PALMER (PROFESSIONAL ADJUSTMENT

LEADERSHIP & MGMT ETHICS RESEARCH

Chat your answers or take a photo of your written answer instead of resending the file. Subdivide it into :
Bioethics 1-5
Legal 1-5,
Mgmt of Resource 1-5
Nursing Leadership 1-5
Quality Assurance 1-5
Research 1-5

Bioethics
1. Novice Namocatcat, a registered nurse who had a special training on suturing, is assisting a surgeon in
performing circumcision to a 27-year old boxer. In the middle of the operation, the surgeon felt tired and forced
him to suture the cut. Under the pain of losing his job, he performed it and fortunately it went well. In this
situation, Novice's action is considered as:
a. Unethical because he went beyond the scope of his responsibility.
b. Ethical since he has the responsibility to follow the physician's order.
c. Ethical because he is legally qualified.
d. Neither ethical nor unethical.

2. A student nurse asks you when an act becomes ethical or unethical. You understand that when judging a
human act whether it is ethical or not, all of the following elements should be considered, except:
a. The object of the act.
b. The intention behind the act.
c. The circumstances surrounding the act.
d. Ethical theories that justifies the act.

3. A nurse should be equipped with knowledge on how to judge an action with regards to ethics. Which of
the following individuals’ acts is considered to be ethical?
a. A notorious killer and a rapist who opened a bank account to gave money to a poor man to provide
for his health care needs.
b. A physician, out of mercy, performed euthanasia to a 99-year old patient who suffered from a 3rd
degree burn and was barely breathing by removing its mechanical ventilator.
c. A nurse directly participating in aborting the baby of a severely malnourished mother via D & C,
to save the women’s life.
d. A person who robbed a bank to feed his family.

4. Nurse Supernovice Salabsab is having a dialogue with his patient with the attempt to assist him in
clarifying his own values. Which of the following statements, if made by him, would be of most help for
the patient?
a. "That was not a wise decision. Why did you think it is effective?"
b. "Some patients might have chosen otherwise. What made you come up with this choice?"
c. "Following doctor's order is of most important at this point. Were you following everything that's
he’s been telling you?”
d. "If you sought help from me, I would have helped you. Now, how are you feeling that you came
up with this decision?

5. Nurse Mage Mamaclay is teaching her client about values processing using this 3-step order. Which
sequence should be the basis of her teaching?
a. Prizing-Choosing-Acting
b. Choosing-Prizing-Acting
c. Choosing-Acting-Prizing
d. Acting-Choosing-Prizing
LEGAL RESPONSIBILITIES
1. Should he fail in one subject, but obtained the required general average, which of the following is required of him
to do?

A. Take the whole set of examination all over again

B. Take the examination on the subject where he is rated below the required passing rate
C. Make an appeal to the Board for the rechecking of his examination papers
D. Enroll in a refresher course for one year.
2. Upon passing the licensure examination, which of the following is a priority action for Stephen?

A. Take an oath of profession before the Board of Nursing

B. Apply for registration with the Professional Regulation Commission
C. Apply for membership to the Philippine Nurses Association
D. Prepare credentials for job hunting.

3. He was issued a certificate of registration be the Board of Nursing. Which of the following information should be
shown in the certificate?
1. Full name of the registrant
2. Serial number
3. Signature of the chairperson of the commission and the member of the board
4. Official seal of the Commission
5. Signature of the President of the Accredited Professional organization
A. 1,2,3
B. B. 1,2,4,5
C. 1,2,3,4
D. 1,2

4. Which of the following information is NOT indicated in the professional identification card issued to Stephen?

A. Date of examination
B. Registration date
C. Date of issuance and expiration
D. License number

5. Stephen is certain that only competent nurses are allowed to practice Nursing in accordance with the 9173 law.
Which of the following warrants that this is strictly adhered to by the law?

a. Competency assessment c. Continuing Competency Program

b. Licensure and registration d. Specialty Certification Program
MANAGEMENT OF RESOURCE & ENVIRONMENT; QUALITY HEALTH
CARE NURSING

1. Head Nurse Dwayne knows that proper management of resources is essential in maintaining a units overall
function. Proper management of resources involves the following except:
a. Stocks inventory
b. Utilization of checklist
c. Proper charging of stocks
d. None of the above

2. The following are task of Charge Nurse Matthew except?

a. Making rounds to the entire patient of rounds

b. Develop in-service training program for the unit.
c. Performs nursing audit
d. Ensures that doctor’s orders are carried out and implemented as prescribed.
3. Crissie a staff nurse is expected to have a leadership and management capabilities in the practice of his profession.
Which patient would nurse Crissie assess first endowed with this capabilities?
a. July a 6th day post-operative coronary artery bypass graft who is going home.
b. Rosalie a patient receiving oxygen at 2LPM per nasal cannula who had difficulty of breathing the
previous shift but with oxygen saturation of 97%.
c. Liza who has shown progress following a stroke and is now able to do activities of daily living with
minimal assistance.
d. Jose a client who is for fleet enema due to 3 days without bowel movement.

4. Nurse Walter is the charge nurse in the surgical ICU. Patient Molly went it to cardiac arrest and thus forcing the
nurses to call a code. As a charge nurse what is your Walter’s function? (Analysis, MRE, SQC)
a. Conduct high quality CPR.
b. Administer medications
c. Facilitate contacting AMD’s and Code team
d. Doing rescue breaths and preparing for intubation

5. In the nursing process, a nurse following assessment, then diagnosing, then planning, implementation and
evaluation. In the management process, Nurse Crissie that the initial step still permeates into other functions which
are dependent on it.

a. Organizing
b. Directing
c. Planning
d. Controlling
 NURSING LEADERSHIP AND MANAGEMENT QUESTIONS
1. Management as a process that is used today by nurses or nurse managers in health care organization is best
described as:
a. Commanding and controlling others using hierarchical authority
b. Decision making
c. Planning, organizing, coordinating, and controlling
d. Scientific management

2. Leadership can occur between the leader and another individual; between the leader and a group; or between a
leader and an organization, a community, or a society. Leadership is defined as:
a. Being self-confident and democratic
b. Being in a leadership position with authority to exert control and power over subordinates
c. Managing complexity
d. Process of interaction in which the leader influences others toward goal achievement

3. Mr. Clemente is the nurse manager of the Intensive Care Department of a well-known tertiary hospital in Quezon
City. You know that a manager differs from a leader because the latter:
a. Does things right
b. Focuses on the here and now
c. Motivates people to change
d. Uses position-to-position influence

4. Julius is a newly-appointed nurse manager of The Good Shepherd 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

5. Which of the following statements refer to the vision of the hospital?

a. The Good Shepherd Medical Center is a trendsetter in tertiary health care in the Philippines in the next five years
Goal
b. The officers and staff of The Good Shepherd Medical Center believe in the unique nature of the human person
c. All the nurses shall undergo continuing competency training program.
d. The Good Shepherd Medical Center aims to provide a patient-centered care in a total healing environment.
QUALITY ASSURANCE AND IMPROVEMENT
1. TQM is based on the premise that the individual is the focal element on which production and service
depend. Which of the following nurse managers of Chief Nurse Jericho practices quality improvement the best?
A. Head Nurse Norbert who states that “There is always room to get better and feats to accomplish.”
B. Head Nurse Trish who states that “All product should be better and no defects.”
C. Head Nurse Rolly who states that “I enforce all things to the letter and decide in behalf of the group.”
D. Head Nurse Allain who states that “I need to attract more customer and gain more profit.”

1.Chief Nurse Jericho is in a meeting with his staff nurses. Nurse Supervisor Jericho asks his staff nurse that they
should have a viewpoint parallel to Quality Improvement. Which of the following statements is not in accordance
with the view of Quality Improvement?
A. Nurse Donna who states that “It is meeting the needs of the customers proactively.”
B. Nurse Ely who states that “It is assessing the work process to identify opportunities for improved
performance.”
C. Nurse Dolph who states that “It is improving health care performance and changing the health care
system continuously.”
D. Nurse Ron who states that “It is determining whether our performance as a staff nurse is in accordance
with standards.”

Situation: Chief Nurse Peter is having a hard time instituting the concept of quality improvement to several staff
nurses who are resistant to it because they don’t want to change their ways / practices in which they have been
accustomed already.

3. If you were Nurse Peter how would you best explain the primary benefit of quality improvement?

A. “Quality improvement is looking at processes which will help us discover and address issues quickly
and prevents problems from potentially happening.”
B. “Quality improvement focuses on reviewing chart audits and incident reports so it will help you
improve your documentation.”
C. “Quality improvement share the burden of managers to staff nurses”
D. “Quality improvement prioritizes staff over others.”

4. Chief Nurse Peter wants to encourage empowerment and promote a culture of ownership. In this type of
culture, employees do the following:

A. Trust that their efforts are valued.

B. Always follow leader’s new ways of doing business and securing new customers.
C. Take responsibility for the success or failure of an organization.
D. All of the above
5. Nurse Sheena is a nurse manager, one of her subordinates Nurse William asks Nurse Sheena what is the
difference between Quality Improvement and Quality assurance, which of the following statement best
describes the difference between the two?

A. In quality improvement the leader is the director while Quality Assurance the leader is empowering.
B. In quality improvement responsibility is designated to a few while Quality Assurance the
responsibilities to perform is shared by everyone responsible in the society.
C. In quality improvement there is a goal of raising the standards while Quality Assurance is being
reactive and entails standard approach.
D. All of the above
 Research Process
1. The nurse researcher must be able to understand that the consecutive process of research is perfectly and
adequately followed. Which of the following sequence satisfies the said query?
I. Conceptual
II. Planning
III. Empirical
IV. Analytic
V. Dissemination
a. I, II, IV, V, III c. I, II, III, IV, V
b. I, III, IV, V, II d. I, IV, V, III, II

2. The nurse would like to collect relevant literature for his/her study. Which of the following phases will the
nurse conduct literature search?
a. Conceptual c. Planning
b. Empirical d. Analytic

3. Which of the following research questions is considered an explanatory research?

a. What is the demographic profile of the nurse respondents?
b. What is the level of stress experienced by nurses in their respective wards?
c. Is there a significant relationship between the years of competency and the level of competency?
d. Can the caring attitude of the nurse forecast patient’s satisfaction?

4. A good ‘literature review’:

a. is a list of research publications relevant to an investigation
b. should discredit research findings which are inconsistent with the hypothesis
c. should include only findings which directly support the hypothesis being investigated
d. should be a critical review of findings relevant to an investigation.

5. Nurse student Jurist is correct if he gives an example of a primary source like:

a. A review of literature by his classmate Janeen on the nurses’ role in instilling hope among critically-ill
patients
b. A research documentation by his professor Dr. Magnaye on a school-based education program
c. An original experimental study of the effects of a nurse-initiated intervention for urinary incontinence
d. A literature review by his mother Lilian, who is a DOH researcher, on the effectiveness of Tawa-tawa in treating
patients who have Dengue Hemorrhagic Fever