PALMER HULING BULONG 2023 Flashcards
1.) What is the appropriate approach for the community/public health nurse in balancing individual privacy and autonomy and the community’s needs for safety and security?
Ans: Seek a balance between individual needs and the community’s needs
2.) In regard to informed consents, which of the following statements is TRUE?
Ans: Consent must be voluntary
3.) The client has a living will’ in which he states he does not want to be kept alive by artificial means even at home. The client’s family wants to disregard the client’s wishes and have him maintained on artificial life support. The most appropriate INITIAL course of action for the nurse would be to:
Ans: Allow the family to ventilate their feelings and concerns, while maintaining the role of the client advocate.
4.) Which of the following examples would indicate observance of client confidentiality?
Ans: Describing a difficulty with a client in a health team conference
5.) During a routine visit, the nurse noted that clarita, 20-year olf wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of
Ans: Negligence
6.) Research design should nurse Bella use?
Ans: prospective cohort
7.) Who will compise the control group
Ans: Do not have breast cancer
8.) After 10 years of prospective study, two sets of sample?
ANS: those who eat food heat in warmer and who not eat heat in warmer
9.) The conclusion of the study will reflect which of the following?
ANS: rejection of null hypothesis
10.) Cross sectional study that will identify the following, EXCEPT
ANS: Relatively risk of heating food in plastic and risk of cancer
- In the 1850s, a researcher studied a cholera epidemic among people living in different sections of London. The researcher who used epidemiologic methods to study the epidemiology of cholera was:
John Snow
12.) Theoretical framework would you recommend that this committee should consider when addressing multiethnicity and the culturally diverse nature of this facility for this philosopy
ANS: Madeleine Leiniger’s theory
13.) The historical figure whose work in providing care to poor people, primary prevention, and environmental health established that individual as nursing’s FIRST MORAL LEADER and community- oriented nurse was:
Florence Nightingale
SITUATION: A staff nurse conducts a Research study for her Masteral degree while working in the Marternity Ward of Government Hospital.
14.) Nurse understand that the main objective in conducting a research is nursing is to
Improve nursing care
15.) The nurse decides to do a phenomenological study. What is he characteristic of a phenomenological study?
Examines maternal experience as they are lived and understood as reality as human beings
16.) The Nurse is a aware that phenomenological method of research is
That truth is a lived experience
17.) To collect data for her study, The Nurse interviews six patients who has experienced complications during pregnacy and after delivery. She interviews the patient two or three times until the point of saturation has been reached. To what does the term “Saturation” in qualitative research refer to?
Data repetition
18.) The Nurse drafts a title for her proposed study. Which of the following would be the approriate title for her study?
“Lived Experiences of Maternity Patients with complications”
SITUATION: MANAGEMENT
19. Time management
good and feasible NCP
- Not permit watcher to help you when?
Administering medications
21.) 1st of all, keeping patients and all
Safe
22.) Conserving water, select all that apply
- Reporting leak
- Closing faucets
(1 and 3 only)
- Best strategy to manage supplies
inventory of supplies
SITUATION: 14 YEARS OLD, HEMATOMA, BRUISES
- Decision in joining clubs, refer to?
Adolescent family counselor
- Medico-legal cases to be recorded first
Blotter
26.) Aside from external signs of hazing, he should include?
Select all
27.) Who should the nurse inform
parents
28.) Fraternities rituals secret refusal to give information; talk to a
School authorities
SITUATION: RESEARCH ON PATIENT’S SATISFACTION
29.) No researchers who singly focused on the said study in the past
Statement of the problem
30.) The researcher selects subjects who readily and immediately available
non-probability sampling
- End result, focus on which primary purpose
Improve patient satisfaction
32.) Appropriate data collection device to determine patient satisfaction
questionnaire
- To avoid ethical liabilities among samples
Informed consent
34.) Felt annoyed, ashamed uncomfortable in front of other (bad mouth)
Unjust vexation
35.) Slighly slapped and turn down, in case she decide to sue her
Direct assault
36.) Did not attend to the needs of client; The hospital may charge him for
Dereliction of duty
- He did not present as witness during hearing he side to be on
Default
- He did not also present witness and other documents; one’s case is
rested
- Injected contrimoxazole, without consent nurse be possibly accused
Battery
PERSONAL RECORDS, LEGAL DOCUMENTS
- Patient medical record should be forwarded to the hospital record section, within how many hours period
Within 24 hours
- Pediatric ward, Who will see the records for safe keeping?
Staff nurse of ward
- Safe and quality performance of a nurse, what is the term
Duces tecum
- Document required to be taken out for investigation purpose that should be kept located in cabinet
Incident report
- Not be discussed/ disclosed to member of family
ELISA test result
- The nurse is working in a health care facility that utilizes a computerized documentation system. What is one disadvantage of a computerized documentation system?
Concerns regarding confidentiality
- Rationale for using blank ink pen for charting
For legible photocopying
- Most important demonstration that should be conducted in worshop
Hand hygiene
- Infection control in the operating room and delivery room use?
Sterile gloves without powder
- Training on suturing order from a/an
Obstetrician
- Most recommended suture to be used
Absorbable, strengthen size, length
- Patient for CS delivery, available laboratory results to be forwarded to the
Obstetrician
52.Among which of the following is not a sophisticated technology?
Chest X-Ray
- Mech vent is unavailable in ICU where to get the equipment
Anesthesiologist deparment
- Water interruption in the unit call the
Head Nurse
- an RN signed a contract for two years in a medical center. A recruitment agency has offered her a “fat” salary for fereign employment. If you are in the position of Len, what should you do?
Write letter of resignation to your employer 30 days before leaving
- 50% chance of success of operation
Make a living will
- First initial visit to assess patient, what is use for quick assessment
KARDEX
- Nothing in chart that colleague is incompetent is
LIBEL
- Blood transfusion against the wishes of his family, who are all Jehovah’s Witnesses
Autonomy
- Fits a situation when the followers are self-directed, experts and are matured individuals with lax supervision?
Laissez faire
- Violation of confidentiality
Malpractice of inquiring of pt. financial ability
- Nurse participation, in the rehab program, EXCEPT
Patient decided not to undergo procedure
- Patient inquired about functions and abilities the nurse should
refer to attending physician
- Determine the veracity of complain and actual violation of standards by checking the
Medical records
- Absence of consciousness, secure the consent to
Spouse
SITUATION: BIOETHICS
- RN reports son has cardiac arrest
go and assess yourself
- Dealing with discrepancies, role of the nurse
Advocate
- Patient watching religious programs
Let the patient continue
- Student nurse refused to be assigned to HIV patient
Explore students feelings on caring HIV
- Nursing Aide shouting to patient
Call the attention for lack of professionalism
SITUATION: PHN 5 YEARS, ETHICS
- IVT, patient did not want to
respect decision
- Profuse vaginal bleeding, exception to the rule
Epikia
- Dressing up properly, not exposing unnecessary parts
inviolability of life
- Reach hospital alive, truthful answer
veracity
- Do good to them
beneficence
- Primary purpose of evaluating nursing care
Achieve quality improvement
- Team evaluate care as a being administered to pedia clients in unit, this represents?
concurrent audit
- Sentinel events
Signal the needs for immediate investigation and response
- Not a goal of risk management
reduce incident reporting system
- Plan, DO, Check and act, the nurse designs an assessment tool what phase of the process?
plan phase
SITUATION: OB WARD, BED CAPACITY OF 40
- First level management deal with:
immediate problems of operations
- Head nurse determines the patient ratio
8 staff nurses (1 nurse: 10 patients)
- Essence of directimg as a management process
getting work done through others
- Increased nurse-patient ratio, type of nursing care delivery system
functional nursing
- Best way for setting priority
assessing nursing needs and problems
- Whatever decision made by the patient, primary ethical decision is to
respect autonomy
- Decide to keep the baby and not abort, ethical principle
Beneficence
- Life will change regardless of her decision
Non maleficence
- Client’s autonomy, most appropriate ethical behavior
Only the safety of the clients should be considered
- Patient advocate, nurse must do the following, except
only client social status and religious affilliation
- What ethical justification is observed when administering Opiods despite the possibility of hastening death?
Rule of double effect
- A patient refuses to undergo surgery after a conference with her doctor. Which of the following ethical principle applies when Nurses and doctor respect the decision of the patient in spite encouragement and pieces of advice given?
Autonomy
- 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?
Autonomy
- The health care professional consider the following as ethical dilemma EXCEPT which one of the following, when the
Choice is made between equally unfavorable alternatives on basis of risks and benefits
- The colloquial statement “The nurse was given her day in court” means that the nurse was given a/an
Due process
Nurse participates in a study the purpose of which is to determine the extent to which gender, age, weight, and height predict selected physiologic outcomes, namely: forced expiratory volume in one second, hemoglobin concentration, food intake serum glucose concentration, total serum cholesterol concentration, and cancer-related weight change.
- The independent variables of this study are the following, EXCEPT:
Educational attainment
- The dependent variables of this study are which of the following:
Physiologic outcomes
- Nurse determines the participants in the study. the sample of the study will be every 5th person in the oncology unit. A table of random numbers will be used to select the beginning of the sampling with in the first sampling interval. This is an example of which sampling method?
Systematic sampling
- Keeping your promise as a nurse to a patient to return in 30 minutes develops
Trust
- Nurse tells to the HR that she have an ongoing paper process to work abroad
Fidelity
- Mr. X is on bed rest. When he uses the call bell for the nurse to assist him to be transferred to the commode and answered him to wait for 5 minutes and came on time is an example of what ethical principle?
Fidelity
- The graduates from the colleges of nursing are being prepared to take the nursing licensure Examination (NLE) with the main goal to
Protect the public from incompentent nurse practitioner
