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Nội dung text 2. FC PALMR (Atty. Capili) - SC


2 | Page C. “Don’t you know the precaution for giving this drug?” D. “Yes doctor. I will give it right now.” 14. 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 15. When conducting nursing audit, the following must be considered EXCEPT: A. Outcome B. Quality C. Process D. Structure 16. 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. 17. 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 18. This is a factor influencing acceptance of staff for change: A. Externally imposed B. Share its benefits C. Staff participants D. Planned ahead 19. These are important qualities of a change agent except: A. Leadership skills B. Sociability C. Credibility D. Management skills 20. 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 21. 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 22. 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 B. Capital expenditure budget C. Cash budget D. Flexible budget 23. Which of the following is NOT included in the Operational budget? A. Repairs and maintenance B. Medical/surgical supplies C. Purchase of a major equipment D. Purchase of consumable materials 24. 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 25. 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 26. Mr. Cabrido gives strong orders, makes decisions and thinks less of his subordinates. He is a leader who is: A. Autocratic B. Laissez-faire C. Democratic D. Bureaucratic 27. 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 B. Autocratic C. Democratic D. Authoritative 28. A leader who defers decision making to his or her followers is called what type of leader? A. Laissez-faire B. Democratic C. Autocratic D. Employee-centered 29. What kind of communication style should a nurse manager should possess? A. Passive B. Assertive C. Aggressive D. Sarcastic 30. 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 31. 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 32. 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.
3 | Page 33. 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 34. 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 35. 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 36. 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. 37. 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. 38. 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 39. 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 40. 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. 41. 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. 42. 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. D. The evaluation may provide valid information for compilation of a formal report. 43. When she presents the nursing procedures to be followed, she refers to what type of standards? A. Process B. Outcome C. Structure D. Criteria 44. Ms. Valencia prepares the process standards. 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. 45. Nurse Mary is the head nurse and tells Nurse Fatima her staff nurse what to do. What kind of communication is this? A. Upward communication B. Downward communication C. Lateral communication D. Diagonal communication 46. Nurse Jane is coordinating with the OR department for a scheduled surgery of one of her patients. This kind of communication is? A. Upward Communication B. Grapevine C. Diagonal Communication D. Lateral Communication 47. When responsibilities have to be delegated to the member, the manager must: A. Ensure that the member is capable of doing the task B. Supervise the new members all the time C. Perform the task based on the acceptable standard D. Let the member write an accident report in case of mistakes 48. He was asked how the staff will be evaluated. He probably will show them the following EXCEPT: A. Performances Evaluation sheet B. Performance Checklist C. Ranking Device D. Nursing Audit Situation: Jun just received his appointment paper as permanent employee. He was told by the head nurse that it was his loyalty, commitment, competence, and caring attitude that contributed to his present appointment. 49. Which response describes Jun as an assertive person? A. “I am used to this. I am born a winner.” B. “I don’t know why I became permanent. Probably they like me.” C. “Thank you. I hope I will be able to contribute to the goals of the department.” D. “I expected this to happen. I know I did my best.” 50. The nurse revised the system for the delivery of nursing care which is referred to as: A. Patient Classification system B. Variable staffing C. Pattern of nursing care D. Scheduling 51. A new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the facility. The nurse is told that the nursing model is team nursing approach. The nurse understands that planning of care
4 | Page delivery will be based on which characteristic of this type of nursing model of practice? A. A task approach method is used to provide care to clients B. A single registered nurse (RN) is responsible for providing nursing care to a group of clients C. Managed care concepts and tools are used in providing client care D. Nursing personnel are led by an RN leader in providing care to a group of clients 52. Jun was assigned to take care of 5 to 6 patients from admission to discharge. The system is: A. Primary nursing B. Team nursing C. Nursing care management D. Modular nursing 53. One of his patients who have a chronic hypertensive vascular disease asked Jun if he can be available to take care of her even before admission and even after discharge. What system does the patient refers to? A. Case method B. Team nursing C. Nursing case management D. Primary nursing 54. Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who take care of patients with the same disease conditions and are located geographically near each other? A. Case method B. Nursing case management C. Modular nursing D. Team nursing 55. The most traditional method of nursing care delivery is: A. Case method B. Functional method C. Team nursing D. Primary nursing 56. A mother requested for a nurse to take care of her daughter who has systemic lupus erythematosus at home. What patient assignment supports this? A. Primary B. Functional C. Case method D. Team nursing 57. You noticed that one of the senior nurses is assigning a patient care based on the concept of allocation of specific duties to her staff nurses. This would be a characteristic of: A. Case method nursing B. Primary Nursing C. Functional Nursing D. Team Nursing 58. The nurse in the medication unit passes the medications for all the clients on the nursing unit. The head nurse is making rounds with the physician and coordinates clients’ activities with other departments. The nurse assistant changes the bed lines and answers call lights. A second nurse is assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the clients. This illustrates of what method of nursing care? A. Case management method B. Primary nursing method C. Team method D. Functional method Situation: MJ is chosen to be a part of the research team of the hospital and as a researcher she made a review of the following important nursing concepts was made. 59. As a professional nurse, MJ knows that a nurse can do research for varied reason except: A. To improve nursing care B. For financial gains C. Professional advancement through research participants D. To validate results of new nursing modalities 60. Which of the following methods allows the use of any group of research subject? A. Snowball B. Convenience C. Quota D. Purposive 61. He checks if his instruments meet the criteria for evaluation. Which of the following criteria refers to the consistency or the ability to yield the same response upon its repeated administration? A. Validity B. Reliability C. Sensitivity D. Objectivity 62. Which criteria refer to the ability of the instrument to detect fine differences among the subjects being studied? A. Sensitivity B. Reliability C. Validity D. Objectivity 63. Which of the following terms refer to the degree to which an instrument measures what it is supposed to be measured? A. Validity B. Reliability C. Meaningfulness D. Sensitivity 64. If a person participating in a research study refuses to continue participating, what should a nurse do? A. Respect his right to refuse B. Respect his right but tell him you will withhold treatment C. Respect his right but do not give his honorarium D. Refer the matter to the author of the study 65. A researcher does review of related literature for the purpose of: A. answering the research question B. to identify if problem can be replicated C. gathering data about what is already known or unknown about the problem D. determine statistical treatment of data research 66. A patient is participating in a cardiac study in which his physician is directly involved. Which statement by the patient indicates a lack of understanding about his rights as a research study participant? A. “I can withdraw from the study anytime” B. “I’ll have to find a new physician if I don’t complete this study” C. “My confidentiality will not be compromised in this study” D. “I understand the risk associated in this study” 67. You decided to include 5 barangays in your municipality and chose a sampling method that would get representative samples from each barangay. What should be the appropriate method for you to use in this care? A. Systematic sampling B. Cluster sampling C. Stratified sampling D. Random sampling 68. When a researcher in a qualitative study chooses the participants based on what they may be able to contribute to the study, the sampling method selected is called as: A. Cluster sampling B. Quota sampling C. Snowball sampling D. Purposive sampling 61. Which of the following quantitative research designs is most appropriate if Noel, a nurse investigator assigned in a City Health Office, is interested to determine the relationship between social class and nutritional status of children under 6 years of age living in Metro Manila? A. Case control B. Descriptive correlational C. Experimental D. Quasi-experimental 70. The independent variable in said study is: A. Social class B. Children C. Age D. Nutritional status 71. While the dependent variable is: A. Social class B. Children

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