Nursing Elites

1. Which of the following best describes decertification?

• A. Encourage union affiliation
• B. Change union affiliation
• C. Reward union affiliation
• D. Empower union affiliation

Correct answer: B

Rationale: Decertification is the process of removing or changing union affiliation. Choosing option B, 'Change union affiliation,' correctly reflects this definition. Option A, 'Encourage union affiliation,' is incorrect as decertification is not about promoting union membership but rather altering it. Option C, 'Reward union affiliation,' is incorrect as decertification does not involve rewarding union membership. Option D, 'Empower union affiliation,' is incorrect as decertification does not empower union membership but rather modifies or eliminates it.

2. What is the best description of cultural competence in nursing?

• A. Ignoring cultural differences
• B. Adapting care to cultural needs
• C. Learning about different cultures
• D. Teaching cultural awareness

Correct answer: B

Rationale: Cultural competence in nursing means adapting care to meet the cultural needs of patients. This involves understanding and respecting the cultural differences of individuals to provide effective and appropriate healthcare. Choice A is incorrect because ignoring cultural differences goes against the essence of cultural competence. Choice C is not the best description as cultural competence is more than just learning about different cultures; it is about applying that knowledge in providing care. Choice D is not the best description as teaching cultural awareness is only a part of developing cultural competence, but it also requires practical application in care delivery.

3. Which of the following clients would most likely be selected for case management?

• A. An adolescent with a gunshot wound who is in the ER.
• B. A young adult with a fractured pelvis.
• C. An elderly client awaiting a hip replacement.
• D. A 41-year-old client admitted for outpatient tonsillectomy.

Correct answer: C

Rationale: The correct answer is C, an elderly client awaiting a hip replacement. This choice is most likely selected for case management because hip replacements are common surgical procedures with high volume in hospitals, making it appropriate for case management. Choices A, B, and D involve acute care conditions but do not typically require the same level of coordination and management that a hip replacement case would. Therefore, they are less likely to be selected for case management.

4. Which of the following are important techniques when giving directions to subordinates? (EXCEPT)

• A. Know the context of the instructions.
• B. Use lateral communication.
• C. Verify feedback.
• D. Get positive attention.

Correct answer: B

Rationale: The correct answer is B: 'Use lateral communication.' When giving directions to subordinates, it is important to know the context of the instructions, get positive attention, verify feedback, and give follow-up communication. Lateral communication refers to communication between individuals or groups on the same organizational level, which is not directly related to giving directions to subordinates. Choices A, C, and D are important techniques that help ensure effective communication with subordinates.

5. When seeking their first nursing job, what is the most important factor that nursing graduates look for?

• A. Location
• B. Money
• C. Orientation
• D. Vacation

Correct answer: C

Rationale: The correct answer is C: Orientation. Nursing graduates prioritize the orientation program when seeking their first job as it helps them transition smoothly into their new role. Choices A, B, and D are incorrect. While location, salary, and vacation time are important considerations, nursing graduates specifically value a comprehensive orientation program to support their initial professional development.

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