select the meaning of the underlined word in the following sentence older patients with dementia may show signs of puerilism
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HESI A2

HESI A2 Vocabulary 2024

1. Choose the meaning of the word 'puerilism' in the following sentence: 'Older patients with dementia may show signs of puerilism.'

Correct answer: D

Rationale: Correct! Puerilism refers to behaving in a childish or immature manner. In the context of older patients with dementia showing signs of puerilism, it suggests they may exhibit behaviors associated with acting like a child. Choice A, 'Congeniality,' is incorrect as it means friendliness or pleasantness. Choice B, 'Depression,' is incorrect as it refers to a state of low mood. Choice C, 'Irritability,' is incorrect as it means easily annoyed or provoked, which is different from behaving childishly.

2. If they _____ that the weather was going to be so bad, they wouldn't have gone to the beach.

Correct answer: B

Rationale: The correct answer is 'B: had known.' In this conditional sentence, the past perfect tense is required to indicate that knowing about the weather should have happened before going to the beach. 'Knew' (choice A and C) is in the simple past tense, which doesn't convey the sequence of events accurately. 'Could have known' (choice D) is incorrect as it implies a possibility of knowing in the past, but it doesn't fit the context of the sentence where the emphasis is on prior knowledge before going to the beach.

3. What does 'lethargic' mean?

Correct answer: B

Rationale: Lethargic refers to a state of sluggishness or drowsiness, making it difficult for a person to become alert or aroused. This term is the opposite of being active, energized, or wide awake. Choice A is incorrect as 'lethargic' is the opposite of 'active.' Choice C is incorrect as 'lethargic' implies a lack of energy. Choice D is incorrect as 'lethargic' signifies drowsiness, the opposite of being 'wide awake.' The correct answer is B.

4. In the address 'Mr. Ryan, 1600 Pennsylvania Ave., Washington, DC 20003,' which word is the salutation?

Correct answer: D

Rationale: The correct answer is 'D - Mr.' The salutation is the formal title used before a person's name, which in this case is 'Mr.' Other choices are incorrect as '1600 Pennsylvania Ave.' is the street address, '20003' is the zip code, and 'Ryan' is the recipient's name.

5. What is the emotional state of the man after becoming an invalid?

Correct answer: A

Rationale: The correct answer is A: Dejected. After becoming INVALID, one is likely to feel dejected, meaning sad and disheartened due to feeling invalidated or rejected. It is a common emotional response to a situation where one's worth or validity is questioned or denied. Option B, shamefully fearful, does not directly relate to the emotional state associated with being an invalid. Option C, injured, does not capture the emotional aspect but rather focuses on the physical condition. Option D, symbiotic, refers to a mutually beneficial relationship between two different organisms and is not relevant to the emotional state of an individual after becoming an invalid.

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