Nursing Elites

1. In alcoholic patient, the nurse knows that the vitamin deficient to these types of clients that leads to psychoses is:

• A. Thiamine C. Niacin
• B. Vitamin C D. Vitamin A
• C.
• D.

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. The recommended treatment modality in clients with obsessive-compulsive disorder is:

• A. Psychotherapy
• B. Behavior therapy
• C. Aversion therapy
• D. Psychoanalysis

Correct answer: B

Rationale: The recommended treatment modality for clients with obsessive-compulsive disorder is Behavior Therapy, not Psychoanalysis. Behavior therapy, specifically exposure and response prevention, is considered the first-line treatment for OCD. This therapy focuses on changing the patterns of behavior that contribute to the disorder. Psychotherapy, although beneficial in some cases, is not as effective as behavior therapy for OCD. Aversion therapy involves associating a stimulus with a negative outcome to reduce the frequency of a specific behavior, which is not the primary approach for OCD.

3. Which two dietary components may help decrease blood cholesterol levels?

• A. Omega-3 fatty acids and soluble fiber
• B. Short-chain fatty acids and insoluble fiber
• C. Trans fatty acids and potassium
• D. Cis fatty acids and calcium

Correct answer: A

Rationale: The correct answer is A: Omega-3 fatty acids and soluble fiber. Omega-3 fatty acids are known to reduce triglycerides, while soluble fiber helps to lower LDL cholesterol levels. Both of these components are beneficial in managing blood cholesterol levels. Choice B, short-chain fatty acids and insoluble fiber, is incorrect as they do not have the same cholesterol-lowering effects as omega-3 fatty acids and soluble fiber. Choice C, trans fatty acids and potassium, is incorrect as trans fatty acids can raise LDL cholesterol levels and increase the risk of heart disease. Choice D, cis fatty acids and calcium, is incorrect as cis fatty acids are common in natural fats and do not specifically help in reducing blood cholesterol levels.

4. Water loss can occur from each, except one. Which is the exception?

• A. Respiratory inflammation
• B. Strenuous exercise
• C. Diarrhea
• D. Perspiration

Correct answer: D

Rationale: The correct answer is D, Perspiration. Water loss can occur through respiration inflammation, strenuous exercise, and diarrhea. Perspiration, also known as sweating, is a mechanism by which the body regulates temperature and eliminates some waste products, but it is not a cause of water loss. The body loses water through sweating, but this loss is mainly for cooling purposes, and it is not a primary mechanism for water loss like respiration, exercise, or diarrhea.

5. A client reports having difficulty losing weight. Which of the following responses by the nurse is appropriate?

• A. Eat small portions of high-calorie foods first.
• B. Set a goal, and you will be able to attain it.
• C. It is helpful to self-monitor your eating.
• D. Taste food while cooking to help curb your appetite.

Correct answer: C

Rationale: The correct answer is C: 'It is helpful to self-monitor your eating.' Self-monitoring dietary intake is an evidence-based strategy that enhances awareness and accountability, making it an effective approach for weight management. Choice A is incorrect as focusing on high-calorie foods first may not be the most effective strategy for weight loss. Choice B is too general and lacks actionable advice. Choice D, tasting food while cooking, does not directly address the client's difficulty in losing weight and is not a proven method for weight management.

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