Nursing Elites

1. 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.

2. Select the meaning of the underlined word in the following sentence. In children with high fevers, the use of aspirin is contraindicated.

• A. Banned
• B. Inadvisable
• C. Anticipated
• D. Expedient

Correct answer: B

Rationale: The word 'contraindicated' means not recommended or inadvisable in this context. It suggests that using aspirin for children with high fevers is not a good idea or is not suitable. The other options (A. Banned, C. Anticipated, D. Expedient) do not accurately convey the meaning of the word 'contraindicated' in this sentence. 'Banned' implies a prohibition, 'Anticipated' means expected, and 'Expedient' means convenient or practical, none of which capture the intended meaning of 'contraindicated.'

3. Select the meaning of the word 'distended' in the sentence: 'Wracked by abdominal pain, the victim of food poisoning moaned and rubbed his distended belly.'

• A. concave
• B. sore
• C. swollen
• D. empty

Correct answer: C

Rationale: The correct answer is C: 'swollen.' In the context provided, 'distended' refers to the victim's belly being enlarged or bloated due to abdominal pain. This matches the description of the victim moaning and rubbing his belly, indicating discomfort from swelling. Choices A, B, and D are incorrect. 'Concave' means having an inward curve, opposite to the intended meaning. 'Sore' means experiencing pain or discomfort, which is not directly related to the physical enlargement described in the sentence. 'Empty' means containing nothing, which contrasts with the idea of the belly being visibly enlarged or bloated.

4. Which statement indicates that the individual feels EMPATHY for the patient?

• A. I am also new to this town, so I understand how lost he feels here
• B. His symptoms are concerning and need to be addressed immediately
• C. He should follow the treatment plan strictly to get better
• D. I think he is exaggerating his pain to get attention

Correct answer: A

Rationale: Choice A, 'I am also new to this town, so I understand how lost he feels here,' demonstrates empathy towards the patient by showing the ability to relate to and understand the patient's feelings and experiences. Empathy involves understanding and sharing the feelings of another person, which is evident in this statement as the individual acknowledges and connects with the patient's emotional state. Choice B focuses on the urgency of addressing symptoms but lacks the emotional connection present in an empathetic response. Choice C emphasizes following a treatment plan without addressing the patient's emotional state. Choice D displays a lack of empathy by suggesting that the patient is exaggerating their pain for attention, showing a judgmental rather than understanding attitude.

5. What does Collusion refer to?

• A. Agreement
• B. Conspiracy
• C. Misunderstanding
• D. Honesty

Correct answer: B

Rationale: Collusion refers to a secret agreement or conspiracy, often for deceitful or illegal purposes. While choices A, C, and D may involve some level of agreement or understanding, collusion specifically implies a secretive and usually dishonest arrangement, making choices A, C, and D incorrect in this context.

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