問題一覧
1
This major function of the management process establishes formal authority. It defines qualitications and also includes staffing
Organizing
2
On the other hand, this major function of management process actuated efforts towards the accomplishments of goals. It includes updating policies and procedures
Directing
3
She noticed that policies and standard operating procedures (SOP's) are strictly implemented in the hospital. What management function is this?
Controlling
4
The management function that involves determining the objectives of an organization and task needed to complete objectives is
Planning
5
The purpose of organizational structure to
Provide mechanism through which task are distributed among members for goal realization
6
Situation: Jun is the new supervisor of the medical-surgical unit with 40 bed capacity. A critical component of the supervisory process is delegation. Which of the following is the most empowering to the staff?
Delegation renables the stagf to improve competence and confidence
7
Which task can be delegated to the nursing aid when the patient is stable?
Administering tap water enema
8
A nurse manager assigned a registered nurse from telemetry unit to the pediatric unit. There were three patients assigned to the RN. Which of the following patients should not be assigned to the floated nurse?
A young infant after pyloromyotomy
9
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?
Give an oatmeal bath to an infant with eczema
10
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 child who has had a nephrectomy for Wilms’ tumor
11
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?
Develop the change one step at a time
12
The supervisor has implemented to change. A nurse aide seems to be resistant to the change. Which of the following should be done?
Talk to the nurse assistant and encourage verbalization of feelings
13
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:
“I think we have first to monitor the patient’s cardiac rate before giving the drug.”
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:
Do something to improve the standard
15
When conducting nursing audit, the following must be considered EXCEPT:
Quality
16
The most effective way in conducting the nursing audit is to:
Evaluate the records of the patient
17
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. When resistance threatens needed change, what important measure would you use to overcome the resistance?
Gain early support from staff
18
This is a factor influencing acceptance of staff for change:
Planned ahead
19
These are important qualities of a change agent except;
Sociability
20
Having to deal with a lot of people, the nurse manager’s most important communication skill is which of the following?
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?
Capital Budget
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:
Cash budget
23
Which of the following is NOT included in the Operational budget?
Purchase of a major equipment
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?
Budget serve as standards to plan, monitor, and evaluate the performance of a health care system
25
Which among the following is the purpose of monitoring a budget?
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:
Autocratic
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:
Democratic
28
A leader who defers decision making to his or her followers is called what type of leader?
Laissez-faire
29
What kind of communication style should a nurse manager should possess?
Assertive
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:
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?
Speak to the nursing assistant privately to determine why the vital signs were not recorded
32
Several nurses complain to the nurse manager that one of the nursing aides constantly takes extensive lunch breaks. The nurse manager should:
Talk with nursing aide to explore the reasons for the behavior and review expectations
33
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. When conflicts arise in the unit, the best thing that the unit manager should do is:
Discuss the situation with the group and make a move to resolve it.
34
Desirable goals for a nurse manager include all of the following EXCEPT:
Select a style of leadership that works best for the individual and to practice it exclusively
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?
Avoidance
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?
Initiate a group interaction
37
Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do?
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?
Identify structure, process, outcome standards & criteria
39
Ms. Valencia develops the standards to be followed. Among the following standards, which is considered as a structure standard?
Rotation of duty will be done every four weeks for all patient
40
She knows that performance appraisal consists of all the following activities EXCEPT:
Focusing activity on the correction of identified behavior
41
Which of the following statements is NOT true about performance appraisal?
Patients are the best source of information regarding personnel appraisal.
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?
The evaluation is focused on objective data systematically.
43
When she presents the nursing procedures to be followed, she refers to what type of standards?
Process
44
Ms. Valencia prepares the process standards. Which of the following is NOT a process standard?
Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
45
Nurse Mary is the head nurse and tells Nurse Fatima her staff nurse what to do. What kind of communication is this?
Downward communication
46
Nurse Jane is coordinating with the OR department for a scheduled surgery of one of her patients. This kind of communication is?
Diagonal Communication
47
When responsibilities have to be delegated to the member, the manager must:
Ensure that the member is capable of doing the task
48
He was asked how the staff will be evaluated. He probably will show them the following EXCEPT:
Nursing Audit
49
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. Which response describes Jun as an assertive person?
“Thank you. I hope I will be able to contribute to the goals of the department.”
50
The nurse revised the system for the delivery of nursing care which is referred to as:
Pattern of nursing care
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 delivery will be based on which characteristic of this type of nursing model of practice?
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:
Primary 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?
Case method
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?
Modular nursing
55
The most traditional method of nursing care delivery is:
Case method
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?
Case method
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:
Functional 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?
Functional method
59
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. As a professional nurse, MJ knows that a nurse can do research for varied reason except:
For financial gains
60
Which of the following methods allows the use of any group of research subject?
Convenience
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?
Reliability
62
Which criteria refer to the ability of the instrument to detect fine differences among the subjects being studied?
Sensitivity
63
Which of the following terms refer to the degree to which an instrument measures what it is supposed to be measured?
Validity
64
If a person participating in a research study refuses to continue participating, what should a nurse do?
Respect his right to refuse
65
A researcher does review of related literature for the purpose of:
gathering data about what is already known or unknown about the problem
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?
“I’ll have to find a new physician if I don’t complete 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?
Cluster 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:
Purposive sampling
69
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?
Descriptive correlational
70
relationship between social class and nutritional status of children under 6 years of age living in Metro Manila relationship between social class and nutritional status of children under 6 years of age living in Metro Manila
Social class
71
relationship between social class and nutritional status of children under 6 years of age living in Metro Manila? While the dependent variable is
Nutritional status
72
The sampling method that is most appropriate to give each element of the population the probability to be included in the study, “Relationship between social class and nutritional status of children under 6 years of age living in Metro Manila”, is:
Simple random sampling
73
Since Metro Manila is a big area for the study, Noel can do successive random sampling to choose the district from where he can eventually select the study sample. This type of sampling is:
Cluster sampling
74
The nutritional status of children in the study, “Relationship between social class and nutritional status of children under 6 years of age living in Metro Manila”, is determined by ‘weight by age’. Weight is an example of what level of measurement?
Ratio
75
The sex of the children included in the study, “Relationship between social class and nutritional status of children under 6 years of age living in Metro Manila”, will be classified as male and female. This measurement is:
Nominal
76
The social class variable includes “education” with the possible choices given as: 1. Elementary level 2. Elementary graduate 3. High school level 4. High school graduate The above set of choices is an example of what level of measurement?
Ordinal
77
Which of the following studies is based on quantitative research?
A study measuring the effects of sleep deprivation on wound healing
78
Which of the following studies is based on qualitative research?
A study examining client’s reaction to stress after open heart surgery
79
MJ implemented a medication regimen using a new type of combination drugs for manic patients while another group of manic patients will receive the routine drugs. The researcher however, handpicked the experimental group for they are the clients with multiple episodes of bipolar disorder. MJ utilized what research design?
Quasi-experimental
80
From the hypothesis, “Compliance to home care regimen is greater among patients who received the structured discharge plan instructions than those who received verbal discharge instructions.” Which is the independent variable in the study?
Discharge plan instructions
81
“Compliance to home care regimen is greater among patients who received the structured discharge plan instructions than those who received verbal discharge instructions.” Which is the dependent variable in the study?
Compliance to home care regimen
82
Situation: Mastery of research design determination is essential in passing the NLE. Community A was selected randomly as well as Community B. Nurse Beth conducted teaching to Community A and assess if Community A will have a better status than Community B. The design best suited for this study is:
Experimental
83
Ricky researched on pneumonia. Its transmission, causative agent and factors, treatment, signs and symptoms as well as medication and all other in-depth information about pneumonia. This study is best suited for which research design?
Case Study
84
Marlon is always eating high fat diet. You want to determine what will be the effect of high cholesterol food to Marlon in the next ten years. You will use:
Longitudinal
85
Joseph is to perform a study about how nurses perform surgical asepsis during (world war 2) WWII. A design best for this study is:
Historical
86
Melinda conducts sampling at barangay 156. She collected 100 random individuals and determine who is their favorite comedian actress. 50% said Eugene Domingo, 20% said Ai Ai, while some answered Ruffa Mae Quinto, Candy Pangilinan, Tuesday Vargas. Melinda conducted what type of research study?
Survey
87
Sheena researched on the development of a new way to measure intelligence by creating a 100-item questionnaire that will assess the cognitive skills of an individual. The design best suited for this study is;
Methodological
88
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. In the value: 85, 76, 93, 88, 90; what is the mean?
86.4
89
In the value: 86, 85, 91, 91, 85, 83, 87, 85; what is the mode?
85
90
Draw lots, lottery, table of random numbers or a sampling that ensures that each element of the population has an equal and independent chance of being chosen is called:
Simple
91
MJ wants to determine some of the problems that are experienced by diabetic patients when using an insulin pump. She went into a clinic where she personally knows several diabetic clients having problem with insulin pump. The type of sampling done by MJ is called:
Purposive
92
If she implemented a new structured counseling program with a randomized group of subjects and a routine counseling program with another randomized group of subjects, the research is utilizing which design?
Experimental
93
In any research study where individual persons are involved, it is important that an informed consent of the study is obtained. The following are essential information about the consent that you should disclose to the prospective subjects except:
Consent to incomplete information
94
In the hypothesis: “Taller people and people with higher caloric intake weigh more than shorter people and those with lower caloric intake.” Which is the dependent variable of the study?
Weight
95
In the hypothesis: “Taller people and people with higher caloric intake weigh more than shorter people and those with lower caloric intake.” Which is the independent variable of the study?
Height and caloric intake
96
In the hypothesis: “Patients receiving warmed solution for body cavity irrigation during surgical procedures will maintain a higher core body temperature than patients receiving a room temperature solution.” Which is the independent variable in the study?
Solution for body cavity irrigation
97
In the hypothesis: “Patients receiving warmed solution for body cavity irrigation during surgical procedures will maintain a higher core body temperature than patients receiving a room temperature solution.” Which is the dependent variable in the study?
Core body temperature
98
“Women who have participated in Lamaze classes request pain medication during labor less often than women who have not taken these classes.” Which of the following is the independent variable?
Attendance in Lamaze classes
99
“Women who have participated in Lamaze classes request pain medication during labor less often than women who have not taken these classes.” Which of the following is the dependent variable?
Request of pain medication
100
Situation: Melissa plans to conduct a study about nursing practice in the country. She decides to refresh her knowledge about the different types of research in order to choose the most appropriate design for her study. She came across surveys, like the Social Weather Station and Pulse Asia Survey. Which of the following is the purpose of this kind of research?
Obtains information regarding the prevalence, distribution, and interrelationships of variables within a population at a particular time