MERHAKI REVIEW- FOCUS BASED FINAL COACHING BEZ’S- LEGAL, ETHICAL,MNGT

DEVELOPMENT IN LEADERSHIP AND GOVERNANCE, ETHICS, JURISPRUDENCE

By: Mr. Donniedex P. Parrocha RN,JD

INSTRUCTION: Select the correct answer for each item of the following questions. Mark only one answer
for each item by shading the box corresponding to the letter of your choice on the answer sheet provided.
STRICTLY NO ERASURE ALLOWED. Use pencil No. 2 only.

Nurse Ina is conducting a lecture to the newly hired nurse about the types of law.

1. A law enacted by the members of the Senate and Congress is ?

A. Statutory law
B. Civil law
C. Criminal law
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D. Administrative law

2. The new Universal Health Care Act is?

A. RA 9173
B. RA 9482
C. RA 1080
D. RA 11223
E. RA7305

3. Dina has had a cardiac surgery. Few hours after operation she complaints of severe abdominal pain and chest
pain. X ray finding reveals the presence of sponges. A doctrine applicable is:
A. Res ipsa loquitor
B. Respondeat superior
C. Force majeure
D. damnum absque injuria

4. supertyphoon causing flood and the patient died despite proper intervention. The doctrine of ________applies.
A. Res ipsa loquitor
B. Respondeat superior
C. Force majeure
D. Damnum absque injuria

5. A certified IV therapy nurse who carefully performed his duty but injures a patient because he was startled by
another nurse., causing injury to the patient. This is:

A. Res ipsa loquitor

 MERHAKI REVIEW- FOCUS BASED FINAL COACHING BEZ’S- LEGAL, ETHICAL,MNGT

B. Respondeat superior
C. Damnum absque injuria
D. Bonus pater familias

Situation- Nurse Mina must be aware of the acts that a nurse may commit.

6. Nurse Mina threatens a 6-year-old child that when the latter resisted medication, she will restraint the patient.
The act of the nurse constitutes:
A. Assault
B. Battery
C. Negligence
D. Malpractice

7. Nurse Mina fails to monitor the vital signs of post operative patient? This is an act of?
A. Negligence
B. Malpractice
C. Assault
D. Battery

8. Nurse has a complaint from a parent for administering wrong dose of vaccine to the child, leading to death.
The nurse is guilty of:
A. Negligence
B. Malpractice
C. Assault
D. battery
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9. The nurse gives two pills instead of the ordered one pill. The physician is notified. The client is carefully
monitored and no untoward effects happened. Can the client sue the nurse for negligence?
A. No, the client was not harmed.
B. No, the nurse notified the physician.
C. Yes, a breach of duty exists.
D. Yes, foresee ability is present

10. The patient sued the nurse for negligence. The patients lawyer must prove the following elements of a
professional negligence are satisfied. Which of the following elements must the lawyer prove for professional
negligence.?

A. Duty, breach of duty, and damages

B. duty, Breach of duty, damage and causation
C. Duty, breach of duty, damages, causation
D. duty, damages, causation

11.An approach that upholds the use of universal code and principle when making ethical decisions in nursing
practice.
A. Deontological
B. Ethical skepticism
C. Utilitarianism
D.Epikia
E. Totality

12.Ethical dilemma occurs when there is:

A. conflict between ethics and morality. C. conflict between two ethical principles.
B. conflict between staff nurse. D. conflict between the staff nurse and the physician.
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13.Providing all patients with caring attention and information is what ethical principle?
a. Justice B. Nonmaleficence C. Fidelity D. Beneficience

14. Attending different seminars, conventions and trainings or keeping skills updated is under what principle?
A. Justice B. Nonmaleficence C. Fidelity D. Confidentiality

15. The Nurse in the practice of her profession is guided by:

A. Code of Ethics
B. Standards of care
C. Code of Hammurabi
D. Standards of care for nurses

FOCUS: DELEGATION

16. An order for a client was given and the nurse in charge of the client reports that she has no experience of doing the procedure
before. Which of the following is the most appropriate action of the nurse supervisor?
A. Assign another nurse to perform the procedure
B. Ask the nurse to find a way to learn the procedure
C. Tell the nurse to read the manual
D. Do the procedure with the nurse

17. Managers implement a variety of strategies to ensure effective delegation. The following are strategies that ensure effective
delegation, EXCEPT:
A. Assess the situation and delineate the expected outcome.
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B. Identify the skills and educational levels of the team necessary to complete the job.
C. Empower the person to whom you delegated the job.
D. Create job description and scope of responsibility.

18. Upon reporting to the unit, the head nurse of the morning shift is overwhelmed with the following situations: failure of the staff
to carry out medication order 2 days ago, an elderly client pulled out his central venous line and a client wishes to be discharged
immediately. Which of the following should be the course of action of the head nurse?
A. Increase the scope and responsibility of the staff nurse
B. Recognize the capability of each team member and delegate appropriately
C. Prepare an assignment of each team member and delegate appropriately depending on the expertise of the member.
D. Assess the situation and delegate appropriately activities that recognize the unique expertise of each team member.

19. The nurse manager delegates work to a subordinate. Which of the following is the frequent mistake made by the manager in
delegating?
A. Lack of experience in delegating and trying to get organized
B. Delegating without adequate information.
C. “A Do it myself” attitude
D. Overdelegating, underdelegating and improper delegating

20. The registered nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment
for the nursing assistant?
A. a client with difficulty swallowing foods and fluids C. change IV infusion
B. A client who requires urine specimen collection D. a client receiving continuous tube feeding

21. The home care nurse has four phone calls to answer. Which phone call should the home care nurse respond to first?

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a. the wife of a client with chronic heart disease who reports her husband is coughing frothy, white secretions and became
confused during the night
b. a client who received chemotherapy yesterday and is reporting nausea and vomiting
c. a client who was discharged two days ago with a urinary catheter after a transurethral proctectomy and is reporting pink-tinged
urine
d. a client with schizophrenia who says that the police has surrounded the house

22. A labor and delivery room nurse has just received report on four clients. The nurse should assess which client FIRST?
a. A client who has just received an IV loading dose of magnesium sulphate to stop preterm labor.
b. A primiparous client in the active stage of labor.
c. A multiparous client who has admitted for induction of labor
d. A client who is not contracting, but has suspected premature rupture.

23. The nurse provides care for a client newly admitted with severe right flank pain, temperature of 101F, chills, and dysuria. Which
action should the nurse take NEXT?
A. Obtain urine sample. C. Start the ordered antibiotics.
B. Assess for pain at the right costovertebral angle. D. Encourage fluid intake of at least 3000ml.

24. The nurse is planning interventions beneficial to a client with chronic illness. The nurse should focus on, EXCEPT:
A. Reducing health care costs C. Promoting independence
B. Pain management D. Improving quality of life

25. You are initiating a nursing care plan for a patient with pneumonia. Which intervention for cough enhancement should you
delegate to a NURSING ASSISTANT?
a. Reminding the patient to use an incentive spirometer every 1 to 2 hours while awake
b. Teaching the patient about the importance of adequate of fluid intake and hydration.
c. Positioning the patient with neck flexed, shoulders relaxed, and knees flexed
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d. Encouraging the patient to take a deep breath, hold it for 2 seconds, then cough two or three times in succession.

26. The nurse is making the assignment for the floor. There is one LPN and three RNs. Which of the following clients should the
LPN be assigned to?
a. a client who is intubated and a newly diagnosed diabetic.
b. A recent ICU transfer and a person with AIDS.
c. A client awaiting a nursing home bed and a client one day post – hernia repair.
d. A newly admitted patients with Novel coronavirus/MERS - CoV (Middle East Respiratory Syndrome) and EBOLA virus

27. An experienced NA, under the supervision of the team leader RN, is providing nursing care for a patient with a respiratory
problem.? Which of the following tasks CANNOT BE DELEGATED to NA in the unit? (SATA)
1. Specimen collection 4. Collaborate to the respiratory therapist
2. Bathing, grooming, toileting, bed making 5. Evaluate the patient's car
3. Complete in-depth admission assessment

A. 3,4,5 B. 1,2 only C. 1,2,3,4,5 D. 1,2,5

28. Mr. Cecilio has Chronic Pulmonary Disease (COPD) requiring effective airway management. Nurse Bea decides that she can
seek the assistance of the nursing aide for which of the following tasks?
a. Assist client sit up on the side of the bed. c. Auscultate for breath sounds
b. Give instructions on effective coughing exercises d. Teach client to use incentive spirometer.

29. A nurse receives a telephone call from the PACU stating that the client is being transferred to the surgical unit. The nurse plans
to do which of the following first on arrival of the client?
a. Assess the patency of the airway
b. Check tubes or drains for patency
c. Check the dressing to assess bleeding
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d. assess the vital signs to compare with preoperative measurements

30. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first?
a. call for help to get the client back in bed c. assist the client back to bed
b. establish whether the client is responsive d. ask the client what happened

36. You are preparing the clinical assignment for the maternity unit as Head Nurse in St Anne’s Hospital. Which of the following
tasks CAN BE DELEGATED to a non- registered nursing personnel in the unit?
1. Provide the care for a client in pre eclampsia
2. Walk a client in her 37th week of gestation
3. Instruct a client on the clinical signs of placenta previa
4. Assess a client for Braxton – Hicks contraction
A. 1, 4 B. 2 only C. 1,3,4 D. 3 only

FOCUS: TEAMWORK AND COLLABORATION

37. Teamwork involves integrating the knowledge, expertise, and experience of health-care professionals to work collaboratively in
planning and delivering patient-centered care that is safe, timely, equitable, effective, and _______
A. efficient B. accessible C. relevant D. effective

38. Collaboration is a process of working in combined effort to achieve ________

A. Common goals B. shared goals C. one goal D. goal of the organization

39. A patient wants to learn how to self inject an insulin, Nurse Allen should collaborate to?
A. Endocrinologists D. Physical therapists
B. Physician E. Internist
C. Psychiatrist
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40. Your client, Mr. Carlos, admitted in the medical surgical ward is concerned that the steak served during lunch is not tender You
refer him to a:
A. Chief Cook B. nutritionist C. Head Nurse D. dietitian

41. The principle used when collaborating is?

A. Intrahospital B. Interhospital C. Carrot and stick principle D. Pareto principle

FOCUS: COMMUNICATION

42. A person or group who initiates or begins the communication process is

A. Encoder B. Decoder C. Channel D. Message

43. Standing up for one's rights and others using open, honest and direct communication is
A. Passive behavior B. Aggressive behavior C. Assertive behavior D. Passive- aggressive behavior

44. Communication between the superior and the subordinate is considered.?

A. Upward B. Downward C. Horizontal D. Outward

45. This refers to distance in communication process?

A. Proxemics B. Paralanguage C. Kinetics D. Medium

46. Which nursing responses indicate the use of non therapeutic communication techniques? SATA
1. I know that feeling.
2. You will do just fine, just wait and see.
3. Don’t worry about anything. You are in good hands.
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4. Why do you still smoke when you know that you have cancer.
5. Let’s talk more about the reasons you are not following your diet.
6. You are feeling anxious because of the conversation that you had with your boss yesterday.
A. 5,6 B. 1234 C. 256 D. 2,6

47. She knows that performance appraisal consists of all the following activities EXCEPT:
A. Setting specific standards and activities for individual performance.
B. Using agency standards as a guide.
C. Determine areas of strength and weaknesses
D. Focusing activity on the correction of identified behavior.

48. Which of the following statements is NOT true about performance appraisal?
A. Informing the staff about the specific impressions of their work help improve their performance.
B. A verbal appraisal is an acceptable substitute for a written report
C. Patients are the best source of information regarding personnel appraisal.
D. The outcome of performance appraisal rests primarily with the staff.

49. 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?
A. The staff member is observed in natural setting.
B. Incidental confrontation and collaboration is allowed.
C. The evaluation is focused on objective data systematically.
D. The evaluation may provide valid information for compilation of a formal report.

50. She conducts a 6-month performance review session with a staff member. Which of the following actions is appropriate?
A. She asks another nurse to attest the session as a witness.
B. She informs the staff that she may ask another nurse to read the appraisal before the session is over.
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C. She tells the staff that the session is manager-centered.

D. The session is private between the two members.

51. Getting feedback to various people in the organization is?

A. Peer review C. Rating scale
B. 360 degree evaluation D. Ranking

52. All of the following are the general approach in quality assurance. Which is not included?
A. Credentialing D. Certification and Recognition
B. Licensing E. Nursing audit
C. Accreditation

53. During controlling and evaluating phase, the following are quality improvement methods utilized by institutions. Which one
refers to a review process used by healthcare organization to assure that the hospital may provide care to clients?
a. Credentialing and licensing c. Clinical pathways
b. Standards of care d. Recognition

54. Which is NOT a component of Quality assurance according to Donabedian model?

A. Structure B. Process C. Outcome D. Protocol

55. Which is NOT included in quality assurance?

A. Applicability B. Access to healthcare C. Acceptability D. Appropriateness

56. Quality assurance is under what management process?

A. Planning B. Organizing C. Controlling D. Directing

57. Which of the following accurately describes what is Nursing Audit?

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A. Nursing audit evaluates the care given by the doctors

B. Nursing audit evaluates the care given by the nurses
C. Nursing audit is the review of the patient’s chart
D. Nursing audit is the review of the nursing actions

58. Nursing audit aims to:

A. Provide research data to hospital personnel C. Compare actual nursing done to established standards
B. Study client’s illness and treatment regimen closely D. Provide information to health care providers

59. A quality assurance nurse performs a chart review to determine how many facility patients with surgical incisions are currently
experiencing wound infections. This chart review is an example of which kind of nursing audit?
A. Concurrent B. Retrospective C. Terminal D. Prospective

60. Nursing Audit is under which phase of the managerial process?

A. Planning B. Organizing C. Directing D. Controlling

61. The main purpose of the nursing audit is to:

A. Make the nurses responsible and more responsive to care
B. Improve the professional competence of the nurses
C. As a career ladder, to know who are eligible for promotion
D. To know if what has been written is actually performed

FOCUS: STRUCTURE, PROCESS AND OUTCOME

62. A quality assurance is an ongoing, systematic process designed to evaluate and promote excellence in the health care
provided to clients. QA requires evaluation of three components of care: structure, process, and outcome. Which of the following
statements describe structure evaluation? SELECT ALL THAT APPLY:
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I. Suction equipment is adequate in the nursing unit.

II. 5% of clients who have colostomy experience an infection that delays discharge
III. Checks the client’s identification band before giving medication
IV. Staff nurses are assigned adequately according to patient acuity.
A. I,IV B. I,II,IV C. I, III D. II,IV

63. In the hospital where you work, increased incidence of medication error was identified as the number one problem in the
unit. During the brainstorming session of the nursing service department, probable causes were identified. Which of the following
is PROCESS related?
A. interruptions C. lack of knowledge
B. use of unofficial abbreviations D. failure to identify client

64. Mrs. Ace Maniego, the Chief Nurse of Maniego Hospital develops standards to be followed. Among the following
standards, which is considered as a structure standard?
a. The patients’ verbalized satisfaction of the nursing care received.
b. Rotation of duty will be done every four weeks for all patient care personnel
c. All patients shall have their weights taken and recorded
d. Patients shall answer the evaluation form before discharge

65. When Mrs. Maniego presents the nursing procedures to be followed, she refers to what type of standards?
a. Structure B. Outcome C. Process D. Criteria

66. The hospital has an ongoing quality assurance program. Which of the following indicates implementation of process
standards?
a. The nurses check clients’ identification band before giving medications
b. The nurse reports adverse reaction to drugs
c. Average waiting time for medication administration is measured
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d. The unit has well ventilated medication room

67. A process of evaluation that is applied to the health care system and the provision of health care services by health workers
is:
a. Performance Appraisal
b. quality assurance
c. nursing audit
d. benchmarking

68. A group of staff nurses were formed to evaluate the care rendered by their fellow staff nurses from various departments.
This method of evaluating the hospital’s nursing service is called a:
a. Peer Review B. 360 degree Evaluation C. Management by objectives

69. Managers organize quality- driven services, select standards, measure of those standards, and tools to measure them with others;
facilitate collecting and analyzing data; determine discrepancies between care provided and standards and facilitate on going
quality improvement. It is a tool use in continuous quality improvement that consists of bar graph that displays categories of data
in descending order of frequency or significance from the left to the right.
a. Fishbone diagram B. Pareto Chart C. Gantt Chart D. Time Series

70. A new nurse manager is trying to determine the best way to implement client teaching in her out-patient surgical center. She
decides to gather data from other surgical centers and compare their teaching in her outpatient surgical center. She decides to gather
data from other surgical centers and compare their teaching method to her center’s method. Which quality improvement process is
she utilizing?
a. Benchmarking B. Fishbone diagram C. Pareto Chart

71. When nurse Kahren studies, examine cost case charges and length of stay, she is performing what type of benchmarking?
a. Clinical B. Financial C. Operating D. None of these
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72. Following a sentinel event, which step would be initiated first?

a. No action c. Reporting to health department/ root cause analysis
b. Corrective action of personnel d. Immediate investigation

73. Which of the following statements refers to criteria?

a. Agreed on level of nursing care
b. Characteristics used to measure the level of nursing care
c. Step-by-step guidelines
d. Statement which guide the group in decision making and problem solving

74. All of the following are the general principles of QUALITY IMPROVEMENT, which is NOT included?
A. The priority is to benefit patients and internal customers only.
B. Improvement opportunities are developed by focusing in the work processes.
C. Improvement of the quality of service is a continuous process.
D. Improvement of the system or process are made based on data.

75. Medication errors, orders for unnecessary tests, and omission of standard tests or procedures are classified as which type of
variance?
a. Community B. Patient C. Operational D. practitioner

76. A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should choose which hospital for care
during this procedure?
a. The hospital closest to the clients home
b. The hospital that has done the greatest number of these surgeries in the last two years
c. The hospital chosen by the clients primary care physician
d. The hospital with the highest performance ratings for this procedure
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77. The nurse manager asks a staff nurse why a procedure is done in a certain manner. The nurse replies, I dont know why I started
doing it this way. Ive never read any research on it, but this technique always works for me. The manager would place this
technique into which category of evidence?
a. Case study c. Nonexperimental design research
b. Anecdotal d. Statistical

78. A health care system is considering applying to the Magnet Recognition Program. The leaders of this health system should
prepare to address ________ qualities or Forces of Magnetism.
a. 10 B. 5 C. 14 D. 11

79. The nurse manager overhears staff discussing the shortage of nurses. Which statement by a staff member would the manager
evaluate as misinformation?
a. There are more nurses retiring than are entering the profession.
b. The demand for nurses is declining because of fewer hospital admissions.
c. There are insufficient numbers of nursing faculty to teach interested students.
d. Women still outnumber men in nursing.

80. A form of reactivity whereby subjects improve as an aspect of their behavior being experimentally measured simply in response
to the fact that they are being studied is known as the:
a. Hawthorne effect d. Pareto Principle
b. Horns effect e. Matthew effect
c. Halo effect

81. Which of the following described the Pareto effect?

a. Each worker should report only to one supervisor.
b. For many events, roughly 80% of the effects come from 20% of the causes
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c. X are best lead using autocratic leadership while Y are lead using laissez – faire
d. Employees receive the same appraisal results year and year out.

82. The plan-do-study-act cycle begins with:

a. Four stages B. Five Agenda C. Three questions D. Two concepts

83. To improve the quality of nursing care in wound management, the nurse applies the PDSA cycle. To start the process, the nurse
said, “Our goal is to prevent wound infection and bleeding and control odor and exudates.” This statement answers:
a. What are we trying to accomplish?
b. How will we know that the change is an improvement?
c. What change can we make that will result in improvement?
d. Who will start the process of change?

84. Which of the following accurately describes Total Quality Management?

a. An approach that seeks to improve the quality and performances that will meet or exceeds pt’s demand.
b. Quality is more important than profit.
c. A philosophy based on the client, organizational involvement, quantitative measurement of outcomes, and processes for
improvement.
d. A method of managing people engaged in work that emphasizes frequent rapid problem solving and work redesign that has
become the global archetype for the productivity and performance.
e. An excellent tool for determining an individual employee’s progress because it incorporates both the employee’s assessments
as well as the organization. –

85. TPS is originally called “Just In Time Production”, builds on the approach created by the founder of Toyota and drew heavily on
the work of Deming. TPS originated in:
a. Supermarket B. School C. American automotive industry d. None of the above
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86. Which of the following statement regarding quality improvement is TRUE?

a. Quality improvement measures compliance against certain necessary standards.
b. Quality improvement is proactive.
c. Quality improvement is an approach to improve processes and systems.
d. Quality improvement focuses normally to a improvement process.

A. BCD B. A and C C. B and D D. B only

87. An important element of the philosophy behind its system is to work intelligently and eliminate waste so that inventory is no
longer needed. What is the key outcome of Toyota Production System?
a. High inventory level c. processing itself
b. low inventory level d. overproduction

88. An approach/strategies for error reduction that limit defects to 3.4 errors per million
a. 360 degree evaluation c. Benchmarking
b. Six sigma approach d. Sentinel Event

89. It is a procedure or set of procedures intended to ensure that a manufactured product or performed service adheres to a defined
set of quality criteria or meets the requirements of the client or customer.
a. Quality control c. TQM
b. Quality assurance d. CQI

90. FOCUS stands for:

a. Focus, Organize, Clarify, Understand, Solution c. Forecast, Organize, Critique, Understand, Solution
b. Focus, Organize, Compare, Utilize, Select d. Focus, Organize, Change, Understand , Select

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91. DMAIC stands for:

a. Define, Measure, Analyze, Improve, Control c. Discuss, Make, Adopt, Improve, Correct
b. Determine, Make, Act, Improve, Cycle d. Define, Make, Adopt, Improve, Control

92. Dina has had a cardiac surgery. Few hours after operation she complaints of severe abdominal pain and chest pain. X ray finding
reveals the presence of sponge. A doctrine applicable is:

A. Respondeat superior
B. Res ipsa loquitor
C. Force majeure
D. Damnum absque injuria

93. The true purpose of issuance and evocation of a registration certificate is to:
A. Punish the practitioner C. To gather statistical data
B. Protect the public D. To discourage others from violating the Nursing Act

94. A nurse is attending a cardiopulmonary resuscitation training to review her previous CPR training as a requirement in the new
hospital where she was employed. This is an example of:
A. Continuing Education C. In service Education
B. Advanced training D. Formal Education

95. A 22 year old client was brought to the emergency department with his fiancée(28 years old) being involved in a serious motor
vehicle accident. His Glasgow Comal Scale score is 7 and he demonstrates evidence of decorticate posturing. Which of the following
would be appropriate for obtaining permission to place a catheter for intracranial pressure monitoring?
A. The nurse will obtain a signed consent from the client’s fiancée because he is of legal age and they engaged to be married.

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B. The physician will get a consultation from one other physician and proceed with placement of the ICP catheter until the
family arrived to sign a consent.
C. One nurse will receive a verbal consent by telephone from the client’s next of kin before inserting the catheter.
D. The physician will document the emergency nature of the client’s condition and that an ICP catheter for monitoring was
placed without consent.

96. What if in the above situation the patient eventually died. The family sue the hospital including the nurse and the attending
physician for non signing of the informed consent. Will the suit prosper?
A. Yes, because it is the responsibility of the doctor to obtained informed consent.
B. No, the act of the medical team was justified.
C. No, the act of the medical team is exempting.
D. No, the act of the medical team is mitigating.

97. She assessed a three-year-old boy for fever but the boy would not want to go near her. Which of the following remarks of Pamela
would constitute an assault?
A. “You don’t want to have your temperature taken? I will call the guard to hold you and give you an injection instead!”
B. “Alright just tell me when you are ready to have your temperature taken.”
C. “This will not hurt you; just put it under your tongue.
D. Pamela restrained the child for non refusal of the medication.

98. Failed to timely call “Code Blue” in response to patient’s respiratory arrest, resulting in death. The nurse is guilty of?
A. Negligence
B. Malpractice
C. Assault
D. Battery

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99. An approach that upholds the use of universal code and principle when making ethical decisions in nursing
practice.
A. Deontological
B. Ethical skepticism
C. Utilitarianism
D. Epikia

100. A means of encouraging a nurse to earn promotions and gain recognition and increase pay by meeting specific
requirement is called:
A. Situational leadership
B. Career enhancement
C. Clinical ladder
D. None of the above

“If you want to achieve better results, focus on the

system instead of just focus on setting the goals”-
JAMES CLEAR
Fb: Donniedex Parrocha
Tiktok: @nursedonlaw27

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 THIS IS MERHAKI PROPERTY ONLY NURSE

“If you want to achieve better results, focus on the system instead of just focus on setting the
goals”-JAMES CLEAR
Fb: Donniedex Parrocha
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