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. Which word is NOT used correctly in the sentence? 'A sentence must always begin with a capital letter, but many people forget this rule.'

• A. Must always
• B. Simple
• C. Forget
• D. Capitol

Correct answer: D

Rationale: The correct answer is 'D: Capitol.' In this context, 'Capitol' is incorrect as it refers to a building where a legislative body meets. The correct term for uppercase letters is 'capital.' Choice A, 'must always,' is used correctly to emphasize the necessity of starting a sentence with a capital letter. Choice B, 'simple,' is not the incorrect word in the sentence. Choice C, 'forget,' is also used appropriately in the sentence to indicate the action of neglecting the rule.

3. The development of the disease was INSIDIOUS.

• A. Momentous
• B. Sudden
• C. Innocuous
• D. Gradual

Correct answer: D

Rationale: The term 'insidious' typically describes something that occurs gradually and subtly, often without being noticed until it has become more serious or established. Therefore, the development of the disease being insidious suggests that it was gradual, aligning best with the meaning of the word in this context. Choice A, 'momentous,' means significant or important, which is opposite in meaning to insidious. Choice B, 'sudden,' indicates something happening quickly and unexpectedly, contrary to the gradual nature of an insidious development. Choice C, 'innocuous,' means harmless or not likely to cause harm, which does not accurately reflect the negative and harmful connotation associated with an insidious disease development.

4. Which phrase should be moved to the end of the sentence? 'The painter decided to use the urn as his subject with flowers on the table.'

• A. as his subject
• B. with flowers on the table
• C. use the urn as his subject
• D. with the urn

Correct answer: B

Rationale: Moving 'with flowers on the table' to the end of the sentence improves the sentence flow and clarity. This placement helps to maintain a logical sequence of events, enhancing the reader's understanding. Choice A, 'as his subject,' is an integral part of the main action and should not be moved. Choice C, 'use the urn as his subject,' disrupts the verb-object relationship and makes the sentence less coherent. Choice D, 'with the urn,' lacks context and does not provide a smooth transition when placed at the end of the sentence.

5. A child with a stuffy nose might find it hard to ____.

• A. Breathe
• B. Breathing
• C. Breath
• D. Breadth

Correct answer: A

Rationale: The correct answer is A. A child with a stuffy nose might find it hard to breathe. 'Breathe' is the correct verb form in this sentence. 'Breathing' is the present participle form and could also work, but in the context of the sentence, 'breathe' is more suitable. 'Breath' is a noun referring to a single inhalation or exhalation of air, not the correct form in this context. 'Breadth' is a noun referring to the extent or measure of something from side to side, which is completely unrelated to the ability to breathe with a stuffy nose.

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