Nursing Elites

1. What is dysfunctional turnover?

• A. Retaining all employees.
• B. Losing employees consistently.
• C. Losing highly skilled employees who are hard to replace.
• D. Hiring new employees.

Correct answer: C

Rationale: Dysfunctional turnover refers to the loss of valuable, skilled employees who are challenging to replace. This turnover can be detrimental to an organization's performance and productivity. Choices A, B, and D are incorrect because dysfunctional turnover specifically involves losing high-quality employees, not retaining all employees, losing employees consistently, or hiring new employees.

2. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?

• A. Use the complete name of the medication magnesium sulfate.
• B. Delete the space between the numerical dose and the unit of measure.
• C. Use the abbreviation SC when indicating a subcutaneous injection.
• D. Write the letter U when noting the dosage of insulin.

Correct answer: C

Rationale: The correct statement that the nurse manager should include in the teaching session is to use the abbreviation SC when indicating a subcutaneous injection. This is important for accurate and standardized medication documentation. Choice A is incorrect because using the complete name of medications is not always necessary and may lead to errors. Choice B is incorrect as spaces between dose and unit of measure are required for clarity and to avoid misinterpretation. Choice D is incorrect because the standard abbreviation for units should be used instead of the letter U to prevent confusion.

3. A nurse recognizes which of the following as a primary goal of nursing?

• A. Assist patients to achieve a peaceful death.
• B. Improve personal knowledge and skills to enhance patient outcomes.
• C. Advocate for quality of life rather than quantity of life.
• D. Work to control costs to enhance patients' quality of life.

Correct answer: A

Rationale: The primary goal of nursing is to promote health, prevent illness, alleviate suffering, and care for the sick. Assisting patients to achieve a peaceful death is an essential aspect of nursing care, ensuring dignity and comfort in the end-of-life phase. While improving personal knowledge and advocating for quality of life are important aspects of nursing, the primary goal remains the well-being and comfort of patients, even in death. Working to control costs, while a consideration in healthcare, is not the primary goal of nursing, which is centered on patient care and well-being.

4. Which of the following is an example of a secondary prevention strategy?

• A. Administering flu vaccinations
• B. Screening for hypertension
• C. Performing a mastectomy
• D. Providing rehabilitation after surgery

Correct answer: B

Rationale: Screening for hypertension is indeed an example of a secondary prevention strategy. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Administering flu vaccinations (Choice A) is an example of primary prevention, aimed at preventing the disease from occurring. Performing a mastectomy (Choice C) is a treatment for an existing condition and not a preventive strategy. Providing rehabilitation after surgery (Choice D) is a form of tertiary prevention that focuses on restoring function and improving quality of life after an illness or injury.

5. Which of the following is an example of a tertiary prevention strategy?

• A. Administering childhood vaccinations
• B. Chemotherapy for cancer treatment
• C. Routine screening for hypertension
• D. Physical therapy for stroke rehabilitation

Correct answer: D

Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention aims to prevent complications and manage existing conditions to improve the quality of life. Administering childhood vaccinations (A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (B) is a form of secondary prevention focusing on early detection and treatment to stop the progression of the disease. Routine screening for hypertension (C) is also a form of secondary prevention to detect and treat hypertension early, preventing further complications.

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