Nursing Elites

1. Select the phrase that makes the following sentence grammatically correct: 'Janet called her ____ run after a squirrel.'

• A. dog, who had
• B. dog that had
• C. dog, that had
• D. dog who had

Correct answer: A

Rationale: The correct answer is 'dog, who had.' The phrase 'dog, who had' correctly indicates that Janet called her dog to run after a squirrel. In this case, 'who had' provides additional information about the dog, making the sentence grammatically accurate. Choices B, C, and D are incorrect because they do not use the appropriate relative pronoun 'who' for referring to animals.

2. What punctuation is needed in this sentence to make it correct? Remember the old saying: Out of sight, out of mind.

• A. Exclamation point
• B. Apostrophe
• C. Colon
• D. Semicolon

Correct answer: C

Rationale: The correct punctuation needed in the sentence is a colon. A colon is used to introduce a list or an explanation. In this case, the colon helps to indicate that the following phrase ('Remember the old saying') is providing an explanation or clarification related to the phrase before it. Choice A, the exclamation point, is incorrect as the sentence is not expressing strong emotion or excitement. Choice B, the apostrophe, is incorrect as it is not needed for possession or contraction. Choice D, the semicolon, is incorrect as it is used to connect two independent clauses, which is not the case here.

3. When providing culturally competent care, how should nurses incorporate cultural assessments into health assessments? Which statement is most appropriate when initiating an assessment of cultural beliefs with an elderly American Indian patient?

• A. "Are you of the Christian faith?"
• B. "Do you want to see a medicine man?"
• C. "How often do you seek help from medical providers?"
• D. "What cultural or spiritual beliefs are important to you?"

Correct answer: D

Rationale: The most appropriate statement to initiate an assessment of cultural beliefs with an elderly American Indian patient is to ask, "What cultural or spiritual beliefs are important to you?" This question encourages the patient to share their personal beliefs without assuming stereotypes or making generalizations. It allows the patient to express their individual cultural and spiritual practices, enabling nurses to deliver more personalized and culturally competent care. Choices A, B, and C are not as suitable. Choice A assumes a specific faith without considering the patient's actual beliefs. Choice B relies on a stereotype about American Indian culture, and Choice C focuses more on seeking medical help rather than exploring cultural beliefs.

4. What is the meaning of exocytosis?

• A. The cell engulfs and brings in substances.
• B. The cell releases content outside by fusing with the plasma membrane.
• C. The cell engulfs liquid material.
• D. The cell brings in solid particles.

Correct answer: B

Rationale: Exocytosis is the process by which a cell releases substances to the outside by fusing with the plasma membrane. During exocytosis, vesicles containing molecules fuse with the cell membrane, allowing the release of the contents outside the cell. This process is crucial for the secretion of various substances such as hormones, enzymes, and neurotransmitters. Choices A, C, and D are incorrect as they describe processes different from exocytosis. Choice A describes endocytosis, where the cell engulfs substances to bring them into the cell. Choice C is more aligned with pinocytosis, the process of engulfing liquid material. Choice D refers to phagocytosis, which is the uptake of solid particles by the cell.

5. Which of the following describes the purpose of the passage?

• A. To describe the causes of cystic fibrosis
• B. To explain how cystic fibrosis is passed down through families
• C. To provide an overview of CF and how it is inherited
• D. To review why some Americans have CF, but others do not

Correct answer: C

Rationale: The correct answer is C. The passage aims to provide an overview of cystic fibrosis (CF) and how it is inherited. It explains that CF is passed down through families due to a defective gene, detailing how this gene affects the body and who is most commonly affected by the disease. Choices A, B, and D are incorrect because the passage does not solely focus on describing the causes of CF, explaining how it is passed down through families, or reviewing why some Americans have CF while others do not. Instead, it provides a broader perspective on CF and its inheritance.

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