Nursing Elites

1. An enervated patient is ___________.

• A. anxious
• B. immature
• C. tired
• D. frightened

Correct answer: C

Rationale: Enervated refers to being weakened or lacking energy, so an enervated patient would likely be fatigued or tired. This term does not specifically imply anxiety, immaturity, or fear, making 'tired' the most suitable choice in this context. 'Anxious' (choice A) means feeling nervous or worried, which is not directly related to being enervated. 'Immature' (choice B) refers to lacking maturity or development, which is unrelated to the patient's energy level. 'Frightened' (choice D) means feeling afraid or scared, which is not necessarily connected to being enervated.

2. Select the meaning of the word 'dilation' in the sentence: 'The laboring mother was at 50% dilation.'

• A. Blood pressure
• B. Cervical opening
• C. Birth process
• D. Exhumation

Correct answer: B

Rationale: In the context provided, 'dilation' refers to the widening or opening of the cervix during labor as the woman progresses towards childbirth. Choice A, 'Blood pressure,' is incorrect as dilation does not relate to blood pressure. Choice C, 'Birth process,' is too broad and does not specifically define the term 'dilation.' Choice D, 'Exhumation,' is unrelated and does not fit the context of the sentence.

3. Select the meaning of the word 'initial' in the sentence: 'The doctor made an initial examination of the patient.'

• A. Complete
• B. First
• C. Incomplete
• D. Discharge

Correct answer: B

Rationale: In this context, 'initial' means 'first,' referring to the first examination conducted by the doctor. The initial examination is the first assessment or evaluation performed on the patient. Therefore, 'first' is the correct meaning in this sentence. 'Complete' (choice A) is incorrect as initial does not imply completeness, 'incomplete' (choice C) is incorrect as initial does not mean unfinished, and 'discharge' (choice D) is unrelated to the concept of an initial examination.

4. 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.

5. Choose the meaning of the word 'distended' in the following sentence: 'The patient's distended veins were a cause for worry.'

• A. Bleeding
• B. Enlarged
• C. Pressure
• D. Minuscule

Correct answer: B

Rationale: The term 'distended' means swollen or enlarged. In this context, when the patient's veins are described as distended, it implies that they are expanded or swollen beyond their normal size, which can be a cause for worry due to potential health implications. Choice A ('Bleeding') is incorrect as 'distended' does not refer to bleeding but rather to being swollen. Choice C ('Pressure') is incorrect as 'distended' does not directly imply pressure but rather enlargement. Choice D ('Minuscule') is incorrect as 'distended' means the opposite of minuscule, indicating something enlarged or swollen.

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