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WorksheetsKey Core Competencies Overview
Total questions: 82
Worksheet time: 41mins
Which core competency primarily ensures nurses deliver effective and safe care while minimizing harm to patients?
Transcultural nursing competence
Safe and quality nursing care focus
Social responsibility in communities
Record and data management
A nurse refuses a gift that could influence care decisions. Which competency is most directly demonstrated?
Anatomy and physiology
Collaboration and teamwork
Quality improvement methods
Ethico-moral responsibility
Which competency most directly supports protecting patient privacy and proper documentation practices?
Research utilization skills
Microbiology and asepsis
Transcultural nursing care
Record management standards
During a medication reconciliation, the nurse applies drug knowledge to prevent interactions. Which competency is being used?
Social responsibility
Pharmacology and Therapeutics
Management of resources
Positive practice environment
A unit implements a handoff checklist after identifying frequent communication gaps. Which competency does this change best exemplify?
Transcultural sensitivity
Quality improvement processes
Pathophysiology application
Anatomy knowledge base
Which pairing best links a competency with a PNLE-relevant ethical scenario?
Anatomy — developing interprofessional policies
Nutrition — managing electronic health record access
Microbiology — budgeting for equipment purchases
Ethico-moral responsibility — obtaining informed consent
A nurse advocates for a quiet, respectful ward to reduce stress and errors. Which competency is most aligned?
Record management
Transcultural nursing
Research and evidence synthesis
Positive practice environment
Which statement best defines morality in nursing practice?
Legal statutes enforced by courts
Religious doctrine for all patients
Subjective perception of right or wrong
Objective rules from professional codes
Ethics in healthcare primarily involves what activity?
Following hospital policies without judgment
Imposing personal beliefs on patients
Applying laws to punish misconduct
Studying morality using standards and codes
An ethical dilemma is most accurately described as a situation involving
Conflict between two ethical principles
Lack of clinical evidence for treatment
Disagreement with physician orders
Violation of a single hospital policy
Which pair illustrates a common ethical dilemma in nursing?
Efficiency versus cost containment
Competence versus licensure
Veracity versus nonmaleficence
Beneficence versus documentation
When confusion arises among family, patient, or care members, the recommended resource is the
Legal counsel for litigation
Hospital board of directors
Risk management department
Ethics committee for advisory guidance
The ethics committee’s primary role is to
Make binding legal decisions
Provide advisory guidance for decision-making
Discipline staff for ethical violations
Authorize experimental treatments
The deontological approach in ethics is best characterized as
Outcome-focused and end-based
Duty-based using universal codes
Culture-driven and relative
Preference-based and individual
Ethical skepticism or relativity holds that decisions
Are determined by legal statutes only
Should maximize population-level happiness
Depend on patient values, culture, beliefs
Must follow universal professional rules
A Jehovah’s Witness refusing blood transfusion exemplifies which approach?
Ethical relativism based on beliefs
Utilitarian cost–benefit decision
Deontological rule-based decision
Teleological outcome-based decision
Teleological ethics focuses primarily on
Alignment with religious doctrines
Intentions behind the action
Compliance with universal codes
Consequences or outcomes of the action
Utilitarianism seeks the
Greatest good for the greatest number
Strict adherence to duty-based rules
Protection of individual autonomy only
Maintenance of traditional moral codes
In disaster triage guided by utilitarianism, first priority in hospital is given to
Green—minor injuries
Yellow—delayed care
Red—life-threatening conditions
Black—expectant deaths
Outside the hospital during mass casualty, reverse triage emphasizes
Prioritizing those with highest survival chance
Providing comfort care to expectant patients
First treating those with minimal injuries
Treating life-threatening cases first
The principle of double effect applies when an action
Violates a single ethical rule
Provides no measurable outcomes
Has both good and bad effects
Is always beneficial to all patients
The ethical principle of totality stresses that care decisions should
Defer to family preferences only
Consider the wholeness of the person
Prioritize professional convenience
Focus on isolated organ outcomes
Which approach best guides assessment of costs and benefits for a larger population?
Teleological intention-focused model
Deontological duty-based framework
Utilitarianism greatest happiness principle
Ethical relativism and culture-based
Which statement best reflects patient autonomy in nursing practice?
Selecting treatment without patient input
Obtaining informed consent before procedures
Prioritizing staff convenience over choice
Delaying decisions until family agrees
A nurse supports a patient’s refusal of chemotherapy and documents the signed refusal. Which principle is primarily upheld?
Justice and equal allocation
Autonomy and self-determination
Paternalism for patient safety
Fidelity to institutional policy
Which action most exemplifies beneficence?
Treating all patients equally
Avoiding shortcuts in procedures
Informing a patient of risks
Organizing a vaccination outreach
Raising side rails for a confused patient is best justified under which concept?
Beneficence as prudent action
Justice as equal treatment
Veracity as honest disclosure
Fidelity as kept promise
Which scenario demonstrates non-maleficence?
Prioritizing one patient over another
Declining to perform unfamiliar procedures
Choosing a costly but effective therapy
Sharing all details with the family
“Primum non nocere” most closely relates to which principle?
Non-maleficence: do no harm
Justice: fair distribution
Fidelity: keep promises
Beneficence: do good acts
Treating patients equally regardless of socioeconomic status exemplifies which principle?
Justice in fair treatment
Advocacy for autonomy
Veracity in disclosure
Paternalism in control
A nurse promises to return after administering medications and comes back in five minutes. Which principle is demonstrated?
Fidelity through kept promises
Advocacy through speaking up
Veracity through truth telling
Justice through equal time
A nurse provides truthful testimony in court about a patient incident. Which principle is most relevant?
Veracity and honesty
Beneficence and welfare
Autonomy and consent
Justice and equity
Which is an essential element of autonomy in clinical decisions?
Ability to set personal goals
Guarantee of financial support
Physician-directed choices
Presence of a legal guardian
Which nursing action best reflects advocacy?
Balancing resources across units
Speaking to protect patient preferences
Selecting treatment without consent
Withholding complex information
A competent adult declines surgery after being informed of risks and alternatives. What should the nurse do next?
Call ethics committee immediately
Respect refusal and document
Proceed under implied consent
Convince family to persuade
Which situation most clearly violates non-maleficence?
Consulting the care team
Shortcuts that increase risk
Teaching before discharge
Offering supportive counseling
When a nurse chooses actions that promote overall patient welfare, which principle guides the decision?
Beneficence as core motive
Justice as distribution rule
Veracity as disclosure duty
Fidelity as promise-keeping
Which example aligns with justice in nursing?
Extra time for paying patients
Different consent for VIPs
Preferential access for donors
Fair triage regardless status
Benevolent deception is best described as which practice?
Temporarily withholding distressing information
Always telling the complete truth
Allocating resources equally
Choosing for safety without consent
Paternalism in healthcare most closely involves which behavior?
Keeping detailed promises to patients
Providing information transparently
Ensuring equal access for all groups
Overriding patient choices for safety
Which pair correctly matches principle to typical action?
Veracity—accurate disclosure of facts
Justice—promises kept on time
Autonomy—staff decide treatments
Beneficence—avoiding any harm
A nurse refrains from performing a procedure they are not competent to do. This primarily reflects which principle?
Non-maleficence preventing harm
Justice ensuring equal access
Fidelity honoring a promise
Paternalism guiding decisions
During an emergency outside the hospital, a nurse provides prudent aid without compensation. Which ethical concept is illustrated?
Good Samaritan beneficence
Selective veracity
Strict procedural justice
Mandatory paternalism
Which body serves as the primary authority for the Code of Ethics for Nurses in the Philippines?
Board of Nursing
Professional Regulation Commission
Department of Health
Philippine Nurses Association
In what year was the Code of Ethics for Nurses first formulated in Iloilo City?
1980
1982
1992
2003
What date is noted as the final formulation of the Code of Ethics for Nurses?
June 12, 1998
September 2, 1922
July 14, 2004
October 23, 2003
Which organization coordinates closely with the Board of Nursing in relation to the Code of Ethics?
Department of Education
World Health Organization
Philippine Nurses Association
American Hospital Association
The legal basis for the Code of Ethics is identified as which Board of Nursing resolution?
Resolution No. 100 series of 2002
Resolution C 150 series of 1999
Resolution H 220 series of 2004
Resolution A 315 series of 2005
Which principal basis is highlighted alongside the Code of Good Governance in shaping nursing ethics?
Nuremberg Code
Belmont Report
Declaration of Helsinki
Code of Hammurabi
According to the hallmarks of nursing responsibility, which action reflects accountability?
Accepting gifts from patients
Delegating all tasks to aides
Accurate documentation of actions
Advocating for higher pay
Altruism in the nursing profession is best described as
Strict adherence to policy
Authority over decisions
Selfless concern for others
Technical skill proficiency
When a patient has a valid Do-Not-Resuscitate order, performing CPR would most likely constitute
Negligence
Autonomy
Battery
Informed consent
Under Article 3, Section 10, how should nurses respond to gifts with high intrinsic monetary value?
Accept if given by family
Decline to maintain professionalism
Donate them to the unit fund
Accept discreetly to avoid offense
Which behavior exemplifies a violation of the nursing Code of Ethics related to dress code?
Using a plain name badge
Wearing a miniskirt with plunging neckline
Keeping hair tied back
Wearing clean scrubs daily
Which action is listed as a violation involving commission against the profession?
Reporting medication errors
Appearing in demeaning commercials
Declining a patient’s tip
Educating families thoroughly
Which statement best characterizes the Patient’s Bill of Rights?
Not legally binding but important
Issued by the World Health Organization
Legally binding statute nationwide
Only applicable to private hospitals
Which organization introduced the Patient’s Bill of Rights in 1973?
Board of Nursing
American Hospital Association
Philippine Nurses Association
International Council of Nurses
Which right emphasizes self-determination in healthcare decision-making?
Services
Education
Autonomy
Privacy
Which statement best defines an advance directive in healthcare?
Instructions made ahead of time by patients
Orders written after hospitalization by physicians
Insurance policy chosen during enrollment
Consent obtained during each procedure
When is an advance directive typically made and when does it take effect?
Made by proxy; effective after two witnesses
Made during admission; effective immediately
Made when incapacitated; effective after recovery
Made while competent; effective when incapacitated
What is the primary purpose of a health care proxy or surrogate?
Assigns a decision-maker if incapacitated
Selects preferred hospital for treatment
Requests specific medications for pain
Authorizes release of billing information
Which feature characterizes a durable power of attorney for health care?
Remains valid even if the patient loses capacity
Expires once the patient becomes incapacitated
Applies only to financial transactions
Requires court appointment of a guardian
Which example reflects a revocable, ambulatory nature of a proxy document?
Patient changes proxy from wife to daughter
Hospital ethics board mandates CPR
Family refuses all nutrition and fluids
Nurse countersigns physician’s DNR order
Which statement best describes a living will?
Form assigning financial power of attorney
Policy outlining hospital code team procedures
Document stating desired treatments to accept or refuse
Contract guaranteeing resuscitation in all arrests
Which phrase correctly explains a Do Not Resuscitate (DNR) order?
Resuscitation is never attempted in cardiac or respiratory arrest
Resuscitation attempted only by physicians on duty
Resuscitation delayed until family arrives
Resuscitation performed unless patient is unconscious
Which interventions are generally still appropriate for a patient with a DNR order?
Intubation solely to obtain consent
Defibrillation during respiratory arrest
CPR, code blue activation, crash team
Antibiotics, antivirals, dialysis, IV fluids
A nurse performs CPR on a patient with a valid DNR order. What legal risk is most likely?
Battery for unwanted physical contact
Malpractice for documentation errors
Negligence for delayed response
False imprisonment for room restriction
Which situation correctly shows when a proxy’s authority becomes active?
Patient signs consent for minor procedure
Patient disagrees with physician’s recommendation
Patient expresses mild fatigue after surgery
Patient deemed incapacitated by clinician
Which action should nursing staff avoid for a patient with DNR status during arrest?
Calling code blue and initiating CPR
Administering scheduled antibiotics
Providing IV fluids and nutrition
Monitoring for infection symptoms
Which statement distinguishes DNR from overall medical care limitations?
DNR applies only in non-hospital settings
DNR cancels all ongoing therapies and evaluations
DNR restricts resuscitation only, not routine treatments
DNR authorizes family to dictate medication doses
Which statement best describes a Last Will and Testament?
A consent form for hospital procedures
A financial contract between family members
A legal document directing property disposition
A medical order for end-of-life care
When does a Last Will and Testament take effect?
At the maker’s eighteenth birthday
After a witness signs it
When drafted by an attorney
Upon the testator’s death
Which condition is REQUIRED for a person to make a valid will?
Currently hospitalized and sedated
Sound mind without undue influence
Owning real property and assets
Married with legal dependents
What is the minimum age to make a valid will and to witness one?
Twenty-one years old exactly
No age limit specified
Sixteen years old or above
Eighteen years old or above
Which individual is legally qualified to witness a will?
Able to read and write, not blind or deaf
A close heir with direct interest
A minor with parental consent
A notary without literacy
Which statement about oral (non-cupative) wills is accurate?
Always valid if two witnesses sign
Valid only for soldiers on duty
Not valid though a common practice
Valid when recorded by a physician
What makes a holographic will valid?
Filed with the local courthouse
Entirely written, dated, and signed by the maker
Typed by a lawyer and notarized
Witnessed by three hospital staff
Match each term to its correct role in inheritance.
Testator
Heir
Devisee
Legatee
Who is a devisee in estate terminology?
One who inherits real property
Maker of the will document
One who inherits personal property
Court-appointed estate administrator
Active euthanasia is best characterized by which action?
Allowing natural disease progression
Bringing about death through direct action
Withdrawing life-sustaining therapy
Withholding antibiotics and fluids
Which example illustrates passive euthanasia?
Administering a lethal injection
Turning off a respirator per wishes
Providing continuous vasopressor support
Starting new curative chemotherapy
Which statement aligns with the legal status noted for active euthanasia?
Mandatory when suffering is severe
Always permitted by living wills
Conditionally legal in all states
Invalid and prohibited by law
