Nursing Elites

1. Which individual is making a food choice based on negative association?

• A. A tourist from China who rejects a hamburger due to unfamiliarity
• B. A child who spits out his mashed potatoes because they taste too salty
• C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
• D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.

2. What term describes foods that contain non-nutrient substances whose known action in the body is to promote well-being to a greater extent than that contributed by the food's nutrients?

• A. fortified foods
• B. enriched foods
• C. functional foods
• D. health-enhancing foods

Correct answer: C

Rationale: Functional foods are specifically designed to promote health benefits beyond basic nutrition. Fortified foods (choice A) are those with added nutrients that are not originally present, enriched foods (choice B) have nutrients added back that were lost during processing, and health-enhancing foods (choice D) is a vague and less specific term compared to functional foods.

3. What is a causative factor of Hirschsprung disease?

• A. Frequent evacuation of solids, liquids, and gases
• B. Excessive peristaltic movement
• C. Absence of parasympathetic ganglion cells in a portion of the colon
• D. One portion of the bowel telescoping into another

Correct answer: C

Rationale: The correct answer is C: Absence of parasympathetic ganglion cells in a portion of the colon. Hirschsprung disease is a congenital condition characterized by the absence of nerve cells (ganglia) in parts of the colon. This absence leads to a lack of peristalsis in the affected segment, resulting in severe constipation and bowel obstruction. Choices A, B, and D are incorrect. Choice A describes symptoms of diarrhea rather than a causative factor of Hirschsprung disease. Excessive peristaltic movement (choice B) is not a causative factor but rather the opposite, as Hirschsprung disease is associated with reduced peristalsis. Choice D, which refers to intussusception, is a different condition unrelated to Hirschsprung disease.

4. What dietary recommendation should be made to a child with iron-deficiency anemia?

• A. Increase intake of dairy products
• B. Include high-iron foods like spinach and meat
• C. Decrease protein intake
• D. Avoid all grains

Correct answer: B

Rationale: The correct recommendation for a child with iron-deficiency anemia is to include high-iron foods like spinach, red meat, and beans in their diet. These foods are rich sources of iron and can help address the deficiency. Choice A is incorrect as dairy products do not provide significant iron content. Choice C is incorrect because protein intake does not need to be decreased; in fact, lean meats are good sources of iron. Choice D is also incorrect as whole grains can be a part of a healthy diet and do not need to be avoided in this case.

5. How should pain be assessed in a nonverbal child?

• A. Ask the parents about the child’s usual behavior
• B. Observe the child’s facial expressions and body movements
• C. Measure the child’s blood pressure
• D. Use a pain rating scale for older children

Correct answer: B

Rationale: Observing the nonverbal child's facial expressions and body movements is crucial in assessing pain. Nonverbal children may not be able to communicate their discomfort verbally, making it essential to rely on physical cues. Asking parents about the child's usual behavior (choice A) may provide some insight but observing the child directly is more direct and reliable. Measuring blood pressure (choice C) is not typically a direct method for assessing pain in nonverbal children. Using a pain rating scale designed for older children (choice D) is also inappropriate for nonverbal children who cannot participate in such self-reporting tools.

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