Nursing Elites

1. As a manager, she focuses her energy on both the quality of services rendered to the patients

• A. Country club management
• B. Organization man management
• C. Team management
• D. Authority-obedience management

Correct answer: B

Rationale: The correct answer is 'B: Organization man management.' This type of management focuses on maintaining the efficiency and structure of an organization. In this scenario, the manager's emphasis on the quality of services aligns with the principles of organization man management, which prioritizes the coordination of tasks and resources to achieve optimal results within the organization. This contrasts with 'Country club management,' which emphasizes employee satisfaction over task accomplishment; 'Team management,' which focuses on collaboration and teamwork; and 'Authority-obedience management,' which centers on strict hierarchical control. Therefore, the most appropriate choice is 'B: Organization man management.'

2. Stephanie is often seen interacting with the medical intern during coffee breaks and after duty

• A. Formal
• B. Informal
• C. Staff
• D. Line

Correct answer: B

Rationale: The correct answer is 'B: Informal.' Stephanie's interactions with the medical intern during coffee breaks and after duty suggest a casual and friendly relationship, rather than a formal or official one. 'Informal' describes interactions that are relaxed, personal, and not bound by strict professional protocols. In contrast, 'formal' interactions would involve more structured and official communication, such as meetings or professional discussions. 'Staff' and 'line' are not relevant in this context, as they do not describe the nature of the relationship between Stephanie and the medical intern.

3. What is the purpose of the periosteum, the tough outer layer of bone?

• A. Produces red blood cells
• B. Provides protection and nourishment to bone
• C. Forms the joint surface
• D. Stores minerals

Correct answer: B

Rationale: The correct answer is B: 'Provides protection and nourishment to bone.' The periosteum is a tough outer layer of bone that serves multiple functions. It provides protection by acting as a barrier against infections and injuries. Additionally, the periosteum contains blood vessels that supply nutrients to the bone cells, aiding in bone growth, repair, and maintenance. While red blood cells are produced in the bone marrow, not in the periosteum, the periosteum's primary role is to support the overall health and integrity of the bone structure.

4. The primary source of energy entering most ecosystems is:

• A. Chemical energy stored in bonds
• B. Thermal energy from the Earth's core
• C. Light energy from the sun
• D. Kinetic energy from wind and water

Correct answer: C

Rationale: Rationale: In most ecosystems, the primary source of energy is sunlight. This energy is captured by plants and other photosynthetic organisms through the process of photosynthesis. These organisms convert light energy into chemical energy stored in the bonds of organic molecules, such as glucose. This stored chemical energy is then passed on to other organisms in the ecosystem through the food chain, making sunlight the fundamental source of energy for most ecosystems. Thermal energy from the Earth's core (option B) is not a primary source of energy for ecosystems, as it is not readily accessible to most organisms. Kinetic energy from wind and water (option D) can play a role in some ecosystems, but it is not the primary source of energy. Chemical energy stored in bonds (option A) is a form of energy that is derived ultimately from the sun through photosynthesis.

5. What is the name of the muscular ring that controls the passage of food from the esophagus to the stomach?

• A. Pyloric sphincter
• B. Cardiac sphincter
• C. Ileocecal valve
• D. Sphincter of Oddi

Correct answer: B

Rationale: The correct answer is B: Cardiac sphincter. The cardiac sphincter, also known as the lower esophageal sphincter, is the muscular ring located at the junction between the esophagus and the stomach. It controls the passage of food from the esophagus into the stomach by opening and closing to prevent reflux of stomach contents back into the esophagus. The other options are incorrect: A) The pyloric sphincter is located at the junction between the stomach and the small intestine, controlling the passage of food from the stomach into the small intestine. C) The ileocecal valve is located between the small intestine and the large intestine. D) The Sphincter of Oddi is located in the duodenum and regulates the flow of bile and pancreatic juice into the small intestine. Therefore, the correct answer is B because it specifically relates to the passage of food from the esophagus to the stomach.

6. Aubrey thinks about primary nursing as a system to deliver care. Which of the following

• A. Collaborates with the physician
• B. Provides care to a group of patients together with a group of nurses
• C. Provides care for 5-6 patients during their hospital stay.
• D. Performs comprehensive initial assessment

Correct answer: D

Rationale: Primary nursing is a care delivery system where one nurse is responsible for the total nursing care needs of a group of patients throughout their hospital stay. This includes performing comprehensive initial assessments, developing care plans, coordinating with other healthcare team members, and providing direct patient care. Option D is the correct answer as it aligns with the core principles of primary nursing, emphasizing the nurse's role in conducting thorough assessments to ensure individualized and holistic care for each patient in their caseload. Options A, B, and C do not accurately reflect the key components of primary nursing, making them incorrect choices.

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