Nursing Elites

1. Ms. Castro learns that some leaders are transactional leaders. Which of the following does

• A. Focuses on management tasks
• B. Is a caretaker
• C. Uses trade-offs to meet goals
• D. Inspires others with vision

Correct answer: C

Rationale: The correct answer is C: 'Uses trade-offs to meet goals.' Transactional leaders focus on the exchange or transaction that occurs between them and their followers. They set clear expectations and goals for their followers and use rewards and punishments to motivate them. This approach involves making trade-offs to achieve desired outcomes, such as rewarding employees for meeting targets or penalizing them for not meeting expectations. Options A and B do not directly relate to transactional leadership, as it is more about goal achievement and motivation through rewards and punishments. Option D describes a transformational leader, who inspires and motivates others through a shared vision and values, which is different from the transactional leadership style described in the question.

2. Which of the following describes a scalar quantity?

• A. Velocity
• B. Acceleration
• C. Force
• D. Speed

Correct answer: d

Rationale: Speed is a scalar quantity as it only indicates how fast an object is moving without any directional information.

3. During antibiotic use, bacteria can evolve resistance. This is an example of:

• A. Coevolution (two species influencing each other's evolution)
• B. Convergent evolution (unrelated organisms evolving similar traits)
• C. Macroevolution (large-scale evolutionary change)
• D. Artificial selection acting on a natural process

Correct answer: D

Rationale: Rationale: - Coevolution (option A) refers to the influence of two species on each other's evolution, which is not the case in the scenario described in the question. - Convergent evolution (option B) involves unrelated organisms evolving similar traits due to similar environmental pressures, which is not directly applicable to the situation of bacteria evolving resistance to antibiotics. - Macroevolution (option C) refers to large-scale evolutionary changes over long periods, which is not specifically demonstrated in the context of bacteria evolving resistance during antibiotic use. - The process of bacteria evolving resistance to antibiotics due to the selective pressure exerted by the antibiotics is an example of artificial selection (human intervention selecting for certain traits) acting on a natural process (bacterial evolution). Antibiotic use creates a selective pressure that favors the survival and reproduction of bacteria with resistance traits, leading to the evolution of an

4. During inhalation, which muscle contracts to increase the volume of the thoracic cavity, allowing air to flow into the lungs?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The correct answer is A: Diaphragm. During inhalation, the diaphragm contracts and moves downward, increasing the volume of the thoracic cavity. This action creates a pressure difference between the lungs and the atmosphere, causing air to flow into the lungs. The intercostal muscles also play a role by expanding the ribcage, but the primary muscle responsible for increasing thoracic cavity volume during inhalation is the diaphragm. Abdominal muscles are involved in exhalation by contracting to push the diaphragm up, reducing thoracic cavity volume. Pectoral muscles are located in the chest and are not directly involved in the breathing process.

5. The ability of optical fibers to transmit light signals around bends is primarily due to:

• A. Reflection
• B. Refraction
• C. Diffraction
• D. Polarization

Correct answer: B

Rationale: The correct answer is B: Refraction. Optical fibers transmit light signals around bends primarily through the process of refraction. Refraction occurs when light passes from one medium to another, causing it to change direction. In optical fibers, the core material has a higher refractive index than the cladding, which causes light to be reflected internally along the fiber. This phenomenon allows light signals to travel through the fiber even around bends without significant loss. Reflection (Option A) involves light bouncing off a surface, which is not the main mechanism in optical fibers. Diffraction (Option C) refers to the bending of light waves around obstacles and is not the main reason for light transmission in optical fibers. Polarization (Option D) relates to the orientation of light waves, which is not the primary factor enabling light transmission around bends in optical fibers.

6. 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.

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