AUBREY J. CABUGON PROF-AD SITUATION: As a registered nurse,Glenn assumes responsibility for systematically assessing needs of his clients.

e admitted !r. "ancel to the #ard. $. "uring initial contact #ith !r. "ancel, #hich of the follo#ing greetings by the nurse #ill more li%ely put him at ease& a' (Good morning, I am Glenn, your ne# nurse( b' ( o# are you today& I am your ne# nurse( c' (Are you !r. "ancel, bed )*&( d' (I ha+e been assigned to ta%e care of you(

,. In his initial and on-going assignment, nurse Glenn utili.ed the: a' problem-oriented medical records b' /arde0 recording system c' 1roblem-sol+ing approach to care d' Standards of nursing care assessments

).!r."ancel appears 2uite thin. 3hat data #ould you initially need to determine his le+el of nutrition& a' nutrition notes by the dietician b' a sample of his daily #eight c' foods he ate yesterday d' his height and #eight

4. The admission data #ill include social data about the patient. These are e0amples of social data e0cept: a' perception of illness b' religious practices

c' family home situation d' patient5s lifestyle

6. 3hich of the follo#ing is true about nursing assessment& a' assessment ends #ith a diagnosis b' assessment data is recorded in SOA1 c' nursing audit is a part of assessment d' assessment is a continuous process

SITUATION: 7ou ha+e chosen nursing as a career. Understanding nursing as a profession #ill help you protect the image of nursing in public *. Nursing is the best defined as a profession that: a' is concerned #ith nursing diagnosis and tretment b' help people to do acti+ities that contribute to health reco+ery and peaceful death c' care of people, sic% or #ell, in any setting d' assist people to#ards self-care 8. 3hat nursing is and ought to be is embodied in: a'9ode of :thics b'Standards of Nursing 1ractice c' !ission statements d'1hilosophy of Nursing ;. 3hich of the follo#ing statements is the most important characteristic of a professional nursing& a' is community-oriented b' obser+es ethical practice c' demonstrate self-control d' pro+ides a human resource

<. Safe nursing practice re2uires: a' professional competence b' completion of =SN degree c' registration as a nurse d' membership in 1NA

$>. Nurses demonstrate professional ser+ice and utili.es critical thin%ing and decisions ma%ing through: a' practice based on scientific theories b' use of nursing process methodology c' +ie#s patients a human being d' participation in the research

SITUATION: As a professional nurse, you ta%e responsibility for personal and professional gro#th. $$. An important responsibility of a professional nurse is: a' refine competence in safe practices b' safety of those she ser+es c' %no# trends in health and nursing d' accountability of her actions

$,. ?or relicensure, you are re2uired to complete continuing professional education e2ui+alent to: a' ,> hours per year b' At least , #ee%s seminar #or%shop c' A post basic duty d' 6> hours for ) years

$). 7ou are ali+e-in pri+ate nurse of a family #ith a chronically ill member. 7ou can maintain your image as a professional nurse by: a' doing non-nursing ser+ices b' being present during a physician5s +isit c' maintaining a good grooming at all times d' sociali.ing #ith family members

$4. The primary purpose of re2uiring continuing education for relicensure is to: a' ensure legal practice b' ensure safety of public ser+ed c' compliance to =oard of Nursing re2uirements d' impro+e competency after registration

$6. The best method of maintaining your clinical competence is to: a' ta%e ad+ance nursing process b' +ie# +ideotapes in clinical nursing c' teach a clinical nursing sub@ect d' actually #or% #ith parents

SITUATION: !rs. Arroyo, a clinical instructor is preparing the third year students for their clinical e0posure. $*. The role of a nurse as a counselor is best e0emplified if she helps the client: a' function in more acceptable #ays b' perform acti+ities of daily li+ing c' acti+ely participate in scheduled group acti+ities d' find acceptable outlets for his an0iety

$8. The goal of orientation phase of nurse-client relationship is: a' identification and resolution of client5s problem b' establish trust c' assisting client to re+ie# #hat she has learned from the relationship d' assisting the client to transfer #hat he has learned in interacting #ith others

$;. 1re+ention of mental illness is best achie+ed by helping the indi+iduals: a' use already established successful coping mechanisms b' deal #ith physical problems c' deal #ith family problems d' identify their strengths and #ea%nesses

$<. The nurse #ants to fond out the effects of caring beha+ior on patients in the psychiatric hospital. The most appropriate method she can use is: a' descripti+e b' historical c' 2uasi-e0perimental d' e0perimental

,>. The research tool that she can best use is #hich of the follo#ing& a' 2uestionnaire b' chec%list c' scheduled inter+ie# d' rating scale

ANSWERS

1) A ..... 2) D ..... 3) D ..... 4) A ..... 5) D

6) C ..... 7) B ..... 8) B ..... 9) A ..... 10) B

11) A ... 12) B ... 13) B ... 14) D ... 15) D

16) D ... 17) B ... 18) A ... 19) D ... 20) C

SITUATION: AA8$*4 declares that it is the policy of the state to guarantee the deli+ery of basic health ser+ices through ade2uate nursing personnel throughout the country. ,$. In relation to 2uality nursing education, the =oard of Nursing ensures that nursing schools: a' meets the standard of the nursing practice b' graduate only competent students c' should be accredited d' comply #ith school re2uirements

,,. To guarantee 2uality education, an applicant to the licensure e0amination should: a' belong to the upper 4>B in high school graduates b' file all re2uirements for licensure c' possess 2ualities for safe nursing practice d' present e+idence of competence

,). Nursing licensure tests re2uire official transcript of records from the education department, e0cept:

a' graduates from foreign school b' graduates of le+el II accredited schools c' applicants for ree0amination d' #hen the record of related learning e0periences is complete

,4. Nursing schools should pro+ide learning e0periences that contribute to the de+elopment of the: a' "O health programs

b' 9ommunity student laboratory c' 9ountry d' School program

,6. This is a specific pro+ision of nursing schools: a' pro+ision for community learning e0perience b' e+idence that the school follo#s educational standards c' a )-year college of nursing de+elopment plan d' community based curriculum

,*. Aegistration after passing the nursing licensure e0amination is gi+en by the go+ernment as: a' pri+ilege b' right c' an a#ard d' a recognition

,8. 7our certificate of registration can be re+o%ed or suspended for #hich of the follo#ing acts: a' gross incompetence

b' illegal practice c' practicing #ithout license d' unauthori.ed absence from #or%

,;. 7ou submitted together #ith your nursing licensure e0amination form a fa%e Aelated Cearning :0perience document. 7ou are liable to #hich of the follo#ing illegal acts& a' forgery of documentation b' incompetence c' malrepresentation d' falsification of documents

,<. 7ou recei+ed a summon from the =oard of Nursing for complaints of unethical conduct. 7ou failed to appear. 7ou are liable for: a' sanction b' contempt c' defiance of authority d' incompetence

)>. 7ou failed to rene# your nurse registration for more than fi+e years. 7ou can be: a' summoned by the 1rofessional Aegulation 9ommission b' charged #ith unprofessional conduct c' delisted from the nurse registry d' liable for malpractice

SITUATION: 7our head nurse participated in , #ee%s seminar and you #ere designated to be the officer-in-charge of your nursing unit. )$. In unit planning, #hich of the follo#ing 2uestion initiates the process&

a' ho# to schedule acti+ities & b' #ho #ill do the planning & c' #hat is to be accomplished& d' 3here to get unit supplies&

),. This is an e0ample of data that should be analy.ed #hen identifying nursing needs a' number of nursing staff b' medical diagnosis of patients c' #ard supplies and materials d' 1atient classification

)). To accomplish the nursing unit #or%, you should first get information about: a' ob@ecti+es of the unit b' nursing ser+ice organi.ational chart c' nursing budget d' mission of the hospital

)4. This is an e0ample of a patient care unit ob@ecti+e: a' to ensure ade2uate suppliesDmaterial b' to us the /arde0 system of charting c' to determine the number of nursing staff needed d' to pro+ide safe nursing care

)6. 3hich of the follo#ing tools can be most helpful in the e+aluation of the staff performance& a' performance assessment b' performance standards

c' performance audit d' performance appraisal SITUATION: A professional nurse is assumed to update herself about the profession to maintain competence in practice. )*. In the coming millennium, this factor #ould probably most influence nursing practice: a' high technology b' nursing education c' social issues d' economic issues

)8. In the ne0t century, the professional nurse is e0pected to be: a' a primary health care e0pert b' mostly #or%ing in tertiary areas c' globally competiti+e d' in community health

);. It is en+isioned that nursing practice settings #ill be mainly: a' hospital based b' in any health settings c' home based d' community based

)<. Nursing #ill be more in+ol+ed in the follo#ing areas, e0cept: a' population pro@ect b' health policy ma%ing c' strategic planning d' multi-disciplinary research

4>. Nursing education and training #ill produce nurses #ho #ill be: a' multi-s%illed and competent b' gerontologists c' family-nurse practitioner d' pre+enti+e-oriented

ANSWERS 21) A .. 22) B .. 23) C .. 24) A .. 25) D

26) A .. 27) A .. 28) D .. 29) C .. 30) C

31) C .. 32) A .. 33) A .. 34) D .. 35) A

36) A .. 37) C .. 38) B .. 39) D .. 40) A

The role of a Nurse is seen more broadly today. 4$. 3elfare of the patient is more li%ely to be obser+ed if health team members ha+e %no#ledge of the: a' uman Aights

b' 1atientEs bill of rights c' !agna 9arta for health #or%ers

d' 1rofessional code of ethics for nurses

4,. A ma@or e0panded role of a nurse today and in the future is: a' health insurance nursing care ser+ices b' health maintenance organi.ation c' manage care at home d' hospital nursing ser+ices

4). 3hat care strategy has the "epartment of a' deregulation of health ser+ices b' regionali.ation of health ser+ices c' opening of barangay #ellness clinic d' primary health care

ealth used for accessibility of health:

44.

o# ca nurse promote the role of nursing in health team care:

a' interpret nursing health team b' act as a change agent c' obser+e standards of nursing practice d' clearly specify nursing contribution to health care

46. The National

ealth Insurance =ill ultimately aims:

a' increase health source a+ailability b' health ser+ice for those insured c' health co+erage for all ?ilipinos d' health priority for the poor

SITUATION: In your professional caring role, it is essential to establish a meaningful nursepatient relationship. 4*. A helping nurse-patient relationship is a process characteri.ed by #hich of the follo#ing& a' reco+ery promotion b' gro#th facilitating c' mutual interaction d' health enhancing

48. "emonstrating a helping relationship enables you to establish in the patient: a' compliance to treatment b' positi+e response to illness c' gratitude to your ser+ice d' sense of trust 4;. Therapeutic communication begins #ith: a' gi+ing initial care b' %no#ing your patient c' interacting #ith patient d' sho#ing empathy

4<. 3hich of the follo#ing approaches #ould most li%ely ma%e your patient accept your help: a' attending to all his needs b' demonstrating a rela0ed attending attitude c' calling him by first name d' as%ing personal 2uestions for health information

6>. In an effecti+e nurse-patient relationship, this is not desirable nurse caring attitude:

a' respect b' genuineness c' empathy d' firmness

6$. 7ou #ill soon be registered nurse. 3hich of the follo#ing best describes contemporary nursing practice: a' humanistic caring b' people-oriented c' %no#ledge-based d' technically focused

SITUATION: A sense of history gi+es you better understanding of nursing as a profession 6,. 3hich of the follo#ing is the most distinguishing characteristic of a profession: a' respect rights of co-#or%ers b' orientation to#ards ser+ices c' attention to care and needs of client d' attitude of helpfulness

6). To prepare for professional practice in the ne0t century, you should: a' re+ie# nursing in light of future needs b' update %no#ledge re2uired of changes in roles c' competence and ethical #or% beha+ior d' sensiti+e to needs of others

64. The most important specific characteristics of a true professional nurse is: a' accountable of her action

b' obser+e professionalism c' competence and ethical #or% beha+ior d' sensiti+e to needs of others

66. 3hat is the most important contribution of religion to the practice of nursing& a' respect for life b' humanistic +ie# of man c' spiritual health of patients d' high +alue on ser+ice to fello# men

6*. Thrust of our go+ernment for special program is globali.ation. ?or nursing, this means: a' opportunity to #or% abroad b' agreement on terms of nurses employment c' e0change in nursing %no#ledge d' borderless nursing practice

SITUATION: 7ou ha+e 6 patients in 3ard F. A student nurse is also assigned to your patients. 68. 3ho is directly responsible for the safe care of your patients& a' the student assigned to patients b' you as the staff nurse c' the clinical instructor

6;. 3hich of the follo#ing statements is true& a' student are accountable to their clinical instructor b' students are liable for their errors in the practice

c' students cannot be held liable for their error in the practice d' students are accountable to the head nurse

6<. One of your students #as re2uested by a doctor to assist in an abortion procedure. 7our best action is to: a' lea+e the student to decide for herself b' tell him GnoH as she is still a student c' refer him to the head nurse d' tell him that abortion is not legal in the 1hilippines

*>. One student sought your ad+ice regarding the patient #ho confidently told her he %illed someone. 3hich is the best note: a' %eep the information to yourself b' you may disclose information after the patientEs death c' if summoned in court, you disclosed the information d' this is pri+ileged communication hence cannot disclosed anytime

*$. If your student has made an error in medication , #hat #ould you do first& a' report to the head nurse b' %eep to yourself and the student c' call studentEs attention once d' chec% any harm to the patient

ANS3:AS

4$' = I.. 4,' 9 I.. 4)' 9 I.. 44' 9 I.. 46' 9

4*' A I.. 48' " I.. 4;' " I.. 4<' = I.. 6>' "

6$' A I.. 6,' " I.. 6)' = I.. 64' 9 I.. 66' A

6*' 9 I.. 68' = I.. 6;' 9 I.. 6<' A I.. *>' "

*$' "

SITUATION: 7ou considered !rs. Soria, chief nurse of the hospital, a traditional and bureaucratic leader. *,. The follo#ing statement about bureaucratic approach are true, e0cept: a' rules and regulations are emphasi.ed b' the 9hief nurse is comptroller c' decision gi+ing is participati+e d' speciali.ation of tas%s is normal

*). 3hat is the most basic principle in the human relations approach to management: a' #hen things go #ell for the #or%er, the organi.ation profits b' #hen the patient needs are met, nursing mission are accomplished c' strength, speed and s%ill are accentuated d' decision ma%ing is mediator

*4. As a staff nurse under traditional chief nurse, not#ithstanding, you are most e0pected to: a' maintain professional attitudes b' obser+e hospital rules and regulations c' adhere strictly to your @ob description d' maintain competence

*6. 3hen you recei+e different directions from the doctor and the senior nurse, this situation is referred to as: a' role difference b' role confusion c' role compliance d' role conflict SITUATION: The application of the nursing process is rational method of planning and pro+iding nursing care. As a basic tool in professional nursing practice, its utili.ation ensures competent and safe practice **. 3hen promoting health of the indi+idual, family and community, the first step you should ta%e is: a' do health status assessment b' conduct a population census c' establish registry of families d' organi.e the community for health action

*8. 3hen assessing family health status, one most important data to collect is the: a' roles of the family members b' le+el of the immuni.ation of children c' hospitali.ation e0perience of the family d' health resources of the family

*;. This is a statement of nursing diagnosis related to health promotion: a' health-see%ing beha+ior related to ignorance b' potential coping deficit because of po+erty c' misconception about health promotion attribute to culture d' malnutrition due to poor eating habits

*<. In health promotion, #hich of the follo#ing nursing inter+entions should you gi+e priority: a' adult education b' health education c' primary health care d' program planning

8>. 3hen implementing a health promotion plan, it is most important to de+elop the indi+idualEs : a' self respect b' self-responsibility c' self-#orth d' self-image

SITUATION: As a graduate of =SN program, you are e0pected to demonstrate basic nursing s%ills for safe practice 8$. The most important characteristics of a professional nurse is: a' harmonious relationship #ith co-#or%ers b' critical thin%ing and decision ma%ing c' competence and caring d' understanding human needs

8,. The best #ay to impro+e your competence after initial registration is to: a' practice nursing regularly b' ta%e professional ad@ustment courses c' enroll graduate studies d' participate in 9ontinuing 1rofessional :ducation

8). The most important function of the nurses is: a' curati+e care b' pre+ention of disease c' rehabilitati+e care d' promotion of health

84. In the ad+ocacy role, the nurses: a' spea%s on behalf of her patients b' respect dignity of patients c' defends rights of her patients d' safely practice nursing

86. =ased on AA 8$*4 #hich function is ne# in the scope of nursing practice: a' focuses on the family as unit of ser+ice b' attends to normal deli+ery c' administer IJ in@ection d' pro+ides primary health care ser+ices SITUATION: 7ou are responsible for achie+ing and maintaining professional and ethical and ethical competence. 8*. 7ou understand that professional nursing actions are deri+ed from the: a' actions you plan and implement b' utili.ation of the nursing process c' theory and s%ills in nursing d' ma%ing a nursing diagnosis

88. 3hen a nurse demonstrate competence, she can:

a' put a patient at ease b' perform nursing practice based on standards c' do nursing procedures effecti+ely d' follo# doctorEs order efficiently

8;. 3hich statement about +alues is correct& a' :0trinsic +alues are associated #ith maintenance of life b' !ost indi+idual possesses many personal +alues c' Nurse +alues rare essential to health care d' Nurse +alues rarely influence oneEs perception of patients

8<. The personal con+iction that something is absolutely right or #rong in all situation is: a' moral belief b' personal +alue c' legal obligation d' ethical issue

;>. A basic structure under #hich competent care is ob@ecti+ely measured is: a' standard b' la# c' principle d' code

ANS3:AS *,' = I.. *)' 9 I.. *4' " I.. *6' =

66) A .. 67) B .. 68) C .. 69) B .. 70) C

71) C .. 72) A .. 73) D .. 74) C .. 75) B

76) B .. 77) B .. 78) B .. 79) B .. 80) A

SITUATION: 9lients in health care ha+e both ethical and legal rights. ;$. 3hen a patient #ants to %no# the prognosis of his illness, the best action to ta%e is: a' refer to your senior nurse b' ad+ise a patient to as% his doctor c' gi+e a direct ans#er d' discuss it #ith family

;,. 7our patient resented you telling her to ta%e home her e0pensi+e belongings for house%eeping: 3hat is the best action to ta%e& a' suggest that these be %eep in her loc%ed table dra#er b' bring the matter to the attention of the head nurse c' %eep in the unit cabinet under loc% and %ey d' discuss #ith her the hospital policy

;). The physician has an order to limit +isitors for your patient. One morning a relati+e insisted to +isit him. 7our best response is to: a' call the security guard b' sho# hi the GNo JisitorsH sign c' e0plain the need of the patient to rest

d' allo# a brief +isit

;4. It is a routine practice in the hospital to follo# doctorEs rounds. One morning, a patient #ith dyspenea #as for admission. The best action is to a' attend to patient immediately b' inform the patient that there is a patient for admission c' ma%e the patient #ait for a #hile d' as% the student nurse to admit the patient

;6. These includes your responsibilities in family nursing care, e0cept: a' family planning and counseling b' monitoring child de+elopment c' screening for immunologic problems d' crisis inter+ention SITUATION: The professional nurse has a ma@or responsibility for enhancing clientEs capability for self-care. ;*. 3hich of the follo#ing is the most important in self-care management: a' maintenance of sufficient food b' maintenance of #holesome recreational acti+ities c' maintenance of balance bet#een acti+ity and rest d' maintenance of educational and #or% acti+ities ;8. =ased on OremEs self-care theory, case during rehabilitation from illness or in ad+anced chronic illness is: a' partially compensatory b' fully compensatory c' compensatory d' educati+e-de+elopmental

;;. To enable an indi+idual to de+elop self-care s%ills, #hich teaching method #ould be most effecti+e: a' demonstrate-return demonstrate b' role playing c' lecture-discussion d' group dynamics

;<. At the family le+el, the most important self-care ability to de+elop is: a' compliance of ill member to medical regimen b' health care of chronically or dependent members c' education of members for health d' family dynamics for health <>. At the community le+el, the ma@or goal of self-care programs is to: a' gi+e the community the role-control o+er their health b' empo#er people to ta%e responsibility for o#n health c' mobili.e the community for self-help d' organi.e the community for basic health ser+ices SITUATION: The follo#ing 2uestions pertain to the leadership role of a nurse. <$. 3hich of the follo#ing terms does not relate to leadership: a' goals b' influence c' moti+ation d' authority <,. 3hen a head nurse relates to people according to the roles a' authority b' leader c' manager

d' decision-ma%er <). This generally an accepted concept of management, e0cept a' getting things done through people b' influencing people to do right things c' directing others to achie+e set goals d' telling people #hat to do <4. In simple terms, planning in+ol+es deciding in ad+ance the follo#ing, e0cept a' #hat and ho# to do it b' #hen to do it c' #here to report d' #ho is to do it <6. In the nursing unit, the main aim of planning is: a' achie+ing set nursing goals b' describing organi.ational structure c' deciding staffing of a unit d' setting criteria for 2uality nursing SITUATION: As a nurse, you are a#are that proper documentation in the patient chart is legal responsibility. <*. 3hich of the follo#ing is not legally binding document but nonetheless +ery important in the care of all patients in any setting& a' bill of rights as pro+ided in the 1hilippine 9onstitution b' scope of nursing practice as defined in AA 8$*4 c' board of nursing resolution adopting the 9ode of :thics d' patientEs ill of Aights <8. A nurse gi+es the #rong medication to a client. Another nurse employed by the hospital as a ris% manager #ill e0pect to recei+e #hich of the follo#ing a' incident report b oral report from the nurse

c' copy of medication /arde0 d' order changed signed by the physician <;. 1erforming a procedure on a client in the absence of informed consent can lead to #hich of the follo#ing changes& a' fraud b' assault and battery c' harassment d' breach of confidentiality

<<. 3hich of the follo#ing characteristics of the client goal in the plan of care is correct& a' nurse K focused, fle0ible, measurable and realistic b' client K focused, fle0ible, realistic and measurable c' nurse K focused, time K limited, realistic and measurable d' client K focused, time K limited, realistic and measurable

$>>. A nurse is performing an admission assessment on a client #ith e0acerbation of asthma. 3hen is it ideal to begin discharge planning& a' at the time of admission b' after the acute episode is resol+ed c' the day before discharge d' #hen the discharge order is #ritten

ANSWERS 81) B .. 82) A .. 83) D .. 84) A .. 85) C

86) A .. 87) C .. 88) A .. 89) C .. 90) B

91) A .. 92) A .. 93) D .. 94) C .. 95) A

96) D .. 97) A .. 98) B .. 99) B .. 100) D