Nursing Elites

1. The patient made a ritualistic arranging of the food on his plate. Which word best describes the patient's repetitive behavior?

• A. Formal
• B. Ritualistic
• C. Formalizing
• D. Ritual

Correct answer: B

Rationale: The correct answer is 'Ritualistic.' This adjective describes actions performed in a habitual or ceremonial manner, which aligns with the context of the patient's repeated arrangement of food. 'Formal' (choice A) does not capture the repetitive nature of the behavior. 'Formalizing' (choice C) refers to the process of making something formal rather than describing repetitive behavior. 'Ritual' (choice D) is a noun and does not best describe the patient's behavior in this context.

2. What is another word for flux?

• A. Flowing
• B. Restriction
• C. Absorption
• D. Discharge

Correct answer: D

Rationale: Flux is a term used to describe a discharge, which refers to the action of discharging or releasing something. In medical contexts, flux can specifically refer to a discharge of bodily fluids or matter. 'Flowing' (Choice A) is not a synonym of flux; it implies continuous movement rather than discharge. 'Restriction' (Choice B) and 'Absorption' (Choice C) are unrelated to the concept of flux and do not convey the same meaning.

3. The eye drops were intended to _____ the pupils for the eye exam.

• A. dilate
• B. constrict
• C. enlarge
• D. decrease

Correct answer: A

Rationale: The correct answer is 'dilate.' Eye drops are used to dilate the pupils, meaning to widen or enlarge them, which is necessary for an eye exam to allow more light to enter the eye. 'Constrict' (choice B) means to make smaller, which is the opposite effect needed for an eye exam. 'Enlarge' (choice C) is similar in meaning to dilate but is not the correct term used in this context. 'Decrease' (choice D) means to make less or reduce, which is also the opposite of what is required for an eye exam.

4. What does Endogenous mean?

• A. Produced outside the body
• B. Produced within the body
• C. Taken from an external source
• D. Linked to environmental factors

Correct answer: B

Rationale: The correct answer is B: 'Produced within the body.' Endogenous refers to substances or processes that originate or are produced within an organism or system. Choices A, C, and D are incorrect. Choice A, 'Produced outside the body,' is the opposite of endogenous. Choice C, 'Taken from an external source,' describes exogenous rather than endogenous. Choice D, 'Linked to environmental factors,' is not a direct definition of endogenous.

5. 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.

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