Questions and Answers

1. Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his
unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He
decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of
the following actions is a priority for Henry?

A. Call for a staff meeting and take this up in the agenda.

B. Seek help from her manager.

C. Develop a strategic action on how to deal with these concerns.

D. Ignore the issues since these will be resolved naturally.

2. He knows that there are external forces that influence changes in his unit. Which of the following is
NOT an external force?

A. Memo from the CEO to cut down on electrical consumption

B. Demands of the labor sector to increase wages

C. Low morale of staff in his unit

D. Exacting regulatory and accreditation standards

3. After discussing the possible effects of the low patient satisfaction rate. the staff started to list down
possible strategies to solve the problems head-on. Should they decide to vote on the best change
strategy. which of the following strategies is referred to this?

A. Collaboration

B. Majority rule

C. Dominance

D. Compromise

4. One staff suggests that they review the pattern of nursing care that they are using. which is described
as a:

A. Job description
B. System used to deliver care

C. Manual of procedure

D. Rules to be followed

5. Which of the following is TRUE about functional nursing?

A. Concentrates on tasks and activities

B. Emphasizes use of group collaboration

C. One-to-one nurse-patient ratio

D. Provides continuous. coordinated and comprehensive nursing services

6. Functional nursing has some advantages. which one is an EXCEPTION?

A. Psychological and sociological needs are emphasized.

B. Great control of work activities.

C. Most economical way of delivering nursing services.

D. Workers feel secure in dependent role

7. He raised the issue on giving priority to patient needs. Which of the following offers the best way for
setting priority?

A. Assessing nursing needs and problems

B. Giving instructions on how nursing care needs are to be met

C. Controlling and evaluating the delivery of nursing care

D. Assigning safe nurse: patient ratio

8. Which of the following is the best guarantee that the patient’s priority needs are met?

A. Checking with the relative of the patient

B. Preparing a nursing care plan in collaboration with the patient

C. Consulting with the physician

D. Coordinating with other members of the team

9. When Henry uses team nursing as a care delivery system. he and his team need to assess the priority
of care for a group of patients. which of the following should be a priority?

A. Each patient as listed on the worksheet

B. Patients who needs least care

C. Medications and treatments required for all patients

D. Patients who need the most care

10. He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the
following actions of Henry demonstrates that he has reached the third stage of change?

A. Wonders why things are not what it used to be

B. Finds solutions to the problems

C. Integrate the solutions to his day-to-day activities

D. Selects the best change strategy

Answers & Explanations_

AllIncorrectCorrect

Incorrect 73% got this correct

1) Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit.
Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to
plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following
actions is a priority for Henry?
 

  Call for a staff meeting and take this up in the agenda.

  Seek help from her manager.

  Develop a strategic action on how to deal with these concerns.  

  Ignore the issues since these will be resolved naturally.

 
Feedback
  This will allow for the participation of every staff in the unit. If they contribute to the solutions of the problem. they will own the
solutions; hence the chance for compliance would be greater.

Correct 72% got this correct

2) He knows that there are external forces that influence changes in his unit. Which of the following is NOT
an external force?
 

  Memo from the CEO to cut down on electrical consumption

  Demands of the labor sector to increase wages

  Low morale of staff in his unit

  Exacting regulatory and accreditation standards

 
Feedback
  Low morale of staff is an internal factor that affects only the unit. All the rest of the options emanate from the top executive or from
outside the institution.
Incorrect 65% got this correct
3) After discussing the possible effects of the low patient satisfaction rate. the staff started to list down
possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy.
which of the following strategies is referred to this?
 

  Collaboration  

  Majority rule

  Dominance

  Compromise
 
Feedback
  Majority rule involves dividing the house and the highest vote wins. 1/2 + 1 is a majority.

Correct 66% got this correct

4) One staff suggests that they review the pattern of nursing care that they are using. which is described as a:

 
  Job description

  System used to deliver care

  Manual of procedure

  Rules to be followed
 
Feedback
  A system used to deliver care. In the 70’s it was termed as methods of patient assignment; in the early 80’s it was called modalities of
patient care then patterns of nursing care in the 90’s until recently authors called it nursing care systems.
Incorrect 58% got this correct
5) Which of the following is TRUE about functional nursing?

  Concentrates on tasks and activities

  Emphasizes use of group collaboration

  One-to-one nurse-patient ratio  

  Provides continuous. coordinated and comprehensive nursing services

 
Feedback
  Functional nursing is focused on tasks and activities and not on the holistic care of the patients

Correct 62% got this correct

6) Functional nursing has some advantages. which one is an EXCEPTION?

  Psychological and sociological needs are emphasized.

  Great control of work activities.

  Most economical way of delivering nursing services.

  Workers feel secure in dependent role

 
Feedback
  When the functional method is used. the psychological and sociological needs of the patients are neglected; the patients are regarded as
‘tasks to be done ‘
Incorrect 67% got this correct
7) He raised the issue on giving priority to patient needs. Which of the following offers the best way for
setting priority?
 

  Assessing nursing needs and problems

  Giving instructions on how nursing care needs are to be met  

  Controlling and evaluating the delivery of nursing care

  Assigning safe nurse: patient ratio

 
Feedback
  This option follows the framework of the nursing process at the same time applies the management process of planning. organizing.
directing and controlling

Correct 80% got this correct

8) Which of the following is the best guarantee that the patient's priority needs are met?

  Checking with the relative of the patient

  Preparing a nursing care plan in collaboration with the patient

  Consulting with the physician

  Coordinating with other members of the team

 
Feedback
  The best source of information about the priority needs of the patient is the patient himself. Hence using a nursing care plan based on his
expressed priority needs would ensure meeting his needs effectively.
Incorrect 71% got this correct
9) When Henry uses team nursing as a care delivery system. he and his team need to assess the priority of care
for a group of patients. which of the following should be a priority?
 

  Each patient as listed on the worksheet

  Patients who needs least care

  Medications and treatments required for all patients  

  Patients who need the most care

 
Feedback
In setting priorities for a group of patients. those who need the most care should be number-one priority to ensure that their critical needs
  are met adequately. The needs of other patients who need less care ca be attended to later or even delegated to assistive personnel
according to rules on delegation.
Correct 60% got this correct
10) He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following
actions of Henry demonstrates that he has reached the third stage of change?
 

  Wonders why things are not what it used to be

  Finds solutions to the problems

  Integrate the solutions to his day-to-day activities

  Selects the best change strategy

 
Feedback
  Integrate the solutions to his day-to-day activities is expected to happen during the third stage of change when the change agent
incorporate the selected solutions to his system and begins to create a change.