Nursing Elites

1. The statement, “The Good Shepherd Medical Center aims to provide patient-centered care in

• A. Vision
• B. Goal
• C. Philosophy
• D. Mission

Correct answer: A

Rationale: The correct answer is A: "Vision." A vision statement describes the desired future state or long-term goal of an organization. It outlines the aspirations and purpose of the organization, such as providing patient-centered care in this case. Vision statements are forward-looking and inspirational, guiding the organization towards achieving its ultimate objectives. In contrast, a goal is a specific, measurable, and achievable target within a set timeframe. A philosophy is a set of beliefs or guiding principles, while a mission statement defines the organization's core purpose and focus. Therefore, the statement about providing patient-centered care aligns with the concept of a vision statement.

2. There are times when Katherine evaluates her staff as she makes her daily rounds. Which of

• A. The staff member is observed in natural setting.
• B. Incidental confrontation and collaboration is allowed.
• C. The evaluation is focused on objective data systematically.
• D. The evaluation may provide valid information for compilation of a formal report.

Correct answer: A

Rationale: The correct answer is A: 'The staff member is observed in a natural setting.' This option is the most appropriate because it aligns with the concept of naturalistic observation, where behavior is observed in its natural environment without interference or manipulation. In this scenario, Katherine is observing her staff during her daily rounds without any alterations to their behavior or environment. This allows for a more authentic and unbiased assessment of their performance. Options B, C, and D are not as relevant to the concept of naturalistic observation and do not accurately describe the situation presented in the question.

3. Which of the following is evidence that the controlling process is effective?

• A. The things that were planned are done
• B. Physicians do not complain.
• C. Employees are contended
• D. There is an increase in customer satisfaction rate.

Correct answer: A

Rationale: The correct answer is A: 'The things that were planned are done.' This is evidence that the controlling process is effective because it indicates that the organization is able to execute its plans successfully. When planned tasks and activities are completed as intended, it shows that the controlling function is ensuring that operations are on track and that deviations are being corrected. The completion of planned tasks also demonstrates that resources are being effectively utilized and that performance is being monitored and controlled. The other options do not directly relate to the effectiveness of the controlling process. Physicians not complaining, employees being contented, and an increase in customer satisfaction rate could be influenced by various factors and may not necessarily be solely attributed to the effectiveness of the controlling process.

4. During exercise, heart rate increases to deliver more oxygen to the body's tissues. What other cardiovascular response also increases?

• A. Blood pressure decreases
• B. Blood vessel diameter narrows
• C. Blood flow to muscles increases
• D. Blood viscosity thickens

Correct answer: A

Rationale: The correct answer is A: 'Blood pressure decreases.' When the heart rate increases during exercise to deliver more oxygen to the body's tissues, the blood pressure also tends to decrease. This is due to the enhanced efficiency of the heart in pumping blood, resulting in a lower pressure exerted on the blood vessel walls. In contrast, options B and D are incorrect as blood vessel diameter typically widens (dilates) during exercise to facilitate increased blood flow, and blood viscosity does not usually thicken during exercise. Option C is a distractor as blood flow to muscles indeed increases during exercise to meet the higher demand for oxygen and nutrients.

5. Which vitamin is essential for calcium absorption and bone health?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: The correct answer is Vitamin D. Vitamin D plays a crucial role in calcium absorption in the intestines, which is essential for maintaining strong and healthy bones. It helps regulate calcium and phosphorus levels in the body, promoting bone mineralization and growth. Vitamin A is important for vision and immune function, not specifically for bone health. Vitamin C is essential for collagen synthesis but not directly involved in calcium absorption. Vitamin E is an antioxidant that protects cells from damage but does not have a direct role in bone health. Therefore, Vitamin D is the correct choice for supporting calcium absorption and bone health.

6. Ms. Valencia prepares the process standards. Which of the following is NOT a process

• A. Initial assessment shall be done to all patients within twenty four hours upon admission.
• B. Informed consent shall be secured prior to any invasive procedure
• C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
• D. Patient education about their illness and treatment shall be provided for all patients and their

Correct answer: D

Rationale: In this question, Ms. Valencia is tasked with preparing process standards, which are systematic procedures or steps followed to ensure quality care. Options A, B, and C all refer to specific processes that are essential in healthcare: timely assessment, obtaining informed consent, and assessing patient satisfaction. However, option D about providing patient education is more focused on an outcome (patient education) rather than a specific process standard. While patient education is important, the question is asking for a process standard, making option D the correct answer as it does not directly relate to a specific process standard.

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