PROFESSIONAL ADJUSTMENT SITUATION 1: Martha just passed the Philippine Nurse Licensure Examination. She plans to apply for her new job as a staff nurse in a tertiary hospital 1. During the interview, the Director of Nursing asks Martha about the Key areas of responsibilities that she can do as a beginning professional. Which ofthe following Is @ caret response of Martha? “Teen. ‘2. administer medications to patients* . deliver safe and quality care to patients” {c"_alscuss the pathophysiology of the patient's disease process” 4. Set priorities in rendering care to patients” 2. Which of the following key areas of responsiblities is included in the empowering competencies of a rurse ike Martha? ‘a. Research ib. Management of resources and environment Personal and professional development ‘8. Collaboration and teamwork ‘3. Which of the following qualifications is NOT mandated in order for Martha to be accepted to the position ofa staff nurse? ‘a. BSN graduate Licensed and registered nurse © Must be physically and mentally ft ‘d. With 60 credit units in CPE ‘4. Which THREE of the following core competencies should Martha demonstrate under safe and quality 1. Demonstrates 4 Respo knowledge base on the heath iliness status nds to the urgency of the of individual patient's condition 2 Utilizes resources to 3. 12.3 support patient care b 134 a Promotes safety and e234 comfort of patients a 124 5 ‘This key area of responsibilty allows Marthe to enhance the delivery of effective and efficient care to patients ‘3. Research < Health education 8) Communication 4. Record management 6 In performing her enabling competencies, Martha should demonstrate which of the following competencies? 8. Management of resources an environment '. Research ©. Collaboration and teamwork 4. Ethico-moral responsibilty, 7. She is aware that the BON Resolution No, 112 was promulgated by the Board of Nursing to 3. set the standards for safe nursing practice in the country BL guide practitioners on continuing professional education € Adopt the core competency standards for nursing practice & set the ethical standards for the nursing profession 8 Asa registered nurse, Martha is covered by the Code of Ethics for Registered Nurses in the Philippines which ie pramulgeted in 3. A. BON Resolution No. 1955 C. BON Resolution No, 220 BB EO No. 220 O.RASITS 9. __She knows that the implementing rules and regulations (IRR) of the Nursing Law was passed through 3. BON Resolution No. 425, © BON Resolution No, 459 5. 2003 2002, b. "£0220 4d, BON Resolution No.220 5. 2008 10, __Martha is aware that if she violates any provision of the Code of Ethics she would likely face certain consequences. Which of the following Is most likely?1 2, 18, 14, Fine of not more than P100,000.00 B. Suspension or revocation of certificate of registration | _ Imprisonment of not less than one manth é Either imprisonment or fine of not less than P50, 000.00 or both SITUATION 2: Kamille successfully passed the PNLE. She has just received her professional Identification card as a registered nurse. 4s a nurse, she should be guided by the nursing aw in the country. Which is NOT a provision of this aw? 3 Increases the composition of the Board fram five to seven representing nursing education, service and communtty health nursing b. Requires those nurses who have been away from practice to undergo ‘one month of didactic training and five months of practicum before returning, tothe workforce. « Recognition of nursing specialty organizations in coordination with the accredited professional organization J Provides for incentives and benefits system for nurses and their dependents. ‘Which TWO of the following statements are NOT TRUE about the new nursing law? 1 Tt guarantees the delivery of quality basic health services through ‘an adequate nursing personnel system throughout the country 2 "Requires the member of the Board to resign from any ‘employment both in the government and private institutions ‘Requires the Chairman of the Board to be a holder of @ doctorate degree ‘Amends the Philippine Nursing Act of 1991 2 3 4 A eene Which ofthe following is the correct provision of the aw regarding IV therapy? IV therapy training according to protocol established is mandated. ‘A nurse who has not been trained in IV therapy I prohibited to perform IV therepy ‘The present law is silent on the provision for mar W therapy. ‘ "The nurse can perform IV administration in the presence and supervision of physician tory training for \ihich of the following actions will shield her from possible lawsuits? 1 ‘Knowledge and implementation of standards/protocol of care B Documentation of actions accurately and concisely 3 Document outcomes of care 4 Following all doctors orders that are legal and in writing a 24 8 263 « 1,2,83 d 2364 15. _ She assessed a three- year old boy for fever, but the boy would no* 1 ther. Which of the following remarks of Kamlle would constitute an assault? ‘a. “You don't want to have your temperature taken? | 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.” 6 toganes “This will ot hurt yeu: just put It under your tongue.” “if you wil let me take your temperature your fever will be gone.” 46. Which ofthe following conditions would BEST prevent Kamille from a malpractice suit? ‘2, Performs her duty as prescribed in her job description Records the intervention and outcomes of care Does not allow patients relatives to participate inthe care of her patients Performs her functions pursuant to the law. 47. _ If Kamilla divulges the information that she is caring forthe child of a patient with sexually transmitted disease, she can be liable for unprofessional conduct specifically: ‘a ubel ‘e. Breach of Confidentiality b Slander Invasion of privacy18. _ Which of the following information 's NOT indicated in the professional identification card issued to Kamila? a. A Signature of the Chairman of the Board B! Registration cate © Date of issuance and expiration .—_Ucense number 18, _Kamille knows that she is duty-bound to renew her professional identification card every how often? ‘a. Every five years Annually b. Every three years a Blannually 20, Kamille is aware that as a professional nurse, she must submit to the Professional Regulation Commission proof of participation to CPE activities, How many credit units are needed for her to submit for a three-year period? 2 60 30 & 20 5.40 SITUATION 3 - Ns. Sheena Perez is the Health Education Program Officer ofthe Municipal Health office. She plans to develop programs based on the various laws and directives from the DOH, 24, She knows that all prescriptions of the municipal health officer should be in generic, ‘hat law provides for this mandate? 3. RASS © RA 1080 BRA 6675 a RA 7160 22, Sheena has to consider managing the resources of the MHO. She knows that the delivery of basic services and faclities ofthe national government was transferred to the local gavernment units, Which ofthe following laws mandated this? 2. RA 1305 fe RA1O80 B. RA 7160 RA Ba23 23, Which of the following provisions does NOT apply to R.A 7305? a. Promotes and improves the socio-economic wellbeing of health workers b. Develop their skills and capabilities €) Encourage those qualified and with ablities to remain in government servic. 4. Standardizes the salaries of nurses working in the government. 24, She deems it necessary for her to undergo continuing professional education, Which ofthe following supports this objective? ‘a. PRC Resolution No. 2004 -179 B! BON Resolution No, 220 5.2008 © EONo.220 3. BON Resolution No, 425 s. 2003 25. She emphasized to her team that they shoul be careful in the practice of their profession to avoid legal entanglements. Which of the fllowing could be @ cause for ‘evacation/suspensian of license? 1 Unprofessional or unethical conduct 2 Gross incompetence or serious ignorance 3. Malpractice or negligence 4. Use of fava, decet, or false statements in obtaining a certificate of regstration/professional license or a temporaryispecial permit a L263 bo 2364 © L364 d 123,64 26. _She encourages patients to make use of traditional and alternative medicines as recommended by the DOH. Which of the following laws created the Philippine Institute of Traditional and Alternative Health Care (PITACH)? a RAT392 < —-RA2082 b. RAga2s &-RAT305 21. She develops programs on Drug Prevention. As basis for her program, she quoted ‘whieh of the following acts? ‘a. RA9I65, & —-RAGS7S Bl Raei25 &-RA238228. Wich ofthe folowing is NOT considered a dangerous drug? a Ecstacy Shabu b. Opium 4. Morphine 28. Ms. Perez conducts counseling to parents of newborns about heritable diseases. Which of the following procedures is covered by RA 9288? Newborn Apgar Score |. Newborn Screening © Denver Developmental Screening Test 6. Metro Manila Developmental Screening Test 30, _RA9257 provides forthe following benefits of a senior citizen, which one is NOT includea? ‘a. Exception from payment of Income taxes b. Free medical and dental services, diagnostic and laboratory fees in government and private facilities c. 7 "20% discount in fare for domestic air and sea travel, public railways, skyways and bus fares 4." Provision for express lanes for senior citizens SITUATION 4: Genevieve just passed the licensure examination and was accepted as @ trainee ina tertiary hospital. One area of competency that she must develop is on ethico- ‘moral responsibilty 31, Which ofthe folowing ethical responsibilities is a priority for Genevieve? a. Promote life at all cost b. Respect the individuality of patients ©. Promote the image of the profession 6. Maintain a healthy environment 32, __ When there isa conflict in the care of patients, which ofthe following must Genevieve use to guide her action? Patient's rights Decision ofthe relatives © Judgment ofthe attending physician 6 Courting 33,___One of her patients is terminally-ll with ung cancer. The patient's relatives signified theirintention fo stop the nasogastric tube Feeding ofthe patient. Which ofthe following responses of Genevieve is ethical? ’a. You have to sign a waiver of responsibilty is nasogastric tube feeding even if he Is dying” ‘consul fst your physician on this matter agree with you that wil just prolong the agony of the patient’ 34. She works with a senior staf that is perceived to be bad-tempered and dislikes teaching newcomers. Which of the following actions of Genevieve Is inappropriate? ‘a, Refrain from making comments on the conduct of the senior staff b, Discuss the behavior of the staff with the other staff of the unit. © Safeguard the reputation and dignity of the senior staf. Refrain from doing anything that wll discredit the senior ste 36. Genevieve has responsibilities towards the practice of her profession. Which of the following isthe hallmark of accountabilty in nursing practice? '2. Promotion of the dignity ofthe nursing profession 5. Quality and excelfence in the care of patients €. Accurate documentation of actions and outcomes of delivered care. Strict compliance to the principles of safe practice, 36. _Dr. So made his rounds early in the morning and noticed that the medicine he ‘ordered the previous day has nat been started. He shoutes and berated Genevieve in {ont of the other staff nurses. Which of the following actions of Genevieve Is appropriate? ' She shouts back at Dr. So and tells him that his behavior is not acceptable. b. She explains to him that the drug is not available in the hospital pharmacy and had to be purchased from another drugstore. c, She eres ang reports the incident to the nursing office. She blames the Staff of the previous shift for not endorsing the unavailability of the drug.37. One of the patients expressed dissatisfaction with the care she received from 9 particular staff Wich of the following fs the BEST action that Genevieve would take? a." She asks the specific cause of dissatisfaction from the patient and Informs the particular staff about it. b, "Apologizes for the inconvenience thatthe incident brought the patient and asks for the detals of the Incident. Instruct the particular staf to write an incident report 4d. Inform the staff that this isnot tolerated and this ull be documented in her 201 fle. 38. _ She knows that she needs to pursue continuing education to ensure her personal and professional development. Whose responsibilty is itto make sure that this is. Implemented? ’a. Genevieve herself 5) The institution where she is employed Nursing service Office 4d. Board of Nursing 38. Which ofthe following actions of Genevieve demonstrates her responsibility towards her profession? 2." Engage in medical missions in depressed areas. i ‘an active member of the Philippine Nurses Association )__Promate a healthy environment by campaigning for "No Smoking” 4. Maintain a collaborative relationship with her co-workers. 40, _ The following are the ethical responsibilities of Genevieve towards society and ‘environment. Which one is NOT included? '2. Be involved in community concerns 5. Leads her fe in cantormity with the principles of right conduct and proper ‘decorum “Projects an image thet wil uplift the nursing profession at all times d, Bea member of the accredited professional organization SITUATION 5: Christine just graduated from college with a degree of Bachelor of Science in ‘Nursing from a recognized college of nursing. She intends to take the Philippine Nurse Licensure Examination so she can practice her profession after passing the said examination 41. Which ofthe following requirements is NOT needed by Christine to quality forthe said examination? ‘2. Aolder of Bachelor ’s Degree in Nursing from a college or university that ‘complies with the standards of nursing education duly recognized by the proper ‘government agency bb, © Must be of good moral character ¢-Retizen ofthe Philippines d. Amember of the accredi 1d professional organization. 42, The license to practice nursing in the Philippines is obtained through a.” Examination and registration 8) Accreditation Competency assessment 3. Credentialing 43. __ Should she fail in one subject, but obtained the required general average, which of the folowing should she do? ‘a, Takes the whole set of examination all over again, b. Takes the examination on the subject where he is rated below the required passing rate cc. “Makes fan appeal tothe Boatd for the rechecking of his examination papers. 4. _Envollina refresher course for ane year. 44, Upon passing the licensure examination, which ofthe following is a priority action for christine? ‘a. Take an oath of profession before the Board of Nursing b. Review for the foreign examinations Apply for membership to the Philippine Nurses Association 4d. Prepare credentials for job application. 45, 45, She was issued a certificate of registration by the Board of Nursing, Which ofthe following information should be shown in the certificate?Board of Nursing Accredited Professional Organization Department of Health Specialty organizations ALZS Buz C134 D.1.2,3,4 49, sho is aware that as a professional nurse, Macy must submit to the Professional Regulation Commission proot of participation to CPE activites. How many crecit units are needed for het to submit for a three-year period? 2. 60. B20 © 30 & 40 50. She is offered a part-time job as a clinical instructor in the medical ward. Which ofthe faliowing requirements is NOT mandated? One year clinical experience in the medical unit B._Registered nurse in the Philipines © Master's degree in nursing, education or any medical or alied health courses, 4. Member of good standing of the Critical Care Nurses of the Philippines SITUATION 7: Sandra isa nurse assigned at the Women and Child Unit. A 16 year-old primigravida was admitted for Primary CS due to cephalo-pelvic dispropertion (CPD) 51. _ Sandra prepares the consent for surgery. Who among the following is legally responsible for securing the consent for the contemplated procedure? ‘2. Dr. Rivera, the obstetrician of the patient 1) Mrs, Castro, the head nurse ofthe unit © Dre Cortez, he anesthesiologist. G. Ms. Josue, the nurse assigned to take care of the patientin the unit 52. She knows that the patient and her husband are both emancipated. When securing for an informed consent, Sandra should remember that: 3. ether the husband or the patient can sign the consent B! _ the consent should be signed by the parents ofthe patient because she is a c. "ifthe patient signed that consent herself, there is no need for a witness. Git isherduty to-abtain the informed consent. 53. Sandra was pulled out from the unit and was asked to assist in the OR. The anesthesiologist asked her to inject Penthatal Na by IV, Which ofthe following actions Should be done by Sandra? '3. Follow the anesthesiologist since he is around to supervise her b. Explain to the doctor that It fs not permissible by law. €) Ifthe order is written she can administer the drug Ifthe manager ofthe department allows It she would follow .he order. 64. To protect her from legal sult, Sandra should see tot that orders of Pentothal Na and some related drugs should be made by: 3. nareoti licenced physicians Bb. Shyresidest physicians © anesthesiologists & interns 55. __After the procedure, the patient was brought back to the ward. Sandra noticed that the post-op orders were written by the surgical intern who assisted during the procedure, Which of the following actions is most appropriate for Sandra to do: ‘2. Call the attention of the intern and ask him to secure the signature of the surgeon. bo Refer the matter to the head nurse. © Ignore the order because its not legal Remind the surgeon about tne policy on doctors’ orders