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. Which of the following is NOT a factor affecting the rate of a chemical reaction?

• A. Concentration of reactants
• B. Temperature
• C. Presence of a catalyst
• D. Color of the reaction mixture

Correct answer: D

Rationale: Color of the reaction mixture. While color change can sometimes be an indicator of a reaction, it doesn't directly influence the reaction rate.

3. The process of a gas changing into a liquid is called:

• A. Evaporation
• B. Boiling
• C. Condensation
• D. Sublimation

Correct answer: C

Rationale: Condensation happens when gas particles lose energy and slow down, transitioning into the liquid state.

4. A salt solution that conducts electricity well is most likely

• A. A saturated solution
• B. A concentrated solution of a strong electrolyte
• C. A dilute solution of a weak acid
• D. A mixture of a neutral compound and water

Correct answer: B

Rationale: The correct answer is B: "A concentrated solution of a strong electrolyte." Strong electrolytes completely dissociate into ions in solution, thereby increasing the conductivity of the solution. Concentrated solutions have a higher amount of dissolved solute particles, which leads to more ions available for conducting electricity. In contrast, saturated solutions may contain undissolved solute, limiting the number of ions in solution. Dilute solutions have fewer ions and weak acids only partially dissociate, reducing conductivity. A neutral compound and water do not provide ions for conducting electricity. Therefore, a concentrated solution of a strong electrolyte is most likely to conduct electricity well due to the high concentration of ions present.

5. After exposure to a pathogen, the immune system develops memory. What type of immune cell is responsible for this immunological memory?

• A. B cells
• B. T cells (specifically memory T cells)
• C. Phagocytes
• D. Natural killer cells

Correct answer: B

Rationale: The correct answer is A: "B cells." B cells are responsible for generating immunological memory after exposure to a pathogen. When B cells encounter a pathogen, they differentiate into memory B cells, which can quickly recognize and respond to the pathogen upon subsequent exposure. These memory B cells are crucial for mounting a faster and more effective immune response, leading to a quicker clearance of the pathogen. T cells, phagocytes, and natural killer cells play important roles in the immune response, but specifically, memory B cells are responsible for immunological memory.

6. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Unlike the circulatory system which relies on the heart's pumping action, the lymphatic system lacks a central pump. Lymph moves through lymphatic vessels primarily due to muscle contractions and breathing movements that squeeze the vessels, helping propel the lymph forward. Additionally, one-way valves within the lymphatic vessels prevent the backward flow of lymph, ensuring it moves in the right direction. Therefore, all three mechanisms - heart pumping, muscle contractions, and one-way valves - work together to facilitate the movement of lymph through the lymphatic system.

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