Nursing Elites

1. On the other hand, Ms. Castro notices that the Chief Nurse Executive has charismatic

• A. Possesses inspirational quality that makes followers gets attracted of him and regards
• B. Acts as he does because he expects that his behavior will yield positive results
• C. Uses visioning as the core of his leadership
• D. Matches his leadership style to the situation at hand.

Correct answer: D

Rationale: The correct answer is D because matching leadership style to the situation at hand is a key aspect of effective leadership. Being able to adapt and adjust leadership approaches based on the specific circumstances and needs of a situation can lead to better outcomes and success. In this scenario, the Chief Nurse Executive's ability to tailor his leadership style to different situations is likely to contribute to his effectiveness in managing various challenges and leading the team effectively.

2. Identify the adjective in the following sentence: The colorful sunset painted the sky with vibrant hues.

• A. sunset
• B. with
• C. colorful
• D. painted

Correct answer: C

Rationale: Adjectives modify nouns and pronouns. The adjective "colorful" describes the noun "sunset".

3. Ms. Valencia develops the standards to be followed. Among the following standards, which is

• A. The patients verbalized satisfaction of the nursing care received
• B. Rotation of duty will be done every four weeks for all patient care personnel.
• C. All patients shall have their weights taken recorded
• D. Patients shall answer the evaluation form before discharge

Correct answer: C

Rationale: The correct answer is C because it is a clear and specific standard that can be easily measured and monitored. Weight recording is a fundamental aspect of patient care and is essential for tracking changes in health status. Verbalized satisfaction (option A) is subjective and may not be consistently measurable. Rotation of duty (option B) is important but may not be a standard developed by a nurse manager. Answering an evaluation form before discharge (option D) is important but may not be a standard created by Ms. Valencia for all patients.

4. Glands that release hormones directly into the bloodstream without ducts are called:

• A. Exocrine glands
• B. Endocrine glands
• C. Apocrine glands
• D. Merocrine glands

Correct answer: B

Rationale: The correct answer is B: Endocrine glands. Endocrine glands are specialized glands that release hormones directly into the bloodstream, which then travel to target organs or tissues to regulate various physiological processes. Unlike exocrine glands (choice A), which secrete their products through ducts to specific locations, endocrine glands secrete hormones into the blood for more widespread and systemic effects. Apocrine glands (choice C) release a portion of their cell contents along with the secretions, while merocrine glands (choice D) release their products through exocytosis without any loss of cell material. Therefore, in this case, endocrine glands best describe the glands that release hormones directly into the bloodstream without ducts.

5. 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.

6. What is the term for the first exposure to a specific pathogen, leading to the development of an initial immune response?

• A. Primary immune response
• B. Secondary immune response
• C. Hypersensitivity reaction
• D. Immunological tolerance

Correct answer: A

Rationale: The correct answer is A: 'Primary immune response.' The primary immune response refers to the initial encounter with a specific pathogen, which triggers the immune system to respond by producing antibodies and memory cells. This process lays the foundation for the secondary immune response, which occurs upon subsequent exposure to the same pathogen. The primary immune response is characterized by the lag time in antibody production as the immune system is mobilized to combat the new threat. In contrast, the secondary immune response is faster and more robust due to the presence of memory cells from the primary response. Hypersensitivity reactions involve an exaggerated immune response to an antigen, while immunological tolerance refers to the immune system's ability to recognize self from non-self to prevent autoimmunity.

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