Tecarro College Foundation, Inc.Sandawa Road New Matina, Davao City

NCM 105 (LECTURE)Final Examination

Name: _____________________________________Date: ________________ Score: _______________

Test 1. Multiple Choice. Write the letter of the correct answer on the space provided for.

___01. It is a calling in which its members profess to have acquired special knowledge by training or by experience or both, so that they may guide or advise or serve others in that special field:a. Occupation b. Profession c. Vocation d. Manager

___02. A profession is generally distinguished form other kinds of occupation by the following, EXCEPTa. Ongoing research b. Code of Ethics c. Autonomy d. Profit

___03. Nurses who are employed in a hospital setting or other similar institutions are called:a. Public health Nurse b. School Nurse c. Institutional Nurse d. Clinic Nurse

___04. A nurse who manages client care including the delivery of nursing service is known as a:a. Nurse Practitioner c. Clinical Nurse Specialistb. Nurse Administrator d. Nurse Educator

___05. A strategy for change that focuses on teaching workers new technology is:a. Normative re-educative c. providing informationb. Training d. power coercive

___06. The National League of Nurses is a national organization of nurses employed in the Department of Health and organized on January 3, 1961. Who is the founding president of this organization? a. Rosario Delgado c. Ethel Bedfordb. Anastacia Giron Tupas d. Annie Sand

___07. Who appoints, removes and suspends the members of the Board of Nursing?a. Commissioner, PRC c. Philippine Presidentb. Philippine Nurses Association d. Association of Deans of Nursing Schools

___08. The following are the qualifications of the members of the Board of Nursing under RA 9173. Which is not included?a. Must have eight years of continuous practice of the profession prior to appointmentb. Must be a natural born citizen and a resident of the Philippinesc. Must be a member of good standing and accredited organization of nursesd. Must be a RN and a holder of Master’s degree in nursing education or other allied medical profession.

___09. All of the following are qualifications to be a faculty of nursing under RA 9173, EXCEPT:a. A registered nurse in the Philippinesb. Has at least one (1) year experience of clinical practice in the field of specializationc. A member of good standing in the accredited professional organization of nursesd. A natural born citizen of the Philippines

___10. Known as the PRC Modernization Act of 2000, this Republic Act gave the Professional Regulation Commission its regulatory powers and is now an agency of its own.a. RA 901 b. RA 6111 c. RA 7641 d. RA 8981

Situation:Errors while providing nursing care to the patients must be avoided and minimized at all time. Effective management of available resources enables the nurse to provide safe, quality patient care.

___11. In the hospital where you work, increased incidence or medication error was defined as the number one problem in the unit. During the brainstorming session of the nursing care service department, probable causes were identified. Which of the following process related?a. Interruption c. Lack of knowledgeb. Use of unofficial abbreviation d. Failure to identify client

___12. Miscommunication of drug orders was identified as a probable cause of medication errors. Which of the following is safe medication practice related to this?a. Maintain medication in its unit dose package until point of actual administration.b. Note both generic and brand name of the medication in the Medication Administration Methodc. The physician should use approved universal abbreviationsd. Encourage clients to ask questions about their medication

___13. The hospital has an ongoing quality assurance program. Which of the following indicates the correct nursing pprocess situation?a. The nurse check client’s identification on band before giving medicationb. The nurse reports adverse reaction to drugsc. Average waiting time for medication administration is measured

d. The unit has well ventilated medical room

___14. Which of the following actions indicated that nurse Grace is performing outcome evaluation or quality care?a. Interviews nurse for comments regarding staffingb. Measures waiting time for nurse’s arrival when client calls it “patient’s satisfaction”c. Check equipment for its calibration scheduled. Determines whether nurse perform skin assessment every shift

___15. You are attending a certification Cardiopulmonary Resuscitation (CPR) offered and required by the hospital employing you. This is:a. Professional course towards credit c. Advance trainingb. In-service education d. Continuing education

___16. Delegation is the process of assigning task that can be performed by the subordinate. The nurse should always be accountable and should not lose his accountability. Which of the following is a role included in delegation?a. The Registered Nurse must supervised all delegated tasksb. After as task has been delegated, it is no longer a responsibility of the RNc. The RN is responsible and accountable for delegated task in adjunct with the delegated. Follow-up with a delegated task necessary only if id the assistive personnel is nit trustworthy

___17. In conflict management, the win-win approach occurs whena. There are two conflict and the parties agree to each oneb. Each party give in on 50% of the disagreement making the conflictc. Both parties involved are committed in solving the conflictd. The conflict is settled out of court, so the legal system and the parties win

___18. Which of the following is the essence of informed consent?a. It should have a durable power of attorneyb. It should have coverage from an insurance companyc. It should have respect the client’s freedom from coerciond. It should disclose previous diagnosis, prognosis and alternative treatments available for the client

___19. You know that the hallmark of nursing accountability is the:a. accurate documentation and reporting c. filing an incidence reportb. admitting your mistakes d. reporting a medication error

___20. The Board of Nursing regulates the nursing profession in the Philippines and is responsible for the maintenance of

the quality nursing in the country. Powers and duties of the Board of Nursing are the following, EXCEPT:a. Issue, suspends and revoke certificates of registrationb. Issue subpoena duces tecumc. Open and close colleges of nursingd. Supervise and regulates the practice of nursing

___21. If a nurse directs a client to an abortionist, she can be a party to the crime as:a. Principal b. accomplice c. accessory d. conspiracy

___22. In which of the following actions will a nurse be considered accomplice in a criminal? a. she assisted a doctor in performing the activity

b. she referred the client to an abortionistc. she allowed the abortionist to escapeb. both b and c

___23. In which of the following actions will a nurse possibly lose her PRC license?a. is she gets accused of as criminal offense c. both a and bb. is she used fraud or deceit in getting her license d. have a quarrel with her patient

___24. The following are crimes involving destruction of life, ECEPT:a. abortion b. infanticide c. suicide d. parricide

___25. Which of the following statement is true of criminal acts?a. all criminals acts are immoral acts c. all immoral acts are criminal b. only some criminal acts are immoral acts d. killing another is a criminal

Situation:The family of Ruth Anne filed a n administrative case against Ms. San Juan, a staff nurse in the Medical ward. Their mother died after receiving a overdose of insulin.

___26. Ms. San Juan is considered which of the following?a. respondent b. compliant c. accessory d. accomplice

___27. Prior to the hearing of the case, Ms. San Juan can be compelled to be presently by the Beard of Nursing by issuing one of the following:a. subpoena testificandum c. subpoena duces tecumb. summon d. mandamus

___28. Which of the following is TRUE if the nurse has signed a contract with the hospital?a. the employer will not hold her liable for her profession actionb. she should perform her duties according to her standardsc. she should comply with terms and conditions of employmentd. she can change the terms and conditions of employment n is she finds them unreasonable

___29. The doctrine assumes negligence of the nurse when the patient suffers first degree burn in her right left after application of hot water baga. res ipsa loquitor b. respondent superior c. force majeure d. testator

___30. The true purpose of revocation of certificate of registration of the nurse is in which one of the following.a. make the nurse accountable for her negligence c. punish the erring nurseb. enforce provision of the nursing law d. protect the public

___31. A person who dies without a will is which of the following?a. intestate b. testatrix c. decedent d. testator

___32. One of the following can be legally detained in the hospital:a. a patient who insist on leaving the hospitalb. a patient who cannot pay hospital billsc. a patient who is afflicted with SARSd. a patient who is afflicted with typhoid fever

___33. Mang Juan claims that he killed Mang Pedro because he defended himself. This can be classified as one of the following:a. justifying circumstance c. exempting circumstanceb. mitigating circumstance d. aggravating circumstance

___34. One of the following is considered oral defamation which is using false words which damages the reputation of a person:a. slander b. libel c. assault d. felony

___35. Registration of a foreign nurse without examination on a reciprocal basis is allowed by:a. Nursing law- RA 9173 c. Civil Service Law – RA 1080b. PRC – PD 223 d. either a or c

___36. Which of the following situations illustrates the doctrine of res ipsa loquitor?a. the baby got cord infection at home while under the care of the rural health nurse b. the patient left the ward without asking permissionc. the mother had bleeding because of placental retentiond. all of the above

___37. The following are exempting circumstance to liability to a crime, EXCEPT:a. children below 9 years old c. person above 10 years oldb. mentally retarded d. 60 years old

___38. Which of the following n means the giving of false testimony of a witness who is under oath?a. perjury b. forgery c. slander d. libel

Situation:Mr. Opong’s chart is the permanent legal recording of all information that relates to his health care management, as such, the entries in the chart must have accurate data:

___39. Mr. Opong’s chart contains all information about his health care. The functions of records include all, EXCEPT:a. means of communication that health team members use to communicate their contributions to the client’s health care.b. the client’s record also show document of how much health carec. educational source for students of nursing and medicined. recording actions in advance to save time

___40. Information of the patient’s chart is inadmissible in court as evidence when:a. the client’s family refuses to have it used c. the client objects to its usec. it has too many abbreviations that are “unofficial” d. the hand writing is not eligible

___41. Nursing audit aims to:a. provide research data to hospital personnelb. study client’s illness and treatment regimen closelyc. compare actual nursing done to establish standardsd. provide information to health care providers

___42. A telephone order is given for a client in your ward. What is your most important appropriate action?a. copy the order on the chart and sign the physician’s name as close to his original signature as possibleb. repeat the order back to the physician, copy unto the order sheet and indicate that it is a telephone orderc. write the order in the client’s chart and have the head burse co-sign itd. tell the physician that you cannot take the order but you will call the nurse supervisor.

Situation:The practice of nursing goes with the responsibilities and accountability whether you work in the hospital or in the community setting. Your main objective is to provide safe nursing to our client.

___43. To provide safe, quality nursing acre to various clients in any setting, the most important tool often the nurse is:a. critical thinking to decide appropriate nursing actionsb. understanding of various nursing diagnosisc. observation skills for data collection

d. possession of scientific knowledge about client needs

___44. You ensure the appropriateness and safety of your nursing interventions while caring for various groups by:a. creating plans of care for particular clienteleb. identifying the correct nursing diagnosis for clientsc. making a thorough assessment of client needs and problemsd. using standards of nursing care as your criteria for evaluation

___45. The effectiveness of your care plan for your client is determined by:a. the number of nursing procedures performed to comfort the clientb. the amount of medications administered to the client as orderedc. the number of times that the client calls the nurse d. the outcome of nursing interventions based on plan of care.

Situation:Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe chest pain. Upon

admission he was diagnosed to have an acute myocardial infarction and was placed in the ICU. ___46. After one day, the patient’s conditions worsened and feeling hopeless. He requested the nurse to remove the

oxygen. The nurse should:a. follow the patient because it is right to die gracefullyb. follow the patient, as it is right to determine the medical regimen he needsc. refuse the patient and encouraged. refuse the patient since euthanasia is not accepted in the Philippines

___47. Mr. Martin felt better after 5 days but recognizing the severity of his illness, he executes a document authorizing the wife to transact any form of business in his behalf in addition to all decision relative to his confinement. His document is referred to as:a. power of attorney b. living will c. informed consent d. medical record

___48. The qualifications of the application of the applicant in a Letter of Application usually appears on the a. first paragraph b. 2nd paragraph c. 3rd paragraph d. both b and c

___49. The first association a nurse joins upon graduation;a. the ALUMNI association c. local chapter, Phil. Nurses Associationc. ADPCN d. ANSAP

___50. An implied contract is one where the terms of agreement are all, EXCEPT:a. written in legal forms c. binding and enforceable by more consentb. presumed from the acts of the party d. assumed by the acts of the party

___51. In this type of scheduling, it is the Chief Nurse or her designate that usually does the assignment of the nursing personnel to the various nursing areas:a. Decentralized scheduling c. Cyclic schedulingb. Centralized schedule d. both a and b

___52. The following are elements of directing, EXCEPT:a. delegation b. supervision c. staff development d. staffing

___53. The first step in decision making process and problem solving is;a. analyze and evaluate the problemb. establish criteria or standards by which solution will be evaluated as acceptable and adequate to the needc collect the necessary data and informationd. recognize , define and limit the problem

___54. It is a form of Performance Appraisal method which helps in validating the technical skills as well as the interpersonal relations to nursesa. checklist method or descriptive scale method c. graphic rating scaleb. narrative essay d. anecdotal records

___55. In resigning from a job, an advance notice ,must be given to the employer to give him enough time to get reliever. This must be done:a. six months b. 15 days c. 30 days d. all the time

___56. A nurse refuses to follow the legitimate order of the head Nurse, she can be charged of:a. disobedience b. insubordination c. imprudence d. negligence

___57. It refers to the potential ability to influence to gain a competitive advantage, acquire information, motivate, communicate and improve performance in order to achieve goals:a. Delegation b. Leadership c. Power d. Management

___58. When a person or a group fears another enough that the act or behave differently or otherwise, the source of power is called:a. expert power b. coercive power c. Legitimate power d. referent power

___59. There are several types of communication. Which of the following is considered the most informal communication network that flows rapidly and is subject to error and distortion?a. Upward communication c. Lateral communicationb. Downward communication d. Grapevine communication

___60. The Surgical wing is staffed by the three teams. RN Roy Solamo leads the team in charge of the Male Surgical Ward. RN April Jo leads the teams in charge of the Female Surgical Ward. RN Almae Caballero directs the team in charge of the Miscellaneous Surgical ward. The Nursing Care Delivery System employed in this situation is:

a. Team Nursing b. Case Nursing c. Primary Nursing d. Functional Nursing

___61. A nurse implements a teaching for a client who is schedule for discharge. Which client behavior best demonstrate effective teaching?a. Exhibiting a positive change in behaviorb. Verbally repeating the instructionsc. Making statement indicating that the client understandsd. Exhibiting non verbal signs such as nodding the head to indicate “Yes”

___62. A nurse-manager in an oncology unit has been informed that she must determine which Nursing Care Delivery System (NCDS) is best for efficient client care, client satisfaction and cost reduction. Knowing that the 2 or 3 registered burses, 4 licensed practical nurses, 5 nursing assistants are generally on duty each shift and that the clients can be grouped fairly easily be geographic location and client care needs, the nurse-manager and her staff appropriately decide to implement which NCDS?a. Functional nursing b. Case management c. Team nursing d. Primary nursing

___63. A Pediatric nurse is asked to worked temporarily (float0 in the Intensive Care Unit (ICU) because there are few client in the Pediatric Unit. The nurse has ever worked in ICU and has no critical care experience. Which action is most appropriate for this nurse?a. Refuse to float to ICUb. Notify the Nursing Supervisor that she feels disqualified and untrained for the assignmentc. Go to ICU and take total client assignment; ask the critical care nurses for assistance when necessary.d. Go to ICU, tell the ICU nurses she has never worked in ICU. And let the nurses decide what tasks can be

performed

___64. The selection of Nursing Care Delivery System (NCDS) is critical to the success of nursing area. Which factor is essential to the evaluation of a NCDS?a. Determining how planned absences such a vacation time, will be scheduled to all staff are treated fairlyb. Identifying who will be responsible for making client care decisionsc. Deciding what type of dress code will be implementedd. Identifying salary ranges for various type of staff

___65. The manager of physical and occupational therapy neurologic departments have expressed concern to the nurse-manager of an adult neurologic rehabilitation unit that the clients have been arriving late for therapy. In response, the nursing staff of the rehabilitation unit has complained that therapy schedules don’t allow sufficient time performing nursing interventions. Which action of the nurse-manager is best solution to this problem?a. Meet with the managers of physical and occupational therapy and determine how to reschedule clients;

then inform the nursing staff b. Tell the nursing staff that they need to determine how to transport clients to therapy according to the

schedules developed by the therapistc. Meet with the physical and occupation therapy managers to identify scheduling solutionsd. Ask several nurses to work with the therapy staff to help solve the scheduling problem and offer herself as

resource.

___66. When collaborating with other health team members the best description of Nurse Anne’s role is:a. Encourages the client’s involvement in his careb. Shares and implements orders of the health team to ensure quality carec. She listens to the individual views of the team membersd. Help client set goal of care and discharge

___67. Nurse Anne is successful in collaborating with health team members about the care of Mr. Fernandez. This is because she has the following competencies:a. Communication, trust and decision making c. negotiation, decision makingb. Conflict management, trust, negotiation d. mutual respect, trust, negotiation

___68. A measurement tool to articulate the nursing workload for a specific patient or group of patients over a specific period of time is called:a. Staffing pattern b. skill mix c. patient classification d. benchmark

Situation:You Head Nurse recently resigned and being next Senior Staff, you were selected to fill in the

position.

___69. You made an assignment for your team based on patient classification. They have been used to functional method of patient care and resented changed. To minimize resistance to change, you could have:a. Let each member write their objectives to the changeb. Introduce the change graduallyc. Involve the team in planning for the change in the system of patient assignmentsd. uphold professional standards

___70. In unit planning, which of the following questions initiate the process?a. How to schedule c. what is to be accomplishedb. Who will do the planning d. where to get the unit supplies

Budgeting is an important part of a nurse manager function. The correct allocation and distribution n of resources is vital in the harmonious operation of the financial balance of the agency.

___71. Which of the following defines budget?

a. Plan for the allocation of resources for future useb. The process of allocating of resources for future usec. Estimate cost expensesd. Continuous process in seeing that the goals and objectives of the agency is met

___72. It is the kind of budget which is the income that the management expects to generate during the planning period in the hierarchya. Cash budget b. revenue budget c. capital budget d. expense budget

___73. It is the simplest and most direct type of organization in which each position has general authority over the lowest positions in the hierarchya. Staff organization c. line organizationb. Functional organization d. informal organization

___74. In developing organizational charts, guidelines are needed to help in achieving the objectives of the organization. These guidelines are collectively called what?a. Procedure b. resume c. job description d. policies

___75. To implement the guidelines of the organization, specific directions are needed. Directions to implement are collectively called what?a. Procedures b. policies c. job description d. policies

___76. Chief Nurse Armnado of a special tertiary hospital prepares evacuation procedures in the event of a bomb threat. What type of plan is Chief Nurse Armando preparing?a. Standing plan b. operational plan c. contingency plan d. strategic plan

___77. The use of interpersonal decisions n making, psychomotor skills and application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety is an example of:a. Delegation b. supervision c. responsibility d. competence

___78. When we say planning is process oriented, it means:a. It is the integrative nature of the planning processb. It is a continuous and iterative processc. Analysis of both the internal and external factorsd. The future is dealt with thorough planning

___79. Planning is multi-dimensional. The key dimensions maybe identified as follows, EXCEPT:a. Time b. organizational structure c. functional area d. orientation

___80. In selling up strategic goals, it must be designed and worked as much as possible guided by thea. SMART chart b. SWOT chart c. organization chart d. WOTS chart

Situation:As a break, Ms Abuel was sent to a leadership training seminar for a week where she learned that:

___81. One to tone nursing is also known as:a. Hospital nursing b. student nursing c. case method d. team method

___82. In the lower level of nursing management, directing means;a overseeing and ascertaining the work of others c. giving, explaining assignment, instructingb. Accomplishing and ascertaining the work d. all of the above

___83. Conflicts is best described as:a. Internal/ external struggle about thoughts, feelingsb. Violation of rightsc. Visible strain between individualsd. Verbal tussle between individuals

___84. When a nurse manager resolves conflict by defining values and goals openly, reasonably in climate of trust, her approach is said to bea. Win-win b. compromise c. smoothing d. by majority rule

___85. A client is admitted to the facility with a productive cough, night sweats and fever. Which action is most important in the initial care plan?a. Assessing the clients temperature every eight hoursb. Placing the client is respiratory isolationc. Monitoring the client’s fluid intake and outputd. Wearing gloves during client contact

___86. What are the steps in making a budget?a. Assess, implement, evaluate ,plan c. Plan, assess, implement, evaluateb. Assess, plan, implement, evaluate d. assess, plan, evaluate, implement

___87. Communication is an essential skill for nurses. The following are potential barriers to effective communication. Which is not included?a. Selective perception c. time pressureb. Active listening skills d. lack information

___88. The difference between revenues and expenses is known as;

a. Costs b. capital c. profit d. budget

___89. A high employee turn-over rate is not good for nth efficient functioning of an organization. This is a principle of management called:a. stability of staff c. initiativeb. proper channels of communication d. Esprit de Corp

___90. A newly hired charge nurse assesses the staff nurse as competent individual but ineffective and nonproductive as a team. In addressing her concern, the charge nurse should understand that the usual reason for such a situation is:a. unhappiness about the charge in leadershipb. unexpressed feelings and emotions among the staffc. fatigue from overwork and understaffingd. failure to incorporate staff in decision making

TEST II. TRUE or FALSE. Write the word TRUE is the statement is correct and the word FALSE if the statement is wrong on the space provided for.

___________01. In the preparation of schedule, let it represent a balance between the needs of the employee and

the employer. When conflicts arise employee’s concern should have priority.

___________02. The functional method is a type of patient assignment based on the concept of division of labor as

nurses and other care givers perform specific tasks.

___________03. To most workers, the Supervisor is presumed as “Management” because of his constant presence

and close association with them.

___________04. A downward communication is done in the form of feedback informing the administration as to the

effect of the upward communication the extent to which it has been received and acted upon.

___________05. Suppression is an autocratic, coercive style that often leads to an indirect and destructive

expression of conflict.

___________06. Unwritten contracts are not binding, therefore null and void.

___________07. The principle under which a public officer is permitted to remain in position of an office is known as

“doctrine of hold-over”.

___________08. Violators of the criminal law can escape punishment on the ground of Ignorance of the Law.

___________09. License to practice a profession is a vested right.

___________10. The nurse licensure examination is both competitive and qualifying.