Nursing Elites

1. A note in the patients' medical record states anticipatory grieving, which patient situations 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: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

2. What does 'Impaired' mean?

• A. Increased capability
• B. Diminished or lacking usual quality
• C. Hyperactive
• D. Stronger than usual

Correct answer: B

Rationale: The term 'Impaired' means diminished or lacking usual quality. This choice is correct as it accurately reflects the meaning of the word. Choices A, C, and D are incorrect. Choice A, 'Increased capability,' is the opposite of impaired. Choice C, 'Hyperactive,' refers to excessive activity rather than a lack of usual quality. Choice D, 'Stronger than usual,' does not capture the meaning of impaired.

3. The nurse noted in the chart, 'The patient is lethargic.' How was the patient behaving?

• A. Pacing the halls
• B. Difficult to arouse
• C. Shaking uncontrollably
• D. Not responding to pain

Correct answer: B

Rationale: The correct answer is B: 'Difficult to arouse.' 'Lethargic' is a medical term used to describe a state of drowsiness or lack of energy, making the patient difficult to arouse. Choices A, C, and D describe different behaviors that are not indicative of lethargy. A patient who is pacing the halls is more likely to be agitated, while shaking uncontrollably may suggest tremors or seizures. Not responding to pain indicates a lack of reaction to painful stimuli but does not directly reflect being lethargic.

4. What does 'inflamed' mean?

• A. Healthy and normal
• B. Reddened, swollen, and often tender
• C. Discolored but not swollen
• D. Hard and stiff

Correct answer: B

Rationale: The term 'inflamed' means being red, swollen, and often tender. It is a common response of the body to injury or infection, involving increased blood flow and immune cell activity. Choice A is incorrect because 'inflamed' does not describe a state of being healthy and normal. Choice C is incorrect as it only mentions discoloration without the characteristic swelling. Choice D is incorrect as 'inflamed' does not imply being hard and stiff.

5. The student _____ for the final exam.

• A. was preparing
• B. was studying
• C. had studied
• D. is studying

Correct answer: B

Rationale: In the given sentence, the past continuous tense 'was studying' is the most appropriate choice to indicate an ongoing action in the past. 'Was preparing' (choice A) implies a completed action rather than an ongoing one. 'Had studied' (choice C) is past perfect tense, which is not suitable for indicating an ongoing action. 'Is studying' (choice D) is present continuous tense and does not fit the past context of the sentence.

Similar Questions