PALMR WORKBOOK 5. A leader is most likely to be effective when acting which D.

be effective when acting which D. The manager prepares a monthly budget variance report that
way? Select all that apply. * includes plans to correct overspending.
1. The nurse manager will implement a new way of scheduling
staff vacations. Senior staff members are against the change 9. A staff nurse influences the behaviors of her colleagues by
while newer staff members are more accepting. What strategy is guiding and encouraging them. She’s an excellent role model
effective to solve their differences? * but has no formal authority over her peers. This nurse is
A. Explain that the change will occur as designed, regardless of demonstrating characteristics of which role? *
the staff’s preference. A. Leader
B. Provide extensive and detailed rationale for the proposed B. Autocrat
change, then implement. C. Manager
C. Withdraw the proposal to prevent a decrease in staff morale. D. Authority
D. Encourage interaction between the opposing sides to attempt
10. A nurse-manager is concerned because she received many
resolution.
time-off requests from her staff for the upcoming long weekend.
2. A nurse-manager of a 40-bed surgical unit arrives at work She has come up with several possible solutions to the staffing
during a strong typhoon. Surprised, she finds out only a licensed A. c,d,e dilemma and has scheduled a staff meeting to present ideas to
practical nurse (LPN) and two nursing assistants (NA) have B. e,a,b the staff. Which management style is this manager
been able to make the journey to work. Each reporting staff C. c,b,e demonstrating? *
member has skills that can be used to provide care for the D. all of the above A. Democratic
clients on the unit. Which nursing care delivery system would B. Participative
6.Which is more commonly a characteristic of a manager rather C. Autocratic
be most effective in an event like this? *
than a leader? * D. Laissez-faire
A. Functional nursing
A. Visionary
B. Case management
B. Primary effectiveness is through influencing others. 11. A preoperative nurse notices that a client is scheduled for a
C. Primary nursing
C. Often takes risks and explores new solutions to problems. partial mastectomy and axillary lymph node removal the
D. Team nursing
D. Has been given legitimate power by the organization. following week. The nurse should make sure that the client is
3. The nurse leader informs the staff of an emergency and well educated about her surgery by: *
7. During the rounds, one patient tells the nurse manager that he A. making sure that the post-anesthesia care unit nurses know
instructs them to stay at the hospital to prepare for major
has not had his medications all shift.Being a nurse manager, what to teach the client before discharge.
casualties. The staff displays high levels of anxiety and
what will be his first action? * B. providing all of the preoperative teaching before surgery.
disorganization. Which is the most appropriate leadership style
A. Enhance employee performance: Provide the client’s nurse C. talking with the nursing staff at the physician’s office to find
at this time? *
with a mentor to review proper medication procedures. out what the client has been taught and her level of
A. Democratic
B. Manage resources: Assign another nurse to administer the understanding.
B. Laissez-faire
client’s medications. D. having the post-operative nurses teach the client because
C. Bureaucratic
C. Communicate: Discuss the client’s statement with the she’ll be too anxious before surgery.
D. Authoritarian
assigned nurse.
4. An unlicensed assistant (UAP) has previously performed D. Manage conflict: Call the nurse into the client’s room and 12. A nurse-manager is interviewing another nurse for the team
client transfers safely (bed to chair) on many occasions. In mediate a discussion between them. leader position. The nurse appears to be qualified and has
which condition would it be inappropriate to delegate this excellent references. She said that she is certified in critical care
8.Which example reflects a nurse manager with accountability nursing but she misplaced her verification card. What would be
unsupervised task to the UAP? *
but not authority? * the best action the nurse manager would take next? *
A. The UAP has just returned from an extended leave of
A. The manager is to recommend a new staffing procedure to A. hire the nurse, but tell her that she must provide proof of
absence.
the institution’s nurse manager group. certification before completing orientation.
B. The unit had a new wheelchair.
B. To reduce costs, administrators instruct the manager to B. avoid hiring the nurse because she can’t provide proof of
C. This was an elderly client.
inform the staff to reduce overtime. certification.
D. It was the client’s first time out of bed after surgery.
C. The manager evaluates the unit staff but cannot promote or C. contact the credentialing center and confirm the nurse’s
terminate staff. certification.
D. trust that the nurse is telling the truth because she has problems directly to her. What type of leader and manager B. Responsibility.
excellent references approach do the new manager’s characteristics suggest?(33) * C. Accountability.
A. Autocratic D. Decision making.
13. The nurse is giving a bed bath to an assigned client when an B. Situationa
unlicensed assistive personnel (UAP) enters the client’s room C. Democratic 21. Your nursing manager distributes biweekly newsletters of
and tells the nurse that another assigned client is in pain and D. Laissez-faire ongoing unit or health care agency activities and posts minutes
needs pain medication. Which is the most appropriate nursing of committee meetings on a bulletin board in the staff break
action? * 17. A nurse-manager of a busy pediatric unit wants to purchase room. This is an example of: *
A. Finish the bed bath and then administer the pain medication additional computers for client data collection and for online A. Interdisciplinary collaboration.
to the other client. continuing education programs. The total cost is about Php B. Staff communication.
B. Cover the client, raise the side rails, tell the client that you 100,000. She should include this expense in what portion of her C. Nurse-physician collaborative practice.
will return shortly, and administer the pain medication to the budget? * D. Problem-solving committees.
other client. A. Operating
C. Ask the UAP to find out when the last pain medication was B. Capital 22. The nurse asks an unlicensed assistant (UAP) to weigh a
given to the client. C. Personnel client. The UAP carefully assists the client out of bed to stand
D. Ask the UAP to tell the client in pain that medication will D. Managerial on the scale, weighs the client, and safely returns the client to
be administered as soon as the bed bath is complete. bed. Later, when the UAP reports the weight to the nurse, it is
18. The registered nurse is planning the client assignments for discovered that the client had been placed on bedrest and should
14. A nurse-manager of an outpatient surgery department helps the day. Which is the most appropriate assignment for an not have been allowed out of bed. This situation violates which
groom her staff for career advancement.Which task can she unlicensed assistive personnel (UAP)? * of the following five rights of delegation? *
safely delegate to a staff registered nurse? * A. A client receiving continuous tube feedings A. Right direction and communication
A. Tell the most experienced staff nurse to select a new nursing B. A client requiring a colostomy irrigation B. Right person
care delivery system for use in the department. C. A client with difficulty swallowing food and fluids C. Right task
B. Ask one of her staff nurses to terminate a client care D. A client who requires urine specimen collections D. Right supervision and evaluation
assistant.
C. Assign 24-hour responsibility to her assistant manager for a 19. Which of the following strategies focus on improving nurse- 23. When economic conditions are tight, a hospital may reduce
period of 2 months. physician collaborative practice? (Select all that apply.) * the number of middle-level nurse managers. This can
D. Ask two of her staff nurses to schedule staff for the next 2 potentially disrupt nursing care because middle-level managers
weeks. are responsible for which of the following? *
A. Supervision of nonmanagerial staff.
15. A new nurse-manager is trying to determine the best way to B. Productivity and effectiveness of a group of managers.
implement client teaching in her surgical unit by gathering data C. Reporting institutional changes to direct-care staff.
from other surgical centers and comparing their teaching D. Creating institutional goals and strategic plans.
methods with her unit’s methods. Which quality improvement
process is she using? * 24. A management function of bedside direct-care nurses
A. Risk management includes determining whether the client has reached the
B. Performance improvement intended outcomes designated in the care plan. This is an
C. Benchmarking A. I, III, IV example of which of the four management functions? *
D. Quality management B. I, V A. Coordinating
C. I, II, IV B. Organizing
16. A new unit nurse manager is holding her first staff meeting. D. I, IV C. Planning
The manager greets the staff and comments that she has been D. Directing
employed to bring about quality improvement. The manager 20. While administering medications, the nurse realizes that she
provides a plan that she developed and a list of tasks and has given the wrong dose of medication to a patient. She acts by 25. The type of care management approach that coordinates and
activities for which each staff member must volunteer to completing an incident report and notifying the patient’s health links health care services to patients and their families while
perform. In addition, she instructs staff members to report any care provider. The nurse is exercising: * streamlining costs and maintaining quality is: *
A. Authority. A. Total patient care.
B. Primary nursing. 31. The following statements are true about null hypothesis C. External validity
C. Case management. except: * D. Objectivity
D. Functional nursing. A. It is formulated at the beginning of a study.
B. Null hypothesis is denoted by “H0.” 37. A researcher is observing the performance of staff nurses in
26. The nurse is assisting the patient with coughing and deep C. It may start with “There is no significant difference…” wound dressing. Because the nurses know that they are being
breathing exercises following abdominal surgery. This is which D. Null hypothesis predicts a possible relationship between two observed, the researcher must be aware that this might cause a
priority nursing need for this patient?  variables. bias called: *
A. Low priority A. Selection bias
B. High priority 32. Which among the following hypotheses is considered non- B. Rosenthal effect
C. Intermediate priority directional? * C. Hawthorne effect
D. Emergency priority A. Longer duration of playing video games increases the risk D. Personal bias
of developing carpal tunnel syndrome.
27. Which example demonstrates the nurse performing the skill B. There is a significant difference between white rice and 38. Which of the following is considered as an in vitro
of evaluation? * brown rice in decreasing the risk for diabetes mellitus. biophysiologic measure? *
A. The nurse explains the side effects of the new blood C. Exclusive breastfeeding is associated with the rate of A. Blood pressure
pressure medication ordered for the patient. development of infants. B. Pulse oximetry
B. The nurse changes the patient’s leg ulcer dressing using D. There is no significant difference between staying up late C. Pupillary response
aseptic technique. and waking up early to study in increasing exam scores. D. Urine osmolarity
C. The nurse asks the patient to rate pain on a scale of 0 to 10
before administering the pain medication. 33. A prospective/cohort design involves the use of multiple 39. The following are elements of a validly obtained informed
D. After completing the teaching, the nurse observes the data collection points to gather complete data about the consent form, except: *
patient draw up and administer an insulin injection. subjects. Multiple data collection is called: * A. Voluntary
A. Longitudinal B. Coherence of subject
28. The nurse collects the supplies for the dressing change for B. Survey C. Signature of parent
the patient in bed 1 and signs out the capillary blood glucose C. Cross-sectional D. Legal age of subject
monitoring equipment to test the glucose of the patient in bed 2 D. Case-control
before walking down the hall to the room. The nurse is 40. The principle that refers to treating all research participants
displaying: * 34. The results of a prospective study is considered as more fairly and subjecting them to equal risks and benefits: *
A. Priority setting. reliable than those of a retrospective study because: * A. Autonomy
B. Organizational skills. A. Prospective study is cheaper and requires less resources. B. Justice
C. Clinical decision making. B. The status of subjects can be followed and monitored. C. Self-determination
D. Use of resources. C. There is lesser recall bias in a retrospective study. D. Fidelity
D. Prospective study is easier to conduct than retrospective. Option 2
29. The nurses on the unit developed a system for self-
scheduling of work shifts. This is an example of: * 35. In many cases, a non-experimental design is more 41. The nurse asks a nursing assistant to administer a
A. Accountability. applicable than an experimental design because: * preoperative bath to a client using special soap designed to
B. Autonomy. A. There are independent variables that cannot be manipulated. decrease the bacteria count on the client’s skin. The nursing
C. Responsibility. B. A non-experimental design is more affordable. assistant has no experience with this type of preoperative bath
D. Authority C. Safety of subjects are considered second priority. and asks the nurse for instructions. The nurse replies, “Just read
D. An experimental design is meticulous and requires a huge the directions on the soap bottle. You will figure it out.” Which
30. The nurse asks the nursing assistant to hold the legs of a amount of time. “right” of delegation did the nurse fail to perform while
female patient during a Foley catheter insertion. This is an delegating the preoperative bath to the nursing assistant? *
example of a nurse displaying: * 36. This is the characteristic of a study in which conclusions A. Right task
A. Time management. and results remain the same even after conducting it in different B. Right circumstances
B. Evaluation. settings: * C. Right person
C. Use of resources. A. Internal validity D. Right direction
D. Organizational skills. B. Reliability
42. Which of the following advance directive was filed when 48. This is an appointment done when a board member is
the patient said, “When the time comes that I am incapacitated retained in her office beyond her 3 years of term while waiting
to provide an informed healthcare decision, my friend will for a new member to be appointed. *
decide for me.”: * A. Ad Interim appointment
A. Healthcare Proxy B. Respondeat superior
B. Living Will C. Doctrine of Hold-over
C. Last Will D. Regular appointment
D. Special Power of Attorney
49. This doctrine states that the nationality of a person is
43. The Board of Nursing member is only allowed to serve the determined by the place of birth. *
Board for a maximum duration of: * A. Jus sanguinis
A. 3 years B. Naturalization
B. 5 years C. Jus soli
C. 6 years D. Jus tice
D. 10 years
50. Which of the following is not considered as element of
44. The Board of Nursing issued a subpoena to a nurse to negligence? *
summon her to a hearing in order to provide a testimony as she A. Duty
is a witness to the medicolegal event. This is referred to as: * B. Breach of duty
A. Subpoena ad testificandum C. Association
B. Court summons D. Injury
C. Subpoena duces tecum E. Regular appointment
D. Injunction

45. The utility worker knows that the physician had just
conducted an abortion session. He was asked by the physician
to bury it in a nearby vacant lot in order to conceal the evidence
of abortion. The utility worker participated as the: *
A. Principle
B. Accomplice
C. Accessory
D. Principal

46. A physician who assisted the mother in performing abortion

47. The nurse who assisted the physician in handling