Nursing Elites

1. When patients are being counseled, what is happening?

• A. They are being discharged
• B. They are being advised
• C. They are being neglected
• D. They are being comforted

Correct answer: B

Rationale: When patients are being counseled, they are being advised or guided. Counseling involves providing support, guidance, and advice to help patients cope with their challenges. Choice A is incorrect because counseling is not about discharging patients. Choice C is incorrect because counseling is the opposite of neglect; it is actively providing support. Choice D is incorrect because while comfort may be a part of counseling, the primary focus is on providing guidance and advice to address issues, not just comfort.

2. Select the meaning of the word 'occluded' in the sentence: 'The patient had an occluded artery.'

• A. Obstructed
• B. Open
• C. Broken
• D. Cloudy

Correct answer: A

Rationale: 'Occluded' means blocked or obstructed, making 'Obstructed' the correct answer. In the context of a patient having an occluded artery, it implies that the artery is blocked. The other options, 'Open,' 'Broken,' and 'Cloudy,' do not accurately describe a blocked artery.

3. 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.

4. An alarm that is strident is ___________.

• A. shrill
• B. muted
• C. constant
• D. resonant

Correct answer: A

Rationale: A strident alarm is loud, harsh, and piercing. The word 'shrill' specifically denotes a high-pitched and piercing sound, which aligns well with the characteristics of a strident alarm. Therefore, 'shrill' is the most suitable answer in this context. Choices B, C, and D are incorrect because a strident alarm is not quiet (muted), unchanging (constant), or deep and full (resonant), but rather loud and harsh.

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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