Nursing Elites

1. She decides to have a decentralized staffing system. Which of the following is an advantage

• A. greater control of activities
• B. Conserves time
• C. Compatible with computerization
• D. Promotes better interpersonal relationship

Correct answer: A

Rationale: The correct answer is A: 'greater control of activities.' Having a decentralized staffing system allows for the delegation of decision-making to lower levels of the organization, which can result in greater control over activities. This can lead to quicker responses to issues and better alignment with specific departmental needs. Options B, C, and D do not directly relate to the advantage of a decentralized staffing system. While conserving time, compatibility with computerization, and promoting better interpersonal relationships are important considerations in staffing decisions, they do not specifically align with the advantage of greater control that a decentralized system provides.

2. Which part of the brain is responsible for regulating heart rate, breathing, and swallowing?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Thalamus

Correct answer: C

Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata is located at the base of the brainstem and is responsible for regulating essential functions such as heart rate, breathing, and swallowing. It contains vital control centers for these automatic processes, making it a critical part of the brain for maintaining life. The cerebrum is primarily involved in higher brain functions such as thinking and voluntary movement, while the cerebellum helps with coordination and balance. The thalamus acts as a relay station for sensory information. Therefore, the medulla oblongata is the most appropriate choice for regulating these basic physiological functions.

3. Julius orients his staff on the patterns of reporting relationship throughout the organization.

• A. Span of control
• B. Hierarchy
• C. Esprit d’ corps
• D. Unity of direction

Correct answer: B

Rationale: The correct answer is B: Hierarchy. Hierarchy refers to the structure of authority and responsibility within an organization, including the levels of management and the reporting relationships. In this scenario, Julius is orienting his staff on the patterns of reporting relationships, which is a key aspect of hierarchy. Span of control refers to the number of employees a manager can effectively supervise, esprit de corps pertains to team spirit and unity among employees, and unity of direction relates to ensuring all activities are focused on the same objectives. Therefore, the most appropriate term for Julius's action is hierarchy.

4. The stratum corneum, the outermost layer of the epidermis, is primarily composed of:

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The correct answer is A: 'Keratinized dead cells.' The stratum corneum is the outermost layer of the epidermis and is mainly composed of keratinized dead cells. These cells are flattened, fully keratinized, and provide a protective barrier for the skin against environmental factors such as pathogens, UV radiation, and water loss. Melanocytes (Option B), Langerhans cells (Option C), and Merkel cells (Option D) are all important components of the epidermis but are not the primary constituents of the stratum corneum. Melanocytes produce melanin, Langerhans cells are involved in the immune response, and Merkel cells are associated with the sense of touch.

5. What is the process of converting glucose into ATP, the cell's primary energy currency, called?

• A. Cellular respiration
• B. Fermentation
• C. Photosynthesis
• D. Hydrolysis

Correct answer: A

Rationale: Rationale: A) Cellular respiration is the process by which cells convert glucose into ATP, the primary energy currency of the cell. This process involves a series of biochemical reactions that occur in the mitochondria of eukaryotic cells or the cytoplasm of prokaryotic cells. Through cellular respiration, the energy stored in glucose molecules is gradually released and captured in the form of ATP. B) Fermentation is an anaerobic process that occurs in the absence of oxygen. It involves the partial breakdown of glucose to produce ATP and end products such as lactic acid or ethanol. While fermentation can generate ATP, it is less efficient than cellular respiration in terms of energy production. C) Photosynthesis is the process by which plants, algae, and some bacteria convert light energy into chemical energy in the form of glucose. This process occurs in chloroplasts and is the opposite of cellular respiration. While photosynthesis produces glucose,

6. What happens during a physical change in matter?

• A. A new substance with different properties is formed
• B. The chemical composition of the substance changes
• C. The original substance can be recovered by physical means
• D. Energy is either released or absorbed

Correct answer: C

Rationale: During a physical change in matter, the original substance undergoes a change in its physical state or appearance without any change in its chemical composition. This means that the original substance can be recovered by physical means, such as melting, freezing, boiling, or condensing. No new substance is formed (option A), the chemical composition remains the same (option B), and energy changes can occur but are not a defining characteristic of a physical change (option D).

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