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Nội dung text ENHANCEMENT -PB EXAM - NP 5- STUDENT COPY.docx.pdf

PREBOARDS EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOLOGICAL ALTERATIONS (PART C) ENHANCEMENT PHASE GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation 11 – Gerald, a 26-year old construction worker, arrives in the Ear Clinic riding a Honda Motorcycle. He is wearing a headset with Mp3 player hooked to his belt. Nelson is for hearing assessment. 1. Pure Tone Audiometry is ordered for Gerald. Which of the following does this procedure measure? A. Vestibular portion of the auditory nerve B. Ear canal volume C. Structure of the cars D. Hearing acuity 2. Gerald was found to have Mastoiditis. Which of the following ear structure is affected? A. Tympanic membrane B. Pinna C. Eustachian tube D. Mastoid air cells 3. Which of the following is the most common cause of Mastoiditis? A. Bone tumor B. Untreated Otitis Media C. Meningitis D. Mastoid diseases 4. Antibiotics have limited use in the actual treatment of Mastoiditis because________. A. Tissue destruction is extensive B. It is a long-term treatment C. Antibiotics do not easily penetrate the infected bony structure of the mastoid D. Culture has to be done to identify which antibiotic is most effective for the treatment of Mastoiditis 5. Which of the following is the most common treatment for Mastoiditis? A. Mastoidectomy only B. Mastoidectomy with tympanoplasty C. Antibiotics with tympanoplasty D. Antibiotics Situation 2 – As a professional nurse you take into consideration the ethico-moral principles in providing nursing care. 6. You released information over the phone to a caller who identified himself as the brother of your patient. You found out later that the brother was out of town. Which of the following rights did you violate? A. Right to privacy B. Right to continuity of care C. Right to confidentiality D. Right to respectful care 7. Your patient is having difficulty making decision to undergo hip surgery. Which of the following nursing actions BEST describes your advocacy roles as a nurse? A. Protect patient’s autonomy and independence B. Communicate patient’s needs to the interdisciplinary team C. Advise the client to undergo surgery because it is best for her D. Actively support patient’s decision 8. Mrs Go needs to undergo a hip surgery. She refused to have it done even after the attending surgeon has explained the procedure thoroughly. Which ethical principle applies in this situation? A. Autonomy – the right to make one’s own decisions (Kozier&Erb, p.85). B. Justice – often referred to as fairness (Kozier&Erb, p.85). C. Non-maleficence – duty to do no harm (Kozier&Erb, p.85). D. Beneficence – means doing good (Kozier&Erb, p.85). 9. Informed consent is one of the patient’s bill of rights. One of its requirements is the capacity of the patient to give it. Which of the following elements is/are related to this capacity? (SELECT ALL THAT APPLY). 1) Patient is an adult – a competent client older than 18 years of age must sign the consent (Saunders, p.223) 2) He is competent to make a choice – the client must be mentally and emotionally competent to give the consent (Saunders, p.223) 3) He has the freedom to make a choice 4) He can understand the consequences – the client must be mentally and emotionally competent to give the consent (Saunders, p.223) A. 1, 2, 3 B. 1, 2, 4 C. c. 1, 2, 3, 4 D. d. 1, 3, 4 10. Another requirement of informed consent is voluntariness. It means, freedom of choice without the following conditions, EXCEPT__________. A. Force B. Fraud C. consequences D. deceit SITUATION: Like death and taxes, change is inevitable. Change can result into both success and failure of an organization. Therefore, nurse managers must be knowledgeable in dealing with change. 11. When people in control enforce changes in an organization and others in the organization have no input into these changes, what change strategy is being implemented? A. Normative-Reeducative strategy B. Power-Coercive strategy C. Change-Stabilization strategy D. Rational-Empirical strategy 1 | Page


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