Nursing Elites

1. What is the primary function of discipline?

• A. To punish
• B. To evaluate
• C. To teach
• D. To ridicule

Correct answer: C

Rationale: The primary function of discipline is to teach individuals appropriate behavior and help them learn from their mistakes. Discipline is meant to guide individuals towards self-improvement and understanding of rules and expectations. Choices A, B, and D are incorrect because discipline is not primarily about punishment, evaluation, or ridicule. While consequences may be a part of discipline, the main goal is to educate and promote positive behavior.

2. Which of the following are managerial functions, according to Mintzberg? (EXCEPT)

• A. Leading and linking at the people level
• B. Communicating and controlling at the information level
• C. Deciding pay structures
• D. Doing at the action level

Correct answer: C

Rationale: The correct answer is C. Mintzberg believed that managing involves communicating and controlling at the information level, leading and linking at the people level, and doing at the action level. Choice A is correct as it aligns with Mintzberg's concept of leading and linking at the people level. Choice B is correct as it aligns with Mintzberg's concept of communicating and controlling at the information level. Choice D is correct as it aligns with Mintzberg's concept of doing at the action level. Choice C, deciding pay structures, is not a managerial function according to Mintzberg's model, making it the exception.

3. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?

• A. Measure the ankle-brachial index.
• B. Check for changes in skin pigmentation.
• C. Assess for unilateral or bilateral foot drop.
• D. Ask the patient about symptoms of depression.

Correct answer: A

Rationale: The correct answer is A: Measure the ankle-brachial index. This task involves using a Doppler ultrasound device to assess blood flow, which can be safely delegated to UAP. Choices B, C, and D require a higher level of assessment and interpretation that should be performed by licensed nursing staff. Checking for changes in skin pigmentation (B) and assessing for foot drop (C) involve more complex assessments that require nursing judgment. Asking about symptoms of depression (D) involves a psychosocial assessment, which should be performed by licensed personnel qualified to address mental health concerns.

4. Your nurse manager talks with you once per week to determine how you are adjusting to your role as a new nurse. She asks if you feel that you are able to provide good care to your patients, whether you are becoming familiar with the electronic health record, and whether your preceptor is encouraging your independence. This manager is demonstrating:

• A. An intrusive style.
• B. An effort to understand if you are coping with the demands.
• C. An attempt to intimidate.
• D. An authoritarian style.

Correct answer: B

Rationale: The correct answer is B. The nurse manager is showing an effort to understand if you are coping with the demands of your new role as a nurse. This approach demonstrates empathy and concern for your well-being and professional development. Choices A, C, and D are incorrect because there is no indication of intrusion, intimidation, or authoritarian behavior in the manager's actions. Instead, the manager is engaging in supportive and constructive communication to help you adjust and grow in your new position.

5. What is the primary purpose of clinical pathways in healthcare?

• A. Reduce hospital readmissions
• B. Standardize care
• C. Provide individualized care
• D. Streamline care processes

Correct answer: C

Rationale: The primary purpose of clinical pathways in healthcare is to provide individualized care. While clinical pathways do involve standardizing treatment plans, their main goal is to tailor these plans to the individual needs of patients. This customization ensures that patients receive care that is specific to their condition and requirements, rather than a one-size-fits-all approach. Choices A, B, and D are incorrect because although reducing hospital readmissions, standardizing care, and streamlining care processes can be benefits of clinical pathways, they are not the primary purpose. The main focus is on delivering personalized treatment paths to enhance patient outcomes.

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