Nursing Elites

1. 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.

2. There was no _____ for the way she treated her boyfriend.

• A. Alibi
• B. Rational
• C. Reasonable
• D. Justification

Correct answer: D

Rationale: The correct answer is 'D: Justification.' Justification means showing that an action is reasonable or right. In this context, it implies that there was no valid reason or excuse for the way she treated her boyfriend. Choices A, B, and C are incorrect. An 'alibi' is an excuse to explain one's whereabouts during a crime, not applicable here. 'Rational' means based on reason or logic, which does not fit the context of the sentence. 'Reasonable' means fair and sensible, but the sentence suggests a lack of valid explanation rather than fairness or sensibility.

3. Which term best describes a synthetic drug?

• A. man-made
• B. phony
• C. atypical
• D. futile

Correct answer: A

Rationale: A synthetic drug is one that is artificially created in a laboratory setting rather than occurring naturally. The term 'man-made' accurately describes this process. Choices B, C, and D are incorrect. 'Phony' means fake or fraudulent, not specifically related to synthetic drugs. 'Atypical' means unusual or not typical, which doesn't directly relate to how synthetic drugs are made. 'Futile' means pointless or ineffective, which is not a characteristic of synthetic drugs.

4. A paroxysm is a sudden spasm. Another word for this might be ___________.

• A. convulsion
• B. symptom
• C. efficacy
• D. embolism

Correct answer: A

Rationale: The correct answer is A: "convulsion." A paroxysm is defined as a sudden spasm or convulsion. The word "convulsion" specifically refers to a violent and involuntary contraction or spasm of muscles, which aligns perfectly with the description of a paroxysm. On the other hand, choices B, C, and D are incorrect. "Symptom" (B) refers to a manifestation of a condition rather than a physical spasm. "Efficacy" (C) relates to effectiveness or success, not a sudden spasm. "Embolism" (D) refers to the obstruction of a blood vessel, which is unrelated to the concept of a sudden spasm. Therefore, convulsion is the most suitable synonym for a paroxysm in this context.

5. What does Vacuous mean?

• A. Empty
• B. Full
• C. Dense
• D. Bright

Correct answer: A

Rationale: The correct answer is A: 'Empty.' Vacuous means lacking intelligence, empty-headed, or devoid of substance. Choice B, 'Full,' is incorrect as it is the opposite of vacuous. Choice C, 'Dense,' means closely compacted or stupid, not vacuous. Choice D, 'Bright,' means giving out or reflecting a lot of light, not vacuous.

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