Tiêu đề ICONS - LM.pdf ✅

ICONS: LEADERSHIP AND MANAGEMENT Prepared by: Dr. Glenda Arquiza 1. What would determine the nursing’s profession’s standards of conduct? A. Nurse’s Code of Ethics B. The Nightingale’s Pledge C. The Philippine Nursing Law → basis for nursing practice D. The PNA’s mission/vision statement 2. You are a staff nurse in the Orthopedic Unit. You have two patients. One of them is complaining of severe pain in his operative site on the knee. The other one is demanding that she be given a bed bath and a shampoo. You attended to the latter patient first. What ethical principle did you violate? A. Justice B. Respect for person C. Autonomy D. Veracity 3. In which of the following situations the principle of autonomy DOES NOT APPLY? When the patient________. A. is unconscious B. is willing to participate in his care C. agrees with the treatment plan D. disagrees with the health care team SITUATION: You are the school nurse in a public elementary school. One common condition you meet in the school is separation anxiety. A comprehensive approach to the treatment of a child with this condition involves the parents, the child, and the school. The following questions relate to these statements. → Area of Responsibility: Collaboration and teamwork 4. What is the ROLE OF THE SCHOOL in a collaborative care of a child with separation anxiety? A. Helping the child maintain a regular school attendance B. Setting limits to the child’s absences C. Ensuring the child’s nutritional requirement through the school canteen D. Providing supplies of anti-anxiety medications 5. Marga, a 7-year-old grade one pupil, who is under your care for separation anxiety is sick and has been absent for several days. Which of the following interventions would help Marga at this time? A. Encourage Marga’s friends to call up and visit her B. Offer reassurance to Marga C. Plan play activities for Marga D. Call up Marga’s parents and offer help 6. In planning for a collaborative care for Marga which of the following is the PRIORITY nursing action? A. Establishing rapport with Marga and her family B. Identifying the coping skills of Marga’s parents C. Evaluating Marga’s mental status D. Identifying Marga’s coping skills 7. One of the objectives of collaborative care is providing a community- and home-based mental care. Which of the following approaches is basic to this type of care? A. Holistic approach → involved the whole family and other members of health team B. Age-specific approach C. Cultural approach D. Family-centered approach 8. Aside from separation anxiety for young children, as a school nurse you encounter older children with anxiety disorder. What is your objective for the nursing intervention to an older child with anxiety disorder? To___________. A. restore the child to a previous or higher level of functioning B. reduce the manifestations of the symptoms of anxiety C. prevent complications of anti-depressant drug D. strengthen the child’s coping skills SITUATION: As a professional nurse, one of your roles is as an advocate for the patient’s rights. The following questions refer to this statement. 9. You are invited by a women’s organization to be the resource speaker on “Violence against Women and Children”. Women and children are protected against violence under Republic Act No.____. A. 9262 B. 9211 → Tobacco Regulation Act of 2003 C. 9173 → Philippine Nursing Law D. 9160 → Anti-Money Laundering Act 10. One of the violent acts is sexual violence. Which of the following DOES NOT constitute sexual violence? A. Economic abuse B. Acts of lasciviousness C. Rape D. Treating a child as a sex object 11. What should be the nurse’s MAIN CONCERN when a case of abuse, maltreatment, or neglect is suspected in a patient? A. Safety and welfare of the patient B. Just keep quiet about the matter C. Referring the patient to a mental health worker D. Reporting the incidence to proper authorities 12. What is the MOST common clinical manifestation of child neglect? A. Malnutrition and dehydration B. Missed appointment with health care provider C. Unexplained bruises D. Fractures 13. What should be the FOCUS of care for patients suspected to be abused, maltreated or neglected? A. Prevention of further injury B. Consequences of the acts C. Referral to legal authorities D. Immediate treatment of any injury
SITUATION: One of your responsibilities as a professional nurse is documentation of all nursing activities you do for and to the patient. The following questions refer to this responsibility. 14. The patient says “I feel depressed”. What behavioural manifestations would BEST describe the feeling of depression? A. Does not smile; avoids eye contact; drooping posture B. Paces the floor; asks a lot of questions; does not smile C. Cries alone; avoids eye contact; drooping posture D. Avoids eye contact; paces the floor; cries when alone 15. A psychiatric patient tells you “I am mad!”. Which of the following behavioural manifestations would you use in your charting to describe the patient’s feelings? A. Loud and belligerent; frown on face B. Loud and belligerent; avoids eye contact C. Avoids eye contact; frown on face; paces the floor D. Avoids eye contact; frown on face; cries when alone 16. What is the rationale for using ink in a paper chart? A. Changes are noticeable and records are permanent B. Charting is clearer and accurate C. It cannot be used in court D. It cannot be erased easily 17. Which of the following would maintain the legal standards for computerized patient’s records? A. Changes are not permitted once data is entered B. Changes are done within the prescribed period C. Editing information is permitted D. Access code is not shared with anyone 18. You are a staff nurse in the Psychiatric Unit. You were accused of negligence by the family of a dependent patient. What help and use may a patient’s chart be to you? The patient’s chart may________. A. serve as an evidence of the care you gave to the patient at the time of the event in question B. determine how the nurse is performing C. act as a guide for the reimbursement of the hospital costs incurred D. track the application of the nursing process SITUATION: The care of psychiatric patients is transdisciplinary. The following questions relate to this statement. 19. Which of the following is NOT an ingredient of the collaboration process? A. Communication techniques used by each member of the health team B. Active and assertive contribution from each health team member C. Negotiations between each health team member to find new ways of solving problems D. Receptivity and respect for each health team member’s contribution 20. What is the MOST IMPORTANT step in transdisciplinary team building? A. Define disciplinary and individual roles and responsibilities B. Communicate regularly, openly, and clearly C. Specify conflict resolution procedures D. Use transdisciplinary treatment plan 21. Which of the following is NOT a BARRIER to transdisciplinary collaboration? A. Personal qualities of the individual health care team member that promote shared problem-solving B. Inequality of power and status among health care team members C. Inappropriate education and training of mental health team members D. Role conflict among health care team members 22. The element of collaboration essential in developing psychiatric nursing further is_________. A. link between nursing theory and clinical practice through research B. use of informatics C. collaborative treatment plan D. utilization of evidence-based nursing interventions 23. Who is the mental health worker responsible for helping patients receive the needed services? A. Case worker B. Social worker C. Psychiatric nurse D. Psychologist SITUATION: As a professional nurse you are expected to know the legal terms and concepts commonly used to guide you in your actions. 24. You file a complaint against your co-worker for spreading malicious rumors about you. In this case you are the______. A. plaintiff → complainant B. defender C. defendant D. accused 25. You file a complaint against your co-worker for spreading rumors about your alleged relationship with a doctor. Which of the following cases you may file against her? A. Slander B. Immorality C. Public scandal D. Libel 26. A case was filed against you for spreading malicious rumors against your co-worker. In this case you are the________. A. Defendant B. Plaintiff C. Counsel D. Prosecutor
27. You are a staff nurse in a psychiatric unit. A patient manifesting behaviour hurt himself when you failed to restrain him as ordered. Which of the following cases may be filed against you? A. Negligence by omission B. Harm to patient C. Malpractice D. Negligence by commission 28. You failed to check the written order of Ativan for a patient having a manic attack. Which of the following principles did you violate? A. Veracity B. Non maleficence C. Autonomy D. Respect for person 29. You are the circulating nurse in an operation. You observed that the scrub nurse placed the surgical nurse in an unsterile field and picked it up again. Which of the following would be your MOST APPROPRIATE action? A. Let the scrub nurse unscrub B. Report the incident to the OR supervisor C. Give a sterile knife to the surgeon D. Just keep quiet about the incident 30. Which of the following is NOT a nursing responsibility in an informed consent? A. The nurse provides further information to the patient and his family B. To be present when informed consent is being discussed by the primary health provider with the patient and his family C. To serve as a witness when the patient signs the informed consent voluntarily D. The nurse signs the form to indicate the right person is the one signing it. 31. Mr. Santos is a Unit Manager in a well-known Medical Center. He is not satisfied with the way things are going. For two consecutive months, the Patient Satisfaction Survey is 62% and the staff morale is at its lowest. He decides to plan and initiate changes that will turnaround the condition of his unit. Which of the following actions would be his PRIORITY? A. Call for a staff meeting to take up these two problems B. Seek help from the HR Department C. Develop a strategic plan to address these issues D. Maintain the status quo 32. Mr. Santos and his staff agreed to undertake a planned change. Which of the following is the first step in a planned change? A. Diagnosing the problem B. Formulating objectives for change C. Choosing the members of the team for the planned change D. Maintaining change 33. Mr. Santos, by virtue of his being the unit manager, is considered as the change agent. Which of the following is NOT a responsibility of Mr. Santos. A. Providing the financial requirement for the planned change B. Assesses the client’s motivation C. Establishes a helping relationship among the members of the team D. Chooses and implement techniques for planned change 34. In any planned change there are external forces that influence the process. Which of the following is NOT an external force? A. Low morale of the staff in his unit B. Demand of the labor sector to increase the wages C. Compliance with regulatory and accreditation standards D. Memo from the CEO to cut down on electric consumption 35. One problem identified by the staff as a cause of low morale was the heavy workload. A staff suggested that the pattern of nursing care the unit is using be reviewed which is described as a________. A. system used to deliver care B. job description C. manual of procedures D. personnel manual 36. A nursing modality commonly used by the nursing service department is functional nursing. Which of the following is TRUE about this modality? A. Concentrates on tasks and activities B. Provides nursing care round the clock C. One to one nurse-patient ratio D. Emphasizes the use of team in providing care 37. Functional nursing has many advantages, which one is an EXCEPTION? A. Psychological and sociological needs are emphasized B. Most economical way of delivering nursing services C. Great control of work activities D. Workers feel secured in a dependent role 38. Giving priority to patient’s needs is always followed in the workplace. Which of the following offers the BEST WAY for setting priority? A. Assessing nursing needs and problems B. Controlling and evaluating the delivery of patient care C. Giving instructions on how nursing care needs are to be met D. Assigning a safe nurse-patient ratio 39. 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 “bantay” of the patient C. Consulting with the attending physician D. Coordinating with other members of the team 40. An activity done in an organization is the Strategic Planning. This is to ensure the efficiency and effectiveness