select the meaning of the underlined word in the sentence patients in this wing often have a tenuous hold on reality
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Nursing Elites

HESI A2

HESI A2 Vocabulary 2023

1. Select the meaning of the word 'tenuous' in the sentence: 'Patients in this wing often have a tenuous hold on reality.'

Correct answer: D

Rationale: In this context, the word 'tenuous' is used to describe a weak or delicate hold on reality. 'Fragile' is the correct choice as it conveys the idea of something being easily broken or damaged, which aligns with the meaning of 'tenuous' in the sentence. Choice A, 'Judicious,' means having good judgment, which is unrelated to the context. Choice B, 'Deleted,' means removed or erased, which is not synonymous with 'tenuous.' Choice C, 'Frantic,' means panicked or desperate, which does not capture the delicate or weak nature implied by 'tenuous.'

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

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.

3. Identify the incomplete sentence.

Correct answer: A

Rationale: The correct answer is A, 'While they were sleeping.' This is an incomplete sentence as it lacks a main clause. A complete sentence should have both a subject and a predicate to express a complete thought. In this case, the subordinating conjunction 'while' introduces a dependent clause that needs to be connected to an independent clause to form a complete sentence. Choices B, C, and D are complete sentences as they each contain a subject and a predicate, expressing a complete thought.

4. Select the meaning of the word 'untoward' in the sentence: 'His untoward actions during the admission process created a problem for the nurse.'

Correct answer: C

Rationale: The correct answer is C: 'Unseemly.' In this context, 'untoward' refers to actions that are improper or inappropriate. Choice A, 'Violent,' does not accurately reflect the meaning of 'untoward' in the context of the sentence. Choice B, 'Casual,' is unrelated to the negative connotation of 'untoward.' Choice D, 'Capricious,' suggests unpredictability rather than the negative behavior implied by 'untoward.' Therefore, 'Unseemly' is the most appropriate meaning in this context.

5. What is another word for ABSTAIN?

Correct answer: A

Rationale: The correct answer is 'Refrain.' 'Refrain' is synonymous with 'abstain,' meaning to hold oneself back. The other choices are incorrect. 'Indulge' means to allow oneself to enjoy the pleasure of something, 'Adhere' means to stick to or follow, and 'Eliminate' means to completely remove or get rid of.

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