Day 16
7th Section
ATI TEAS Version 7 English and Language Usage
section, focusing on their roles as verbs, nouns, and adjectives, with examples
and TEAS-style explanations.
Affect vs. Effect – Core Distinction for TEAS
|
Word |
Primary
Part of Speech |
Primary
Meaning |
Secondary
Uses |
|
Affect |
Verb (most common) |
To influence or change something |
Rare: Noun (psychology –
observable emotion) |
|
Effect |
Noun (most common) |
A result or outcome |
Rare: Verb (to bring about or
cause) |
TEAS tip: 95% of TEAS questions will test affect as a verb and
effect as a noun. The adjective forms appear less often but are still
testable.
1. Affect – Detailed Uses
A.
Affect as a Verb (90% of TEAS uses)
Meaning: To influence, change, or produce an effect on something.
Grammar pattern: Something affects something else.
(Subject + affects + object)
|
Example |
Explanation |
|
Lack of sleep can affect a nurse’s
clinical judgment. |
Sleep influences judgment. |
|
The new policy will affect
medication administration times. |
The policy changes the times. |
|
How does hypertension affect
kidney function? |
Hypertension influences kidneys. |
|
The medication did not affect the
patient’s blood pressure. |
No change occurred. |
TEAS memory trick: Affect = Action (both start with A – verbs show
action)
B.
Affect as a Noun (Rare – psychology/psychiatry context)
Meaning: Observable expression of emotion (facial expression, tone,
voice).
Grammar pattern: Usually follows flat, blunted, restricted, labile.
|
Example |
Explanation |
|
The patient presented with a flat
affect and monotone speech. |
Lack of emotional expression. |
|
Her affect was appropriate to the
situation. |
Emotional response matched
context. |
|
The nurse noted a blunted affect
during the mental health assessment. |
Reduced emotional expression. |
TEAS tip: If you see words like flat, blunted, labile, restricted
before the blank, choose affect (noun).
2. Effect – Detailed Uses
A.
Effect as a Noun (90% of TEAS uses)
Meaning: A result, outcome, or consequence.
Grammar pattern:
The effect of X on Y
X has an effect on Y
Often follows: the, an, any, no,
cause, have, produce
|
Example |
Explanation |
|
The effect of the vaccine was
immediate immunity. |
Result = immunity. |
|
What are the side effects of this
chemotherapy? |
Unwanted results. |
|
The medication had no effect on
his symptoms. |
Zero result. |
|
The placebo effect can influence
pain perception. |
Result from belief, not drug. |
TEAS memory trick: Effect = End result (both start with E)
B.
Effect as a Verb (Formal/rare – TEAS occasionally tests)
Meaning: To bring about, cause, or accomplish something.
Grammar pattern: Effect + change
(often paired with change)
|
Example |
Explanation |
|
The new protocol will effect a
change in hand hygiene compliance. |
Will bring about a change. |
|
The committee hopes to effect a
reduction in medication errors. |
To cause a reduction. |
|
Only surgery can effect a cure in
this case. |
To bring about a cure. |
TEAS
distinction:
Affect (verb) = influence (not necessarily cause directly)
Effect (verb) = cause / bring about (more direct, intentional)
3. Adjective Forms – Affect vs. Effect
A.
Adjective from Affect: Affective
Meaning: Related to emotions or mood (psychology/psychiatry
context).
|
Example |
Explanation |
|
The patient was diagnosed with an
affective disorder, such as depression. |
Mood disorder. |
|
Affective symptoms include
sadness, hopelessness, and flat affect. |
Emotion-related symptoms. |
|
Seasonal affective disorder (SAD)
occurs in winter months. |
Mood changes with seasons. |
TEAS note: Affective is almost always used in mental health
contexts.
B.
Adjective from Effect: Effective
Meaning: Successful in producing a desired result.
|
Example |
Explanation |
|
Hand hygiene is the most effective
way to prevent infection. |
Produces desired prevention. |
|
Is this antibiotic effective
against MRSA? |
Successful at killing MRSA. |
|
The nurse implemented an effective
pain management plan. |
Plan produced good results. |
TEAS note:
Effective = works well
Affective = related to emotions
Do not confuse them.
C.
Other common adjectives from Effect
|
Adjective |
Meaning |
Example |
|
Efficient |
Does something well without waste |
An efficient workflow saves time. |
|
Effectual |
Producing the intended result
(formal) |
An effectual treatment plan. |
|
Ineffective |
Not producing desired result |
The CPR was ineffective. |
TEAS tip: TEAS rarely tests effectual but may test effective
vs. ineffective.
4. TEAS-Style Comparison Table
|
Sentence |
Correct
Word |
Why |
|
The new law will _____ healthcare
access. |
affect (verb) |
Action verb – will influence |
|
The new law will have a positive
_____ on healthcare. |
effect (noun) |
Result – object of “have a” |
|
The patient’s _____ was flat
during the interview. |
affect (noun – psych) |
Emotional expression |
|
The manager hopes to _____ a
change in policy. |
effect (verb – rare) |
To bring about change |
|
She suffers from seasonal _____
disorder. |
affective (adj) |
Emotional/mood disorder |
|
This dressing change is highly
_____ against infection. |
effective (adj) |
Produces successful result |
5. Memory Tricks for TEAS
|
Trick |
Explanation |
|
RAVEN |
Remember Affect = Verb, Effect =
Noun |
|
A = Action |
Affect starts with A – verbs show
action |
|
E = End result |
Effect starts with E – noun =
result |
|
The effect |
“The” before the word almost
always means noun → effect |
|
Affect emotion |
Affect (noun) = emotion
(psychology context) |
|
Effective works |
Effective = successful (adjective) |
|
Affective feels |
Affective = emotions (adjective) |
6. TEAS Practice Questions (with 4 options each)
Questions
1–20
1.
Lack of sleep can negatively _____ a nurse’s clinical reasoning.
A) effect (verb)
B) affect (verb)
C) effective
D) affective
Answer: B) affect (verb) – Action verb meaning “influence”
2.
The most common side _____ of this diuretic is electrolyte imbalance.
A) affect (verb)
B) affect (noun)
C) effect (noun)
D) effective
Answer: C) effect (noun) – “Side effect” = unwanted result (noun)
3.
The patient presented with a flat _____ and spoke in a monotone voice.
A) effect (noun)
B) affect (noun – psych)
C) affective
D) effective
Answer: B) affect (noun) – Flat affect = reduced emotional expression
4.
The new policy will _____ a significant change in shift scheduling.
A) affect (verb)
B) effect (verb – rare)
C) effective
D) affective
Answer: B) effect (verb) – To bring about or cause a change
5.
Seasonal _____ disorder (SAD) is more common in northern latitudes.
A) effective
B) affective
C) effectual
D) affected
Answer: B) affective – Related to emotions/mood
6.
Hand sanitizer is _____ against most common pathogens when used correctly.
A) affective
B) effectual
C) effective
D) affected
Answer: C) effective – Successful in producing desired result
7.
How does chronic stress _____ blood pressure regulation?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb) – Action verb meaning “influence”
8.
The _____ of the medication lasted approximately six hours.
A) affect (verb)
B) affect (noun)
C) effect (noun)
D) effective
Answer: C) effect (noun) – Duration of the result
9.
The nurse noticed a blunted _____ in the patient with major depression.
A) effect (noun)
B) affect (noun – psych)
C) affective
D) effective
Answer: B) affect (noun) – Blunted affect
10. The new IV catheter is more _____ than the previous model.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
11. The hurricane did not _____ the hospital’s ability to
operate.
A) effect (verb)
B) affect (verb)
C) effect (noun)
D) effective
Answer: B) affect (verb)
12. What is the primary _____ of beta-blockers on heart rate?
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
13. _____ disorders include major depressive disorder and
bipolar disorder.
A) Effective
B) Affectual
C) Affective
D) Effectual
Answer: C) Affective
14. The quality improvement team hopes to _____ a reduction in
falls.
A) affect (verb)
B) effect (verb – rare)
C) effective
D) affective
Answer: B) effect (verb)
15. The placebo _____ can produce real physiological changes.
A) affect (noun)
B) affect (verb)
C) effect (noun)
D) affective
Answer: C) effect (noun)
16. Does caffeine _____ the accuracy of blood pressure
readings?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
17. The _____ of poor lighting on medication errors was
significant.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
18. The patient’s inappropriate _____ suggested possible mania.
A) effect (noun)
B) affect (noun – psych)
C) effective
D) affective
Answer: B) affect (noun)
19. Chlorhexidine is an _____ antiseptic for surgical site
preparation.
A) affective
B) effectual
C) effective
D) affected
Answer: C) effective
20. The new law will _____ everyone who receives Medicare
benefits.
A) effect (verb)
B) affect (verb)
C) effect (noun)
D) effective
Answer: B) affect (verb)
7. TEAS-Style Passage Correction
Original
passage (contains 4 errors with affect/effect):
The
new pain management protocol will positively effect patient comfort. One
affective intervention is the use of multimodal analgesia. The side affects of
opioids must be monitored closely. The nurse manager hopes to affect a change
in prescribing habits.
Corrected
passage:
The
new pain management protocol will positively affect patient comfort. One
effective intervention is the use of multimodal analgesia. The side effects
of opioids must be monitored closely. The nurse manager hopes to effect
a change in prescribing habits.
Explanation
of corrections
|
Error |
Correction |
Rule |
|
effect → affect |
will positively affect |
Verb needed (influence) |
|
affective → effective |
effective intervention |
Adjective meaning “successful” |
|
affects → effects |
side effects |
Noun (results) |
|
affect → effect |
to effect a change |
Verb meaning “to bring about” |
8. Final TEAS Quick Reference Card
|
Use
this word |
When |
|
affect (verb) |
You need an action meaning
“influence” |
|
effect (noun) |
You need a result – often after
the, an, any, no, cause, have |
|
affect (noun) |
Psychology context – flat,
blunted, labile, restricted + _____ |
|
effect (verb) |
Formal – to bring about a change
(usually with change) |
|
affective (adj) |
Emotion-related (affective
disorder) |
|
effective (adj) |
Successful at producing a result |
ATI TEAS Version 7 format — each
with 4 answer options and the correct answer immediately following.
Questions
1–50
1.
The medication’s primary _____ is a reduction in blood pressure.
A) affect (verb)
B) affect (noun)
C) effect (noun)
D) effective
Answer: C) effect (noun)
2.
How will the new staffing ratio _____ patient outcomes?
A) effect (verb)
B) affect (verb)
C) effect (noun)
D) affective
Answer: B) affect (verb)
3.
The patient displayed a labile _____ during the psychiatric evaluation.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
4.
The antibiotic was not _____ against the resistant bacterial strain.
A) affective
B) effectual
C) effective
D) affected
Answer: C) effective
5.
The new policy will _____ a change in how controlled substances are tracked.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
6.
Seasonal _____ disorder is treated with light therapy and antidepressants.
A) effective
B) affective
C) effectual
D) affected
Answer: B) affective
7.
The nurse explained the potential side _____ of the chemotherapy regimen.
A) affects (noun)
B) effects (noun)
C) affect (verb)
D) effective
Answer: B) effects (noun)
8.
Does alcohol consumption _____ liver function tests?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
9.
The _____ of the fall was a fractured hip in the elderly patient.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
10. The patient’s flat _____ made it difficult to assess their
pain level.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
11. Hand hygiene is the most _____ way to prevent
healthcare-associated infections.
A) affective
B) effectual
C) effective
D) affected
Answer: C) effective
12. The hospital administrator hopes to _____ a reduction in
readmission rates.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
13. The new insulin formulation does not _____ blood glucose
monitoring requirements.
A) effect (noun)
B) effect (verb)
C) affect (verb)
D) affective
Answer: C) affect (verb)
14. What long-term _____ does chronic stress have on the immune
system?
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
15. The patient’s restricted _____ was noted in the mental
health assessment.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
16. The new EHR system will _____ workflow efficiency in the
emergency department.
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
17. The _____ of the intervention was measured using a
standardized pain scale.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
18. The patient’s _____ symptoms included sadness, anhedonia,
and fatigue.
A) effective
B) effectual
C) affective
D) affected
Answer: C) affective
19. The diuretic was _____ at reducing edema in heart failure
patients.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
20. The nurse manager wants to _____ a culture change regarding
fall prevention.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
21. The medication may _____ cognitive function in older
adults.
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
22. The _____ of anesthesia typically wears off within 2–4
hours.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
23. The patient demonstrated an inappropriate _____ for the
situation.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
24. The new wound care dressing is more _____ than the previous
product.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
25. The CEO hopes to _____ a merger between the two hospitals.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
26. Does room temperature _____ the stability of insulin vials?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
27. The _____ of poor communication was a sentinel event.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
28. The patient’s blunted _____ was concerning for major
depression.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
29. Chlorhexidine is highly _____ against methicillin-resistant
Staphylococcus aureus.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
30. The new legislation will _____ how Medicare reimburses for
telehealth visits.
A) effect (verb)
B) affect (verb)
C) effective
D) affective
Answer: B) affect (verb)
31. The _____ of the crash cart medication was immediate
restoration of rhythm.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
32. The patient’s _____ range was restricted to anger and
irritability.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
33. The new protocol was _____ in reducing central line
infections by 40%.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
34. The nurse hopes to _____ a change in the patient’s
lifestyle habits.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
35. How does obesity _____ the risk of developing type 2
diabetes?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
36. The _____ of the educational session was improved hand
hygiene compliance.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
37. The patient’s constricted _____ was noted throughout the
interview.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
38. Naloxone is _____ at reversing opioid-induced respiratory
depression.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
39. The team hopes to _____ a smooth transition to the new EHR
system.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
40. The change in shift schedule will _____ staff morale.
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
41. The _____ of the wrong medication was respiratory arrest.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
42. The patient displayed a full _____ that was appropriate to
the conversation.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
43. Compression stockings are _____ at preventing deep vein
thrombosis.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
44. The clinical educator wants to _____ a change in how vital
signs are documented.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
45. Does the time of day _____ the accuracy of blood glucose
readings?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
46. The _____ of the quality improvement project was a 30%
reduction in falls.
A) affect (verb)
B) effect (noun)
C) affective
D) effective
Answer: B) effect (noun)
47. The patient’s _____ was described as flat and unchanging.
A) effect (noun)
B) affect (noun)
C) effective
D) affective
Answer: B) affect (noun)
48. The new antiseptic is more _____ against biofilms than the
previous one.
A) affective
B) effective
C) effectual
D) affected
Answer: B) effective
49. The committee hopes to _____ a change in the medication
reconciliation process.
A) affect (verb)
B) effect (verb)
C) effective
D) affective
Answer: B) effect (verb)
50. How will the new isolation policy _____ family visitation
hours?
A) effect (noun)
B) affect (verb)
C) effective
D) affect (noun)
Answer: B) affect (verb)
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