CO M P E T E N C Y A P P R A I S A L

MATAS, HEIDE G.
71. Which of the following nursing actions will you do if the patient is unconscious and unable
to make decisions? This facts should be:

• A. Reported to the nurse supervisor

• B. Reported to the attending physician
• C. Documented in the patient’s chart.
• D. Reported to the police.
• RATIONALE: if the patient is unconscious and the staff nurse cannot obtain an inform
consent prior to any treatment or procedure, the nurse must immediately tell her
supervisor about it.( Https://degree.Lamar.Edu/articles/nursing/ethics-in-nursing/ )

• Nursing supervisors provide a critical link between hospital management and clinical
care, overseeing patient-care operations, assigning and monitoring staff nurses and
identifying and implementing quality improvements.
Https://onlinenursing.Duq.Edu/blog/role-of-the-nursing-supervisor-in-hospital-settings/
72. A patient came in from prison for emergency treatment. Which of
the following precautionary measures will you institute to ensure the
safety of the hospital staff and the other patients?

• A. Provide the same assessment and care to the patient.

• B. Use restraints.
• C. Lock the ER door against entry if security is in question.
• D. Never release the hand or ankle restraint.
• RATIONALE: the american nurses association (ANA) believes that nurses are obligated
to care for patients in a nondiscriminatory manner, with respect for all individuals. The
ANA recognizes there may be limits to the personal risk of harm nurses can be expected
to accept as an ethical duty. Harm includes emotional, psychological, physical or
spiritual harm.
Https://www.Nursingworld.Org/practice-policy/nursing-excellence/official-position-statem
ents/id/risk-and-responsibility-in-providing-nursing-care/
73. In using restraints to patients, which of the following guidelines will you follow?

• A. Apply restraints because the patient needs it.

• B. Apply restraints according to hospital policy.
• C. Restraint is the most effective nursing intervention minimize aggressive behavior.
• D. Maintain respect for the client when applying restraint.
• RATIONALE: the hospital implements restraint or seclusion using safe techniques
identified by the hospital's policies and procedures in accordance with law.
Https://www.Crisisprevention.Com/CPI/media/media/resources/alignments/joint-commis
sion-restraint-seclusion-alignment-2011.Pdf
74. You have observed that a group of students are implementing their research
project on the effect of hot and cold application to febrile patients without
informing the participants properly. What ethical principle was violated by the
students?

• A. Nonmaleficence
• B. Autonomy
• C. Justice
• D. Respect for person
• RATIONALE: as a participant in a research study, you have the right: to be told what the
study is trying to find out, what will happen to you, and what you will be asked to do if
you are in the study. To be told about the reasonably foreseeable risks of being in the
study.

•
Https://hso.Research.Uiowa.Edu/bill-rights-research-participants#:~:text=as%20a%20pa
rticipant%20in%20a%20research%20study%2c%20you%20have%20the%20right%3a&t
ext=to%20be%20told%20what%20the,of%20being%20in%20the%20study
.
75. A researcher should pay particular attention in protecting the
rights of certain vulnerable groups. Which of the following is NOT
considered vulnerable?

• A. Prisoners
• B. Children
• C. Mentally challenged persons
• D. Postpartum mother with normal delivery
• RATIONALE: vulnerable populations need to be informed, educated, and protected from
risks and damages.

• Vulnerable population” refers to (but is not limited to) those who are incapable of
protecting their own interests, children, prisoners, physically handicapped, mentally
challenged, economically disadvantaged, institutionalized and very sick patients, etc.,
Can all come under this group. The vulnerable population is that some lack the ability to
consent or understand.
Https://www.Sciencedirect.Com/topics/medicine-and-dentistry/vulnerable-population
THANK YOU!