CA 2 FIN

Question 1

Euthanasia is an ethical dilemma which confronts ICU nurses because:

a. The choices involved do not appear to be clearly right or wrong
b. A client’s legal right co-exist with the nurse’s professional obligation
c. Decisions have to be made based on societal norms
d. Decisions have to be made quickly, often under stressful conditions

Answer 1

b. A client’s legal right co-exist with the nurse’s professional obligation

Question 2

The right to accept or to refuse any treatment. It is the right for any self-determination

Answer 2

Autonomy

Question 3

Obligation to tell the truth

Answer 3

Veracity

Question 4

The duty to do what one has promised

Answer 4

Fidelity

Question 5

Accepting responsibility for one’s own action. To accept the professional and personal consequences of your action

Answer 5

Accountability

Question 6

Being fair, equal distribution of goods

Answer 6

Justice

Question 7

Doing and promoting good and to maintain balance between benefits and harm

Answer 7

Beneficence

Question 8

To avoid doing harm, to remove from harm, and prevent harm

Answer 8

Nonmalificence

Question 9

Allows one person to make decisions for another. To assist person to make decisions when they do not have sufficient data or experience

Answer 9

Paternalism

Question 10

One of the things Ms. Minchin did was to engage her team in objective writing, formulating goals, and philosophy of nursing service. Which activities are MOST appropriately described under which element of administration?

a. Planning
b. Controlling
c. Directing
d. Organizing

Answer 10

a. Planning

Question 11

A collision of two buses on a busy highway left 6 persons dead and 36 others injured. The nurse used triaging for the casualties. What ethical principle does the situation represent?

a. Autonomy
b. Fidelity
c. Beneficence
d. Justice

Answer 11

d. Justice

Question 12

James is being discharged from the medical unit. He asked the nurse regarding his PhilHealth processing so that he can avail his benefits. The nurse told the patient that she will inform him after she reviewed it. The nurse then contacted the local office of PhilHealth to ask relevant information about the patient’s concern and relayed it to him. What ethical principle does the situation represent?

a. Autonomy
b. Fidelity
c. Beneficence
d. Non-maleficence

Answer 12

b. Fidelity

Question 13

A patient commits suicide after manifesting an increased energy level, extreme happiness, light mood, and giving away her precious possessions. The nurse in this case has committed:

a. Assault
b. Battery
c. Malpractice
d. Negligence

Answer 13

d. Negligence

Question 14

Failure to act in a reasonable manner that does not meet standard of care resulting in harm or potential harm to the patient

Answer 14

Negligence

Question 15

Professional misconduct or improper treatment by a health care provider

Answer 15

Malpractice

Question 16

Threatening to cause harm

Answer 16

Assault

Question 17

Causing actual harm

Answer 17

Battery

Question 18

Nurse J and Nurse M are co-workers in ICU. During their duty, both went to the restroom and did not come back after 30 minutes. The head security went to the restroom, opened the cubicle, and saw them engaging in homosexual behaviors. This act can fall under:

a. Negligence
b. Malpractice
c. Moral Turpitude
d. Battery

Answer 18

c. Moral Turpitude

Question 19

Mr. Ben, a diabetic man with gangrenous foot, consented to an amputation. Amputation will save the patient’s life, and he can still walk through the aid of crutches or artificial limbs. What ethical principle is involved?

a. Two-folded effect
b. Totality
c. Epikeia
d. Golden rule

Answer 19

b. Totality

Question 20

Medical interventions on a part of the body are ethically permissible if they benefit the whole person

Ex. Amputating a gangrenous leg to prevent spread of infection

Answer 20

Totality

Question 21

Act that has both a good effect and bad (unintended) effect. Morally acceptable if the intention is to achieve the good effect

Answer 21

Two Folded Effect

Question 22

Not enforcing visitation restrictions during a patient’s final moments, allowing family in even when policies say otherwise.

Answer 22

Epikeia

Question 23

At the front door of x-ray rooms, there is a common instruction poster that informs clients to tell the radiologists if they are pregnant because it has teratogenic effects. What ethical principle does the situation represent?

a. Autonomy
b. Fidelity
c. Beneficence
d. Non-Maleficence

Answer 23

d. Non-Maleficence

Question 24

Nurse Kai loves photography. He was so happy seeing baby Madel, so he took a picture of the baby while his co-worker took a pee. He then sold it to a magazine, and it was published the following month. Nurse Kai can be sued for:

a. Defamation
b. Illegal detention
c. Invasion of right to privacy
d. Battery

Answer 24

a. Defamation

Question 25

False Statement presented as a fact that harms person's reputation

Answer 25

Defamation

Question 26

Written defamation

Answer 26

Libel

Question 27

Nurse Lourdes is talking to Nurse Johnny in the cafeteria. They are saying that Doctor Piolo is a womanizer because he gets all of the nurses in NICU, even though he is already engaged. They say that his license must be revoked. What tort can the nurses be held liable for? a. Libel b. Slander c. Defamation d. Assault

Answer 27

b. Slander

Question 27

Spoken defamation

Answer 27

Slander

Question 28

Nurse Jen went ahead and decided to administer the medication to patient Anton. Patient Anton, on the other hand, refused to have the medication because of its side effects. However, Nurse Jen insisted, and when the patient went asleep, she injected the medication to the patient. This is an example of: a. Negligence b. Battery c. Assault d. Non-Maleficence

Answer 28

b. Battery

Question 29

Coercing a patient into taking medications by imposing punishment could legally be considered as: a. Assault b. False imprisonment c. Battery d. Probable cause

Answer 29

a. Assault

Question 30

The nurse manager is completing an annual performance appraisal/evaluation on a staff nurse. Which element should the nurse manager include when completing the evaluation? Select all that apply. A. The nurse’s barcode medication scan rate. B. The number of times the nurse had been absent or tardy. C. The nurse’s performance compared to other staff nurses. D. The number of medication errors the nurse had self-reported. E. The nurse achieving national certification

Answer 30

A, B, D, E

Question 31

Charge Nurse Justine is planning patient assignments for the following night shift staff. Which task can be safely delegated to a nursing assistant? a. Obtain a stool specimen from a client with diarrhea b. Assist client with a new colostomy in practicing his first colostomy irrigation c. Evaluate the voiding pattern for a client who had a urinary retention catheter removed d. Obtain a dietary history from a client with peptic ulcer disease

Answer 31

a. Obtain a stool specimen from a client with diarrhea

Question 32

Task that cannot be done by a Nursing Aide Assessment Nursing Diagnosis Education and Teaching Medication Administration Invasive Procedures Triage or Clinical Decision

Question 33

RN Stell, a pediatric nurse, is an excellent role model for his colleagues. He encourages them to participate in the unit’s decision-making process and helps them improve their clinical skills. This nurse is functioning effectively in which role? a. Manager b. Autocrat c. Leader d. Authority

Answer 33

c. Leader

Question 34

The Philippine Nursing Act delineates the scope of nursing. It specifies that an independent practicing nurse is responsible for: a. Health promotion and prevention of illness b. Administration of written prescription for treatment and therapies c. Rehabilitative aspect of care d. Collaborating with other healthcare providers for health restoration and alleviation of suffering

Answer 34

a. Health promotion and prevention of illness

Question 35

Which of the following is NOT a legally binding document but nonetheless very important in the care of all patients in any setting? a. Bill of Rights as provided in the Philippine Constitution b. Scope of nursing practice as defined in RA 9173 c. Patient's Bill of Rights (as adopted from American Nurses Association) d. Board of Nursing resolution adopting the Code of Ethics

Answer 35

c. Patient's Bill of Rights (as adopted from American Nurses Association)

Question 36

What RA: Provide nursing care through utilization of the nursing process: health promotion, preventive care, curative, rehabilitive aspect

Answer 36

RA 9173/ Philippine Nursing Act of 2002

Question 37

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

Answer 37

d. Primary Nursing

Question 38

Patient-centered approach in which care is delivered to patients by one nurse or primary care provider

Answer 38

Primary Nursing Model

Question 39

Task oriented and assigns specific tasks to each nurse based on their expertise

Answer 39

Functional Nursing Model

Question 40

Collaborative approach to care delivery

Answer 40

Team Nursing

Question 41

Nurse Manager Florence has implemented a change in the method of the nursing delivery system from functional to team nursing. A senior staff nurse is resistant to the change and is not taking an active part in facilitating the process of change because she feels like it is just a waste of time and the latter approach was okay. Which of the following is the best approach in dealing with the senior staff nurse? a. Ignore the resistance and focus on those who committed b. Exert coercion with the senior staff nurse since Florence is still the nurse manager c. Provide a positive reward system for the senior staff nurse to provide motivation d. Confront the nursing assistant to encourage verbalization of feelings regarding the change

Answer 41

c. Provide a positive reward system for the senior staff nurse to provide motivation

Question 42

A nurse manager is asked by a physician to administer a medication to a patient despite knowing the medication is contraindicated for that patient. What is the best course of action? a. Administer the medication as requested to avoid conflict b. Follow hospital protocol and consult with the physician for clarification c. Inform the physician that the medication is contraindicated and refuse to administer it d. Administer the medication and document the physician's orders

Answer 42

c. Inform the physician that the medication is contraindicated and refuse to administer it

Question 43

While caring for a high-profile patient, a nurse is approached by a local news reporter. What action is consistent with ethical nursing practice? SATA A. Say, “I cannot confirm or deny patient status”. B. Offer general reassurance about care quality. C. Refer the inquiry to hospital PR D. Say, “That’s confidential medical information”. E. Say, “I don’t work with that patient”.

Answer 43

A, C, D

Question 44

A nurse is delegating tasks to a nursing assistant. Which of the following tasks is not appropriate to delegate to a nursing assistant? a. Helping a patient with bed positioning b. Taking a blood pressure reading on a stable patient c. Administering oral medications to a patient d. Assisting a patient with ambulation

Answer 44

c. Administering oral medications to a patient

Question 45

A 32-year-old competent patient with a severe GI bleed refuses a blood transfusion for religious reasons. Which actions by the nurse are appropriate? (Select all that apply) a. Document the patient’s refusal in the chart b. Encourage the patient to consider alternatives c. Notify the healthcare provider immediately d. Override the refusal in an emergency e. Ask the family to persuade the patient

Answer 45

A, C

Question 46

A non-English-speaking patient is scheduled for cardiac surgery but nods "yes" when asked about understanding. What is the most appropriate nursing action? a. Proceed as consent is implied b. Notify the surgeon and request a medical interpreter c. Document understanding based on nonverbal cues d. Use a bilingual staff member to explain the procedure e. Delay the procedure until informed consent is verified

Answer 46

b. Notify the surgeon and request a medical interpreter

Question 47

A nurse witnesses a full code being initiated on a patient with a valid DNR. What is the most ethical response? A. Allow the code to continue B. Immediately notify the code team leader C. Attempt to stop the code D. Inform the patient’s family

Answer 47

B. Immediately notify the code team leader

Question 48

A nurse posts a hospital selfie that shows a patient’s monitor in the background. What principle is violated? A. Veracity B. Confidentiality C. Fidelity D. Autonomy

Answer 48

B. Confidentiality

Question 49

Two ICU patients require the only available dialysis machine. One is a 28-year-old with acute kidney injury, and the other is a 78-year-old with multi-organ failure. Which principle should guide the triage decision? A. Autonomy B. Veracity C. Justice D. Fidelity

Answer 49

C. Justice

Question 50

A hospice patient with a DNR stops eating. The family demands a feeding tube. What actions should the nurse take? (Select all that apply) A. Discuss the patient’s right to refuse care B. Provide emotional support to the family C. Begin feeding to avoid family distress D. Collaborate with the care team and ethics E. Ignore the family’s request entirely

Answer 50

A, B, D

Question 51

A nurse refuses to participate in a procedure due to personal beliefs. What should the nurse do to remain ethically accountable? SATA A. Abandon the patient assignment B. Inform the supervisor promptly C. Notify staffing in advance when possible D. Delay informing until the procedure begins E. Ensure continuity of care is maintained

Answer 51

B, C, E

Question 52

A nurse manager is overseeing a team of nurses on a busy unit. Which task is most appropriate to delegate to a nursing assistant? A. Administering oral medication to a stable patient B. Assisting a patient with daily hygiene needs C. Assessing a new patient’s vital signs D. Teaching a patient about post-surgical care

Answer 52

B. Assisting a patient with daily hygiene needs

Question 53

A patient is scheduled for a painful diagnostic procedure. The family asks the nurse not to mention the discomfort to avoid causing anxiety. What should the nurse do? A. Comply with the family's request B. Inform the patient of the procedure, including expected pain C. Refer the family’s concern to the ethics committee D. Ask the provider to withhold information

Answer 53

B. Inform the patient of the procedure, including expected pain

Question 54

A nurse assures a postoperative patient she’ll return in 10 minutes with their pain medication but is delayed due to an emergency. What is the nurse's next ethical action? SATA A. Deliver the medication as soon as possible and apologize B. Ignore the delay since the situation was urgent C. Explain the reason for the delay and reinforce trust C. Document the delay and continue care D. Ask another nurse to cover without explanation

Answer 54

A, B , C, D

Question 55

A nurse reads a study that recommends repositioning immobile patients every 3 hours instead of 2. Before making changes, the nurse should A. Apply the practice immediately to reduce workload. B. Evaluate the study’s design, sample, and relevance. C. Ask the physician to make the decision. D. Check if other hospitals are doing

Answer 55

B. Evaluate the study’s design, sample, and relevance.

Question 56

In research, what is the best reason to conduct a literature review? A. To complete a school assignment B. To find flaws in previous studies C. To identify gaps in knowledge D. To copy previous methodologies

Answer 56

C. To identify gaps in knowledge

Question 57

What is the main difference between qualitative and quantitative research? A. Qualitative uses statistics; quantitative uses interviews B. Quantitative is subjective; qualitative is objective C. Qualitative explores meaning; quantitative measures variables D. Quantitative studies personal experiences

Answer 57

C. Qualitative explores meaning; quantitative measures variables

Question 58

What is the primary purpose of nursing research? A. To develop hospital policies B. To improve patient outcomes through evidence-based practice C. To increase the workload of nurses D. To satisfy academic requirements

Answer 58

B. To improve patient outcomes through evidence-based practice

Question 59

Which of the following is most likely to introduce bias into a study? A. Using validated measurement tools B. Randomized controlled design C. Researcher influence on participants' responses D. Blinding both participants and researchers

Answer 59

C. Researcher influence on participants' responses