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CBT EXAM QUESTIONS AND ANSWERS
What is the role of the NMC? - ANSWER To regulate nurses and midwives in the UK to protect the public
What is the purpose of The NMC Code? - ANSWER It is a tool for educating prospective nurses and midwives
All are purposes of NMC except: - ANSWER It is responsible for regulating hospitals or other healthcare settings.
The UK regulator for nursing & midwifery professions within the UK with a started aim to protect the health & well-being of the public is: - ANSWER NMC
Which of the following agency set the standards of education, training and conduct and performance for nurses and midwives in the UK? - ANSWER NMC
What do you mean by code of ethics? - ANSWER Legislative body to control nurses
The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and midwives must act in line with the Code, whether they are providing direct care to individuals, groups or communities or bringing their professional knowledge to bear on nursing and midwifery practice in other roles; such as leadership, education or research. What 4 Key areas does the code cover: - ANSWER Prioritise people, practise effectively, preserve safety, promote professionalism and trust
NMC requires in the UK how many units of continuing education units a nurse should have in 3 years? - ANSWER 35 Units
The code is the foundation of - ANSWER Good nursing & midwifery practice & a key tool in safeguarding the health &wellbeing of the public
According to NMC Standards code and conduct, a registered nurse is EXCLUDED from legal action in which one of these? - ANSWER Possessing stock medications
The NMC Code expects nurse to safeguarding the health and wellbeing of public through the use of best available evidence in practice. Which of the following nursing actions will ensure this? - ANSWER ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care
Among the following values incorporated in NMC's 6 C's, which is not included? - ANSWER Confidentiality
Which of the following is NOT one of the six fundamental values for nursing, midwifery and care staff set out in compassion in Practice Nursing, Midwifery & care staff? - ANSWER Consideration
A nurse delegates duty to a health assistant, what NMC standard she should keep in mind while doing this? - ANSWER RN is accountable for care assistant's actions
According to law in England, UK when you faced with a situation of emergency what is your action? - ANSWER You are not obliged in any way but as a professional duty advises you to stop and assist
Which of the following statements is false? - ANSWER Abuse can take place anywhere there is a vulnerable adult.
During the day, Mrs X was sat on a chair and has a table put in front of her to stop her getting up and walking about. What type of abuse is this? - ANSWER Physical Abuse
Michael feels very uncomfortable when the carer visiting him always gives him a kiss and holds him tightly when he arrives and leaves his home. What type of abuse is this? - ANSWER Sexual Abuse
Anna has been told that unless she does what the ward staff tell her, the consultant will stop her family from visiting. What type of abuse is this? - ANSWER Psychological Abuse
Christine cannot get herself a drink because of her disability. Her carers only give her drinks three times a day so she does not wet herself. What type of abuse is this? - ANSWER Neglect
2.Gabriella is 26 year old woman with severe learning disabilities. She is usually happy and outgoing. Her mobility is good, her speech is limited but she is able to be involved if carers take time to use simple language. She lives with her mother, and is being assisted with personal care. Her home care worker has noticed bruising on upper insides of her thighs and arms. The genital area was red and sore. She told the care worker that a male care worker is her friend and he has been cuddling her but she does not like the cuddling because it hurts. What could possibly be the type of abuse Gabriella is experiencing? - ANSWER Sexual Abuse
.You have noticed that the management wants all residents to be up and about by 8:30 am, so they can be ready for breakfast. Mrs X has refused to get up at 8 am, and she wants to have a bit of a lie in, but one of the carers
insisted to wash and dress her, and took her to the dining room. What type of abuse in in place? - ANSWER Institutional Abuse
Patient asking for LAMA, the medical team has concern about the mental capacity of the patient, what decision should be made? - ANSWER encourage the patient to wait by telling the need for treatment
You are in a registered nurse in a community giving health education to a patient and you notice that the student nurse is using his cell phone to text, what should you do? - ANSWER Politely signal the student and encourage him by actively including him in the discussion
A person supervising a nursing student in the clinical area is called as: - ANSWER mentor
Training of student nurses is the responsibility of: - ANSWER All RNS
You can delegate medication administration to a student if - ANSWER Only under close, direct supervision
A community health nurse, with second year nursing students is collecting history in a home. Nurse notices that a student is not at all interested in what is going around and she is chatting in her phone. Ideal response? - ANSWER Talk to her in private and make her aware that such behaviours could actually belittle the profession
In supervising a student nurse perform a drug rounds, the NMC expects you to do the following at all times: - ANSWER supervise the entire procedure and the sign the chart
A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse
Which student require a SOM? - ANSWER All consolidation students who started an NMC approved undergraduate programme which commenced after September 2007
A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. The most appropriate response in which of the following? - ANSWER It is a process of learning, a different culture to adapt to a new or change in environment
You are the nurse in charge of the unit and you are accompanied by 4th year nursing students. - ANSWER Assess competence of student
2.When doing your drug round at midday, you have noticed one of your patient coughing more frequently whilst being assisted by a nursing student at mealtime. What is your initial action at this situation? - ANSWER ask student to stop feeding and assess patients swallowing
According to the royal marsden manual, a staff who observe the removal of chest drainage is considered as? - ANSWER Unofficial training
To whom should you delegate a task? - ANSWER Someone who is competent
Which of the following is an important principle of delegation? - ANSWER Delegation is the same as work allocation
A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation? - ANSWER Documenting that the task has been completed.
Which of the following is a specific benefit to an organization when delegation is carried out effectively? - ANSWER The organization benefits by achieving its goals more efficiently
The measurement and documentation of vital signs is expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to? - ANSWER Registered Nurse
Which task should be assigned to the nursing assistant? - ANSWER Feeding the client with dementia
Independent Advocacy is: - ANSWER None of the above (Providing general advice, Making decisions for someone, Care and support work, Agreeing with everything a person says and doing anything a person asks you to do)
What is meant by an advocate? - ANSWER Someone who does something on behalf of the patient
A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? - ANSWER Taking a public stand on quality issues and educating the public on" public interest" issues
In the role of patient advocate, the nurse would do which of the following? - ANSWER Support a patient's decision, even if it is not the decision desired by the nurse
What is Advocacy according to NHS Trust? - ANSWER It is a set of rules or a promise that limits access or places restrictions on certain types of information.
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to
Describe the primary focus of a manager in a knowledge work environment.
- ANSWER Developing the most effective teams
In using social media like Facebook, how will you best adhere to your Code of Conduct as a nurse? (CHOOSE 2 ANSWERS) - ANSWER Never have relationship with previous patient b) Never post pictures concerning your practice
Which strategy could the nurse use to avoid disparity in health care delivery? - ANSWER Recognize the cultural issue related to patient care
In an emergency department doctor asked you to do the procedure of cannulation and left the ward. You haven't done it before. What would you do? - ANSWER Don't do it as you are not competent or trained for that & write incident report & inform the supervisor
NMC defines record keeping as all of the following except: - ANSWER Helping to improve advocacy
When do we need to document? - ANSWER As soon as possible after an event has happened to provide current up to date information about the care and condition of the patient or client
All should be seen in a good documentation except: - ANSWER Abbreviations, jargon, meaningless phrases, irrelevant speculation and offensive subjective statements
A nurse documented on the wrong chart. What should the nurse do? - ANSWER Write line above the writing; put your name, job title, date, and time.
After finding the patient which statement would be most appropriate for the nurse to document on a datix/incident form? - ANSWER "Upon entering the room, the patient was found lying on the floor."
.Information can be disclosed in all cases except: - ANSWER When effectively anonymized
Adequate record keeping for a medical device should provide evidence of: - ANSWER All of the above (A unique identifier for the device, where appropriate, A full history, including date of purchase and where appropriate when it was put into use, deployed or installed, Any specific legal requirements and whether these have been met, Proper installation and where it was deployed, Schedule and details of maintenance and repairs, The end-of-life date, if specified)
A registered nurse had a very busy day as her patient was sick, got intubated & had other life saving procedures. She documented all the events & by the end of the shift recognized that she had documented in other patient's record. What is best response of the nurse? - ANSWER She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time
Barbara, a frail lady who lives alone with her cat, was brought in A&E via ambulance after a neighbour found her lying in front of her house. No doctor is available to see her immediately. Barbara told you she is worried about her cat who is alone in the house. How will you best reply to her? - ANSWER "Your cat sounded like very dear to you. Can I ask your neighbour to check?"
What are essential competencies for today's nurse manager? - ANSWER Communication and teamwork
A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse
manager can be of help to improve her situation
What do you mean by a bad leadership? - ANSWER Reward poor performance
There have been several patient complaints that the staff members of the unit are disorganized and that "no one seems to know what to do or when to do it." The staff members concur that they don't have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing? - ANSWER Laissez-faire.
Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? - ANSWER Country Club Management
Ms. Jones is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? - ANSWER Country Club Management
When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use? - ANSWER Authorian
One leadership theory states that "leaders are born and not made," which refers to which of the following theories? - ANSWER Great Man
She reads about Path Goal theory. Which of the following behaviours is manifested by the leader who uses this theory? - ANSWER Recognizes staff for going beyond expectations by giving them citations
Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach? - ANSWER Differentiated practice
The contingency theory of management moves the manager away from which of the following approaches? - ANSWER Interaction of the system with the environment
Which of the major theories of aging suggests that older adults may decelerate the aging process? - ANSWER Activity theory
What is the most important issue confronting nurse managers using situational leadership? - ANSWER Value is placed on the accomplished of tasks and on interpersonal relationships between leader and group members and among group members
The nursing staff communicates that the new manager has a focus on the "bottom line," and little concern for the quality of care. What is likely true of this nurse manager? - ANSWER The manager is unwilling to listen to staff concerns unless they have an impact on costs.
An example of a positive outcome of a nurse-health team relationship would be: - ANSWER Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role
The characteristic of an effective leader includes: - ANSWER sound problem-solving skills and strong people skills
The following are qualities of a good leader, except: - ANSWER Acknowledges and accepts members mistakes - without any corrections
The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse formulates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following? - ANSWER Incomplete data
A nurse case manager receives a referral to provide case management services for an adolescent mother who was recently diagnosed with HIV. Which statement indicates that the patient understands her illness? - ANSWER "My CD4 count is 200 and my T cells are less than 14%. I need to stay at these levels by eating and sleeping well and staying healthy."
A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make. - ANSWER " Would you like to talk to the nurse who works with HIV- positive patient's ?"
A client express concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by: - ANSWER Explaining the exact limits of confidentiality in the exchanges between the client and the nurse.
The nurse can divulge patient's information, only when: - ANSWER it can pose as a threat to the public and when it is ordered by the court
You noticed medical equipment not working while you joined a new team and the team members are not using it. Your role? - ANSWER inform in written to management
When developing a program offering for patients who are newly diagnosed
with diabetes, a nurse case manager demonstrates an understanding of learning styles by: - ANSWER Utilizing a variety of educational materials.
An adult has signed the consent form for a research study but has changed her mind. The nurse tells the patient that she has the right to change her mind based upon which of the following principles. - ANSWER Autonomy & informed consent
A famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows: - ANSWER Nurse are obligated to respect client's privacy and confidentiality
When will you disclose the identity of a patient under your care? - ANSWER Justified by public interest law and order
Today many individuals are seeking answers for acute and chronic health problems through non-traditional approaches to health care. What are two popular choices being selected by health consumers? - ANSWER Support groups and alternative medicine
Which of the following actions jeopardise the professional boundaries between patient and nurse - ANSWER Focusing on social relationship outside working environment
One of the main responsibilities of an employer should be: - ANSWER provide a safe place for the employees
Mrs X informs the nurse that she has lost her job due to excessive absences related to her wound. (2 correct answers) The nurse should: - ANSWER Encourage the patient to express her feelings about the job loss
Contact social services to assist the patient with accessing available resources
You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do? - ANSWER ask from your manager if there are qualified staff from the previous shift that can cover the lacking number for your shift while you try to replace new nurses to cover
Who will you inform first if there is a shortage in supplies in your shift? - ANSWER Immediate nurse manager
The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of - ANSWER Repression
A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should: - ANSWER Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager
Clinical audit is best described as: - ANSWER a tool to evaluate the effectiveness of interventions, and to know what needs to be improved
You are the nurse on Ward C with 14 patients. Your - ANSWER Review patient intervention, set priorities, ask the supervisor to hand over extra staff
A client requests you that he wants to go home against medical advice, what should you do? - ANSWER Allow the client to go home as he won't pose any threat to self or others
The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements? - ANSWER "It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form."
A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do? - ANSWER Help the patient to a safe comfortable position, take a set of observations & report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time, discuss the incident with the patient & if they wish, their relatives
The rehabilitation nurse wishes to make the following entry into a client's plan of care: "Client will re-establish a pattern of daily bowel movements without straining within two months." The nurse would write this statement under which section of the plan of care? - ANSWER Long term goals
A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response? - ANSWER Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent
The bystander of a muslim lady wishes that a lady doctor only should check the patient. Best response - ANSWER Respect the request, if possible arrange the consultation with a female doc
Bystander informs you that the patient is in severe pain. Ur response - ANSWER Go instantly to the patient and assess the condition
The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse's behaviour constitutes: - ANSWER False imprisonment
