Fundamentals of Nursing 103

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Nurse E and nurse F both work in the medical-surgical unit of the hospital they

work in, yet patients are more delighted when they see nurse E because
according to them Nurse E not just gives them their medications or perform
daily procedures but also takes time to talk to them and ask them how they
are feeling unlike nurse F who performs her daily tasks in order to finish her
workload early. Which of the following aspects of caring is nurse E exhibiting
and nurse F is forgetting?
A. Commitment
B. Conscience
C. Competence
D. Compassion
E. Confidence
Which of the following characteristics of the nursing process means that
data from each phase provides input into the next phase and that the nursing
process is it regularly repeated event or sequence of events that is
continuously changing?
A. Cyclic and dynamic in nature
B. Client centeredness
C. Focus and problem-solving and decision-making
D. Interpersonal and collaborative style
E. Universal applicability
TRUE or FALSE: Continuing Education (CE) and In-service Education Programs
are similar?
True
Situation: A 12-year old patient’s mother reported to you that her son is
experiencing severe pain in the right lower quadrant of his abdomen especially
after applying pressure and releasing the pressure. You asked the patient to
rate his pain from 0 to 10 and the patient answers that it is 10/10 and at
the same time you notice guarding action and facial grimacing on this patient.
Further assessment reveals Rovsing’s sign, fever and nausea. You diagnosed
this client's problem as Acute Pain R/T inflamed appendix as evidenced by
complaint of severe pain with rebound tenderness at the McBurney’s Point
and positive Rovsing’s Sign. How would you consider the status of nursing
diagnosis assigned to this patient?
A. Actual Diagnosis
B. Health Promotion Diagnosis
C. Risk Nursing Diagnosis
D. Syndrome Diagnosis
E. All of the above
F. None of the above
Which of the following statement is TRUE?
A. Only acute care hospitals are the practice setting open to nurses
B. All nurses has the same degree of nursing autonomy and nursing
responsibility regardless of setting
C. Nurses may provide direct care to each client and support people, serving
as nurse advocates and agents of change and nurses may also help determine
health policies affecting consumers in the community in the hospital.
D. All of the above
E. None of the above
Situation: The 12-year-old post appendectomy patient is progressing well in
his recovery. On the second day post-op, the attending physician determines
that the patient is good to take in food and orders a soft diet for the
patient. You, as the nurse, call the dietitian to inform him of the patient’s
new diet. What type of intervention did you just perform when you
coordinated the patient’s new diet to the dietitian?
A. Independent Intervention
B. Dependent Intervention
C. Collaborative Intervention
D. All of the above
E. None of the above
TRUE or FALSE: The client is the rightful owner of the client’s record. This
does not, however, exclude the institution or agency rights to the same
records.
False
In which stage of Suchman’s Stages of Illness does an individual Validate the
realness of his illness, look for explanation of the signs and symptoms that
he is feeling in understandable terms and look for reassurance that they
will be all right or look for prediction of what the outcome can be
A. Symptom Experience
B. Assumption of the Sick Role
C. Medical Care Contact
D. Dependent Client Role
E. Recovery and Rehabilitation
As a profession, nursing is establishing a well-defined body of knowledge and
expertise. A number of nursing conceptual frameworks contribute to the
knowledge base of nursing and give direction to nursing practice, education,
and ongoing research. Which of the distinguishing characteristics of a
profession is the question referring to
A. Specialized education
B. Body of knowledge
C. Service orientation
D. Ongoing research
E. Code of ethics
F. Autonomy
G. Professional organization
Situation: You have a 60-year old patient who is an army veteran with an
amputated right leg and who is suffering from severe arthritis in his hands.
Your patient tells you that after his time serving the army he went into
culinary arts and became a chef but now with severe arthritis in his hands
he’s no longer able to cook. Where would you advise this patient to go to
help manage his concern
A. Physical Therapist
B. Occupational Therapist
C. Primary Care Physician
D. Nurse Practitioner
E. All of the above
F. None of the above
Which of the following are the Tenets of Servant Leadership Framework
according to Robert K. Greenleaf? Select all that applies
A. Service to others
B. Being Self Aware
C. Holistic approach to work
D. Encouraging people to take action
E. Promoting a sense of community
F. Taking responsibility for your actions and performance
G. Sharing power in decision making
H. Commitment to the growth of people
Situation: Nurse A is the head nurse of the medical unit during the morning
shift. Prior to preparing the charts for endorsement, he checks each
patient’s chart and looks at their vital signs. He sees that patient B’s blood
pressure suddenly went up knowing that patient B is not a hypertensive
patient. So she asked nursing aide C to recheck patient B’s blood pressure.
In which part of the process of implementing does nurse A do this
A. Reassessing the client
B. Determining the nurse’s need for assistance
C. Implementing the nursing interventions
D. Supervising the delegated care
E. Documenting nursing activities
F. All of the above
G. None of the above
A mother is usually viewed as the one who does most of the household
chores. If the mother is sick and is unable to do so (do household chores),
which among the models of health and wellness can this situation be
categorized into
A. The Clinical Model
B. The Role Performance Model
C. The Adaptive Model
D. The Eudaimonistic Model
E. Agent-Host-Environment Model
F. Health-Illness Continuum
G. Dunn’s High-Level Wellness Grid
H. Illness and wellness Continuum
TRUE or FALSE: Attentive listening is a natural skill that comes from gifted
nurses and can never be learned by ordinary nurses without search gifts.
False
A nurse sees that the patient is talking with his wife and sees a distance
between them of approximately 24 inches. Understanding that personal
space is one factor that influences the communication process, how would
you classify the personal space between the patient and his wife
A. Intimate
B. Personal
C. Social
D. Public
Student nurse K always attends holy masses on first Fridays and institutional
events set forth by the school and even Sunday masses at their local church.
When he gets home from school, he then shares the gospel and the homily
he just heard with his two younger brothers as part of their bonding. Which
of the following core values is illustrated by nurse student nurse K?
A. Integrity
B. Social responsibility
C. Excellence
D. Evangelization
E. Servant leadership
In which phase of the helping relationship does the nurse set the tone for
the rest of the relationship? It is in this phase of the helping relationship
where the goal of the nurses to develop trust and security within the nurse-
client relationship
A. Pre-interaction phase
B. Introductory phase
C. Working phase
D. Termination phase
Situation: Given the present situation with the COVID-19 pandemic, a test
to determine whether the virus is present in your body is to swab your upper
airways and then have it tested for the presence of the virus. Who among
the following providers of healthcare is the best to perform this test?
A. Paramedical Technologist
B. Laboratory Technologist
C. Radiologic Technologist
D. Nuclear Medicine Technologist
E. All of the above
F. None of the above
Interpersonal Relationships refers to corresponding social and passionate
connections between at least two people in an environment and who share
normal interests and objectives. All of the following are the importance of
interpersonal Relationship for nurses, EXCEPT:
A. Helps build a positive functional multidisciplinary team.
B. Improves intra and/or inter-team communication, coordination, and
cooperation
C. Builds mutual understanding and cooperation
D. Facilitates better understanding of oneself
E. Improves decision making and problem-solving
F. Hastens work in order to finish the workload ahead of time
This refers to the process of intentional higher level of thinking to define
a clients problem, examine the evidence-based practice in caring for the
client and make choices in the delivery of care?
A. Problem-solving process
B. Clinical reasoning
C. Critical analysis
D. Critical thinking
E. All of the above
F. None of the above
Situation: An effect of having the COVID-19 virus in your system is having
excess production of mucus in your respiratory tract. Who among the
following providers of healthcare is the best to perform a test in order to
identify if mucus secretions are consolidating in your airways, particularly
the lower respiratory tracts?
A. Paramedical Technologist
B. Laboratory Technologist
C. Radiologic Technologist
D. Nuclear Medicine Technologist
E. All of the above
F. None of the above
TRUE or FALSE: Determining whether delegation is indicated is another
activity that occurs during the implementation phase of the nursing process
False
A patient admitted in the medical ward with a diagnosis of chronic renal
failure is being monitored by the nurse hourly of his fluid and intake and
urinary output. What type of assessment is the nurse performing on this
patient?
A. Initial Assessment
B. Problem focus Assessment
C. Emergency Assessment
D. Time-lapsed Assessment
E. All of the above
F. None of the above
Which of the following statement or statements is or are FALSE?
A. Nursing diagnosis is a clinical judgment concerning a human response to
health conditions or life processes or a vulnerability for that response by
an individual family group or community.
B. Professional nurses or registered nurses are the only ones responsible
for making nursing diagnoses and other nursing personnel are not allowed
to contribute data to the process of diagnosing but may only implement
specified nursing care.
C. A nursing diagnosis is a judgment made only after a thorough and
systematic data collection.
D. Nursing diagnoses describes as a continuum of health states: deviation
from health, presence of risk factors and areas of enhanced personal
growth.
Nurse Y is attending a family reunion and sees her two-year-old niece for
the first time. Since nurse Y is a pediatric nurse assigned in the pediatric
ward she avoids her niece because she knows that children of that age group
are annoying. Which of the following blocks to attentive listening is nurse Y
guilty of?
A. Being concerned with herself
B. Assuming
C. Judging
D. Identifying
E. Filtering
Nurse B is on duty for 12hours now and she has not yet eaten the entire
shift because she has been very busy taking care of her patients and
carrying out the orders of the doctor to their respective patients. When
she and her colleague had a chance to take a short break, she had her
colleague take a break first because she knows that her colleague has a
tendency to have hypoglycemic attacks. Which of the following values is
nurse B exhibiting?
A. Altruism
B. Autonomy
C. Human Dignity
D. Integrity
E. Social Justice
Nurse D always arrives to work on time and is always in proper decorum when
going on his duty. Even when the workload is heavy and he sees his colleagues
are doing shortcuts, nurse D always sees to it that he fulfills his daily task
with a high standard of excellence and adhering to best practices. Nurse D
also asks for help or clarification when there is uncertainty rather than
attempting to move forward even if he is unsure. Which of the following
aspects of caring is nurse D exhibiting?
A. Commitment
B. Conscience
C. Competence
D. Compassion
E. Confidence
Which of the following statement or statements about the function of law
in nursing is/are TRUE? Select all that apply.
A. The law provides a framework for establishing which nursing actions in
the care of clients are legal.
B. The law differentiates the nurse’s responsibilities from those of other
health professionals.
C. The law helps establish the boundaries of independent nursing action.
D. The law assists in maintaining a standard of nursing practice by making
nurses accountable under it.
E. All of the above
F. None of the above
Situation: A 12-year-old patient’s mother reported to you that her son is
experiencing severe pain in the right lower quadrant of his abdomen. You
asked the patient to rate his pain from 0 to 10 and the patient answers
that it is 10/10 and at the same time you notice guarding action and facial
grimacing on this patient. Which of the following data or cute do you
consider as objective data?
A. Patient reports of severe pain
B. Pain scale rating
C. Guarding action
D. Facial grimace
E. All of the above
F. None of the above
Nursing is an important component of the healthcare delivery system and
nursing has a tradition of service to others. This service, however, must be
guided by certain rules and policies or a code of ethics. What do you call the
attribute of selfless concern for others which many consider the hallmark
of the profession?
A. Service orientation
B. Altruism
C. Code of ethics
D. Autonomy
TRUE or FALSE: According to R.A. 9173, In order to be admitted to the
examination for nurses, an applicant must, at the time of filing his/her
application, establish to the satisfaction of the Board that: he or she is of
good moral character and a BSN Degree holder.
True
A nurse is giving the patient health teaching about his discharge
instructions and take-home medications. In the communication process,
what role is the health teaching about the discharge instructions and take-
home medication playing?
A. Sender
B. Message
C. Receiver
D. Response or Feedback
Who was the character that reflected the society’s attitudes about
nursing during contemporary times that also portrayed nurses as someone
caring for the sick by neglecting them, stealing from them, and physically
abusing them and this influenced the negative image and attitude towards
the nurses?
A. Sairy Gamp
B. Charles Dickens
C. Florence Nightingale
D. All of the above
E. None of the above
In what phase of the helping relationship does the nurse help the client
explore thoughts, feelings and actions and help the client plan a program of
action to meet the pre-established goals? This is also when the nurse and
the client begin to appreciate the uniqueness of one another and care about
each other.
A. Pre-interaction phase
B. Introductory phase
C. Working phase
D. Termination phase
Situation: Nurse A just finished receiving the endorsement from nurse B.
Upon doing her rounds, Nurse A went to check on the 12-year-old post
appendectomy patient and thinks to herself that she will review the
patient’s chart and ready the patient’s pain medications as she anticipates
that this patient will feel pain after the anesthesia wears off. What type
of nursing care plan did Nurse A just developed?
A. Informal Nursing Care Plan
B. Formal Nursing Care Plan
C. Standardized Nursing Care Plan
D. Individualized Nursing Care Plan
E. All of the above
F. None of the above
Which of the following aspects of the 5C’s of caring ties the other four
together which enables the nurse to act with commitment, follow the
conscience, consistently act in a competent manner, and express compassion
even in the most difficult situations?
A. Commitment
B. Conscience
C. Competence
D. Compassion
E. Confidence
Which of the following is a widely used, concise method of organizing and
recording data about a client making information quickly accessible to all
healthcare professionals?
A. Nursing Care Plan
B. Progress Notes
C. Flowsheets
D. Kardexes
E. Patient’s chart
F. All of the above
G. None of the above
In which model of health and wellness views people as physiological systems
with related functions and health is identified by the absence of signs and
symptoms of disease or injury?
A. The Clinical Model
B. The Role Performance Model
C. The Adaptive Model
D. The Eudaimonistic Model
E. Agent-Host-Environment Model
F. Health-Illness Continuum
G. Dunn’s High-Level Wellness Grid
H. Illness and wellness Continuum
Which framework of care focuses on the tasks completed (i.e. bedmaking,
vital sign measurements and medication administration) by the members of
the nursing unit? This framework is based on a production and efficiency
model that gives authority and responsibility to the person assigning the
work. This approach to nursing is economical and efficient and permits
centralized direction and control. In this task-oriented approach, personnel
with less preparation than the professional nurse performed less complex
care requirements.
A. Case Method
B. Functional Method
C. Team Nursing
D. Primary Nursing
In which component of the evaluation process does the nurse use judgments
about goal achievement to determine whether the care plan was effective
in resolving, reducing or preventing client problems?
A. Collecting data with the desired outcomes
B. Comparing data with the desired outcomes
C. Relating Nursing activities to outcomes
D. Drawing conclusions about the problems status
E. Continuing, modifying or terminating the nursing care plan
F. All of the above
G. None of the above
Which of the following is a critical and dynamic skill that nurses use to
gather assessment data, to teach, and persuade and to express caring and
comfort? This skill is also an integral part of the helping relationship.
A. Assessment
B. Caring
C. Communication
D. Empathy
E. Altruism
Nurse B is working in a tertiary level hospital but even though his workload
is heavy he still finds time to continue his education and is currently enrolled
in a master’s degree program at a local university. Which of the following
aspects of caring is nurse B exhibiting?
A. Commitment
B. Conscience
C. Competence
D. Compassion
E. Confidence
Both student nurses M and N gave anti-anxiety medications to their
respective patients who were experiencing panic attacks. Student nurse M
after giving the medication signed on the medication sheet while student
nurse N stayed with the patient and talked with her and her family and
allowed the patient to express her feelings as to why she had a panic attack.
Which of the following core values were emphasized more by the actions of
student nurse N?
A. Integrity
B. Social responsibility
C. Excellence
D. Evangelization
E. Servant leadership
A client calls up nurse X and opens up to her that sometimes she (patient)
does not feel comfortable with nurse X when she just simply gives the
medications and performs nursing interventions without even asking her
(patient) how she (patient) feels or how she is doing. Nurse X receives the
patient’s honest feelings and slowly starts to change the way she gives
medication to her and performance nursing interventions. Which of the
following interpersonal attitudes did nurse X illustrate?
A. Caring and Warmth
B. Respect
C. Acceptance
D. All of the above
E. None of the above
Which of the following documentation systems is intended to make the client
and the clients concerns and strength the focus of care?
A. Problem Oriented Medical Record
B. PIE Documentation Model
C. Focus Charting
D. Charting by Exception
E. Electronic Health Records
F. Case Management
Student nurse J made a mistake in charting a medication she just gave. She
then goes to her clinical instructor and tells her about her mistake and they
then told the staff nurse on duty of the same error. Which of the following
core values had been illustrated by the student nurse based on the situation?
A. Integrity
B. Social responsibility
C. Excellence
D. Evangelization
E. Servant leadership
Which type of healthcare service has the goal of helping people move their
previous level of health or to the highest level they are capable of given the
current health status? In this type of healthcare service, the importance
of assisting clients to function adequately in the physical, mental, social,
economic and vocational areas of their life are emphasized.
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. All of the above
E. None of the above
Which of the following statements are TRUE? Select all that apply.
A. Standards of care describes nursing actions for clients with similar
medical conditions rather than individuals.
B. Standards of care describes achievable rather than ideal nursing care
C. Standards of care are usually agency records and not part of the client’s
care plan but they may be referred to in the plan.
D. Standards of care may or may not be organized according to problems or
nursing diagnoses.
E. All of the above
F. None of the above
Which of the following statements are TRUE? Select all that apply.
A. Delegation is the process for a nurse to direct another person to
perform nursing tasks and activities.
B. Delegation unburdens the RN from unnecessary work others can do.
C. The RN retains accountability for care and outcomes that she has
delegated.
D. The RN can delegate certain tasks to an unlicensed person but cannot
assign responsibility for total nursing care.
E. The RN is responsible for seeing that delegated tasks are carried out
properly.
F. All of the above
G. None of the above
In which component of the evaluation process does the nurse determine the
effectiveness of the plan as a whole, requiring a review of the entire care
plan and a critique of each step of the nursing process involved into its
development? After a review of the care plan and drawing conclusions about
the status of the client's problem the nurse modifies the care plan as
indicated
A. Collecting data with the desired outcomes
B. Comparing data with the desired outcomes
C. Relating Nursing activities to outcomes
D. Drawing conclusions about the problems status
E. Continuing, modifying or terminating the nursing care plan
F. All of the above
G. None of the above
A patient comes in complaining of fever, diarrhea and abdominal pain. As the
ER nurse, which of the following types of assessment is the most appropriate
for you to perform in this situation?
A. Initial Assessment
B. Problem focus Assessment
C. Emergency Assessment
D. Time-lapsed Assessment
E. All of the above
F. None of the above
Nurse P works in an institution where he is responsible for overseeing the
total care of a number of hospitalized clients 24 hours a day, seven days a
week even if nurse P does not deliver all of the care personally. What
framework of care is nurse P’s institution employing?
A. Case Method
B. Functional Method
C. Team Nursing
D. Primary Nursing
Which of the following statements are TRUE? Select all that apply.
A. The patient is a person who is waiting for or undergoing medical
treatment and care.
B. Traditionally the person receiving healthcare has been called the patient.
People become patients when they seek assistance because of illness or
forthcoming surgery
C. Some nurses believe that the word patient implies passive acceptance of
the decisions and care of health professionals
D. With the emphasis on health promotion and prevention of illness many
recipients of nursing care are not ill.
E. All of the above
F. None of the above
Which of the following statement is FALSE?
A. Planning is basically the nurse’s responsibility but input from the client
and support people are essential if the plan is to be effective.
B. In the home setting the client’s support people and caregivers are the
ones who implement the plan of care; thus, it’s effectiveness depends
largely on them and not the nurse.
C. Planning begins with the first client contact and continues until the
nurse-client relationship ends, which is usually when the client is discharged
from the healthcare agency.
D. All planning involves only the nurse, the client and the family while the
other members of the healthcare team is not necessary.
Which of the following statement or statements is or are CORRECT
regarding communication?
A. The intent of the communication is to obtain a response. Thus,
communication is a process and has two main purposes: to influence others
and to get information
B. The communication process is built on a trusting relationship with the
client only
C. Effective communication is not that essential for the establishment of a
nurse-client relationship
D. All of the above
E. None of the above
Situation: The 12-year-old post appendectomy patient complains of pain in
his operative site. You, as the nurse, refers this to his surgeon as all of his
pain medication has been discontinued. The doctor tells you to administer
Tramadol 25 mg IVTT every eight hours as needed for pain. What type of
intervention did you just perform when you referred the patients complain
of pain to the physician?
A. Independent Intervention
B. Dependent Intervention
C. Collaborative Intervention
D. All of the above
E. None of the above
Situation: A 12-year-old patient’s mother reported to you that her son is
experiencing severe pain in the right lower quadrant of his abdomen
especially after applying pressure and releasing the pressure. You asked the
patient to rate his pain from 0 to 10 and the patient answers that it is
10/10 and at the same time you notice guarding action and facial grimacing
on this patient. Further assessment reveals Rovsing’s sign, fever and nausea.
You diagnosed this client's problem as Acute Pain R/T inflamed appendix as
evidenced by complaint of severe pain with rebound tenderness at the
McBurney’s Point and positive Rovsing’s Sign. In the nursing diagnosis stated
which of the following components would you consider as the diagnostic
label?
A. Acute Pain
B. Pain
C. Inflamed appendix
D. Complaints of severe pain with rebound tenderness at McBurney’s point
and positive Rovsing’s Sign
E. All of the above
F. None of the above
Which of the following gives Nurses the authority to carry out specific
actions under certain circumstances (like when a primary care provider is
not immediately available)?
A. Protocols
B. Policies and Procedures
C. Standing Orders
D. All of the above
E. None of the above
Student nurse K and student nurse L are working together in one patient.
Both of them devise a strategy where student nurse K will be the one to
give the patient’s medication and do all the nursing procedures while
student nurse L will be the one to explain what the medications and nursing
procedures are for in relation to the patient’s condition. What role or
function of the nurse is student nurse K exhibiting?
A. Caregiver
B. Communicator
C. Teacher
D. Client advocate
E. Counselor
F. Change agent
G. All of the above
H. None of the above
Student nurse O is the leader of his group. After attending a seminar on
family planning, he stayed behind when all other participants were going
home because he wanted to help the organizers clean up the venue. After
seeing this his group also decided to stay behind with him in order to help
him clean the area. Which of the following core values did nurse O illustrate
in this particular situation?
A. Integrity
B. Social responsibility
C. Excellence
D. Evangelization
E. Servant leadership
Nursing profession requires the integrity of its members that is a member
is expected to do what is considered right regardless of personal cost. Which
of the following distinguishing characteristics of a profession, in most
instances have set up the means to monitor the professional behavior of
each member?
A. Specialized education
B. Body of knowledge
C. Service orientation
D. Ongoing research
E. Code of ethics
F. Autonomy
G. Professional organization
Situation: A diabetic patient with uncontrolled blood sugar because if
unrestricted eating and a 1month wound on his foot that has not healed
goes to you and asks for advice as to where he should go for the
management of his diabetic foot. As a nurse, to whom would you advise this
patient to best go to?
A. Nurse Practitioner
B. Primary Care Physician
C. Podiatrist
D. Nutritionist or dietitian
E. All of the above
F. None of the above
Situation: a client was obese and needed to lose 14 kg (30 lb). When you
(the nurse) and the client drew up a care plan, one goal was “Lose 1.4 kg
(3 lb) in 4 weeks.” A nursing strategy in the care plan was “Explain how to
plan and prepare a 1,200-calorie diet.” Four weeks later, the client weighed
herself and had lost 1.8 kg (4 lb). The goal had been met—in fact,
exceeded. Upon questioning the client, you find out that the client did not
understand how to plan a 1,200-calorie diet, so she did not bother with it
and ate less just to reach the target. In which component of the evaluation
process would you do this?
A. Collecting data with the desired outcomes
B. Comparing data with the desired outcomes
C. Relating Nursing activities to outcomes
D. Drawing conclusions about the problems status
E. Continuing, modifying or terminating the nursing care plan
F. All of the above
G. None of the above
Student nurse F actively participates in tree planting, coastal clean-ups,
feeding and other outreach programs both sanctioned by the school and by
the community where she lives. Which of the following core values does the
student nurse illustrate?
A. Integrity
B. Social responsibility
C. Excellence
D. Evangelization
E. Servant leadership
Who was the wife of our national hero who installed the field hospital in an
estate in Tejeros that provided nursing care to the wounded night and day?
A. Agueda Kahabagan
B. Melchora Aquino
C. Hilaria de Aguinaldo
D. Josephine Bracken
The client is being discharged after being admitted for a urinary tract
infection. One week after discharge the client was instructed to return to
the nurse practitioner for a follow-up check-up and evaluation. What type
of assessment will the nurse practitioner perform on this client?
A. Initial Assessment
B. Problem focus Assessment
C. Emergency Assessment
D. Time-lapsed Assessment
E. All of the above
F. None of the above
Which of the following statement or statements is or are FALSE?
A. The diagnostic process uses the critical thinking skills of analysis and
synthesis.
B. Analysis is similar to deductive reasoning wherein it is the separation into
components, that is, breaking down of the whole into its parts.
C. Synthesis is the opposite of inductive reasoning which is putting together
the parts into the whole.
D. All of the above
E. None of the above
Patient M, 35-years old, has been recently diagnosed with Systemic Lupus
Erythematosus (SLE) and she has been experiencing periods of when
symptoms disappear and periods when symptoms reappear. But after months
of medication and management, patient M’s condition is stable. How would
you classify patient A’s condition?
A. Acute Illness
B. Chronic Illness
C. Remission
D. Exacerbation
E. All of the above
F. None of the above
TRUE or FALSE: Licensed Practical (Vocational) Nurses (LPNs/LVNs) usually
provide basic direct technical care to clients and they most often work
independently from registered nurses.
False
Nurses O and nurse P are taking care of a patient who is experiencing
abdominal pains. During the start-of-the-shift rounds, nurse O asked the
client how she was doing and also talked with the patient’s significant other
to verify if the patient had any complaints during the previous shift. Nurses
O tells nurse P to monitor the patient and to give the patient’s standing
order of pain medication if the patient does complain. When nurse P went to
the client after four hours of giving the medication the patient stated that
she feels that her pain medication is not working and requests a stronger
medication or a stronger dose. When the patient’s attending physician did
his rounds nurse P informed the physician of the patient’s concern and the
physician ordered a stronger pain medication. When nurse P referred the
patient’s concern to the attending physician, which role or function of a
nurse was nurse P exhibiting?
A. Caregiver
B. Communicator
C. Teacher
D. Client advocate
E. Counselor
F. Change agent
G. All of the above
H. None of the above
Student nurse K and student nurse L are working together in one patient.
Both of them devise a strategy where student nurse K will be the one to
give the patient’s medication and do all the nursing procedures while
student nurse L will be the one to explain what the medications and nursing
procedures are for in relation to the patient’s condition. What role or
function of the nurse is student nurse L exhibiting?
A. Caregiver
B. Communicator
C. Teacher
D. Client advocate
E. Counselor
F. Change agent
G. All of the above
H. None of the above
Situation: You are about to change the bed occupied by an obese client.
Seeing the size of your client, you know that you cannot handle this on your
own and you call on the assistance of two Unlicensed Assistive Personnel
(UAPs) and a significant other to turn the patient side to side in order for
you to change the patient’s bed. In which part of the process of
implementing does the nurse (you) do this?
A. Reassessing the client
B. Determining the nurse’s need for assistance
C. Implementing the nursing interventions
D. Supervising the delegated care
E. Documenting nursing activities
F. All of the above
G. None of the above
Which of the following statement is FALSE?
A. Delegation is the act of transferring to a competent individual the
authority to perform a selected nursing task in a selected situation.
B. The delegatee assumes responsibility for the actual performance of the
task or procedure.
C. The delegatee is also accountable for the outcome.
D. In Nursing, delegation refers to indirect care—the intended outcome is
achieved through the work of someone supervised by the nurse—and
involves defining the task, determining who can perform the task,
describing the expectation, seeking agreement, monitoring performance,
and providing feedback to the delegate regarding performance.
E. All of the above
F. None of the above
Who was the founder of the Philippine Nurses Association?
A. Rosario Delgado
B. Anastacia Giron-Tupas
C. Josephine Bracken
D. Hilaria de Aguinaldo
E. Tandang Sora
Nurse A is working in a hospital with 8-hour shifts. 30 minutes before his
shift ends, His supervisor calls and tells him that the nurse that was
supposedly scheduled to receive him is not able to do so because of a flood
in their area and that they could not also find a substitute as they are
already short of staff nurses because of the typhoon. Nurse A agrees to
extend his work for another shift because they are already fully packed and
the patients need a nurse to take care of them. Which of the following
aspects of caring is nurse A exhibiting?
A. Commitment
B. Conscience
C. Competence
D. Compassion
E. Confidence
Nurses O and nurse P are taking care of a patient who is experiencing
abdominal pains. During the start-of-the-shift rounds, nurse O asked the
client how she was doing and also talked with the patient’s significant other
to verify if the patient had any complaints during the previous shift. Nurses
O tells nurse P to monitor the patient and to give the patient’s standing
order of pain medication if the patient does complain. When nurse P went to
the client after four hours of giving the medication the patient stated that
she feels that her pain medication is not working and requests a stronger
medication or a stronger dose. When the patient’s attending physician did
his rounds nurse P informed the physician of the patient’s concern and the
physician ordered a stronger pain medication. When nurse O talked with the
patient, the patient’s significant other and nurse P, which role or function
of a nurse was nurse O exhibiting?
A. Caregiver
B. Communicator
C. Teacher
D. Client advocate
E. Counselor
F. Change agent
G. All of the above
H. None of the above
Nurse C works in a hospital where she is assigned to and is responsible for
the comprehensive care of six clients for the whole eight-hour shift. For
each of her clients, she assesses needs, makes nursing plans, formulates
nursing diagnoses, implements care, and evaluates the effectiveness of
scare. What framework of care is nurse C’s institution employing?
A. Case Method
B. Functional Method
C. Team Nursing
D. Primary Nursing
In which type of healthcare service do programs addressing areas such as
adequate and proper nutrition, weight control and exercise, and stress
reduction included? Activities in this program emphasize the important role
clients play in maintaining their own health and encourage them to maintain
the highest level of wellness they can achieve.
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. All of the above
E. None of the above
Routine screening of the population and focus screening on those at
increased risk of developing certain conditions for the early management of
the disease or condition is included in what type of healthcare service?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. All of the above
E. None of the above
Who or which of the following defined health as “a state of complete
physical mental and social well-being and not merely the absence of disease
or infirmities”?
A. Florence Nightingale (1860/1969)
B. World Health Organization (WHO) (1948)
C. Talcott Parsons (1951)
D. American Nurses Association (2010)
Which of the following statements reflects the American Nurses
Association’s (ANA’s) stand on health?
A. Health is a state of being well and using every power the individual
processes to the fullest extent.
B. Health is the state of complete physical, mental and social well-being and
not nearly the absence of disease or infirmities.
C. Health is the ability to maintain normal roles.
D. Health and illness or human experiences. The presence of illness does not
preclude health nor does optimal health preclude illness.
TRUE or FALSE: According to the 2012 National Nursing Core Competency
Standards (NNCCS of 2012) Collaboration is defined as a joint
communication and decision-making process with the goal of satisfying the
health care needs of a target population. The basis of collaboration is the
belief that quality patient care is achieved by the contribution of all care
providers.
True
Which of the following is the present law that regulates the practice of the
nursing profession in the Philippines?
A. R.A. 6675
B. R.A. 7164
C. R.A. 8981
D. R.A. 9173
E. R.A. 9288
Which of the following refers to the disease process which is a specific
pathophysiologic response that is fairly uniform from one client to another?
A. Diagnosis
B. Nursing Diagnosis
C. Medical Diagnosis
D. Collaborative Problems
E. All of the above
F. None of the above
TRUE or FALSE: Human science is a term applied to the investigation of human
life and activities by a rational, systematic and verifiable methodology that
acknowledges the validity of both data they arrive by impartial observation
of sensory experience and data derived by means of impartial observation
of psychological experience and nursing is considered as a human science.
True
Which of the following procedures include two or more nurses (preferably
the outgoing and incoming nurses) visiting a selected client or all the
patients in their unit to obtain information that will help plan nursing care,
provide clients the opportunity to discuss their care and evaluate the
nursing care client has received?
A. Change of Shift Reports
B. Telephone Reports/Orders
C. Care Plan Conference
D. Nursing Rounds
E. All of the above
F. None of the above
Which of the following statement is TRUE?
A. The practice of nursing, in the Philippines, is controlled from within the
profession through the state boards of nursing and professional nursing
organizations like the American Nurses Association.
B. The focus of nursing education is only to teach the knowledge and skills
that will enable a nurse to practice in a hospital setting.
C. Nursing programs are increasingly based on a broad knowledge of biologic
social and physical sciences only.
D. Current Nursing curriculum emphasizes critical thinking and application
of nursing and supporting knowledge to health promotion, health
maintenance and health restoration as provided in both community in
hospital settings.
E. All of the above
F. None of the above
Who said that the unique function of the nurse is to assist the individual,
sick or well, in the performance of those activities contributing to health
or its recovery (or to peaceful death) that he would perform unaided if he
had the necessary strength will or knowledge and to do this in such a way
to help him gain independence as rapidly as possible? She also mentioned the
teaching and advocacy roles of the nurse.
A. The American Nurses Association
B. Virginia Henderson
C. Florence Nightingale
D. All of the above
E. None of the above
Situation: The 12-year-old post appendectomy patient complains of pain in
his operative site. You, as the nurse, refers this to his surgeon as all of his
pain medication has been discontinued. The doctor tells you to administer
Tramadol 25 mg IVTT every eight hours as needed for pain. What type of
intervention did you just perform when you gave the pain medication?
A. Independent Intervention
B. Dependent Intervention
C. Collaborative Intervention
D. All of the above
E. None of the above
Which of the following is an electronic document that contains the client’s
medical, personal, and health information but is controlled by the client,
rather than the health care provider?
A. Electronic Health Record
B. Personal Health Record
C. Protected Health Information
D. Clients Records
E. All of the above
F. None of the Above
Situation: Nurse A just finished receiving the endorsement from nurse B.
Nurse B stated that the 12-year-old patient diagnosed with appendicitis
just arrived at the surgical unit from the operating room after an
appendectomy 5mins before change-of-shift endorsement started. Which
type of planning would be the most appropriate for nurse A to do for this
patient?
A. Initial Planning
B. Ongoing Planning
C. Discharge Planning
D. All of the above
E. None of the above
This learning strategy enhances the critical thinking process and can assist
you in understanding complex concepts as this provides an opportunity to
visualize things in your own way. What do you call the technique that uses
a graphic depiction of non-linear and linear relationships to represent
critical thinking?
A. Concept Mapping
B. Inductive Reasoning
C. Deductive Reasoning
D. Creativity
E. All of the above
F. None of the above
Situation: You begin to teach a client who has diabetes how to give himself
insulin injections. Shortly after beginning the teaching, you realize that he
is not concentrating on the lesson. Subsequent discussion reveals that he is
worried about his eyesight and fears he is going blind. Realizing that the
client’s level of stress is interfering with his learning, you end the lesson
and arrange for a primary care provider to examine the client’s eyes and
also provide supportive communication to help alleviate the client’s stress.
In which part of the process of implementing does the nurse (you) do this?
A. Reassessing the client
B. Determining the nurse’s need for assistance
C. Implementing the nursing interventions
D. Supervising the delegated care
E. Documenting nursing activities
F. All of the above
G. None of the above
Which of the following frameworks of care describes the delivery of nursing
care to individual clients by a group of providers led by a professional nurse?
A nursing team government, in this framework of care, consists of RNs, LPNs
and UAPs and this team is responsible for providing coordinated nursing care
to a set of clients for a specific period of time.
A. Case Method
B. Functional Method
C. Team Nursing
D. Primary Nursing
In Dunn’s High-Level Wellness Grid, where do you categorize an athlete who
suffered a severe ACL tear but who has the resources to get all his
medications and get the best physical therapist leading to his eventual
recovery?
A. High-Level Wellness in a Favorable Environment
B. Emergent High-Level Wellness in an Unfavorable Environment
C. Protected Poor Health in a Favorable Environment
D. Poor Health in an Unfavorable Environment
Who created the concept of the “sick role” and conceptualized health as
the ability to maintain normal roles?
A. Florence Nightingale (1860/1969)
B. World Health Organization (WHO) (1948)
C. Talcott Parsons (1951)
D. American Nurses Association (2010)

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