What does the word 'integral' mean as used in the first paragraph of the passage?

Correct Answer: A

Rationale: In this context, 'integral' means 'central' or essential. The passage discusses the debate around spanking as a method of discipline. Some parents consider it an integral part of teaching right and wrong, highlighting its central importance. Therefore, the correct answer is 'A: Central.' Choice B, 'Initial,' is incorrect as the word 'integral' does not refer to something being at the beginning of a process or sequence. Choice C, 'Trifling,' is incorrect as 'integral' implies significance and importance, opposite to being trivial. Choice D, 'Irrelevant,' is incorrect as the passage clearly states that some parents view spanking as essential, making it relevant and not irrelevant.

Correct Answer: A

Rationale: The passage suggests that a vegetarian diet can provide sufficient protein and lower body fat, heart disease risk, and cholesterol, but it does not suggest that it lowers the need for protein.

Correct Answer: A

Rationale: In this context, 'shifts' refers to changes or alterations in brain chemistry and electrophysiology. The word 'alterations' best captures the idea that significant changes are occurring in the brain. 'Stints' (choice B) refer to short periods of time or work, which is not the meaning intended here. 'Removals' (choice C) and 'transfers' (choice D) do not fit the context of the sentence and are not related to the changes happening in the brain as described in the extract.

Correct Answer: B

Rationale: In the context of the passage, 'abstain' means to refrain from or go without. The passage discusses the challenges of treating individuals with both eating disorders and substance abuse issues. It mentions that while treatment for addiction involves abstinence, it is not possible to completely abstain from food. This highlights the meaning of 'abstain' as 'go without' in this context. The other choices are incorrect: 'Dishonor' does not relate to abstain, 'Connect to' is not synonymous with abstain, and 'Liberate' does not align with the context of the passage.

Correct Answer: B

Rationale: The correct answer is B: 'Untreated jaundice may cause brain damage.' This statement is a fact supported by the passage. Neonatal jaundice, if left untreated, can lead to brain damage due to excess bilirubin levels in the blood. Choice A is not a fact but a general guideline for nurses. Choice C is an opinion as it describes phototherapy blankets as valuable without citing a specific fact. Choice D is not a fact but a recommendation, advising to avoid neonatal units lacking phototherapy.

Correct Answer: D

Rationale: In the context of the passage, 'track' refers to a 'paved, circular path' for running or walking. The last sentence of the passage encourages people to get off the couch and onto the track, indicating a physical path for exercise. Choice A, 'Keep a record of,' is incorrect as the context does not suggest any relation to recording information. Choice B, 'A new attitude,' is unrelated to the context of exercise and fatigue reduction. Choice C, 'Follow carefully,' does not fit the context of physical activity and energy levels discussed in the passage.

Correct Answer: D

Rationale: Based on the provided extract, sleeping helps with fatigue, memory, and learning. The passage mentions how a nap can refresh the brain, improve the ability to learn and remember, and enhance memory. However, the extract does not mention anything about sleeping helping with appetite. Therefore, the correct answer is D. Choices A, B, and C are supported by the content of the passage, emphasizing the positive effects of sleep on fatigue, memory, and learning.

Correct Answer: A

Rationale: In this context, 'lethargy' refers to a state of sluggishness or lack of energy. The passage mentions that people with seasonal affective disorder (SAD) struggle with lethargy and chronic fatigue, impairing their daily lives. Therefore, the correct definition of 'lethargy' in this context is 'sluggishness.' Choice B, 'Irritability,' is incorrect as lethargy refers more to a lack of energy than to being irritable. Choice C, 'Energy,' is the opposite of lethargy. Choice D, 'Starvation,' is unrelated to the definition of lethargy in this context.

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.