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. Her guileless manner is one of her most noticeable qualities. What does guileless mean?

• A. Deceptive
• B. Straightforward
• C. Complex
• D. Untrustworthy

Correct answer: B

Rationale: The correct answer is B: 'Straightforward.' Guileless means innocent, sincere, and without deceit. It describes someone who is honest and straightforward in their actions and speech. Choices A, C, and D are incorrect. 'Deceptive' means misleading or dishonest, 'Complex' means having many intricate parts, and 'Untrustworthy' means not reliable or trustworthy, all of which are opposite in meaning to guileless.

3. Select the meaning of the underlined word in the following sentence. At this point, we are providing mainly palliative care.

• A. Scientific
• B. Surgical
• C. Soothing
• D. Serious

Correct answer: C

Rationale: In the context of the sentence, 'palliative care' refers to care that is focused on providing relief from the symptoms and stress of a serious illness. It is not aimed at curing the illness but rather at providing comfort and improving quality of life. Therefore, the meaning of 'palliative' in this context is to soothe or alleviate suffering, making 'soothing' the correct choice. The other options, 'scientific,' 'surgical,' and 'serious,' do not capture the essence of palliative care, which is centered around providing comfort and relief rather than focusing on scientific or surgical interventions or emphasizing seriousness.

4. What is the best description for the word 'distal'?

• A. Receives blood from lungs
• B. Farthest from injury
• C. Closest to heart
• D. Empathetic

Correct answer: B

Rationale: The correct answer is B: 'Farthest from injury.' In medical terminology, 'distal' refers to the body part that is farthest from the point of reference or injury. The term is commonly used to describe the location of structures in relation to a point of origin or attachment. Choices A, C, and D are incorrect because 'distal' specifically denotes a spatial relationship in terms of distance from a point of reference, not blood flow, proximity to the heart, or emotional empathy.

5. What does the term 'counterfeit' mean?

• A. Real
• B. Fake
• C. Accurate
• D. Honest

Correct answer: B

Rationale: The correct answer is B: 'Fake.' Counterfeit refers to something that is not genuine or a copy made to deceive. Choice A, 'Real,' is incorrect because counterfeit items are not real. Choice C, 'Accurate,' is incorrect as counterfeit implies inaccuracy. Choice D, 'Honest,' is incorrect as counterfeit items are deceptive and not honest.

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