Nursing Elites

1. 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.

2. Which of the following is a common characteristic of alkynes?

• A. They have a triple bond between carbon atoms.
• B. They are saturated hydrocarbons.
• C. They contain only single bonds.
• D. They are aromatic compounds.

Correct answer: A

Rationale: Alkynes are hydrocarbons that contain at least one triple bond between carbon atoms. This triple bond is a distinctive feature of alkynes, distinguishing them from alkanes (which contain only single bonds) and alkenes (which contain at least one double bond). Alkynes are unsaturated hydrocarbons due to the presence of the triple bond. Aromatic compounds, on the other hand, have a specific cyclic structure with resonance stabilization, which is not a characteristic of alkynes.

3. Semen, the fluid that carries sperm, is produced by which of the following structures in the male reproductive system?

• A. Testes
• B. Scrotum
• C. Prostate gland
• D. Seminal vesicles

Correct answer: D

Rationale: The correct answer is D: Seminal vesicles. Semen is a mixture of fluids produced by various structures in the male reproductive system. The seminal vesicles are responsible for producing a significant portion of the fluid in semen, which provides nutrients and protection for sperm. The testes produce sperm, but the fluid that carries sperm, known as semen, is primarily produced by the seminal vesicles. The scrotum is the external sac that houses the testes, and the prostate gland also contributes to semen production, but the seminal vesicles play a key role in producing the fluid that carries sperm.

4. The main function of the large intestine is:

• A. Digesting and absorbing nutrients
• B. Storing and mixing food
• C. Breaking down carbohydrates
• D. Absorbing water and electrolytes

Correct answer: D

Rationale: The correct answer is D: Absorbing water and electrolytes. The main function of the large intestine is to absorb any remaining water and electrolytes from the indigestible food matter that passes through it. This absorption process helps in forming solid waste (feces) and regulating the body's fluid balance. It is not primarily responsible for digesting and absorbing nutrients like the small intestine, storing and mixing food like the stomach, or breaking down carbohydrates. Understanding the role of the large intestine in water and electrolyte absorption is crucial for maintaining proper digestion and overall health.

5. Which division of the autonomic nervous system is responsible for the "rest and digest" response, promoting relaxation and conservation of energy?

• A. Sympathetic nervous system
• B. Parasympathetic nervous system
• C. Somatic nervous system
• D. Central nervous system

Correct answer: b

Rationale: The correct answer is B, the parasympathetic nervous system. This division of the autonomic nervous system is responsible for the "rest and digest" response, promoting relaxation and conservation of energy. When activated, it slows the heart rate, increases digestion, and helps the body rest and recover. The sympathetic nervous system, on the other hand, is responsible for the "fight or flight" response, preparing the body for action. The somatic nervous system controls voluntary movements, and the central nervous system consists of the brain and spinal cord, coordinating all nervous system functions.

6. She knows that performance appraisal consists of all the following activities EXCEPT:

• A. Setting specific standards and activities for individual performance.
• B. Using agency standards as a guide.
• C. Determine areas of strength and weaknesses
• D. Focusing activity on the correction of identified behavior.

Correct answer: D

Rationale: The correct answer is D: 'Focusing activity on the correction of identified behavior.' Performance appraisal is a process that involves setting specific standards and activities for individual performance, using agency standards as a guide, and determining areas of strengths and weaknesses. While performance appraisal may identify areas for improvement, its primary focus is not solely on correcting behavior. Instead, it is a holistic evaluation of an individual's performance in various aspects. Therefore, option D is the exception among the activities associated with performance appraisal.

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