Nursing Elites

1. What is the meaning of pernicious?

• A. Harmless
• B. Destructive
• C. Infectious
• D. Helpful

Correct answer: B

Rationale: The correct answer is B, 'Destructive.' Pernicious means causing great harm or damage. Choice A, 'Harmless,' is the opposite of pernicious. Choice C, 'Infectious,' refers to the ability of a disease to spread. Choice D, 'Helpful,' is also the opposite of pernicious and does not capture the negative connotation associated with the term.

2. What is the best description for the word operated in this sentence? Rural communities are increasingly taking ownership of their hospitals, which may be operated by administrative medical groups.

• A. Performing surgery
• B. In effect
• C. Managed and run
• D. Brought about

Correct answer: C

Rationale: In the context of the sentence provided, the word 'operated' is best described as 'managed and run.' This choice accurately reflects the idea that rural communities are taking ownership and control of their hospitals, which may be overseen and operated by administrative medical groups. The word 'operated' here implies the day-to-day management and functioning of the hospitals, making option C the most suitable description in this context. Choices A, B, and D are incorrect as they do not capture the essence of 'operated' in the context of managing and running the hospitals.

3. Identify the correct sentence structure.

• A. The cat sleeping on the mat
• B. The cat is sleeping on the mat
• C. The mat that the cat is sleeping on
• D. Sleeping on the mat is the cat

Correct answer: B

Rationale: The correct sentence structure is 'The cat is sleeping on the mat.' This is a complete and grammatically correct sentence following a standard subject-verb-object structure. 'The cat' is the subject, 'is sleeping' is the verb, and 'on the mat' is the prepositional phrase describing where the action is taking place. Choices A, C, and D are incorrect. Option A is a sentence fragment lacking a verb; option C is a dependent clause lacking a main clause, and option D has a subject-verb inversion making it awkward and incorrect.

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. He had already finished studying at a(n) _____ when he was called to join the army.

• A. university
• B. academy
• C. college
• D. institute

Correct answer: A

Rationale: In the context provided, the correct answer is 'university.' The term 'university' is used to refer to higher education institutions that offer undergraduate and postgraduate degrees. While 'academy,' 'college,' and 'institute' are also types of educational institutions, 'university' is the most fitting choice here as it best aligns with the idea of completing higher education before joining the army.

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