Nursing Elites

1. The author suggests that persistent passivity and imperturbability may be a direct result of which of the following?

• A. Drug-induced stimulation of the amygdala.
• B. A stroke that resulted in severe tissue damage in the limbic system.
• C. Encephalitis as a result of head trauma.
• D. Activation of a strategically implanted electrode in a patient’s amygdala.

Correct answer: B

Rationale: The correct answer is B. The passage highlights that damage to the limbic system, specifically the amygdala, can lead to passivity and lack of aggression. This is supported by the statement that patients with trauma or damage to the amygdala exhibit a complete absence of aggression. Thus, a stroke causing severe tissue damage in the limbic system, including the amygdala, can result in persistent passivity and imperturbability. Choices A, C, and D are incorrect because they do not directly relate to damage in the limbic system, which is specifically mentioned in the passage as the cause of the described behaviors.

2. Which of the following statements is an opinion related to Hypertension?

• A. Obese people are at risk for hypertension.
• B. Losing weight can decrease blood pressure.
• C. Older people must pay attention to their blood pressure.
• D. Blurred vision or dizziness may be a sign of hypertension.

Correct answer: C

Rationale: A statement of fact can be proved or checked. A statement of opinion is what someone thinks or believes. In this case, statements A, B, and D could be proved scientifically, but statement C is simply a suggestion. While it is advisable for older people to monitor their blood pressure due to the increased risk associated with aging, the statement itself is an opinion because it suggests what older people 'must' do, which is a subjective viewpoint rather than a verifiable fact. Statements A, B, and D provide factual information supported by scientific evidence, making them statements of fact rather than opinion.

3. What is the meaning of the phrase 'phased in' as it is used in the third paragraph?

• A. stunned into silence
• B. confused
• C. implemented in stages
• D. legalized

Correct answer: C

Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.

4. What is the meaning of the word supplementation as used in the second paragraph?

• A. Extra
• B. Organization
• C. Attachment
• D. Revision

Correct answer: A

Rationale: The term "supplementation" refers to the addition of nutrients to the diet. In the context of the passage, it highlights the need for seniors to receive extra nutrients such as calcium and vitamin D beyond what they typically consume in their diets. This reflects the understanding that seniors may not get sufficient nutrition solely from their regular meals, supporting option A.

5. The word 'track' as used in the last paragraph of the passage can best be defined as ___________.

• A. Keep a record of
• B. A new attitude
• C. Follow carefully
• D. A paved, circular path

Correct answer: D

Rationale: In the context of the passage, 'track' refers to a 'paved, circular path' for running or walking. The last sentence of the passage encourages people to get off the couch and onto the track, indicating a physical path for exercise. Choice A, 'Keep a record of,' is incorrect as the context does not suggest any relation to recording information. Choice B, 'A new attitude,' is unrelated to the context of exercise and fatigue reduction. Choice C, 'Follow carefully,' does not fit the context of physical activity and energy levels discussed in the passage.

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