Possible Exam Questions

Professional Practice
According to Geyer (2013) Some of the criteria for recognition as a profession include
A body of specialized theory with skills based on this theory

The development of relevant knowledge drawn from both the arts and the sciences
A prescribed period of training prior to qualification
The testing of professional competence prior to admission to the tanks of qualified professionals
Professional autonomy with control of the profession by the profession
Accountability for professional acts
High social status and social power
Ongoing critical analysis of practice and the development of new methods in the light of new
knowledge
Individuals practice autonomously, using direction and judgement based on knowledge and
experience, with acceptance of the concept of accountability
An overriding concern for the welfare of the patient
An obligation to engage in lifelong learning
A constant striving for excellence
1. Choose 2 of the criteria for recognition as a profession and explain how the nursing profession
has complied to these criteria
2. Choose 2 criteria for recognition as a profession and explain how the nursing profession needs
improvement in these areas
3. Defend the statement: "Nursing is a science and an art"
4. How does the regulation of nursing by the South African Nursing Council influence patient care.
5. What is meant by the term "self regulation of a profession"
6. What is the difference in function between the South African Nursing Council and professional
bodies such as DENOSA?
A study conducted by Dhai (2011) concluded that nursing strikes lower the standard of patient
care.
7. In view of this dilemma discuss the rights vs the responsibilities of professional nurses
8. Discuss how "accountability" can be applied in nursing practice
Another professional nurse asks you for assistance with a colleague of hers who has said that she
ruses to insert IV lines as it is "not her scope of practice".
9. What advice would you give her regarding interpretation of the scope of practice
Management
The South African Nursing Council has adopted a charter of nursing practice which includes the
rights of professional nurses and midwives.
Some of the rights of professional nurses include:

• Practicing in accordance with the scope which is legally permissible for his/her specific
practice
• A safe working environment which is compatible with efficient health care user care and
which is equipped with at least the minimum physical, material and personnel requirements
• Negotiation with the employer for such continuing professional education as may be directly
or indirectly related to his/her responsibilities
• Refusing to carry out a task reasonably regarded as outside the scope of his/her practice
and for which he/she has insufficient training or for
• Refusing to implement a prescription or to participate in activities which, according to
his/her professional knowledge and judgement, are not in the interest of the health care
user
• A working environment which is free of threats, intimidation and/or interference
1. Choose 2 of the rights of the professional nurse and discuss how as a nursing manager you
would ensure that these rights are respected for your staff
2. Discuss the differences between a manager and a leader and how you apply this as a newly
qualified professional nurse running a shift in your ward.
3. As an operational manager how would you foster an environment that respects the different
cultures of staff members
You are the newly appointed operational manager of a surgical ward.
4. Design a vision and mission statement for you ward

5. Design an organogram for the line of reporting in your ward
6. Discuss 5 important performance management indicators that you would use for evaluating the
performance of the professional nurses in your ward
7. Create a non-monetary incentive for good performance your ward
8. Discuss two ways you could ensure cost containment in your ward
9. Discuss the advantages and disadvantages of total patient care as method of delegation
10. Discuss the advantages and disadvantages of task allocation as a method of delegation
11. What are key factors to consider when choosing a delegation method?
Clinical teaching
1. Design a lesson plan for teaching other professional nurses about communication with
patients
2. Discuss how you would apply the principles of adult education in your teaching of this session
According to the assumptions of Androgogy, adults are self-motivated

3. As a professional nurse how would you ensure continuous professional our own practice
You are asked to mentor a group of 3rd year nursing students for a week.
4. Discuss two methods of teaching you could use for teaching while in the ward
While working with a junior staff member you notice that she instills 5ml of normal saline into the
tracheostomy tube of a patient before suctioning.
5. Knowing that this is contrary to evidence based practice, using the assumptions of androgogy,
how would you correct her practice?
6. Design a PBL trigger statement/scenario to use in a small group session with other newly
qualified professional nurses working in a medical ward. You may choose a topic related to clinical
nursing practice. You are required to include the statement, 3 learning objectives and 3 trigger
questions.
7. Discuss methods of introducing evidenced based practice into the clinical learning environment.
Quality Assurance
1. Define and explain your own meaning of quality in nursing

2.Discuss the risk factors that would increase the likelihood of a patient developing sepsis in a
surgical ward post operatively under the following headings:
Patient characteristics
Incident Characteristics
3. Discuss two possible ameliorating actions that can be put in place to reduce the likelihood of
sepsis development in a surgical ward.
4. Using the PDSA Cycle for Quality Improvement develop a quality improvement project for the
early recognition of sepsis in the surgical ward. Discuss the steps in each part of the cycle.
5. Using your understanding of systems, discuss how systems play a role in quality assurance and
improvement
6 Discuss the differences between quality assurance and quality improvement
7. Discuss the use of 3 different tools that can be used in a quality improvement project
A doctor in the surgical ward tends to examine patients without decontaminating his hands in
between patients.
8. Classify his behaviour and discuss how you would approach the issue using the theory of just
culture.

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Professional Practice

A body of specialized theory with skills based on this theory

Some of the rights of professional nurses include:

You are the newly appointed operational manager of a surgical ward.

4. Design a vision and mission statement for you ward

According to the assumptions of Androgogy, adults are self-motivated

1. Define and explain your own meaning of quality in nursing

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