Nursing Elites

1. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

2. Choose the meaning of the word intact in the following sentence: 'The capsule remains intact even when placed in water.'

• A. Viable
• B. Operational
• C. Tinted
• D. Whole

Correct answer: D

Rationale: In this sentence, the word 'intact' is synonymous with 'whole,' meaning that the capsule remains undamaged or complete even when placed in water. Choices A, B, and C are incorrect. 'Viable' means capable of working successfully, 'operational' means in working order, and 'tinted' means slightly colored.

3. Select the meaning of the word 'symmetric' in the sentence: 'The symmetric patterns of scarring were evident on the patient's back.'

• A. scabbed
• B. painful
• C. corresponding
• D. geometric

Correct answer: C

Rationale: In this context, 'symmetric' refers to patterns that correspond or are balanced on both sides, exhibiting symmetry. The scarring on the patient's back displayed a mirrored or corresponding arrangement. Choices A, B, and D are incorrect because 'symmetric' does not mean scabbed, painful, or geometric in this sentence.

4. The student observed the tricky procedure with a certain amount of trepidation. What does trepidation mean?

• A. Confidence
• B. Misgivings
• C. Fear
• D. Doubt

Correct answer: B

Rationale: The correct answer is B: Misgivings. Trepidation means a feeling of fear or apprehension. In this context, the student observed the procedure with a certain amount of trepidation, indicating that they were feeling uneasy or fearful. Choices A, C, and D are incorrect. Confidence (choice A) is the opposite of trepidation, as it denotes a feeling of self-assurance. Fear (choice C) is the closest synonym to trepidation, making it an attractive distractor, but it is not the correct answer. Doubt (choice D) is different from trepidation, as doubt refers to a feeling of uncertainty or lack of conviction, not necessarily fear or apprehension.

5. A patient who is lethargic may seem _______

• A. Energetic
• B. Exhausted
• C. Restless
• D. Hyperactive

Correct answer: B

Rationale: The correct answer is B: 'Exhausted.' Lethargic describes a state of feeling sluggish or lacking energy, which aligns with being exhausted. Choice A, 'Energetic,' is the opposite of lethargic. Choice C, 'Restless,' implies a different state of agitation than lethargy. Choice D, 'Hyperactive,' describes excessive activity, which contrasts with the lethargic state.

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