Partial 09 Nov

48
JULY 2010 EXAMINATION : ACTUAL BOARD EXAM Situation 6: Part of your independent nursing actions is doing a physical examination with the clients. This may be done before admission or while the client is confined in the hospital. 1. Unlike the physical examination done by the doctor, the nurse’s physical examination focuses on: a. Identifying client’s abilities, health status appraisal b. Evaluating the results of nursing interventions performed c. Identifying client’s pathologic condition and their causes d. Using non-invasive procedures Situation 7: Client’s record have predefined categories that reflect the assessment procedures that health care practitioners use to aid in the process of detailing the client’s problem that are medically relevant. 1. Glenda, a staff nurse, has completed the physical assessment of her assigned clients. She is ready to cluster and document data. Which of the following should guide her in validating and interpreting assessment data? a. Organize information into meaningful cluster b. Classify and organize data c. Document facts accurately and concisely d. Identify the correct problem from the collected data 2. Nurse Carlota uses a card-filing system that allows guide reference to the particular need of the client. This is referred to as: a. Computerized care plan b. Institutional care plan c. Kardex d. Focus charting 3. Nurse Carmen uses is new to the unit is to perform a new procedure to her assigned clients. Which of the following should be the source to obtain the information. a. Hospital manual b. Policy manual c. Procedure manual

description

rev

Transcript of Partial 09 Nov

Page 1: Partial 09 Nov

JULY 2010 EXAMINATION : ACTUAL BOARD EXAM

Situation 6: Part of your independent nursing actions is doing a physical examination with the clients. This may be done before admission or while the client is confined in the hospital.

1. Unlike the physical examination done by the doctor, the nurse’s physical examination focuses on:

a. Identifying client’s abilities, health status appraisalb. Evaluating the results of nursing interventions performedc. Identifying client’s pathologic condition and their causesd. Using non-invasive procedures

Situation 7: Client’s record have predefined categories that reflect the assessment procedures that health care practitioners use to aid in the process of detailing the client’s problem that are medically relevant.

1. Glenda, a staff nurse, has completed the physical assessment of her assigned clients. She is ready to cluster and document data. Which of the following should guide her in validating and interpreting assessment data?

a. Organize information into meaningful clusterb. Classify and organize datac. Document facts accurately and conciselyd. Identify the correct problem from the collected data

2. Nurse Carlota uses a card-filing system that allows guide reference to the particular need of the client. This is referred to as:

a. Computerized care planb. Institutional care planc. Kardexd. Focus charting

3. Nurse Carmen uses is new to the unit is to perform a new procedure to her assigned clients. Which of the following should be the source to obtain the information.

a. Hospital manualb. Policy manualc. Procedure manuald. Administrative manual

Situation 8: Nurses must have knowledge and understanding of the elimination patterns to assist clients in finding solution to their problems.

4. Mr. Carlos Montes, 60 years old became incontinent while confined in the hospital. He is disturbed in his sleep during the night.He reduced his fluid intake to prevent incontinence. Nurse Lea understands that this is a

a. Coping strategyb. Defense mechanism

Page 2: Partial 09 Nov

c. Way not to be bothered by the nursed. Be Conscious choice

5. Mr. David Muerte is receiving intermittent tube feedings. His wife observes nurse Malow aspirate and measure the gastric contents. The wife asks the nurse what she is doing.Which of the following is the rationale behind this procedure?

a. Testing the tubing patencyb. Checking the correct placement of the tubec. Checking for the residual quantityd. Clearing the tube line

6. Mr. Augusto Dale who had surgery of the bowel is ordered NPO for several days. Which of the following should the nurse anticipate to be orders by the physician?

a. Consultation on nutritional therapyb. Administration of parenteral nutritionc. Insertion of nasogastric tubed. Administration of enema

Situation 11. When providing nursing care to your clients, various nursing actions are necessary to promote comfort and client protection.

7. Karla has developed upper respiratory tract infections and is afraid that her incision site from cesarean section may dehisce when she coughs. To prevent possible wound dehiscence you will

a. Place a pillow over the incision site when the client is coughingb. Leave sterile dressing and supplies for possible emergency carec. Administer the orders antibiotics to prevent infectiond. Teach the client deep breathing and coughing exercises

8. The nurse avoids compromising the skin integrity of Joseph by preventing his exposure to certain body fluids. Which of the following would most likely cause skin breakdown?

a. Urineb. Serosanguinous drainagec. Gastric fluidsd. Purulent discharges

9. Application of a cold compress is most helpful for:a. Marie who has a painful infected woundb. Mang Juan who has a degenerative joint diseasec. Jonas who has a fractured ankled. Annie who has menstrual cramps

10. The best approach to meet the challenges of personal and professional development in Philippine nursing, coupled with the realities of migration of nurses to countries is to:

a. Organize Filipino nurses overseas and utilize them from continuing educationb. Allow more colleges of nursing to operate and produce more nursesc. Put in place a Competency-Based Nursing Career Progression Programd. Extend Nursing Education by 1 more year to make it 5 Collegiate year totality

Page 3: Partial 09 Nov

Situation 3: The knowledge of law is an important area of responsibility in the practice of nurses are often faced with ethical dilemmas. The following question relate to this statement.

11. Lola Basyang, 85 years old, female, went to the ER alone, because of severe headache and abdominal pain. The nurse asks Lola Basyang who her companion is. She replied, “ I am alone. All my children are with their own family and I don’t want to bother them anymore.” The nurse knows that there is no Elder Neglect Law in the Philippines, however

i. Lola Basyang has the right to have support , family aid and protection under the Family Code of the Philippines

ii. Lola Basyang will just have to accept that she is living aloneiii. Lola Basyang may sue her children under the Penal code for moral injuriesiv. Lola Basyang’s natural rights are protected by customs and common traditions

in the Philippines.a. 1 and 2 are correctb. 1 and 3 are correctc. 1 and 4 are correctd. Only 1 is correct

12. In tertiary hospital where nurse Ana works , she is to evaluate the temperature of a mother who had just experienced seizure. The client who was still irritable at that time shouted.” Not now!” What would be the BEST course of action for the nurse Ana?

a. Do not respond because there is no permission from the clientb. Proceed to place the thermometer on the client because she has to leave in a few

minutesc. Write an excuse in the chart explaining why the client was not evaluatedd. Ask the nurse aid to be the one to evaluate the client

13. Lola Maria, 90 years old , was brought to the ER by his 17 year old grandson, due to chest pain. The physician suspects CHF and plans to insert Swan Ganz catheter for hemodynamic monitoring. The physician is about to secure the client’s consent. Which of the following is a nursing responsibility?

a. Witness the exchange between the physician and the clientb. Remind the physician that surrogate consent might be needed since Lola Maria

developed weak mid due to old agec. Ensure that the grandson translates the explanation to Lola Maria in a way that she can

understandd. Witness Lola Maria affix her signature

14. To ensure that the right of a client to informed consent is protected, the following responsibilities are expected of the to do to her client who is undergo an invasive procedure, EXCEPT:

a. Explain the procedure to the client

NURSING PRACTICE III

Page 4: Partial 09 Nov

2. Mang Carding is a tricycle driver who was rushed to the hospital after he was hit accidentally by a car and sustained multiple abrasions and a fractured right ankle. You and other staff were very attentive for him, especially in dressing his wounds and immobilizing the right foot, so that his fracture will not cause him undue pain. Your actions assumptions

a. Beneficenceb. Fidelityc. Respectd. Non malificence

3. You are scheduled to go on leave to spend Christmas with your sister in the U.S. However the head nurse and the two other staff went on emergency leave. You cancelled your vacation and went on duty instead. You also express apology to your sister. What moral principle did you display?

a. Veracityb. Justicec. Beneficenced. Fidelity

4. You conducted “ Operation smile” in Barangay Bagong Buhay. Towards noontime, you saw that there were more clients waiting for their turn but your supplies were starting to run low. You immediately informed those who just arrived that you will only do cheiloplasty until supplies last. Which moral principle are you trying to convey to the community.

a. Beneficenceb. Veracityc. Fidelityd. Justice

SITUATION 2: The Professional Regulation Commission (PRC) regulates the practice of 43 professions in the Philippines. Nursing profession is one of them.

5. What is the basic requirement for a nurse to practice her profession?a. A nursing licenseb. Willingness to practice the professionc. A BSN degreed. Filipino citizenship

6. The Code of Good Governance E.O. 220, for the professions in the Philippines shall be adopted by all:

a. Registered professionalsb. Professionalsc. Registered nursesd. Filipino professionals

Page 5: Partial 09 Nov

10. RA 9173 stipulations that any failed examinee can take the Nurse’s Licensure Examination,

a. Upon the discretion of the board of Nursing

b. After undergoing a refresher course from his/her Alma mater

c. After passing the pre-board examination given by the school

d. Anytime the examinee wants to take the examination again

Situation 3 – Clients’ evaluation shows that quality and effective clinical practice in the clamor of each client from the healthcare workers.

11. You are on PM shift. How can you best show your clients that your nursing roundsar with intent or purpose?

a. You counted the IV flow rate aloud.

b. you are relating an incident with your co-nurses while making your rounds.

c. Introduce yourself and offer to help client.

d. you instructed all visitors to leave the area because it is 10 minues after visiting hours.

12. Safe and quality drug administration dictates that drugs and dosages should be spelled out. However, you observed that doctor still abbreviate drugs in their orders. The doctor’s order reads; “MgS04 6mg, IM”, you will administer:

a. magniferron

b. morphine sulfate

c. magnesium sulfate

d. magnesium permanganate

13. Intravenous fluids (IV) are ordered and administered at different flow rates depending on the client’s need. The MD ordered “IV KVO”. You will administerIV solutionto:

a. run at 7-10 drops per hour

b. finish in 12 hours

c. consume

d. consume till midnight

14. Your are to administer an antibiotic via heparin lock. The BEST procedure or administration is to inject:

a. heparin, saline, antibiotic, saline

b. antibiotic, saline, heparin

Page 6: Partial 09 Nov

c. saline, antibiotic, saline, heparin

d. saline, antibiotic, heparin

15. You are now to administer medication to your clients. What is the correct way of identifying each client before you administer their medications?

a. Ask the client to state his name

b. Call the client by bed number

c. Call the client’s mister/miss

d. Check the wristband first and ask him his name

Situation 4 – Nurse Glenda is assigned in the Pediatric ward and is so touched by how children are coping with pain.

16. A student nurse assigned to a child in pain asks Nurse Glenda how to apply the Wong-Baker method of assessing pain among children. Nurse Glenda would describe the method as:

57. Nurse Myrna should call the attention of the intern who was scrubbing to assist in the case because the:

a. Intern’s hands and elbows were held close to the body

b. pants drawstrings were tucked in

c. hands were held higher than the elbows and away from the surgical attire

d. Intern’s mask covered his mouth and nose

58. Once Myrna has donned the sterile gown and gloves, she is considered sterile. Describe the extent of what is sterile:

a. infront from the shoulder level to table level and sleeves to 2 inches above the elbows

b. infront from the shoulder to the waist line and sleeves to the gloved hands

c. sterile from shoulder to the hemline and the whole arm and hand

d. infront from the neckline to the waistline and sleeves

59. the members of the surgical team are expected to demonstrate the “surgical conscience” at all times. Which action of the circulating nurse demonstrates this:

a. circulating in more than one OR suite

b. counting sponges as needed

c. using mas at all times while inside the OR suite

d. updating the team of how many sponges have been used

Page 7: Partial 09 Nov

60. The surgeon asked Myrna for a knife to make an incision for the T-tube. Which knife should the scrub nurse hand to the surgeon?

a. second knife

b. new knife

c. first knife

d. any knife

123. Efren was reffered to the Health Center for possible assistance and management through the Department of Health (DOH) TB-program Directly Observed Treatments Short Course (DOTS) program. The elements of DOTS that need to be fulfiiled include the following EXCEPT:

a. supervised treatment by partner

b. standardized recording and reporting of TB data

c. regular supply of anti-TB drug

d. regular chest x-ray for diagnosis

124. Efren was put on triple anti-TB drug regimen. The success of this regimen is highly dependent on which factor?

a. Frequent medical follow up

b. Avoidance of crowded and busy place

c. Balancing rest with exercise

d. Strict adherence to prescription

125. TB, like other infectious diseases, carries a social stigma that may lead to the problem of denial. The MOST effective way to overcome this problem is:

a. strong family/group

b. cosmetic intervention

c. respiratory isolation

d. management of side effects

48. Gerard returns to his room after TURP, with the continuous bladder irrigation (CBI). Which of the following statements best explains the rationale of the procedure?

a. Maintain fluid and electrolyte balance

b. Ensure the patency of the urethral catheter all the time

c. Dilute urine concentration

Page 8: Partial 09 Nov

d. Remove blood clots from the bladder

49. Post TURP, Gerard complained of pain and bladder spasm. Which is the MOST appropriate nursing intervention?

a. Slow down the irrigation

b. Release the traction of the 3-way Foley catheter

c. assist Gerard to a hot sitz bath

d. Administer ordered narcotics plus anticholinergic drugs

50. As you prepare Gerard for discharge, you would emphasize which of the following instructions to prevent bleeding?

a. Avoid constipation or straining when defecating

b. resume ballroom dancing gradually

c. refrain from sexual intercourse

d. avoid lifting.

73. If the aim of the research is to determine the competency of the nursing graduate, the researcher is reflecting which of the following characteristics of a good research problem?

a. Generalized research problem

b. Concept of study is related to the observable events

c. Clearly defined research purpose

d. Feasible research questions

74. As a nurse-researcher, you should be able to determine if the theory is able to deal satisfactorily with your perspective of nursing competency. Which of the following characteristics of theoretical framework is reflected?

a. Adequacy

b. Discrimination

c. Significance

d. Utility

75. Research findings are NOT implemented a desired because of the failure to:

a. interpret the findings

b. communicate

c. know the different misconceptions

Page 9: Partial 09 Nov

d. understand the recommendation

67. Over dosage of medication or anesthetic can happen ____________ infusion pumps, and similar devices/machines. As a staff, _________ of using infusion pumps?

a. Check the functionality of the pump before use

b. Verify the flow rate against your computation

c. Allow the technician to set infusion pump before use

d. Select your brand of infusion pump

68. Universal protocol for surgical and invasive procedures to prevent wrong site, wrong person, and wrong procedure/surgery includes the following except:

a. take a video of the entire intra-operative procedure

b. conduct pre-procedure verification process

c. mark the operative site if possible

d. conduct ‘”time out” immediately before starting the procedure

69. You identified a potential risk to client safety. To reduce the risk of client harm result from fall preoperatively, you may implement the following EXCEPT:

a. take action to address any identified risks through incident report

b. periodically reassess individual client’s risk for falling

c. assess potential risk of fall associated with the patient’s medication regimen

d. allow client to walk with relative to the OR

70. As a nurse, you can improve on accuracy of patient’s identification by 2 patient identifiers EXCEPT:

a. call the patient by his/her name and bed number

b. identify client by his/her wrist tag and call him/her by name

c. call the client by his/her case and bed number

d. identify the client by his/her wrist tag and verify with family members

Situation 16 – You are a senior training officer for 1 month and are assigned to provide instruction to active retired women with diabetes.

76. In case of hypoglycemia, you ask the participants to tell you the best food to take. Which of the following is the CORRECT response?

a. Coke light

b. butter scotch candy

Page 10: Partial 09 Nov

c. Hershey chocolate

d. Orange juice

77. Which of the following statements of the participants regarding medication _______ need reinstruction?

a. “If I exercise regularly and eat the prescribed diet my medication maybe discontinued”

b. “Exercise potentially reduces my need for insulin.”

c. “The medication prescribed for me is for life.”

d. “I should avoid excessive exercise until my blood glucose level improves”

Situation 1 – Emergency nursing practice requires that nurses be skilled in client assessment, priority setting, critical thinking, multi tasking and communication. A sound knowledge base is essential to be able to execute the necessary nursing interventions either in a pre-hospital or hospital setting.

1. In a pre-hospital setting, after ensuring that a patent airway has been maintained on a victim of heat stroke, which of the following is NOT recommended as a first aid measure?

a. Strip away clothing

b. Offer to drink ice cold water

c. Immerse victim in cold water

d. Place ice packs in the neck, axilla and groin

2. A researcher studied sequelae of near fatal classic heat stroke in 58 clients admitted in the intensive care unit. 100% of the clients developed multi-organ dysfunction; one half had renal insufficiency, and 10% experienced respiratory distress. Mortality rate was 21%. The findings of this research would be MOST useful for which of the following skills of the Emergency Department (ED) nurse?

a. Priority setting

b. Multitasking

c. Communication

d. Assessment

4. Due to lack of evidences of its effectiveness, which of the following is not an acceptable first aid intervention for snake bite?

a. Immobilize affected extremity with a splint

b. Keep affected extremity below the heart

c. Suction venom with a commercially prepared extractor

d. Excising the bite and sucking the venom

Page 11: Partial 09 Nov

5. Review of researches showed that as compared to activated charcoal, gastric lavage has little or no effect in reducing absorption of toxic substances especially when done 1 hour after ingestion of poison among children. Which of the following statements is an appropriate application of this research study?

a. Administration of activated charcoal should not be delayed by use of gastric lavage.

b. Activated charcoal should not be administered routinely in the management of poisoned children.

c. Gastric emptying has limited benefit in gastrointestinal decontamination

d. Gastric lavage must be done within an hour after ingestion of toxic substances.

197. Luisito eats poorly because of joint pain and fatigue. Which of the following advices would be MOST helpful for the mother to ensure that nutrition is adequately provided? Serve

a. small amount of food every 2-3 hours.

b. only food which Luisito wish to eat.

c. food only when Luisito says he is hungry.

d. meals when pain is at its lowest level.

Situation 4 – You are assigned in the intensive care unit caring for patients with respiratory distress. To ensure safe and quality care, you have to be competent in assessment skills and providing specific interventions to address their problems and concerns.

343. It would be MOST important for you to check pulse oximetry for which of these patients?

a. Troy who has just received morphine sulfate for postoperative pain

b. Edward with massive obesity who is refusing to get out of bed

c. Rene with emphysema and a respiratory rate of 16/min

d. Sonny with pneumonia who has just been admitted to the unit.

23. After being bitten by an unknown insect. Dona, who is allergic to wasp stings, is brought to a clinic by a co-worker. Upon her arrival she was anxious and was having difficulty breathing. The FIRST action that you should do as a nurse is to

a. remove the stinger from the site

b. have Dona lie down

c. maintain Dona’s airway

d. administer high-flow oxygen

24. For people who are known to be allergic to bee or wasp stings, the following are ways to avoid stings, EXCEPT:

Page 12: Partial 09 Nov

a. wear brightly colored clothing, and strong fragrances or perfumes

b. do not molest hives and nests

c. if flying insects are around, leave area and refrain from swatting at them.

d. wear long pants and long-sleeved shirts

24. Norma who went swimming complained of sudden sever pain and burning sensation at her back. They were informed that there were several jellyfishes that were seen in the area. Which of the following actions BEST deactivate nematocytes of the jellyfishes?

a. Rinse the wound with sterile normal saline

b. Rinse wound with 70% isoprophyl alcohol

c. Soak wound with 5% acetic acid for 15-30 minutes.

d. Apply cold pack compress at the sting site.

Situation 7 – You are assigned in the surgical ward to take care of four patients who underwent bowel and gastric surgery. As a nurse you are ____ that your patients can develop fluid and electrolyte complications, thus your careful assessment and decision making are important.

31. Sandra who underwent bowel surgery 2 days ago, has been receiving normal saline intravenously at 100 ml/hr, has a nasogastric tube to low, intermittent suction, and is on NPO. Which of the following assessment findings would indicate that you need to contact Sandra’s physician immediately?

a. Weight gain of 2 pounds above the preoperation weight.

b. An oral temperature of 37.8 degrees Celcius with bibasilar lung crackles.

c. Serum sodium level oof 138 meq/L (138 mmol/L)

d. Gradually decreasing level of consciousness (LOC).

32. Bernie, who has been on NPO with gastric suction and IV fluid replacement for 3 days following gastric resection, develops nausea and vomiting, weakness and confusion and has a serum sodium level of 125 meq/L (125mmol/L). As his nurse, which of his physician’s postoperative orders should you seek immediate clarification for?

a. Administer 3% saline if serum sodium drops to less than 128 mEq/L

b. IV morphine sulfate 4mg every 4 hours prn

c. Infuse 5% dextrose in water at 125 ml/hr

d. Give IV metoclopramide(Reglan) 10mg every 6 hours prn for nausea

231. What would be the most important for you to report about the gastric drainage?

a. No drainage

Page 13: Partial 09 Nov

b. Bloody drainage

c. Intermittent drainage

d. Small amount of blood in the drainage

1231. Conrad, a postoperative patient with a nasogastric tube connected to lot intermittent suction is complaining of anxiety and seere incisional pain. He has a respiratory rate of 32 breaths per minute. The arterial blood gases (ABG) are pH 7.50 paO2 90 mmHg PaCO2 30 mmHg and HCO3 23 mmHg. Which intervention is MOST appropriate for you to implement?

a. Teach Conrad about the importance of taking slow, deep breaths.

b. Disconnect the nasogastric tube until the pH is within the normal range

c. Give Conrad the ordered morphine sulfate 4 mg intravelously

d. Administer the prescribed sodium bicarbonate 50 mEq intravenouosly

654.Trinidad, who is receiving iso-osmolar continuous tube feedings, develops restlessness, agitation and weakness. As his nurse, the laboratory data that will be of PRIORITY concern to you is

a. Na+ 154 mEq/L (154 mmol/L)

b. K+ 3.4 mEq/L (3.4 mmol/L)

c. HPO4 3.48 mg/dL (1.55 mmol/L)

d. Ca+2 7.8 mg/dl (1.95 mmol/L)

Situation 8 – Lope, 55 years old is diagnosed with Cirrhosis of the liver. Lope is positive for ascites and malnutrition

653. The Physician ordered abdominal paracentesis STAT. Which of the following is the primary purpose of this procedure?

a. Diagnose type of liver cirrhosis

b. liver function test

c. relief of respiratory distress

d. Decrease portal hypertension

763. the nurse is expected to include in her intervention which of the following measures ___tended to prevent possible puncturing of the abdominal organs during paracentesis?

a. NPO 4 hours before the procedure

b. Have a client void 2 hours before the procedure

c. Position patient seated on a chair with feet supported.

d. Place patient on a side lying position.

Page 14: Partial 09 Nov

873. The nurse monitors client’s neurologic functioning such as asterexis. To elicit this,which of the following is the correct technique used during a physical assessment?

a. Have patient sit and tap knees with hammer.

b. Have patient turn head and observe movement of eyes.

c. Have patient stand, feet together, arms at the side with eyes closed.

d. Have patient extend arm, dorsiflex wrist and extend fingers.

42. David, with metastatic cancer of the colon, experiences severe vomiting following administration of chemotherapy. An important nursing intervention that you will implement is to

a. teach him about the importance of nutrition during treatment

b. administer prescribed antiemetics 1hour before the treatments

c. have David eat large meals when nausea is not present

d. offer dry crackers and carbonated fluids during chemotherapy

43. When you are administering a vesicant chemotherapeutic agent intravenously, an important consideration for you to observe is to

a. stop the infusion if swelling is observed at the site

b. hold the medication unless a central venous line is available

c. infuse the medication over a short period of time

d. administer the chemotherapy through small-bore catheter

Situation 10 – Sergio, a 40 year old barangay tanod, was brought to the Emergency Room (ER) for ingesting muriatic acid. Based on the initial assessment of the physician, Sergio has altered level of consciousness, moaning and keeps on spitting blood tinged sputum. His co-workers informed you that they had a drinking session last night but Sergio decided to sleep at the barangay hall after. In the morning, when they were near the barangay hall, they heard somebody moaning and saw the muriatic (hydrochloric) acid bottle beside Sergio. Initial poisoning management was started.

46.Which among the following will be you PRIORITY activity as an ER nurse?

a. Document entries in the chart

b. Ensure patency of airway, breathing and circulation

c. Prepare poisoning management protocol

d. Call security officer

Page 15: Partial 09 Nov

47. The following factors should be considered in establishing the degree of damage of ingested acids, EXCEPT:

a. contact time and pre-morbid condition of the stomach

b. age and gender of the person

c. volume and osmolarity

d. ph and concentration

Situation 11 – One of the realities that we are confronted with is our mortality. It is important for us nurses to be aware of how we view suffering, pain, illness, and even our death as well as its meaning. That way we can help our patients cope with death and dying.

675. Irma is terminally ill. She speaks to you in confidence. You now feel that Irma’s family could be helpful if they knew what Irma has told you. What should you do FIRST?

a. Obtain Irma’s permission to share the information with the family.

b. Tell the physician who in turn could tell the family.

c. Make an appointment to discuss the situation with the family.

d. Tell Irma that she has to tell her family.

762. Ruby who has been told she has terminal cancer, turns away and refuses to respond to you. You can BEST help her by

a. encouraging her to be physically active

b. leaving her alone

c. inisiting that she talk to you

d. making yourself available for her

78. When a physician visited two of his patients, the nurse observed that the physician did not wash his hands but just wore a pair of gloves between patient contact. Which of the following is the most appropriate action of the nurse to ensure that the infection control measures in the intensive care unit are improved?

a. Identify the practice as a risk for infection for the patients.

b. Recommend to nurse manager that similar observations be analyzed for corrective actions.

c. Report to the nurse manager as a non-conformance.

d. Inform the physician of the standard handwashing measures.

Page 16: Partial 09 Nov

79. To prevent aspiration as a possible cause of ventilator-associated pneumonia, which of the following preventive measures is MOST appropriate?

a. Elevation of head of the bed and positioning.

b. Frequent endotracheal suctioning.

c. Sedation reduction protocol.

d. Daily assessment of readiness to extubate.

80. the ICU nurses decided to initiate a quality improvement project to determine most effective interventions to prevent urinary catheter infection. Which of the following research design would be most appropriate/

a. Survey of infection incidences

b. retrospective

c. Experimental

d. Qualitative

89. Which OUTCOME CRITERION would be most appropriate for Fanny a 40 year old teacher, with a nursing diagnosis of Ineffective airway clearance?

a. Breath sounds clear on auscultation

b. Continued use of oxygen when necessary

c. Presence of congestion

d. Respiratory rate of 24 breaths/min

90. Which assessment would be MOST SUPPORTIVE of the nursing diagnosis, impaired skin integrity related to purulent wound drainage?

a. heart rate of 88 beats/min

b. Dry and intact wound dressing

c. Oral temperature of 38.8 degree Celcius

d. Wound healing by first intention

Situation 19 – You are caring for Julio 54 years old who has End-Stage Renal Disease. Renal transplant was the treatment choice.

Page 17: Partial 09 Nov

91. Julio asks you where the donor kidney will be placed. Which of the following will be your CORRECT response?

a. “Lower abdominal cavity between the two kidneys.”

b. “Either right or left lower abdominal cavity anterior to the peritoneal space.”

c. “ Either the right or left lumbar region slightly below either the right or left kidney.”

d. “Hypogastric region between the ureters behind the urinary bladder.”

Situation 1 – Emergency nursing practice requires that nurses be skilled in client assessment, priority setting, critical thinking, multitasking and communication.

Situation 20: Edwin , 25, sought medical attention for complaints of claudication _________ of his foot.

96. Nurse rica noted superficial thrombophlebitis of the lower leg of Edwin. The nurse would further assess the client for

a. recent insect bites

b. history of allergy

c. smoking history

d. family tendency to peripheral vascular disease

97. Nurse Rica would monitor for the following physical signs of Buerger’s disease

a. reddish blue discoloration of the foot

b. presence of pedal pulses

c. normal popliteal pulse

d. pain in the affected foot

98. As a nurse, Rica knows that cessation of smoking is an important disease management. Which of the following measures can improve …

a. ice compress application to the affected leg

b. walking 1-2 hours 3 times a day

c. keeping the affected leg warm

d. keeping the affected leg to independent position

Page 18: Partial 09 Nov

Situation 18: Felix , a 48 year old salesman, was diagnosed to have liver cirrhosis. He revealed that he has been drinking heavily for 18 years.

86. As you assess Felix, he seems very apprehensive and tells you that if the doctor advise him to stop drinking he would probably die sooner. What would be the most therapeutic response of the nurse?

a. “ Don’t worry, your fears are baseless”

b. “ You seem to have fears, tell me more about these”

c. “ Would you like to talk to a priest?”d. “Do not be afraid. I am here to help you”

87. Felix complaints of pruritus. Which of the following would you do LEAST?

a. Use hot water to bathe

b. Keep the environment warm

c. Gently apply emollient lotion to the skin

d. Avoid soap of any preparation with alcohol

Situation 5: You joined an outing with your friends. Some of your friends decided to go to the garden park to see the beautiful flowers in bloom. While the rest proceeded to the beach and swim. Then all of a sudden one of your friends shouted that she got stung by a bee.

26. What will be your initial action?

a. inspect for stinger and pull the stinger

b. take your friend to the washroom and wash the area carefully with soap and water

c. apply ice or cold pack wrapped in cloth for a few minutes

d. inspect site and scrape stinger.

09-QUESTION

Page 19: Partial 09 Nov

1. A nurse is observing a second nurse who is performing hemodyalisis on a client. The second nurse is drinking a coffee and eating a doughnut next to hemodialysis machine while taking the client about the events of the client’s week. The nurse first should:

a. Appreciate what a wonderful therapeutic relationship this second nurse and client haveb. Get a cup of coffee and join in on the conversationc. Ask the client if he would also like a cup of coffeed. Ask the second nurse to refrain from eating and drinking in the client area

2. A nurse notes that an assigned client is lying tense in bed staring at the cardiac monitor. The client states, “There sure are a lot of wires around there. I sure hope we don’t get hit by lightning.” The appropriate nursing response is which of the following?

a. “Would you like a mild sedative to help you relax?”

b. “Oh, don’t worry, the weather is suppose to be sunny and clear today.”

c. “Yes, all those wires must be a little scary did someone explain what the cardiac monitor was for?”

d. “Your family can stay tonight if they wish.”

3. A client with newly diagnosed diabetes mellitus has been seen for three consecutive days in the emergency department, with hyperglycemia. During the assessment, the client says to the nurse, “Im sorry to keep bothering you every day, but I just can’t give myself those awful shots.” The nurse makes which therapeutic response?

a. “You must learn to give yourself the shots.”

b. “I couldn’t give myself a shot.”

c. “Im sorry you are having trouble with your injections. Has someone given you instructions on them?”

d. “Let me see if the doctor can change your medication.

4. A nurse is assisting in providing a form of psychotherapy in which the client is acts out the situations that are of the emotional significance. The nurse understands that this form of therapy is known as:

a. Reality therapyb. Short- term dynamic psychotherapyc. Psychoanalytic therapyd. Psychodrama

5. A client with angina pectoris is extremely anxious after being hospitalized for the first time. The nurse plans to minimize the client’s anxiety?

a. Admit the client to a room as far as possible from the nursing station

Page 20: Partial 09 Nov

b. Provide care choices to the client

c. Encourage the client to limit visitors to as few as possible

d. Keep the door open and hallway lights on at night

6. A registered nurse suspects that a colleague is substance impaired and notes signs of alcohol intoxication in the colleague. The nurse practice acts require that the registered nurse do which of the following:

a. Talk with the colleague

b. Report the information to a nursing supervisor

c. Call the impaired nurse organization

d. Ask the colleague to go to the nurses’ lounge to sleep for a while

7. A nurse enters the client’s room and finds the client lying on the floor. Following an assessment of the client, the nurse calls the nursing supervisor and the physician to inform them of the occurrence. The nursing supervisor instructs the nurse to complete an incident report. The nurse understands that incident reports allow the analysis of adverse clients events by:

a. Evaluating quality care and potential risk for injury to the client

b. Determining the effectiveness of nursing interventions in relation to out comes

c. Providing a method of reporting injuries to a local, state and federal agencies

d. Providing clients with necessary stabilizing treatments

8. A client is ambulatory and wearing a halo vest after a cervical spine fracture. The nurse tells the client to avoid which of the following because the client has a risk for injury?

a. Bending at the waist

b. Using a walker

c. Wearing a rubber-soled shoes

d. Scanning the environment

9. A nurse is beginning to ambulate a client with a nursing diagnosis of activity intolerance who was admitted to the hospital for bacterial endocarditis. The nurse evaluates that the client is best tolerating the exercise if which of the following parameters is noted by the nurse?

a. Pulse rate that increases from 68 to 98 beats per minute

Page 21: Partial 09 Nov

b. Blood pressure that increases from 114/82 to 118/86 mmHg

c. Minimal chest pain rated “1” on the pain scale

d. Mild dyspnea after walking 10 feet

10. A nurse is developing a plan of care for a client with a hip spica cast. In the planning, the nurse includes measures to limit complications of prolonged immobility. The nurse includes which essential item in the plan to prevent these complications?

a. Provide a daily fluid intake of 1000ml

b. Monitor for a signs of low serum calcium

c. Maintain the client in a supine position

d. Limit the intake of milk and milk products

11-100 to follow

RESEARCH BANK - (137 ITEMS , some questions appeared on the 09 NLE)

1. Inductive reasoning is the process ofa. verifying assumptions that are part of our heritageb. developing scientific predictions from general principlesc. empirically testing observations that are made known through our sense organsd. forming generalizations from specific observations

3. Empiricism refers to the process ofa. making generalizations from specific observationsb. deducing specific predictions from generalizationsc. gathering evidence rooted in objective realityd. verifying the assumptions upon which the study was based

4. The concept of generalization refers toa. the ability to go beyond the specifics of the situation at handb. the confidence that a researcher has in the outcomes of the investigationc. whether the study has been linked to a theoryd. the life that all phenomena have antecedent causes

5. The purpose of an operational definition is toa. assign numerical values to variablesb. specify how a variable will be defined and measuredc. state the expected relations between the variables under investigation

Page 22: Partial 09 Nov

d. designate the overall plan by which the research will be conducted

6. Of the following, the most appropriate example of an attribute variable isa. maternal-infant bondingb. method of teachingc. nurse-client teachingd. blood type

8. The overall plan developed by the researcher to obtain answers to the questions being studied is calleda. analysis of the datab. operationally defining the variablesc. problem statementd. research design

9. Individuals who participate in a study are referred to as thea. datab. target populationc. subjectsd. probability statistics

10. Representativeness in a sample refers toa. how well the sample reflects the characteristics of the population in terms of the variables being studiedb. the possibility of a particular person from the population being included in the studyc. the use of random procedures in selecting sample unitsd. the sampling technique employed to obtain subjects from the population

11. The following are all examples of descriptive statistics excepta. criterion measuresb. frequenciesc. meansd. percentages

12. Developing a research problem from a theory or conceptual framework requires the logical reasoning process ofa. critical thinkingb. deductionc. inductiond. conceptualization

13. Which of the following statements best describes the problem statement "to what extent do health policies influence the health of Filipinos"?a. acceptable as statedb. not a research problem because it addresses a moral issuec. not acceptable as stated because it lacks an independent variabled. not acceptable because of the vagueness of the concepts

Page 23: Partial 09 Nov

14. A primary source for literature review may be defined asa. a description of an investigation written by the researcher who conducted the studyb. a summarization of relevant research that has been conducted on the topic of interestc. a thesaurus that directs the reader to a subject heading germane to the topicd. any retrieval mechanism that helps to locate articles on the area of interest

15. Sources for literature review include all the following excepta. bibliographiesb. booksc. computer searchesd. personal experience

16. A set of logically interrelated propositions is associated witha. statistical modelb. conceptual frameworkc. theoryd. schematic model

17. The power of theories lies in their ability toa. capture the complexity of human nature by the richness of the operational definitions associated with the variablesb. minimize the number of words required to explain phenomena and thereby eliminate semantic problemsc. prove conclusively that relations exist among the phenomena studiedd. specify the nature of the relations that exist among phenomena

18. The purpose of a theory is toa. make scientific findings meaningful and generalizableb. explain relations that exist among variables as well as the nature of the relationc. stimulate the generation of hypotheses that can be empirically testedd. summarize the accumulated facts

19. The building blocks for theory area. conceptsb. empirical testingc. hypothesisd. models

20. The major similarity between theories and conceptual frameworks is that botha. use concepts as their building blocksb. use the deductive reasoning process almost exclusivelyc. contain a set of logically interrelated propositionsd. provide a mechanism for developing new propositions from the original propositions

21. A research hypothesis

Page 24: Partial 09 Nov

a. is a set of logically interrelated propositionsb. is usually more general in scope than a problem statementc. predicts the nature of the relation between two or more variablesd. predicts the absence of a relation between two or more variables

22. The following are all purposes of the research hypothesis excepta. proving the validity of a theoryb. extending human knowledgec. linking the abstract and conceptual with the concrete and observabled. providing direction to the research design

23. A research hypothesis predicts the nature of the relationship betweena. the functional and causal nature of the variablesb. a theoretical framework and observable phenomenac. a presumed cause and a presumed effectd. statistical testing and the assumption of innocence

24. Deductive hypotheses are almost alwaysa. testableb. researchablec. complexd. directional

25. The term randomization may be defined asa. assignment of subjects to a group in such a way that neither the subject nor the researcher knows who is receiving the treatmentb. each subject having an equal chance of being selected for any groupc. the assurance that systematic bias will be present in the selection of subjects into groupsd. the matching of subjects' attributes that are likely to affect the outcome

26. Which of the following must be present in quasi-experimental research?a. a comparison groupb. manipulating a variablec. matching of subjectsd. randomization

27. The term internal validity refers toa. the elimination of competing explanations that could account for any of the observed differencesb. making an inference that the experimental intervention resulted in any observed differencesc. the nonequivalence of groups before the treatmentd. the occurrence of events external to the treatment that could affect the manipulation

28. Which of the following research designs is weakest in terms of the researcher's ability to establish causality?a. experimentalb. ex post factoc. pre-experimentald. quasi-experimental

Page 25: Partial 09 Nov

29. In an ex post facto study, compared to an experimental study, the researcher forfeits control ofa. the independent variables (s)b. the dependent variablec. the criterion variabled. the attribute variable

30. A study that followed, over a 20-year period, users and nonusers of oral contraceptives to find long term effects would be called aa. prediction studyb. retrospective studyc. prospective studyd. univariate descriptive

31. If a researcher wanted to describe the frequency with which nursing students performed breast self-examination, the study would be classified asa. descriptive correlationalb. prospectivec. retrospectived. univariate descriptive

32. Which of the following types of nonexperimental research would probably require the longest data collection period?a. descriptive correlationalb. prospectivec. retrospectived. univariate descriptive

33. In survey research, the approach that typically yields the highest response rate isa. personal interviewsb. telephone interviewsc. home-delivered questionnairesd. mailed questionnaires

34. One of the advantages of the case study method is thea. ease with which the data can be analyzedb. facility with which the findings can be generalizedc. objectivity that can be maintained by the researcherd. in-depth nature of the data collected

35. Data collected before the institution of a treatment are sometimesreferred to asa. posttest datab. baseline datac. case study datad. secondary data

36. How many hypotheses can be tested in a two-factor design?

Page 26: Partial 09 Nov

a. 1b. 2c. 3d. 4

37. The most effective method of controlling extraneous variables is bya. analysis of covarianceb. matchingc. randomized control groupd. repeated measures design

38. Suppose a researcher conducted a study using clients in a rehabilitation facility as subjects. The researcher does the study again. However, for the second study, clients in a general hospital became the subjects. The process refers to the concept ofa. counterbalancingb. precisionc. variabilityd. replication

39. Research projects that collect data at one point in time are referred to asa. cohort studiesb. cross-sectional studiesc. cross-sequential studiesd. panel studies

40. A researcher used hemoglobin levels as an index of the likelihood that a person would develop a pressure sore. Hemoglobin levels are classified as what type of physiological measure?a. physicalb. chemicalc. microbiald. cytological

41. The concept of objectivity for physiological measures refers to thea. lack of interactions that generally accompany their useb. unobtrusive nature of their presencec. precision with which they measure the target conceptd. agreement of two independent observers of the observed measurement

42. Which of the following topical areas would be most conducive to study by observational methods?a. attitude toward preventive health practicesb. knowledge of the danger signals of cancerc. interactions in a psychiatric crisis centerd. effectiveness of support groups for drug abusers

43. When the researcher uses a self-report technique but specifies neither the questions nor the response alternatives in advance, the interview is referred to asa. standardizedb. structured

Page 27: Partial 09 Nov

c. unstructuredd. face-to-face

44. A data collection technique that quantifies a person's attitude along a bipolar dimension is called aa. cafeteria checklistb. checklistc. graphic rating scaled. rank-order question

45. A major purpose of a pre-test is toa. detect inadequacies in an interview/schedule/questionnaireb. obtain some preliminary results on the research problemc. assess the adequacy of the research designd. evaluate whether a structured or unstructured schedule is preferable

46. On a 7-point Likert scale, the response "undecided" would bescored asa. 0b. 1c. 4d. 7

47. On a 20-item Likert scale with five response categories, the rangeof possible scores isa. 0 to 100b. 20 to 80c. 20 to 100d. Oto50

48. Which of the following scaling procedures is an example of a cumulative scale?a. Thurstone scaleb. Likert scalec. Guttman scaled. Semantic differential scale

49. Which of the following techniques cannot be administered by mail?a. critical incidents techniqueb. Delphi techniquec. sentence completion processd. psychodrama50. Suppose a researcher wants to forecast future priorities for research in obstetrical nursing. The participants will be nurse midwives. Which of the following techniques would most probably be employed?a. content analysisb. projective techniquec. Delphi procedured. Thematic Apperception Test

Page 28: Partial 09 Nov

51. The technique that is least susceptible to response set bias isa. interviewsb. Delphi procedurec. questionnairesd. projective measures

52. A bias that may be present in the use of records is known asa. acquiescence biasb. extreme response biasc. selective deposit biasd. social desirability bias

53. Another term for universe isa. sampleb. populationc. true scoresd. set of rules

54. The level of measurement that classifies and ranks objects in terms of the degree to which they possess an attribute of interest isa. nominalb. ordinalc. intervald. ratio

55. Religion is measured on thea. nominal scaleb. ordinal scalec. interval scaled. ratio scale

56. The most primitive and least precise level of measurement isa. nominal scaleb. ordinal scalec. interval scaled. ratio scale

57. Keeping a record of fluid intake, in ounces, of a postsurgical patient is an example of which level of measurement?a. nominal scaleb. ordinal scalec. interval scaled. ratio scale

58. Which level of measurement permits the researcher to add, subtract, multiply, and divide?a. nominal scaleb. ordinal scalec. interval scale

Page 29: Partial 09 Nov

d. ratio scale

59. The difference between a true score and an obtained score is referred to asa. internal consistencyb. discriminabilityc. response samplingd. error of measurement

60. One source of measurement error isa. response set biasb. inefficiencyc. speedd. absence of validity

63. The aspect of reliability for which inter-observer reliability is appropriate isa. stabilityb. internal consistencyc. equivalenced. criterion related

65. A perfect correlation between two variables would be represented by a coefficient ofa. 0.00b. -1.00c. 2.00d. 100.00

66. The type of validity that employs only logical rather than empirical procedures in its assessment isa. contentb. concurrentc. predictived. construct

67. Suppose a researcher were interested in assessing the adequacy of an instrument to measure the theoretical conceptualization of territorial space. The type of validation procedure would most probably bea. contentb. concurrentc. predictived. construct

68. Which of the following terms does not belong with the other three?a. content validityb. criterion-related validityc. predictive validityd. concurrent validity

69. Sampling may be defined as the

Page 30: Partial 09 Nov

a. set of elements used for selecting the sampleb. process of selecting a subset of the population to represent the entire populationc. aggregation of subjects who meet a designated set of criteria for inclusion in the studyd. technique used to ensure that every element in the population has an equal chance of being included in the study

70. Bias in sampling refers toa. systematic overrepresentation or underrepresentation of some segment of the population on the attribute of interest b. lack of heterogeneity in the population on the attribute of interestc. sample selection in nonprobability-type sampling designsd. the margin of error in the data obtained from samples

71. Strata are incorporated into the design of which of the following types of samples?a. systematicb. purposivec. quotad. simple random

72. The type of sampling design that is most likely to obtain a representative sample isa. stratified randomb. snowballc. purposived. quota

73. Which of the following types of samples is considered to be the weakest in sampling design?a. accidentalb. quotac. purposived. systematic

74. Suppose a nurse researcher subdivided a list of nurses obtained from the board of registration in nursing according to type of nursing position held and then randomly selected 50 nurses from each position listed. The type would bea. stratified randomb. clusterc. systematicd. simple random

75. If the bulk of scores from a test occurred at the upper end of the distribution, the distribution would be described asa. normalb. bimodalc. positively skewedd. negatively skewed

76. A parameter is a characteristic ofa. a population

Page 31: Partial 09 Nov

b. reliabilityc. a sampled. validity

77. The standard deviation is an index ofa. bivariate relationshipsb. central tendencyc. skewnessd. variability

78. The measure of variability that takes into account the actual score values is thea. meanb. medianc. ranged. standard deviation

79. The degree of relationship between two variables is best expressed by aa. correlation coefficientb. meanc. standard deviationd. univariate statistic

80. The most appropriate measure of central tendency to use with the variable "pulse rate" is thea. modeb. medianc. meand. correlation coefficient

81. Which of the following is an example of a bivariate descriptive statistic?a. frequency distributionb. meanc. semiquartile ranged. correlation coefficient

82. One of the characteristics of a normal distribution is thata. it is bimodalb. 68% of the values are within two standard deviations from the meanc. semiquartile ranged. correlation coefficient

83. The symbol X representsa. the sum ofb. the meanc. the number of casesd. an individual score

85. The use of inferential statistics permits the researcher toa. generalize to a population based on information gathered from

Page 32: Partial 09 Nov

a sampleb. describe information obtained from empirical observationc. interpret descriptive statisticsd. none of the above

86. The standard deviation of a sampling distribution is called aa. sampling errorb. standard errorc. variance parameterd. parameter

87. A major factor that affects the standard error of the mean isa. point estimationb. confidence limitsc. sample sized. value of the mean

88. For which of the following levels of significance is the risk of making a Type I error greater?a. 0.10b. 0.05c. 0.01d. 0.001

89. A 95% confidence level is associated with how many standard deviation units?a. 1.96b. 2.36c. 2.58d. depends on sample size

90. If a researcher calculates a ^-statistic to be -2.2 and the tabled value (for df= 60 and level of significance of .05) is 2.0, the researcher woulda. conclude that an error in calculation had been madeb. accept the null hypothesisc. reject the null hypothesisd. use a different level of significance

91. A statistical procedure that is used to determine whether a significant difference exists between any number of group means is thea. t-testb. analysis of variancec. correlation coefficientd. Mann-Whitney U-test

92. How many null hypotheses would there be for a study with 40 subjects using a two-way ANOVA?a. 2b. 3c. 5d. 10

Page 33: Partial 09 Nov

93. If a researcher wanted to determine whether observed proportions differ significantly from expected proportions, the statistic would be a(n)a. Restb. correlation coefficientc. analysis of varianced. chi-square

94. When both the independent and dependent variables are measured on a ratio scale, the appropriate test statistic is a(n)a. Restb. ANOVAc. chi-squared. Pearson's r

95. Suppose a researcher hypothesized that a relationship existed between nurses' leadership behavior and job satisfaction. Correlational analysis revealed an r= .60 that had a p value beyond the .001 level. The researcher may conclude all of the following except:

a. the greater the leadership behavior of the nurse, the higher the degree of job satisfactionb. the data analysis demonstrated that the research hypothesis was correctc. a statistically significant relationship exists between nurses' leadership and job satisfactiond. high levels of leadership behavior caused high job satisfaction

96. The answer to whether the researcher went "beyond the data" in a study would be found in which section of the research report?a. introductionb. methodsc. resultsd. discussion

97. The medium through which the findings of research would be communicated to the broadest audience is thea. dissertationb. journal articlec. resultsd. discussion

98. The person who critiques a published research report should strive toa. consider that all flaws have equivalent valueb. focus only on the inadequacies inherent in the studyc. judge the merits of the study based on the researcher's backgroundd. remain as objective as possible

99. All of the following aspects of a study would be evaluated in the methods section excepta. underlying assumptionsb. subject selectionc. description of instruments

Page 34: Partial 09 Nov

d. rationale for research design

100. "Does the research control for threats to the internal and external validity of the study?" would be asked in which section of a research report?a. introductionb. methodsc. resultsd. discussion

101. Which of the following journals would most likely contain the highest number of primary sources for a research literature review?a. American Journal of Nursingb. Nursing '82c. Nursing Outlookd. Nursing Research

102. In a dissertation or technical report, a copy of the data collectioninstrument would be included in which of the following sections?a. introductionb. methods sectionc. appendixd. bibliography

SITUATION: The Effect of Relaxation Training on Postoperative Pain and Vomiting, Relaxation training has been theorized to decrease abdominal tension (a cause of postoperation pain) as well as to reduce anxiety (a correlate of postoperative vomiting). A two-group, post-test only design, with random assignment, was used to determine if postoperative pain and vomiting differ in adult cholecystectomy patients in two treatment conditions.

103. The independent variable in this study wasa. painb. vomitingc. relaxation trainingd. standard pre-operative teaching

104. The type of research design utilized wasa. nonexperimentalb. pre-experimentalc. experimentald. ex post facto

105. The type of sample selected wasa. probabilityb. nonprobabilityc. stratifiedd. randomized

106. The use of random assignment increased the study's

Page 35: Partial 09 Nov

a. generalizabilityb. internal validityc. varianced. reliability

107. The operational definition of vomiting can be considered weak due to a question ofa. intervening variablesb. true definition of vomitingc. reliability of chartsd. reliability of vomitus

108. Analysis of variance enables the researcher toa. randomize to a complete populationb. describe characteristics of subjectsc. draw inferences for a hypothetical populationd. randomize for a hypothetical population

109. The results of this study should be generalized toa. all postoperative patientsb. all cholecystectomy patientsc. all patients with relaxation trainingd. no other group of patients

110. The variables of depression and crisis intervention can be considered which of the following?a. a model of bereavement interventionb. an example of critical thinkingc. concepts relevant to a theory of bereavementd. a framework for probability testing

111. Of potential concern to a reviewer of this study would be which of the following?a. relevance of the bereavement theory to patient careb. consent process used to obtain subjectsc. qualifications of the bereavement group leaderd. focus of the study on death of children

112. What type of hypothesis was used?a. nullb. researchc. alternatived. retrospective

113. Past psychiatric illness was measured as a means ofa. testing the stated hypothesisb. manipulating the independent variablec. providing a control groupd. controlling an intervening variable

114. The reliability coefficient of .29 indicates

Page 36: Partial 09 Nov

a. an acceptable level of consistency for the toolb. an unacceptable level of consistency for the toolc. an acceptable level of relevancy for the tool 'd. an unacceptable level of relevance for the tool

115. The statement that "there was a trend (p = .08) in the expected direction" should be interpreted as indicatinga. that crisis intervention most probably does decrease depressionb. that crisis intervention most probably does not decrease depressionc. that the researcher has accepted the results of inferential testingd. that the researcher has not accepted the results of inferential testing

116. A standardized protocol was utilized by the psychiatric nurse clinician in order to control fora. the precise definition of the independent variableb. randomizationc. the subject's extraneous characteristicsd. the subject's relevant characteristics

117. An alternative method of measuring depression that would controlfor a socially desirable response would bea. a checklist for subjects with only yes/no response alternativesb. use of a galvanic skin responsec. observation and rating of subject behavior by a nonparticipant observerd. observation and rating of subjects by a fellow subject

118. This is an example of what type of research design?a. experimentalb. quasi-experimentalc. ex post factod. descriptive correlational

119. What level of measurement is the Adjective Depression Scale?a. nominalb. at least ordinalc. at least ratiod. Guttman

120. The type of sample selected for this study is referred to asa. stratified sampleb. random samplec. convenience sampled. cluster sample

121. The Pearson rof .76 is best interpreted asa. a measure of the differences between the responses of men and womenb. a significant relationship between the intensity of support network and health status rating

Page 37: Partial 09 Nov

c. a relatively weak relationship between a self-report of health status and assessment of support networkd. an indication that the hypothesis is poorly supported by the data collected

122. The study is best described asa. descriptive-correlationalb. ex post factoc. quasi-experimentald. experimental

123. In which category of level of health status was the highest degree of variability in the scores on social support found?a. highb. mediumc. lowd. not reported

124. What type of instrument is the health status measurement?a. structured interview scheduleb. summated rating scalec. graphic rating scaled. critical incident

125. The hypothesis in this study is best described asa. statistical hypothesisb. directional hypothesisc. null hypothesisd. not a hypothesis as stated

126. If this study were to be read and considered for inclusion in a review of literature, which of the following is most appropriate?a. State: "It was found that clients with strong support networks are healthier than their counterparts with weak support networks."b. State: "This study found a positive relationship between the health status of elderly clients and support networks."c. State: "A difference was observed between men and women in their reports of health status and support networks."d. The findings are so inconclusive that the study should not be included in the review.

Page 38: Partial 09 Nov