Rationale

1. She came across a theory which states that the leadership style is effective dependent on
the situation. Which of the following styles best fits a situation when the followers are
self-directed, experts and are matured individuals?
a. Democratic
b. Authoritarian
c. Laissez faire
d. Bureaucratic
Question 7 Explanation:
Laissez faire leadership is preferred when the followers know what to do and are experts in the
field. This leadership style is relationship-oriented rather than task-centered.
1. She surfs the internet for more information about leadership styles. She reads about
shared leadership as a practice in some magnet hospitals. Which of the following
describes this style of leadership?
a. Leadership behavior is generally determined by the relationship
between the leaders personality and the specific situation
b. Leaders believe that people are basically good and need not be
closely controlled
c. Leaders rely heavily on visioning and inspire members to achieve
results
d. Leadership is shared at the point of care.
Question 8 Explanation:
Shared governance allows the staff nurses to have the authority, responsibility and accountability
for their own practice.
2. Cindel is a Unit Manager I the Medical Unit. He is not satisfied with the way things are
going in his unit. Patient satisfaction rate is 60% for two consecutive months and staff
morale is at its lowest. He decides to plan and initiate changes that will push for a

turnaround in the condition of the unit. Which of the following actions is a priority for
Henry?
a. Call for a staff meeting and take this up in the agenda.
b. Seek help from her manager.
c. Develop a strategic action on how to deal with these concerns.
d. Ignore the issues since these will be resolved naturally.
Question 11 Explanation:
This will allow for the participation of every staff in the unit. If they contribute to the solutions of
the problem, they will own the solutions; hence the chance for compliance would be greater.
3. Which of the following is TRUE about functional nursing?
a. Concentrates on tasks and activities
b. Emphasizes use of group collaboration
c. One-to-one nurse-patient ratio
d. Provides continuous, coordinated and comprehensive nursing
services
Question 15 Explanation:
Functional nursing is focused on tasks and activities and not on the holistic care of the patients
4. He raised the issue on giving priority to patient needs. Which of the following offers the
best way for setting priority?
a. .Assessing nursing needs and problems
b. Giving instructions on how nursing care needs are to be met
c. Controlling and evaluating the delivery of nursing care
d. Assigning safe nurse: patient ratio
Question 17 Explanation:
This option follows the framework of the nursing process at the same time applies the
management process of planning, organizing, directing and controlling

5. Rodjun is a newly-appointed nurse manager of The Holy Spirit Medical Center, a tertiary
hospital located within the heart of the metropolis. He thinks of scheduling planning
workshop with his staff in order to ensure an effective and efficient management of the
department. Should he decide to conduct a strategic planning workshop, which of the
following is NOT a characteristic of this activity?
a. Long-term goal-setting
b. Extends to 3-5 years in the future
c. Focuses on routine tasks
d. Determines directions of the organization
Question 21 Explanation:
Strategic planning involves options A, B and D except C which is attributed to operational
planning

6. What is the primary reason or rationale of performing bag technique?

a. To minimize if not prevent the spread of infection.
b. To save time and effort in the performance of
nursing procedures.
c. To promote ease and dexterity in implementing
procedures.
d. To render effective nursing care to the client.
Question 3 Explanation:
All of the given items in the options are goals in performing a bag technique however, the most
important rationale of utilizing the bag technique is to prevent the spread of infection

7. Which law mandates the DOH to provide assistance to LGUs, peoples organization
and other members of civic society in effectively implementing programs, projects and services
in the promotion of health?
a. E.O. 288

b.

E.O. 102

c. R.A. 1082
d. R.A. 7160
Question 8 Explanation:
It is also known as the Rural Health Law. EO 288 is a reorganization act that created 8 regional
health offices. E.O. 102 is the Redirecting the functions and operations of the DOH signed by
President Joseph Estrada on May 24, 1999. RA 7160 is the Local Government Code.
8. The youngest sibling of Family Alonzo was coughing and upon assessment has a fever.
The mother told Nurse Diane that the child has had two incidents of pneumonia within
the year. This is a:
a. Health deficit
b. Foreseeable crisis
c. Health threat
d. Health problem
Question 15 Explanation:
Health deficits are gaps between actual and achievable health status such as no regular checkup
and history of repeated infections. A health threat is a condition that promotes disease or injury
and prevents the people from realizing their health potential. Examples include, lack of
immunization and inappropriate role assumption. Foreseeable crises are stressful events such as
death or illness of a family member. A health problem is a situation in which there is a
demonstrated health need combined with actual or potential resources to apply remedial
measures.
9. The neighbor of Family Alonzo has been grieving due to the death of their mother from
pregnancy complications. Nurse Diane understands that this event is a:
a. Health deficit
b. Foreseeable crisis
c. Health threat

d. Health problem
Question 17 Explanation:
Foreseeable crises are stressful events such as death or illness of a family member. Health
deficits are gaps between actual and achievable health status such as no regular checkup and
history of repeated infections. A health threat is a condition that promotes disease or injury and
prevents the people from realizing their health potential. Examples include, lack of immunization
and inappropriate role assumption. A health problem is a situation in which there is a
demonstrated health need combined with actual or potential resources to apply remedial
measures.

10. During one of NurseVannezas home visit to Family Alonzo, she learned that the clients
first child lacks immunization. This situation is a:
a. Health deficit
b. Foreseeable crisis
c. Health threat
d. Health problem
Question 18 Explanation:
A health threat is a condition that promotes disease or injury and prevents the people from
realizing their health potential. Examples include, lack of immunization and inappropriate role
assumption. Health deficits are gaps between actual and achievable health status such as no
regular checkup and history of repeated infections. Foreseeable crises are stressful events such as
death or illness of a family member. A health problem is a situation in which there is a
demonstrated health need combined with actual or potential resources to apply remedial
measures.
11. In the collection of data various methods are employed by apublic health nurse. Which is
not included in these methods?
a. Community surveys
b. Individual and family health records

c.

Developing an operational plan

d. Observation of health-related behaviors of

individuals and family groups
Question 19 Explanation:
Developing an operational plan is part of the planning phase not the data collection phase.
12. Nurse Jane influenced the Sangguniang Bayan to ban smoking in public areas to
minimize if not prevent the exposure of population to smoking. She is performing her
role as:
a. Educator
b. Trainer
c. Advocate
d. Researcher
Question 22 Explanation:
Using her skills to create a supportive environment through policies and devising ways to make
the environment clean for a healthier population is demonstrating advocacy.

14. Answer: (D) Tertiary

Regional hospitals are tertiary facilities because they serve as training hospitals for
the region.
15. Answer: (B) Their services are provided on an out-patient basis.
Primary facilities government and non-government facilities that provide basic outpatient services.
16. Answer: (B) Conducting random classroom inspection during a measles
epidemic
Random classroom inspection is assessment of pupils/students and teachers for
signs of a health problem prevalent in the community.

17. Answer: (B) Efficiency

Efficiency is determining whether the goals were attained at the least possible cost.
18. Answer: (D) Rural Health Unit
R.A. 7160 devolved basic health services to local government units (LGUs). The
public health nurse is an employee of the LGU.
19. Answer: (C) To empower the people and promote their self-reliance
People empowerment is the basic motivation behind devolution of basic services to
LGUs.
20. Answer: (A) Mayor
The local executive serves as the chairman of the Municipal Health Board.