Key Takeaways

  • Paragraphs need topic sentences, supporting sentences, and concluding sentences
  • Topic sentences should be specific and focused, not too broad or narrow
  • Transitions connect ideas and show relationships (addition, contrast, cause/effect)
  • Cohesion techniques include repeating key terms, using pronouns, and maintaining consistency
  • Sentences within paragraphs should follow a logical order appropriate to the purpose
Last updated: January 2026

Paragraph Organization and Cohesion

Effective paragraphs have clear organization and logical flow. The TEAS tests your ability to recognize well-structured paragraphs and improve cohesion in writing.

Paragraph Structure

A well-organized paragraph contains:

ComponentFunctionPosition
Topic sentenceStates main ideaUsually first
Supporting sentencesDevelop the main ideaMiddle
Concluding sentenceSummarizes or transitionsLast

Topic Sentences

The topic sentence presents the paragraph's main idea and controls what follows.

Strong topic sentences:

  • Make a specific, focused claim
  • Are neither too broad nor too narrow
  • Set up expectations for the paragraph

Examples:

QualityExample
Too broadHealthcare is important.
Too narrowAspirin contains 325 mg of acetylsalicylic acid.
Just rightRegular handwashing is the most effective way to prevent hospital-acquired infections.

Paragraph Patterns

PatternPurposeTransitions
ChronologicalEvents in time orderFirst, then, next, finally
SpatialPhysical arrangementAbove, below, beside, nearby
Order of importanceMost to least (or reverse)Most importantly, primarily, also
Compare/ContrastSimilarities and differencesSimilarly, in contrast, however
Cause/EffectWhy and what resultsBecause, therefore, as a result
Problem/SolutionIssue and resolutionThe problem is..., one solution is...

Transition Words and Phrases

PurposeExamples
Additionalso, furthermore, in addition, moreover
Contrasthowever, on the other hand, nevertheless, yet
Cause/Effecttherefore, consequently, as a result, because
Time sequencefirst, then, next, finally, subsequently
Examplefor example, for instance, specifically, such as
Emphasisindeed, in fact, certainly, most importantly
Conclusionin conclusion, ultimately, in summary, finally

Cohesion Techniques

1. Repeat Key Terms Use the same or related words to connect ideas.

2. Use Pronouns Replace nouns with pronouns to avoid repetition while maintaining connection.

  • "The patient arrived at 8 AM. She was immediately taken to triage."

3. Use Transitional Expressions Connect ideas with appropriate transitions.

  • "The medication was effective. However, it caused side effects."

4. Use Parallel Structure Repeat grammatical patterns for related ideas.

  • "The nurse checked vitals, administered medication, and documented care."

5. Maintain Consistent Point of View Don't shift between first, second, and third person unnecessarily.

Identifying Paragraph Problems

ProblemDescriptionExample
Lack of topic sentenceMain idea unclearParagraph jumps into details
Irrelevant sentencesInformation doesn't support topicOff-topic facts inserted
Missing transitionsIdeas don't connect smoothlyAbrupt shifts between ideas
Illogical orderSequence doesn't make senseSteps out of order
Weak conclusionParagraph ends abruptlyNo summary or wrap-up

Improving Paragraph Flow

Example of poor cohesion: "Hand hygiene prevents infections. Gloves should be changed between patients. The hospital policy requires training. Many infections are preventable."

Improved version: "Hand hygiene is the most effective way to prevent hospital-acquired infections. According to hospital policy, staff must wash hands and change gloves between patients. These practices are reinforced through required training. As a result, many preventable infections can be avoided."

Logical Order Within Paragraphs

Information should progress logically:

  • From general to specific
  • From known to unknown
  • From simple to complex
  • From cause to effect
  • Chronologically (when describing processes)

TEAS Question Types

Question TypeWhat It Tests
Best topic sentenceIdentifying appropriate main ideas
Sentence placementWhere a sentence belongs logically
Missing transitionWhat connector is needed
Irrelevant sentenceWhich sentence doesn't belong
Best conclusionAppropriate ending for paragraph
Test Your Knowledge

Which sentence would best serve as a topic sentence for a paragraph about medication safety?

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Test Your Knowledge

Which transition word would best connect these sentences? "The patient followed the treatment plan. _____, her condition improved significantly."

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B
C
D
Test Your Knowledge

In a paragraph about the steps of taking blood pressure, which organizational pattern would be most appropriate?

A
B
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D