I will answer in reverse order, as the last one indirectlya nswers all of them.
Here is the Grail http://www.wowwiki.com/Making_a_macro use it wisely ;)
3. There are many options can be thrown together in any order (ish) there are too many to list here but the link above has them all.
Basic rule of thumb [1][2] = 1 or 2, [1,2] = 1 and 2; within certain parameters (eg reset) / = or so yor example could be rewritten
Code:
/cleartarget [noharm][dead]
/targetenemy [target=target,noexists]
I think you may be able to do away with the target=target too
2. Not really, you could use a channeling spell like Drain Life to get them to turn to a target but this is the only way
1. There difference between target and focus is that by defaut spells will act upon the target if possible. you must explicitly specify focus as the recipient of a spell effect. There are default key bindings to set and change target.
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