Nursing Elites

1. If you are at the zenith of your career, you are ___________.

• A. just getting started
• B. preparing for retirement
• C. at the pinnacle of success
• D. having trouble with your superiors

Correct answer: C

Rationale: When someone is at the zenith of their career, it means they have reached the highest point or peak of success in their professional life. This suggests that they have achieved their utmost potential and are enjoying the height of their career accomplishments. Choice A, 'just getting started,' is incorrect as it implies the beginning of a career rather than the peak. Choice B, 'preparing for retirement,' is incorrect because being at the zenith of one's career usually signifies the prime of one's professional success, not the preparation for retirement. Choice D, 'having trouble with your superiors,' is incorrect as it is unrelated to the concept of reaching the peak of success in one's career.

2. A patient who is querulous might be guilty of ______.

• A. Stealing
• B. Questioning
• C. Overeating
• D. Complaining

Correct answer: D

Rationale: The correct answer is D, 'Complaining.' 'Querulous' means complaining in a petulant or whining manner. This word describes someone who is constantly finding fault and is difficult to please. Choices A, B, and C are incorrect because 'querulous' specifically refers to complaining behavior, not stealing, questioning, or overeating.

3. The nurse asked the patient to choose the items from the menu that are his _____.

• A. favorites
• B. selections
• C. preferences
• D. choices

Correct answer: A

Rationale: The correct answer is 'favorites.' In this context, 'favorites' best describes the patient's personal preferences from the menu. The nurse is asking the patient to select the items they like the most. While 'selections' and 'choices' could also work in this context, 'favorites' specifically highlights the items the patient prefers above all others. 'Preferences' is not as fitting as 'favorites' because it generally refers to a broader range of likes and dislikes rather than specific favorite items.

4. Choose the meaning of the word 'puerilism' in the following sentence: 'Older patients with dementia may show signs of puerilism.'

• A. Congeniality
• B. Depression
• C. Irritability
• D. Childishness

Correct answer: D

Rationale: Correct! Puerilism refers to behaving in a childish or immature manner. In the context of older patients with dementia showing signs of puerilism, it suggests they may exhibit behaviors associated with acting like a child. Choice A, 'Congeniality,' is incorrect as it means friendliness or pleasantness. Choice B, 'Depression,' is incorrect as it refers to a state of low mood. Choice C, 'Irritability,' is incorrect as it means easily annoyed or provoked, which is different from behaving childishly.

5. The patient made a ritualistic arranging of the food on his plate. Which word best describes the patient's repetitive behavior?

• A. Formal
• B. Ritualistic
• C. Formalizing
• D. Ritual

Correct answer: B

Rationale: The correct answer is 'Ritualistic.' This adjective describes actions performed in a habitual or ceremonial manner, which aligns with the context of the patient's repeated arrangement of food. 'Formal' (choice A) does not capture the repetitive nature of the behavior. 'Formalizing' (choice C) refers to the process of making something formal rather than describing repetitive behavior. 'Ritual' (choice D) is a noun and does not best describe the patient's behavior in this context.

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