Nursing Elites

1. When patients are being counseled, what is happening?

• A. They are being discharged
• B. They are being advised
• C. They are being neglected
• D. They are being comforted

Correct answer: B

Rationale: When patients are being counseled, they are being advised or guided. Counseling involves providing support, guidance, and advice to help patients cope with their challenges. Choice A is incorrect because counseling is not about discharging patients. Choice C is incorrect because counseling is the opposite of neglect; it is actively providing support. Choice D is incorrect because while comfort may be a part of counseling, the primary focus is on providing guidance and advice to address issues, not just comfort.

2. Select the meaning of the word 'holistic' in the sentence: 'Dr. Grant ignored Mary's particular symptoms, instead administering a holistic treatment.'

• A. insensitive
• B. ignorant
• C. specialized
• D. concerned with the whole

Correct answer: D

Rationale: In this context, 'holistic' means concerned with the whole person, considering physical, mental, and social factors, rather than just addressing specific symptoms. Therefore, the correct answer is D. Choices A, B, and C are incorrect because 'holistic' does not mean insensitive, ignorant, or specialized in this context.

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. Choose the meaning of the word 'quarantine' in the following sentence: 'The patients are under quarantine until further notice.'

• A. A specialist's care
• B. Experimental drug therapy
• C. Imprisonment in a rehabilitation unit
• D. Confinement away from the general population

Correct answer: D

Rationale: In this sentence, the word 'quarantine' is used to convey the idea that the patients are isolated or separated from the general population. Quarantine is often implemented to prevent the spread of diseases or infections, and in this context, it implies confinement or isolation to ensure the safety of others. The other choices are incorrect because 'A' refers to specialized medical attention, 'B' refers to a specific medical treatment, and 'C' implies being held against one's will in a rehab facility, none of which capture the meaning of 'quarantine' as used in the sentence provided.

5. Which verb is defined as to bring about; cause to happen; to accomplish; to make?

• A. Affect
• B. Accept
• C. Expect
• D. Effect

Correct answer: D

Rationale: The correct answer is D, 'effect.' The verb 'effect' is defined as to bring about, cause to happen, accomplish, or make. It describes the action of making something happen or producing a result. Choices A, B, and C are incorrect because 'affect' means to influence, 'accept' means to receive willingly, and 'expect' means to anticipate. Therefore, the correct choice is D, 'effect.'

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