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. The interns observed the CONTOURS of the patients' rash. What does Contours mean?

• A. Color
• B. Shape
• C. Size
• D. Texture

Correct answer: B

Rationale: The correct answer is B: 'Shape.' Contours refer to the outline or shape of something. In this context, the interns were observing the shape or outline of the patients' rash, not the color, size, or texture. Colors, sizes, and textures are not typically described as contours, making choices A, C, and D incorrect.

3. As the leader of a group, the charge nurse is open to new ideas and thoughts of the group. The charge nurse encourages the group to participate in making decisions. This type of leadership is called:

• A. Laissez-faire
• B. Autocratic
• C. Democratic
• D. Direct

Correct answer: C

Rationale: The correct answer is 'Democratic.' A 'Democratic' leadership style involves the leader being open to new ideas and thoughts from the group and encourages group participation in decision-making. This style promotes collaboration, communication, and inclusivity in decision-making processes. 'Laissez-faire' leadership is characterized by a hands-off approach with minimal guidance or direction. 'Autocratic' leadership is where the leader makes decisions without much input from the group. 'Direct' leadership is not a widely recognized leadership style in this context.

4. Select the word or phrase in the sentence that is not used correctly: 'Her teacher asked her what would she do after she graduated from nursing school.'

• A. She
• B. From
• C. Would
• D. Her

Correct answer: C

Rationale: The correct answer is C. The phrase 'what would she do' is incorrect because in English questions, the word order for modal verbs like 'would' should be 'she would do' instead of 'would she do'. The correct structure should be 'her teacher asked her what she would do after she graduated from nursing school.' Choices A, B, and D are used correctly in the sentence and do not contain any errors.

5. After treatment, his PROGNOSIS was excellent. What does the term PROGNOSIS refer to?

• A. Compliance
• B. Range of motion
• C. Expected outcome
• D. Conclusion

Correct answer: C

Rationale: The term 'PROGNOSIS' refers to the expected outcome or likelihood of recovery after a specific treatment or illness. In this context, the word 'PROGNOSIS' directly relates to the expected outcome following the treatment, making choice C - Expected outcome - the correct answer. Choices A, B, and D are incorrect because 'Compliance' refers to following instructions, 'Range of motion' relates to the extent of movement in a joint, and 'Conclusion' is a summary or final decision, none of which captures the meaning of 'PROGNOSIS.'

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