Nursing Elites

1. What does 'deteriorating' mean?

• A. Improving
• B. Worsening
• C. Staying the same
• D. Fluctuating

Correct answer: B

Rationale: The correct answer is B, 'Worsening.' Deteriorating refers to something getting worse over time, not improving (choice A), staying the same (choice C), or fluctuating (choice D).

2. 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.

3. Select the meaning of the word 'intact' in the sentence: 'It is important that the bandage remain intact.'

• A. Dry
• B. Whole
• C. Uncovered
• D. Secure

Correct answer: B

Rationale: The correct answer is 'B: Whole'. In this context, 'intact' means undisturbed or whole, referring to the bandage being complete and not damaged. Choice A, 'Dry', is incorrect as it does not reflect the meaning of 'intact' in this sentence. Choice C, 'Uncovered', is also incorrect as 'intact' does not imply uncovered but rather complete. Choice D, 'Secure', is not the best fit as 'intact' in this context emphasizes the undamaged or whole nature of the bandage.

4. What does Vacuous mean?

• A. Empty
• B. Full
• C. Dense
• D. Bright

Correct answer: A

Rationale: The correct answer is A: 'Empty.' Vacuous means lacking intelligence, empty-headed, or devoid of substance. Choice B, 'Full,' is incorrect as it is the opposite of vacuous. Choice C, 'Dense,' means closely compacted or stupid, not vacuous. Choice D, 'Bright,' means giving out or reflecting a lot of light, not vacuous.

5. Which of the following should never be performed by a healthcare professional?

• A. Heimlich maneuver
• B. Euthanasia
• C. Assessment
• D. Palliative care

Correct answer: B

Rationale: Euthanasia, which involves deliberately ending a person's life to relieve suffering, is a controversial and illegal practice in many countries. Healthcare professionals should not be involved in performing euthanasia as it goes against medical ethics and principles of preserving life and providing care. Assistance in hastening death is not within the scope of healthcare professionals' responsibilities. Assessments, such as physical examinations or patient evaluations, are crucial for diagnosing and treating patients. Palliative care focuses on improving the quality of life for individuals with serious illnesses and should be provided by healthcare professionals. However, euthanasia is not an acceptable practice for healthcare professionals due to ethical considerations and legal restrictions.

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