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1. A client has bilateral eye patches in place following an injury. When the client's food tray arrives, which of the following interventions should the nurse take to promote independence in eating?
- A. Assign an assistive personnel to feed the client.
- B. Explain to the client that their tray is here and guide their hands to it.
- C. Describe to the client the location of the food on the tray.
- D. Ask the client if they would prefer a liquid diet.
Correct answer: C
Rationale: When a client has bilateral eye patches, promoting independence in eating is crucial to maintain dignity and autonomy. Describing the location of the food on the tray enables the client to locate and feed themselves. Assigning assistive personnel to feed the client (Choice A) takes away their independence. Merely informing the client that the tray is here and guiding their hands to it (Choice B) does not empower the client to eat independently. Asking if the client prefers a liquid diet (Choice D) is not directly addressing the client's ability to independently eat the current meal.
2. A patient who is recovering from surgery should increase their intake of which nutrient to promote healing?
- A. Fats
- B. Carbohydrates
- C. Protein
- D. Fiber
Correct answer: C
Rationale: Protein is crucial for tissue repair and recovery after surgery. Proteins provide the building blocks necessary for tissue healing and regeneration. Fats are important for various bodily functions but are not as directly involved in tissue repair as proteins. Carbohydrates provide energy but do not play a primary role in tissue healing. Fiber is essential for digestive health but is not a nutrient that directly promotes tissue repair.
3. Which of the following is not correct?
- A. energy density is a comparison of energy (kcals) content to the weight of food
- B. if a food product contains a 15% daily value of calcium, that product is said to be a low source of calcium
- C. MyPlate illustrates the 5 food groups
- D.
Correct answer: B
Rationale: A product with 15% Daily Value (DV) of calcium is considered a good source, not a low source. Typically, anything 10-19% DV is considered a good source.
4. 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 She appears withdrawn, disheveled, and states 'Nobody wants me'.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.
5. Toilet training occurs in the anal stage of Freud’s psychosexual development. This is equivalent to Erikson’s:
- A. Trust vs. Mistrust
- B. Autonomy vs. Shame and Doubt
- C. Initiative vs. Guilt
- D. Industry vs. Inferiority
Correct answer: A
Rationale: The correct answer is A: Trust vs. Mistrust. In Freud's psychosexual development theory, the anal stage is where toilet training occurs, focusing on issues of control and independence. This stage is parallel to Erikson's Trust vs. Mistrust stage, where infants learn to trust or mistrust their caregivers based on the consistency of care they receive. Choices B, C, and D are incorrect as they correspond to different stages in Erikson's psychosocial development theory, not related to toilet training or the anal stage of Freud's theory.
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