Nursing Elites

1. Who is the best person to describe the job to an applicant?

• A. Previous employee
• B. Human resource manager
• C. Nursing manager
• D. Chief operating officer

Correct answer: C

Rationale: The nursing manager is the most suitable person to describe the job to an applicant because they are directly involved in the day-to-day operations and requirements of the position. They have firsthand knowledge of the job responsibilities, expectations, and qualifications needed. Human resource managers are involved in recruitment but may not have the detailed operational knowledge that a nursing manager possesses. A previous employee may provide insights into the work environment but may not have a comprehensive understanding of the current job requirements. The chief operating officer oversees the organization's overall operations and strategy, so they may not have the specific details about the job to effectively describe it to an applicant.

2. Which of the following best describes the role of a nurse preceptor?

• A. Supervisor of all nursing staff
• B. Mentor and educator for new nurses
• C. Director of nursing services
• D. Coordinator of patient care

Correct answer: B

Rationale: The correct answer is B: 'Mentor and educator for new nurses.' A nurse preceptor plays a crucial role in mentoring and educating new nurses. They provide guidance, support, and practical knowledge to help new nurses transition smoothly into their roles. While preceptors may have supervisory responsibilities during the orientation period, their primary focus is on supporting the professional development of new nurses, rather than supervising all nursing staff, directing nursing services, or coordinating patient care. Choice A is incorrect because a nurse preceptor does not supervise all nursing staff but focuses on new nurses. Choice C is incorrect as the role of a director of nursing services involves overall management and leadership of nursing services. Choice D is incorrect as a coordinator of patient care is responsible for organizing patient care activities, not specifically focused on mentoring new nurses.

3. Which of the following best describes the role of a clinical nurse specialist (CNS)?

• A. Direct patient care provider
• B. Administrator of healthcare facilities
• C. Consultant for nursing staff
• D. Policy maker in healthcare organizations

Correct answer: C

Rationale: The correct answer is C. A clinical nurse specialist (CNS) serves as a consultant for nursing staff, providing expert advice and guidance on clinical practice. Choice A, 'Direct patient care provider,' is incorrect as CNS typically focus more on education, research, and consultation rather than direct patient care. Choice B, 'Administrator of healthcare facilities,' is incorrect as this role is usually fulfilled by nurse administrators or nurse managers. Choice D, 'Policy maker in healthcare organizations,' is incorrect as policy-making roles are typically held by individuals in healthcare administration or government positions.

4. A diabetic patient who has reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline (Elavil)?

• A. Amitriptyline decreases the depression caused by your foot pain.
• B. Amitriptyline helps prevent transmission of pain impulses to the brain.
• C. Amitriptyline corrects some of the blood vessel changes that cause pain.
• D. Amitriptyline improves sleep and reduces awareness of nighttime pain.

Correct answer: B

Rationale: The correct answer is B. Amitriptyline is a tricyclic antidepressant that works by inhibiting the reuptake of serotonin and norepinephrine, which helps in reducing the transmission of pain impulses to the brain. Choice A is incorrect because amitriptyline primarily works on pain transmission rather than directly on depression. Choice C is inaccurate as amitriptyline's mechanism of action is not related to correcting blood vessel changes. Choice D is partially true as amitriptyline can improve sleep, but the primary mechanism related to pain relief is by preventing pain impulses from reaching the brain.

5. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

• A. Select flat-soled leather shoes
• B. Apply heating pads on a low temperature.
• C. Avoid using callus remover for corns or calluses.
• D. Refrain from soaking feet in warm water for an hour each day.

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

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