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. A blood vessel that is distended is ___________.

• A. overturned
• B. swollen
• C. twisted
• D. overlong

Correct answer: B

Rationale: A blood vessel that is distended is swollen. Distention refers to the state of being stretched beyond normal limits, which can cause the blood vessel to expand and swell. The term 'distended' is often used to describe blood vessels that are enlarged or swollen due to various reasons such as increased blood pressure or blockages. Choice A, 'overturned,' does not relate to the enlargement or swelling of a blood vessel. Choice C, 'twisted,' describes a different condition where the blood vessel is coiled or rotated, not necessarily enlarged. Choice D, 'overlong,' does not accurately describe the state of a distended blood vessel; instead, it implies excessive length rather than enlargement.

3. What is the meaning of qualms?

• A. Misgivings
• B. Habits
• C. Serenity
• D. Dispatches

Correct answer: A

Rationale: Qualms refer to feelings of doubt, hesitation, or uneasiness about something. They are typically used to describe a person's reservations or concerns about a decision or action. This aligns with the meaning of 'misgivings,' making it the correct choice in this context. Choices B, C, and D are incorrect. 'Habits' refer to regular tendencies or practices, 'Serenity' refers to a state of calm or peace, and 'Dispatches' refer to sending off to a destination or taking care of a task promptly, none of which capture the meaning of 'qualms.'

4. What does 'Obsolete' mean?

• A. Innovative
• B. Outdated
• C. Effective
• D. Advanced

Correct answer: B

Rationale: The correct answer is 'B: Outdated.' Obsolete refers to something that is outdated or no longer in use. 'Innovative' (choice A) means introducing new ideas or methods; 'Effective' (choice C) means successful in producing a desired result; 'Advanced' (choice D) means far on or ahead in development or progress. Therefore, 'Outdated' is the most appropriate antonym for 'Obsolete.'

5. What is another word for ANTICIPATE?

• A. Predict
• B. Evaluate
• C. Compare
• D. Forestall

Correct answer: A

Rationale: The correct answer is 'A: Predict.' Anticipate and predict are synonyms, both implying foreknowledge or expectation. 'B: Evaluate,' 'C: Compare,' and 'D: Forestall' do not directly relate to the meaning of anticipate and are therefore incorrect choices.

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