PALMER Flashcards by Pauline Mae Guerra

In three year’s time, Nurse Florence needs to attain certain number of Continuing Professional Development units to be able to renew her

A. Philippine Nurses Association membership
B. Professional License
C. Professional Identification Card
D. Professional Registration

C. Professional Identification Card

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There are several approaches and tools in (QI). One of these is the Fishbone diagram, developed by K. Ishikawa. Which BEST describes the Fishbone diagram? It is

A. A cause-and-effect diagram
B. A holistic approach in problem identification
C. Used in interview sessions
D. Useful in focusing on problem symptoms

A. A cause-and-effect diagram

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What is an independent variable in nursing research?

A. The variable being measured for changes
B. The variable that influences the outcome
C. A confounding variable
D. The result of an intervention

B. The variable that influences the outcome

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In research, what is the term for a statement that predicts the relationship between variables?

A. Theory
B. Hypothesis
C. Framework
D. Analysis

B. Hypothesis

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The health care professionals consider the following as an ethical dilemma EXCEPT which ONE of the following. When the

A. answer will produce profound effect on the situation
B. choice is made between equally unfavorable alternatives on basis of risks and benefits
C. situation involves a conflict between two moral imperatives
D. situation cannot be solved by a review of scientific data

D. situation cannot be solved by a review of scientific data

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A nurse is ordered to restrain a confused patient who is pulling out IV lines, but the patient has not been assessed for alternative interventions. What is the best ethical action?

A. Restrain the patient immediately to prevent harm
B. Question the order and advocate for less restrictive measures
C. Document the restraint and follow up later
D. Notify the patient’s family before taking action

B. Question the order and advocate for less restrictive measures

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What is the best source of evidence for evidence-based practice?

A. Tradition and clinical experience
B. Expert opinion
C. Systematic reviews and meta-analyses
D. Single descriptive studies

C. Systematic reviews and meta-analyses

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Situation-Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned. Which of the following is NOT aligned to ethics in nursing? A Nurse

A. Has the freedom to do what he likes sans responsibility
B. Is obliged to avoid what is wrong and do what is good
C. Is a person capable of knowing what is right or wrong
D. Should have a sense of accountability for his actions

A. Has the freedom to do what he likes sans responsibility

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Situation- Ethical decision making in clinical health care is becoming more complex, this is brought about by the advancement of science and technology, cultural beliefs and patient’s rights.When a patient refuses to undergo insertion of a pacemaker despite the presence of a third degree AV block and respected by the health team is what bioethical principle?

A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice

B. Autonomy

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Which of the following research designs provides the strongest level of evidence?

A. Case study
B. Randomized controlled trial (RCT)
C. Expert opinion
D. Cross-sectional study

B. Randomized controlled trial (RCT)

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What is the primary purpose of nursing research?

A. Generate hospital profits
B. Improve nursing practice and patient care
C. Replace traditional nursing practices
D. Enhance theoretical nursing knowledge only

B. Improve nursing practice and patient care

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When the patients asks where to get his/her medical record after discharge, the correct answer is

A. Office of the Attending Physician
B. Medical Record Section
C. .Admission Section
D. Office of the Administrative Officer

B. Medical Record Section

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In public health, quality improvement (QI) techniques are used to improve performance and service delivery. 1. PDCA is the basic structure for most quality improvement (QI) processes. In public health, PDCA is focused on activities that are responsive to community needs and improving population health. PDCA stands for:

A. Perform- Document- Correct-Act
B. Perform-Do-Check-Analyze
C. Plan-Document-Check-Analyze
D. Plan-Do-Check-Act

D. Plan-Do-Check-Act

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Ms. Libby is a professional nurse who was approached by her cousin to be in a Television show where she has to wear the nurses uniform and advertise a commercially prepared beauty product for use in their work setting. Her mother is presently having dialysis so the accepted the offer. Ms. Libby is violating the

A. nursing law
B. nursing code of ethics
C. nursing jurisprudence
D. consumers fraud law

B. nursing code of ethics

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Mrs. Castro his patient who is a 64 year-old government retiree is covered by RA 7432. Which of the following is a provision of this law?

A. 20% discount on hospital bills
B. Medicines are prescribed in Generics
C. National Health Insurance Act
D. Code of Good Governance

A. 20% discount on hospital bills

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Mr. Larson is scheduled for Coronary Artery-by-pass graft (CABG) surgery. He has to sign an informed consent prior to operation. The validity of this consent is how long?

A. 36 hours after surgery
B. 24 hours after surgery
C. after the surgical procedure
D. 12 hours after surgery

B. 24 hours after surgery

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A newly hired graduate nurse Belen is on the second week of orientation by the In-service coordinator. Two of the nurses in the Intensive Care Unit (ICU) called “ON sick” so Ms. Belen was pulled out by the Supervisor to report to the ICU as she could not get a replacement due to staffing shortage. This ethical dilemma in management is an example of

A. professional ethics
B. governance ethics
C. organizational ethics
D. clinical ethics

A. professional ethics

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Which statement is incorrect regarding record keeping?

A. Patients now have a legal right to see their own records.
B. Keeping records of patient care and treatment is NOT an integral part of nursing practice.
C. Any later alteration or addition must be carefully indicated, insuring that the original entry can still be clearly read.
D. All records must be signed by the person making the entry together with the date and time of the entry.

B. Keeping records of patient care and treatment is NOT an integral part of nursing practice.

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On record keeping, the Area Supervisor reminds Nurse Melissa that for most Nurses who find themselves involved in legal proceedings, the best defense to win the case is

A. Honesty
B. Good memory
C. Quality of nursing documentation
D. Knowledge

C. Quality of nursing documentation

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20.. Nurse Blanca brought her patient to the chapel by wheelchair as promised after checking the blood pressure of another patient in the ward, is an example of what ethical principle?

A. Veracity
B. Justice
C. Beneficence
D. Fidelity

D. Fidelity

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In a research study, what is a control group?

A. The group receiving the intervention
B. The group that is unaware of the study purpose
C. The group that does not receive the experimental intervention
D. The group with the highest level of risk

C. The group that does not receive the experimental intervention

A nurse conducting a study asks participants to write detailed accounts of their experiences with chronic pain. What type of data is being collected?

A. Quantitative
B. Nominal
C. Ordinal
D. Qualitative

D. Qualitative

What is the best database for finding high-quality nursing research articles?

A. Wikipedia
B. PubMed
C. Social media blogs
D. General news websites

B. PubMed

What is the role of Institutional Review Boards (IRBs) in nursing research?

A. To fund nursing research studies
B. To ensure research follows ethical guidelines and protects participants
C. To conduct nursing experiments
D. To review literature for researcher

B. To ensure research follows ethical guidelines and protects participants

25. The following statements demonstrate to Nurse Melissa that record keeping is good, EXCEPT: A. Entries are dated and timed as close to the actual time of the events as possible. B. Relevant information about the condition of the patient/ client at any given time and the measures you have taken to respond to their needs. C. Abbreviation is used. D. A full account of your assessment and the care you have planned and provided.

C. Abbreviation is used.

26. Nurse Florence was asked by her Head nurse why she requested permission to enroll in the Graduate Program for the second semester. Her reply should be, EXCEPT: A. To have an impressive resume to enable her to be competitive B. Connect with people professionally C. Invest for the future D. Pursue her interest in Pediatric Nursing in more depth.

A. To have an impressive resume to enable her to be competitive

27. Right to Information does not include A. Any change in the plan of care before the change is made B. Extent to which payment maybe expect from Philhealth C. Discount for the professional fee of the attending doctor(s) D. Result of the evaluation of the nature and extent of his/her disease

C. Discount for the professional fee of the attending doctor(s)

28. Situation- Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care. Which of the following regulates the practice of the nursing profession? A. Department of Health B. Professional Regulation Commission C. Civil Service Commission D. Professional Regulation Board of Nursing

D. Professional Regulation Board of Nursing

29. A nurse researcher ensures that study participants provide informed consent. This is an example of adherence to which ethical principle? A. Beneficence B. Justice C. Autonomy D. Nonmaleficence

C. Autonomy

30. A physician orders a treatment that the nurse believes will cause more harm than good. What is the best ethical action for the nurse? A. Follow the physician's orders without question B. Express concerns to the physician and advocate for the patient C. Refuse to administer the treatment and not inform anyone D. Seek advice from the patient's family instead of the physician

B. Express concerns to the physician and advocate for the patient

31. A patient with a terminal illness refuses treatment. The nurse advocates for the patient's right to refuse care. Which ethical principle is the nurse upholding? A. Beneficence B. Autonomy C. Nonmaleficence D. Justice

B. Autonomy

32. Nursing programs that are based on needs assessment and needs analysis and should be offered free is which of the following? A. Continuing Development Program B. In-service Training Program C. Nursing Education Program D. Post-Graduate Program

B. In-service Training Program

33. Which type of research focuses on exploring lived experiences? A. Experimental B. Quantitative C. Qualitative D. Meta-analysis

C. Qualitative

34. Ms. Simon who is assigned in the Emergency room was attending to an older woman who was having severe abdominal pain with a very unstable blood pressure. The doctor ordered a very high dose of morphine So4 which Nurse Simon questioned. What ethical principle is applied in this situation? A. Veracity B. Nonmaleficence C. Justice D. Beneficence

B. Nonmaleficence

35. Situation 13 - A public health nurse is giving orientation to three beginning nurses who are hired by the local government unit under the Nurse Deployment Programs. 6. In the first session, the nurse presented the organization chart of the Rural Health Unit. Which of the following aspects of organizational structure is illustrated in the chart? 1. Type of work being done 2. Extent of coordination to be done 3. Levels of management 4. Line and staff relationship A. 2, 3, 4 B. 3 and 4 C. 1,3,4 D. 1 and 3

A. 2, 3, 4

36. Client satisfaction survey is an important and commonly used indicator for measuring the quality in health in health care. In the context of public health, which is NOT a purpose of satisfaction surveys? To A. Serve as essential sources of information for identifying gaps B. Directly address the health problems presented C. Present the likelihood of continuing client-provider-agency relationships D. Provide data about health-seeking behaviors

B. Directly address the health problems presented

37. The steps in conducting quality improvement consist of the following: Which is the correct sequence in the QI process? 1. Identify and select strategies 2. Evaluate QI outcomes 3. Implement solution in small scale 4. State the problem 5. Expand scope of QI throughout the organization A. 1, 2, 3, 5, 2 B. 2, 1, 5, 3, 4 C. 4, 2, 1, 3, 5 D. 1, 4, 5, 3, 2

C. 4, 2, 1, 3, 5

38. As a QI tool, the Gantt chart is useful for planning and scheduling projects. Which of the following statements is INCORRECT about the GANTT chart? It A. Provides a graphical illustration of resources B. Plans the order in which you'll complete tasks C. Tracks specific tasks in a project. D. Helps assess how long a project should take

A. Provides a graphical illustration of resources

39. Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, the patient has the right to demand the following, but NOT pertaining to his care as confidential. A. Information B. Records C. Communication D. financial Status

D. financial Status

40. Which of the following directly VIOLATES the Patient's Bill of Rights? A. Informing patients about the billing policies of the hospital B. Disclosing the HIV result to members of the patient's family. C. Honestly telling the patient about his current condition D. Immediately referring the results of the laboratory to the physician.

B. Disclosing the HIV result to members of the patient's family.

41. Autonomy is the prerogative of the patient to give consent or refusal of treatment with the EXCEPTION of which of the following situations? A. Erroneous belief of a head of a church B. Negative effect of superstition C. Near death D. Peer pressure

B. Negative effect of superstition

42. What is the role of Institutional Review Boards (IRBs) in nursing research? A. To fund nursing research studies B. To ensure research follows ethical guidelines and protects participants C. To conduct nursing experiments D. To review literature for researcher

B. To ensure research follows ethical guidelines and protects participants

43. What bioethical principle is violated by a nurse if he provides his patient fraudulent information about his diagnosis and prognosis? A. Justice B. Autonomy C. Beneficence D. Veracity

D. Veracity

44. A physician orders a treatment that the nurse believes will cause more harm than good. What is the best ethical action for the nurse? A. Follow the physician's orders without question B. Express concerns to the physician and advocate for the patient C. Refuse to administer the treatment and not inform anyone D. Seek advice from the patient's family instead of the physician

B. Express concerns to the physician and advocate for the patient

45. A professional nurse has a duty to know and respect the Patient's Bill of Rights. Which of the following is NOT included in the Patient's Bill of Rights. The right to/for_. A. A considered and respectful care. B. Privacy and confidentiality C. A complete and current information about his illness D. Expect continuity of care from discharge to full recovery

D. Expect continuity of care from discharge to full recovery

46. Situation - A domain in the development of the competency of the practicing nurse is ones' Legal responsibility. The graduates from the colleges of Nursing are being prepared to take the Nursing Licensure Examination (NLE) with the main goal to: A. provide opportunity for overseas employment B. determine the standards of nursing practice C. protect the public from incompetent nurse practitioner D. limit the practice of the profession

B. determine the standards of nursing practice

47. Which law declares that the policy of the state is to promote and upgrade the practice profession in the country? A. RA 7164 B. Ra 0173 C. code of Ethics D. RA 10912

D. RA 10912

48. What is the primary goal of quantitative research? A. Explore human experiences B. Identify causal relationships between variables C. Provide expert opinions D. Describe lived experiences

B. Identify causal relationships between variables

49. Situation- To ensure patient safety at all times, personal and professional growth of nursing is a necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized. 12. "Commitment to continual learning and active participant in the development and growth of the profession are commendable obligation" is contained in which of the following? A. Code of Ethics B. RA 10912 C. RA 7164 D. RA 9173

A. Code of Ethics

50. Which research method is best for studying cause-and-effect relationships? A. Correlational B. Descriptive C. Experimental D. Phenomenological

C. Experimental