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Worksheets

PALMER ⏐ 𝙲𝙰 𝟸

Total questions: 139

Worksheet time: 2hrs 19mins

Name
Class
Date
1.

Johnny is a 32-year old male patient admitted in a 200-bed capacity tertiary hospital. During the doctor's rounds, he notices his doctor is carrying a chat where he writes orders. This is apparently the Patient's Chart/Medical Record. Who owns the physical chart?

a)

The Hospital

b)

The Patient

c)

The Physician and Nurses

d)

The Philippine Government

2.

Johnny is a 32-year old male patient admitted in a 200-bed capacity tertiary hospital. During the doctor's rounds, he notices his doctor is carrying a chat where he writes orders. This is apparently the Patient's Chart/Medical Record. Who owns the data in the chart?

a)

The Patient

b)

The Hospital

c)

The Physician and Nurses

d)

The Philippine Government

3.

Rico is a single, 31-year old patient who just had a car collision after a night out with friends at a bar, and is scheduled for surgery. Nurse Martha is aware that "those under the influence of alcohol or drugs'' can't give informed consent. As per the order of priority, who among the following, if all are of legal age, is on top of the list in signing the informed consent for him?

a)

Siblings

b)

Spouse

c)

Guardian

d)

Grandparents

4.

Rico is a married, 31-year old patient who just had a car collision after a night out with friends at a bar, and is scheduled for surgery. Nurse Martha is aware that "those under the influence of alcohol or drugs'' can't give informed consent. As per the order of priority, who among the following, if all are of legal age, is on top of the list in signing the informed consent for him?

a)

Sons/Daughters

b)

Siblings

c)

Guardian

d)

Grandparents

5.

If the nurse allows the publication of a picture of malformed baby without the consent of the parents constitute:

a)

Invasion of privacy

b)

False imprisonment

c)

Battery

d)

Defamation

6.

An institution or organization that is responsible for proving the certificate to operate as a nursing school in the Philippines is?

a)

Commission on Higher Education (CHED)

b)

Philippine Nursing Association (PNA)

c)

Board of Nursing (BON)

d)

Professional Regulation Commission (PRC)

7.

A confused patient who fell out in the bed because side rails were not used is an example of which type of liability?

a)

Negligence

b)

Battery

c)

Assault

d)

Malpractice

8.

The way to avoid a breach of confidentiality is to?

a)

Have the client sign a release of information

b)

Have the family member sign a release of information

c)

Ask the physician for permission

d)

File a court order for permission

9.

Wilfred, 30 yrs old, was brought to the hospital due to injuries sustained from a vehicular accident. While being transported to the X- Ray Department, the straps accidentally broke and the client fell to the floor hitting his head. In this situation, the nurse is?

a)

Liable along with the employer for the use of a detective equipment that harms the client

b)

Free from any negligence that caused harm to the patient

c)

Not responsible because of the Doctrine of Respondeat Superior

d)

Totally responsible for the negligence

10.

A nurse gave the wrong medication. The patient was seriously injured. The patient sued. Who is the most likely held liable?

a)

The Nurse

b)

The Hospital

c)

The Nurse & Hospital

d)

No one because it is just an accident.

11.

The code of ethics for nurses has an interpretive statement that provides?

a)

Guide for carrying out nursing responsibilities that provide quality care and for the ethical obligation of the profession

b)

Continuity of care for the improvement of the client

c)

Standards of care in carrying out nursing responsibilities

d)

Basis for identical care to all client in any setting

12.

Which step of the management process is concerned with policy making and stating the goals and objectives of the institution?

a)

Planning

b)

Organizing

c)

Directing

d)

Evaluating

13.

In the management process, the periodic checking of the results of action to make sure that it coincides with the goal of the institution is termed as?

a)

Controlling

b)

Planning

c)

Organizing

d)

Directing

14.

Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication. Which of the following will provide this information?

a)

Organizational chart

b)

Policy guidelines

c)

Job description

d)

Manual of procedures

15.

Which nursing leadership style is based upon a foundation of solid communication skills, charm, and persuasiveness?

a)

Charismatic

b)

Autocratic

c)

Democratic

d)

Transformational

16.

A management principle which states that managers need to be able to give orders so that they get things done?

a)

Authority

b)

Unity of command

c)

Unity of direction

d)

Order

17.

Which of the following is the correct understanding of nursing ethical principles?

a)

Fidelity is staying with the patient during their death as promised.

b)

Justice is telling the truth about the side effect of the medication can cause nausea and vomiting

c)

Autonomy is requiring the client to have an advance directive.

d)

Beneficence is not telling the patient that she has breast cancer because that was the family's wishes.

18.

Which of the following situations would not cause a nurse to be sued due to negligence or malpractice?

a)

Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed.

b)

A nurse gave a client wrong medication and an hour after the client complained of dyspnea.

c)

While preparing a medication, the nurse notices that instead of 1 tablet, she put 2 tablets into the client's medication cup.

d)

All of the choices.

19.

A collision of two buses left 6 victims dead and 36 others wounded. The nurse used the START Method to triage them all. What ethical principle does the situation represent?

a)

Justice

b)

Beneficence

c)

Nonmaleficence

d)

Veracity

e)

Fidelity

20.

At the front door of X-ray rooms, there is a common instruction poster that informs clients to tell the radiologist that pregnant women are not allowed inside. What ethical principle does the situation represent?

a)

Nonmaleficence

b)

Beneficence

c)

Justice

d)

Fidelity

e)

Veracity

21.

Nurse Jacky raises the side rails of a patient with left side weakness diagnosed with transient ischemic attack. Which principle is being observed?

a)

Beneficence

b)

Nonmaleficence

c)

Justice

d)

Fidelity

e)

Veracity

22.

A minor client accompanied by the mother was rushed to the hospital due to intense abdominal pain. Based on assessments, the patient is pregnant and is already in the active phase of labor. The mother seems not aware that her daughter is pregnant. The physician and nurse talk to the patient and mother about the condition of the patient to decide the best management to execute. What principle is used?

a)

Veracity

b)

Fidelity

c)

Justice

d)

Beneficence

e)

Nonmaleficence

23.

Shane, a nurse, hated Ahmad her arabic patient, who is a 75-year old cardiac patient responsible for raping 3 Filipina minor females. She attempted to give him potassium IV bolus. She asked her friend Nurse Betty to be at the look out during the killing. After killing the patient, she asked Jeremy, who works at the lab, to report normal results of electrolyte samples drawn during Code Blue, which he did. If they were legally charged, who is the principal?

a)

Shane

b)

Betty

c)

Jeremy

d)

The Code Blue Team

24.

Shane, a nurse, hated Ahmad her arabic patient, who is a 75-year old cardiac patient responsible for raping 3 Filipina minor females. She attempted to give him potassium IV bolus. She asked her friend Nurse Betty to be at the look out during the killing. After killing the patient, she asked Jeremy, who works at the lab, to report normal results of electrolyte samples drawn during Code Blue, which he did. If they were legally charged, who is the accomplice?

a)

Betty

b)

Shane

c)

Jeremy

d)

The Code Blue Team

25.

Shane, a nurse, hated Ahmad her arabic patient, who is a 75-year old cardiac patient responsible for raping 3 Filipina minor females. She attempted to give him potassium IV bolus. She asked her friend Nurse Betty to be at the look out during the killing. After killing the patient, she asked Jeremy, who works at the lab, to report normal results of electrolyte samples drawn during Code Blue, which he did. If they were legally charged, who is the accessory?

a)

Jeremy

b)

Shane

c)

Betty

d)

The Code Blue Team

26.

A nurse is going home duty while he witnesses a man choking. With his skill in doing the Heimlich maneuver for a choking patient, the nurse helped the patient. After many attempts, the patient was saved. What did the nurse observe?

a)

Good samaritan law

b)

Nurses as spiritual being

c)

Nurses is in God's service

d)

None of the choices.

27.

A patient is in the latent phase of labor. While waiting for the OB doctor and anesthesiologist for delivery, the patient requested a small amount of sedatives to reduce the pain. The nurse gave the drug while the physician was on his way. What legal violation  does the Nurse Dionne committed?

a)

Malpratice

b)

Negligence

c)

Incompetence

d)

Illegal Detention

28.

A nurse who would like to practice nursing in the Philippines can obtain license to practice by which of the following:

a)

Passing the board exams and taking the oath of professionals

b)

Paying the professional tax after taking the board exams

c)

Paying the examination fee before taking the board exams

d)

Undergoing the interview conducted by the bard of nursing and taking the board exams

29.

When the license of the nurse is revoked, it means that the nurse?

a)

May apply for re-issuance of his/her license based on certain conditions stipulated in Philippine Nursing Act

b)

Is no longer allowed to practice the profession for the rest of her life

c)

Will never have her/his license re-issued since it has been revoked

d)

Will remain unable to practice professional nursing unless able to pass the board exam retake

30.

Nurse Charlie understands the importance of Continuing Professional Development (CPD). Which of the following is the main purpose of CPD?

a)

Update one's professional knowledge and competence

b)

Acquire a certificate of attendance to add to one's curriculum vitae

c)

Establish networking within the nursing profession

d)

Fulfill requirements for an advanced degree in Nursing

31.

When the doctor ordered “Do Not Resuscitate”, this means?

a)

The nurse and attending physician should not do any advanced life support or extraordinary measures for the patient.

b)

The patient need not be given routine care so that dying process is hastened.

c)

The nurse need not give due care to patient since he/she is terminally ill.

d)

The patient need not be given food and water because she is dying.

32.

She assessed a three-year-old boy for fever, but the boy would not want to go near her. Which of the following remarks of Nurse Pamela would constitute an assault?

a)

“You don’t want to have your temperature taken? I will call the guard to hold you and give you an injection instead!”

b)

“Alright just tell me when you are ready to have your temperature taken.”

c)

“This will not hurt you; just put it under your tongue.”

d)

“If you will let me take your temperature your fever will be gone.”

33.

Which principle is applicable in the situation where a sponge was left inside the abdomen of a patient who had an exploratory laparotomy?

a)

Doctrine of Res Ipsa Loquitur

b)

Doctrine of Respondeat Superior

c)

Doctrine of Force Majeure

d)

Doctrine of Vis Major

34.

The doctor ordered "Ceftriaxone 1g OD ANST for 3days" to one of your patients. The nurse gave the medication without a skin test. The result was a severe allergic reaction. The nurse could be sued for?

a)

Malpractice

b)

Negligence

c)

Battery

d)

Assault

35.

On record keeping, the Chief Nurse reminds Nurse Laiza that for most nurses who find themselves involved in legal proceedings like malpractice cases, the best defense to win is?

a)

Good quality nursing documentation

b)

Being honest and truthful

c)

Good memory of what happened that day

d)

Being knowledgeable in  nursing

36.

If Nurse Pamela divulges the information that she is caring for the child of a patient with sexually transmitted disease, she can be liable for unprofessional conduct specifically:

a)

Breach of Confidentiality

b)

Libel

c)

Slander

d)

Defamation

37.

You inform the patient about his rights which include the following except?

a)

Right to choose his nurses and physician

b)

Right to leave against medical advice

c)

Right to express grievances

d)

Right to quality healthcare and humane treatment

38.

Nurse Kenneth knows that vaccination has side effects. However, its benefits outweigh the risks. What ethical principle is being implied with this idea?

a)

Beneficence

b)

Nonmaleficence

c)

Justice

d)

Veracity

e)

Fidelity

39.

Rene is a staff nurse who was assigned to the medical ward. The physician ordered 20 units of insulin injection to a client with diabetes. Nurse Rena administered 20 cc of insulin instead. After 30 minutes, the client developed hypoglycemia and died. Nurse is liable for?

a)

Malpractice

b)

Negligence

c)

Abandonment

d)

Tort

40.

The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next?

a)

Reassess the client.

b)

Conduct a staff meeting to describe the fall.

c)

Document in the nurse's notes that an incident report was completed.

d)

Contact the nursing supervisor to update information regarding the fall.

41.

An 87-year-old woman is brought to the emergency department for treatment of a fractured arm. On physical assessment, the nurse notes old and new ecchymotic areas on the client's chest and legs and asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is not prepared on time when he arrives home from work. Which is the most appropriate nursing response?

a)

"As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help find a safe place for you to stay."

b)

"Oh, really? I will discuss this situation with your son."

c)

"Do you have any friends who can help you out until you resolve these important issues with your son?"

d)

"Let's talk about the ways you can manage your time to prevent this from happening."

42.

A parent objects to the child's getting vaccinated because she believes that vaccinations can cause autism. However, a nurse gives the child the vaccination injection against the wishes of the mother. The nurse is liable for?

a)

Battery

b)

Assault

c)

False Imprisonment

d)

Invasion of privacy

43.

An IV nurse will do which of the following before IV insertion to show respect for autonomy?

a)

Ask the client the preferred IV site.

b)

Monitor the flow rate accurately.

c)

Follow the procedure in drug administration.

d)

Ensure that there is no pain.

44.

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report?

a)

The client was found lying on the floor.

b)

The client fell out of bed.

c)

The client climbed over the side rails.

d)

The client became restless and tried to get out of bed.

45.

The nurse calls the physician regarding his new medication order because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate or contact the physician, and the medication is due to be administered. Which action should the nurse take?

a)

Contact the head nurse and/or the chief nurse.

b)

Administer the prescribed dose until the physician can be contacted.

c)

Administer the recommended dose until the physician can be contacted.

d)

Hold the medication until the physician can be contacted.

46.

The nurse who works on the night shift enters the medication room and finds the Head Nurse with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse?

a)

Call the Chief Nurse.

b)

Call the Medical Director.

c)

Call the police.

d)

Lock the coworker in the medication room until help is obtained.

47.

The Doctrine of Respondeat Superior holds that?

a)

The employer is responsible for the actions of his/her employee.

b)

The employer is not responsible for the actions of his/her employee.

c)

The employer is not responsible for his/her actions.

d)

The employer is responsible for his/her actions.

48.

A serious event occurred to a fractured patient undergoing hip replacement in the operating room resulting in his death. The surgeon may be held liable for the incident under which of the following legal doctrines?

a)

Captain of the ship Doctrine

b)

Doctrine of Res Ipsa Loquitur

c)

Doctrine of Force Majeure

d)

Doctrine of In Flagrante Derelicto

49.

For safe nursing practice, you should observe some of the do's and don'ts in performing your professional duty. Which ones are not acceptable standard actions by the nurse?

{1} Keeping current year license to practice.

{2} Being a witness to a patient's will.

{3} Following policies and procedures.

{4} Protecting patients from injuries.

{5} Accepting monetary and non-monetary rewards from the patients.

{6} Giving practical pieces of advice contrary to the doctor's orders.

a)

2, 5, 𝚊𝚗𝚍 6

b)

1, 3, 𝚊𝚗𝚍 4

c)

1, 4, 𝚊𝚗𝚍 6

d)

2, 4, 𝚊𝚗𝚍 5

50.

At which instance will the nurse whose license was revoked will be able to practice nursing again?

a)

When the cause of the revocation has been cured.

b)

When the nurse already paid the penalty for the revocation.

c)

When the nurse was already punished of reclusion perpetua by the court.

d)

When the nurse has already file and petition to the senate and congress.

51.

Under the doctrine of Respondeat Superior, who among the following is liable if the patient who has exploratory laparotomy previously was reopened and a piece of gauze was found in the abdominal cavity?

a)

Surgeon

b)

Assistant Surgeon

c)

Scrub Nurses

d)

Circulating Nurses

e)

Everyone involved in the operation.

52.

A 10-year old refuses to take his medication. Nurse Maria Leonora threatened the boy that he would be restrained. Which of the following will Nurse Maria Leonora be accused of committing?

a)

Assault

b)

Battery

c)

Negligence

d)

Malpractice

e)

Defamation

53.

The nurse employed in a hospital is waiting to receive a report from the laboratory via the facsimile machine. The machine activates and the nurse expects the report, but instead receives a sexually oriented photograph. Which is the most appropriate initial nursing action?

a)

Call the nursing supervisor and report the incident.

b)

Call the Laboratory Department and ask for the name of the individual who sent the photograph.

c)

Cut up the photograph and throw it away.

d)

Call the Security Department.

54.

Eva is three months pregnant. Her parents do not know this. Eva informed her friend Irene about the problem. Irene referred Eva to Gina, an abortionist, Eva had an abortion. Who is/are considered as the principals?

a)

Eva 𝚊𝚗𝚍 Gina

b)

Eva

c)

Gina

d)

Irene

e)

None.

55.

Eva is three-month pregnant. Her parents do not know this. Eva informed her friend Irene about the problem. Irene referred Eva to Gina, an abortionist, Eva had an abortion. Who is/are considered as the accomplices?

a)

Irene

b)

Eva

c)

Gina

d)

Eva 𝚊𝚗𝚍 Gina

e)

None.

56.

Eva is three months pregnant. Her parents do not know this. Eva informed her friend Irene about the problem. Irene referred Eva to Gina, an abortionist, Eva had an abortion. Who is/are considered as the accessory/-ies?

a)

None.

b)

Eva 𝚊𝚗𝚍 Gina

c)

Eva

d)

Gina

e)

Irene

57.

What is the basic requirement of the Republic of the Philippines for nurses to practice their profession?

a)

A nursing license

b)

A BSN degree diploma

c)

A PNA lifetime membership card

d)

Willingness to practice the profession

58.

During a routine visit, the nurse noted that Lory, 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she just fell down. Failure to report your findings is an example of?

a)

Negligence

b)

Malpractice

c)

Abandonment

d)

Assault

e)

Battery

59.

Your head nurse in the unit believes that the staff nurses are not capable of decision making so she makes the decisions for everyone without consulting anybody. This type of leadership is?

a)

Autocratic

b)

Laissez-faire

c)

Democratic

d)

Bureaucratic

e)

Transactional

60.

A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures, and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action?

a)

Transport the victim to the operating room for surgery.

b)

Ask the EMS team to sign the informed consent.

c)

Obtain a court order for the surgical procedure.

d)

Call the police to identify the client and locate the family.

61.

Ms. Caputo is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?

a)

Country Club Management

b)

 Organization Management

c)

Impoverished Management

d)

Team Management

62.

Her former manager demonstrated passion for serving her staff rather than being served. She takes time to listen, prefers to be a teacher first before being a leader, which is characteristic of:

a)

Servant leader

b)

Transformational leader

c)

Transactional leader

d)

Charismatic leader

63.

On the other hand, Ms. Caputo notices that the Chief Nurse Executive has a charismatic leadership style. Which of the following behaviors best describes this style?

a)

Possesses inspirational quality that makes followers get attracted to him and regard him with reverence.

b)

Acts as he does because he expects that his behavior will yield positive results.

c)

Uses visioning as the core of his leadership.

d)

Matches his leadership style to the situation at hand.

64.

Which of the following conclusions of Ms. Caputo about leadership characteristics is true?

a)

Assessment of personality traits is a reliable tool for predicting a manager’s potential.

b)

There is a high correlation between the communication skills of a leader and the ability to get the job done.

c)

A manager is effective when he has the ability to plan well.

d)

There is good evidence that certain personal qualities favor success in a managerial role.

65.

She reads about Path-Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?

a)

Recognizes staff for going beyond expectations by giving them citations.

b)

Challenges the staff to take individual accountability for their own practice.

c)

Admonishes staff for being laggards.

d)

Reminds staff about the sanctions for non-performance.

66.

One leadership theory states that “leaders are born and not made,” which refers to which of the following theories?

a)

 Great Man

b)

Trait

c)

Charismatic

d)

Situational

67.

She came across a theory which states that the leadership style is effective depends on the situation. Which of the following styles best fits a situation when the followers are self-directed, experts, and are matured A. Democraticindividuals?

a)

Laissez-faire

b)

Democratic

c)

Authoritarian

d)

Bureaucratic

68.

She surfs the internet for more information about leadership styles. She reads about shared leadership as a practice in some magnet hospitals. Which of the following describes this style of leadership?

a)

Leadership is shared at the point of care.

b)

Leadership behavior is generally determined by the relationship between the leader’s personality and the specific situation.

c)

Leaders believe that people are basically good and need not be closely controlled.

d)

Leaders rely heavily on visioning and inspire members to achieve results.

69.

Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not characterize a transactional leader?

a)

 Inspires others with vision.

b)

Focuses on management tasks.

c)

Is a caretaker.

d)

Uses trade-offs to meet goals.

70.

She finds out that some managers have a benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

a)

Have condescending trust and confidence in their subordinates.

b)

Gives economic or ego awards.

c)

Communicates downward to the staff.

d)

Allows decision-making among subordinates.

71.

Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. The patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry?

a)

Call for a staff meeting and take this up in the agenda.

b)

Seek help from her manager.

c)

Develop a strategic action on how to deal with these concerns.

d)

Ignore the issues since these will be resolved naturally.

72.

He knows that there are external forces that influence changes in his unit. Which of the following is not an external force?

a)

Low morale of staff in his unit.

b)

Memo from the CEO to cut down on electrical consumption.

c)

Demands of the labor sector to increase wages.

d)

Exacting regulatory and accreditation standards.

73.

After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?

a)

Majority rule

b)

Collaboration

c)

Dominance

d)

Compromise

74.

One staff suggests that they review the pattern of nursing care that they are using, which is described as a:

a)

System used to deliver care

b)

Job description

c)

Manual of procedure

d)

Rules to be followed

75.

Which of the following is true about functional nursing?

a)

Concentrates on tasks and activities.

b)

Emphasizes the use of group collaboration.

c)

One-to-one nurse-patient ratio.

d)

Provides continuous, coordinated, and comprehensive nursing services.

76.

Functional nursing has some advantages, which one is an exception?

a)

Psychological and sociological needs are emphasized.

b)

Great control of work activities.

c)

Most economical way of delivering nursing services.

d)

Workers feel secure in a dependent role.

77.

He raised the issue of giving priority to patient needs. Which of the following offers the best way for setting priority?

a)

Assessing nursing needs and problems.

b)

Giving instructions on how nursing care needs are to be met.

c)

Controlling and evaluating the delivery of nursing care.

d)

Assigning a safe nurse: patient ratio.

78.

Which of the following is the best guarantee that the patient’s priority needs are met?

a)

Preparing a nursing care plan in collaboration with the patient.

b)

Checking with the relative of the patient.

c)

Consulting with the physician.

d)

Coordinating with other members of the team.

79.

When Henry uses team nursing as a care delivery system, he and his team need to assess the priority of care for a group of patients, which of the following should be a priority?

a)

Patients who need the most care.

b)

Each patient is listed on the worksheet.

c)

Patients who need the least care.

d)

Medications and treatments required for all patients.

80.

He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change?

a)

Integrate the solutions to his day-to-day activities.

b)

Wonders why things are not what they used to be.

c)

Finds solutions to the problems.

d)

Selects the best change strategy.

81.

Joey is a newly-appointed nurse manager of The Holy Spirit Medical Center, a tertiary hospital located within the heart of the metropolis. He thinks of scheduling a planning workshop with his staff in order to ensure effective and efficient management of the department. Should he decide to conduct a strategic planning workshop, which of the following is not a characteristic of this activity?

a)

Focuses on routine tasks.

b)

Long-term goal-setting.

c)

Extends to 3-5 years in the future.

d)

Determines directions of the organization.

82.

Which of the following statements refer to the vision of the hospital?

a)

The Holy Spirit Medical Center is a trendsetter in tertiary health care in the next five years.

b)

The officers and staff of The Holy Spirit Medical Center believe in the unique nature of the human person.

c)

All the nurses shall undergo a continuing competency training program.

d)

The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment.

83.

The statement, “The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment” refers to which of the following?

a)

Goal

b)

Vision

c)

Philosophy

d)

Mission

84.

Joey plans to revisit the organizational chart of the department. He plans to create a new position of a Patient Educator who has a coordinating relationship with the head nurse in the unit. Which of the following will likely depict this organizational relationship?

a)

Broken line

b)

Box

c)

Solid line

d)

Dotted line

85.

He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?

a)

Unity of command

b)

Scalar chain

c)

Discipline

d)

Order

86.

Joey orients his staff on the patterns of reporting relationships throughout the organization. Which of the following principles refer to this?

a)

Hierarchy

b)

Span of control

c)

Esprit de' corps

d)

Unity of direction

87.

He emphasizes to the team that they need to put their efforts together towards the attainment of the goals of the program. Which of the following principles refers to this?

a)

Unity of direction

b)

Span of control

c)

Unity of command

d)

Command responsibility

88.

Joey stresses the importance of promoting ‘esprit d corps’ among the members of the unit. Which of the following remarks of the staff indicates that they understand what he pointed out?

a)

“Let’s work together in harmony; we need to be supportive of one another”

b)

“In order that we achieve the same results; we must all follow the directives of Julius and not from other managers.”

c)

“We will ensure that all the resources we need are available when needed.”

d)

“We need to put our efforts together in order to raise the bar of excellence in the care we provide to all our patients.”

89.

He discusses the goal of the department. Which of the following statements is a goal?

a)

Increase the patient satisfaction rate.

b)

Eliminate the incidence of delayed administration of medications.

c)

Establish rapport with patients.

d)

Reduce response time to two minutes.

90.

He wants to influence the customary way of thinking and behaving that is shared by the members of the department. Which of the following terms refer to this?

a)

Organizational culture

b)

Organizational chart

c)

Cultural network

d)

Organizational structure

91.

He asserts the importance of promoting a positive organizational culture in their unit. Which of the following behaviors indicate that this is attained by the group?

a)

Proactive and caring with one another

b)

Competitive and perfectionist

c)

Powerful and oppositional

d)

Obedient and uncomplaining

92.

Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, a span of control, and lines of communication. Which of the following will provide this information?

a)

Organizational structure

b)

Policy

c)

Job description

d)

Manual of procedures

93.

Stephanie is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of organizational structure is this?

a)

Informal

b)

Formal

c)

Staff

d)

Line

94.

She takes pride in saying that the hospital has a decentralized structure. Which of the following is not compatible with this type of model?

a)

Tall organization

b)

Flat organization

c)

Participatory approach

d)

Shared governance

95.

Stephanie delegates effectively if she has authority to act, which is best defined as:

a)

Having a legitimate right to act.

b)

Having a responsibility to direct others.

c)

Being accountable to the organization.

d)

Telling others what to do.

96.

Regardless of the size of a workgroup, enough staff must be available at all times to accomplish certain purposes. Which of these purposes is not included?

a)

Provide a pair of hands to other units as needed.

b)

Meet the needs of patients.

c)

Cover all time periods adequately.

d)

Allow for growth and development of nursing staff.

97.

Which of the following guidelines should be least considered in formulating objectives for nursing care?

a)

Staff preferences

b)

Written nursing care plan

c)

Holistic approach

d)

Prescribed standards

98.

Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?

a)

Uses visioning as the essence of leadership.

b)

Serves the followers rather than being served.

c)

Maintains full trust and confidence in the subordinates.

d)

Possesses innate charisma that makes others feel good in his presence.

99.

As a manager, she focuses her energy on both the quality of services rendered to the patients as well as the welfare of the staff of her unit. Which of the following management styles does she adopt?

a)

Team management

b)

Country club management

c)

Organization man management

d)

Authority-obedience management

100.

Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior to her, very articulate, confident, and sometimes aggressive. Katherine feels uncomfortable believing that she is the scapegoat of everything that goes wrong in her department. Which of the following is the best action that she must take?

a)

Identify the source of the conflict and understand the points of friction.

b)

Disregard what she feels and continues to work independently.

c)

Seek help from the Director of Nursing.

d)

Quit her job and look for another employment.

101.

As a young manager, she knows that conflict occurs in any organization. Which of the following statements regarding conflict is not true?

a)

Is not beneficial; hence it should be prevented at all times.

b)

Can be destructive if the level is too high.

c)

May result in poor performance.

d)

May create leaders.

102.

Katherine tells one of the staff, “I don’t have time to discuss the matter with you now. See me in my office later” when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use?

a)

Avoidance

b)

Smoothing

c)

Compromise

d)

Restriction

103.

Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do?

a)

Let the staff ventilate her feelings and ask how she can be of help.

b)

Advise her staff to go on vacation.

c)

Ignore her observations; it will be resolved even without intervention.

d)

Remind her to show loyalty to the institution.

104.

She knows that performance appraisal consists of all the following activities except:

a)

Focusing activity on the correction of identified behavior.

b)

Setting specific standards and activities for individual performance.

c)

Using agency standards as a guide.

d)

Determine areas of strength and weaknesses.

105.

Which of the following statements is not true about performance appraisal?

a)

Patients are the best source of information regarding personnel appraisal.

b)

Informing the staff about the specific impressions of their work help improve their performance.

c)

 A verbal appraisal is an acceptable substitute for a written report.

106.

There are times when Katherine evaluates her staff as she makes her daily rounds. Which of the following is not a benefit of conducting an informal appraisal?

a)

The evaluation is focused on objective data systematically.

b)

The staff member is observed in a natural setting.

c)

Incidental confrontation and collaboration are allowed.

d)

The evaluation may provide valid information for the compilation of a formal report.

107.

She conducts a 6-month performance review session with a staff member. Which of the following actions is appropriate?

a)

The session is private between the two members.

b)

She asks another nurse to attest to the session as a witness.

c)

She informs the staff that she may ask another nurse to read the appraisal before the session is over.

d)

She tells the staff that the session is manager-centered.

108.

Alexandra is tasked to organize the new wing of the hospital. She was given the authority to do as she deems fit. She is aware that the director of nursing has substantial trust and confidence in her capabilities, communicates through downward and upward channels, and usually uses the ideas and opinions of her staff. Which of the following is her style of management?

a)

Consultative

b)

Benevolent –authoritative

c)

Exploitive-authoritative

d)

Participative

109.

She decides to illustrate the organizational structure. Which of the following elements is not included?

a)

Unity of direction

b)

Level of authority

c)

Lines of communication

d)

Span of control

110.

She plans on assigning competent people to fill the roles designed in the hierarchy. Which process refers to this?

a)

Staffing

b)

Scheduling

c)

Recruitment

d)

Induction

111.

She checks the documentary requirements for the applicants for the staff nurse position. Which one is not necessary?

a)

Record of the related learning experience (RLE)

b)

Certificate of previous employment

c)

Membership to an accredited professional organization

d)

Professional identification card

112.

Which phase of the employment process includes getting on the payroll and completing documentary requirements?

a)

Induction

b)

Orientation

c)

Selection

d)

Recruitment

113.

She tries to design an organizational structure that allows communication to flow in all directions and involves workers in decision-making. Which form of organizational structure is this?

a)

Decentralized

b)

Centralized

c)

Matrix

d)

Informal

114.

In a horizontal chart, the lowest level worker is located at the

a)

 Rightmost box

b)

Leftmost box

c)

Middle

d)

Bottom

115.

She decides to have a decentralized staffing system. Which of the following is an advantage of this system of staffing?

a)

Promotes better interpersonal relationships.

b)

Greater control of activities.

c)

Conserves time.

d)

Compatible with computerization.

116.

Aubrey thinks about primary nursing as a system to deliver care. Which of the following activities is not done by a primary nurse?

a)

Provides care to a group of patients together with a group of nurses.

b)

 Collaborates with the physician.

c)

Provides care for 5-6 patients during their hospital stay.

117.

Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who takes care of patients with the same disease conditions and is located geographically near each other?

a)

Modular nursing

b)

Case method

c)

Nursing case management

d)

Team nursing

118.

St. Raphael Medical Center just opened its new Performance Improvement Department. Ms. Valencia is appointed as the Quality Control Officer. She commits herself to her new role and plans her strategies to realize the goals and objectives of the department. Which of the following is a primary task that they should perform to have an effective control system?

a)

Identify the values of the department.

b)

Make an interpretation about strengths and weaknesses.

c)

Identify structure, process, outcome standards & criteria.

d)

Measure actual performances.

119.

Ms. Valencia develops the standards to be followed. Among the following standards, which is considered as a structure standard?

a)

Rotation of duty will be done every four weeks for all patient care personnel.

b)

The patients verbalized satisfaction with the nursing care received.

c)

All patients shall have their weights recorded.

d)

Patients shall answer the evaluation form before discharge.

120.

When she presents the nursing procedures to be followed, she refers to what type of standards?

a)

Process

b)

Outcome

c)

Structure

d)

Criteria

121.

The following are basic steps in the controlling process of the department. Which of the following is not included?

a)

Identify possible courses of action.

b)

Measure actual performance.

c)

Set nursing standards and criteria.

d)

Compare results of performance to standards and objectives.

122.

Which of the following statements refers to criteria?

a)

Characteristics used to measure the level of nursing care.

b)

Agreed on level of nursing care.

c)

Step-by-step guidelines.

d)

Statement which guides the group in decision making and problem-solving.

123.

She wants to ensure that every task is carried out as planned. Which of the following tasks is not included in the controlling process?

a)

Instructing the members of the standards committee to prepare policies.

b)

Reviewing the existing policies of the hospital.

c)

Evaluating the credentials of all nursing staff.

d)

Checking if activities conform to the schedule.

124.

Ms. Valencia prepares the process standards. Which of the following is not a process standard?

a)

Patients report a 95% satisfaction rate prior to discharge from the hospital.

b)

Initial assessment shall be done to all patients within twenty-four hours upon admission.

c)

Informed consent shall be secured prior to any invasive procedure.

d)

Patient education about their illness and treatment shall be provided for all patients and their families.

125.

Which of the following is evidence that the controlling process is effective?

a)

The things that were planned are done.

b)

Physicians do not complain.

c)

Employees are contented.

d)

There is an increase in customer satisfaction rate.

126.

Ms. Valencia is responsible for the number of personnel reporting to her. This principle refers to:

a)

Span of control

b)

Unity of command

c)

Carrot and stick principle

d)

Esprit d’ corps

127.

She notes that there is increasing unrest of the staff due to fatigue brought about by the shortage of staff. Which action is a priority?

a)

Initiate a group interaction.

b)

Evaluate the overall result of the unrest.

c)

Develop a plan and implement it.

d)

Identify external and internal forces.

128.

Kevin is a member of the Nursing Research Council of the hospital. His first assignment is to determine the level of patient satisfaction with the care they received from the hospital. He plans to include all adult patients admitted from April to May, with an average length of stay of 3-4 days, first admission, and with no complications. Which of the following is an extraneous variable of the study?

a)

Age of patients

b)

Date of admission

c)

Length of stay

d)

Absence of complications

129.

He thinks of an appropriate theoretical framework. Whose theory addresses the four modes of adaptation?

a)

Sr. Callista Roy

b)

Martha Rogers

c)

Florence Nightingale

d)

Jean Watson

130.

He opts to use a self-report method. Which of the following is not true about this method?

a)

Most accurate and valid method of data gathering.

b)

Most direct means of gathering information.

c)

Versatile in terms of content coverage.

d)

Yields information that would be difficult to gather by another method.

131.

Which of the following articles would Kevin least consider for his review of literature?

a)

“Story-Telling and Anxiety Reduction Among Pediatric Patients”

b)

 “Turnaround Time in Emergency Rooms”

c)

“Outcome Standards in Tertiary Health Care Institutions”

d)

“Environmental Manipulation and Client Outcomes”

132.

Which of the following variables will he likely exclude in his study?

a)

Salary of nurses

b)

Competence of nurses

c)

Caring attitude of nurses

d)

Responsiveness of staff

133.

He plans to use a Likert Scale to determine:

a)

Degree of agreement and disagreement

b)

Compliance to expected standards

c)

Level of satisfaction

d)

Degree of acceptance

134.

He checks if his instruments meet the criteria for evaluation. Which of the following criteria refers to the consistency or the ability to yield the same response upon its repeated administration?

a)

Reliability

b)

Validity

c)

Sensitivity

d)

Objectivity

135.

Which criteria refer to the ability of the instrument to detect fine differences among the subjects being studied?

a)

Sensitivity

b)

Reliability

c)

Validity

d)

Objectivity

136.

Which of the following terms refer to the degree to which an instrument measures what it is supposed to be measured?

a)

Validity

b)

Reliability

c)

Meaningfulness

d)

Sensitivity

137.

He plans for his sampling method. Which sampling method gives an equal chance to all units in the population to get picked?

a)

Random

b)

Accidental

c)

Quota

d)

Judgment

138.

Raphael is interested to learn more about transcultural nursing because he is assigned at the family suites where most patients come from different cultures and countries. Which of the following designs is appropriate for this study?

a)

Ethnography

b)

Grounded theory

c)

Case study

d)

Phenomenology

139.

The nursing theorist who developed transcultural nursing theory is

a)

Madeleine Leininger

b)

Dorothea Orem

c)

Betty Newman

d)

Sr. Callista Roy