WorksheetsPALMER ⏐ 𝙲𝙰 𝟸
Total questions: 139
Worksheet time: 2hrs 19mins
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?
The Hospital
The Patient
The Physician and Nurses
The Philippine Government
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?
The Patient
The Hospital
The Physician and Nurses
The Philippine Government
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?
Siblings
Spouse
Guardian
Grandparents
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?
Sons/Daughters
Siblings
Guardian
Grandparents
If the nurse allows the publication of a picture of malformed baby without the consent of the parents constitute:
Invasion of privacy
False imprisonment
Battery
Defamation
An institution or organization that is responsible for proving the certificate to operate as a nursing school in the Philippines is?
Commission on Higher Education (CHED)
Philippine Nursing Association (PNA)
Board of Nursing (BON)
Professional Regulation Commission (PRC)
A confused patient who fell out in the bed because side rails were not used is an example of which type of liability?
Negligence
Battery
Assault
Malpractice
The way to avoid a breach of confidentiality is to?
Have the client sign a release of information
Have the family member sign a release of information
Ask the physician for permission
File a court order for permission
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?
Liable along with the employer for the use of a detective equipment that harms the client
Free from any negligence that caused harm to the patient
Not responsible because of the Doctrine of Respondeat Superior
Totally responsible for the negligence
A nurse gave the wrong medication. The patient was seriously injured. The patient sued. Who is the most likely held liable?
The Nurse
The Hospital
The Nurse & Hospital
No one because it is just an accident.
The code of ethics for nurses has an interpretive statement that provides?
Guide for carrying out nursing responsibilities that provide quality care and for the ethical obligation of the profession
Continuity of care for the improvement of the client
Standards of care in carrying out nursing responsibilities
Basis for identical care to all client in any setting
Which step of the management process is concerned with policy making and stating the goals and objectives of the institution?
Planning
Organizing
Directing
Evaluating
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?
Controlling
Planning
Organizing
Directing
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?
Organizational chart
Policy guidelines
Job description
Manual of procedures
Which nursing leadership style is based upon a foundation of solid communication skills, charm, and persuasiveness?
Charismatic
Autocratic
Democratic
Transformational
A management principle which states that managers need to be able to give orders so that they get things done?
Authority
Unity of command
Unity of direction
Order
Which of the following is the correct understanding of nursing ethical principles?
Fidelity is staying with the patient during their death as promised.
Justice is telling the truth about the side effect of the medication can cause nausea and vomiting
Autonomy is requiring the client to have an advance directive.
Beneficence is not telling the patient that she has breast cancer because that was the family's wishes.
Which of the following situations would not cause a nurse to be sued due to negligence or malpractice?
Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed.
A nurse gave a client wrong medication and an hour after the client complained of dyspnea.
While preparing a medication, the nurse notices that instead of 1 tablet, she put 2 tablets into the client's medication cup.
All of the choices.
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?
Justice
Beneficence
Nonmaleficence
Veracity
Fidelity
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?
Nonmaleficence
Beneficence
Justice
Fidelity
Veracity
Nurse Jacky raises the side rails of a patient with left side weakness diagnosed with transient ischemic attack. Which principle is being observed?
Beneficence
Nonmaleficence
Justice
Fidelity
Veracity
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?
Veracity
Fidelity
Justice
Beneficence
Nonmaleficence
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?
Shane
Betty
Jeremy
The Code Blue Team
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?
Betty
Shane
Jeremy
The Code Blue Team
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?
Jeremy
Shane
Betty
The Code Blue Team
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?
Good samaritan law
Nurses as spiritual being
Nurses is in God's service
None of the choices.
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?
Malpratice
Negligence
Incompetence
Illegal Detention
A nurse who would like to practice nursing in the Philippines can obtain license to practice by which of the following:
Passing the board exams and taking the oath of professionals
Paying the professional tax after taking the board exams
Paying the examination fee before taking the board exams
Undergoing the interview conducted by the bard of nursing and taking the board exams
When the license of the nurse is revoked, it means that the nurse?
May apply for re-issuance of his/her license based on certain conditions stipulated in Philippine Nursing Act
Is no longer allowed to practice the profession for the rest of her life
Will never have her/his license re-issued since it has been revoked
Will remain unable to practice professional nursing unless able to pass the board exam retake
Nurse Charlie understands the importance of Continuing Professional Development (CPD). Which of the following is the main purpose of CPD?
Update one's professional knowledge and competence
Acquire a certificate of attendance to add to one's curriculum vitae
Establish networking within the nursing profession
Fulfill requirements for an advanced degree in Nursing
When the doctor ordered “Do Not Resuscitate”, this means?
The nurse and attending physician should not do any advanced life support or extraordinary measures for the patient.
The patient need not be given routine care so that dying process is hastened.
The nurse need not give due care to patient since he/she is terminally ill.
The patient need not be given food and water because she is dying.
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?
“You don’t want to have your temperature taken? I will call the guard to hold you and give you an injection instead!”
“Alright just tell me when you are ready to have your temperature taken.”
“This will not hurt you; just put it under your tongue.”
“If you will let me take your temperature your fever will be gone.”
Which principle is applicable in the situation where a sponge was left inside the abdomen of a patient who had an exploratory laparotomy?
Doctrine of Res Ipsa Loquitur
Doctrine of Respondeat Superior
Doctrine of Force Majeure
Doctrine of Vis Major
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?
Malpractice
Negligence
Battery
Assault
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?
Good quality nursing documentation
Being honest and truthful
Good memory of what happened that day
Being knowledgeable in nursing
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:
Breach of Confidentiality
Libel
Slander
Defamation
You inform the patient about his rights which include the following except?
Right to choose his nurses and physician
Right to leave against medical advice
Right to express grievances
Right to quality healthcare and humane treatment
Nurse Kenneth knows that vaccination has side effects. However, its benefits outweigh the risks. What ethical principle is being implied with this idea?
Beneficence
Nonmaleficence
Justice
Veracity
Fidelity
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?
Malpractice
Negligence
Abandonment
Tort
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?
Reassess the client.
Conduct a staff meeting to describe the fall.
Document in the nurse's notes that an incident report was completed.
Contact the nursing supervisor to update information regarding the fall.
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?
"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."
"Oh, really? I will discuss this situation with your son."
"Do you have any friends who can help you out until you resolve these important issues with your son?"
"Let's talk about the ways you can manage your time to prevent this from happening."
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?
Battery
Assault
False Imprisonment
Invasion of privacy
An IV nurse will do which of the following before IV insertion to show respect for autonomy?
Ask the client the preferred IV site.
Monitor the flow rate accurately.
Follow the procedure in drug administration.
Ensure that there is no pain.
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?
The client was found lying on the floor.
The client fell out of bed.
The client climbed over the side rails.
The client became restless and tried to get out of bed.
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?
Contact the head nurse and/or the chief nurse.
Administer the prescribed dose until the physician can be contacted.
Administer the recommended dose until the physician can be contacted.
Hold the medication until the physician can be contacted.
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?
Call the Chief Nurse.
Call the Medical Director.
Call the police.
Lock the coworker in the medication room until help is obtained.
The Doctrine of Respondeat Superior holds that?
The employer is responsible for the actions of his/her employee.
The employer is not responsible for the actions of his/her employee.
The employer is not responsible for his/her actions.
The employer is responsible for his/her actions.
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?
Captain of the ship Doctrine
Doctrine of Res Ipsa Loquitur
Doctrine of Force Majeure
Doctrine of In Flagrante Derelicto
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.
2, 5, 𝚊𝚗𝚍 6
1, 3, 𝚊𝚗𝚍 4
1, 4, 𝚊𝚗𝚍 6
2, 4, 𝚊𝚗𝚍 5
At which instance will the nurse whose license was revoked will be able to practice nursing again?
When the cause of the revocation has been cured.
When the nurse already paid the penalty for the revocation.
When the nurse was already punished of reclusion perpetua by the court.
When the nurse has already file and petition to the senate and congress.
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?
Surgeon
Assistant Surgeon
Scrub Nurses
Circulating Nurses
Everyone involved in the operation.
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?
Assault
Battery
Negligence
Malpractice
Defamation
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?
Call the nursing supervisor and report the incident.
Call the Laboratory Department and ask for the name of the individual who sent the photograph.
Cut up the photograph and throw it away.
Call the Security Department.
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?
Eva 𝚊𝚗𝚍 Gina
Eva
Gina
Irene
None.
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?
Irene
Eva
Gina
Eva 𝚊𝚗𝚍 Gina
None.
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?
None.
Eva 𝚊𝚗𝚍 Gina
Eva
Gina
Irene
What is the basic requirement of the Republic of the Philippines for nurses to practice their profession?
A nursing license
A BSN degree diploma
A PNA lifetime membership card
Willingness to practice the profession
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?
Negligence
Malpractice
Abandonment
Assault
Battery
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?
Autocratic
Laissez-faire
Democratic
Bureaucratic
Transactional
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?
Transport the victim to the operating room for surgery.
Ask the EMS team to sign the informed consent.
Obtain a court order for the surgical procedure.
Call the police to identify the client and locate the family.
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?
Country Club Management
Organization Management
Impoverished Management
Team Management
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:
Servant leader
Transformational leader
Transactional leader
Charismatic leader
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?
Possesses inspirational quality that makes followers get attracted to him and regard him with reverence.
Acts as he does because he expects that his behavior will yield positive results.
Uses visioning as the core of his leadership.
Matches his leadership style to the situation at hand.
Which of the following conclusions of Ms. Caputo about leadership characteristics is true?
Assessment of personality traits is a reliable tool for predicting a manager’s potential.
There is a high correlation between the communication skills of a leader and the ability to get the job done.
A manager is effective when he has the ability to plan well.
There is good evidence that certain personal qualities favor success in a managerial role.
She reads about Path-Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?
Recognizes staff for going beyond expectations by giving them citations.
Challenges the staff to take individual accountability for their own practice.
Admonishes staff for being laggards.
Reminds staff about the sanctions for non-performance.
One leadership theory states that “leaders are born and not made,” which refers to which of the following theories?
Great Man
Trait
Charismatic
Situational
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?
Laissez-faire
Democratic
Authoritarian
Bureaucratic
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?
Leadership is shared at the point of care.
Leadership behavior is generally determined by the relationship between the leader’s personality and the specific situation.
Leaders believe that people are basically good and need not be closely controlled.
Leaders rely heavily on visioning and inspire members to achieve results.
Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not characterize a transactional leader?
Inspires others with vision.
Focuses on management tasks.
Is a caretaker.
Uses trade-offs to meet goals.
She finds out that some managers have a benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?
Have condescending trust and confidence in their subordinates.
Gives economic or ego awards.
Communicates downward to the staff.
Allows decision-making among subordinates.
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?
Call for a staff meeting and take this up in the agenda.
Seek help from her manager.
Develop a strategic action on how to deal with these concerns.
Ignore the issues since these will be resolved naturally.
He knows that there are external forces that influence changes in his unit. Which of the following is not an external force?
Low morale of staff in his unit.
Memo from the CEO to cut down on electrical consumption.
Demands of the labor sector to increase wages.
Exacting regulatory and accreditation standards.
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?
Majority rule
Collaboration
Dominance
Compromise
One staff suggests that they review the pattern of nursing care that they are using, which is described as a:
System used to deliver care
Job description
Manual of procedure
Rules to be followed
Which of the following is true about functional nursing?
Concentrates on tasks and activities.
Emphasizes the use of group collaboration.
One-to-one nurse-patient ratio.
Provides continuous, coordinated, and comprehensive nursing services.
Functional nursing has some advantages, which one is an exception?
Psychological and sociological needs are emphasized.
Great control of work activities.
Most economical way of delivering nursing services.
Workers feel secure in a dependent role.
He raised the issue of giving priority to patient needs. Which of the following offers the best way for setting priority?
Assessing nursing needs and problems.
Giving instructions on how nursing care needs are to be met.
Controlling and evaluating the delivery of nursing care.
Assigning a safe nurse: patient ratio.
Which of the following is the best guarantee that the patient’s priority needs are met?
Preparing a nursing care plan in collaboration with the patient.
Checking with the relative of the patient.
Consulting with the physician.
Coordinating with other members of the team.
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?
Patients who need the most care.
Each patient is listed on the worksheet.
Patients who need the least care.
Medications and treatments required for all patients.
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?
Integrate the solutions to his day-to-day activities.
Wonders why things are not what they used to be.
Finds solutions to the problems.
Selects the best change strategy.
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?
Focuses on routine tasks.
Long-term goal-setting.
Extends to 3-5 years in the future.
Determines directions of the organization.
Which of the following statements refer to the vision of the hospital?
The Holy Spirit Medical Center is a trendsetter in tertiary health care in the next five years.
The officers and staff of The Holy Spirit Medical Center believe in the unique nature of the human person.
All the nurses shall undergo a continuing competency training program.
The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment.
The statement, “The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment” refers to which of the following?
Goal
Vision
Philosophy
Mission
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?
Broken line
Box
Solid line
Dotted line
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?
Unity of command
Scalar chain
Discipline
Order
Joey orients his staff on the patterns of reporting relationships throughout the organization. Which of the following principles refer to this?
Hierarchy
Span of control
Esprit de' corps
Unity of direction
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?
Unity of direction
Span of control
Unity of command
Command responsibility
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?
“Let’s work together in harmony; we need to be supportive of one another”
“In order that we achieve the same results; we must all follow the directives of Julius and not from other managers.”
“We will ensure that all the resources we need are available when needed.”
“We need to put our efforts together in order to raise the bar of excellence in the care we provide to all our patients.”
He discusses the goal of the department. Which of the following statements is a goal?
Increase the patient satisfaction rate.
Eliminate the incidence of delayed administration of medications.
Establish rapport with patients.
Reduce response time to two minutes.
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?
Organizational culture
Organizational chart
Cultural network
Organizational structure
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?
Proactive and caring with one another
Competitive and perfectionist
Powerful and oppositional
Obedient and uncomplaining
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?
Organizational structure
Policy
Job description
Manual of procedures
Stephanie is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of organizational structure is this?
Informal
Formal
Staff
Line
She takes pride in saying that the hospital has a decentralized structure. Which of the following is not compatible with this type of model?
Tall organization
Flat organization
Participatory approach
Shared governance
Stephanie delegates effectively if she has authority to act, which is best defined as:
Having a legitimate right to act.
Having a responsibility to direct others.
Being accountable to the organization.
Telling others what to do.
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?
Provide a pair of hands to other units as needed.
Meet the needs of patients.
Cover all time periods adequately.
Allow for growth and development of nursing staff.
Which of the following guidelines should be least considered in formulating objectives for nursing care?
Staff preferences
Written nursing care plan
Holistic approach
Prescribed standards
Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?
Uses visioning as the essence of leadership.
Serves the followers rather than being served.
Maintains full trust and confidence in the subordinates.
Possesses innate charisma that makes others feel good in his presence.
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?
Team management
Country club management
Organization man management
Authority-obedience management
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?
Identify the source of the conflict and understand the points of friction.
Disregard what she feels and continues to work independently.
Seek help from the Director of Nursing.
Quit her job and look for another employment.
As a young manager, she knows that conflict occurs in any organization. Which of the following statements regarding conflict is not true?
Is not beneficial; hence it should be prevented at all times.
Can be destructive if the level is too high.
May result in poor performance.
May create leaders.
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?
Avoidance
Smoothing
Compromise
Restriction
Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do?
Let the staff ventilate her feelings and ask how she can be of help.
Advise her staff to go on vacation.
Ignore her observations; it will be resolved even without intervention.
Remind her to show loyalty to the institution.
She knows that performance appraisal consists of all the following activities except:
Focusing activity on the correction of identified behavior.
Setting specific standards and activities for individual performance.
Using agency standards as a guide.
Determine areas of strength and weaknesses.
Which of the following statements is not true about performance appraisal?
Patients are the best source of information regarding personnel appraisal.
Informing the staff about the specific impressions of their work help improve their performance.
A verbal appraisal is an acceptable substitute for a written report.
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?
The evaluation is focused on objective data systematically.
The staff member is observed in a natural setting.
Incidental confrontation and collaboration are allowed.
The evaluation may provide valid information for the compilation of a formal report.
She conducts a 6-month performance review session with a staff member. Which of the following actions is appropriate?
The session is private between the two members.
She asks another nurse to attest to the session as a witness.
She informs the staff that she may ask another nurse to read the appraisal before the session is over.
She tells the staff that the session is manager-centered.
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?
Consultative
Benevolent –authoritative
Exploitive-authoritative
Participative
She decides to illustrate the organizational structure. Which of the following elements is not included?
Unity of direction
Level of authority
Lines of communication
Span of control
She plans on assigning competent people to fill the roles designed in the hierarchy. Which process refers to this?
Staffing
Scheduling
Recruitment
Induction
She checks the documentary requirements for the applicants for the staff nurse position. Which one is not necessary?
Record of the related learning experience (RLE)
Certificate of previous employment
Membership to an accredited professional organization
Professional identification card
Which phase of the employment process includes getting on the payroll and completing documentary requirements?
Induction
Orientation
Selection
Recruitment
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?
Decentralized
Centralized
Matrix
Informal
In a horizontal chart, the lowest level worker is located at the
Rightmost box
Leftmost box
Middle
Bottom
She decides to have a decentralized staffing system. Which of the following is an advantage of this system of staffing?
Promotes better interpersonal relationships.
Greater control of activities.
Conserves time.
Compatible with computerization.
Aubrey thinks about primary nursing as a system to deliver care. Which of the following activities is not done by a primary nurse?
Provides care to a group of patients together with a group of nurses.
Collaborates with the physician.
Provides care for 5-6 patients during their hospital stay.
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?
Modular nursing
Case method
Nursing case management
Team nursing
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?
Identify the values of the department.
Make an interpretation about strengths and weaknesses.
Identify structure, process, outcome standards & criteria.
Measure actual performances.
Ms. Valencia develops the standards to be followed. Among the following standards, which is considered as a structure standard?
Rotation of duty will be done every four weeks for all patient care personnel.
The patients verbalized satisfaction with the nursing care received.
All patients shall have their weights recorded.
Patients shall answer the evaluation form before discharge.
When she presents the nursing procedures to be followed, she refers to what type of standards?
Process
Outcome
Structure
Criteria
The following are basic steps in the controlling process of the department. Which of the following is not included?
Identify possible courses of action.
Measure actual performance.
Set nursing standards and criteria.
Compare results of performance to standards and objectives.
Which of the following statements refers to criteria?
Characteristics used to measure the level of nursing care.
Agreed on level of nursing care.
Step-by-step guidelines.
Statement which guides the group in decision making and problem-solving.
She wants to ensure that every task is carried out as planned. Which of the following tasks is not included in the controlling process?
Instructing the members of the standards committee to prepare policies.
Reviewing the existing policies of the hospital.
Evaluating the credentials of all nursing staff.
Checking if activities conform to the schedule.
Ms. Valencia prepares the process standards. Which of the following is not a process standard?
Patients report a 95% satisfaction rate prior to discharge from the hospital.
Initial assessment shall be done to all patients within twenty-four hours upon admission.
Informed consent shall be secured prior to any invasive procedure.
Patient education about their illness and treatment shall be provided for all patients and their families.
Which of the following is evidence that the controlling process is effective?
The things that were planned are done.
Physicians do not complain.
Employees are contented.
There is an increase in customer satisfaction rate.
Ms. Valencia is responsible for the number of personnel reporting to her. This principle refers to:
Span of control
Unity of command
Carrot and stick principle
Esprit d’ corps
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?
Initiate a group interaction.
Evaluate the overall result of the unrest.
Develop a plan and implement it.
Identify external and internal forces.
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?
Age of patients
Date of admission
Length of stay
Absence of complications
He thinks of an appropriate theoretical framework. Whose theory addresses the four modes of adaptation?
Sr. Callista Roy
Martha Rogers
Florence Nightingale
Jean Watson
He opts to use a self-report method. Which of the following is not true about this method?
Most accurate and valid method of data gathering.
Most direct means of gathering information.
Versatile in terms of content coverage.
Yields information that would be difficult to gather by another method.
Which of the following articles would Kevin least consider for his review of literature?
“Story-Telling and Anxiety Reduction Among Pediatric Patients”
“Turnaround Time in Emergency Rooms”
“Outcome Standards in Tertiary Health Care Institutions”
“Environmental Manipulation and Client Outcomes”
Which of the following variables will he likely exclude in his study?
Salary of nurses
Competence of nurses
Caring attitude of nurses
Responsiveness of staff
He plans to use a Likert Scale to determine:
Degree of agreement and disagreement
Compliance to expected standards
Level of satisfaction
Degree of acceptance
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?
Reliability
Validity
Sensitivity
Objectivity
Which criteria refer to the ability of the instrument to detect fine differences among the subjects being studied?
Sensitivity
Reliability
Validity
Objectivity
Which of the following terms refer to the degree to which an instrument measures what it is supposed to be measured?
Validity
Reliability
Meaningfulness
Sensitivity
He plans for his sampling method. Which sampling method gives an equal chance to all units in the population to get picked?
Random
Accidental
Quota
Judgment
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?
Ethnography
Grounded theory
Case study
Phenomenology
The nursing theorist who developed transcultural nursing theory is
Madeleine Leininger
Dorothea Orem
Betty Newman
Sr. Callista Roy
