Nursing Elites

1. He asserts the importance of promoting a positive organizational culture in their unit. Which

• A. Proactive and caring with one another
• B. Competitive and perfectionist
• C. Powerful and oppositional
• D. Obedient and uncomplaining

Correct answer: A

Rationale: The correct answer is A: 'Proactive and caring with one another.' When promoting a positive organizational culture, it is essential to foster a supportive environment where individuals are proactive in their approach and demonstrate care towards one another. This type of culture encourages collaboration, open communication, and empathy among team members, leading to higher levels of job satisfaction and overall performance. Being competitive and perfectionist (option B) can create a stressful and unhealthy work environment, while being powerful and oppositional (option C) or obedient and uncomplaining (option D) can stifle creativity and innovation. Therefore, the most suitable traits for promoting a positive organizational culture are being proactive and caring with one another.

2. What is the function of the Golgi apparatus?

• A. Breaking down and recycling cellular waste
• B. Packaging and transporting proteins and lipids
• C. Generating energy through cellular respiration
• D. Translating DNA into proteins

Correct answer: B

Rationale: The correct answer is B: Packaging and transporting proteins and lipids. The Golgi apparatus plays a crucial role in processing, packaging, and distributing proteins and lipids synthesized by the cell. It modifies these molecules and directs them to their appropriate destinations within the cell or for secretion outside the cell. This function is essential for maintaining the proper functioning of the cell and coordinating various cellular processes. Options A, C, and D are incorrect as they describe functions carried out by other cellular organelles, highlighting the specificity and importance of the Golgi apparatus in protein and lipid trafficking.

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. She conducts a 6-month performance review session with a staff member. Which of the

• A. She asks another nurse to attest the session as a witness.
• B. She informs the staff that she may ask another nurse to read the appraisal before the session is
• C. She tells the staff that the session is manager-centered.
• D. The session is private between the two members.

Correct answer: C

Rationale: Option C is the correct answer because telling the staff that the session is manager-centered indicates that the focus will be on the manager's evaluation and feedback rather than promoting a collaborative and transparent review process. This approach can lead to a one-sided assessment and may not foster open communication or growth opportunities for the staff member. Options A and B involve bringing in another nurse, which could potentially compromise the privacy and effectiveness of the performance review. Option D, stating that the session is private between the two members, does not address the issue of the session being manager-centered. Therefore, option C is the most appropriate choice to highlight the importance of a balanced and inclusive performance review process.

5. Which molecule allows for the selective passage of materials into and out of the cell?

• A. DNA
• B. Protein
• C. Carbohydrate
• D. Phospholipid bilayer

Correct answer: D

Rationale: The correct answer is D, the phospholipid bilayer. The phospholipid bilayer is the main component of the cell membrane, which acts as a selective barrier allowing certain molecules to pass through while blocking others. Its structure consists of hydrophilic heads facing outward towards the aqueous environments inside and outside the cell, while the hydrophobic tails face inward creating a semi-permeable barrier. DNA (A) is the genetic material of the cell and is located within the nucleus, not involved in material passage. Proteins (B) and carbohydrates (C) are important components of the cell membrane and play various roles, but they do not directly control the selective passage of materials in and out of the cell.

6. Maintaining good muscle strength and flexibility as we age becomes important to avoid:

• A. Headaches
• B. Falls
• C. Anxiety
• D. Common cold

Correct answer: B

Rationale: The correct answer is B: 'Falls.' Maintaining good muscle strength and flexibility as we age is crucial for preventing falls, which become more common with age and can lead to serious injuries such as fractures. Strong muscles and good flexibility help in maintaining balance and stability, reducing the risk of falls. Headaches, anxiety, and the common cold are not directly related to muscle strength and flexibility, making them less likely to be avoided by focusing on these aspects of physical health.

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