Nursing Elites

1. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation 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: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

2. If someone is disseminating information, what are they doing?

• A. Hiding it
• B. Broadcasting it
• C. Destroying it
• D. Withholding it

Correct answer: B

Rationale: The correct answer is B: 'Broadcasting it.' Disseminating information means spreading or sharing it widely to reach a broader audience. Choice A, 'Hiding it,' is incorrect as disseminating involves making information known, not concealing it. Choice C, 'Destroying it,' is incorrect as disseminating means to distribute, not to eliminate. Choice D, 'Withholding it,' is incorrect because withholding information means keeping it back rather than sharing it openly.

3. Which term refers to the surgical removal of an organ's contents?

• A. Excretion
• B. Evisceration
• C. Incision
• D. Reduction

Correct answer: B

Rationale: The correct answer is B, 'Evisceration.' Evisceration specifically means the surgical removal of an organ's contents. Choice A, 'Excretion,' is the process of eliminating waste products from the body and is not related to surgical procedures. Choice C, 'Incision,' refers to the act of cutting into the body, commonly done in surgeries but not specifically related to removing organ contents. Choice D, 'Reduction,' generally means to make something smaller or lessen its size, which is not the term used for the surgical removal of an organ's contents.

4. A patient who is lethargic may seem _____?

• A. Energetic
• B. Exhausted
• C. Confused
• D. Restless

Correct answer: B

Rationale: The correct answer is B: 'Exhausted.' Lethargic describes a state of feeling sluggish, tired, and lacking energy, which aligns with being exhausted. Choice A, 'Energetic,' is the opposite of lethargic and does not fit the description. Choice C, 'Confused,' refers to a state of disorientation rather than physical tiredness. Choice D, 'Restless,' implies a state of agitation or inability to relax, which contrasts with the typical presentation of someone who is lethargic.

5. What is the meaning of the word 'derivative' in the following sentence: 'The professor’s lecture seemed to be a bit derivative'?

• A. Unoriginal
• B. Monotonous
• C. Condescending
• D. Long-winded

Correct answer: A

Rationale: The word 'derivative' in this sentence means that the professor's lecture was not original, but instead heavily based on or closely imitating something else. Therefore, the correct meaning is 'unoriginal.' Choices B, C, and D are incorrect. 'Monotonous' means lacking in variety and boringly repetitive, 'condescending' means showing a superior attitude, and 'long-winded' means using more words than necessary.

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