Nursing Elites

1. Choose the meaning of the word 'tremulous' in the following sentence: 'The patient held out a tremulous hand and grasped the paperwork.'

• A. Wrinkled and wizened
• B. Pale and lifeless
• C. Clenched and arthritic
• D. Quivering and weak

Correct answer: D

Rationale: In this sentence, the word 'tremulous' is used to describe the patient's hand. When someone's hand is described as tremulous, it means it is quivering or shaking, indicating weakness or distress. Therefore, the correct meaning of 'tremulous' in this context is quivering and weak. Choices A, B, and C are incorrect because they do not capture the specific meaning of 'tremulous' in this context. 'Wrinkled and wizened' refers to being old and withered, 'pale and lifeless' describes a lack of color and vitality, and 'clenched and arthritic' implies a tight grip and joint inflammation, none of which accurately represent the trembling or shaking nature of a tremulous hand.

2. Choose the meaning of the word 'persistent' in the following sentence: 'The elderly patient has been fighting a persistent cold.'

• A. Typical
• B. Harmless
• C. Without cure
• D. Lasting a long time

Correct answer: D

Rationale: In the sentence provided, the word 'persistent' is used to describe the cold, indicating that it has been lasting for a long time without going away easily. This choice emphasizes the prolonged nature of the cold. Choices A, B, and C are incorrect because 'persistent' does not mean 'typical,' 'harmless,' or 'without cure' in this context. The key is to focus on the word's meaning in relation to the duration of the cold.

3. What does the term 'counterfeit' mean?

• A. Real
• B. Fake
• C. Accurate
• D. Honest

Correct answer: B

Rationale: The correct answer is B: 'Fake.' Counterfeit refers to something that is not genuine or a copy made to deceive. Choice A, 'Real,' is incorrect because counterfeit items are not real. Choice C, 'Accurate,' is incorrect as counterfeit implies inaccuracy. Choice D, 'Honest,' is incorrect as counterfeit items are deceptive and not honest.

4. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation 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: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

5. Choose the meaning of the word 'coterie' in the following sentence: 'Julia and her coterie are often out at local clubs until the wee hours.'

• A. A close group of friends
• B. An extended family
• C. An engaged person
• D. A manager or director

Correct answer: A

Rationale: In this context, the word 'coterie' refers to a small group of people who share similar interests or activities, typically a close-knit circle of friends. The other choices are incorrect. 'An extended family' refers to relatives beyond the nuclear family, 'an engaged person' is someone committed to be married, and 'a manager or director' are job roles unrelated to the context of the sentence.

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