Nursing Elites

1. A researcher wants to investigate the relationship between family income and quality of medical care. Which statement provides the best reason to conduct this investigation?

• A. The researcher can identify affordable medical care to recommend to low-income families.
• B. The investigation can help identify individuals who are healthy so they can maintain their health.
• C. Results of this investigation may identify a group of people who do not receive quality medical care and could benefit from improved medical treatments.
• D. There is a valid reason to conduct this investigation.

Correct answer: C

Rationale: The correct answer is C because identifying a group of individuals who do not receive quality medical care can lead to targeted interventions to improve their access to better medical treatments. This investigation can help address disparities in healthcare and improve outcomes for those in need. Choice A is incorrect because the focus is on identifying those who lack quality medical care, not just affordable care. Choice B is incorrect as it misinterprets the purpose of the investigation, which is to improve medical care for those not receiving quality care, rather than maintaining the health of those already healthy. Choice D is too vague and does not provide a specific reason for conducting the investigation, unlike choice C which highlights the potential benefits of identifying individuals in need of improved medical treatments.

2. Where does most of the chemical digestion take place?

• A. Large intestine
• B. Stomach
• C. Small intestine
• D. Esophagus

Correct answer: C

Rationale: Most of the chemical digestion occurs in the small intestine. Enzymes in the small intestine break down nutrients into smaller molecules that can be absorbed by the body. The stomach plays a role in digestion by breaking down food mechanically and initiating some chemical digestion, but the majority of nutrient breakdown and absorption happens in the small intestine. The large intestine mainly absorbs water and salts, with little to no digestion taking place there. The esophagus is a muscular tube that helps move food from the mouth to the stomach and does not participate in digestion.

3. What phenomenon is responsible for the mirage effect seen in deserts?

• A. Diffraction
• B. Refraction
• C. Interference
• D. Polarization

Correct answer: B

Rationale: Refraction is the bending of light as it passes from one medium to another of different density. In deserts, the temperature gradient causes light to bend, creating the mirage effect where distant objects appear distorted or displaced. Diffraction refers to the bending of light around obstacles or apertures, not the cause of mirages. Interference involves the superposition of two or more waves, which is not the mechanism behind mirages. Polarization refers to the orientation of light waves in a specific plane and is not responsible for the mirage effect in deserts. Therefore, the correct answer is refraction.

4. In order to verify if a particular drug is responsible for the recovery of individuals with a disorder, what procedure would be most effective in testing its effectiveness?

• A. Ensure that neither the subjects nor the investigators know which subjects are given the drug and which are given the placebo.
• B. Ensure that the subjects do not know whether they are given the drug or the placebo, but the investigators are aware of who has received the medication.
• C. Ensure that the investigators do not know whether they are administering the drug or the placebo, but the subjects do know which they are receiving.
• D. Ensure that both the investigators and the subjects have full knowledge of which subjects are getting the drug and which are getting a placebo.

Correct answer: A

Rationale: The most effective procedure in testing whether the drug is responsible for the recovery is to ensure that neither the subjects nor the investigators know which subjects are given the drug and which are given the placebo. This method is known as a double-blind study, which helps eliminate biases and ensures that the results are reliable and not influenced by expectations or beliefs. By keeping both the subjects and investigators unaware of who is receiving the drug or placebo, the study can accurately determine the true impact of the drug on recovery. Choice B is incorrect as it only prevents the subjects from knowing which treatment they are receiving, allowing for potential bias from the investigators. Choice C is also incorrect as it allows for potential bias from the subjects. Choice D is incorrect as full knowledge of treatment allocation can introduce bias and affect the study's validity.

5. What is the initial step of the scientific method?

• A. construct a hypothesis
• B. make observations
• C. analyze data
• D. form a question

Correct answer: B

Rationale: The first step of the scientific method is to make observations. This involves collecting data and information about a specific phenomenon or problem. Observations serve as the basis for developing a question to be explored further. Forming a hypothesis (Choice A) comes after making observations, as the hypothesis is an educated guess to explain the observations. Analyzing data (Choice C) occurs later in the scientific method after data has been collected and experiments conducted. Forming a question (Choice D) is a crucial step but typically follows observations in the scientific process.

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