Nursing Elites

1. Select the meaning of the word 'initial' in the sentence: 'The doctor made an initial examination of the patient.'

• A. Complete
• B. First
• C. Incomplete
• D. Discharge

Correct answer: B

Rationale: In this context, 'initial' means 'first,' referring to the first examination conducted by the doctor. The initial examination is the first assessment or evaluation performed on the patient. Therefore, 'first' is the correct meaning in this sentence. 'Complete' (choice A) is incorrect as initial does not imply completeness, 'incomplete' (choice C) is incorrect as initial does not mean unfinished, and 'discharge' (choice D) is unrelated to the concept of an initial examination.

2. What does Audible mean?

• A. Impossible to hear
• B. Able to be heard
• C. Visible
• D. Silent

Correct answer: B

Rationale: The correct answer is B: 'Able to be heard.' Audible refers to something that can be heard. Choice A, 'Impossible to hear,' is the opposite of the meaning of audible. Choice C, 'Visible,' is unrelated as it pertains to sight, not hearing. Choice D, 'Silent,' is also not correct as it refers to the absence of sound, which is different from something being able to be heard.

3. What does 'Ongoing' mean?

• A. Ended
• B. Continuous
• C. Delayed
• D. Occasional

Correct answer: B

Rationale: The correct answer is 'B: Continuous.' 'Ongoing' is used to describe something that is currently happening or continuing without interruption. Choices A, C, and D are incorrect because 'Ended,' 'Delayed,' and 'Occasional' do not reflect the continuous nature associated with 'Ongoing.'

4. Which word describes a screen or filter?

• A. Permeable
• B. Incendiary
• C. Exuding
• D. Resilient

Correct answer: A

Rationale: The word 'permeable' refers to a material or surface that allows liquids, gases, or substances to pass through it, while screening or filtering out impurities. This makes it an appropriate descriptor for a screen or filter, which function by allowing certain elements to pass through while retaining others. Choices B, C, and D are incorrect: 'Incendiary' means causing fires, 'Exuding' means giving off or releasing, and 'Resilient' means able to withstand or recover from difficult conditions.

5. 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.

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