Nursing Elites

1. On a voting ballot, the individuals who are to be elected during a vote are called:

• A. Representatives.
• B. Candidates.
• C. Bargaining agents.
• D. Electorate.

Correct answer: B

Rationale: The correct term for individuals who are to be elected during a vote is 'Candidates.' On a voting ballot, voters choose among the candidates running for a particular position or office. 'Representatives' (Choice A) are individuals who have already been elected to represent a group of people. 'Bargaining agents' (Choice C) typically refer to individuals negotiating on behalf of others, not those being elected. 'Electorate' (Choice D) refers to all the people in a country or area who are entitled to vote in an election, not specifically the candidates themselves.

2. Recent polls have placed nursing as one of the most trusted professions because of which of the following?

• A. Nurses engage in lifelong learning.
• B. Nurses abide by a dress code.
• C. Nurses have the skills needed to care for diverse populations.
• D. Nurses must pass the NCLEX in order to obtain a license to practice.

Correct answer: C

Rationale: Recent polls have identified nursing as one of the most trusted professions due to nurses possessing the necessary skills to provide care for diverse populations. This includes understanding and addressing the unique needs of individuals from various backgrounds and cultures. Choice A is incorrect because while nurses do engage in lifelong learning, this is not the primary reason for their trustworthiness. Choice B is also incorrect as abiding by a dress code does not directly contribute to the trust placed in nurses. Choice D is incorrect because passing the NCLEX exam is a regulatory requirement for obtaining a license and does not solely determine the trustworthiness of nurses in the eyes of the public.

3. As a new nurse at a healthcare organization offering a nurse residency program, what would benefit you the most?

• A. Avoiding challenging patient assignments to minimize the risk of errors.
• B. Relying on your clinical preceptor, similar to your relationship with your nurse faculty.
• C. Establishing professional goals based on your clinical knowledge.
• D. Engaging in evidence-based practice projects immediately.

Correct answer: C

Rationale: As a new nurse joining a nurse residency program, the most beneficial action would be to establish professional goals based on your clinical knowledge. Setting clear goals allows you to focus on your learning needs, competency development, and guidance from your clinical preceptor. This proactive approach helps you maximize your learning opportunities, shape your professional growth, and enhance your skills as a novice nurse. Choice A is incorrect because avoiding challenging patient assignments may hinder your learning and skill development. Choice B is incorrect as while the clinical preceptor is essential, solely relying on them without personal professional goals may limit your growth. Choice D is incorrect because engaging in evidence-based practice projects immediately may be overwhelming for a new nurse without first establishing foundational goals.

4. When a client with a terminal diagnosis asks about advance directives, what should the nurse do?

• A. Engage the client and ask why they want to discuss this without their partner present.
• B. Provide information on advance directives and offer brochures.
• C. Advise the client to schedule a discussion with their provider.
• D. Focus on the client's current feelings and postpone planning for a later time.

Correct answer: A

Rationale: Choice A is the correct response as it demonstrates active listening and empathy by engaging the client in a discussion about their concerns regarding advance directives. It also recognizes the importance of involving the client's partner in such discussions, promoting shared decision-making and support. Choices B and C lack the personalized approach needed in this situation and do not address the client's immediate request for information. Choice D is incorrect as it disregards the client's expressed need to discuss advance directives and focuses solely on their current feelings, delaying a crucial conversation.

5. An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN�s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?

• A. Fidelity
• B. Confidentiality
• C. Veracity
• D. Accountability

Correct answer: B

Rationale: The RN should consider the ethical principle of confidentiality when replying.

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