Nursing Elites

1. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the

• A. Advise her staff to go on vacation.
• B. Ignore her observations; it will be resolved even without intervention
• C. Remind her to show loyalty to the institution.
• D. Let the staff ventilate her feelings and ask how she can be of help.

Correct answer: C

Rationale: The correct answer is C: 'Remind her to show loyalty to the institution.' When an employee is experiencing burnout, it is important for the supervisor to address the issue with compassion and support. Reminding the staff member to show loyalty to the institution can help them feel valued and appreciated, which can contribute to their overall well-being. This response emphasizes the importance of fostering a positive work environment and promoting a sense of belonging. Options A and B do not address the root cause of burnout and may not effectively support the staff member. Option D, while encouraging communication, does not address the loyalty aspect which can be crucial in improving morale and reducing burnout.

2. A routine urinalysis is a common diagnostic test. What does a urinalysis typically evaluate?

• A. Blood sugar levels
• B. Presence of white blood cells (indicating possible infection)
• C. Kidney function
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' A routine urinalysis is a comprehensive test that evaluates various aspects of urine to provide insights into overall health. Blood sugar levels can be assessed to screen for diabetes or monitor diabetes management. The presence of white blood cells in the urine can indicate a possible infection in the urinary tract. Additionally, kidney function can be evaluated by examining factors such as protein levels, creatinine, and electrolytes in the urine. Therefore, a urinalysis typically evaluates blood sugar levels, presence of white blood cells (indicating possible infection), and kidney function, making 'All of the above' the correct choice.

3. Stephanie delegates effectively if she has authority to act, which is BEST defined as:

• A. having responsibility to direct others
• B. being accountable to the organization
• C. having legitimate right to act
• D. telling others what to do

Correct answer: A

Rationale: The correct answer is A: 'having responsibility to direct others.' Effective delegation involves entrusting tasks and responsibilities to others while still maintaining ultimate accountability. Authority to act means having the responsibility to direct others, making decisions, and overseeing the completion of tasks. This definition aligns with the core concept of delegation, where individuals are empowered and authorized to carry out specific duties. Being accountable to the organization (option B) is important but does not fully capture the proactive nature of delegation. Having a legitimate right to act (option C) is essential for effective delegation, but it is more about the formal authorization rather than the active responsibility to direct others. Simply telling others what to do (option D) is a narrow and authoritarian view of delegation that does not encompass the collaborative and empowering nature of effective delegation.

4. What is the main consequence of a malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones?

• A. Increased energy levels and weight loss
• B. Decreased heart rate and body temperature
• C. Enhanced muscle growth and bone development
• D. Faster metabolism and heightened alertness

Correct answer: B

Rationale: The correct answer is B: 'Decreased heart rate and body temperature.' When the thyroid gland produces abnormally low levels of thyroid hormones (hypothyroidism), it can lead to a decrease in metabolic rate, resulting in symptoms such as fatigue, weight gain, and feeling cold. A lower metabolic rate can slow down heart rate and decrease body temperature. The other options (A, C, D) are not characteristic of hypothyroidism. Increased energy levels and weight loss, enhanced muscle growth and bone development, and faster metabolism and heightened alertness are more commonly associated with hyperthyroidism, where the thyroid gland produces excess hormones.

5. Which type of brain wave activity is often seen during REM sleep, associated with dreaming?

• A. Delta waves
• B. Alpha waves
• C. Beta waves
• D. Theta waves

Correct answer: D

Rationale: During REM (rapid eye movement) sleep, the brain is highly active, and theta waves are the dominant brain wave pattern. Theta waves are associated with deep relaxation, creativity, and dreaming. Delta waves are typically seen in deep sleep stages, not during REM sleep. Alpha waves are present when we are awake but relaxed, while beta waves are associated with active thinking and concentration. Therefore, theta waves are the correct answer for brain wave activity during REM sleep.

6. Which sentence uses the past perfect tense correctly?

• A. By the time I arrived, the party had already begun.
• B. I wish I had studied harder for the exam.
• C. We will have finished the project by Monday.
• D. She had been waiting for hours before he finally showed up.

Correct answer: A

Rationale: Option A expresses an action ("party began") completed before another past action ("I arrived").

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