Nursing Elites

1. 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.

2. What role does water vapor play in the Water Cycle, as described in the passage?

• A. Water vapor is unnecessary in the water cycle.
• B. Water vapor plays a key role in precipitation.
• C. Water vapor is harmful to the environment.
• D. Water vapor cools the Earth's surface.

Correct answer: B

Rationale: The correct answer is B: 'Water vapor plays a key role in precipitation.' The passage clearly outlines the importance of water vapor in the water cycle. It explains that water vapor returns to the air from surface water and plants, and condenses back into droplets of liquid, forming clouds. These clouds eventually lead to precipitation like rain, snow, sleet, or hail. Choice A is incorrect as water vapor is crucial in the water cycle. Choice C is also incorrect as there is no mention of water vapor being harmful in the passage. Choice D is incorrect as the passage does not state that water vapor cools the Earth's surface; instead, it highlights its role in the formation of precipitation.

3. What is implied by the article?

• A. Siam was renamed Thailand in the past
• B. The author dislikes parlor games
• C. Elephants are difficult to take care of and train
• D. White elephants were considered sacred and a burden to their recipients

Correct answer: A

Rationale: The correct answer is A. The article explicitly states that centuries ago, Siam, now known as Thailand, had the custom of giving white elephants as punishment. This implies that Siam was renamed Thailand in the past. The other choices (B, C, D) are not supported by the content of the article. Choice B is incorrect as the author does not express any dislike for parlor games. Choice C is incorrect as the article does not mention that elephants are easy or difficult to take care of and train. Choice D is incorrect as the article describes white elephants as sacred and a burden to their recipients, not as hard workers in the cane fields.

4. What is the meaning of the word 'admonition' as used in the last paragraph?

• A. Permission
• B. Prescription
• C. Caution
• D. Verdict

Correct answer: C

Rationale: In this context, 'admonition' means a caution or warning, not permission, prescription, or verdict. The excerpt mentions that along with advising the elderly to move slowly and carefully, the CDC also recommends gentle exercise or physical therapy to strengthen muscles and improve balance. This advice aims to reduce the risk of falls and boost the self-esteem of older adults. Therefore, 'admonition' here refers to a precautionary counsel rather than granting permission, prescribing a treatment, or giving a verdict.

5. Why is an unwanted gift called a white elephant?

• A. It is a good gift to give at the party
• B. Gifts are never unwanted
• C. Siam's rulers punished with the gift
• D. It is rare to get an unwanted gift

Correct answer: C

Rationale: The term 'white elephant' originated from the practice of the kings of Siam (now Thailand) giving rare and sacred white elephants as gifts. These white elephants were highly prestigious but also very expensive to maintain, causing financial burdens on the recipients. The kings of Siam used white elephants as a punishment for those who displeased them. The recipients were required to care for the white elephant in a grand style, resulting in financial liabilities that could make them impoverished. Over time, the term 'white elephant' evolved to describe any valuable item that is burdensome or unwanted. Therefore, choice C is correct. Choices A, B, and D are incorrect because they do not accurately explain the origin and meaning of the term 'white elephant' in the context of unwanted gifts.

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