Assessment Guide Actual Exam| Questions & Correct
Detailed Answers |Graded A+ | Fortis
During a physical assessment, the nurse closes and door and provides
drape to promote privacy. The nurse is performing her role as a/an:
A. Advocate
B. Communicator
C. Change agent
D. Caregiver
D. Caregiver
The role of a nurse as caregiver helps client promote, restore and
maintain dignity, health and wellness by viewing a person holistically.
As an advocate the nurse intercedes or works on behalf of the client.
Identifying the need and problems of the client and communicating it
to other members of the health team is doing the role of a
communicator. As a change agent, the nurse assists the client to
MODIFY their BEHAVIOR.
During the nursing rounds Nurse Cathy is instructing the patient to
avoid smoking to prevent the worsening of respiratory problems. The
patient asked about the things that he can do when feelings of wanting
to smoke arises. The nurse enumerates ways of dealing the situation.
This is an example of a nurse's role as a/an:
A. Advocate
B. Clinician
C. Change agent
D. Caregiver
pg. 1
,C. Change agent
As a change agent, the nurse assists the client to MODIFY their
BEHAVIOR. As an advocate the nurse intercedes or works on behalf
of the client. As a clinician, the nurse would use technical expertise to
administer nursing care. The role of a nurse as caregiver helps client
promote, restore and maintain dignity, health and wellness by viewing
a person holistically.
Nurse Cathy on the other hand, knows the case immediately even
before a diagnosis is done. Based on Benner's theory she is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner
B. Expert
The ability to perceive something without further evidence is the
development of intuition and is seen in Expert nurses. A novice nurse
is governed by rules and usually inflexible. Competent nurses are
planning nursing care consciously. Advanced beginners demonstrate
acceptable performance.
Newborn screening is done to every newborn in the Philippines. This
is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
pg. 2
,B. Secondary prevention
Promotion of early detection and early treatment of the disease is
under secondary prevention. Example, breast self exam, TB
screening, genetic counseling.
One of Nurse Cathy's co-workers is Annie who is flexible in any
given situation. Annie is performing her duties well without
supervision but still needs more experience and practice to develop a
consciously planned nursing care. According to Patricia Benner's
category in specialization in nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner
D. Advanced beginner
A- Novice is governed by rules and usually inflexible. B- Expert
nurses have intuitive grasp on the situation dealt. C- Competent
nurses are planning nursing care consciously. D- Advanced beginners
demonstrate acceptable performance.
The clinical instructor is discussing about the Nursing Process. She
mentioned that when a cluster of actual or high-risk diagnosis are
present because of a certain situation it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
pg. 3
, D. Risk nursing diagnosis
C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome
nursing diagnosis. Wellness nursing diagnosis focuses on the clinical
judgment on an individual from a specific to higher level of wellness.
Actual diagnoses are clinical judgment of the nurse that is validated.
A risk diagnosis is based on the clinical are based on clinical
judgment that the client may develop vulnerability to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F.
What is the equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C
B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when
converting °C to °F use this formula, ( °C x 1.8) + 32. Note that 0.55
is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse
relinquishing responsibility for care of the patient to communicate.
Which of the following facts to the nurse assuming responsibility for
care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was
negative
pg. 4