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. What is the 3D structure of a protein called?

• A. Tertiary structure
• B. Secondary structure
• C. Primary structure
• D. Quaternary structure

Correct answer: A

Rationale: Rationale: - Primary structure refers to the linear sequence of amino acids in a protein. - Secondary structure refers to local folded structures within a protein, such as alpha helices and beta sheets. - Tertiary structure is the overall 3D shape of a protein, which is determined by interactions between amino acid side chains and the environment. - Quaternary structure refers to the arrangement of multiple protein subunits in a protein complex. Therefore, the 3D structure of a protein is called the tertiary structure because it represents the overall folding of the protein into a specific shape.

3. What is the term for the pressure exerted by blood against the walls of blood vessels?

• A. Heart rate
• B. Blood pressure
• C. Cardiac output
• D. Stroke volume

Correct answer: B

Rationale: The correct answer is B: Blood pressure. Blood pressure is the term used to describe the force or pressure exerted by blood against the walls of blood vessels. It is typically measured in millimeters of mercury (mmHg) and consists of two main components - systolic pressure (the pressure when the heart is contracting) and diastolic pressure (the pressure when the heart is relaxed). Heart rate (A) refers to the number of times the heart beats per minute and is not specifically related to the pressure against blood vessel walls. Cardiac output (C) is the volume of blood pumped by the heart per minute, while stroke volume (D) is the volume of blood pumped by the heart in a single contraction. These are related to heart function but not specifically to the pressure against blood vessel walls.

4. When a car brakes to a stop, friction between the tires and the road acts as:

• A. A balanced force
• B. An unbalanced force causing acceleration
• C. An unbalanced force causing the car to remain at rest
• D. No force at all

Correct answer: B

Rationale: Friction opposes the car's motion, acting as an unbalanced force that decelerates the car and brings it to a stop.

5. The van't Hoff factor (i) accounts for the number of particles a solute dissociates into in solution. For a compound that dissociates completely in water, i would be...

• A. 0
• B. Less than 1
• C. 1
• D. More than 1

Correct answer: C

Rationale: The van't Hoff factor (i) is used to account for the number of particles a solute dissociates into in solution. For a compound that dissociates completely in water, such as a strong electrolyte, i would be equal to the total number of ions produced by the dissociation. Since the compound dissociates completely, it forms an equal number of ions, resulting in an i value of 1. Therefore, the correct answer is C: 1.

6. What is the main function of the epiglottis, a small flap of cartilage located above the larynx?

• A. To warm and humidify inhaled air
• B. To control the passage of food and air
• C. To produce sound vibrations for speech
• D. To sense the presence of foreign objects

Correct answer: B

Rationale: The correct answer is B: 'To control the passage of food and air.' The epiglottis is a crucial structure that prevents food and liquids from entering the airway during swallowing. It acts as a lid over the trachea, ensuring that food goes down the esophagus while air passes into the respiratory system. This function is essential for preventing choking and ensuring proper breathing. Options A, C, and D are incorrect as the epiglottis is not primarily responsible for warming and humidifying inhaled air, producing sound vibrations for speech, or sensing foreign objects.

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