This is the supplemental questionnaire for the classification of Registered Nurse. Part I will not be scored or used for determining minimum qualifications but is provided for the applicant to review prior to completing the questionnaire and may also be used when determining assignment. Part II will be scored based on your checked responses.
By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge. If selected for an interview, you may be required to display and respond to questions to validate your responses to this exam.
NOTE: Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.
I have read and understood the above information.
Part I: Minimum Qualifications (Not Scored)
This section will not be scored but may assist the applicant with determining how he/she meets the minimum qualifications for this position.
1.
Do you possess a valid license as a Registered Nurse issued by the California Board of Registered Nursing?
Yes
No
If yes, please provide the license number and issue date.
2.
Do you possess one (1) year of responsible professional nursing experience in an approved hospital, clinic, or nursing home?
Yes
No
Part II: Relevant Knowledge and Experience (Scored)
This section of the supplemental questionnaire is the Civil Service examination for this position. This supplemental questionnaire will be scored based on your checked responses below. Narratives provided by applicants describing training and/or experience will not be scored, but will be available to the hiring authority and may be utilized for interview and selection determination. Scores received from this section will determine applicant ranking and placement on the eligible list.
For the items in this section, please indicate your level of training and experience and then provide a brief description of your related experience in the space provided.
1.
Describe your experience providing empathetic nursing care and effective counseling to patients.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
2.
Describe your experience using the type of medical equipment and supplies appropriate to a community health setting.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
3.
Describe your experience keeping case records and preparing reports in a medical setting.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated knowledge, please briefly describe below.
4.
Describe your experience analyzing situations quickly and objectively and determining the proper course of action.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated knowledge, please briefly describe below.
5.
Describe your knowledge of differing cultural, religious, economic, and social groups and their relationship to the delivery and acceptance of health services.
I possess no or a very limited amount of this knowledge or skill.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated knowledge, please briefly describe below.
6.
Describe your experience coordinating care for patients in a Health and Human Services agency as well as with private, public, and voluntary social service agencies.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
7.
Describe your experience obtaining patient information through interviews.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
8.
Describe your experience with the principles and practices of work safety, especially as related to communicable diseases.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
9.
Describe your experience identifying deviation from normal, obvious patient problems, symptoms, and/or behavioral changes and reporting those changes to the appropriate authority.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
10.
Describe your experience evaluating the needs of individuals and special population groups such as the elderly, culturally, economically, or geographically disadvantaged.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have applied this knowledge or skill under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
11.
Describe your experience making home or other field site visits to assess patient needs, counsel patients, provide information as appropriate to patient and family, and provide referral(s)for continuum of care.
I have no or very limited experience or knowledge in this area.
I have some experience performing this task but would need additional training.
I have performed this task under close supervision.
I have performed this task independently under normal supervision.
I have extensive experience performing this task and have trained and/or supervised others in the performance of this task.
If you indicated experience, please briefly describe below.
Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.
Please Save & Continue to move forward to the next tab.
Be sure to select the "Submit" button once the application has been completed. You will receive confirmation that the application has been submitted.
A notice of your status will be sent to you after the posted final filing date.
