Nursing Elites

1. According to Maslow's theory, which level of needs must be met first?

• A. Self-actualization needs
• B. Esteem needs
• C. Safety needs
• D. Physiological needs

Correct answer: D

Rationale: According to Maslow's hierarchy of needs, physiological needs are at the lowest level and must be satisfied first before an individual can progress to fulfilling higher-level needs. Physiological needs include basic requirements for survival such as food, water, shelter, and sleep. Esteem needs, safety needs, and self-actualization needs are higher-level needs that can only be addressed once physiological needs are adequately met. Therefore, the correct answer is D, physiological needs.

2. The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following contributed to advances in nursing?

• A. Decreased demand for health care
• B. Development of specialty care disciplines
• C. Gender discrimination
• D. Advances in technology leading to more generalized care

Correct answer: B

Rationale: The correct answer is B because the development of specialty care disciplines, such as intensive care, neurosurgical techniques, and cardiothoracic surgery, played a significant role in advancing nursing during the specified decades. Choice A is incorrect as decreased demand for health care would not drive advances in nursing. Choice C is also incorrect as gender discrimination, while an issue in the past, does not directly relate to the advancements in nursing during this period. Choice D is incorrect because advances in technology usually lead to more specialized care rather than generalized care.

3. When a Nurse Manager leaves the facility, and one of the remaining managers is given that assignment in addition to her current load without the open position being filled, this is an example of which of the following?

• A. Job enlargement
• B. Proactive management
• C. Time log
• D. Prioritizing

Correct answer: A

Rationale: The correct answer is A, job enlargement. Job enlargement involves adding more tasks to a job without changing the level of skill required. In this scenario, the manager is given additional responsibilities without the position being filled, resulting in combining positions and increasing the number of employees to supervise. Choice B, proactive management, is incorrect as it does not relate to the situation described. Choice C, time log, is not relevant to the scenario. Choice D, prioritizing, is also incorrect as it does not reflect the concept of combining positions and increasing supervisory responsibilities.

4. Which of the following leaders would be considered a transformational leader?

• A. The supervisor of a unit who requests staff to work overtime.
• B. The unit secretary who encourages staff to use the proper forms.
• C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
• D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.

Correct answer: D

Rationale: The correct answer is D because transformational leaders are known for inspiring and motivating their followers to reach their full potential. They focus on fostering a positive work environment, encouraging growth, and supporting career development. In this scenario, the Advanced Practice Nurse is displaying characteristics of a transformational leader by encouraging a staff nurse to pursue additional education for career advancement. Choices A, B, and C do not align with the traits of a transformational leader as they involve more routine tasks or directives without the inspirational and visionary approach typical of transformational leadership.

5. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?

• A. No expenses are involved in frivolous lawsuits.
• B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
• C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
• D. Only doctors are sued for malpractice.

Correct answer: C

Rationale: The correct answer is C. Liability policies can cover charges of libel, slander, assault, and HIPAA violations, in addition to malpractice claims. Choice A is incorrect as there are expenses involved in frivolous lawsuits. Choice B is incorrect because institutions can sue nurses found guilty of malpractice. Choice D is incorrect as nurses, not just doctors, can be sued for malpractice.

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