Identify the correct sequence of events.

DSSSB October 2024

Nursing Foundation

Easy

Appeared in: DSSSB October 2024

Explanation

The correct sequence is based on the World Health Organization's (WHO) International Classification of Impairments, Disabilities, and Handicaps (ICIDH) model.
This model presents a logical progression where an underlying health condition (Disease) causes a problem at the organ level (Impairment).
This impairment then restricts an individual's ability to perform activities (Disability).
Finally, this disability can lead to a disadvantage in fulfilling a normal social role (Handicap).
For example, a stroke (Disease) can cause paralysis of one side of the body (Impairment), leading to an inability to dress oneself (Disability), which may result in social isolation (Handicap).

Option A: This sequence is incorrect because it starts with 'Handicap'. A handicap is the final societal consequence of a disease process, not the starting point.
Option C: This sequence is incorrect. It illogically places 'Disease' and 'Impairment' after 'Disability' and 'Handicap'. The disease is the origin of the entire sequence.
Option D: This sequence incorrectly places 'Disease' at the end. A disease or disorder is the initial cause that leads to an impairment; it is not the final outcome.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain WHO's ICIDH model of disease progression as background academic context rather than a clinical decision trigger.
Understanding this sequence helps nurses perform holistic assessments, addressing not just the medical diagnosis but also its impact on the patient's functional ability and social life.
This framework is crucial in rehabilitation nursing for setting realistic goals, planning interventions, and facilitating the patient's reintegration into the community.
It guides patient and family education, helping them understand the potential consequences of a disease and how to manage them.

How to Approach the Question

First, identify that the question asks for a 'correct sequence', which implies a specific order or process.
Analyze the terms: Disease, Impairment, Disability, Handicap. Think about their logical relationship. A health problem must start with a cause.
The logical starting point is the 'Disease' or disorder itself. This immediately eliminates any option that does not begin with 'Disease'.
Next, consider the progression. A disease affects a body part or function (Impairment). This loss of function limits personal activities (Disability). This limitation creates a disadvantage in society (Handicap).
Trace this logical flow: Disease → Impairment → Disability → Handicap.
Finally, select the option that matches this correct sequence.

Concept Tested & Keywords

Concept Tested: WHO's ICIDH model of disease progression
Stem keywords: correct sequence, events, Disease, Impairment, Disability, Handicap
Lead-in keywords: Identify the correct sequence
Negative lead-in flag: false

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