POWERHOUSE TRAINING AND REVIEW CENTER COMMUNICATION, HEALTH EDUCATION, COLLABORATION AND TEAMWORK NAME: 1.

Suicidal thoughts are common in people with mood disorders. Most people with suicidal ideation send either direct or indirect signals to others about their intent to harm themselves. A nurse never ignores any hint of suicidal ideation regardless of how trivial or dubtle it seems and the client's intent or emotional status. On his 6th day at the psychiatric ward, a male client diagnosed with bipolar disorder tells the nurse, "I am tired of this. I want to end my misery." The nurse's best reply would be: Choose one answer. a. "Are you saying that you're going to kill yourself?" b. "I know you don't really mean that." c. "Life is not as bad as you think it is." d. "You're just tired. Let's talk about something else." 2. The nurse must show acceptance of clients as worthwhile persons even if their behavior is unacceptable. Lito broke the windows during his flare-up of anger. The most appropriate comment of the nurse would be: Choose one answer. a. "Why don't you tell us when you're angry so we could help you." b. "Breaking windows is an unacceptable behavior. Let me know if you're upset so we can talk about it." c. "If you do this again, I will have to restrain you." d. "What is your problem? Don't you have anything better to do than break windows?" 3. Because of their unique position in the health care system, nurses experience conflicts among their loyalties and obligations to clients, families, primary care providers, employing institutions, and licensing bodies. The attending physician of your patient placed an order in the chart to administer a pain medication STAT. However, when you arrived in your patient's room, he seems to not be in pain. What will be your action? Choose one answer. a. Inform the charge nurse of the condition. b. Administer the medication anyway because you might get reprimanded by the physician. c. Withhold the medication, further assess the patient and inform the attending physician of your findings. d. Wait until the patient experiences pain again then administer the medication. 4. A colostomy is a procedure that involves creating an opening between the colon and abdominal wall, from which fecal contents will pass. You are a nurse in the surgical ward and are preparing Bart for discharge. You just gave your health teachings for Bart, who just has had a colostomy. You are now going to evaluate what he learned. Which of the following statements made by Bart is correct? Choose one answer. a. "The stoma should be beefy red, as this indicates good blood supply." b. "The stoma should always be dry, since moisture can make me at risk for infection." c. "I should only be alarmed if bleeding is more than 1000ml." d. "I should expect excessive flatulence as long as I have this stoma." 5. Impaired verbal communication is one of the problems caused by ischemia to parts of the brain following a stroke. Ideally, the client with a stroke is expected to receive, interpret and express spoken, written and non-verbal messages. Mr. Agbayani is experiencing Broca's aphasia after a cerebrovascular accident. Which nursing intervention is most helpful in promoting communication? Choose one answer. a. Speaking in short sentences. b. Writing directions so the client can read them. c. Speaking loudly. d. Using a picture board.

11 KEY AREAS OF RESPONSIBILITIES [1]

POWERHOUSE TRAINING AND REVIEW CENTER COMMUNICATION, HEALTH EDUCATION, COLLABORATION AND TEAMWORK NAME: 6. Which of the following is the overall purpose of therapeutic communication? a. To analyze clients problems b. To elicit cooperation c. To facilitate a helping relationship d. To provide emotional support 7. What does the nurse know of sore eyes? You will teach Peter the correct statement from the choices below. A. Offer white chicken to remove redness of sore eyes. B. Sore eyes is curable and is self-limiting C. Sore eyes is caused by peeping in the holes of others D. Fresh urine of babies is a cure for sore eyes. 8. In rural areas, the old people believe that when they cannot see clearly, an evil charm has fallen on them. You can tell them this: A. Perhaps you have cataract this can be remedied B. Diabetes makes eyesight blurry and you may be having this C. Maybe you have glaucoma you need treatment right away D. Let me take a look at your eyes and ask several questions 9. Which of the following is the most important factor in providing individualized nursing care to clients in specific ethnic/ cultural groups? A. Communication B. Biologic variations C. Environmental control D. Social organization 10. Before a nurse can effectively care for a client from an ethnic group other than her own, it is BEST for her to do which of the following? a. Integrate transcultural communication in her care of patients b. Determine her own cultural beliefs and values c. Study the different cultural beliefs of the different ethnic groups in the country d. Work with the cultural minority and disadvantaged group 11 KEY AREAS OF RESPONSIBILITIES [2] 11. In dealing with the patients in ICU, the nurse tries to walk with them as close as 1 feet distance or a little more to make patients experience a close relationship between them, which of the following zones make up personal space created by such a close interaction? a) Social distance b) Personal distance c) Public distance d) Intimate distance 12. When you were making rounds in the pediatric ward, you noticed some of the children salivate much. Bibs are needed to keep them clean. How should you advise mothers regarding your suggestions? a. At random b. Lecture as ward class c. Individualized instruction d. Focus group discussion 13. What methodology of effectiveness will you use? a) Lecture discussion b) First come, first served c) Demonstration and return demonstration d) Question and answer 14. During a one-on-one interaction, a client with breast cancer stage IV says to the nurse, I just want to die. Which one of the following is the therapeutic response to this statement? a) You feel as though there is no reason to live? b) Dont be negative about it. There is always hope? c) Does your family know this? d) Why do you feel this way? 15. A combative and confused client is bought to the OPD psychiatric department. His wife says to the nurse, Now let us see how well you can handle him. Which of the following is the nurses most therapeutic response? a) It must have been very difficult to take care of him by yourself b) You also need some help yourself c) What did you mean by that? d) Why did you not call your daughter to help you out at home?

POWERHOUSE TRAINING AND REVIEW CENTER COMMUNICATION, HEALTH EDUCATION, COLLABORATION AND TEAMWORK NAME: d) Speaking very loudly 16. Mr. Tan, Vice-president of a family owned corporation is about to go home after one week of confinement because of peptic ulcer. He confides to you that he is concerned about his wife who is nervous and a dependent person and that looking after her is tiring. Which of the following questions would be most helpful for the nurse to ask Mr. Tan? a) What do you want to do to address your problem with you wife? b) Is your wife aware of how tired you have become? c) Can you not hire someone to help your wifes care? d) Tell her that she cannot be dependent on you anymore? 17. Application of principles and techniques of therapeutic communication are important requirements for effective communication. Which of the following is the most effective factor in establishing effective communication? a. Understanding the influence of development on language and thought process b. Talking with a sick child at eye level c. Informing the child about any discomfort associated with a procedure d. Providing an environment with the childs favorite toys and music 18. In which of the following phase of nurse-patient relationship do clients test the nurses sincerity and genuineness to help them. a) Pre-interaction b) Termination c) Working d) Orientation 19. The nurse maximizes communication with a depressed patient by which of the following? a) Using why questions to understand the depression b) Avoiding the use of gestures when talking c) Drawing the patient into verbalizing his feelings and concern 11 KEY AREAS OF RESPONSIBILITIES [3] 20. Health education is an important component in the care of patients. As such, the nurse must be cognizant of the principles involved in the teachinglearning process as applied to client teaching. A clinical example of psychomotor learning is when a client does which of the following? a. Chooses the type of exercise after delivery b. State an acceptance for the need to amputate his left leg c. Explains the purpose and action of a blood transfusion d. Changes the dressing aseptically in a leg ulcer 21. In giving health teachings, it is important for the nurse to be aware of which of the following factors regarding clients learning needs? a) They change as you modify the teaching technique b) They are same for everyone c) They change throughout the life cycle d) They change daily 22. Tess, the PACU nurse, discovered that Malou, who weighs 110 lbs prior to surgery is in severe pain 8 hours after cholecystectomy. Upon checking the chart ,Tess found out that Malou has an order of Demerol 100 mg prn for pain. Tess should verify the order with: a. Nurse supervisor b. Anaesthesiologist c. Surgeon d. Intern on duty 23. Rose, 57, who is diabetic is for debridement of incision wound. When the circulating nurse checked the present IV fluid, she found out that there is no insulin incorporated as ordered. What should the circulating nurse do? a. Double check the doctors order and call the attending MD b. Communicate with the ward nurse to verify if insulin was incorporated or not

POWERHOUSE TRAINING AND REVIEW CENTER COMMUNICATION, HEALTH EDUCATION, COLLABORATION AND TEAMWORK NAME: c. Communicate with the client to verify if insulin was incorporated d. Incorporate insulin as ordered 24. Another worthy study is the compliance to the principles of aseptic technique among the sterile OR team. Who does NOT belong to the sterile OR team? a. scrub nurse c. x-ray technician b. assistant surgeon d. surgeon 25. Endoscopic minimally invasive surgery has evolved from diagnostic modality to a widespread surgical technique. What department should the nurse collaborate which is unusual in conventional surgery? a. engineering department c. Blood bank services b. x-ray department d. linen section 26. When the client is discharged from the hospital and is not capable of doing the needed care services, the following can assume the role, EXCEPT: a. family members c. significant others b. chaplain d. Responsible caregiver 27. The breakdown in teamwork is often times a failure in: a. Electricity b. Inadequate supply c. Leg work d. Communication 28. A post dilation and curettage client is for discharge. Follow-up lab result should be part of the discharge plan. You will instruct client to follow up result at the : a) Medical records b) Laboratory c) Doctors clinic d) Nurses station 29. An advantage of automated or computerized client care system is: a. the nursing diagnosis for a client data can be accurately determined b. cost of confinement will be reduced c. information concerning the client can be easily updated 11 KEY AREAS OF RESPONSIBILITIES [4] d. the number of people to take care of the client will be reduced 30. Your client, Mr. Diaz is concerned that he cannot pay his hospital bills and professional fees. You refer him to a: a. nurse supervisor b. social worker c. bookkeeping department d. physician