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. What does 'expand' mean?

• A. To decrease in size
• B. To increase in size or amount
• C. To spread out
• D. To eliminate

Correct answer: B

Rationale: The correct answer is B. 'Expand' means to increase in size or amount. Choice A, 'To decrease in size,' is the opposite of what 'expand' means. Choice C, 'To spread out,' is related to expanding but does not precisely define the term. Choice D, 'To eliminate,' is not synonymous with the term 'expand.'

3. A truculent patient is ______

• A. Friendly
• B. Argumentative
• C. Cooperative
• D. Passive

Correct answer: B

Rationale: A truculent patient is characterized by being argumentative or hostile. This type of patient tends to be confrontational and uncooperative, often displaying aggressive behavior. Choice A, 'Friendly,' is incorrect as truculent patients are not known for their friendliness. Choice C, 'Cooperative,' is also incorrect as truculent patients are the opposite of cooperative. Choice D, 'Passive,' is incorrect because truculent patients are not passive but rather assertive and combative.

4. Select the correct definition of the word 'prognosis' in the sentence: 'The doctor’s prognosis gave the patient reason to feel optimistic.'

• A. Instructions
• B. Estimate
• C. Behavior
• D. Outcome statement

Correct answer: D

Rationale: In the context provided, 'prognosis' refers to a doctor's prediction or statement about the likely outcome of a disease or condition. This makes 'Outcome statement' the correct choice. 'Instructions' (A) are not related to prognosis. 'Estimate' (B) is a rough calculation or approximation, not a prediction of an outcome. 'Behavior' (C) refers to actions, conduct, or manner of an individual, which is not the meaning of 'prognosis' in this sentence.

5. If a patient’s condition is upgraded, he is ___________.

• A. getting worse
• B. improving in status
• C. released from the hospital
• D. approved for surgery

Correct answer: B

Rationale: When a patient's condition is upgraded, it means that there has been an improvement in their medical status. This change usually indicates that the patient's health is improving or that they are responding well to treatment. Option A, 'getting worse,' is incorrect as an upgrade signifies a positive change. Option C, 'released from the hospital,' does not directly relate to an upgrade in the patient's condition. Option D, 'approved for surgery,' is unrelated to the patient's current medical status and the concept of an upgrade.

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