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. According to the above context, choose the correct option to answer the following question. Question: Where does the nursing student work now that she is a full time employed nurse herself? Options: A. elderly nursing home B. not enough information C. brain injury unit D. general care
C

(Question)
Paul knew that the plan was insane and probably illegal. Certainly the stuff he'd been helping Chloe and her gang of followers do for the last few hours was technically illegal. He'd asked them why they were helping him, what did they hope to gain? They'd told him that this is what they did for fun. Chloe assured him that they "lived for this kinda shit." Ok, fine. He could sort of see that. Once he was there, helping them come up with the plan and then actually carrying it out, it sure as hell was exciting - probably the most exciting thing he'd ever done. Now that he was home and alone with his misgivings and paranoia, it all seemed like a really stupid idea. If it weren't for Chloe and her mesmerizing enthusiasm, there's no doubt that he wouldn't be doing this at all. But it was too late now. Or was it? It was five in the morning when Paul got back to his apartment. He'd told Chloe that he wanted to get a few hours sleep before the big meeting, but he now realized that there was no way he was going to be able to relax. When he'd stepped out the door twenty-two hours earlier he'd still had his job and was looking forward to a showing the rest of the art team his new designs for some of the higher-level monsters he wanted to add to the game. Screw that, he thought, they're my monsters now. I'll use them somewhere else. It could never work. How could it? Right then and there Paul decided that he was going to call the whole thing off. It wasn't too late. They hadn't done anything yet that wasn't reversible. No one had been hurt. No money had changed hands. No one had been lied to. If he called it off right now he could just move on and try and put the whole, sorry state of affairs behind him. According to the above context, choose the correct option to answer the following question. Question: When did Paul go to the meeting? Options: A. Yesterday B. not enough information C. After he came from the game D. After he tried to take a nap
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D

Have you ever wondered whether it's worth your while to encourage an older person to start exercising? In 2014, the top-notch journal JAMA published the results of a fantastic research project: a study in which 1635 sedentary older adults (aged 70-89) were assigned to get either a structured exercise program, or a program of "successful aging" health education. The researchers called it the Lifestyle Interventions and Independence for Elders (LIFE) study. (You can read the full study here.) During the LIFE study, the two groups were followed for a little over 2.5 years. And by the end of the study, guess which group of volunteers was more likely to still walk a quarter of a mile (without a walker)? That's right. When it came to avoiding "major mobility disability" which the researchers defined as becoming unable to walk 400 meters or more a structured exercise program was better than a program of healthy aging education. Specifically, the researchers found that 30% of the exercisers experienced a period of major disability, compared to 35.5% of the seniors enrolled in the healthy aging education program. This is a very encouraging finding! That said, it's also a bit sobering to realize that even with exercise, almost 1 in 3 older adults experienced a period of limited mobility, of which half lasted 6 months or more. In this post, I'll share some more details on this study, because the results provide a wonderful wealth of information that can be helpful to older adults, family caregivers, and even geriatricians such as myself. Want to know how often the exercisers experienced "adverse events"? (Hint: often!) Wondering just what the structured exercise program involved? (Hint: more than walking!) Let's dig into the details! At the end of this post, I'll share my list of key take-home points for older adults and family caregivers. Who were the study volunteers? Whenever you read about a research study, it's important to understand how the study volunteers compare to the older adults in *your* life. One of... According to the above context, choose the correct option to answer the following question. Question: Who was sharing more details on the study? Options: A. The caregivers B. The author C. The elderly people D. not enough information
B