Nursing Elites

1. 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.

2. The interns observed the CONTOURS of the patients' rash. What does Contours mean?

• A. Color
• B. Shape
• C. Size
• D. Texture

Correct answer: B

Rationale: The correct answer is B: 'Shape.' Contours refer to the outline or shape of something. In this context, the interns were observing the shape or outline of the patients' rash, not the color, size, or texture. Colors, sizes, and textures are not typically described as contours, making choices A, C, and D incorrect.

3. 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.

4. To be convoluted is to be _______.

• A. Complex
• B. Clever
• C. Candid
• D. Asinine

Correct answer: A

Rationale: The correct answer is A, 'Complex.' The term 'convoluted' is used to describe something that is intricate, complex, or twisted. 'Clever' (choice B) means showing intelligence or skill, 'Candid' (choice C) means truthful and straightforward, and 'Asinine' (choice D) means extremely foolish or silly. These choices do not accurately reflect the meaning of 'convoluted.'

5. The patients are under 'quarantine'. What does this mean?

• A. Confinement away from the general population
• B. A specialist’s care
• C. Experimental drug therapy
• D. Imprisonment in a rehabilitation unit

Correct answer: A

Rationale: The correct answer is A: 'Confinement away from the general population.' Quarantine refers to keeping someone isolated from the general population to prevent the spread of disease. Choice B, 'A specialist’s care,' is incorrect as it refers to medical treatment by a specialist, not isolation. Choice C, 'Experimental drug therapy,' is incorrect as it involves the administration of new drugs for research purposes, not isolation. Choice D, 'Imprisonment in a rehabilitation unit,' is incorrect as it implies being detained in a rehabilitation facility, not isolation for health reasons.

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