A. VALUE-BASED NURSING PRACTICE STANDARDS (PHILIPPINE NURSING STAN STANDARD Standard A1. Care of Clients - Is the provision of professional nursing services to varied clients: individuals across the lifespan with varying healthillness status and gender; to healthy or at risk families, population groups and communities COMPETENCIES 1. Provides quality and safe nursing care utilizing the nursing process PFIDIE 8 competenciesPDPPSIEP 2. Demonstrates appropriate knowledge and skills based on the health/illness status of individual, families, population groups and/or communities EPU 3. Provides sound decision making in the care of individuals/ families/ population groups and communities considering their beliefs and values GASM 4. Promotes client safety. PCCCAE PERFORMANCE INDICATORS 1.1 Performs comprehensive and systematic nursing assessment by collecting pertinent data using appropriate techniques and tools; 1.2 Formulates appropriate nursing diagnosis based on assessment data; 1.3 Identifies client outcomes that are realistic and attainable 1.4 Develops a plan of care in collaboration with the client and other members of the health care team 1.5 Implements the care plan safely and effectively using evidence-based interventions 1.6 Evaluates effectiveness of interventions, makes revisions when necessary and documents nursing care rendered. 2.1 Explains health needs of clients; 2.2 Provides holistic care across lifespan 2.3 Uses appropriate skills in the care of clients 3.1 Gathers data related to the health condition taking into account the beliefs and values of the client 3.2 Analyzes the data gathered 3.3 Selects appropriate action to support/enhance responses to health and illness; and 3.4 Monitors periodically the response of the client to the nurse’s action 4.1 Performs age-specific safety measures in all aspects of client care 4.2 Complies with the International Patient Safety 5. Sets priorities in nursing care based on client’s needs. IAD 6. Implements sound nursing care to achieve identified client outcomes. ECU 7. Ensures continuity of care. E 8. Participates in quality improvement activities. Goals issued in January 2017 by the Joint Commission; 4.3 Complies with other International Safety Standards; 4.4 Conforms to the golden rules in medication (preparation, administration, and drug reconciliation) 4.5 Administers other health therapeutics safely 4.6 Educates client and family on indications and effects of medications 5.1 Identifies the needs of the clients 5.2 Analyzes the priority needs of the client; 5.3 Determines appropriate nursing care. 6.1 Explains interventions to client before carrying them out 6.2 Carries out safe, efficient and effective nursing interventions 6.3 Uses the participatory approach to enhance clientpartners empowering potential for healthy lifestyle and wellness 7.1 Establishes means of providing continuous client care 7.2 Collaborates with other members of healthcare team and appropriate agencies for continuity of care 7.3 Refers client with identified problems to appropriate professionals/agencies 7.4 Promotes client empowerment towards self-care 8.1 Assesses client’s experience upon discharge; 8.2 Implements significant findings of nursing audit through quality circles, nursing rounds, policy development and clinical pathways; 8.3 Evaluates continually quality of care provided Standard A2. Ethical, moral, legal practice - Adherence to ethical, moral, and legal principles in the provision of care ETHICAL - Refers to principles that encourage universal values such as trust, respect, fairness, and benevolence MORAL - Refers to beliefs of what is wrong or right LEGAL - Refers to conformity to the provisions of relevant law and jurisprudence. 1. Adheres to ethico-moral and legal considerations when providing safe and quality care MUAC 2. Protects client’s rights based on ‘’Patient’s Bill of Rights and Obligations.’’ AEEIM 5 competencies- APAAA 3. Applies ethical reasoning and decision making process to address situations of ethical and moral dilemma ED 4. Adheres to the established norms of conduct based on the Philippine Nursing Law and other legal, regulatory and institutional requirements relevant to safe nursing practice. PSA 1.1 Makes professional decisions within ethical, bioethical principles, moral and legal parameters 1.2 Uses institutional, community and other relevant resources to address ethical, moral and legal concerns in nursing practice 1.3 Applies legal and ethical principles to advocate for human and societal well-being and preferences; 1.4 Clarifies unclear or questionable policies, orders, decisions or actions made by intra/interprofessional health team members 2.1 Advocates client’s rights 2.2 Educates the client on their shared roles and responsibilities in healthcare 2.3 Evaluates client’s understanding of health care rights; 2.4 Implements strategies/interventions to protect the client’s right guided by the ‘’Patient’s Bill of Rights and Obligation’’; 2.5 Monitors compliance to ‘’Patient’s Bill of Rights and Obligations.’’ 3.1 Executes the ethical reasoning process used in decisions to address situations of ethical and moral dilemma 3.2 Decides on cases based on ethical reasoning 4.1 Performs within the scope and standards of nursing practice 4.2 Shows evidence of compliance with legal requirements in the practice of nursing such as, but not be limited to, current professional identification card (PIC); 5. Accepts responsibility and accountability for own decisions and actions. MJRP Standard A3. Personal and Professional Values Personal values - Are a set of individual’s principles, standards, concepts, beliefs and ideas that area internalized from the society or culture in which one lives Professional values - Are beliefs and principles that guide nursing practice and which influence one’s work behavior. These are acquired through experience, education, training, and practice considering, but not limited by, regulatory standards, Code of Ethics, and the 1. Assumes responsibility and accountability for personal and professional development and for lifelong learning IUVW 2. Demonstrates continual competence and professional growth UPC 3. Engages in advocacy to influence health and social care services NDPU 4.3 Acts in accordance with the terms of contract of employment and other rules and regulations 5.1 Meets nursing accountability requirements embodied in the job description 5.2 Justifies basis for nursing actions and judgement 5.3 Recognizes own limitations and seeks appropriate help when needed 5.4 Projects a positive image of the profession 1.1 Identifies learning needs based on current projected/ future practice requisites 1.2 Updates one’s leaning plan to enhance competence as a registered nurse 1.3 Validates new knowledge from peers and other sources that enhances one’s competency 1.4 Works toward personal and professional career path as part of one’s lifelong learning 2.1 Undergoes training for personal and professional growth 2.2 Participates actively in professional activities; 2.3 Complies with regulatory requirements for practice (e.g. Continuing Professional Development or CPD) 3.1 Negotiates relevant services on behalf of clients 3.2 Develops alliances with groups working to advocate for the upliftment of health and welfare of clients 3.3 Participates in legislative and executive lobbying and policymaking processes 3.4 Utilizes conflict-resolution strategies to address issues and concerns core values of the nursing profession. 4 competencies- ADEM 4. Models personal and professional behavior and values 4.1 Demonstrates consistently professional behavior in words, actions, and in relating with clients, colleagues, and the general public 4.2 Utilizes communications and social media judiciously and responsibly. REVIEW QUESTIONS- STANDARD A Disclaimer: Self-made exam. Bangin may magassume dida. Ayaw dai masakit ito. incidentreport# Test I. Match the competency to its appropriate value-based nursing practice standard. ___ 1. Assumes responsibility and accountability for personal and professional development and for lifelong learning ___ 2. Protects client’s rights based on ‘’Patient’s Bill of Rights and Obligations.’’ ___ 3. Applies ethical reasoning and decision making process to address situation of ethical and moral dilemma ___ 4. Participates in quality improvement activities. ___ 5. Ensures continuity of care. ___ 6. Models personal and professional behavior and values ___ 7. Provides quality and safe nursing care utilizing the nursing process ___ 8. Provides sound decision making in the care of individuals/ families/ population groups and communities considering their beliefs ___ 9. Accepts responsibility and accountability for own decisions and actions. ___ 10. Demonstrates appropriate knowledge and skills based on the health/illness status of individual, families, population groups and/or communities ___ 11. Adheres to ethico-moral and legal considerations when providing safe and quality care ____12. Implements sound nursing care to achieve identified client outcomes. ____13. Adheres to the established norms of conduct based on the Philippine Nursing Law and other legal, regulatory and institutional requirements relevant to safe nursing practice. ____14. Engages in advocacy to influence health and social care services ____15. Sets priorities in nursing care based on client’s needs. ____16. Promotes client safety. ____17. Demonstrates continual competence and professional growth and values A. A1. Care of Clients B. A2. Ethical, moral, legal Practice C. A3. Personal and Professional Values TEST II. Match the performance indicator to its appropriate competency ___ 1. Explains health needs of clients ___ 2. Uses institutional, community and other relevant resources to address ethical, moral and legal concerns in nursing practice ___ 3. Analyzes the priority needs of the client ___ 4. Evaluates client’s understanding of health care rights ___ 5. Performs comprehensive and systematic nursing assessment by collecting pertinent data using appropriate techniques and tools ___ 6. Meets nursing accountability requirements embodied in the job description ___ 7. Justifies basis for nursing actions and judgement ___ 8. Collaborates with other members of healthcare team and appropriate agencies for continuity of care ___ 9. Carries out safe, efficient and effective nursing interventions ___ 10. Formulates appropriate nursing diagnosis based on assessment data ___ 11. Identifies learning needs based on current projected/ future practice requisites ____12. Participates actively in professional activities; ____13. Undergoes training for personal and professional growth ____14. Administers other health therapeutics safely ____15. Selects appropriate action to support/enhance responses to health and illness ____16. Complies with regulatory requirements for practice (e.g. Continuing Professional Development or CPD) ____17. Demonstrates consistently professional behavior in words, actions, and in relating with clients, colleagues, and the general public ____18. Participates in legislative and executive lobbying and policy-making processes ____19. Evaluates continually quality of care provided ____20. Evaluates effectiveness of interventions, makes revisions when necessary and documents nursing care rendered. ____21. Recognizes own limitations and seeks appropriate help when needed ____22. Explains interventions to client before carrying them out ____23. Works toward personal and professional career path as part of one’s lifelong learning ____24. Executes the ethical reasoning process used in decisions to address situations of ethical and moral dilemma ____25. Performs age-specific safety measures in all aspects of client care ____26. Decides on cases based on ethical reasoning ____27. Advocates client’s rights ____28. Clarifies unclear or questionable policies, orders, decisions or actions made by intra/interprofessional health team members ____29. Uses the participatory approach to enhance client-partners empowering potential for healthy lifestyle and wellness ____30. Uses appropriate skills in the care of clients ____31. Provides holistic care across lifespan A. Provides quality and safe nursing care utilizing the nursing process B. Demonstrates appropriate knowledge and skills based on the health/illness status of individual, families, population groups and/or communities C. Provides sound decision making in the care of individuals/ families/ population groups and communities considering their beliefs and values D. Promote client safety E. Sets priorities in nursing care based on client’s needs. F. Implements sound nursing care to achieve identified client outcomes. G. Ensures continuity of care. H. Participates in quality improvement activities I. Adheres to ethico-moral and legal considerations when providing safe and quality care J. Protects client’s rights based on ‘’Patient’s Bill of Rights and Obligations.’’ K. Applies ethical reasoning and decision making process to address situation of ethical and moral dilemma L. Adheres to the established norms of conduct based on the Philippine Nursing Law and other legal, regulatory and institutional requirements relevant to safe nursing practice. ___ 32. Gathers data related to the health condition taking into account the beliefs and values of the client ___ 33. Assess client’s experience upon discharge ___ 34. Makes professional decisions within ethical, bioethical principles, moral and legal parameters ___ 35. Conforms to the golden rules in medication (preparation, administration, and drug reconciliation) ___ 36. Monitors compliance to ‘’Patient’s Bill of Rights and Obligations.’’ ___ 37. Applies legal and ethical principles to advocate for human and societal well-being and preferences; ___ 38. Monitors periodically the response of the client to the nurse’s action ___ 39. Determines appropriate nursing care. ___ 40. Projects a positive image of the profession ___ 41. Establishes means of providing continuous client care ___ 42. Complies with other International Safety Standards ____43. Updates one’s leaning plan to enhance competence as a registered nurse ____44. Promotes client empowered towards self-care ____45. Identify client outcomes that are realistic and attainable ____46. Utilizes communications and social media judiciously and responsibly. ____47. Complies with the international Patient Safety Goals issued in January 2017 by the Joint Commission; ____48. Utilizes conflict-resolution strategies to address issues and concerns ____49. Negotiates relevant services on behalf of clients ____50. Develops a plan of care in collaboration with the client and other members of the health care team ____51. Performs within the scope and standards of nursing practice ____52. Shows evidence of compliance with legal requirements in the practice of nursing such as, but not be limited to, current professional identification card (PIC); ____53. Identifies the needs of the clients ____54. Acts in accordance with the terms of contract of employment and other rules and regulations ____55. Analyzes the data gathered ____56. Implements strategies/interventions to protect the client’s right guided by the ‘’Patient’s Bill of Rights and Obligation’’ ____57. Implements significant findings of nursing audit through quality circles, nursing rounds, policy development and clinical pathways ____58. Refers client with identified problems to appropriate professionals/agencies ____59. Educates client and family on indication and effects of medications ____60. Implement the care plan safely and effectively using evidence-based interventions ____61. Educates the client on their shared roles and responsibilities in healthcare ____62. Validates new knowledge from peers and other sources that enhances one’s competency ____63. Develops alliances with groups working to advocate for the upliftment of health and welfare of clients M. Accepts responsibility and accountability for own decisions and actions. N. Assumes responsibility and accountability for personal and professional development and for lifelong learning O. Demonstrates continual competence and professional growth P. Engages in advocacy to influence health and social care services. Q. Models personal and professional behavior and values ANSWER KEY ANSWER KEY Test I. 1. C 2. B 3. B 4. A 5. A 6. C 7. A 8. A 9. B 10. A 11. B 12. A 13. B 14. C 15. A 16. A 17. C Test II. 18. B 19. I 20. E 21. J 22. A 23. M 24. M 25. G 26. F 27. A 28. N 29. O 30. O 31. D 32. C 33. O 34. Q 35. P 36. H 37. A 38. M 39. F 40. N 41. K 42. D 43. K 44. J 45. I 46. F 47. B 48. B 49. C 50. H 51. I 52. D 53. J 54. I 55. C 56. E 57. M 58. G 59. B 60. N 61. G 62. A 63. Q 1. D 2. P 3. P 4. A 5. L 6. L 7. E 8. L 9. C 10. J 11. H 12. G 13. D 14. A 15. J 16. N 17. P D. LEADERSHIP AND GOVERNANCE (PHILIPPINE NURSING STANDARDS) STANDARD Standard D1. PERSONAL AND PROFESSIONAL DEVELOPMENT - This refers to the acquisition of knowledge and skills for ensuring that one’s performance in the chosen area of expertise is always at the highest possible level in both career and life roles. 7 competencies- DDPAGPD COMPETENCIES 1. Develops self-awareness towards personal and professional development IET 2. Determines one’s career path, considering the current and relevant frameworks for development. FT 3. Pursue continuing professional development (CPD) PA PERFORMANCE INDICATORS 1.1 Identifies strengths and weaknesses 1.2 Enhances strengths identified; 1.3 Takes corrective actions on weakness 2.1 Formulates personal vision in relation to career development 2.2 Takes steps to achieve personal vision 3.1 Participates in formal, informal, nonformal learning and other types of CPD activities; 3.2 Applies learned competencies in the work setting 4. Adapts to change in nursing and health UI 4.1 Updates oneself to trends and issues affecting nursing and health; 4.2 Incorporates healthy and effective strategies toward self-growth and development 5.1 Participates actively in professional and socio-civic activities 5.2 Maintains membership in professional organization 5.3 Initiates/ supports activities to address nursing and health related issues 6.1 Sets attainable performance objectives; 6.2 Evaluates own performance against standards of nursing practice 6.3 Sets corrective actions to improve performance 7.1 Listens to suggestions and recommendations; 7.2 Modifies behavior in response to accepted suggestions and recommendations 5. Gets involved in professional organizations and socio-civic activities PMI 6. Performs functions according to professional standards SVS 7. Demonstrates positive attitude towards change and criticism LM STANDARD D2. PERSONAL RESPONSIBILITY AND ACCOUNTABILITY Responsibility - Refers to the nurse’s obligations, accountability, and liability in carrying out the authority accorded by the state through the Nursing Law and other regulatory laws, policies and rules. Accountability - Is the nurse’s willingness to be judged against performance expectations and live with the consequences of one’s actions 3 competencies- SSP STANDARD D3. POSITIVE PRACTICE ENVIRONMENT - Is one where the nurse performs in a supportive, safe, caring, encouraging, and positively charged workplace where the individual’s potential are maximally developed 1. Supervises the nursing care given by others, while retaining accountability for the quality of care given to clients OM 2. Seeks ways to promote nursing autonomy and accountability IP 3. Participates in the development of policies and standards regarding safe nursing practice. IPDM 1. Promotes a healthy, safe, and quality environment of care AUCA 1.1 Organizes workload to ensure efficiency in meeting responsibilities and achieving outcome; 1.2 Monitors accomplishments of assigned workload of unlicensed assistive personnel within a given time frame 2.1 Initiates independent nursing actions 2.2 Performs dependent and interdependent nursing actions in an enabling environment 3.1 Identifies the need to develop policies and standards of nursing based on gaps 3.2 Participates actively in policy and standards formulation 3.3 Disseminates developed policies and standards 3.4 Monitors compliance to the policies and standards 1.1 Applies principles of evidence-based practice in decision making to ensure safe, quality environment of care 1.2 Utilizes critical thinking and decision making in solving problems 1.3 Collaborates with inter- and/or intradisciplinary team, the client and other support staff in employing strategies and actions to ensure safe and quality environment 1.4 Advocates for/promotes patient’s rights - It includes the physical, psychological, sociopolitical, cultural, and spiritual dimensions of the work setting 2. Maintains professionalism in the workplace DATDAA 2 competencies- PM STANDARD D4. SOCIAL RESPONSIBILITY - Is an obligation to act in fulfilling one’s civic duty for the benefit of society - The nurse is sensitive and responsive to the social, cultural, economic, political, spiritual, and environmental issues 1. Participates in activities that contribute to the attainment of social goals and development AI 2. Empowers self, clients and society towards social responsibility WEPW 2 competencies- PE STANDARD D5. RESOURCE MANAGEMENT 1. Utilizes resources necessary to deliver client care IRR 2.1 Demonstrates professional presence with dignity, respectability and confidence, and uses appropriate language in verbal and non-verbal forms 2.2 Asserts appropriately one’s democratic and economic rights 2.3 Treats colleagues with respect, trust and dignity 2.4 Demonstrates effective conflict resolution skills 2.5 Applies specific resolution strategies/approaches to resolve/transform conflict situations 2.6 Adheres to the highest moral and ethical standards of nursing practice 1.1 Applies strategies for foster growth and development of the family, community and society 1.2 Influences others to maintain a clean and safe environment through health education activities 2.1 Works to uplift one’s health and wellbeing 2.2 Encourages participation of clients and society at large to improve their health and welfare 2.3 Participates in critical discussion on nursing and health issues and developments; 2.4 Works towards attainment of health dimensions of Sustainable Development Goals (SDG). 1.1 Identifies resources needed to accomplish tasks - Refers to the efficient and effective allocation of resources, where and when they are needed, and which include human organizational, information, financial, technical, equipment, materials and physical resources 3 competencies- UAUFM 2. Advocates for safe staffing patterns RCS 3. Utilizes financial, technical, physical, and material resources to support client care. 4. Follows established mechanisms to ensure proper functioning of equipment CE 5. Maintains a safe work environment CAOOPO 1.2 Reports misuse of resources 1.3 Recommends action for the efficient and effective management of resources. 2.1 Reports for duty on time 2.2 Comes to work adequately rested and prepared to fulfill duties 2.3 Speaks up when inappropriate staffing ratios, assignment or delegation would cause patients to be put at risk or harm 3.1 Practices cost-effectiveness of resource utilization 4.1 Coordinates preventive maintenance program of equipment; 4.2 Ensures proper functioning of equipment, considering the intended use, cost-benefit, infection control and safety 5.1 Complies with standards and safety codes prescribed by law 5.2 Adheres to policies, procedures, and protocols on prevention and control of infection 5.3 Observes protocols on pollution control (water, air, and noise) 5.4 Observes segregation and proper disposal of waste 5.5 Participates in drills for fire, earthquake, and other emergency situations 5.6 Observes protocols on emerging and reemerging diseases and biomedical hazards including terrorism. REVIEW QUESTIONS- STANDARD A Disclaimer: Self-made exam. Bangin may magassume dida. Ayaw dai masakit ito. incidentreport# TEST I. Match the competency to its appropriate Leadership and Governance Standard ___ 1. Performs functions according to professional standards ___ 2. Maintains a safe work environment ___ 3. Seeks ways to promote nursing autonomy and accountability ___ 4. Participates in activities that contribute to the attainment of social goals and development ___ 5. Empowers self, clients and society towards social responsibility ___ 6. Maintains professionalism in the workplace ___ 7. Follows established mechanisms to ensure proper functioning of equipment ___ 8. Develops self-awareness towards personal and professional development ___ 9. Supervises the nursing care given by others, while retaining accountability for the quality of care given to clients ___ 10. Promotes a healthy, safe and quality environment of care ___ 11. Participates in the development of policies and standards regarding safe nursing practice ___ 12. Gets involved in professional organizations and socio-civic activities ___ 13. Utilizes resources necessary to deliver client care ___ 14. Demonstrates positive attitude towards change and criticism ___ 15. Adapts to change in nursing and health ___ 16. Utilizes financial, technical, physical, and material resources to support client care ___ 17. Pursue continuing professional development (CPD) ___ 18. Advocates for safe staffing patterns ___ 19. Determines one’s career path, considering the current and relevant frameworks for development A. Personal and Professional Development B. Personal Accountability and Responsibility C. Positive Practice Environment D. Social Responsibility E. Resource Management Test II. Match the performance indicator to its appropriate competency. ___ 1. Updates oneself to trends and issues affecting nursing and health; ___ 2. Applies principles of evidence-based practice in decision making to ensure safe, quality environment of care ___ 3. Takes corrective actions on weakness ___ 4. Observes protocols on emerging and re-emerging diseases and biomedical hazards including terrorism. ___ 5. Initiates independent nursing actions ___ 6. participates actively in policy and standards formulation ___ 7. Monitors accomplishments of assigned workload of unlicensed assistive personnel within a given time frame ___ 8. Identifies resources needed to accomplish tasks ___ 9. Works towards attainment of health dimensions of Sustainable Development Goals (SDG). ___ 10. Initiates/ supports activities to address nursing and health related issues ___ 11. Identifies strengths and weaknesses ___ 12. Participates in critical discussion on nursing and health issues and developments; ___ 13. Disseminates developed policies and standards ___ 14. Reports for duty on time ___ 15. Enhances strengths identified; ___ 16. Participates in drills for fire, earthquakes, and other emergency situations ___ 17. Applies strategies for foster growth and development of the family, community and society ___ 18. Listens to suggestions and recommendations; ___ 19. Influences others to maintain a clean and safe environment through health education activities ___ 20. Coordinates preventive maintenance program of equipment A. Develops self-awareness towards personal development and professional development B. Determines one’s career path according to current and relevant frameworks of development C. Ensures continuing professional development (CPD) D. Adapts to change in nursing and health E. Gets involved in professional organizations and sociocivic activities F. Performs functions according to professional standards G. Demonstrates positive attitude towards change and criticism H. Supervises the nursing care given by others, while retaining accountability for the quality of care given to clients I. Seeks ways to promote nursing autonomy and accountability J. Participates in the development of policies and standards regarding safe nursing practice K. Promotes a healthy, safe, and quality environment of care L. Maintains professionalism in the work place M. Participates in activities that contribute to the attainment of social goals and development ___ 21. Maintains membership in professional organization ___ 22. Comes to work adequately rested and prepared to fulfill duties ___ 23. Speaks up when inappropriate staffing ratios, assignment or delegation would cause patients to be put at risk or harm ___ 24. Organizes workload to ensure efficiency in meeting responsibilities and achieving outcome; ___ 25. Observes segregation and proper disposal of waste ___ 26. Observes protocols on pollution control (water, air, and noise) ___ 27. Evaluates own performance against standards of nursing practice ___ 28. Adheres to the highest moral and ethical standards of nursing practice ___ 29. Applies specific resolution strategies/approaches to resolve/transform conflict situations ___ 30. Advocates for/promotes patient’s rights ___ 31. Takes steps to achieve personal vision ___ 32. Formulates personal vision in relation to career development ___ 33. Performs dependent and interdependent nursing actions in an enabling environment ___ 34. Demonstrates effective conflict resolution skills ___ 35. Ensures proper functioning of equipment, considering the intended use, cost-benefit, infection control and safety ___ 36. Treats colleagues with respect, trust and dignity ___ 37. Sets corrective actions to improve performance ___ 38. 5.1 law Complies with standards and safety codes prescribed by ___ 39. Practices cost-effectiveness of resource utilization ___ 40. Participates in formal, informal, non-formal learning and other types of CPD activities; N. Empowers self, clients and society towards social responsibility O. Utilizes resources necessary to deliver client care. P. Advocates for safe staffing patterns Q. Utilizes financial, technical, physical, and material resources to support client care R. Follows established mechanisms to ensure proper functioning of equipment S. Maintains a safe work environment ___ 41. Incorporates healthy and effective strategies toward self-growth and development ___ 42. Utilizes critical thinking and decision making in solving problems ___ 43. Collaborates with inter- and/or intra-disciplinary team, the client and other support staff in employing strategies and actions to ensure safe and quality environment ___ 44. Applies learned competencies in the work setting ___ 45. Identifies the need to develop policies and standards of nursing based on gaps ___ 46. Reports misuse of resources ___ 47. Sets attainable performance objectives; ___ 48. Recommends action for the efficient and effective management of resources. ___ 49. Works to uplift one’s health and well-being ___ 50. Encourages participation of clients and society at large to improve their health and welfare ___ 51. Participates actively in professional and socio-civic activities ___ 52. Demonstrates professional presence with dignity, respectability and confidence, and uses appropriate language in verbal and non-verbal forms ___ 53. Asserts appropriately one’s democratic and economic rights ___ 54. Monitors compliance to the policies and standards ___ 55. Adheres to policies, procedures, and protocols on prevention and control infection ___ 56. Modifies behavior in response to accepted suggestions and recommendations ANSWER KEY ANSWER KEY Test I. 18. A 19. E 20. B 21. D 22. D 23. C 24. E 25. A 26. B 27. C 28. B 29. A 30. E 31. A 32. A 33. E 34. A 35. E 36. A Test II. 1. D 2. K 3. A 4. S 5. I 6. J 7. H 8. O 9. N 10. E 11. A 12. N 13. J 14. P 15. A 16. S 17. M 18. G 19. M 20. R 21. E 22. P 23. P 24. H 25. S 26. S 27. F 28. L 29. L 30. K 31. B 32. B 33. I 34. L 35. R 36. L 37. F 38. S 39. Q 40. C 41. D 42. K 43. K 44. C 45. J 46. O 47. F 48. O 49. N 50. N 51. E 52. L 53. L 54. J 55. S 56. G