why is an unwanted gift called a white elephant

HESI A2

Reading Comprehension HESI A2

1. 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.

2. What conclusion is suggested by this study from Germany?

A. So far, acupuncture does not have much credibility as a treatment option.
B. Acupuncture can relieve women of all menstrual discomfort.
C. NSAIDs are generally more effective than acupuncture for treating cramps.
D. Acupuncture is a reasonable treatment choice for cramps.

Correct answer: D

Rationale: The study indicates that acupuncture is a reasonable treatment option for menstrual cramps, supported by the positive outcomes reported by participants in the study. The wording in option D directly aligns with the conclusion drawn from the findings, making it the correct answer.

3. Which is the best title for this passage?

A. “Medical Treatment for Gout”
B. “Uric Acid Affects the Joints”
C. “Risk Factors for One Type of Arthritis”
D. “Nurse-Led Care Aids Gout Patients”

Correct answer: D

Rationale: The passage focuses on how nurse-led care, including holistic education and lifestyle advice, can aid patients with gout.

4. What is the meaning of the word 'pathogens' as it is used in the first paragraph?

A. diseases
B. vaccines
C. disease-causing substances
D. foods

Correct answer: C

Rationale: In the context provided, 'pathogens' refers to disease-causing substances such as bacteria and viruses. These microorganisms can contaminate food and lead to foodborne illnesses. Choice A ('diseases') is incorrect as pathogens themselves cause diseases but are not diseases. Choice B ('vaccines') is incorrect as vaccines are used to prevent diseases caused by pathogens. Choice D ('foods') is incorrect as pathogens are not foods, but rather contaminants that can be found in food.

5. What is the writer’s primary purpose in writing this essay?

A. To inform the reader about the dangers of high blood pressure
B. To inform the reader how high blood pressure leads to a higher risk of heart attack
C. To inform the reader how the cardiovascular system regulates blood pressure
D. To persuade the reader that controlling one’s blood pressure is important

Correct answer: C

Rationale: The primary purpose of the essay is to inform the reader about how the cardiovascular system regulates blood pressure. The essay provides detailed explanations about the components of the cardiovascular system that regulate blood pressure, such as baroreceptors, chemoreceptors, and the kidneys. Choices A and B are incorrect because the essay does not focus on discussing the dangers of high blood pressure or its correlation with a higher risk of heart attack. Choice D is incorrect as the essay does not aim to persuade the reader to control their blood pressure but rather to educate them on the regulatory mechanisms of the cardiovascular system.