Nursing Elites

1. Which type of assessment evaluates a person's risk of malnutrition by ranking key variables from the medical history and physical examination?

• A. Katz index
• B. integrated assessment
• C. subjective global assessment
• D. nutrition care plan

Correct answer: C

Rationale: The Subjective Global Assessment (SGA) is the correct choice. SGA is a comprehensive tool used to assess an individual's risk of malnutrition by integrating key variables from the medical history, physical examination, and other relevant factors. The Katz index is used to assess activities of daily living, not malnutrition risk. An integrated assessment refers to the overall evaluation process involving multiple assessments. A nutrition care plan is a personalized plan developed based on assessment findings, not the assessment itself.

2. Can bacterial plaque metabolize sucrose, lactose, and fructose? Is fructose, also known as levulose and found naturally in honey, less cariogenic than sucrose and lactose?

• A. Yes, bacterial plaque can metabolize these sugars, but no, fructose is not less cariogenic.
• B. No, bacterial plaque cannot metabolize these sugars, and fructose is not less cariogenic.
• C. Yes, bacterial plaque can metabolize these sugars, but no, fructose is not less cariogenic.
• D. No, bacterial plaque cannot metabolize these sugars, but yes, fructose is less cariogenic.

Correct answer: A

Rationale: The first statement is correct as bacterial plaque can indeed metabolize sucrose, lactose, and fructose. However, the second statement is inaccurate. Fructose, despite being found naturally in honey and known also as levulose, is not less cariogenic than either sucrose or lactose. This means that its consumption does not result in fewer cavities or tooth decay. Therefore, the correct answer is that bacterial plaque can metabolize these sugars, but fructose is not less cariogenic. Choices B, C, and D are incorrect because they either wrongly assert that bacterial plaque cannot metabolize these sugars or wrongly claim that fructose is less cariogenic.

3. What is the rationale in the use of bag technique during home visits?

• A. It helps render effective nursing care to clients or other members of the family
• B. It saves time and effort of the nurse in the performance of nursing procedures
• C. It should minimize or prevent the spread of infection from individuals to families
• D. It should not overshadow concerns for the patient

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.

4. What are the responsibilities of a nurse towards a patient?

• A. A registered nurse is responsible for a group of patients from their admission to their discharge
• B. A registered nurse only provides care for the patient with the assistance of nursing aides
• C. A nurse's only responsibility is to perform administrative duties in a healthcare setting
• D. A nurse's only responsibility is to maintain hospital equipment

Correct answer: A

Rationale: A registered nurse is responsible for a group of patients from their admission to their discharge. This responsibility encompasses assessing patient needs, formulating care plans, administering medications, monitoring patient progress, and coordinating with other members of the healthcare team. Choice B is not entirely accurate because, even though nurses often work with nursing aides, the nurses themselves hold the ultimate responsibility for the overall care of the patient. Choices C and D are incorrect as they depict an incomplete and inaccurate representation of a nurse's role, which extends beyond administrative duties and equipment maintenance to primarily focus on direct patient care.

5. The nurse understands that malnutrition is a prevalent issue among hospitalized individuals. What is it commonly associated with?

• A. Decreased health care expenses
• B. Elevated blood pressure
• C. Decreased mortality rates
• D. A compromised immune system

Correct answer: D

Rationale: Malnutrition is often associated with a weakened immune system. This is because when the body is not sufficiently nourished, it lacks the necessary nutrients to maintain a well-functioning immune system, making patients more vulnerable to infections and other health complications. This can potentially increase mortality rates and prolong hospital stays, contrary to choice C. Choices A and B are incorrect as malnutrition does not lead to decreased health care costs or high blood pressure. In fact, it may increase health care costs due to the potential for increased complications and extended hospital stays.

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