Enhancing Acute Oncology Education for Nurses

ELEVEN
By Sandra Cisneros
Text –dependent Questions
 
 
In paragraph three, the author includes figurative language.
How does the figurative language in the text help the
reader understand the character’s feelings about getting
older? (pg 27)
 
 
Evidence-based answers
 
Cisneros writes “
the way you grow old is kind of like an
onion or like the rings inside a tree trunk or like my little
wooden dolls that fit one inside the other, each year inside
the next one
.”
 
All three have layers numbered like years and are part of
the whole identity. This is especially true of the tree with the
rings representing how an outside source (sun, water) can
affect the growth and development of each individual
ring/year and how the rings underneath affect and build
upon the outer layers and years.
Text –dependent Questions
In paragraph 5 the author stated, “Only today I wish I didn’t
have only eleven years rattling inside me like pennies in a
tin can.”
What does this figurative language mean and how does it
affect the tone of the text?
Evidence-based answers
The pennies represent the emotions that are rattling
inside of Rachel. They can represent more than one
maturity or age level in a moment. This reflects her
anxious tone. Her emotions are bouncing within her loudly
as pennies in a tin can.
Writing Task/Objective: 
Draw evidence from text to
support analysis.
In the short story, “Eleven” by Sandra Cisneros, in what
ways do Rachel’s reactions demonstrate her multiple
“years” of her eleven year old self?
Write a one-page essay summarizing the ways that
Rachel responds.  Include textual evidence to support
your interpretation of the age that her actions
demonstrate.
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Develops formal Continuing Professional Development (CPD) education for Registered Nurses in NHS Fife to manage acute oncology patients. Utilizes case scenarios to enhance clinical decision making and critical thinking skills. Includes face-to-face sessions, topics on assessment skills, pain management, and completion of eLearning modules. Evaluates impact through feedback and CPD support for NMC revalidation.

  • Oncology
  • Education
  • Nursing
  • CPD
  • NHS

Uploaded on Mar 03, 2025 | 0 Views


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  1. ELEVEN By Sandra Cisneros

  2. Text dependent Questions In paragraph three, the author includes figurative language. How does the figurative language in the text help the reader understand the character s feelings about getting older? (pg 27)

  3. Evidence-based answers Cisneros writes the way you grow old is kind of like an onion or like the rings inside a tree trunk or like my little wooden dolls that fit one inside the other, each year inside the next one. All three have layers numbered like years and are part of the whole identity. This is especially true of the tree with the rings representing how an outside source (sun, water) can affect the growth and development of each individual ring/year and how the rings underneath affect and build upon the outer layers and years.

  4. Text dependent Questions In paragraph 5 the author stated, Only today I wish I didn t have only eleven years rattling inside me like pennies in a tin can. What does this figurative language mean and how does it affect the tone of the text?

  5. Evidence-based answers The pennies represent the emotions that are rattling inside of Rachel. They can represent more than one maturity or age level in a moment. This reflects her anxious tone. Her emotions are bouncing within her loudly as pennies in a tin can.

  6. Writing Task/Objective: Draw evidence from text to support analysis. In the short story, Eleven by Sandra Cisneros, in what ways do Rachel s reactions demonstrate her multiple years of her eleven year old self? Write a one-page essay summarizing the ways that Rachel responds. Include textual evidence to support your interpretation of the age that her actions demonstrate.

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