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Question1

CORRECT

Ms. Caputo is newly-promoted to a patient care manager position. She updates her
knowledge on the theories in management and leadership in order to become effective in
her new role. She learns that some managers have low concern for services and high
concern for staff. Which style of management refers to this?
OrganizationMan
ImpoverishedManagement
CountryClubManagement
TeamManagement

Question 1 Explanation:
Country club management style puts concern for the staff as number one priority at the
expense of the delivery of services. He/she runs the department just like a country club
where every one is happy including the manager.
Question2
CORRECT

Her former manager demonstrated passion for serving her staff rather than being served.
She takes time to listen, prefers to be a teacher first before being a leader, which is
characteristic of
Transformationalleader
Transactionalleader
Servantleader
Charismaticleader

Question 2 Explanation:
Servant leaders are open-minded, listen deeply, try to fully understand others and not being
judgmental
Question3
CORRECT

On the other hand, Ms. Caputo notices that the Chief Nurse Executive has charismatic
leadership style. Which of the following behaviors best describes this style?
Possessesinspirationalqualitythatmakesfollowersgetsattractedofhimandregards
himwithreverence
Actsashedoesbecauseheexpectsthathisbehaviorwillyieldpositiveresults
Usesvisioningasthecoreofhisleadership

Matcheshisleadershipstyletothesituationathand.

Question 3 Explanation:
Charismatic leaders make the followers feel at ease in their presence. They feel that they are
in good hands whenever the leader is around.
Question4
WRONG

Which of the following conclusions of Ms. Caputo about leadership characteristics is TRUE?
Thereisahighcorrelationbetweenthecommunicationskillsofaleaderandtheabilitytoget
thejobdone.
Amanageriseffectivewhenhehastheabilitytoplanwell.
!Assessmentofpersonaltraitsisareliabletoolforpredictingamanagerspotential.
Thereisgoodevidencethatcertainpersonalqualitiesfavorsuccessinmanagerialrole.

Question 4 Explanation:
It is not conclusive that certain qualities of a person would make him become a good
manager. It can only predict a managers potential of becoming a good one.
Question5
CORRECT

She reads about Path Goal theory. Which of the following behaviors is manifested by the
leader who uses this theory?
Recognizesstaffforgoingbeyondexpectationsbygivingthemcitations
Challengesthestafftotakeindividualaccountabilityfortheirownpractice
Admonishesstaffforbeinglaggards.
Remindsstaffaboutthesanctionsfornonperformance.

Question 5 Explanation:
Path Goal theory according to House and associates rewards good performance so that
others would do the same
Question6
CORRECT

One leadership theory states that leaders are born and not made, which refers to which of
the following theories?
Trait
Charismatic
GreatMan
Situational

Question 6 Explanation:
Leaders become leaders because of their birth right. This is also called Genetic theory or the
Aristotelian theory
Question7
CORRECT

She came across a theory which states that the leadership style is effective dependent on
the situation. Which of the following styles best fits a situation when the followers are selfdirected, experts and are matured individuals?
Democratic
Authoritarian
Laissezfaire
Bureaucratic

Question 7 Explanation:
Laissez faire leadership is preferred when the followers know what to do and are experts in
the field. This leadership style is relationship-oriented rather than task-centered.
Question8
CORRECT

She surfs the internet for more information about leadership styles. She reads about shared
leadership as a practice in some magnet hospitals. Which of the following describes this
style of leadership?
Leadershipbehaviorisgenerallydeterminedbytherelationshipbetweentheleaders
personalityandthespecificsituation
Leadersbelievethatpeoplearebasicallygoodandneednotbecloselycontrolled
Leadersrelyheavilyonvisioningandinspirememberstoachieveresults
Leadershipissharedatthepointofcare.

Question 8 Explanation:
Shared governance allows the staff nurses to have the authority, responsibility and
accountability for their own practice.
Question9
CORRECT

Ms. Caputo learns that some leaders are transactional leaders. Which of the following does
NOT characterize a transactional leader?
Focusesonmanagementtasks
Isacaretaker
Usestradeoffstomeetgoals

Inspiresotherswithvision

Question 9 Explanation:
Inspires others with a vision is characteristic of a transformational leader. He is focused more
on the day-to-day operations of the department/unit.
Question10
CORRECT

She finds out that some managers have benevolent-authoritative style of management.
Which of the following behaviors will she exhibit most likely?
Havecondescendingtrustandconfidenceintheirsubordinates
Giveseconomicoregoawards
Communicatesdownwardtothestaff
Allowsdecisionmakingamongsubordinates

Question 10 Explanation:
Benevolent-authoritative managers pretentiously show their trust and confidence to their
followers
Question11
CORRECT

Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going
in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at
its lowest. He decides to plan and initiate changes that will push for a turnaround in the
condition of the unit. Which of the following actions is a priority for Henry?
Callforastaffmeetingandtakethisupintheagenda.
Seekhelpfromhermanager.
Developastrategicactiononhowtodealwiththeseconcerns.
Ignoretheissuessincethesewillberesolvednaturally.

Question 11 Explanation:
This will allow for the participation of every staff in the unit. If they contribute to the
solutions of the problem, they will own the solutions; hence the chance for compliance would
be greater.
Question12
CORRECT

He knows that there are external forces that influence changes in his unit. Which of the
following is NOT an external force?
MemofromtheCEOtocutdownonelectricalconsumption

Demandsofthelaborsectortoincreasewages
Lowmoraleofstaffinherunit
Exactingregulatoryandaccreditationstandards

Question 12 Explanation:
Low morale of staff is an internal factor that affects only the unit. All the rest of the options
emanate from the top executive or from outside the institution.
Question13
WRONG

After discussing the possible effects of the low patient satisfaction rate, the staff started to
list down possible strategies to solve the problems head-on. Should they decide to vote on
the best change strategy, which of the following strategies is referred to this?
Collaboration
!Majorityrule
Dominance
Compromise

Question 13 Explanation:
Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.
Question14
WRONG

One staff suggests that they review the pattern of nursing care that they are using, which is
described as a:
jobdescription
!systemusedtodelivercare
manualofprocedure
rulestobefollowed

Question 14 Explanation:
A system used to deliver care. In the 70s it was termed as methods of patient assignment;
in the early 80s it was called modalities of patient care then patterns of nursing care in the
90s until recently authors called it nursing care systems.
Question15
CORRECT

Which of the following is TRUE about functional nursing?


Concentratesontasksandactivities
Emphasizesuseofgroupcollaboration

Onetoonenursepatientratio
Providescontinuous,coordinatedandcomprehensivenursingservices

Question 15 Explanation:
Functional nursing is focused on tasks and activities and not on the holistic care of the
patients
Question16
CORRECT

Functional nursing has some advantages, which one is an EXCEPTION?


Psychologicalandsociologicalneedsareemphasized.
Greatcontrolofworkactivities.
Mosteconomicalwayofdeliveringnursingservices.
Workersfeelsecureindependentrole

Question 16 Explanation:
When the functional method is used, the psychological and sociological needs of the patients
are neglected; the patients are regarded as tasks to be done
Question17
CORRECT

He raised the issue on giving priority to patient needs. Which of the following offers the best
way for setting priority?
Assessingnursingneedsandproblems
Givinginstructionsonhownursingcareneedsaretobemet
Controllingandevaluatingthedeliveryofnursingcare
Assigningsafenurse:patientratio

Question 17 Explanation:
This option follows the framework of the nursing process at the same time applies the
management process of planning, organizing, directing and controlling
Question18
CORRECT

Which of the following is the best guarantee that the patients priority needs are met?
Checkingwiththerelativeofthepatient
Preparinganursingcareplanincollaborationwiththepatient
Consultingwiththephysician
Coordinatingwithothermembersoftheteam

Question 18 Explanation:
The best source of information about the priority needs of the patient is the patient himself.
Hence using a nursing care plan based on his expressed priority needs would ensure
meeting his needs effectively.
Question19
CORRECT

When Henry uses team nursing as a care delivery system, he and his team need to assess
the priority of care for a group of patients, which of the following should be a priority?
Eachpatientaslistedontheworksheet
Patientswhoneedsleastcare
Medicationsandtreatmentsrequiredforallpatients
Patientswhoneedthemostcare

Question 19 Explanation:
In setting priorities for a group of patients, those who need the most care should be numberone priority to ensure that their critical needs are met adequately. The needs of other
patients who need less care ca be attended to later or even delegated to assistive personnel
according to rules on delegation.
Question20
WRONG

He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the
following actions of Henry demonstrates that he has reached the third stage of change?
Wonderswhythingsarenotwhatitusedtobe
Findssolutionstotheproblems
Integratethesolutionstohisdaytodayactivities
Selectsthebestchangestrategy

Question 20 Explanation:
Integrate the solutions to his day-to-day activities is expected to happen during the third
stage of change when the change agent incorporate the selected solutions to his system and
begins to create a change.
Question21
CORRECT

Joey is a newly-appointed nurse manager of The Holy Spirit Medical Center, a tertiary
hospital located within the heart of the metropolis. He thinks of scheduling planning
workshop with his staff in order to ensure an effective and efficient management of the

department. Should he decide to conduct a strategic planning workshop, which of the


following is NOT a characteristic of this activity?
Longtermgoalsetting
Extendsto35yearsinthefuture
Focusesonroutinetasks
Determinesdirectionsoftheorganization

Question 21 Explanation:
Strategic planning involves options A, B and D except C which is attributed to operational
planning
Question22
CORRECT

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


TheHolySpiritMedicalCenterisatrendsetterintertiaryhealthcareintheUnited
Statesinthenextfiveyears
TheofficersandstaffofTheHolySpiritMedicalCenterbelieveintheuniquenatureofthe
humanperson
Allthenursesshallundergocontinuingcompetencytrainingprogram.
TheHolySpiritMedicalCenteraimstoprovideapatientcenteredcareinatotalhealing
environment.

Question 22 Explanation:
A vision refers to what the institution wants to become within a particular period of time.
Question23
WRONG

The statement, The Holy Spirit Medical Center aims to provide patient-centered care in a
total healing environment refers to which of the following?
Vision
Goal
Philosophy
Mission
Question24
WRONG

Julius plans to revisit the organizational chart of the department. He plans to create a new
position of a Patient Educator who has a coordinating relationship with the head nurse in the
unit. Which of the following will likely depict this organizational relationship?
Box

Solidline
!Brokenline
Dottedline

Question 24 Explanation:
This is a staff relationship hence it is depicted by a broken line in the organizational structure
Question25
CORRECT

He likewise stresses the need for all the employees to follow orders and instructions from
him and not from anyone else. Which of the following principles does he refer to?
Scalarchain
Discipline
Unityofcommand
Order

Question 25 Explanation:
The principle of unity of command means that employees should receive orders coming from
only one manager and not from two managers. This averts the possibility of sowing
confusion among the members of the organization
Question26
CORRECT

Julius orients his staff on the patterns of reporting relationship throughout the organization.
Which of the following principles refer to this?
Spanofcontrol
Hierarchy
Espritdcorps
Unityofdirection

Question 26 Explanation:
Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational
structure.
Question27
CORRECT

He emphasizes to the team that they need to put their efforts together towards the
attainment of the goals of the program. Which of the following principles refers to this?
Spanofcontrol
Unityofdirection

Unityofcommand
Commandresponsibility

Question 27 Explanation:
Unity of direction means having one goal or one objective for the team to pursue; hence all
members of the organization should put their efforts together towards the attainment of
their common goal or objective.
Question28
CORRECT

Julius stresses the importance of promoting esprit d corps among the members of the unit.
Which of the following remarks of the staff indicates that they understand what he pointed
out?
Letsworktogetherinharmony;weneedtobesupportiveofoneanother
Inorderthatweachievethesameresults;wemustallfollowthedirectivesofJuliusandnot
fromothermanagers.
Wewillensurethatalltheresourcesweneedareavailablewhenneeded.
Weneedtoputoureffortstogetherinordertoraisethebarofexcellenceinthecarewe
providetoallourpatients.

Question 28 Explanation:
The principle of esprit d corps refers to promoting harmony in the workplace, which is
essential in maintaining a climate conducive to work.
Question29
CORRECT

He discusses the goal of the department. Which of the following statements is a goal?
Increasethepatientsatisfactionrate
Eliminatetheincidenceofdelayedadministrationofmedications
Establishrapportwithpatients.
Reduceresponsetimetotwominutes.

Question 29 Explanation:
Goal is a desired result towards which efforts are directed. Options B, C and D are all
objectives which are aimed at specific end.
Question30
CORRECT

He wants to influence the customary way of thinking and behaving that is shared by the
members of the department. Which of the following terms refer to this?
Organizationalchart

Culturalnetwork
Organizationalstructure
Organizationalculture

Question 30 Explanation:
An organizational culture refers to the way the members of the organization think together
and do things around them together. Its their way of life in that organization
Question31
CORRECT

He asserts the importance of promoting a positive organizational culture in their unit. Which
of the following behaviors indicate that this is attained by the group?
Proactiveandcaringwithoneanother
Competitiveandperfectionist
Powerfulandoppositional
Obedientanduncomplaining
Question32
CORRECT

Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation
among new staff nurses in her department. Joseph, one of the new staff nurses, wants to
understand the channel of communication, span of control and lines of communication.
Which of the following will provide this information?
Organizationalstructure
Policy
Jobdescription
Manualofprocedures

Question 32 Explanation:
Organizational structure provides information on the channel of authority, i.e., who reports to
whom and with what authority; the number of people who directly reports to the various
levels of hierarchy and the lines of communication whether line or staff.
Question33
CORRECT

Stephanie is often seen interacting with the medical intern during coffee breaks and after
duty hours. What type of organizational structure is this?
Formal
Informal

Staff
Line

Question 33 Explanation:
This is usually not published and oftentimes concealed.
Question34
CORRECT

She takes pride in saying that the hospital has a decentralized structure. Which of the
following is NOT compatible with this type of model?
Flatorganization
Participatoryapproach
Sharedgovernance
Tallorganization

Question 34 Explanation:
Tall organizations are highly centralized organizations where decision making is centered on
one authority level.
Question35
WRONG

Centralized organizations have some advantages. Which of the following statements are
TRUE?

1. Highly cost-effective

2. Makes management easier

3. Reflects the interest of the worker

4. Allows quick decisions or actions.

!1&2
2&4
2,3,&4
1,2,&4

Question 35 Explanation:
Centralized organizations are needs only a few managers hence they are less expensive and
easier to manage
Question36
WRONG

Stephanie delegates effectively if she has authority to act, which is BEST defined as:
havingresponsibilitytodirectothers

beingaccountabletotheorganization
!havinglegitimaterighttoact
tellingotherswhattodo

Question 36 Explanation:
Authority is a legitimate or official right to give command. This is an officially sanctioned
responsibility
Question37
WRONG

Regardless of the size of a work group, enough staff must be available at all times to
accomplish certain purposes. Which of these purposes is NOT included?
Meettheneedsofpatients
!Provideapairofhandstootherunitsasneeded
Coveralltimeperiodsadequately
Allowforgrowthanddevelopmentofnursingstaff

Question 37 Explanation:
Providing a pair of hands for other units is not a purpose in doing an effective staffing
process. This is a function of a staffing coordinator at a centralized model.
Question38
CORRECT

Which of the following guidelines should be least considered in formulating objectives for
nursing care?
Writtennursingcareplan
Holisticapproach
Prescribedstandards
Staffpreferences

Question 38 Explanation:
Staff preferences should be the least priority in formulating objectives of nursing care.
Individual preferences should be subordinate to the interest of the patients.
Question39
CORRECT

Stephanie considers shifting to transformational leadership. Which of the following


statements best describes this type of leadership?
Usesvisioningastheessenceofleadership.
Servesthefollowersratherthanbeingserved.

Maintainsfulltrustandconfidenceinthesubordinates
Possessesinnatecharismathatmakesothersfeelgoodinhispresence.

Question 39 Explanation:
Transformational leadership relies heavily on visioning as the core of leadership.
Question40
CORRECT

As a manager, she focuses her energy on both the quality of services rendered to the
patients as well as the welfare of the staff of her unit. Which of the following management
styles does she adopt?
Countryclubmanagement
Organizationmanmanagement
Teammanagement
Authorityobediencemanagement
Question1
CORRECT

Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior
to her, very articulate, confident and sometimes aggressive. Katherine feels uncomfortable
believing that she is the scapegoat of everything that goes wrong in her department. Which
of the following is the best action that she must take?
Identifythesourceoftheconflictandunderstandthepointsoffriction
Disregardwhatshefeelsandcontinuetoworkindependently
SeekhelpfromtheDirectorofNursing
Quitherjobandlookforanotheremployment.

Question 1 Explanation:
This involves a problem solving approach, which addresses the root cause of the problem.
Question2
WRONG

As a young manager, she knows that conflict occurs in any organization. Which of the
following statements regarding conflict is NOT true?
Canbedestructiveifthelevelistoohigh
Isnotbeneficial;henceitshouldbepreventedatalltimes
Mayresultinpoorperformance
Maycreateleaders

Question 2 Explanation:
Conflicts are beneficial because it surfaces out issues in the open and can be solved right
away. Likewise, members of the team become more conscientious with their work when they
are aware that other members of the team are watching them.
Question3
CORRECT

Katherine tells one of the staff, I dont have time to discuss the matter with you now. See
me in my office later when the latter asks if they can talk about an issue. Which of the
following conflict resolution strategies did she use?
Smoothing
Compromise
Avoidance
Restriction

Question 3 Explanation:
This strategy shuns discussing the issue head-on and prefers to postpone it to a later time.
In effect the problem remains unsolved and both parties are in a lose-lose situation.
Question4
CORRECT

Kathleen knows that one of her staff is experiencing burnout. Which of the following is the
best thing for her to do?
Adviseherstafftogoonvacation.
Ignoreherobservations;itwillberesolvedevenwithoutintervention
Remindhertoshowloyaltytotheinstitution.
Letthestaffventilateherfeelingsandaskhowshecanbeofhelp.

Question 4 Explanation:
Reaching out and helping the staff is the most effective strategy in dealing with burn out.
Knowing that someone is ready to help makes the staff feel important; hence her self-worth
is enhanced.
Question5
CORRECT

She knows that performance appraisal consists of all the following activities EXCEPT:
Settingspecificstandardsandactivitiesforindividualperformance.
Usingagencystandardsasaguide.
Determineareasofstrengthandweaknesses

Focusingactivityonthecorrectionofidentifiedbehavior.

Question 5 Explanation:
Performance appraisal deal with both positive and negative performance; is not meant to be
a fault-finding activity
Question6
WRONG

Which of the following statements is NOT true about performance appraisal?


Informingthestaffaboutthespecificimpressionsoftheirworkhelpimprovetheir
performance.
Averbalappraisalisanacceptablesubstituteforawrittenreport
Patientsarethebestsourceofinformationregardingpersonnelappraisal.
Theoutcomeofperformanceappraisalrestsprimarilywiththestaff.

Question 6 Explanation:
The patient can be a source of information about the performance of the staff but it is never
the best source. Directly observing the staff is the best source of information for personnel
appraisal.
Question7
WRONG

There are times when Katherine evaluates her staff as she makes her daily rounds. Which of
the following is NOT a benefit of conducting an informal appraisal?
Thestaffmemberisobservedinnaturalsetting.
Incidentalconfrontationandcollaborationisallowed.
Theevaluationisfocusedonobjectivedatasystematically.
Theevaluationmayprovidevalidinformationforcompilationofaformalreport.

Question 7 Explanation:
Collecting objective data systematically can not be achieved in an informal appraisal. It is
focused on what actually happens in the natural work setting.
Question8
CORRECT

She conducts a 6-month performance review session with a staff member. Which of the
following actions is appropriate?
Sheasksanothernursetoattestthesessionasawitness.
Sheinformsthestaffthatshemayaskanothernursetoreadtheappraisalbeforethesessionis
over.
Shetellsthestaffthatthesessionismanagercentered.

Thesessionisprivatebetweenthetwomembers.

Question 8 Explanation:
The session is private between the manager and the staff and remains to be so when the
two parties do not divulge the information to others.
Question9
WRONG

Alexandra is tasked to organize the new wing of the hospital. She was given the authority to
do as she deems fit. She is aware that the director of nursing has substantial trust and
confidence in her capabilities, communicates through downward and upward channels and
usually uses the ideas and opinions of her staff. Which of the following is her style of
management?
Benevolentauthoritative
Consultative
Exploitiveauthoritative
Participative

Question 9 Explanation:
A consultative manager is almost like a participative manager. The participative manager
has complete trust and confidence in the subordinate, always uses the opinions and ideas of
subordinates and communicates in all directions.
Question10
CORRECT

She decides to illustrate the organizational structure. Which of the following elements is NOT
included?
Levelofauthority
Linesofcommunication
Spanofcontrol
Unityofdirection

Question 10 Explanation:
Unity of direction is a management principle, not an element of an organizational structure.
Question11
CORRECT

She plans of assigning competent people to fill the roles designed in the hierarchy. Which
process refers to this?
Staffing

Scheduling
Recruitment
Induction

Question 11 Explanation:
Staffing is a management function involving putting the best people to accomplish tasks and
activities to attain the goals of the organization.
Question12
CORRECT

She checks the documentary requirements for the applicants for staff nurse position. Which
one is NOT necessary?
Certificateofpreviousemployment
Recordofrelatedlearningexperience(RLE)
Membershiptoaccreditedprofessionalorganization
Professionalidentificationcard

Question 12 Explanation:
Record of RLE is not required for employment purposes but it is required for the nurses
licensure examination.
Question13
CORRECT

Which phase of the employment process includes getting on the payroll and completing
documentary requirements?
Orientation
Induction
Selection
Recruitment

Question 13 Explanation:
This step in the recruitment process gives time for the staff to submit all the documentary
requirements for employment.
Question14
WRONG

She tries to design an organizational structure that allows communication to flow in all
directions and involve workers in decision making. Which form of organizational structure is
this?
Centralized

Decentralized
Matrix
Informal

Question 14 Explanation:
Decentralized structures allow the staff to make decisions on matters pertaining to their
practice and communicate in downward, upward, lateral and diagonal flow.
Question15
WRONG

In a horizontal chart, the lowest level worker is located at the


Leftmostbox
Middle
Rightmostbox
Bottom

Question 15 Explanation:
The leftmost box is occupied by the highest authority while the lowest level worker occupies
the rightmost box.
Question16
WRONG

She decides to have a decentralized staffing system. Which of the following is an advantage
of this system of staffing?
greatercontrolofactivities
Conservestime
Compatiblewithcomputerization
Promotesbetterinterpersonalrelationship

Question 16 Explanation:
Decentralized structures allow the staff to solve decisions by themselves, involve them in
decision making; hence they are always given opportunities to interact with one another.
Question17
CORRECT

Aubrey thinks about primary nursing as a system to deliver care. Which of the following
activities is NOT done by a primary nurse?
Collaborateswiththephysician
Providescaretoagroupofpatientstogetherwithagroupofnurses

Providescarefor56patientsduringtheirhospitalstay
Performscomprehensiveinitialassessment

Question 17 Explanation:
This function is done in team nursing where the nurse is a member of a team that provides
care for a group of patients.
Question18
CORRECT

Which pattern of nursing care involves the care given by a group of paraprofessional workers
led by a professional nurse who take care of patients with the same disease conditions and
are located geographically near each other?
Casemethod
Modularnursing
Nursingcasemanagement
Teamnursing

Question 18 Explanation:
Modular nursing is a variant of team nursing. The difference lies in the fact that the members
in modular nursing are paraprofessional workers.
Question19
WRONG

St. Raphael Medical Center just opened its new Performance Improvement Department. Ms.
Valencia is appointed as the Quality Control Officer. She commits herself to her new role and
plans her strategies to realize the goals and objectives of the department. Which of the
following is a primary task that they should perform to have an effective control system?
Makeaninterpretationaboutstrengthsandweaknesses
Identifythevaluesofthedepartment
Identifystructure,process,outcomestandards&criteria
Measureactualperformances

Question 19 Explanation:
Identify the values of the department will set the guiding principles within which the
department will operate its activities
Question20
WRONG

Ms. Valencia develops the standards to be followed. Among the following standards, which is
considered as a structure standard?

Thepatientsverbalizedsatisfactionofthenursingcarereceived
Rotationofdutywillbedoneeveryfourweeksforallpatientcarepersonnel
Allpatientsshallhavetheirweightstakenrecorded
Patientsshallanswertheevaluationformbeforedischarge

Question 20 Explanation:
Structure standards include management system, facilities, equipment, materials needed to
deliver care to patients. Rotation of duty is a management system.
Question21
CORRECT

When she presents the nursing procedures to be followed, she refers to what type of
standards?
Process
Outcome
Structure
Criteria

Question 21 Explanation:
Process standards include care plans, nursing procedure to be done to address the needs of
the patients.
Question22
CORRECT

The following are basic steps in the controlling process of the department. Which of the
following is NOT included?
Measureactualperformance
Setnursingstandardsandcriteria
Compareresultsofperformancetostandardsandobjectives
Identifypossiblecoursesofaction

Question 22 Explanation:
This is a step in a quality control process and not a basic step in the control process.
Question23
WRONG

Which of the following statements refers to criteria?


Agreedonlevelofnursingcare
Characteristicsusedtomeasurethelevelofnursingcare

Stepbystepguidelines
Statementwhichguidethegroupindecisionmakingandproblemsolving

Question 23 Explanation:
Criteria are specific characteristics used to measure the standard of care.
Question24
CORRECT

She wants to ensure that every task is carried out as planned. Which of the following tasks is
NOT included in the controlling process?
Instructingthemembersofthestandardscommitteetopreparepolicies
Reviewingtheexistingpoliciesofthehospital
Evaluatingthecredentialsofallnursingstaff
Checkingifactivitiesconformtoschedule

Question 24 Explanation:
Instructing the members involves a directing function.
Question25
CORRECT

Ms. Valencia prepares the process standards. Which of the following is NOT a process
standard?
Initialassessmentshallbedonetoallpatientswithintwentyfourhoursuponadmission.
Informedconsentshallbesecuredpriortoanyinvasiveprocedure
Patientsreports95%satisfactionratepriortodischargefromthehospital.
Patienteducationabouttheirillnessandtreatmentshallbeprovidedforallpatientsandtheir
families.

Question 25 Explanation:
This refers to an outcome standard, which is a result of the care that is rendered to the
patient.
Question26
WRONG

Which of the following is evidence that the controlling process is effective?


Thethingsthatwereplannedaredone
Physiciansdonotcomplain.
Employeesarecontended
Thereisanincreaseincustomersatisfactionrate.

Question 26 Explanation:

Controlling is defined as seeing to it that what is planned is done.


Question27
CORRECT

Ms. Valencia is responsible to the number of personnel reporting to her. This principle refers
to:
Spanofcontrol
Unityofcommand
Carrotandstickprinciple
Espritdcorps

Question 27 Explanation:
Span of control refers to the number of workers who report directly to a manager.
Question28
CORRECT

She notes that there is an increasing unrest of the staff due to fatigue brought about by
shortage of staff. Which action is a priority?
Evaluatetheoverallresultoftheunrest
Initiateagroupinteraction
Developaplanandimplementit
Identifyexternalandinternalforces.

Question 28 Explanation:
Initiate a group interaction will be an opportunity to discuss the problem in the open.
Question29
WRONG

Kevin is a member of the Nursing Research Council of the hospital. His first assignment is to
determine the level of patient satisfaction on the care they received from the hospital. He
plans to include all adult patients admitted from April to May, with average length of stay of
3-4 days, first admission, and with no complications. Which of the following is an extraneous
variable of the study?
Dateofadmission
Lengthofstay
Ageofpatients
Absenceofcomplications

Question 29 Explanation:

An extraneous variable is not the primary concern of the researcher but has an effect on the
results of the study. Adult patients may be young, middle or late adult.
Question30
CORRECT

He thinks of an appropriate theoretical framework. Whose theory addresses the four modes
of adaptation?
MarthaRogers
Sr.CallistaRoy
FlorenceNightingale
JeanWatson

Question 30 Explanation:
Sr. Callista Roy developed the Adaptation Model which involves the physiologic mode, selfconcept mode, role function mode and dependence mode
Question31
WRONG

He opts to use a self-report method. Which of the following is NOT TRUE about this method?
Mostdirectmeansofgatheringinformation
Versatileintermsofcontentcoverage
Mostaccurateandvalidmethodofdatagathering
Yieldsinformationthatwouldbedifficulttogatherbyanothermethod

Question 31 Explanation:
The most serious disadvantage of this method is accuracy and validity of information
gathered
Question32
WRONG

Which of the following articles would Kevin least consider for his review of literature?
StoryTellingandAnxietyReductionAmongPediatricPatients
TurnaroundTimeinEmergencyRooms
OutcomeStandardsinTertiaryHealthCareInstitutions
EnvironmentalManipulationandClientOutcomes

Question 32 Explanation:
The article is for pediatric patients and may not be relevant for adult patients.
Question33
WRONG

Which of the following variables will he likely EXCLUDE in his study?


Competenceofnurses
Competenceofnurses
Salaryofnurses
Responsivenessofstaff

Question 33 Explanation:
Salary of staff nurses is not an indicator of patient satisfaction, hence need not be included
as a variable in the study.
Question34
CORRECT

He plans to use a Likert Scale to determine


degreeofagreementanddisagreement
compliancetoexpectedstandards
levelofsatisfaction
degreeofacceptance

Question 34 Explanation:
Likert scale is a 5-point summated scale used to determine the degree of agreement or
disagreement of the respondents to a statement in a study.
Question35
CORRECT

He checks if his instruments meet the criteria for evaluation. Which of the following criteria
refers to the consistency or the ability to yield the same response upon its repeated
administration?
Validity
Reliability
Sensitivity
Objectivity

Question 35 Explanation:
Reliability is repeatability of the instrument; it can elicit the same responses even with varied
administration of the instrument
Question36
CORRECT

Which criteria refer to the ability of the instrument to detect fine differences among the
subjects being studied?

Sensitivity
Reliability
Validity
Objectivity

Question 36 Explanation:
Sensitivity is an attribute of the instrument that allow the respondents to distinguish
differences of the options where to choose from
Question37
CORRECT

Which of the following terms refer to the degree to which an instrument measures what it is
supposed to be measure?
Validity
Reliability
Meaningfulness
Sensitivity

Question 37 Explanation:
Validity is ensuring that the instrument contains appropriate questions about the research
topic
Question38
CORRECT

He plans for his sampling method. Which sampling method gives equal chance to all units in
the population to get picked?
Random
Accidental
Quota
Judgment

Question 38 Explanation:
Random sampling gives equal chance for all the elements in the population to be picked as
part of the sample.
Question39
CORRECT

Raphael is interested to learn more about transcultural nursing because he is assigned at the
family suites where most patients come from different cultures and countries. Which of the
following designs is appropriate for this study?

Groundedtheory
Ethnography
Casestudy
Phenomenology

Question 39 Explanation:
Ethnography is focused on patterns of behavior of selected people within a culture
Question40
CORRECT

The nursing theorist who developed transcultural nursing theory is


DorotheaOrem
MadeleineLeininger
BettyNewman
Sr.CallistaRoy

Question 40 Explanation:
Madeleine Leininger developed the theory on transcultural theory based on her observations
on the behavior of selected people within a culture.

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