Situation 16. Miss Faye is being interviewed by Mrs. Tantoy, the chief nurse of the hospital, in relation to her application in a tertiary hospital as a staff nurse.
76. When asked whether nursing is a profession or not, she quoted one authority who holds the view that a profession is characterized by the following:
a. It is highly skilled and purely technical
b. It demands specialized preparation and training
c. It is determined by the compensation received by its members
d. It is a developing science
77. Mrs. Tantoy explained to Miss Faye that the philosophy of nursing in the tertiary hospital is consistent with the generally accepted definition of nursing which is:
a. caring for the sick only because the “well” patients are taken cared of by primary hospitals
b. Putting the patient in the best condition for nature to act
c. Caring for the sick and well
d.Allowing the patient to determine the medical and nursing plan of action
78. Mrs. Tantoy further explained to Miss Faye that of the many functions of the nurse, the one that encompasses both dependent and independent function is:
a. Application and execution of doctor's orders
b. Application and execution of nursing procedures and techniques
c. observation of signs and symptoms
d. Supervision of patient and those participating in the care
79. In one of the seminars on continuing professional education (CPE), one of the lecturer's emphasized the following primary characteristics of a profession which is:
a. It can be used as a stepping stone to go abroad
b. Nursing action is best supported by natural instincts
c. It is governed by a code of ethics based on ethical principles
d. Emphasis of nursing responsibilities is on dependent rather than independent functions.
80. The objectives behind requiring nurses to attend CPE seminars and workshop are to:
a. Increasing revenue of the government and organization providing CPE
b. Update one's knowledge and skills relevant to nursing
c. Renew old acquaintances and establish camaraderie among nurses
d. Update list of professionals in the country
Record Management
Situation 17. Documentation and reporting are just as important as providing patient care. As such the nurse must be factual and accurate to ensure quality documentation and reporting.
81. Health care reports have different purposes. The availability of patient records to all health team members demonstrates which of the following purposes?
a. Legal documentation c. Research
b. Education d. Communication
82. Nurse Drosera commits medication error, she should accurately document client's response and her corresponding action. This is very important for which of the following purposes?
a. Auditing c. Communication
b. Assessment d. Legal documentation
83. Problem-Oriented Medical Records (POMR) has been widely used in many teaching hospitals. One of its unique features is SOAPIE charting. Using this as a guideline in charting for the 2nd “P”. Which of the following shall the nurse include in her charting?
a. Prescription of the doctor to patient's illness
b. Plan of care for patient
c. Patient's perception of one's illness
d. Nursing problem or nursing diagnosis
84. The medical records that are organized into separate section, wherein each person or department makes notations in a separate section or sections of the patient's chart, is classified into which type of record?
a. Problem-oriented record
b. Source-oriented record
c. Modified problem-oriented medical record
d. SOAPIE
85. Which one of the following is an advantage of the traditional client record as against the POMR record system?
a. Increases efficiency in data gathering
b. Reinforces the use of the nursing process
c. The care giver can easily locate proper section for making charting entries
d. Enhances effective communication among heath care team members
Management of Resources and Environment
Situation 18. Miss Castalia is a new head nurse in the newly opened ward. She wanted to initiate some changes in the nursing care delivery system with the approval of the chief nurse.
86. For patient assignment, she explained to the staff that each one will be responsible to a certain number of patients for the whole 24 hours and are expected to prepare a 24 hours nursing care plan for each assigned patient. This method of nursing care delivery is termed which of the following?
a. Team approach c. Case management
b. Primary nursing d. Functional method
87. Even if individual patients are assigned to a particular nurse, the head nurse is still accountable for all the nursing care services rendered in the ward. This belief is an application of which of the following management principle?
a. Unity of command
b. Proper channel of communication
c. Scalar principle
d. command responsibility
88. For systematic and orderly management of care, the head nurse confers with the staff for 10-15 minutes to organize the work for the day. Which of the following sequence of structuring tasks is CORRECT?
1. Assign tasks to the team
2. Present to the team the needs of the patients for the day
3. Match the task with the abilities of each staff members
4. Ask for suggestions from the staff
a. 4, 2, 3 and 1 c. 2, 4, 3 and 1
b. 3, 2, 1 and 4 d. 1, 2, 3 and 4
89. Per hospital, when a member of the staff commits an error, the head nurse prepares an incident report. In making an incident report, which of the following information should be included?
1. Includes all pertinent facts regarding the incident
2. All names involved in the incident
3. Includes the head nurse's appraisal of the incident
4. Signatures of all parties involved
a. 1, 2 and 4 c. 1 and 2
b. 1 and 3 d. 1, 3 and 4
90. In the hospital where Miss Castalia is working, nurses are evaluated by the head nurse every six months. Which of the following actions should the nurse take if she feels she is unfairly evaluated?
a. Share her feelings with the peer group
b. Submit a disclaimer to the chief nurse of the hospital
c. Accept the evaluation
d. Clarify from the head nurse the basis for her evaluation
Quality Improvement
Situation 19. Miss Hesper, a nurse supervisor, is observing the staff nurses in her hospital to see how quality of care provided to clients can be improved.
91. Miss Hesper is not satisfied with the bed bath that is provided by nurse Arthur. To improve the care provided to the patient in the unit, the nurse supervisor should:
a. Tell the nurse how to give bed baths correctly
b. Ask another staff nurse to do bed baths instead
c. Provide a manual to be read on giving bed baths
d. Bring the staff nurse to a client’s room and demonstrate the bed bath
92. The staff nurse discusses with the novice nurse the type of wound dressing that is best to use for a client. Together, they observe how well the dressings absorb the drainage. In what step of the decision making process are they?
a. Testing options
b. Considering effects on results
c. Defining the problem
d. Making final decisions
93. To check if the nurses under her supervision use critical thinking, Miss Hesper observes if the nurses act responsibly when at work. Which of the following actions of the nurse demonstrates the attitude of responsibility?
a. Thinking of alternative methods of nursing care
b. Sharing ideas regarding patient care
c. Following standards of practice
d. Planning other approaches for patient care
94. The nurse who makes clinical judgment can be depended upon to improve the quality of care of clients. Nurse Jenny uses such good clinical judgment when she gives priority care to this client:
a. Ulmus, a client who is ambulatory and for surgery tomorrow
b. A postoperative client, Elphas, who has a blood pressure of 90/50 mmHg
c. Mr. Asphalt, a client who needs instructions for home medications
d. Dracus, a client who received pain medications 5 minutes ago
95. A good nursing care plan is dependent on a correctly written nursing diagnosis. It defines a client’s problem and its possible cause. The following is an example of a well written nursing diagnosis:
a. Acute pain related to altered skin integrity secondary to hysterectomy
b. Electrolyte imbalance related to hypocalcemia
c. Altered nutrition related to high fat intake secondary to obesity
d. Knowledge deficit related to proctosigmoidoscopy
Research
Situation 20. Pronimo, a researcher, proposes a study on the relationship between health values and the health promotion activities of staff nurses in a selected college of nursing.
96. In both quantitative and qualitative research, the used of a frame of reference is required. Which of e following items serves as the purpose of a framework?
a. Incorporates theories into nursing’s body of knowledge
b. Organizes the development of study and links
the findings to nursing’s body of knowledge
c. Provides logical structure of the research findings
d. Identifies concepts and relationships between concepts
97. Pronimo need to review relevant literature and studies. The following processes are undertaken in reviewing literature EXCEPT:
a. Locating and identifying resources
b. Reading and recording notes
c. Clarifying a research topic
d. Using the library
98. The primary purpose for reviewing literature is to:
a. Organize materials related to the problem of interest
b. Generate broad background and understanding of information related to the research problem of interest
c. Select topics related to the problem of interest
d. Gather current knowledge of the problem of interest
99. In formulating the research hypotheses, researcher Pronimo should state the research question as:
a. What is the response of the staff nurses to the health values?
b. How is variable “health value” perceived in a population?
c. Is there a significant relationship between health values and healthpromotion activities of the staff nurses?
d. How do health values affect health promotion activities of the staff nurses?
100. The proposed study shows the relationship between the variables. Which of the following is the independent variable?
a. Staff nurses in a selected college of nursing
b. Health values
c. Health promotion activities
d. Relationship between health values and health promotion activities
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