DOS II FINAL EXAM 2024 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS (2
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VERSION A
The Colleges of Nurses of Ontario developed a decision tree in the event that a nurse needs to withdraw
his/her nursing services. What questions must nurses ask themselves when making the decision to
withdraw? Check all that apply.
a) Can you access the client's family to help manage the situation?
b) Is the imminent risk to self or other clients greater than the risk to the client if you withdraw care?
c) Does the client or client's family exhibits behaviour that intends to harm nurse or another client?
d) Is there a serious threat of imminent danger?
e) Is there a nurse-client therapeutic relationship being developed?
B,C,D
Assertive communication is necessary within the nursing practice as it allows nurses to express
themselves in a direct, honest and appropriate manner. What scenarios demonstrate this assertive
communication?
a) There is a unit staff meeting and the manager would like to hear from all staff regarding the new
changes to the isolation protocols due to the covid pandemic. Elizabeth was more than happy to present
her concerns to the group and spoke openly. She made good eye contact, kept to the point and initiated
a healthy discussion about the implementation process and its effect so far on the unit
b) Sarah is speaking with her colleague and is explaining the proper protocol for hand hygiene. The
nurse interrupts Sarah and aggressively states she is wrong. Sarah silently agrees with her, avoids
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,making eye contact and goes to see her next patient
c) David was assessing a patient and another colleague and saw that he was
A
The Thomas-Kilmann model illustrates the options we have when handling conflicts. There are two
dimensions in the model. Which statement illustrates the co-operativeness dimension?
a) The co-operativeness dimension is on the horizontal axis and is concerned with conflict responses
based on our attempt to get what we want
b) This dimension is on the vertical axis and is concerned with responses based on helping others get
what they want
c) This dimension is on the horizontal axis and is concerned with responses based on helping others get
what they want
d) The Co-operativeness dimension is on the vertical axis and is concerned with conflict responses based
on our attempt to get what we want
C
What statement does NOT correctly identify when conflicts can occur?
a) When there are hidden messages
b) Feelings stated mildly will usually cause a defensive reaction
c) Feelings are projected onto others; feelings are denied
d) Emotions distorts the issue
B
What are the key components of assertive communications? Check all that apply.
a) Make clear statements and use "I" statements
b) Speak in a soft tone, using moderate pitch
c) Assume responsibility for your feelings and wants
d) Ensure verbal and nonverbal messages are incongruent
e) Address only issues related to the current conflict
f) Be tactful, demonstrating awareness for the other
A,C,E,F
Each of the following are reasons for nurses to engage in political activity and be politically aware, with
the exception of:
a) Nurses need to fight for equality with other interprofessional team members
b) Nurses have a unique perspective and knowledge of health related issues
c) Nurses are successful advocates
d) Nurses have creditability with the public
A
Quality improvement processes would be an example of what type of change?
a) Revolutionary change
b) Evolutionary change
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,c) Adaptation change
d) Personal change
B
Lewin's model of change defines driving forces as the energy used to motivate change. Which of the
following would be considered a driving force?
a) Provincial funding for decreased wait times
b) Continuing the status quo
c) Professional restraint
d) Staff skills to complete a task
A
Nurses play a significant role in change, due to their inherent responsibility to the public. Therefore,
they must be involved in advocating for change politically as well as being involved in advocating for
both professional and clinical issues.
a) True
b) False
A
According to the Lewin's Management Change Model articles, some practical steps for using the
framework include the following for change:
a) Empower action, ensure strong support from senior management, dispel rumours, and determine
what needs to change
b) Communicate often, dispel rumours, empower action, and involve people in the process
c) Dispel rumours, involve people in the process, empower action, promote support and training
d) Communicate often, anchor the change, empower action, and involve people in the process
B
One of the factors that make nurses more politically aware is knowledge of the issue. What question
could you ask yourself regarding knowledge of the issue?
a) What needs are currently being met?
b) Who will be disadvantaged?
c) Is it economically feasible?
d) Is the change reasonable, acceptable & realistic?
A
Political action is defines as the process of influencing a change in policy by affecting change in the
workplace regarding clients and the allocation of clients' resources.
a) True
b) False
B
Align each step of Lewin's Change Model with the appropriate response from the change agent.
1. Unfreezing
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, 2. Moving
3. Re-freezing
a) Positive feedback, encouragement & constructive criticism
b) Time & communication
c) Trust, education, motivation & enthusiasm
1C, 2B, 3A
Susan, the nurse manager, had a staff meeting to inform the nurses of a new change in documentation.
She spoke about resistance to change and that it is natural and expected due to anxiety, uncertainty,
fear of failure and lack of understanding.
a) True
b) False
A
Match the type of change with the example provided.
1. Personal change
2. Professional change
3. Organizational change
a) Legislation legalizing MAID (medical assistance in death)
b) Engaging in professional development workshops to improve management skills
c) Eating a healthier diet after a myocardial infarction
1C, 2B, 3A
According to the CNO, nurses demonstrate leadership by providing, facilitating, and promoting the best
possible care/service to the public. What statement is NOT an indicator of a nurse effectively
demonstrating the CNO leadership standard?
a) Role-modelling professional values, beliefs and attributes
b) Collaborating with clients and the health care team to provide professional practice that respects the
rights of clients
c) Providing direction to, collaborating with, and sharing knowledge and expertise with management
d) Developing innovative solutions to practice issues
C
Two nurses are working on a unit and notice there are not enough blood pressure cuffs available on a
regular bases. They discuss the fact that this interferes with providing patient care safely & efficiently.
Which of the examples below demonstrate a laizzez-faire approach to solving this problem
a) The nurses brainstorm solutions with their peers and bring it to the manager
b) The nurses continue to complain about the situation with no resolution
c) The nurses go knock on the managers door and demand more blood pressure cuffs
B
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