Nursing Elites

1. Which sentence correctly uses the word 'affect'?

• A. The medication had no effect on the patient's symptoms
• B. The noise did not affect his sleep
• C. The bright light will affect your eyes
• D. The cold weather did not affect her mood

Correct answer: B

Rationale: The correct use of 'affect' is to show influence or make a difference. In this context, 'The noise did not affect his sleep' is the correct usage as noise can impact one's ability to sleep. Choice A is incorrect as 'affect' is commonly confused with 'effect.' Choice C is incorrect as 'affect' is not typically used to refer to the impact of light on eyes. Choice D is incorrect as 'affect' is not typically used to describe the impact of weather on mood.

2. Choose the meaning of the word 'mercurial' in the following sentence: 'Due to his mercurial temperament, Justin did not work well with others.'

• A. Continuous
• B. Unpredictable
• C. Mercenary
• D. Miraculous

Correct answer: B

Rationale: The word 'mercurial' in this sentence means unpredictable or prone to sudden changes in mood or behavior. Justin's temperament can be characterized as unpredictable, which is causing him to not work well with others. Choice A, 'Continuous,' does not align with the meaning of 'mercurial' as it implies a steady, uninterrupted flow. Choice C, 'Mercenary,' refers to being primarily motivated by money or reward, which is not the context here. Choice D, 'Miraculous,' means extraordinary or remarkable, which is not the intended meaning in this sentence.

3. 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.

4. What does 'insidious' mean?

• A. Immediate and obvious
• B. So gradual as to not become apparent for a long time
• C. Sudden and severe
• D. Quick and detectable

Correct answer: B

Rationale: The correct definition of 'insidious' is 'So gradual as to not become apparent for a long time.' This term describes something that develops slowly and may not be noticed initially. Choice A, 'Immediate and obvious,' is incorrect because 'insidious' implies the opposite of being immediate. Choice C, 'Sudden and severe,' is incorrect because 'insidious' suggests a slow and subtle progression, not sudden. Choice D, 'Quick and detectable,' is incorrect because 'insidious' does not indicate something quick or easily detectable.

5. A body part that has atrophied has ______.

• A. Enlarged
• B. Withered
• C. Swollen
• D. Damaged

Correct answer: B

Rationale: The correct answer is 'Withered.' Atrophied means that a body part has wasted away or decreased in size. 'Enlarged' (Choice A) means to make or become larger, which is the opposite of atrophied. 'Swollen' (Choice C) means to become larger or rounder in size, usually due to fluid retention or inflammation, which is not the same as atrophied. 'Damaged' (Choice D) means harmed or injured, but it does not specifically refer to the wasting away or shrinking of a body part.

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