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A. Identify the source of the conflict and understand the points of friction
B. Disregard what she feels and continue to work independently
C. Seek help from the Director of Nursing
D. Quit her job and look for another employment.
2. As a young manager, she knows that conflict occurs in any organization. Which of the
following statements regarding conflict is NOT true?
3. 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
4. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the
best thing for her to do?
5. 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.
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.
7. 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?
8. She conducts a 6-month performance review session with a staff member. Which of the
following actions is appropriate?
9. Alexandra is tasked to organize the new wing of the hospital. She was given the authority to
do as she deems fit. She is aware that the director of nursing has substantial trust and
confidence in her capabilities, communicates through downward and upward channels and
usually uses the ideas and opinions of her staff. Which of the following is her style of
management?
A. Benevolent –authoritative
B. Consultative
C. Exploitive-authoritative
D. Participative
10. She decides to illustrate the organizational structure. Which of the following elements is
NOT included?
A. Level of authority
B. Lines of communication
C. Span of control
D. Unity of direction
11. She plans of assigning competent people to fill the roles designed in the hierarchy. Which
process refers to this?
A. Staffing
B. Scheduling
C. Recruitment
D. Induction
12. She checks the documentary requirements for the applicants for staff nurse position.
Which one is NOT necessary?
13. Which phase of the employment process includes getting on the payroll and completing
documentary requirements?
A. Orientation
B. Induction
C. Selection
D. Recruitment
14. She tries to design an organizational structure that allows communication to flow in all
directions and involve workers in decision making. Which form of organizational structure is
this?
A. Centralized
B. Decentralized
C. Matrix
D. Informal
16. She decides to have a decentralized staffing system. Which of the following is an advantage
of this system of staffing?
17. Aubrey thinks about primary nursing as a system to deliver care. Which of the following
activities is NOT done by a primary nurse?
18. 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. Modular nursing
C. Nursing case management
D. Team nursing
19. 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?
20. Ms. Valencia develops the standards to be followed. Among the following standards, which
is considered as a structure standard?
21. When she presents the nursing procedures to be followed, she refers to what type of
standards?
A. Process
B. Outcome
C. Structure
D. Criteria
22. The following are basic steps in the controlling process of the department. Which of the
following is NOT included?
24. She wants to ensure that every task is carried out as planned. Which of the following tasks
is NOT included in the controlling process?
25. 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.
26. Which of the following is evidence that the controlling process is effective?
27. Ms. Valencia is responsible to the number of personnel reporting to her. This principle
refers to:
A. Span of control
B. Unity of command
C. Carrot and stick principle
D. Esprit d’ corps
28. She notes that there is an increasing unrest of the staff due to fatiguebrought 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.
29. Kevin is a member of the Nursing Research Council of the hospital. His first assignment is
to determine the level of patient satisfaction on the care they received from the hospital. He
plans to include all adult patients admitted from April to May, with average length of stay of
3-4 days, first admission, and with no complications. Which of the following is an extraneous
variable of the study?
A. Date of admission
B. Length of stay
C. Age of patients
D. Absence of complications
30. He thinks of an appropriate theoretical framework. Whose theory addresses the four
modes of adaptation?
A. Martha Rogers
B. Sr. Callista Roy
C. Florence Nightingale
D. Jean Watson
31. He opts to use a self-report method. Which of the following is NOT TRUE about this
method?
32. Which of the following articles would Kevin least consider for his review of literature?
A. Competence of nurses
B. Caring attitude of nurses
C. Salary of nurses
D. Responsiveness of staff
35. 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
36. 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
37. Which of the following terms refer to the degree to which an instrument measures what it
is supposed to be measure?
A. Validity
B. Reliability
C. Meaningfulness
D. Sensitivity
38. He plans for his sampling method. Which sampling method gives equal chance to all units
in the population to get picked?
A. Random
B. Accidental
C. Quota
D. Judgment
39. Raphael is interested to learn more about transcultural nursing because he is assigned at
the family suites where most patients come from different cultures and countries. Which of
the following designs is appropriate for this study?
A. Grounded theory
B. Ethnography
C. Case study
D. Phenomenology
A. Dorothea Orem
B. Madeleine Leininger
C. Betty Newman
D. Sr. Callista Roy
Here are the answers and rationales for the exam. This exam is out of this world difficult so don’t
feel bad if you got a low score but be sure to read the rationales below. If you need clarifications,
direct them to the comments below.
1. Answer: A. Identify the source of the conflict and understand the points of friction
This involves a problem solving approach, which addresses the root cause of the problem.
4. Answer: D. Let the staff ventilate her feelings and ask how she can be of help.
Reaching out and helping the staff is the most effective strategy in dealing with burn out. Knowing
that someone is ready to help makes the staff feel important; hence her self-worth is enhanced.
6. Answer: C. Patients are the best source of information regarding personnel appraisal.
The patient can be a source of information about the performance of the staff but it is never the best
source. Directly observing the staff is the best source of information for personnel appraisal.
9. Answer: B. Consultative
A consultative manager is almost like a participative manager. The participative manager has
complete trust and confidence in the subordinate, always uses the opinions and ideas of subordinates
and communicates in all directions.
17. Answer: B. Provides care to a group of patients together with a group of nurses
This function is done in team nursing where the nurse is a member of a team that provides care for a
group of patients.
20. Answer: B. Rotation of duty will be done every four weeks for all patient care personnel.
Structure standards include management system, facilities, equipment, materials needed to deliver
care to patients. Rotation of duty is a management system.
21. Answer: A. Process
Process standards include care plans, nursing procedure to be done to address the needs of the
patients.
24. Answer: A. Instructing the members of the standards committee to prepare policies
Instructing the members involves a directing function.
25. Answer: C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
This refers to an outcome standard, which is a result of the care that is rendered to the patient.