Nursing Elites

1. Which of the following is a positive benefit of conflict within an organization?

• A. Conflict leads to compromise of values and beliefs.
• B. Conflict leads to intergroup collaboration.
• C. Conflict helps people recognize differences and motivates them towards improved performance.
• D. Conflict always results in a win-win resolution.

Correct answer: C

Rationale: The correct answer is C. Conflict within an organization can have positive outcomes as it helps individuals recognize legitimate differences, fostering diversity of thought and perspectives. This recognition can serve as a motivator for individuals to enhance their performance in order to address and adapt to these differences effectively, ultimately leading to improved organizational outcomes. Choice A is incorrect because conflict should not lead to compromising core values and beliefs. Choice B is incorrect as conflict typically leads to competition rather than collaboration. Choice D is incorrect because conflict does not always result in a win-win resolution; in reality, conflicts often involve compromise and trade-offs rather than everyone winning.

2. Which of the following best describes the concept of shared governance?

• A. Top-down management
• B. Nurse-led committees
• C. Shared decision making
• D. Hierarchical structure

Correct answer: C

Rationale: The correct answer is C: 'Shared decision making.' Shared governance in healthcare involves empowering nurses to participate in decision-making processes that affect their practice. This model fosters collaboration, transparency, and accountability among healthcare providers. Choice A, 'Top-down management,' is incorrect because shared governance promotes a bottom-up approach. Choice B, 'Nurse-led committees,' is partially correct as it is a component of shared governance, but the core concept is broader and encompasses shared decision making beyond committee leadership. Choice D, 'Hierarchical structure,' is incorrect as shared governance aims to flatten hierarchies and distribute decision-making authority among healthcare team members.

3. What is the primary role of a nurse in palliative care?

• A. To provide emotional support to patients and families
• B. To coordinate patient care and provide pain management
• C. To administer medications and treatments
• D. To conduct research on end-of-life care

Correct answer: B

Rationale: The correct answer is B. In palliative care, a nurse's primary role is to coordinate patient care and provide pain management. While emotional support (Choice A) is a crucial aspect of palliative care, it is not the primary role of a nurse in this setting. Administering medications and treatments (Choice C) is part of the nurse's responsibilities but not the primary role. Conducting research (Choice D) is important for advancing palliative care but is not the primary role of a nurse providing direct patient care in this context.

4. Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)

• A. At least 1,250 hours during the previous 12 months.
• B. At least 12 months.
• C. At least six months.
• D. At a work site with 50 employees within a 75-mile radius.

Correct answer: C

Rationale: Employees are eligible to take a leave of absence if they have worked for the employer for at least 12 months, have worked at least 1,250 hours during the previous 12 months, and are at a work site with 50 or more employees, or at a site where 50 workers are employed within 75 miles of the work site. The statement 'At least six months' is incorrect as the requirement is for 12 months of work to be eligible for a leave of absence.

5. An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?

• A. Hemoglobin A1C level 6.2%
• B. Blood pressure 146/88 mmHg
• C. Heart rate at rest 58 beats/minute
• D. High-density lipoprotein (HDL) level 65 mg/dL

Correct answer: B

Rationale: The correct answer is B. In a young adult with type 1 diabetes, a blood pressure of 146/88 mmHg may indicate the need for a change in therapy as it is above the recommended target levels. High blood pressure can increase the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not necessarily indicate the need for an immediate change in therapy. A Hemoglobin A1C level of 6.2% is generally considered good control for a diabetic patient, a resting heart rate of 58 beats/minute is normal for an active individual, and an HDL level of 65 mg/dL is considered to be in the desirable range for heart health.

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