Nursing Elites

1. What is the meaning of the word 'established' as used in the first paragraph?

• A. Created
• B. Ascertained
• C. Founded
• D. Reputable

Correct answer: C

Rationale: In this context, 'established' means 'founded' or set up for a long time. The word is used to indicate that phototherapy has been a recognized and in place form of medicine for over a century. 'Created' (choice A) is incorrect as it implies the initial invention of phototherapy, which is not the intended meaning here. 'Ascertained' (choice B) means to find out for certain, which does not match the context of how phototherapy has been practiced. 'Reputable' (choice D) means having a good reputation, which is not the same as being long-standing or founded.

2. Which is not mentioned as a possible result of being spanked in childhood?

• A. Aggression
• B. Coercive sex
• C. Delinquency
• D. Incontinence

Correct answer: D

Rationale: The correct answer is D: 'Incontinence.' The passage discusses the negative consequences of spanking in childhood, such as increased aggression, delinquent behavior, and future sexual problems like coercive sex. However, incontinence is not mentioned as a possible result of being spanked. Therefore, it is the correct choice. Choices A, B, and C are all supported by the passage, making them incorrect answers.

3. What conclusion is suggested by this study from Germany?

• A. So far, acupuncture does not have much credibility as a treatment option.
• B. Acupuncture can relieve women of all menstrual discomfort.
• C. NSAIDs are generally more effective than acupuncture for treating cramps.
• D. Acupuncture is a reasonable treatment choice for cramps.

Correct answer: D

Rationale: The study indicates that acupuncture is a reasonable treatment option for menstrual cramps, supported by the positive outcomes reported by participants in the study. The wording in option D directly aligns with the conclusion drawn from the findings, making it the correct answer.

4. Which of the following is a conclusion that a reader can draw from this passage?

• A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
• B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
• C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
• D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

5. The information presented is

• A. Balanced in its view of public speaking.
• B. Favoring people with low-pitched voices.
• C. Slanted against people with piercing voices.
• D. Neutral toward both high- and low-pitched voices.

Correct answer: C

Rationale: The correct answer is C. The paragraph is biased against people with piercing or harsh voices, suggesting they are less desirable as public speakers, newscasters, or political candidates. The text explicitly mentions that harsh voice qualities, like being shrill, grating, hard, piercing, brassy, loud, or nasal, are undesirable and may make people uncomfortable when speaking. It also highlights that tension leading to harsh voice qualities is more common in higher-pitched voices, which are typically associated with women, making them less preferred for public speaking roles. Choices A, B, and D are incorrect because the text does not suggest a balanced view, favor low-pitched voices, or maintain neutrality towards both high- and low-pitched voices; instead, it emphasizes the negative impact of harsh and piercing voices.

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