Title ATTY-CAPILI-FC-PALMR.pdf ✅

1 | Page FINAL COACHING EXAMINATION PALMR - PROFESSIONAL ADJUSTMENT, LEADERSHIP MANAGEMENT, RESEARCH November 2022 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 190 test questions 2. Reminder: NO EXAM, NO FINAL COACHING 3. Please choose the BEST answer. Situation: A professional nurse is assumed to update herself about the profession to maintain competence in practice. The nursing management process is a topic for both staff and head nurses. 1. This major function of the management process establishes formal authority. It defines qualifications and also includes staffing: a. Planning b. Organizing c. Directing d. Controlling 2. On the other hand, this major function of the management process actuates efforts towards the accomplishment of goals. It includes updating policies and procedures: a. Planning b. Organizing c. Directing d. Controlling 3. She noticed that policies and standard operating procedures (SOP’s) are strictly implemented in the hospital. What management function is this? a. Planning b. Organizing c. Controlling d. Directing 4. Management process involves five functions which follow the following sequence: a. Planning, staffing, organizing, controlling, directing b. Planning, organizing, directing, staffing, controlling c. Organizing, planning, directing, staffing, controlling d. Planning, organizing, staffing, directing, controlling 5. Which of the following statements about management is true? a. It focuses on clinical excellence b. It tends to attract people who like quiet, routine work without interruptions c. It focuses on issues such as cost, productivity, effectiveness, and staffing d. It is synonymous with leadership 6. The management function that involves determining the objectives of an organization and tasks needed to complete objectives is a. Staffing b. Directing c. Planning d. Controlling 7. Chief Nurse Vera and Nurse Supervisor Victoria developed a five-year staff development plan. Which type of planning are they engaging in? a. Strategic planning c. Short range planning b. Operational planning d. Visual planning 8. Which plans extends from a few months to a year? a. Strategic planning c. Short range planning b. Operational planning d. Visual planning 9. Planning, technically, can be considered as long term when the coverage ranges: a. 1-3 years b. 3-5 years c. 5-7 years d. 7-10 years 10. The purpose of organizational structure is to: a. Have a written plan of organizational structure of her governing bodies b. Explain to each member the line of authority c. Inform all her staff members of the philosophy and goals of the institution d. Provide mechanism through which tasks are distributed among members for goal realization 11. When giving responsibilities to the staff members she should consider the following: a. Job description b. Abilities of the staff c. Preference of the staff d. Her own decision Situation: Jun is the new supervisor of the medical-surgical unit with 40 bed capacity. 12. A critical component of the supervisory process is delegation. Which of the following is the most empowering to the staff? a. Delegation starts at top management b. Delegation frees the manager to do other task c. Effective delegation requires the nurse manager to determine the abilities of the staff d. Delegation enables the staff to improve competence and confidence 13.Which task can be delegated to the nursing aid when the patient is stable? a. Administering tap water enema b. Incorporating potassium chloride intravenously c. Teaching patient to administer insulin d. Taking CVP 14. A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit. There were three patients assigned to the RN. Which of the following patients should not be assigned to the floated nurse? a. A 9-year-old child diagnosed with rheumatic fever b. A young infant after pyloromyotomy c. A 4-year-old with VSD following cardiac catheterization d. A 5-month-old with Kawasaki disease 15. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the following task could the registered nurse safely assigned to a UAP? a. Monitor the I&O of a comatose toddler client with salicylate poisoning * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page b. Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall c. Check the IV of a preschooler with Kawasaki disease d. Give an oatmeal bath to an infant with eczema 16. A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely assign to the float nurse? a. A child who had multiple injuries from a serious vehicle accident b. A child diagnosed with Kawasaki disease and with cardiac complications c. A child who has had a nephrectomy for Wilms’ tumor d. A child receiving an IV chelating therapy for lead poisoning 17. As the supervisor, you plan to implement change in the nursing unit from team nursing to primary nursing. You anticipate that there will be resistance to change. In order to avoid such, which of the following should be done? a. Determine the need for change b. Confront the staff individually c. Develop the change one step at a time d. Use coercion to implement change 18. The supervisor has implemented to change. A nurse aide seems to be resistant to the change. Which of the following should be done? a. Ignore the resistance b. Utilize coercion c. Give reward to the nursing assistant d. Talk to the nurse assistant and encourage verbalization of feelings 19. As a medication nurse, you are tasked to give digoxin to a patient with arrhythmia. You noticed that the heart rate is 40 beats per minute and the potassium level is below normal. The physician orders digoxin STAT. An assertive response of the nurse should be: a. “I think we have first to monitor the patient’s cardiac rate before giving the drug.” b. “I don’t want to carry out your order” c. “Don’t you know the precaution for giving this drug?” d. “Yes doctor. I will give it right now.” 20. Determining the standard of the institution is one of the concerns in controlling. When the institution has reached the minimum level of excellence, it should: a. Be contented on the result of the evaluation b. Do something to improve the standard c. Help maintain the standard of the institution d. Publish the result to the publication 21. When conducting nursing audit, the following must be considered EXCEPT: a. Outcome c. Process b. Quality d. Structure 22. The most effective way in conducting the nursing audit is to: a. Evaluate the records of the patient b. Determine the job description of the staff c. Evaluate staffing patterns d. Determine job performance Situation: As a nurse in charge, you noted that a lot of confusion occurs in your unit due to some disorganization. You decided to improve work performance. 23. A deliberate course of action that results in alteration of something different in a nursing unit is referred to as: a. Change management b.Nursing care Systems c. Specialty certification d.Nursing process 24. When resistance threatens needed change, what important measure would you use to overcome the resistance? a. Send a memorandum of change b.Use a problem-solving strategy c. Gain early support from staff d.Conduct staff re-education 25. This is a factor influencing acceptance of staff for change: a. Externally imposed b. Share its benefits c. Staff participants d. Planned ahead 26. These are important qualities of a change agent except: a. Leadership skills b. Sociability c. Credibility d.Management skills 27. Having to deal with a lot of people, the nurse manager’s most important communication skill is which of the following? a. Questioning b.Assertiveness c. Affirmation d. Listening 28. An old ventilator often malfunctions and has inefficiencies resulting from the speed of the equipment or downtime (amount of time it is out of service for repairs). The organization decided to purchase new technology because the old one is too expensive to maintain. What type of budget is allotted for the equipment? a. Operational budget b. Capital Budget c. Construction budget d. Any of the above 29. A project would need physical expansion of the hospital so that a mammography unit will be included. However, the Hospital Director suggested to include this in 2023 budget planning for reason that this type of budget is considered in: a. Operational budge c. Cash budget b. Capital expenditure budget d. Flexible budget 30. Nurse Laila is the project head for a feeding program; she requested extra funds in anticipation for fluctuations in resource needs or meet contingency expenses. This type of budget is called: a. Operational budget c. Cash budget b. Capital expenditure budget d. Flexible budget 31. Which of the following is NOT included in the Operational budget? a. Repairs and maintenance. c. Purchase of a major equipment b. Medical/surgical supplies d. Purchase of consumable materials 32. An operational budget is a financial tool that outlines anticipated revenue and expenses over a specified period. Which of the following are incorrect regarding budget? a. The budget translates operational plans into financial and statistical terms so that income can be projected with associated costs b. Budget serve as standards to plan, monitor, and evaluate the performance of a health care system c. Budget account for the relationship of income to the expenses needed to deliver the services d. All of the above 33. Which among the following is the purpose of monitoring a budget? a. Keep expenses above budget b. Maintain revenue above the previous year’s budget c. Ensure revenue is generated monthly d. Generate revenue and control expenses within a projected framework
3 | Page 34. Mr. Cabrido gives strong orders, makes decisions and thinks less of his subordinates. He is a leader who is: a. Autocratic c. Democratic b. Laissez-faire d. Bureaucratic 35. When the situation calls for compliance of the followers to ensure the success of the activity, the best leadership style that Nurse Beng will use is: a. Laissez-faire c. Democratic b. Autocratic d. Authoritative 36. A leader who defers decision making to his or her followers is called what type of leader? a. Laissez-faire c. Autocratic b. Democratic d. Employee-centered 37. What kind of communication style should a nurse manager should possess? a. Passive b. Assertive c. Aggressive d. Sarcastic 38. The morning supervisor was visiting the ward when the doctor of a patient complained to her about the staff nurse who failed to give the “stat” medication. Applying the principle of “line of authority”, you expected the supervisor to first: a. Reassure the patient that next time the nurse will not miss the medication b. Report the incident to the chief nurse c. Ask the staff nurse to explain the incident d. Talk to you as the head nurse about the doctor’s complaint 39. You delegate to the nursing assistant the task of taking the client’s vital signs every 2 hours and recording the vital signs in the patient’s chart. Later you check the client’s chart and discover that the vital signs have not been recorded. What is your BEST action? a. Take the vital signs because it is not the nursing assistant’s scope of practice b. Speak to the nursing assistant privately to determine why the vital signs were not recorded c. Notify the head nurse d. Call the nursing assistant to the nurses’ station to reprimand 40. Several nurses complain to the nurse manager that one of the nursing aides constantly takes extensive lunch breaks. The nurse manager should: a. Convene a group meeting of all nursing aides to review their responsibilities related to time management. b. Talk with nursing aide to explore the reasons for the behavior and review expectations c. Arrange a meeting with the nurse so they can confront the nursing aide as a group d. Document the nursing aide’s behavior and place it in the aide’s personnel file Situation: As a supervisor you are confronted with several problems arising from various causes or reasons. It ranks from Administration – clinical – personnel, which later resulted to conflict. You tried to find means to resolve it. 41. You should therefore consider that the following means can be utilized in resolving conflict, EXCEPT: a. Making a compromise c. Majority rule b. Reporting d. Smoothing 42. When conflicts arise in the unit, the best thing that the unit manager should do is: a. Discuss with the situation with the group and make a move to resolve it. b. Ignore the situation c. Give warning to staff d. Recommend shifting of the staff 43. Desirable goals for a nurse manager include all of the following EXCEPT: a. Select a style of leadership that works best for the individual and to practice it exclusively b. Use a style of leadership that promotes high – level work performance c. Use a style of leadership that creates the least amount of disruption d. Adopt a leadership style that best suits the task to be accomplished 44. 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. Smoothing b. Compromise c. Avoidance d. Restriction 45. She notes that there is an increasing unrest of the staff due to fatigue brought about by shortage of staff. Which action is a priority? a. Evaluate the overall result of the unrest b. Initiate a group interaction c. Develop a plan and implement it d. Identify external and internal forces. 46. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do? a. Advise her staff to go on vacation. b. Ignore her observations; it will be resolved even without intervention c. Remind her to show loyalty to the institution. d. Let the staff ventilate her feelings and ask how she can be of help. 47. 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. Make an interpretation about strengths and weaknesses b. Identify the values of the department c. Identify structure, process, outcome standards & criteria d. Measure actual performances 48. Ms. Valencia develops the standards to be followed. Among the following standards, which is considered as a structure standard? a. The patients verbalized satisfaction of the nursing care received b. Rotation of duty will be done every four weeks for all patient c. All patients shall have their weights taken recorded d. Patients shall answer the evaluation form before discharge 49. She knows that performance appraisal consists of all the following activities EXCEPT: a. Setting specific standards and activities for individual performance. b. Using agency standards as a guide. c. Determine areas of strength and weaknesses d. Focusing activity on the correction of identified behavior. 50. Which of the following statements is NOT true about performance appraisal? a. Informing the staff about the specific impressions of their work help improve their performance. b. A verbal appraisal is an acceptable substitute for a written report c. Patients are the best source of information regarding personnel appraisal. d. The outcome of performance appraisal rests primarily with the staff. 51. 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 staff member is observed in natural setting. b. Incidental confrontation and collaboration are allowed. c. The evaluation is focused on objective data systematically.