Nursing Elites

1. 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.

2. Choose the meaning of the word 'winnowed' in the following sentence: 'One by one, the applicants were winnowed out of the group.'

• A. Escorted
• B. Separated
• C. Elevated
• D. Summoned

Correct answer: B

Rationale: In this context, the word 'winnowed' means to separate or eliminate less desirable individuals from a larger group, indicating that the applicants were being sifted out or singled out in this process. Therefore, the most appropriate meaning among the choices provided is 'separated.' 'Escorted' (Choice A) implies being accompanied or guided, which is not the intended meaning. 'Elevated' (Choice C) means raised or lifted, which does not fit the context. 'Summoned' (Choice D) suggests being called or requested to attend, which is also not the correct meaning in this context.

3. Choose the meaning of the word quandary in the following sentence: 'Too many potential job choices put Martin in a quandary.'

• A. A place where rocks are mined
• B. A journey of discovery
• C. A state of uncertainty
• D. A major attempt or trial

Correct answer: C

Rationale: In this context, the word 'quandary' refers to a state of uncertainty or confusion caused by being faced with a difficult decision or choice. This matches the meaning of option C. Choices A, B, and D are incorrect because 'quandary' does not relate to a place where rocks are mined (A), a journey of discovery (B), or a major attempt or trial (D), but rather to a state of uncertainty or confusion.

4. What is the meaning of ostracize?

• A. Praise
• B. Snub
• C. Accept
• D. Include

Correct answer: B

Rationale: The correct answer is B: 'Snub.' To ostracize someone means to intentionally exclude or ignore them. Choices A, C, and D are incorrect because ostracize has a negative connotation, opposite of 'Praise,' 'Accept,' and 'Include.' Ostracize involves rejecting or isolating someone, which contrasts with the positive actions associated with the other choices.

5. The charge nurse overheard the nursing assistant discussing the private details of a client's medical condition with a personnel friend in the hospital _____.

• A. cafeteria
• B. office
• C. room
• D. hall

Correct answer: A

Rationale: The correct answer is 'cafeteria.' Cafeterias are common areas in hospitals where staff may have conversations, but discussing private client details in this public setting is a violation of patient privacy. Choices B, C, and D are incorrect because an office, room, or hall would be more suitable and private places for discussing sensitive patient information.

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