NP3 COMPREHENSIVE EXAM !| !| !|
WITH CORRECT SOLUTIONS !| !|
Situation !|
Ms. Kismet is the Research Coordinator of the Medical Center who is
!| !| !| !| !| !| !| !| !| !| !| !|
concerned about the increased incidence of nosocomial infection in the
!| !| !| !| !| !| !| !| !| !|
hospital and has convinced the management to allot a budget for the conduct
!| !| !| !| !| !| !| !| !| !| !| !| !|
of research on the clinical problem.
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1. What type of research is appropriate for this study?
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A. Quasi-experimental
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B. Experimental
!|
C. Historical
!|
D. Descriptive-correlational - Correct answer ✔D. Descriptive-correlational
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2. Which of the following is the best tool for data gathering?
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A. use of laboratory data
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B. questionnaire
!|
C. interview schedule
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D. observation - Correct answer ✔C. interview schedule
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,3. During the data collection, Ms. Kismet encountered a patient who does
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not want to talk to her. Which of the following is a limitation of the study?
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A. Contacts of patients with history of fever and cough.
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B. Patient's refusal to fully divulge information.
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C. Patient's with the history of fever and cough
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D. Patients admitted or who seek consultation at the ER and doctor's offices. -
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Correct answer ✔B. Patient's refusal to fully divulge information.
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4. In the statement, "Frequent hand washing of health workers decreases the
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incidence of nosocomial infections among post-surgery patients", the
!| !| !| !| !| !| !| !|
dependent variable is __________. !| !| !|
A. frequent hand washing
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B. incidence of nosocomial infection
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C. health workers
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D. post-surgery patients - Correct answer ✔B. incidence of nosocomial
!| !| !| !| !| !| !| !| !| !|
infection
5. Her colleague asks about the EXTERNAL validity of the research findings.
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Which of the following is the APPROPRIATE response of Ms. Kismet?
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A. it is reflected as a result of extraneous variables.
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B. the findings are free of selection biases.
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,C. the result is shown only from the effect of the independent variable.
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D. it is generalized to other settings or samples. - Correct answer ✔D. it is
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generalized to other settings or samples. !| !| !| !| !|
Situation
Mr. Gaviola, who has just finished his one (1) year period as a registered
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
nurse in a medical center, is !| !| !| !| !|
assigned in the medical unit on 3-11 shift. He is having difficulty interacting
!| !| !| !| !| !| !| !| !| !| !| !| !|
with the patient's family so he consulted his senior Nurse regarding this
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matter.
6. The BEST approach to be employed by Mr. Gaviola upon the advice of his
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
senior nurse is __________. !| !| !|
*
1 point
!|
A. send the family members home
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B. confront with the family regarding their behavior
!| !| !| !| !| !| !|
C. ignore family's behavior
!| !| !|
D. use active-listening technique - Correct answer ✔D. use active-listening
!| !| !| !| !| !| !| !| !| !|
technique
7. The Senior Resident in the medical unit was making his regular rounds
!| !| !| !| !| !| !| !| !| !| !| !| !|
with the medical interns and Nurse Gaviola was called to receive his orders
!| !| !| !| !| !| !| !| !| !| !| !| !|
for Mr. De Vega who has been confined in the unit for almost a week. Nurse
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
, Gaviola could not understand some of the written orders of the physician in
!| !| !| !| !| !| !| !| !| !| !| !| !|
the chart. Which of the following is the appropriate action of the nurse?
!| !| !| !| !| !| !| !| !| !| !| !|
*
1 point
!|
A. refer to the nurse supervisor to validate the Physician's orders.
!| !| !| !| !| !| !| !| !| !|
B. approach the physician and clarify his orders
!| !| !| !| !| !| !|
C. call his junior resident to rewrite his orders
!| !| !| !| !| !| !| !|
D. complete the orders by rewriting what is in the chart. - Correct answer
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✔B. approach the physician and clarify his orders
!| !| !| !| !| !| !|
8. One of the patients of Mr. Gaviola told him that according to his attending
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
physician he would be transferred to the surgical unit because of a suspected
!| !| !| !| !| !| !| !| !| !| !| !| !|
stone in the gallbladder causing his on and off pain later in the evening. The
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
wife however, told Mr. Berroya ``No, the physician told me, my husband will
!| !| !| !| !| !| !| !| !| !| !| !| !|
still be in this unit for 2 more days". The BEST action of the Nurse should
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
____________.
*
1 point
!|
A. call the physician to clarify management of care for the patient.
!| !| !| !| !| !| !| !| !| !| !|
B. instruct the couple and family members wait for the decision of the health
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
team.
C. inform the patient that sometimes the physician need to have more data
!| !| !| !| !| !| !| !| !| !| !| !| !|
available.
D. inform the couple that the decision of the physician is sometimes not
!| !| !| !| !| !| !| !| !| !| !| !| !|
fixed. - Correct answer ✔A. call the physician to clarify management of care
!| !| !| !| !| !| !| !| !| !| !| !| !|
for the patient. !| !|
WITH CORRECT SOLUTIONS !| !|
Situation !|
Ms. Kismet is the Research Coordinator of the Medical Center who is
!| !| !| !| !| !| !| !| !| !| !| !|
concerned about the increased incidence of nosocomial infection in the
!| !| !| !| !| !| !| !| !| !|
hospital and has convinced the management to allot a budget for the conduct
!| !| !| !| !| !| !| !| !| !| !| !| !|
of research on the clinical problem.
!| !| !| !| !|
1. What type of research is appropriate for this study?
!| !| !| !| !| !| !| !| !|
A. Quasi-experimental
!|
B. Experimental
!|
C. Historical
!|
D. Descriptive-correlational - Correct answer ✔D. Descriptive-correlational
!| !| !| !| !| !|
2. Which of the following is the best tool for data gathering?
!| !| !| !| !| !| !| !| !| !| !|
A. use of laboratory data
!| !| !| !|
B. questionnaire
!|
C. interview schedule
!| !|
D. observation - Correct answer ✔C. interview schedule
!| !| !| !| !| !| !|
,3. During the data collection, Ms. Kismet encountered a patient who does
!| !| !| !| !| !| !| !| !| !| !| !|
not want to talk to her. Which of the following is a limitation of the study?
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
A. Contacts of patients with history of fever and cough.
!| !| !| !| !| !| !| !| !|
B. Patient's refusal to fully divulge information.
!| !| !| !| !| !|
C. Patient's with the history of fever and cough
!| !| !| !| !| !| !| !|
D. Patients admitted or who seek consultation at the ER and doctor's offices. -
!| !| !| !| !| !| !| !| !| !| !| !| !|
Correct answer ✔B. Patient's refusal to fully divulge information.
!| !| !| !| !| !| !| !| !|
4. In the statement, "Frequent hand washing of health workers decreases the
!| !| !| !| !| !| !| !| !| !| !| !|
incidence of nosocomial infections among post-surgery patients", the
!| !| !| !| !| !| !| !|
dependent variable is __________. !| !| !|
A. frequent hand washing
!| !| !|
B. incidence of nosocomial infection
!| !| !| !|
C. health workers
!| !|
D. post-surgery patients - Correct answer ✔B. incidence of nosocomial
!| !| !| !| !| !| !| !| !| !|
infection
5. Her colleague asks about the EXTERNAL validity of the research findings.
!| !| !| !| !| !| !| !| !| !| !| !|
Which of the following is the APPROPRIATE response of Ms. Kismet?
!| !| !| !| !| !| !| !| !| !|
A. it is reflected as a result of extraneous variables.
!| !| !| !| !| !| !| !| !|
B. the findings are free of selection biases.
!| !| !| !| !| !| !|
,C. the result is shown only from the effect of the independent variable.
!| !| !| !| !| !| !| !| !| !| !| !|
D. it is generalized to other settings or samples. - Correct answer ✔D. it is
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
generalized to other settings or samples. !| !| !| !| !|
Situation
Mr. Gaviola, who has just finished his one (1) year period as a registered
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
nurse in a medical center, is !| !| !| !| !|
assigned in the medical unit on 3-11 shift. He is having difficulty interacting
!| !| !| !| !| !| !| !| !| !| !| !| !|
with the patient's family so he consulted his senior Nurse regarding this
!| !| !| !| !| !| !| !| !| !| !| !|
matter.
6. The BEST approach to be employed by Mr. Gaviola upon the advice of his
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
senior nurse is __________. !| !| !|
*
1 point
!|
A. send the family members home
!| !| !| !| !|
B. confront with the family regarding their behavior
!| !| !| !| !| !| !|
C. ignore family's behavior
!| !| !|
D. use active-listening technique - Correct answer ✔D. use active-listening
!| !| !| !| !| !| !| !| !| !|
technique
7. The Senior Resident in the medical unit was making his regular rounds
!| !| !| !| !| !| !| !| !| !| !| !| !|
with the medical interns and Nurse Gaviola was called to receive his orders
!| !| !| !| !| !| !| !| !| !| !| !| !|
for Mr. De Vega who has been confined in the unit for almost a week. Nurse
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
, Gaviola could not understand some of the written orders of the physician in
!| !| !| !| !| !| !| !| !| !| !| !| !|
the chart. Which of the following is the appropriate action of the nurse?
!| !| !| !| !| !| !| !| !| !| !| !|
*
1 point
!|
A. refer to the nurse supervisor to validate the Physician's orders.
!| !| !| !| !| !| !| !| !| !|
B. approach the physician and clarify his orders
!| !| !| !| !| !| !|
C. call his junior resident to rewrite his orders
!| !| !| !| !| !| !| !|
D. complete the orders by rewriting what is in the chart. - Correct answer
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
✔B. approach the physician and clarify his orders
!| !| !| !| !| !| !|
8. One of the patients of Mr. Gaviola told him that according to his attending
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
physician he would be transferred to the surgical unit because of a suspected
!| !| !| !| !| !| !| !| !| !| !| !| !|
stone in the gallbladder causing his on and off pain later in the evening. The
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
wife however, told Mr. Berroya ``No, the physician told me, my husband will
!| !| !| !| !| !| !| !| !| !| !| !| !|
still be in this unit for 2 more days". The BEST action of the Nurse should
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
____________.
*
1 point
!|
A. call the physician to clarify management of care for the patient.
!| !| !| !| !| !| !| !| !| !| !|
B. instruct the couple and family members wait for the decision of the health
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
team.
C. inform the patient that sometimes the physician need to have more data
!| !| !| !| !| !| !| !| !| !| !| !| !|
available.
D. inform the couple that the decision of the physician is sometimes not
!| !| !| !| !| !| !| !| !| !| !| !| !|
fixed. - Correct answer ✔A. call the physician to clarify management of care
!| !| !| !| !| !| !| !| !| !| !| !| !|
for the patient. !| !|
