(Q).
Read the following context and choose the correct option to answer the question. Context: Not as a nurse, but as a patient. I had my appendix removed in about 1970 before keyhole surgery and the surgeon had not properly stitched the inside incision. This meant I was slowly "leaking" blood into the area between my abdominal cavity lining and my skin. I was kept in the hospital for two weeks and every day the same nurse would come along and open the end of the incision in my skin to relieve the pressure caused by the pooling of my blood. That was fine for the first five days, but the weekend came and she was off duty. Apparently, nobody else knew what to do. By Monday morning, I was in agony and when she arrived, she was appalled I had not been drained during the weekend. The other thing that happened during the weekend was the end of the skin incision, which she had opened, had mostly healed meaning there was no convenient hole for the blood to be drained. The nurse used a sharp pair of scissors to reopen one end of the partly-healed incision, but still the blood would not simply drain of its own accord. She used both hands to squeeze downwards onto the swollen blood reservoir. At first, there was no reaction except agonizing pain, but after a few seconds and a very hard squeeze, the stinking, coagulated blood jetted out of the hole she'd made squirting across the ceiling, down the wall and down her full-length coating her face and the front of her uniform. Despite the pain, I couldn't keep myself from laughing loud and long. She then dressed the wound, directed some junior nurses to clean the ceiling and the wall while she went to clean herself. I apologized for laughing the following day when she returned. She told me she appreciated the humor of the situation so there was no "hard feelings." Question: The total time it took the patient to heal: Options: A. two years B. not enough information C. four weeks D. six months
(A).
C

(Q).
Read the following context and choose the correct option to answer the question. Context: In the 1970s I was a student nurse in psychiatry. I was rostered to the brain injury ward in a chronic hospital, where the patients had severe brain damage from tumours, car accidents, strokes, metabolic diseases, degenerative diseases, and alcoholism. Only about half were ambulant. Most had severely impacted recent and long term memories. They could not bathe or feed themselves. The majority sat most of the day in chairs lined along the sides of the day room. They were spoon-fed meals and wheeled into the toilet. One of those patients was Connie S. She was maybe 55 yrs old and she spent a lot of the day screaming in her chair. She could not speak, walk, or cooperate. One nurse was very impatient with her and once I heard that nurse say to her, "You think the water is too hot, do you? Then have it cold!" as she bathed her in cold water. I remember standing up for her to that nurse. I worked that ward for over a year and then, one day, just like that, Connie S. woke up. She suddenly began speaking and walking. She apparently remembered most of the things had had happened to her in the ward. Soon, she walked right out of that ward and never came back. As she left, she appeared dignified and so happy, so relieved. I was too junior at that stage to know what her diagnosis was supposed to have been, but no-one expected her ever to leave. No-one left that ward. It was the end of the line. I remember being really glad that I had stood up for her and thinking how ashamed the nasty nurse must have been. It is now many years later and I often think of this woman and wonder how she fared in her post-hospital life. Her name is not common, but every so often I meet people with the same name and ask them if they know of a relative to whom this happened, but, so far, no-one has known of her. Question: When did the 55-year-old woman (Connie) leave the hospital? Options: A. During her recovering B. After she recovered C. Before she recovered D. not enough information
(A).
B

(Q).
Read the following context and choose the correct option to answer the question. Context: As a nurse, what is the most difficult news you have ever had to break to a patient? Sadly in my job (Ob/gyn nurse) there is one thing I have to report fairly often, that a pregnancy is not going to happen. Sometimes the mom's are bleeding and they kind of know that this is going to happen, but sometimes, they are not bleeding and it is a gut punch without any warning. This can be an ultrasound that shows no heartbeat or a lab test that is declining. Nothing is worse than the look on a woman's face when she is looking forward to her first glimpse of her baby only to be told that the baby is not alive. It doesn't get any easier, no matter how many times you do it. My own daughter called me one day to announce she was pregnant and two days later, we found out she was miscarrying and I bawled all day. I never even knew this baby, but now, 15 years later, just writing this now is making my eyes water. I have to do a lot of this over the phone and that makes it even harder because I am not able to offer comfort and I don't know where they are or what they are doing when they get this news. If they call me for their lab results, they might be driving, they might be walking around the mall, they will have to call their significant other and break the news, such difficult conversations to have over the phone. I have been very, very lucky that the few times I have seen advanced pregnancies that underwent a fetal demise were handled by the physicians that I have worked with. I can't imagine being almost ready to deliver and having all your hopes and dreams crushed. Obstetricians sometimes have the very best job, bringing new lives into the world and seeing the new families bonding, but sometimes they also have the very worst job. Question: How does the nurse feel about giving bad news? Options: A. The nurse is nonchalant. B. not enough information C. The nurse is saddened. D. The nurse is objective.
(A).
C