Nursing Elites

1. A table shows the blood pressure readings for different age groups. How do you determine the patient with the highest systolic pressure?

• A. Find the largest number in the "systolic pressure" column.
• B. Compare the means (averages) of each age group.
• C. Add all systolic pressure values and divide by the total number of patients.
• D. Subtract the lowest systolic pressure from the highest.

Correct answer: A

Rationale: The best way is to compare the average systolic pressure values for each age group to identify the highest.

2. Which pattern of nursing care involves the care given by a group of paraprofessional workers

• A. Case method
• B. Modular nursing
• C. Nursing case management
• D. Team nursing

Correct answer: A

Rationale: The correct answer is A: 'Case method.' The case method of nursing care involves the care provided by a group of paraprofessional workers, such as nursing assistants or aides, under the supervision of professional nurses. In this model, the nursing team works together to deliver care to a group of patients based on their specific needs and conditions. This method allows for efficient and coordinated care delivery, with each member of the team playing a crucial role in meeting the patients' healthcare needs. It is important for nurses to effectively delegate tasks and supervise paraprofessional workers in the case method model to ensure high-quality care and patient safety.

3. Electrons occupy specific energy levels around the nucleus, but not in fixed orbits. This concept is captured by the:

• A. Bohr model
• B. Quantum mechanical model
• C. Lewis structure
• D. Octet rule

Correct answer: B

Rationale: Quantum mechanical model. Unlike the Bohr model with its defined electron paths, the quantum mechanical model uses probability distributions to describe electron locations within energy levels.

4. What is the main point of the passage?

• A. Climate change is a myth and does not pose any significant threat to the planet.
• B. The negative consequences of climate change are inevitable and irreversible.
• C. Human actions are the primary cause of climate change, and global efforts are needed to address it.
• D. Technological advancements alone can provide quick and easy solutions to the climate crisis.

Correct answer: C

Rationale: The passage clearly identifies human activities as the cause of climate change and emphasizes the need for global action, aligning with C.

5. She takes pride in saying that the hospital has a decentralized structure. Which of the

• A. Flat organization
• B. Participatory approach
• C. Shared governance
• D. Tall organization

Correct answer: B

Rationale: The correct answer is B: 'Participatory approach.' In a decentralized structure, decision-making authority is dispersed throughout the organization rather than being concentrated at the top. A participatory approach involves employees at all levels having a say in decisions that affect their work, fostering collaboration and empowerment. This contrasts with a tall organization, which has many layers of management and a more centralized decision-making process. While shared governance can involve decentralized decision-making, it specifically refers to a model where nurses and other healthcare professionals have a voice in shaping policies and practices within their organization, which is not necessarily the same as a decentralized structure.

6. The structural and functional unit of the kidney responsible for filtering blood is the:

• A. Nephron
• B. Ureter
• C. Urethra
• D. Bladder

Correct answer: A

Rationale: The correct answer is A, Nephron. The nephron is the structural and functional unit of the kidney responsible for filtering blood. It consists of the glomerulus, renal tubule, and collecting duct. The nephron's filtration process plays a crucial role in removing waste products, regulating electrolyte balance, and maintaining blood pressure. The other options, B: Ureter, C: Urethra, and D: Bladder, are not responsible for filtering blood. The ureter transports urine from the kidneys to the bladder, the urethra is responsible for urine excretion from the bladder, and the bladder stores urine before excretion. Therefore, the nephron is specifically designed for the filtration process within the kidney.

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