PPS Questions

A B E

1) A charged nurse on a pediatric unit has just been informed of a potential admission from the ED. Which of the following nurses should NOT be assigned to the admit the patient? a. A nurse caring for a child with multiple gastrointestinal bleeds b. A nurse caring for a child with no family or visitors c. A nurse caring for patient who has began receiving a blood transfusion one hour ago d. A nurse who recently discharged two patients e. A nurse preparing for a complex dressing change

B

1) A client with a personality disorder is upset and calls the nurse a student cow. Which of the following is the most affective initial response by the nurse to this client's behaviour? a. Demonstrate empathy by reaching out to touch the client b. Calmly discuss the inappropriate of displacing anger to others c. Report the behaviour to the physician so that consistency and consequences can be followed d. Walk away from the client

D

1) A nurse working on the adolescent unit has a strained working relationship with a coworker and finds it difficult to work well with her. What is the best way for her to go about defusing this situation? a. Ask other nurses assigned to the unit to see what they think might improve the situation b. Complain to the nurse-manager about the coworkers' attitude c. Avoid the other nurse by working different shifts d. Talk with the other nurse and try to work out differences so they don't affect client care

C

1) A nurse working the night shift observes that another nurse falls asleep in the longue after an initial assessment of the assigned clients. The nurse remains asleep for 4 hours and then wakes to complete client rounds. What is the best action by the nurse who observes this behaviour? (Answer C) a. No action is needed because the nurse's clients were asleep and did not call for help b. Ask the nurse on the day shifts to report the situation to the nurse a manager c. Discuss the situation with the nurse, including the safety implications of sleeping d. Cover for the sleeping nurse by assessing the nurse's client on an hourly basis

C

1) As an entry-level nurse working with people with disabilities, what is one of the requisite skills and abilities a registered nurse should acquire? a. Judging individual difference b. Not providing care in an unpredictable environment c. Behaving in professional manner d. Practicing in a manger inconsistent with established patient safety policies and procedures

C

1) Define Post Traumatic Stress Disorder, choose the most accurate term: a. A emotional disorder that always follows witnessing an assault on someone b. A physical reaction experienced by veterans returning after war c. A mental disorder that can occur after a traumatic event to self or a close family or friend d. Classified as depression and anxiety after a stressful event

B

1) Delegation is the process f transferring work to subordinates. A nurse-manager may appropriately delegate which task? a. Telling a staff nurse to initiate disciplinary action against one of her peers b. Scheduling staff assignments for the next month c. Deciding on salary increases for nurses after they completely orientation d. Terminating a nursing assistant for insubordination

B

1) Sally has graduated 2 months ago from the RRC BN program. She wants to open her own practice, to help young mothers manage their new responsibilities. The CRNM's BEST response would be? a. Sally should immediately pursue this as she is recognizing a gap in the healthcare field b. As Sally is a brand new nurse she should look to practice as a regular nurse prior to starting a business to build more knowledge and skill c. Nurses entering self-employment is not an acceptable form of practice d. With an extra 6 month course sally will be able to start her own business

C

1) The advanced practice registered nurse exhibits professional leadership by a) Adding clinical protocols to the advanced practice nurses' scope of practice b) Comparing the workplace roles of the RN and the advanced practice nurse c) Creating a task force to address scope of practice concerns d) Lobbying to eliminate continuing education requirements

A

1) The community health nurse has a student nurse with him/her for the day. The RN asks the patents at the home visit if the student can be present for the breastfeeding assessment. The husband declines this opportunity. What is the nurses' most appropriate response? a. Ask the father what his concerns are b. Ask the husband to leave the premises c. Honour the father's preference d. Reassure the father that the student nurse will be professional

D

1) The nurse manager overhears comments made between two nurses. The first nurse repeatedly makes comments that focus on the second nurse's skin colour and race. The second nurse is observably offended. Which of the following actions by the nurse manager to address the behaviour of the first nurse would promote a quality practice environment? a. Use posters and in-service sessions on the unit to help educate the first nurse on racial diversity b. Wait unit the second nurse submits a formal report to the human rights department before doing anything c. Provide the first nurse with a pamphlet that addresses harassment and discrimination in the workplace d. Speak to the first nurse, pointing out that the comments constitute harassment and will not be tolerated

D

1) The nurse-manager on the oncology unit wants to address the issue of correct documentation of the effectiveness of analgesia medication within 20 minutes after administration. What should the nurse-manager do first? a) Change the policy of documentation to 45 minutes b) Consult the pharmacist c) Consult the nurses on the evening shift where documentation of analgesia is the greatest problem d) Complete a brief quality improvement study and chart audit to document the rate of adherence to the policy and the pattern of documentation over shifts

A B C D

1) What are the requirements to complete your continued competence module? Select all that apply: a. Complete continued competence forms b. Achieve the minimum practice hours 1125 RN hours in the previous 5 years or 450 RN hours in the previous 2 years - NPs 900 extended practice hours in the previous 3 years, or 300 extended practices hours in the previous year c. Complete the jurisprudence modules d. Keep all forms for 5 years e. None of the above

D

1) What is a barrier to resolution associated with the challenges of rural nursing? a. Geographical distance to learning opportunities b. Lack of funding for educational programs c. Lack of human resources d. All of the above

D

1) What is a two-tier healthcare system? Select the best answer: a. A publicly funded system b. A privately funded system c. A 50/50 government-funded system with a "pay out-of-pocket" system d. A universal publicly funded system with a secondary sector that has faster, better care that people pay for

A C

1) What risks arise due to a nursing shortage? Select all that apply: a. Decreased job satisfaction b. Increase suicide rates nurses c. Interpersonal conflict d. Increased substance use

A B C

1) Which are the following are reasons nurses list for migrating elsewhere to find employment? Select all that apply a) Full time positions b) Weather preferences c) Opportunity for advancement d) Less restrictions regarding personal appearance

B C

1) Which of the following are considered forms of bullying? Select all that apply: a. A demanding boss b. Social Isolation c. Over monitoring of work d. Having normal conflict with a peer

A

1) Which of the following factors does not impact patient flow in emergency departments? a. Decrease in number of presentations b. Difficulty accessing primary care clinics c. Staffing shortages and non-availability of beds d. Increase in aging population and chronic conditions

C

1) Who should be targeted in Organizational Self-Care Strategies? a. Nursing Students b. Bedside Nurses c. Leaders in Healthcare Settings d. Physicians

B

1) You have worked 4 consecutive 12-hour night shifts, and have worked over full time hours. Your nurse manager approaches you and mandates you to come in for the following day shift to cover a stat holiday. They are short staffed and desperately needed you. How do you best respond? a) Yes, I will work; I could really use the extra money! b) I'm sorry, I don't feel that I would be able to adequately care for the patients, and would risk hurting myself or them c) No, I quit d) According to my rights and the MNU, I cannot come in because I have worked to many hours

D

2) A new graduate nurse is assigned to care for several children with advanced cancer, and the nurse finds the assignment extremely challenging and is considering requesting a different assignment. Which of the following is the best course o action by the nurse to resolve the situation? a. Notify the nurse manager that the assignment will be refused b. Pretend to be ill and leave the unit as soon as possible c. Bring reference materials to the room when providing care d. Suggest a shared assignment with a senior staff nurse

C

2) A palliative clinical nurse specialist uses knowledge of population demography to: a) Develop a community action plan b) Identify neighourhood networks c) Predict community health needs based on population trends d) Select an intervention in response to a risk factor

B

2) Amy notices that her colleague is showing signs of compassion fatigue. What could Amy recommend to her colleague to decrease her cortisol levels? a. Yoga b. Massage c. Healthy Eating d. Acupuncture

A

2) Another RN has called in sick, leaving 10 pediatrics cancer patients to be care for by one RN and 3 nursing assistants. What should the nurse do? a. Contact the nursing supervisor and request another RN b. Plan to organize to maximize efficiency c. Contact the nurse manager and request more nursing assistants d. Delegate as much of the nursing assistants as legally possible

C

2) At the completion of a shift, the nurse is participating in the nursing handoff during the transition from the day shift to the evening shift. At the time of shift change, there are not enough evening nurses to meet mandated nurse-client ratios. What is the nurse's best action? a. Document efforts to find short-term replacement staffing before leaving the unit b. Document the number of nurses on the unit at shift change before leaving the unit c. Document the situation, and remain on the unit until sufficient staffing levels are achieved d. Temporarily delegate nursing care to unlicensed care providers

A

2) Henry is a Unit Manager on a 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 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

B

2) Regarding the strategy Improving Access to Staff Development, identify the barrier: a) Continuing education is time consuming and interferes with family life b) Continuing education is expensive and a large amount is still paid out of pocket c) There is a lack of variety for continuing education programs for different nursing fields d) There are no identified barriers, as continuing education programs are always available

C

2) Steven has been a nurse for 15 years. After any years on an orthopedic spinal ward, he has noticed a gap in education about treatment options. He has decided to offer an independent service to help potential patients decide on available treatment options. This is an example of what type of nurse entrepreneurship? a. Direct patient care b. Research c. Consultation d. Administration

C

2) The obstetrical nurse is caring for ta client who is three hours postpartum. The client tells the nurse that nearly a dozen family members will be soon arriving to visit her and her infant. The client assures the nurse that this is the form n her culture. What is the nurse's best action? a. Make contact with a family member, and explain the client's need for rest b. Encourage the client to assert that the visit would be emotionally and physically tiring c. Facilitate the visit, unless it is ruled out medically or logistically d. Communicate with a family member, and explain why having more than one visitor at the time is not permitted

B C

2) What are examples of performance signs outlined by the CAN of substance abuse? Choose all that apply: a. Abdominal cramping & other muscle cramps b. Taking extended breaks throughout shift c. Involvement in an increased number of incidents/mistakes d. Volunteering to hold keys for narcotic storage cabinets, or volunteering to disperse such medications e. Irritability

A B C D F

2) What are some of the barriers impacting the issue of PTSD in nursing? Select all that apply: a. PTSD can take years to develop b. Social stigma associated with mental health c. Lack in team cohesiveness/poor interpersonal relationships d. Poor staffing ratio e. Conflicting personalizes among staff members f. Debriefing isn't seen as a priority

A B C D E F

2) What are the ethics in practice for registered nurses caring for people with disabilities? Select all that apply: a. Providing safe, compassionate, competent and ethical care b. Promoting and respecting informed decision-making c. Preserving dignity d. Maintaining privacy and confidentiality e. Promoting justice f. Being accountable

A

2) What are the negative effects of long-term fatigue cumulatively on a nurse's health? a) Hypertension, stroke, glucose dysregulation, metabolic syndrome, obesity b) Insomnia, renal calculi, stroke, obesity, glaucoma c) Hypertension, stroke, diabetes, DVT, metabolic syndrome d) Insomnia, musculoskeletal injury, hypertension, obesity

A C D

2) What level(s) of government funds Canada's health care services? Select all that apply: a. Provincial b. Municipal c. Federal d. Territorial

A

2) What percentage of registered nurses (RN) is selected for the continued competence program? a. 5% b. 20% c. 10% d. 22% e. 15%

B

2) What should the nurse teach a client with generalized anxiety disorder to help the client cope with anxiety? a. Rest and sleep b. Cognitive and behaviour strategies c. Issue avoidance and denial of problems d. Withdrawal from role expectation and role relationship

B C

2) What were the main reasons that the Manitoba Government could not recruit and retain nurses? Select all that apply a. Not enough hours b. Low wages c. No pension plan d. Uncomfortable uniforms

A D E

2) Which of the following constitutes workplace violence? Select all that apply: a. Having a client spit at you b. Being mandated for overtime c. Not receiving a rise on your anniversary date d. Having a little elderly lady with dementia slap you e. A coworker playing a prank on you at a work function

B C D

2) Which of the following statements are true regarding basic rules for documentation. Select all that apply. a) Use direct quotes for objective assessment b) If charting errors is made, draw one line through the faulty information c) Chart only your own care even when someone else calls you for a late entry d) Chart after care is provided, as soon as possible, and as often as needed e) Sign each block of charting with full legal initials and title

A C E

2) Which of the following statements are true regarding the impact of overcrowding in EDs? Select all that apply: a. Patient suffering b. Lower dissatisfaction c. Prolonged wait times d. Decreased mortality rates e. Leaving without receiving treatment

D

2) You are a student nurse being bullied by a staff member at the hospital, where you are doing your clinical rotation, what can you do? a. Report the bullying to your instructor or to the manager b. Make change by not bulling your peers in the future c. Be an advocate for yourself and for anti-bullying d. All of the above

A

3) Lily has been an RN for 10 years. She feels she has a great idea for a nursing advocacy business to create a stronger interdisciplinary steam in the community setting. Lily is worried that her idea wont pan out and she will have quit her job, her business will fail and she will have no source of income for her family. As an advisor regarding nurse entrepreneurship, what is your BEST response to Lily? a. "You could take a part time job at the hospital where you currently work, and pursue this business pat time, so there is less risk if it doesn't work out" b. "This is a great idea! Its impossible for you to fail" c. "Why don't you take some business classes? I think this might make you feel more confident" d. "This is a barrier to becoming a nurse entrepreneur, but you are going to just have to get over it to achieve your goals"

A B C E

3) Which of the following practices could lead to malpractice? Select all that apply a) Charting interventions in advance to save time b) Documenting incorrect data c) Not charting the correct time when events took place d) Deleting incorrect entries and crossing them out with a horizontal line e) Not recording verbal orders or not having them signed

A B E

1) Florence Nightingale believed in holistic care that could provide for? Choose all that apply: a. Mind b. Body c. Family d. Nutrition e. Spirit

B

2) What are the four main challenges associated with rural nursing in Manitoba, which were discussed in the PPS presentation? a. Isolation, travel expenses, lack of technology, workplace issues b. Workplace issues, access to education and training, limited resources, personal issues related to isolation c. Personal issues related to isolation, lack of available jobs for spouses, staff shortage, burnout d. Access to education and training, lack of technology, staff shortages, travel expenses