Nursing Elites

1. 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.

2. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation 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: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

3. 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.

4. Choose the meaning of the word 'intramuscularly' in the following sentence: 'This vaccine must only be used intramuscularly and as a single-dose vial.'

• A. Between muscles
• B. Into muscles
• C. Without muscles
• D. On top of muscles

Correct answer: B

Rationale: The word 'intramuscularly' in the sentence indicates that the vaccine should be used by injection directly into the muscles. This means the correct meaning is 'into muscles,' making option B the most suitable choice. Choices A, C, and D are incorrect because 'intramuscularly' specifically refers to administering something inside the muscle, not between muscles, without muscles, or on top of muscles.

5. What does 'expand' mean?

• A. To decrease in size
• B. To increase in size or amount
• C. To spread out
• D. To eliminate

Correct answer: B

Rationale: The correct answer is B. 'Expand' means to increase in size or amount. Choice A, 'To decrease in size,' is the opposite of what 'expand' means. Choice C, 'To spread out,' is related to expanding but does not precisely define the term. Choice D, 'To eliminate,' is not synonymous with the term 'expand.'

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