Tiêu đề WORKBOOK - LM (KEY) ✅

Xeena, indicates a need for further understanding regarding critical paths? A. they are developed through the collaborative efforts of all members of the health care team B. they provide an effective way of monitoring care and for reducing or controlling the length of hospital stay for the client C. they are developed based on appropriate standards of care D. they are nursing care plans and use the steps of the nursing process 29. Nurse Miranda plans to shift the care delivery from functional nursing to primary nursing. A form of resistance is expected. Which technique should the nurse use in implementing this change? A. introduce the change gradually B. confront the individuals involved in the change process C. use coercion to implement the change D. manipulate the participants in the change process 30. Elisa J complains of 10/10 pain despite opiod medications whenever Nurse Rebecca is the one in charge of administering the medication. The appropriate action for the nurse to take is to: A. Reassign the nurse to the care of clients not receiving opioids B. notify the physician that the client needs an increase in opioid dosage C. Review the client's medication administration record immediately and discuss the observations with the nursing supervisor D. Confront the nurse with the information about the client having pain control problems and ask if the nurse is using the opioids personally 31. Nurse Mandy is monitoring the performance of a new nurse in the ward. Which of the following would indicate the need for further action and analysis? A. A client can perform wound cleaning on post-op site B. Purulent drainage is noted from a postoperative wound incision C. A 1-day postoperative client has a temperature of 98.8F D. A client newly diagnosed with hypertension monitors his BP 32. Nurse Helen advises her colleague to consider shifting to transformational leadership to boost performance of the team. Which of the following statements best describes this type of leadership? A. The leader uses visioning as the essence of leadership. B. The leader serves the followers rather than being served. C. The leader maintains full trust and confidence in the subordinates. D. The leader possesses innate charisma that makes others feel good in his presence. 33. Despite shifting to transformational leadership, the staff still underperforms. Nurse Helen introduced the Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory? A. Recognizes staff for going beyond expectations by giving them citations B. Challenges the staff to take individual accountability for their own practice C. Admonishes staff for being laggards. D. Reminds staff about the sanctions for non-performance. 34. Nurse Sandra was newly recruited into the hospital as a staff nurse. The organization mission is “Quality is priority”. Which of the following statements support this mission? A. Requiring competence and diligence in meeting the goals of the organization. B. Making the smallest error or overlooking details can have negative impact on quality. C. Performing one’s job to the best of one’s ability guided by principles. D. Contributing to quality improvement throughout the organization to highest degree 35. Nurse Heidi is in the middle level management. Planning is one of her functions. She knows it involves analyses of both external and internal factors affecting the process. External factors include: A. Strength B. Strength and weakness C. Opportunities D. Opportunities and threats 36. The staff of a local hospital have formed a task force to develop new protocol for safe evacuation during an earthquake. However, this protocol haven’t been reviewed, approved or shared with all personnel. When a intensity 6.5 earthquake hit the area, the task force members push for evacuating the unit using the new procedures. Which action should the nurse-manager take? A. Determine that the procedures currently in place must be followed and direct staff to follow them without question. B. Tell staff members to use whatever procedures they feel are best C. Ask staff members to quickly meet among themselves and decide what procedures to follow D. Tell staff members to assemble in the staff lounge; there the nurse-manager will quickly gather opinions about evacuation procedures before deciding what to do. 37. Primary nursing is the care delivery system currently used by Nurse Grace’s hospital. Which of the following activities is NOT done by a primary nurse? A. Collaborates with the physician B. Provides care to a group of patients together with a group of nurses C. Provides care for 5-6 patients during their hospital stay. D. Performs comprehensive initial assessment 38. Functional nursing is being advocated to be used in Nurse Je’s hospital due to staff shortage. Which of the following is a barrier to its implementation? A. Psychological and sociological needs are emphasized. B. Great control of work activities. C. Most economical way of delivering nursing services. D. Workers feel secure in dependent role 39. Team nursing is the current care delivery system in the unit. Nurse Teresita and her team need to assess the priority of care for a group of patients, which of the following should be a priority? A. Each patient as listed on the chart B. Patients who needs minimal care C. Patients who need transfusion D. Patients who need the most care 40. Nurse Adrian is currently looking at the hospital organizational chart. He expects to see all of the following EXCEPT.: A. Who has the legitimate power to make decisions B. It shows both formal and informal relationships in an organization. C. Suggests consistency in making decisions D. Dotted or broken lines on the organization chart represent staff positions. 41. Nurse Renesmee wants to revise the current process standards in nursing.The nurse manager prepares the process standards. Which of the ff. is NOT a process standard and therefore should be revised? A. Initial assessment shall be done to all patients within 24 hours upon admission B. Informed consent shall be secured prior to any invasive procedure TOP RANK REVIEW ACADEMY, INC. Page 3 | 7
C. Patient shall fill up the customer’s feedback prior to discharge D. Patient education about illness and treatment shall be provide for all patients and their families 42. Ms. Selena Reyes wants to have a single nurse to take care of her from the time of admission and even after discharge. Ms. Reyes wants which type of system of nursing care delivery? A. Primary Nursing B. Nursing case management C. Team Nursing D. Case Method 43. You are currently holding an orientation for the new nurses in the hospital. In order One of the new staff nurses wants to understand the channel of communication, span of control and lines of communication. A. Organizational structure B. Job description C. Policy D. Manual procedures 44. Nurse Yuri is a new nurse and is currently anxious about lawsuits. Which of the following conditions would prevent Yuri from a malpractice suit? A. She performs her duty as prescribed in her job description B. Her action resulted to an injury resulted from non-compliance to the standard of care C. The participation of the child’s parents resulted to an injury to the chilD. D. She is aware of the possibility of the injury to the patient 45. As a nurse manager, budgeting is one of your concerns. Which of the ff. articles is an example of operational budgets? A. Fee for the Internet Service Provider B. Purchase of a ventilator C. Additional locker room for OR D. New electrocautery machine 46. The Forty-Hour Week Law (Republic Act 5901), provides that employees will work only 40 hours a week provided that they are working in hospitals with a minimum of how many bed capacity: A. 50-bed capacity B. 75-bed capacity C. 100-bed capacity D. 150-bed capacity 47. Nurse Genna transitions to another form of care delivery. It is the most common delivery system where the nursing staff is divided into teams who are responsible for the care of a group of patients. A. Primary Nursing B. Functional Nursing C. Total Patient Care D. Team Nursing 48. Nurse Lilith wants to predict the future in which the plan will be executed. She should do: A. Setting Policies and Procedures B. Budgeting C. Forecasting D. Program Scheduling 49. A kind of nursing planning that includes the analysis of strengths, weaknesses, opportunities and strengths is also known as: A.Strategic Planning B. SWOT Planning C. Fiscal Planning D. Contingency Planning 50. Nurse Yule is the new nurse administrator of the hospital and during the long term planning, he suggested that one of the goals is “to expand and upgrade the hospital infrastructure to deliver quality care”. The hospital CEO becomes aware of the hospital needs and therefore allots a larger portion of the budget for the upgrades. Nurse Yule was able to successfully achieve what component of SWOT analysis? A.Strengths B. Weaknesses C. Opportunities D. Threats 51. Nurse Jellie introduced Theory Y during the ward conference. It is correctly described by all, but one, of the following statements: A. Applicable for people who enjoy work and have self-control B. Uses threats as a prime motivator C. Uses praise and recognition as the key motivators D. A guide for managers to develop the potential of each person 52. Chief Nurse Subillo is trying to implement a new style of staffing in the cancer unit. Nurses are now required to render 6 day workweeks instead of the usual 5 days a week. The nurse supervisor can effectively implement this change by choosing which course of action? A. Explain the purpose of the change and reinforce management decision B. Postpone the implementation of the new schedule to let the antagonistic feelings of the staff “cool down” C. Conduct a dialogue with the nursing staff and head nurses and involve them in planning the new schedule D. Avoid discussing the issue with the staff and implement the new schedule as planned 53. Nurse Marina is currently evaluating the. nursing staff nurses for their atitude and ethics. The manager determines that her staff nurse shows work accountability when the staff nurse: A. Performs tasks based on her job description B. Follows the standards of safe nursing practice C. Directs the work of her fellow nurses D. Answers for the consequences of her own decisions 54. Nurse Estudillo suggests following the principles of Total Quality Management. She emphasizes that it is the responsibility of which group to identify quality improvement opportunities? A. Administration B. Medical practitioners C. Nurse D. All health care personnel 55. As a part of the quality improvement program, process standards should be well-defined. Which of the following is NOT a process standard? A. Initial assessment shall be done to all patients within twenty four hours upon admission. B. Informed consent shall be secured prior to any invasive procedure C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital. D. Patient education about their illness and treatment shall be provided for all patients and their families. 56. Yannie is a fresh graduate of nursing. She was informed about the need for continuing professional development units to renew her license. The objectives of continuing professional education programs in nursing are the following, EXCEPT: A. Protect and promote the general welfare of the public by attaining the highest standards and quality in the practice of profession B. Make the professional globally competitive by maintaining capability for delivering professional services C. Augment the nurse educational preparation for admission to the practice of his profession TOP RANK REVIEW ACADEMY, INC. Page 4 | 7