Family health services, family health goals, purposes, and principles of home visits, bag technique, referral system.
Records and reports, types and their uses, preparation, and maintenance.
Management of minor ailments.

NUTRITION

Classification of foods, Normal dietary requirement, balanced diet, diseases, and disorders caused by the imbalance of nutrients. food intoleranceinborn errors of metabolism.
Various methods of food preparation, preservation, and storage.
Therapeutic diet- Diet modifications in relation to the medical and surgical conditions.
Special diet- low sodium,fat free,iron rich,low protein,high protein,high caloric,geriatric diet,diabetic diet,bland diet.high fibre,liquid diet,semi-solid and soft diet.
Nutritional programs and problems in India.

MODULE V

MEDICAL SURGICAL NURSING

The pathophysiological mechanism of disease, altered immune response, autoimmune diseases
Fluid electrolyte imbalance, operation room technique, management of a patient undergoing surgery – preoperative, Intraoperative, and postoperative.
Management of patients with impaired respiratory function, GI disorders, metabolic and endocrinal disorders, renal and urinary disorders, neurological disorders, and connective tissue and collagen disorders.
Nursing management of the elderly.
Prevention, screening, early detection, warning signs of cancer.
Epidemiology, etiology, classification, pathophysiology, staging, clinical features, diagnosis, treatment modalities of oncological conditions.
Oncological emergencies, treatment modalities- immunotherapy, radiotherapy, surgical intervention, stem cell therapy, bone marrow transplantation, gene therapy, and other forms of therapy.
Psychosocial aspects of cancer, rehabilitation, palliative care, drugs used in cancer
Medical, surgical, and nursing management of patients with burns, breast disorders, integumentary disorders
Plastic and reconstructive surgery, skin graft flaps, complications, preparation of the patient for constructive surgery, postoperative care, and health education.
Management of patients with ophthalmic conditions, Preventive and rehabilitative aspects, National programs on blindness, Ocular emergencies, Eye banking, eye irrigations, eye dressing, and bandage, assisting for removal of a foreign body.
Management of patients with ear, nose, and throat disorders. cardiovascular, circulatory, and hematological disorders and communicable diseases.
Management of patients with sexually transmitted diseases and musculoskeletal disorders.
Role of nurse in medical and surgical emergencies – scope and practice of emergency nursing, principles of emergency care, triage, airway obstruction, hemorrhage, shock.
Trauma- intraabdominal, crush injuries, multiple injures, fractures,
Poisoning- ingested, inhaled, food poisoning, injected poisons – stinging insects, snake bite, chemical burns,
Environmental emergencies – heat stroke, snake bite, drowning, hanging.
Role of nurse in emergency and disaster nursing-natural and manmade, emergency preparedness, community resources.

MODULE V1

MENTAL HEALTH NURSING

Concept of mental health and mental illness, Principles of mental health nursing.
History and trend of psychiatric nursing, National mental health program.
Mental health assessment –history taking, MSE, Interview technique.
National mental health programs
Therapeutic nurse-patient relationship-components, phases, significance
Communication skills, factors influencing communication, barriers.
Psycho pathophysiology of human behavior, classification of mental disorder
Disorders of thought, motor activity, perception, mood, speech, memory, concentration, and judgment.
Management of patients with various mental disorders.
Personality, types of personality related to psychiatric disorders.
Substance use, child and adolescent psychiatric disorder- sleep, eating, and sexual disorders.
Bio-psychosocial therapies and the role of the nurse in these therapies.
Concept of preventive mental health services during childhood, adolescence, adulthood and old age, Role of nurse in national mental health services.
Psychiatric emergencies and crisis intervention- Patients with overactive, underactive, and violent behavior, suicide, adverse drug reactions, withdrawal symptoms, a/c psychosis.
Forensic psychiatry and legal aspects.

MODULE V11

CHILD HEALTH NURSING

Concept of child health care, trends, and emerging challenges for pediatric nurses.
Preventive pediatrics and vital statistics
Growth and development
Role of nurse in caring for a sick child, Paediatric procedures
Medical and nursing management of children with behavioral disorders
Management of children with communicable diseases. child abuse
Protein-energy malnutrition, bites, stings, pica, tics
Health problems of children, accidents, obesity, Juvenile delinquency.
Nursing management of patients with congenital disorders
Management of patients with various disorders of the renal system,
Respiratory system, GI system, CVS system, hematological system, neurological system, and endocrine system.
Management of handicapped children, mental retardation, dyslexia, vision, and hearing impairment.
Fluid electrolyte imbalance, burns.
Problems of locomotion – osteomyelitis,poliomyelitis,kyphosis,lordosis,scoliosis,fractures.
Pre and post-operative care of children undergoing surgery.
Various child welfare services, ethical and legal aspects of pediatric nursing.

MODULE V111

MIDWIFERY AND GYNAECOLOGICAL NURSING

Scope and trends in midwifery, vital statistics related to maternal health in India.
Stages of embryological and fetal development
Normal pregnancy and its management – Preconception care, genetic counseling, physiological changes in pregnancy, diagnosis of pregnancy, antenatal care, and minor disorders of pregnancy.
Various stages of labor, the role of the midwife in caring for a woman in labor.
Management of normal newborn, management of normal puerperium.
Management of complications during pregnancy and the risk of pregnancy.
Management of high-risk labor and complications of the third stage.
Puerperal complications and their management.
Assessment and management of high risk and sick newborn.
Levels of care in neonatal ICU.
Obstetric emergencies,post-abortion care.
Role of the midwife in the administration of drugs during pregnancy, labor, and the postpartum period, drugs used in obstetrics, teratogens.
Ethical and legal issues related to midwifery.
Terms used in gynecology, history taking, examination, and investigation in gynecology.
Physiology, psychology, and pathology of puberty
Fertility and infertility.
Management of patients with various pelvic infections.
Care of women with gynecological disorders.
Management of patients with breast disorders.
Menopause – physiological changes, signs and symptoms, health education and counseling, hormone replacement therapy, and surgical menopause.

MODULE 1X

NURSING EDUCATION & INTRODUCTION TO RESEARCH

Concept of education, teaching-learning process, methods of teaching
Significance of research in the nursing, research process- Purposes, objectives, and steps of research approach and design – types, methods, advantages, and disadvantages
Data collection process –methods and instruments of data collection, data analysis-compilation, tabulation, classification, summarization, presentation, and interpretation of data using descriptive statistics
Introduction to statistics–scales of measurement, frequency distribution, mean, median, mode and standard deviation, utilization of research in nursing practice.

MODULE X

PROFESSIONAL TRENDS AND ADJUSTMENT & NURSING ADMINISTRATION AND WARD MANAGEMENT

Nursing as a profession, the role of a professional nurse
Professional ethics, etiquettes for employment, personal and professional development- career nursing, continuing education, and in-service education.
Legislation in the nursing, profession, and related organizations.
Philosophy and principles of administration
Management process – POSDCORB, Policies of the hospital and various department of the hospital
Administration of different health care units, legal responsibilities, leadership styles.
Management of supplies and equipment
Cost and financing of health care services in India, national health plans, the role of the state and the central government in the allocation of funds, health insurance.

NOTE: - It may be noted that apart from the topics detailed above, questions from other topics prescribed for the educational qualification of the post may also appear in the question paper. There is no undertaking that all the topics above may be covered in the question paper