Nursing Elites

1. What phenomenon occurs when a wave encounters a change in medium causing a change in its speed and direction?

• A. Refraction
• B. Reflection
• C. Diffraction
• D. Interference

Correct answer: a

Rationale: Refraction happens when a wave changes its speed and direction due to encountering a change in medium.

2. 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.

3. Which property of a substance refers to its ability to be stretched into thin wires?

• A. Conductivity
• B. Viscosity
• C. Ductility
• D. Malleability

Correct answer: c

Rationale: Ductility refers to a substance's ability to be stretched into thin wires without breaking.

4. Connective tissue provides support and connects other tissues. What is the main component that gives connective tissue its strength?

• A. Collagen fibers
• B. Epithelial cells
• C. Nerve cells
• D. Blood cells

Correct answer: A

Rationale: The main component that gives connective tissue its strength is collagen fibers. Collagen is a fibrous protein that is the most abundant protein in the human body, providing tensile strength and support to tissues. Collagen fibers are arranged in a parallel fashion, giving connective tissue its resilience and ability to withstand stretching forces. Epithelial cells are not the main component of strength in connective tissue; they are specialized cells that line the surfaces of organs and structures. Nerve cells are responsible for transmitting signals and do not contribute to the strength of connective tissue. Blood cells are not structural components of connective tissue but rather play a role in transportation and immune function.

5. What is the process of breaking down and rebuilding bone tissue called?

• A. Ossification
• B. Remodeling
• C. Calcification
• D. Osteoporosis

Correct answer: B

Rationale: The correct answer is B: Remodeling. Remodeling is the process of breaking down and rebuilding bone tissue. This process helps maintain bone strength and structure by replacing old or damaged bone with new bone. Ossification refers to the formation of bone tissue, not the breakdown and rebuilding process. Calcification is the deposition of calcium salts in tissues, not specifically related to bone tissue remodeling. Osteoporosis is a condition characterized by a decrease in bone density, but it is not the process of breaking down and rebuilding bone tissue.

6. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: The correct answer is A. Emphysema and chronic bronchitis are both types of COPD, but they have distinct characteristics. Emphysema is characterized by the destruction of the alveoli in the lungs, which impairs the exchange of oxygen and carbon dioxide. This damage to the alveoli leads to difficulty breathing and decreased lung function. On the other hand, chronic bronchitis involves inflammation and narrowing of the airways, leading to excessive mucus production and a persistent cough. While both conditions are chronic and progressive, emphysema primarily affects the alveoli, while chronic bronchitis primarily affects the airways. Understanding these differences is crucial for appropriate diagnosis and management of COPD.

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