NMC CBT Practice test 2 2453 NMC CBT Practice Tests NMC CBT Practice test 2 The NBC CBT Practice Test is a valuable resource for nurses preparing to take the Computer Adaptive Test required for registration with the Nursing and Midwifery Council (NMC) in the UK. 1 / 51 Describe the primary focus of a manager in a knowledge work environment. Routine work Developingthemosteffectiveteams Taking risks Understanding the history of the organization. 2 / 51 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? Volunteer Registered Nurse Nursingassistant Practical Nurse 3 / 51 Which option best illustrates a positive outcome for managed care? Cost-benefit analysis. Involvement in the political process Reshaping current policy. Increaseinpreventativeservices 4 / 51 Which strategy could the nurse use to avoid disparity in health care delivery? Request more health plan options Campaignforfixednursepatientratios Recognize the cultural issue related to patient care Careformorepatientsevenifqualitysuffers 5 / 51 According to the nursing code of ethics, the nurse’s first allegiance is to the: Physician Healthcareorganization Client only client and clients family 6 / 51 While at outside setup what care will you give as a Nurse if you are exposed to a situation? Provide care which is at expected level Ignoring the situation Above what is expected Keeping up to professional standards 7 / 51 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? Having the new nurse tell the physician the task has been completed Supervising the performance of the new nurse Documenting that the task has been completed. Telling the unit manager, the task has been completed 8 / 51 A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? Teaching in a school of nursing to help decrease the nursing shortage Engaging in nursing research to justify nursing care delivery Taking a public stand on quality issues and educating the public on” public interest” issues Supporting the status quo when changes are pending 9 / 51 What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit? The others work many extra shifts, why can’t you?” I know I told you that you could have the weekend off, but I really need you to work.” I’m sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs.” I can’t believe you need help with such a simple task. Didn’t you learn that in school?” 10 / 51 Which of the following is a specific benefit to an organization when delegation is carried out effectively? The client feels more of their needs are met Managers devote more time to tasks that cannot be delegated The organization benefits by achieving its goals more efficiently Delegates gain new skills facilitating upward mobility 11 / 51 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? Country Club Management Organization Man Impoverished Management Team management 12 / 51 What are the key competencies and features for effective collaboration? High level of trust and honesty, giving and receiving feedback, and decision making. Effective communication skills, mutual respect, constructive feedback, and conflict management.Effective communication skills, mutual respect, constructive feedback, and conflict management. Effective communication, cooperation, and decreased competition for scarce resources. Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions. 13 / 51 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? Care Consideration Communication Compassion 14 / 51 What is meant by an advocate? Someone who has the same values as the patient. Someone who does something on behalf of the patient Someone who has the same beliefs as the patient Someone who develops opportunities for the patient 15 / 51 In the role of patient advocate, the nurse would do which of the following? Support a patient’s decision, even if it is not the decision desired by the nurse Foster patient dependence on health care providers for decision making Emphasize the need for cost-containment measures when making health care decisions Override a patient’s decision when the patient refuses the recommended treatment 16 / 51 A nurse demonstrates patient advocacy by becoming involved in which of the following activities? Teaching in school of nursing to help decrease the nursing shortage Supporting the status quo when changes are pending Taking a public stand and quality issues and educating the public on “public interest” issues. Engaging in nursing research to justify nursing care delivery 17 / 51 What is Advocacy according to NHS Trust? It is a set of rules or a promise that limits access or places restrictions on certain types of information. It is the response to the suffering of others that motivates a desire to help This is the divulging or provision of access to data It is taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need. 18 / 51 A nurse delegates duty to a health assistant. What NMC standard she should keep in mind while doing this? No need to assess the competency, as the care assistant is expert in her care area She transfers the accountability to care assistant RN is accountable for care assistant’s actions 19 / 51 A nurse documented on the wrong chart. What should the nurse do? Immediately inform the nurse in charge and tell her to cross it all off. Ignore the incident. Throw away the page Write line above the writing; put your name, job title, date, and time. 20 / 51 As a nurse, the people in your care must be able to trust you with their health and well being. In order to justify that trust, you must not: always act lawfully, whether those laws relate to your professional practice or personal life work with others to protect and promote the health and wellbeing of those in your care provide a high standard of practice and care when required be personally accountable for actions and omissions in your practice 21 / 51 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? The manager understands the organization’s values and how they mesh with the manger’s values. The manager is looking at the total care picture The manager is unwilling to listen to staff concerns unless they have an impact on costs. The manager is communicating the importance of a caring environment 22 / 51 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? Autocratic. Laissez-faire. Bureaucratic. Authoritarian. 23 / 51 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 best exercise authority? Maintain in an autocratic approach to influence results. Give assignments clearly, taking staff expertise into consideration Understand complex health care environments. Use critical thinking to solve problems on the unit 24 / 51 What are essential competencies for today’s nurse manager? Self and group awareness A vision and goal Communication and teamwork strategic planning and design 25 / 51 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? Complain to the supervisor that doctor left you in middle of the procedure Do it What is the purpose of clinical audit? Ask your colleague to do it Don’t do it as you are not competent or trained for that & write incident report & inform the supervisor 26 / 51 The characteristic of an effective leader include: all of the above sound problem-solving skills and strong people skills attention to detail emphasis on consistant job perfomance 27 / 51 Which option best illustrates a positive outcome for managed care? Reshaping current policy Involvement in the political process. Increaseinpreventiveservices Cost-benefit analysis. 28 / 51 What do you mean by a bad leadership? Reward poor performance Appreciate intuitiveness Appreciate better work 29 / 51 Independent Advocacy is: Care and support work Agreeing with everything a person says and doing anything a person asks you to do None of the above * Making decisions for someone Providing general advice 30 / 51 What is the most important issue confronting nurse managers using situational leadership? Leadership style differs for a group whose members are at different levels of maturity Leaders can choose one of the four leadership styles when faced with a new situation. Value is placed on the accomplised of task and on interpersonal relationship between leader and group membersand among group members Personality traits and leader’s power base influence the leader’s choice of style 31 / 51 An example of a positive outcome of a nurse-health team relationship would be: Becoming an effective change agent in the community An increased understanding of what the client perceives as meaningful from his or her perspective an increased understanding of the family dynamics that affect the client Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role 32 / 51 Information can be disclosed in all cases except: When the information is required by law or under a court order. In Child Protection proceedings if it is considered that the information required is in the public or child’s interest Wheneffectivelyanonymized. In identifiable form, when it is required for a specific purpose, with the individual’s written consent or with support under the Health Service 33 / 51 All should be seen in a good documentation except: legible handwriting Abbreviations,jargon,meaninglessphrases,irrelevantspeculationand offensive subjective statements Name and signature, position, date and time A correct, consistent, and factual data 34 / 51 When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use? Democratic Participative Laissez-faire. Authorian 35 / 51 The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work? Prepare these managers so that they will focus on maintaining standards of care Prepare these managers to interact with hospital administration. Prepare these managers to oversee the entire health care organization Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion. 36 / 51 Describe the primary focus of a manager in a knowledge work environment. Routinework. Developing the most effective teams Taking risks Understanding the history of the organization. 37 / 51 All of the staff nurses on duty noticed that a newly hired staff nurse has been selective of her tasks. All of them thought that she has a limited knowledge of the procedures. What should the manager do in this situation? Ignore the incident and just continue with what she was doing. Reprimand the new staff nurse in front of everyone that what she is doing is unacceptable. Assign someone to guide the new staff nurse until she is competent in doing her tasks Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation 38 / 51 What are essential competencies for today’s nurse manag Self and group awareness vision and goals Communication and teamwork Strategic planning and design 39 / 51 When do we need to document? When there are significant changes to the patient’s condition 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 At the end of the shift Everyhour 40 / 51 NMC defines record keeping as all of the following except: Supporting effective clinical judgements and decisions Helping in identifying risks, and enabling early detection of complications Helping to improve advocacy Showing how decisions related to patient care were made 41 / 51 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? She should write as wrong documentation in a bracket & continue She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time She should tear the page from the file & start documenting in the correct record She should continue documenting in the same file as the medical document cannot be corrected 42 / 51 The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." "Give your best nurses extra attention and rewards for their help." "Never get into a disagreement with a staff member. "Don’t be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." 43 / 51 A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following?a identify the inefficiency that needs improvement or correction identify potential solutions and strategies for the change process plan strategies to implement the change 44 / 51 What is accountability? To be answerable to oneself and others for one’s own actions.” The process of applying knowledge and expertise to a clinical situation to develop a solution A systematic approach to maintaining and improving the quality of patient care within a health system (NHS). Ethical and moral obligations permeating the nursing profession 45 / 51 Adequate record keeping for a medical device should provide evidence of: Schedule and details of maintenance and repairs All of the above Proper installation and where it was deployed Any specific legal requirements and whether these have been met The end-of-life date, if specified A full history, including date of purchase and where appropriate when it was put into use, deployed or installed A unique identifier for the device, where appropriate 46 / 51 Which of the following is a specific benefit to an organization when delegation is carried out effectively? The organization benefits by achieving its goals more efficiently Managers devote more time to tasks that cannot be delegated Delegates gain new skills facilitating upward mobility The client feels more of their needs are met 47 / 51 A client experiences an episode of pulmonary oedema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with? Negligence Slander Assault Tort 48 / 51 The client is being involuntary committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle? Beneficence Veracity Fidelity Autonomy 49 / 51 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 have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient’s wishes with the family. The nurse is acting as the patient’s: Educator Care giver Advocate Case manager 50 / 51 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? Impoverished Management Country Club Management Team management Organization Man 51 / 51 In using social media like Facebook, how will you best adhere to your Code of Conduct as a nurse? (CHOOSE 2 ANSWERS) Always rely SOLELY in your FBs privacy setting Never post pictures concerning your practice Never have relationship with previous patient Never tell you are a nurse By subscribing you confirm that you accept our terms & conditions and have read our Privacy Policy Your score is Share Your Result. LinkedIn Facebook Twitter Follow Us. 0% Restart quiz Share on: