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. What is another word for latent?

• A. Flagrant
• B. Dormant
• C. Deceased
• D. Postponed

Correct answer: B

Rationale: The correct answer is B: Dormant. Latent and dormant are synonymous and refer to something existing but not currently active or evident. Choice A, 'Flagrant,' means something that is conspicuously offensive, blatant, or glaring, which is the opposite of latent. Choice C, 'Deceased,' means no longer alive, which is unrelated to latent. Choice D, 'Postponed,' means to delay or reschedule to a later time, which is not synonymous with latent.

3. Which word best defines the term 'accountable' as used in the following sentence? 'The night nursing staff is accountable for those records.'

• A. Receptive
• B. Notorious
• C. Responsible
• D. Preoccupied with

Correct answer: C

Rationale: The correct answer is C, 'Responsible.' In this context, 'accountable' means being held answerable or responsible for something. The night nursing staff is responsible for maintaining and managing those records. Choice A, 'Receptive,' does not accurately capture the meaning of 'accountable' in this context. Being receptive means being open to new ideas or suggestions, which is not the intended meaning here. Choice B, 'Notorious,' is incorrect as it means famous or well-known for something negative, which is not related to being accountable or responsible. Choice D, 'Preoccupied with,' is also incorrect. 'Preoccupied with' means being excessively concerned or worried about something, which does not align with the meaning of 'accountable' in this sentence.

4. 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.

5. The nurse assisted the physician in removing the 'cast' from the patient's arm.

• A. Protective device
• B. Medicated sleeve
• C. Sling
• D. Bandage

Correct answer: A

Rationale: The correct answer is A: 'Protective device.' A 'cast' is a hard protective device used to support and immobilize a broken bone. It is not a 'medicated sleeve' (B), a 'sling' (C), or a 'bandage' (D), as these items serve different purposes in medical care.

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