Nursing Elites

1. 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.

2. The T wave on an ECG corresponds to:

• A. Atrial depolarization
• B. Ventricular depolarization
• C. Atrial repolarization
• D. Ventricular repolarization

Correct answer: D

Rationale: The T wave on an ECG corresponds to ventricular repolarization. During this phase, the ventricles are resetting electrically after contraction, preparing for the next heartbeat. Atrial depolarization is represented by the P wave, ventricular depolarization by the QRS complex, and atrial repolarization is typically hidden within the QRS complex. Therefore, option D, 'Ventricular repolarization,' is the correct choice when identifying the electrical activity represented by the T wave on an ECG.

3. Melanin, the pigment responsible for skin color, is produced by

• A. Keratinocytes (These cells produce keratin)
• B. Melanocytes
• C. Sebocytes (These cells produce sebum)
• D. Langerhans cells (These cells are part of the immune system)

Correct answer: B

Rationale: The correct answer is B: Melanocytes. Melanin, the pigment responsible for skin color, is produced by melanocytes, which are specialized cells located in the skin's epidermis. Melanocytes transfer melanin to keratinocytes, the predominant cell type in the epidermis, where it provides protection against UV radiation. Sebocytes produce sebum, an oily substance that helps moisturize the skin and hair. Langerhans cells are a type of immune cell that play a role in the skin's immune response. Therefore, the correct answer is B as melanocytes are specifically responsible for producing melanin.

4. St. Raphael Medical Center just opened its new Performance Improvement Department. Ms.

• A. Make an interpretation about strengths and weaknesses
• B. Identify the values of the department
• C. Identify structure, process, outcome standards & criteria
• D. Measure actual performances

Correct answer: B

Rationale: The correct answer is B: 'Identify the values of the department.' When a new department is established, it is important to define its core values, beliefs, and principles to guide its operations. This helps create a shared understanding among staff and stakeholders about the department's purpose and priorities. By identifying the values of the Performance Improvement Department at St. Raphael Medical Center, employees can align their actions with the department's mission and goals, fostering a cohesive and effective work environment. Options A, C, and D are not directly related to establishing the foundational values of a new department, making them less relevant in this context.

5. Julius stresses the importance of promoting ‘esprit d corps’ among the members of the unit.

• A. “Let’s work together in harmony; we need to be supportive of one another”
• B. “In order that we achieve the same results; we must all follow the directives of Julius and not
• C. “We will ensure that all the resources we need are available when needed.”
• D. “We need to put our efforts together in order to raise the bar of excellence in the care we

Correct answer: D

Rationale: The correct answer is D because it emphasizes the idea of collective effort and striving for excellence, which aligns with promoting 'esprit de corps' - a sense of unity and camaraderie among group members. By working together and combining their efforts, the unit can enhance the quality of care they provide. This fosters a positive team spirit and encourages collaboration. The other options do not directly address the concept of 'esprit de corps' or the importance of unity and teamwork within the group.

6. The adaptive immune system has two main branches: humoral and cell-mediated immunity. Which type of immune cell is primarily responsible for antibody production?

• A. Helper T cells
• B. Cytotoxic T cells
• C. B cells
• D. Natural killer cells

Correct answer: C

Rationale: The correct answer is C: B cells. B cells are a type of lymphocyte that plays a central role in humoral immunity by producing antibodies. When activated by antigens, B cells differentiate into plasma cells, which are responsible for producing and secreting antibodies. Helper T cells (option A) primarily assist in activating B cells and other immune cells. Cytotoxic T cells (option B) are involved in cell-mediated immunity, where they directly kill infected cells. Natural killer cells (option D) are part of the innate immune system and target virus-infected and cancerous cells. Therefore, B cells are the immune cells primarily responsible for antibody production in the adaptive immune system.

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