Nursing Elites

1. Which of the following best describes the role of an informatics nurse specialist?

• A. Managing electronic health records
• B. Providing technical support
• C. Educating nursing staff
• D. Improving patient care through technology

Correct answer: D

Rationale: An informatics nurse specialist focuses on improving patient care through technology by implementing, optimizing, and leveraging healthcare information systems. While managing electronic health records and providing technical support may be part of their responsibilities, the primary goal is to enhance patient outcomes and healthcare delivery through the strategic use of technology. Educating nursing staff, although important, is typically not the core role of an informatics nurse specialist.

2. Which statement to a patient newly diagnosed with type 2 diabetes is correct?

• A. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
• B. Insulin is not used to control blood glucose in patients with type 2 diabetes.
• C. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
• D. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.

Correct answer: C

Rationale: Choice C is the correct statement to convey to a patient newly diagnosed with type 2 diabetes. Lifestyle modifications, such as changes in diet and exercise, are essential components of managing type 2 diabetes. These changes can help control blood glucose levels and improve overall health. Options A, B, and D are incorrect statements. While complications of type 2 diabetes can be serious, they are different from those of type 1 diabetes. Some patients with type 2 diabetes may require insulin therapy, but it is not true that insulin is not used at all. Type 2 diabetes is not typically diagnosed during a hyperglycemic coma, as it is usually identified through routine screenings or symptoms unrelated to a coma.

3. A nurse is focusing on improving the ability to multitask without losing focus and to turn problems into opportunities. Which of the following leadership theories describes the nurse�s focus?

• A. Emotional intelligence
• B. Motivation theory
• C. Situational leadership theory
• D. Transformational leadership theory

Correct answer: D

Rationale: Transformational leadership theory describes the nurse�s focus.

4. The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following leadership styles would be most effective in this environment?

• A. Autocratic leadership
• B. Laissez-faire leadership
• C. Transactional leadership
• D. Transformational leadership

Correct answer: D

Rationale: In complex health care environments, transformational leadership is the most effective style. This leadership approach focuses on inspiring and motivating staff towards a shared vision. Autocratic leadership (choice A) is too controlling and may not foster innovation and adaptability needed in complex systems. Laissez-faire leadership (choice B) lacks guidance and may lead to confusion in intricate healthcare settings. Transactional leadership (choice C) focuses on tasks and rewards, but may not be as effective in promoting innovation and change management required in complex health care delivery systems.

5. When seeking their first nursing job, what is the most important factor that nursing graduates look for?

• A. Location
• B. Money
• C. Orientation
• D. Vacation

Correct answer: C

Rationale: The correct answer is C: Orientation. Nursing graduates prioritize the orientation program when seeking their first job as it helps them transition smoothly into their new role. Choices A, B, and D are incorrect. While location, salary, and vacation time are important considerations, nursing graduates specifically value a comprehensive orientation program to support their initial professional development.

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