Common Idioms in the United States

Common Idioms in the United States

An idiom is a phrase that has a meaning different from the literal interpretation of the individual words and is often used to express a particular idea or cultural reference. In the US, there are many idioms that nurses may have never heard before. While it's not crucial to learn all of them, it will be helpful in relating to and understanding your coworkers and new friends.

Examples of Common Idioms in the US

Phrase

Meaning

A blessing in disguise

An apparent misfortune that eventually has good results

A dime a dozen

Very common

A penny for your thoughts

What are you thinking about? 

Across the board

Applies to all

Add insult to injury

To make a bad situation worse

Alive and kickin’

Very active

All ears

Listening eagerly and attentively

All thumbs

Awkward with your hands

At this stage of the game

A point in the progress of a dispute or process

Awesome sauce

Amazing, really good

Back on your feet

To be healthy again or back to normal after a period of illness or difficult again

Bang a u’ey (prounced “u-ee”)

Make a U-Turn

Beat around the bush

Discuss a matter without coming to the point

Better late than never

Better to do it now than to never do it

Bite the bullet

Do something difficult or unpleasant that you’ve been putting off

Blind-sided

Catch someone unprepared

Born with a silver spoon in their mouth

Very privileged

Break a leg

Good luck

By the skin of your teeth

Just barely

Call it a day

Go home for the day or be done with something

Call the shots

You make the decision

Caught in the crossfire

Trapped between two opposing or arguing sides

Clean bill of health

In good health

Come full circle

Return to a past position or situation

Cool your jets

Slow down or stop being upset

Costs an arm and a leg

Very expensive

Crash course

Rapid and intense course of study

Cut from the same cloth

Very similar

Cut somebody some slack

Allow someone some leeway in their conduct

Cutting corners

Not doing things the correct way, usually by ignoring or breaking the rules

Don’t count your chickens before they hatch

Don’t depend on something you hoped for until you are sure it is certain

Don't cry over spilt milk

Don’t complain about something that can’t be fixed

Don’t get bent out of shape

Don’t get upset

Down to the wire

A situation where the outcome is not known until the very end

Easy does it

Be careful; don’t take too much effort

Easy peasy, lemon squeezy

Very easy or simple.

Faux pas (pronounced “foh pah”)

A significant or embarrassing mistake

Fit as a fiddle

In very good health

Fly on the wall

An unnoticed observer

Food for thought

Something that warrants serious consideration

Frog in my throat

Hoarseness or lose your voice

Get all my ducks in a row

Organize your tasks

Get out of hand

No longer able to control the situation

Get something out of your system

Do something you’ve wanted to do so you can move on

Get your act together

Work better or leave

Give it a whirl

Try something new

Give someone the benefit of the doubt

Trust what someone says

Go back to the drawing board

Start over

Go the extra mile/ yard

Make special effort to achieve something

Good faith

Honesty or sincerity of intention

Grasping for straws

An attempt to succeed when nothing is likely to work

Have a cow

Become angry, excited or agitated

Herding kittens

Trying to control something uncontrollable

Hit a homerun

You did a great job

Hit the ground running

To start a new activity with a lot of energy and enthusiasm

Hit the nail on the head

You got it exactly right

Hit the sack/ hit the hay

Go to sleep

Hold your feet to the fire

Put pressure on a person to obtain a desired result

Hook line and sinker

Someone has been deceived or tricked

In the limelight

Center of attention

It's not rocket science

It’s not complicated

It takes one to know one

You’re just as bad as I am

Jack of all trades

A person who can do many different types of work

Jawn

What you call something you don’t know the name of

Jump the gun

Went ahead and completed something earlier than planned/ needed

Keep your eyes peeled

Be aware of your surroundings

Kill two birds with one stone

Complete two tasks at once

Learn the ropes

Learn how to do things 

Like a duck to water

Naturally good at something

Lose your marbles

Go insane

Madder than a wet hen/ madder than a mashed duck

Extremely angry

Make a long story short

Explain what happened without going into detail

My way or the highway

There is no alternative but to accept the speaker’s opinions or policies

Nailing jello to the wall

Impossible task

Nervous as a cat in a roomful of rocking chairs

Very nervous

New lease on life

To get a fresh start, from good health 

Nip in the bud

Suppress an issue at an early stage

Once in a blue moon

Rarely

On the money

Accurate, correct

On thin ice

Risky position

Pale as a ghost

Very white/ pale

Par for the course

That is typical or expected

Piece of cake

Very easy to do

Plain as day

Very clearly

Play devil's advocate

To argue the opposite, just for the sake of argument

Pulling your leg

Joking around with you

Putting socks on a rooster

Impossible task

Ready Freddy?

Are you ready to go? 

Right as rain

Be perfectly fit and well

Roll with the punches

Adapt to adverse circumstances

See you later, Alligator

Goodbye, see you soon. 

Short end of the stick

To be in a worse position or situation

Short fuse

Lose temper easily

Sick as a dog

Very ill

Sit tight/ hang tight

Refrain from taking action or changing one’s mind

Slam dunk

Success is easily achieved

Snowball effect

Something that starts small, and grows in significance, becoming more serious

So far so good

Things are going well so far

So to speak

Indicates that someone is talking figuratively

Speak of the devil

When a person appears just after they were mentioned in a conversation

Step up to the plate

Take action in response to crisis or opportunity

Sweet tooth

Love sweet tasting foods

Take it with a grain of salt

Don’t take it too seriously

That is the last straw

My patience has run out

That was a curveball/ you were thrown a curveball

Unexpected challenge or disruption

The ball is in your court

It’s up to you to make the decision

The straw that broke the camel's back

A small action that causes a large reaction, as a result of several smaller actions

Third degree

Severe questioning

Throw in the towel

Give up

Under the knife

Going in for a surgical procedure

Under the weather

Not feeling well

Up a creek without a paddle

In serious trouble without a way of getting out of it

We will cross that bridge when we get there

Let’s not talk about that problem right now

When the chips are down

When a serious and difficult situation arises

Willy-nilly

Doing something by compulsion; without planning or order

Worth your salt or worth your weight in salt

You are competent, deserving and worthy

Woulda, coulda, shoulda

A disappointed statement where the person saying it doesn’t believe the person’s intentions to follow through on a task. 

Wrap your head around something

Understand something complicated

You can say that again

That’s true, I agree

You have bigger fish to fry

You have more important matters to take care of than what we are talking about

Your guess is as good as mine

I have no idea

6 eggs in one hand, half a dozen in the other

Two alternatives will give the same outcome


To understand more about US culture, read about body language in the US and cultural nuances.

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