Nursing Elites

1. Miss CEE is admitted for treatment of major depression. She appears withdrawn, disheveled, and states 'Nobody wants me'. What does the nurse most likely expect that Miss CEE is to be placed on?

• A. Neuroleptics medication
• B. Special diet
• C. Suicide precaution
• D. Anxiolytics medication

Correct answer: C

Rationale: Given Miss CEE's state of major depression and her expressed feelings of worthlessness ('Nobody wants me'), the nurse would most likely expect her to be placed on suicide precaution. This means that measures would be taken to ensure her safety and to prevent her from harming herself. While medications like neuroleptics (Choice A) and anxiolytics (Choice D) might be employed as part of her overall treatment, these medicines are primarily used for conditions like psychosis and anxiety respectively, not specifically for depression or suicidal ideation. A special diet (Choice B) may be part of a comprehensive treatment plan, but it is not as immediate or as directly related to her current emotional and psychological state as suicide precaution is.

2. Which metabolic disease is characterized by poor healing, severe forms of periodontal disease, necrosis, xerostomia, and candidiasis?

• A. Hypopituitarism
• B. Diabetes mellitus
• C. Hyperthyroidism
• D. Renal disease

Correct answer: B

Rationale: Diabetes mellitus is the correct answer. It is associated with poor wound healing, severe periodontal disease, tissue necrosis, dry mouth (xerostomia), and an increased susceptibility to oral infections like candidiasis. Hypopituitarism, hyperthyroidism, and renal disease are not typically linked to the specific oral manifestations described in the question.

3. How would protein deficiency likely affect dental tissues?

• A. Decreased resistance to dental caries
• B. Increased tooth size
• C. Delayed tooth development
• D. Increased enamel mineralization

Correct answer: C

Rationale: Protein deficiency can lead to delayed tooth development as the body may not have enough resources to form teeth properly. This delay can make the teeth more susceptible to dental issues due to incomplete formation. Choices A, B, and D are incorrect. Decreased resistance to dental caries is more related to factors like poor oral hygiene and sugary diets, increased tooth size is not a common effect of protein deficiency on dental tissues, and increased enamel mineralization is not typically associated with protein deficiency.

4. Which type of medication is most likely to induce xerostomia?

• A. Antibiotics
• B. Diuretics
• C. Local anesthetics
• D. Anticholinergics

Correct answer: D

Rationale: The correct answer is D, Anticholinergics. Anticholinergic medications commonly cause xerostomia by inhibiting saliva production, leading to dry mouth. Antibiotics (choice A) are not typically associated with xerostomia. Diuretics (choice B) increase urine production but do not directly affect saliva production. Local anesthetics (choice C) are used to numb specific areas during dental procedures and do not induce xerostomia.

5. The component that should receive the highest priority before physical examination is the:

• A. Psychological preparation of the client
• B. Physical Preparation of the client
• C. Preparation of the Environment
• D. Preparation of the Equipments

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

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