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. To alleviate a symptom is to ___________.

• A. relieve it
• B. diagnose it
• C. suffer from it
• D. manage it

Correct answer: A

Rationale: The correct answer is A: 'relieve it.' To alleviate a symptom means to reduce or improve it, thus providing relief or easing of the discomfort or issue being experienced. Choice B, 'diagnose it,' is incorrect as diagnosing a symptom involves identifying or determining its cause, not relieving it. Choice C, 'suffer from it,' is incorrect as it refers to experiencing the symptom, not alleviating it. Choice D, 'manage it,' is incorrect as managing a symptom involves controlling or handling it, not necessarily reducing or relieving it.

3. The _____ student was not well liked by his peers.

• A. Geniality
• B. Affably
• C. Gregarious
• D. Detestable

Correct answer: D

Rationale: The correct answer is 'Detestable.' In this context, 'detestable' means deserving intense dislike, which fits the sentence describing a student who is not well-liked. 'Geniality' (choice A) means warmth and friendliness, which is the opposite of what is described in the sentence. 'Affably' (choice B) means in a friendly and pleasant manner, which doesn't convey the idea of being disliked. 'Gregarious' (choice C) means sociable and outgoing, which is also not suitable for describing someone who is not well-liked.

4. Choose the meaning of the word 'puerilism' in the following sentence: 'Older patients with dementia may show signs of puerilism.'

• A. Congeniality
• B. Depression
• C. Irritability
• D. Childishness

Correct answer: D

Rationale: Correct! Puerilism refers to behaving in a childish or immature manner. In the context of older patients with dementia showing signs of puerilism, it suggests they may exhibit behaviors associated with acting like a child. Choice A, 'Congeniality,' is incorrect as it means friendliness or pleasantness. Choice B, 'Depression,' is incorrect as it refers to a state of low mood. Choice C, 'Irritability,' is incorrect as it means easily annoyed or provoked, which is different from behaving childishly.

5. A patient who is heedless is ___________.

• A. unlucky
• B. careless
• C. no longer in care
• D. hard of hearing

Correct answer: B

Rationale: Someone who is heedless is not paying attention or being cautious. Therefore, a patient who is heedless can be described as careless, as they may not be taking proper care or paying attention to important things that affect their well-being. Choice A, 'unlucky,' is incorrect as being heedless is not related to luck. Choice C, 'no longer in care,' is incorrect as it does not accurately reflect the meaning of heedless. Choice D, 'hard of hearing,' is unrelated to the concept of being heedless.

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