SURIGAO EDUCATION CENTER

Km. 2, 8400 Surigao City, Philippines

COLLEGE OF NURSING
NCM-107A MIDTERM EXAM (Lecture)

NAME_______________________________________DATE___________SCORE________

I. INSTRUCTIONS: Read each question carefully and encircle the letter of the
correct answer in each item. ABSOLUTELY NO ERASURES!!!

1. Which is not part of directing?

a. Process of getting work done. C. Delegating work to be done.
b. Issuing orders and assignments. D. Evaluating performance staff.
2. Which of the following pertains to set of actions the nurse will implement to resolve
nursing problems identified by assessment?
a. Strategic plan c. Nursing care plan
b. Day-to-day plan d. Health plan
3. Which role of the supervisor is least emphasized in this situation?
a. Support and cooperation to improve the morale of the staff.
b. Democratic relationship.
c. Effective communication.
d. Coercive management style.
4. Which of the following is considered advantages of staff development?
1. Maintain staff efficiency 4. Initiate personal motivation
2. Create quality employees 5. Diagnose KSA deficiencies
3. Enforce compliance to rules 6. Improve self confidence
a. 1,2,3,4 b. 1,2,5,6 c. 2,3,4,5 d. 1,2,4,5

5. How do you differentiate in-service training from continuing education?

a. Learning experience which is planned and incidental.
b. Oriented towards improving performance level of staff.
c. Nature is less formal.
d. Cost maybe shouldered by the agency.
6. The managers and the health care staff together with other members of the health care team
participate in decision-making. In which component of directing does it belong?
1. Collaboration c. Communication
2. Coordination d. Delegation
a. 1,2 b. 1,2,3 c. 1,2,3,4 d. 2,3
7. If the nurse manager wants to be effective in communicating. Which of the following can
be considered ?
1. Eliminate barriers to communication.
2. Promote free flow communication
3. Promote climate of truthfulness and frankness.
4. Establish lines of communication.
a. 1,2 b. 2,4 c. 2,3 d. 1,4
8. Which of the following is least considered in conducting performance appraisal?
a. Provide constructive feedback.
b. Determines progress and worthiness of a nurse.
c. Security of patients, staff and hospital.
d. Termination if performance falls below the standard.
9. In which situation does the nurse manager expect change process to occur only?
a. One perceives am need for change.
b. One realizes her unique potentials.
c. Can state his own needs and problems.
d. Enforce policies to ensure change to take place.
10. Which of the following is considered a negative result of conflict in the nursing service?
a. Greater sensitivity to issues.
b. Increased creativity to a stimulus.
c. Motivated to improve performance.
d. Disagreements can create emotional barriers between and among the staff.
11. Which of the following indicates that a good control system encourages each employee to
exercise self-control?
a. Knows her expected level of performance.
b. Initiates own activities even without instructions.
c. Develop personal philosophy and values of nursing practice.
d. Can work well with other members of the health team.
12. What is the least characteristic of effective control?
a. Designed according to the vision/mission of the agency.
b. Must not be flexible.
c. Must anticipate organizational problems.
d. Performance standards are met.
13. Which of the following considers the way to provide feedback through reports, progress
notes, research survey?
a. Standards of nursing practice c. Feedback control
b. Financial content d. Time control
14. What is the way to monitor and measure performance of nursing care services?
a. Nursing rounds c. Performance evaluation
b. Standardization d. None of the above
15. What techniques of control involves using a matrix of activities represented in a chart
specifying goals, products desired, time and budget requirements?
a. Benchmarking c. Nursing Audit
b. Program evaluation and review technique d. Gantt Chart
16. Which of the following is considered true of Management?
a. Coordinating services c. Regulating services
b. Selective services d. Individualizing services
17. In which of the following does it consider that performance evaluation is necessary?
a. Maintain checks and balances.
b. Compare performance with standards.
c. Ensure that tasks are being carried out as planned.
d. Have feedback control.
18. What strategy can be used if performance evaluation were found to have deviations from
standards?
a. Takes action revive or minimize the cause.
b. Takes corrective action to get performance back on track.
c. Provide reinforcements such as attending training or seminars.
d. Develop personal value system to control process?
19. Which of the following characterizes the control process?
1. Cyclical 4. Personal responsibility
2. Change process 5. Built on leadership
3. Anticipatory and retrospective
a. 1,2,3,4 b. 2,3,4,5 c. 1,2,3,4,5 d. 1,2,4,5
20. What method is necessary in acquiring and processing information needed to improve nurse
performance and accomplishments?
a. Nursing audit c. Performance appraisal
b. Nursing Standards d. Quality appraisal
21. Audit is a systematic and official examination of a record, process, structure, environment, or
account to evaluate performance. If an audit includes a resource inputs such as the
environment in which health care is delivered, what audit was utilized?
a. Process audit c. Outcome audit
b. Structure audit d. Critical Pathways
22. When one party in a conflict attempts to compliment the other party or to focus on
agreements rather than differences, what conflict resolution strategy was utilized?
a. Compromising c. Cooperating
b. Smoothing d. Competing
23. What is to be to be avoided in delegating jobs?
a. Provide gaps and overlaps
b. Delegate gradually
c. Select the right person to whom the job is to be delegated.
d. Delegate jobs that are both interesting and uninteresting
24. Nurse Ludy has been newly hired as part of the staff in the medical surgical unit. She has two
patients assigned to her and one of which requires regular tracheostomy care. However,
instead of providing such care, Nurse Ludy asked her manager to do the task for her since she
forgot what to do. This is an example of:
a. Underdelegation b. Overdelegation c. Reverse delegation d. None

II. PERFORMANCE ASSESSMENT

GIVE THE 6 PERFORMANCE APPRAISAL TOOLS, DESCRIBE EACH
BRIEFLY AND GIVE ONE EXAMPLE FOR EACH USING THE TABLE
BELOW. (30 POINTS)

Performance Appraisal Tools/Description Example (12 points)

(18 points)
This consists in simply putting a man in a rank
order. Under this method, the ranking of an
employee in a work group is done against that of
1. Ranking Method another employee. The relative position of each
employee is tested in terms of his numerical rank.
It may also be done by ranking a person on his job
performance against another member of the
competitive group.
A group of workers doing the same job would
fall into the same group as superior, at and
above average, below average and poor.
2. Forced Distribution method
 Example of a good critical incident of a Customer
Relations Officer is : March 12 - The Officer
patiently attended to a customers complaint. He
was very polite and prompt in attending the
3. Critical Incident techniques customers problem.
The evaluator writes a short essay on the
employees performance on the basis of overall
impression.
4.Essay Appraisal method
The evaluators assigns relative ranks to all the
employees in the same work. Employees are
ranked from the best to the poorest on the basis
5. Straight ranking method of overall performance.
Is the employee satisfied with the job?
Yes/No

6.Checklist

III. ESSAY (6 points)

What should a nurse manager do to ensure that his/her message is understood?

Taking on a leadership role as a nurse manager requires more than clinical skills,
critical thinking, and strong communication. The job can be challenging for nurse
managers who are redefining their roles in healthcare and with their peers and
coworkers. Strong nursing leadership is needed to create practice environments and
work climates that are healthier and safer for both nurses and patients. Nurse
managers need strong communication and leadership skills. They should be adept at
coordinating resources and personnel and meeting goals and objectives. They must be
effective leaders who can strike a balance between working with the nursing staff and
the healthcare facility administrators. A nurse manager should:
 Speak slowly and clearly but not loudly.
  Maintain eye contact.
 When speaking or listening, turn your face and your body toward the patient,
and when possible sit next to them.
 Pay attention to nonverbal communication, such as body language, posture,
and gestures – both yours and your patient’s
 Demonstrate compassion, patience, and empathy
 Avoid medical jargon, foul language, slang, sarcasm, and deception
 Be sensitive to religious and cultural differences
 Consider how your words could be interpreted – or misinterpreted – by the
patient

These are,essential skills for any nurses to learn and improve. They support the definition and
goals of effective communication in nursing.

1. D
2. C
3. A
4. A
5. B
6. C
7. D
8. B
9. A
10. D
11. C
12. D
13. C
14. A
15. D
16. A
17. B
18. A
19. B
20. C
21. B
22. A
23. D
24. C