Nursing Elites

1. Her guileless manner is one of her most noticeable qualities. What does guileless mean?

• A. Deceptive
• B. Straightforward
• C. Complex
• D. Untrustworthy

Correct answer: B

Rationale: The correct answer is B: 'Straightforward.' Guileless means innocent, sincere, and without deceit. It describes someone who is honest and straightforward in their actions and speech. Choices A, C, and D are incorrect. 'Deceptive' means misleading or dishonest, 'Complex' means having many intricate parts, and 'Untrustworthy' means not reliable or trustworthy, all of which are opposite in meaning to guileless.

2. As the leader of a group, the charge nurse is open to new ideas and thoughts of the group. The charge nurse encourages the group to participate in making decisions. This type of leadership is called:

• A. Laissez-faire
• B. Autocratic
• C. Democratic
• D. Direct

Correct answer: C

Rationale: The correct answer is 'Democratic.' A 'Democratic' leadership style involves the leader being open to new ideas and thoughts from the group and encourages group participation in decision-making. This style promotes collaboration, communication, and inclusivity in decision-making processes. 'Laissez-faire' leadership is characterized by a hands-off approach with minimal guidance or direction. 'Autocratic' leadership is where the leader makes decisions without much input from the group. 'Direct' leadership is not a widely recognized leadership style in this context.

3. Which verb form correctly completes the sentence? 'The shopper was angry when he realized he could have ___ it cheaper at the other store.'

• A. Get
• B. Could have got
• C. Could have gotten
• D. Might have get

Correct answer: C

Rationale: The correct answer is 'C) Could have gotten.' In this sentence, the verb form 'gotten' is the correct past participle form of 'get,' indicating a missed opportunity in the past. Choice A is incorrect because 'get' is the base form of the verb, not the past participle. Choice B is incorrect as 'got' is the past tense, not the past participle. Choice D is incorrect because 'get' is the base form, and 'might have get' is not the correct structure for this sentence.

4. Which sentence is NOT GRAMMATICALLY CORRECT?

• A. Because he did not examine the patient, the healthcare provider prescribed her with the wrong medication.
• B. The nurse decided to bathe the client, then trim his nails.
• C. The dietician, through negligence, made a mistake with the diet plan.
• D. Since the child was feeling ill, the nurse sent him home.

Correct answer: B

Rationale: Choice B is incorrect due to the use of 'than' instead of 'then.' The correct word in this context is 'then' to indicate the order of actions. Choices A, C, and D are all grammatically correct. In choice A, the sentence structure is correct with a clear cause-effect relationship. Choice C is grammatically sound, describing the dietician's mistake. Choice D is also grammatically correct, showing a cause (the child feeling ill) leading to an effect (the nurse sending him home).

5. Which word is NOT CORRECTLY USED in the sentence? Confidentiality should be observed at all times, so the nurse should not discuss clients when the conversation can be overheard.

• A. Be observed
• B. By
• C. Can be
• D. Should not

Correct answer: A

Rationale: The correct answer is A. In the sentence, 'be observed' should be changed to 'should be observed' for proper grammar. 'Should be observed' is the correct way to indicate the necessity of maintaining confidentiality. Choice B, 'by,' is used correctly as a preposition. Choice C, 'can be,' is also used correctly in the sentence. Choice D, 'should not,' is correctly used to indicate what the nurse ought not to do.

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