Palmer 2

5/20/2021 PALMER (Professional Adjustment, Leadership & Management, Ethics & Research): MBOL BATCH 2021
PALMER (Professional Adjustment, Leadership &

Management, Ethics & Research)
Due May 20 at 3am Points 100 Questions 100
Available May 19 at 3pm - May 20 at 3am about 12 hours Time Limit 90 Minutes
Allowed Attempts 3
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Submitted May 20 at 1:33am
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Question 1 1 / 1 pts
Nurses in the Nursing service must have all the qualifications .The
director of nursing service must
Masters degree in health sciences
Masters degree in any nursing field preferred
Masters degree in nursing major in administration
Masters in Public health
https://feu.instructure.com/courses/67584/quizzes/584871 1/59
Masters degree in nursing as one of the qualification of Director of

Nursing
When the member of the board of Nursing studied and reviewed the
provision of RA 9173 and subsequently adopted the implementing
guidelines, it was an exercise of their power called
Police power
Quasi judicial power
Quasi legislative power
Discretionary power
Legislative power of the board is to prescribe, adopt issue and

promulgate guidelines ,regulations and , measures and decisions
necessary for the improvement of the nursing profession
Nurse Linda practice her profession as staff nurse in a private hospital

and the ethical code applied is
Nurse and practice
Nurse and environment
Nurse and people
Nurse and society
nurse and practice carries personal responsibility and

accountability for nursing and maintaining competence by
continual learning
A faculty of college of nursing must have master's degree which is?
Nursing only
RN and midwife
Nursing or related areas
Public health only
nursing or related areas/ other health allied medical and health

sciences as conferred by university duly recognized by the
government stated in sec 27 of RA9173
Dr. Arquiza was appointed by President Benigno Aquino as member of

the board of Nursing. She knows that her term of office for duly appointed
member is every
6 years
3 years
10 years
5 years
The term of office of the BON is 3 years and can be re-appointed

for another term
Nurse Linda would want to pursue her career as clinical faculty someday.
Which of the following qualifications is not mandatory?
Be a member of accredited professional organization for nurses
Be a registered nurse in the Philippines
Must have at least 3 years clinical practice in any field
She must have one year clinical practice in the field o specialization
at least 3 years experience is not included as qualification of

faculty , 1year experience is allowed by nursing law
If Linda failed in one subject but obtained the required general average,
which of the following she should do?
Appeal to the board for rechecking of her examination paper
Take the whole set of examination
Take the examination on the subject where she is rated below the required
passing rate
Enrol in a refresher course for one year
take the examination on the subject where she is rated below the
required passing
Nurse Linda promoted as charge- nurse in her unit and she has to deal
objectively to all concern of the staff in her unit. The ethical principle
applied is
Beneficence
Autonomy
veracity
Justice
Justice treated justly, fairly and equally her staff or subordinates
After a few years Nurse Linda decided to stay and work as an

administrator. If she will be appointed as chief nurse in a primary hospital,
her minimum qualification includes which of the following
Registered Nurse only
RN and 9 units in a post graduate course in nursing
RN and Man
MAN, 1 year training in area of specialization and 5 years general staff

nursing
RN and 9 units in post graduate as minimum requirement for

nursing service administrators stated in sec.29 article V1 Nursing
Practice
The patients' rights to refuse for treatment is based on the ethical principle
of
Autonomy
Justice
veracity
Beneficence
Autonomy It involves self-determination and freedom to choose

and implement one's decision, free from deceit or coercion
A framework which nurse managers use for guidance in ethical problem

solving wherein it comprises a set of principles established by a
profession
Rights based reasoning
Professional code of ethics
Institutional framework
Duty based reasoning
professional code of ethics a systematic guide for developing

ethical behaviour and provides direction for the nurses to act
ethically and morally acceptable
The patient relative in the medicine ward requested the nurses and the
physicians not to divulge the diagnosis of the patient because it may harm
the patient health condition. The nurse knows that the ethical
consideration applied is
Veracity
Justice
Beneficence
Benevolent deception
Benevolent deception is withholding information regarding patient

diagnosis or illness as requested by the relatives because it may
harm the patient condition
Nurse Linda knows that she is duly bound to renew her professional
identification card every how often?
Every 3 years
Every 2 years
Every 5 years
annually
every 3 years is the renewal of the PRC ID or nurse licence
Nurse Liza knows that one of the following is true about the Nursing Law
of 2002
It states the difference from nurse practioner here and abroad
It describes the code of ethic for nurses
It defines the scope of nursing practice
It accredits professional organization in the Philippines
Define the scope of nursing practice in sec 28 article V1 Nursing in

practice
The Philippine act of 2002 embodies the regulation of practice of nursing

in the Philippines. A member of the board of Nursing must be
10 years of continuous practice of the profession
RN and holder of Masters degree
All options are correct
Citizen of the Philippines
All are the qualifications of a BON member
A client on a long –term facility falls out of bed, fracturing her left hips. The
side rails of the bed were not raised at that time, although the client has
been identified at risk for fall. This is an example of
negligence
Tort
Battery
Criminal act
Negligence all the elements of negligence is present on which the

nurse failure to meet the standard due care, and result to harm
and with existence of duty
Linda is about to take the nurses licensure examination. As future

professional nurse she should be guided with the following
considerations. Which of the following is not for Linda to qualify for the
said examination?
A Filipino citizen
A member of the accredited professional organization
Must be of good moral character
A holder of bachelor degree in Nursing
member of accredited organization is not a requirement in taking

NLE.
If one's license is renew every 3 years and the renewal date falls on one's
birth month of the year 2015 When is the year of expiration?
2018
2017
2020
2016
2018 is equivalent to 3 years after the last renewal
Incorrect
Nurse Luz knows in performing a procedure to a client in the absence of

informed consent. The nurse is liable and can lead to which charges?
Defamation
Breach of confidentiality
Assault
Battery
Battery is an unconsented touching of another person
Nurse Linda knows that the law declaring the Nurses Week is
Proclamation Order No.539

RA 209
RA 9173
RA 205
PO #539 is celebrated as Nurses week which is 3rd of October
A staff nurse assesses the vital signs of a 12 month old infant with a
respiratory infection. The respiratory rate is 35 breaths per minute. On the
basis of this finding which action is more appropriate?
Administer oxygen
Notify the physician
Document the finding
RATIONALE: The normal respiratory rate in a 12-month old infant is

20 to 40 breaths per minute. The normal apical rate is 80-130 beats
per minute and the average blood pressure is 90/53 mmHg. The
nurse should document these findings.
Reassess the respiratory rate in 15 minutes
A nurse educator is providing in service education to the nursing staff

regarding transcultural nursing care. A staff member asks the nurse
educator to describe the concept of acculturation. The most appropriate
response is which of the following:
“It is a group that shares some of the characteristics of the larger

population group of which of it is a part”
“It is a process of learning a different culture to adapt to a new or changing

environment”
RATIONALE: Acculturation is a process of learning a different culture

to adapt to a new or changing environment. Option A describes
ethnic identity. Option B describes an ethnic group. Option C
describes a subculture.
“It is a group of individuals in a society that is cultural distinct and has a

unique identity”
“It is a subjective perspective of the person’s heritage and a sense of

belonging to a group”
Which strategy would be best for the nurse to use to be an effective client
advocate?
Maintain knowledge of standards and regulations about client rights
RATIONALE: A nurse should accumulate a working knowledge of

regulations and standards about client’s rights that should be applied
to practice. The strategies outlined in options B, C and D may be
helpful in delivering culturally competent care.
Listen to the healthcare experiences of client’s different cultures
Openly discuss cultural differences with clients and the staff
Learn to speak different languages to facilitate communication
Incorrect
The vision statement of a healthcare system Is “Providing quality, cost

effective care to clients in our region”. The nurse manager best
demonstrates this vision statement by;
Providing series of in-service dedicated to cost-containment
Instituting a cost-center checklist containing the unit’s direct care cost to

assist charge nurses
Purchasing fewer personal items and eliminating office supplies
Instituting care maps for clients with Diabetes Mellitus
A nurse leader uses education and socialization to guide leadership

decision. This nurse leader has made a choice to be guided by which of
the following decision making process?
Culture
Preference
Values
RATIONALE: Values are beliefs about a person’s worth, ideas or

action. They tend to influence decisions both professional and
personal. Values emerge from culture, religion, social tradition and
family. Purpose (option C) is the reason for action and preference
(option D) represents choice; neither applicable to the question as
stated. Culture (option A) is the environment that leaders create to
facilitate goal accomplishment.
Purpose
A nurse manager reviews a chart for critical indicators of quality care to

prepare a report for the Quality Improvement Department. The nurse
explains to a new staff member that this activity represents which of the
following?
External Audit
Benchmarking
Internal Audit
RATIONALE: Chart reviews for quality indicators are part of quality

assurance and are referred to as internal audit since the nurse
employed by the agency is performing the chart review. If an outside
agency or consultant conducts the chart review, this is considered as
external audit. Benchmarking is the comparison of a unit
performance against another unit performance or standard of care
practice. Control is the function of the management.
Control
A Nurse Manager needs to determine the staff mix for the unit. What
should the Nurse Manager do first?
Schedule staff to work when the needs are more critical
Assess the type of care required by the clients
RATIONALE: From a nursing process approach, the manager should

first assess the needs of the client which are determined by the
acuity, then assess the competency of staff. The nurse must now
schedule the staff according to regulated ratio dictated by the
regulating boards. Option C does not apply to the scenario.
Identify staff competency to meet the needs of the clients
Consider mandated staff ratios
A clinic staff nurse provides information to the mother of a toddler

regarding toilet training. Which statement if make by the mother indicates
a need for further information regarding the toilet training?
“Bladder control is usually achieved before bowel control”
RATIONALE: Bowel control is usually achieved before bladder

control. The physical ability to control the anal and urethral sphincters
is achieved some time after the child is walking, probably between
the aged 18 and 24 months. The child should not be forced to sit for
long periods. The ability to remove clothing is one of the signs of
readiness.
“The ability of the child to remove clothing is a sign of physical readiness”
“The child will not be ready to toilet train until the age of about 18 to 24
months”
“The child shouldn’t be forced to sit on the potty for long period”
A clinic staff nurse assesses the communication patterns of a 4 month old

infant. The nurse determines that the infant is demonstrating the highest
level of developmental achievement expected of the infant?
Links syllables together
Uses simple words such as “mama”
Uses monosyllables babbling
RATIONALE: Using monosyllabic babbling occurs between 3rd and

6th month of age. Using simple words such as “mama” occurs
between 9 and 12 months of age while linking syllables together
when communicating occurs between 6 and 9 months of age. Cooing
at birth and continues until 2 months of age.
Coos when comforted
A nurse leader attempts to resolve conflict between two nurses. Which

communication skills should the leader used first?
Active listening
RATIONALE: The first action by the leader is active listening. The

leader needs to listen to both nurses separately then together
(meeting). During the meeting, the nurse leader should clarify issues
that are ambiguous. Acknowledgement should occur during the
meeting to indicate that all parties are listening.
Non-verbal Communication
Confrontation
Clarification
A nurse leader seeks to gain respect of the staff by providing rewards and
supporting each staff member’s personal goals. Which of the following
rationales is the nurse leader likely using to support these actions?
A leader should use the “country club” approach of leadership
A leader should be able to identify with the simple individual
A good leader must gain the respect of others
RATIONALE: A good leader gains the respect of the staff by

providing rewards and supporting personal goals (option A). This
action shows the staff respects them. The country club style of
leadership (option B) is primarily social in nature and does not
necessarily facilitate respect from staff. While socialization (option D)
and helps identify with the staff (option C) it does not show the staff
that the nurse leader values them.
Socialization will boost support from the staff
A client is brought to the emergency room by the emergency medical

services after being hit by a car. The name of the client is not known. The
client has sustained a severe head injury and multiple fractures and is
unconscious. An emergency craniotomy is required. In regard to informed
consent for the surgical procedure, which of the following is the best initial
action?
Transport the victim to the operating room for surgery
RATIONALE: Generally there are only two instances in which

informed consent of an adult client is not needed. One instance is
when an emergency is present and delaying treatment for the
purpose of obtaining informed consent would result injury or death to
the client. The second instance is when the client waives the right to
informed consent. Option B will delay emergency treatment and
option C is inappropriate. Although option A may be pursued but it is
not the best initial action.
Call the police to identify the client and locate the family
Ask the emergency medical services team to sign the informed consent
Obtain a court order for the surgical procedure
A nurse who wishes to complete a graduate degree in critical care to

increase annual income in contemplating which of the following types of
change?
Personal Change
RATIONALE: This nurse is furthering educational advancement to

increase annual income. The benefits of this change recap personal
advantages. If the rationale was one of professional growth to
provide better care to clients and facilitate client outcomes, then the
answer would be professional change. Option B is organizational
change. Option C is reflective of improving the overall efficiency or
quality of the services provided by the organization. The term forceful
(option D) is not a term used to categorize a type of change.
Organizational Change
Professional Change
Forceful Change
A staff nurse is evaluating the developmental level of a 2 year-old. Which

of the following does the nurse expect to observe in this child?
Pours own milk into a cup
Uses a fork to eat
Uses a knife for eating food

Uses a straw and a cup
RATIONALE: By the age of 2, the child can use a straw and a cup
and can use a spoon correctly but with some spilling. By the age 3 to
4 the child begins to use a fork. By the end of the preschool period,
the child should begin to use a knife for cutting.
Incorrect
A staff nurse obtains an order from a physician to restrain a client by

using a jacket restrains. The nurse instructs a nursing assistant to apply
the restrain to the client. Which of the following observations if made by
the nurse would indicate inappropriate application of restraint by the
nursing assistant?
The jacket restraint straps do not tighten when force is applied against it
A dove hitch knot in the restraint straps
Restraint straps are safely secured to the side rails
The jacket restraint is secure and two fingers can easily slide between the
restraint and the client’s skin
A nurse leader needs to notify registered staff nurses about a change in

the staff RN position description. Which method should the nurse leader
use to communicate the change?
Speak to nurses individually
Post a notice on the bulletin board in the nurses lounge
Provide notification and the copy of the changes in writing
RATIONALE: If changes are made in a position description, the staff

nurse should be notified in writing. The position description contains
performance standards against which an employee’s job
performance will be evaluated. Announcing the change at staff
meeting (option A) and posting a notice (option B) does not
guarantee that every nurse will be aware of the change. Speaking to
each nurse individually (option C) is not time efficient and does not
provide documentation of notification.
Announce the change in a staff meeting
The nurse manager who is conducting a staff development program on

improving client care explains that which of the following best represents
quality nursing care?
A chemistry panel will be drawn daily on clients with peripheral edema
All clients will be screened for Methicillin-Resistant Staphylococcus

Aureaus (MRSA)
Clients with heart failure will have a urinary drainage catheter inserted to
measure output precisely
Clients with histories of pressure ulcers will receive an air mattress within 6
hours of admission
RATIONALE: Two options are correct but option A is more specific

expression of quality. Option D is just a screening it does not provide
a specific strategy. If option D included “contact precautions will be
initiated”, this option would be more viable. All clients with heart
failure do not need urinary drainage catheters these places clients at
risk for infection. Chemistry panels may not be warranted daily on
clients with edema.
The newly hired nurse manager assesses that one of the staff nurses on
the nursing unit is as expert practitioner after observing the nurses’
expertise in which of the following areas?
Ability to monitor interventions
Ability to make medical diagnosis
Competency I the helping role
Work role competencies
RATIONALE: The expert practitioner in Benner’s model- highest

ranking practitioner, who is matured individual and who is intimate
with work role competencies. Abilities in the role (option A) and
monitoring intervention (option C) are the characteristics of
practitioner at the lower level of Benner’s model. Determining
medical diagnosis (option D) is within the scope of medical practice.
On admission to the hospital a client gives the nurse a document naming

an individual to make choices in the case of the client becoming
incapacitated. The document also includes the client’s end-of-life wishes.
The nurse communicates during inter shift report that the client has a
copy of which document in the medical record?
Do Not Resuscitate Order
Last will and testament
Living will
Durable power of attorney
RATIONALE: The durable power of attorney gives an individual the

authority to make decisions on behalf of another. In addition, clients
may choose to add their wishes to this document. A living will is a
client’s statement that indicates the type of care he or she does or
does not want should a terminal condition incapacitate the client. A
last will and testament is a legal document that gives individuals the
right to name others as possessors of property after the party has
died. A do-not-resuscitate order is a physician’s order based a
client’s decision to not be resuscitated; this is an informed decision.
The nurse is assigned to work for the shift with a nursing student. In
planning to work with this student, the nurse who uses Benner’s Model of
Nursing Practice anticipates that the student is at which stage of Nursing
Practice?
Beginner
Advance Beginner
Pre-novice
Novice
RATIONALE: The nursing student is a novice with a limited “hands-

on” experience in critical thinking skills and applied to client care
situations. The advance beginner is different from the novice by way
of more experienced decision making and acquisitions of skills. The
pre-novice and beginner is not part o Benner’s model.
Which strategies should the Chief Nursing Officer (CNO) utilize to create
a culture evidence-based practice?
Seek changes in policies to reflect clinical research
RATIONALE: In services fall under the auspices of education

because they provide staff with information about policies,
procedures and products that are used in the course of delivering
client care. The other options do not apply. A nursing practice council
addresses standards of the client care (option A). A quality
improvement council seeks to monitor the effects of nursing care that
has been delivered (option). A management council determines
policy and addresses work force issue (option D).
Include evidence based practice in the strategic plan
Delegate this task to the unit managers
Provide in-services defining evidence based practice
Seek buy-in from unit manager and coordinator
Which of the following is the best measure for the professional nurse to
use in reducing personal liability for malpractice litigation?
Adhere to professional national standards of care
RATIONALE: Health care providers should remember to adhere to

national standards of practice when providing care to the client.
National standards provide a measurement of safe care. Offering
apologies after an error has occurred (option A) does not prevent
errors and malpractice litigation. Clear communication (option B_
plays a role in reducing malpractice litigation, but it is not the best
answer to choose since poor adherence to standards is a grater
issue. Developing policies to ensure adequate assessment (option D)
may help but the nurse needs to know how to intervene once the
assessment has been completed.
Develop policies to ensure adequate client assessment
Maintain a clear and open line of communication with each client
Offer an expression of regret to the client when you make an error
A nurse administers Erythromycin ointment (0.5%) to the eyes of the

newborn infant. The mother asks the nurse why this is performed. The
nurse explains to the mother that it is performed routinely to:
Protect the newborn infant eyes from possible infections acquired while
hospitalized
Prevent cataracts in the newborn infant born to a woman who is rubella

susceptible
Prevent Ophthalmia Neonatorum from occurring after delivery in a

newborn infant born to a woman with an untreated gonoccocal infection
RATIONALE: Erythromycin ophthalmic ointment 0.5 % is used as a

prophylactic treatment for Opthalmia Neonatorum which is caused by
the Bacterium Neisseria Gonorrhoeae. Preventive treatment of
gonorrhea is required by law. Options A, B and D are not the purpose
for administering this medication to the newborn infant.
Minimize the spread of microorganisms to the newborn infant from invasive

procedures during labor
A staff nurse in a newborn nursing is performing an assessment of

newborn infant. The nurse is preparing to measure the head
circumference of the infant the staff nurse would most appropriately:
Place the tape measure under the infants head at the base of the skull and
wrap around the front just above the eyes
Place the tape measure at the back of the infant’s head, wrap around
across the ears and measure around the infant’s mouth
Place the tape measure under the infant’s head, wrap around the occiput
and measure just above the eyes
RATIONALE: To measure head circumference, the nurse should

place the tape measure under the infant’s head wrap the tape around
the occiput and measure just above the eyebrows so that the largest
area of the occiput will be included. Options A, B and D are incorrect
methods to measure the head circumference.
Wrap the tape measure around the infant’s head and measure just above
the eyebrows
Incorrect Question 45 0 / 1 pts
A staff nurse who volunteers to record minutes for a staff meeting uses
the agency internet to inform the nursing staff of outcomes from a staff
meeting. The nurse reading this communication understands that the
nurse who recorded the minutes has used the computer to facilitate which
type of communication?
Upward communication
Distant communication
Horizontal communication
Downward communication
After noting an increase in the number of medication errors on the night

shift, the nurse manager wishes to reduce them. The manager decides to
review the processes used on the unit and in the hospital from the time an
order is written until the medication arrives on the unit. A nurse who is
assisting the manager understands that what process is being use?
Quality Assurance
Process Management
Evidenced-based research
Quality Improvement
RATIONALE: Quality improvement is the ongoing effort of identifying

potential error in processes and system and improving work and
preventing errors. Quality Assurance on the other hand is the
identification of errors. Evidence based research is a clinical research
that is conducted with the intention of improving clinical practice by
providing frameworks and guidelines for safe practice. Process
management is not a formal method of performance improvement.
Which of the following strategies would be best for the nurse leader to use
when communicating with team members at the beginning of a team
project?
Take ownership of the project
Give clear directions about the name and scope of the project
RATIONALE: Leaders should be very clear and concise when

providing directions and goals at the beginning of a project so that
members have a clear vision about when is to be accomplished and
the process that will be used in a group. Criticism (option B) should
be sandwiched in the dialogue and never presented first. Focusing
on problem solving (option C) does not address collaboration.
Start with constructive criticism
State that something isn’t working and needs to be fixed
A nurse manager attends a conference and the topic of discussion is

leadership style. The nurse is seeking a leadership style that will best
empower staff toward excellence. Which leadership style would the nurse
select to achieve this goal?
Democratic
RATIONALE: Democratic style best empower staff towards

excellence because this style of leadership allows nurses an
opportunity to grow professionally. This autocratic style is task
oriented and directive. Situational leadership style utilizes a style
depending on the situation and events. Laissez-faire allows staff to
work without assistance, direction or supervision.
Laissez-faire
Autocratic
Situational
A staff nurse hears a clear calling out for help. The staff nurse hurries
down the hallway to the client’s room and found the client lying on the
floor. The staff nurse notifies the physician of the incident and completes
an incident report. Which of the following would the nurse document on
the incident report?
The client climbed over the side rails
A client was found lying on the floor
RATIONALE: The incident report should contain the client’s name,

age and diagnosis. It should contain a factual description of the
incident, any injuries experienced by those involved and the outcome
of the situation. Option A is the only option that describes the facts as
observed by the nurse. Options B, C and D are interpretation of the
situation and are not factual data as observed by the staff nurse.
The client fell out of bed
The client become restless and tried to get out of bed
The nurse manager considers that which of the following items represents
an output factor of resource allocation?
Supplies
Staff experience
Client Age
Client Satisfaction
A nurse leader needs to restructure the units of an acute care medical

center as determined by executive level management. In considering how
to design the restructuring, the nurse leader should base the restructure
on which of the following primary goals?
Rewarding success
Improving client care outcomes
RATIONALE: Nurse leaders should be driven by client care

outcomes (option C). Organizational changes are based on specific
client indicators that are analyzed and criticized. Policies and
procedures may be affected by the restructure but changes are
guided by evidenced-based practice. Although nurse safety (option
A) is considered in individual unit design, this is not the primary
reason for restructuring the units. Rewarding success (option B) is
not addressed in this question.
Focusing on nurse safety
Revising inadequate policies and procedures
A nurse signs up to work two 10-hour shifts in one week, three 1-hour
shift in another week and two 8 hour shifts in the following week. Which
type of staffing schedule does this represent?
Fixed Schedule
Cyclic Schedule
Flex time Schedule
RATIONALE: The flex time schedule allows for variation in

scheduling time. The advantage of flex schedule is the variation in
the hours and days but it is lacked in the consistency in the days and
hours worked. The cyclic model is characterized by the same
schedule that is repeated over a predetermined period of time. Fixed
staff utilizes a standard schedule such as 8 hours or 12 hours. A
rotating schedule utilizes assignment to a single shift during any
single week or a longer work period and the shift assignment
changes during another work period (such as a day or a night shift
rotation).
Rotating Schedule
A registered nurse (RN) has received the assignment for the day shifts.
After making initial rounds and checking all of the assigned clients, which
clients will the RN plan to care for first?
A client scheduled for physical therapy at 1:00 p.m
A postoperative client who has just received pain medication
A client who is ambulatory
A client who has a fever and who is diaphoretic and restless
RATIONALE: The RN would plan to care for the client who has a
fever and diaphoretic and restless first because this client needs is
the priority. It is best to wait for pain medication to take effect before
providing care to postoperative client. The client who is ambulatory
and the client scheduled for physical therapy later in the day do not
have priority needs related to care.
A nurse is giving a bed bath to an assigned client. A nursing assistant

enters the client’s room and tells the nurse that another assigned client is
in pain and needs pain medication. The most appropriate nursing action is
which of the following?
Cover the client, raise the side rails, tell the client that you will return
shortly and administer the pain medication to the client
RATIONALE: The nurse is responsible for the care provided to the

assigned clients. The most appropriate action is to provide safety to
the client who is receiving bed bath and prepare to administer the
pain medication. Option A & C delay the administration of pain
medication to the client in pain. Option D, is not a responsibility of the
nursing assistant.
Ask the nursing assistant to find out when the last pain medication was
given to the client
Finish the bed bath and then administer the pain medication to the other
client
Ask the nursing assistant to tell the client in pain that medication will be
administered as soon as the bed bath is complete
A mother of a 3-year old asks a clinic staff nurse about appropriate and
safe toys for the child. The clinic staff nurse tells the mother that the most
appropriate toy for a 3-year old is which of the following?
A jack set with marble
A golf set
A wagon
RATIONALE: Toys for the toddler must be strong, safe and too large
to swallow, on place of the ear or nose. Toddlers need supervision at
all times. Push/pull toys, large balls, large crayons, trucks and dolls
are some of the appropriate toys. A farm set, a golf set and jacks with
marbles may contain items that the child could swallow.
A farm set
A registered nurse (RN) is planning the client assignments for the day.
Which of the following is the most appropriate assignment for a nursing
assistant?
A client with difficulty swallowing food and fluids
A client who requires tap water enemas
A client receiving continuous tube feedings
A client requiring colostomy irrigation
Which strategy should the nurse leader use to foster a climate of

collaboration on the nursing unit?
Focus on high quality care and benchmarking results
Display an open attitude toward new ideas and suggestions
RATIONALE: The best strategy of the nurse can use to foster

collaboration is developing openness toward ideas and suggestions g
the nursing staff. Emphasis on tasks (option A and option D are not
effective in collaboration. Focusing on the quality care is an
appropriate strategy for a nurse leader but this question focuses on
collaboration as a process. Quality care might be an outcome of high
level collaboration among staff.
Use firm communication about items of importance to the nurse leader
Place emphasis on tasks to be accomplished at each unit
The mother of a toddler asks a staff nurse when it is safe to place the car
safety seat in a face forward position. The best nursing response is which
of the following?
When the weight of the toddler is greater than 40 pounds
The seat should never be placed in a face forward position because of the
risk of the child unbuckling the harness
When the toddler weigh 20 pounds
RATIONALE: The transition point for switching to the forward facing

position is defined by the manufacturer of the safety seat but is
generally at a body weight of 9 kg or 20 pounds. The car safety seat
should be used until the child weighs at least 40 pounds regardless
of the age. Options B,C and D are incorrect.
The seat should not be placed in a face forward position unless there are
safety locks on the car
The nurse has been chosen to be the nursing unit representative to a

hospital committee focusing on quality and effectiveness of care. The
nurse plans to gather data about which client care outcome indicators as
part of the work committee? Select all that apply.
Medication administration
Infection rates
RATIONALE: Outcome indicators determine the effectiveness of

care. The number of infections is an indicator of quality of care (as is
length of hospital stay). Better care should be associated with
reduced infection rates and length of stay. Medication administration,
support systems, diagnosis are not pertinent to the question as
written.
Diagnosis
Support systems
A nurse leader has the authority to assign beds on all the units transfer
clients and responds to “codes”. This nurse leader functions in which
role?
Supervisor
RATIONALE: A supervisor monitors the influx of clients admitted and

discharged. In addition, the supervisor oversees changing conditions
on the various units. The unit manager supervises the day to day
operations of the unit. The chief operating officer (COO) supervises
the functions of the entire facility and the charge nurse supervises the
activities on the unit during a specific shift.
Chief Operating Officer
Charge Nurse
Unit Manager
The nurse leader who is a unit manager would take which action with a
staff nurse who has a one year of experience to best assist this nurse with
performance improvement?
Review the original job description and point out areas of strength and
weakness
Collaboratively develop behavior objectives with target dates for

reevaluation
Review the original orientation documentation for any gaps

Document and review with the nurse any errors on client complaints
A registered staff nurse has received the assignment for the day shift.
After making initial rounds and checking all of the assigned clients, which
client will the RN plan to care for first?
A client scheduled for physical therapy at 1:00 p.m
A client who has a fever, diaphoretic and restless
RATIONALE: The staff nurse (RN) would plan to care for the client
who has a fever and is diaphoretic and restless first because this
client needs are the priority. It is best to wait for pain medication to
take effect before providing care to the post-operative client. The
client who is ambulatory and the client scheduled for physical therapy
later in the day do not have priority needs related to care.
A postoperative client who has just received pain medication
A client who is ambulatory
The nurse leader in a healthcare facility, work with other organizational

leaders to review and possibly revised the organization’s mission
statement. The nurse leader requests input from staff on the nursing unit,
explaining that the mission statement should do which of the following?
Provide direction and keep the group focused
RATIONALE: The mission statement is a broad statement that

describes the purpose of the organization to internal and external
constituents and provides the team with guidance and focus,
fostering communication. Option B increases problem solving. Option
C shows team building/ personal bonding. Option D is too specific for
a mission statement.
Provide team building and personal bonding
Foster open communication between members
Increase amount and diversity in problem solving
A nurse leader reviews the client’s chart for which of the following
because they indicate effectiveness of treatment and care?
Standards
Indicators
Critical pathways
Outcomes
RATIONALE: Client outcomes are key indicators of the effectiveness

of the treatment and care received during hospitalization. Option A
does not fit the term indicated is used in the sentence. Critical
pathways are not indicators of effective treatment but they are
guidelines to deliver effective, safe treatment. Standard are not
considered a concept in performance improvement.
A nurse is developing a list of home care instruction for a client being

discharged after a laparoscopic cholecystectomy. Which of the following
instructions would be least appropriate to include in the post-operative
discharge plan of care?
Follow-up care
Wound care
Deep breathing exercise
Activity restrictions
A nurse leader plans to discharge a client and considers the reasons for
the client’s admission and types of treatment. Reasons for admission and
types of treatment are data used in which of the following?
Risk Management
Utilization Review
Quality Assurance
Benchmarks
The nurse manager who is conducting a staff development program on

improving client care explains that which of the following best represents
quality nursing care?
All clients will be screened for Methicillin-Resistant Staphylococcus

Aureaus (MRSA)
A chemistry panel will be drawn daily on clients with peripheral edema
Clients with heart failure will have a urinary drainage catheter inserted to
measure output precisely
Clients with histories of pressure ulcers will receive an air mattress within 6
hours of admission
RATIONALE: Two options are correct but option A is more specific

expression of quality. Option D is just a screening it does not provide
a specific strategy. If option D included “contact precautions will be
initiated”, this option would be more viable. All clients with heart
failure do not need urinary drainage catheters these places clients at
risk for infection. Chemistry panels may not be warranted daily on
clients with edema.
Which strategy should nurse leader use to build a culture for staff
development?
Add development activities based on managers preference
Schedule staff development activities at a variety of times

RATIONALE: The best strategies are to develop a list of planned

events for staff, set-up activities with individuals in charge of
providing the education and schedule the activities at various times
convenient for all shifts to apt better compliance from the staff. Not all
staff may need to attend each activity (option A). Option B uses the
term aggressively which gives a negative connotation and option C
may or may not meet the actual needs of staff. Instead programs
should be planned according to needs assessment results
determined by unit staff, manager or the development department.
Aggressively pursue funding from administration
Expect all staff to attend the each activity
A staff nurse provides instruction to the parents of a new born infant

regarding car travel and safety seats. Which of the following is the most
appropriate information related to the safety of the infant?
Restrain in a car seat in the front seat in a semi-reclined; rear facing

position
Restrain in a car seat in the back seat in a semi-reclined; forward facing

position
Restrain in a car seat in the back seat in the back seat in a semi-reclined ,
rear facing position
RATIONALE: The infant should be placed in a car safety seat

restraint in the back seat of the car, in a rear facing position, until the
infant weighs 20 pounds. The infant should never be placed in a
forward-facing position or in the front seat.
Restrain in a car seat in the front seat in a semi-reclined; forward facing

position
A nurse with fifteen years’ experience recognizes early signs of urosepsis

in an older adult admitted with Pneumonia and notifies primary care
provider of the physical assessment finding. This represents which stage
of Benner’s Model?
Expert Practitioner
RATIONALE: The nurse’s year of nursing service have added

intuitive insight into the care of clients, an expert nurse is able to
recognize and adjust when the client’s condition changes.
Demonstrate highly skilled intuition and analytic ability in new
situations and takes action because it feels right. The term advance
practitioner is not a part of Benner’s model. A competent practitioner
demonstrates organizational and planning abilities and can
differentiate more important from less important aspect of care. The
level usually takes at least three years to achieve. The proficient
practitioner generally has three to five years experience working with
a client that has similar characteristic perceives situation as a whole
rather than its parts and uses maxims as guides for what to do
consider in a situation.
Advanced Practitioner
Proficient Practitioner
Competent Practitioner
Identify the following statements either Cross-sectional study or

Longitudinal study. The purpose of this study is to test whether the
removal of physical restraints effects behavioral changes in elderly
patients.
Longitudinal study
Cross-sectional study
Consider this title “the Lived Experience of Surviving Tornado”. This title
would indicate which of the following types of qualitative research?
phenomenological
historical
grounded theory
ethnographic
As pro-active researcher and clinical nurse the best and easiest thing to
do to encourage others to participate in research is to:
Teach statistical procedures for research
Recommend practical solutions appropriate to the problem based on the

interpretation of significant findings
Ask other nurses to help in gathering data
Share results of findings to colleagues and clients
Upon conceptualizing a research problem, the next step that you will do is:
make your statement of purpose and research question.
review related literature
make an assumption
start drafting your problem statement
A researcher is trying to determine if type of educational preparation is

associated with level of professional commitment. The mean scores on
the Commitment to the Nursing Profession instrument are obtained for 30
diploma school graduates, 30 associate degree graduates, and 30
baccalaureate graduates. The probability level associated with the

obtained F value is .03. What inferential statistic was calculated?
chi-square test
independent t-test
dependent t-test
analysis of variance
A friend of yours has agreed to participate in a research study. However,

she is upset that she has to contact the researcher to obtain a copy of the
study results. She thinks she should automatically be sent a copy. You tell
her
a copy of the study abstract should be mailed to all participants within 6

weeks of completion of the study.
study participants should be provided with information that will allow them
to contact the researcher if a copy of study results is desired.
researchers are required, by federal guidelines, to send a copy of study

results to all participants
the researcher should automatically send a copy of the study results to all
participants
Anecdotically, massage and meditation have been used by many to

relieve stress and pain. Marissa has decided to conduct research into this.
Marissa should use this methodology for her research:
Quantitative research
Basic research
Epidemiological research
Applied research

Longitudinal study. Looking into the glass of the R.N. HEALS
IMPLEMENTATION.
Longitudinal study
You were a nurse working in a call center agent. Later in the news you
have heard about HIV being highly associated with this profession. It
triggers your mind to conduct a research study. If study findings are
statistically significant, this implies that the
null Ho should not be rejected
research Ho should not be rejected
research Ho should be rejected
null Ho should be rejected
A questionnaire is being used to gather data on the study sample.

Identification numbers on the corner of the questionnaires corresponds to
the researcher’s master list of names and numbers. Respondents are
assured that this information will not be shared with anyone. The
researcher is trying to ensure
anonymity
data security
informed consent
confidentiality
Used to determine the most frequently occurring data (number)
Mode
Mean
Pearson Product Moment Correlation
t-test
As recommended by the hospital administration, the OR nurses are asked

to use and evaluate the "Sterillium", an alcohol-based hand disinfectant,
instead of the traditional brush-stroke handscrub method. This is an
example of:
evidence-based practice
dissemination of result
generalizability of result
research utilization
Identify the following statements and indicate the letter corresponding to

your answer: Experimental design, Non-experimental design, or
Qualitative. Experiences of nurses who are underemployed.
Non-experimental design
Qualitative
Experimental design
triggers your mind to conduct a research study. You decided to use the
instrument you were able to download, your primary consideration would
whether the instrument has a good reputation
whether the researcher is familiar to the researcher
whether the instrument captures the conceptual meaning of the

phenomenon of interest
whether the instrument is costly
One of the main purposes of conducting a review of the literature before

carrying out a research project is to
help select an optimum sample size
discover an instrument for data collection that has been used many times
prevent duplication of research
determine existing knowledge on the topic
The major reason for conducting nursing research is to:
promote evidence-based care for patients
ensure accountability for nursing practice
document the cost-effectiveness of nursing care
promote the growth of the nursing profession
Which type of statistics is used to examine the characteristics of samples?
descriptive
normative
parametric
inferential
Anna is conducting a research study with this research question: "In

institutions, what is the difference between violent and nonviolent
cognitively impaired residents?" The research study of Anna should be
considered:
Qualitative
Experimental
Descriptive
Quantitative
Identify the following statements and indicate the letter corresponding to

your answer: Experimental design, Non-experimental design, or
Qualitative. Rank in the family in relation to their Intelligent Quotient.
Qualitative
Non-experimental design
Experimental design
Which of the following types of studies is considered a qualitative study?
methodological
ethnographic
correlational
comparative

Longitudinal study. Number of siblings in relation to economic status.
Longitudinal study

Longitudinal study. Ways and patterns of the Mangyans during
puerperium and delivery.
Longitudinal study
Researchers make use of various sampling methodologies, which are

essential for obtaining valid research results. It is essential for a sample to
be which of the following?
Random
Representative
Normalized
Not too large and not too small
Incorrect
In conducting a literature review, the reader is least interested in which of

the following information about a research study?
research study methodology
research study results
how the research variable was operationalize
opinions about the research study
Incorrect
triggers your mind to conduct a research study. Statistical significance
means that the study findings
have proven the study hypothesis
apply to large target population
are not likely to be the result of sampling error
are important to nursing profession
The following should be considered in presenting a summary table?
All options are correct
Indicate units of measurement when necessary
Indicate probability level or p-value (greater or less than p-value)
Make each table a stand-alone presentation that can be understood even

without a text
Incorrect

Longitudinal study. Use of sterile water, alcohol, betadine to umbilical
stump healing among new born babies.
Longitudinal study
A systematic, organized process of finding an answer to a question
scientific process
theory
concept
research
In which type of research is there high researcher control, random

sampling, and laboratory setting?
Experimental
Correlational
Quasi-experimental
Descriptive
Incorrect
Which of the following is an advantage of an interview method of data

collection versus a questionnaire?
collected data tend to be more complex
data are less expensive to obtain
data collectors do not need to be trained
data may be collected more easily from area
Quiz Score: 85 out of 100

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What are some of the qualifications required for different nursing roles according to the document?

What are some of the qualifications required for different nursing roles according to the document?

What ethical principles are discussed in the document?

What ethical principles are discussed in the document?

5/20/2021 PALMER (Professional Adjustment, Leadership & Management, Ethics & Research): MBOL BATCH 2021

PALMER (Professional Adjustment, Leadership &

Take the Quiz Again

 Correct answers are hidden.

Score for this attempt: 85 out of 100

Masters degree in health sciences

Masters degree in any nursing field preferred

Masters degree in nursing major in administration

Masters in Public health

Masters degree in nursing as one of the qualification of Director of

Quasi judicial power

Quasi legislative power

Legislative power of the board is to prescribe, adopt issue and

Nurse Linda practice her profession as staff nurse in a private hospital

Nurse and practice

Nurse and environment

Nurse and people

Nurse and society

nurse and practice carries personal responsibility and

A faculty of college of nursing must have master's degree which is?

Nursing or related areas

Public health only

nursing or related areas/ other health allied medical and health

Dr. Arquiza was appointed by President Benigno Aquino as member of

The term of office of the BON is 3 years and can be re-appointed

Be a member of accredited professional organization for nurses

Be a registered nurse in the Philippines

Must have at least 3 years clinical practice in any field

at least 3 years experience is not included as qualification of

Appeal to the board for rechecking of her examination paper

Take the whole set of examination

Enrol in a refresher course for one year

Justice treated justly, fairly and equally her staff or subordinates

After a few years Nurse Linda decided to stay and work as an

Registered Nurse only

RN and 9 units in a post graduate course in nursing

MAN, 1 year training in area of specialization and 5 years general staff

RN and 9 units in post graduate as minimum requirement for

Autonomy It involves self-determination and freedom to choose

A framework which nurse managers use for guidance in ethical problem

Rights based reasoning

Professional code of ethics

Duty based reasoning

professional code of ethics a systematic guide for developing

Benevolent deception is withholding information regarding patient

every 3 years is the renewal of the PRC ID or nurse licence

It states the difference from nurse practioner here and abroad

It describes the code of ethic for nurses

It defines the scope of nursing practice

It accredits professional organization in the Philippines

Define the scope of nursing practice in sec 28 article V1 Nursing in

The Philippine act of 2002 embodies the regulation of practice of nursing

10 years of continuous practice of the profession

RN and holder of Masters degree

All options are correct