Nursing Elites

1. What type of diet would most likely benefit a patient with cystic fibrosis?

• A. Low sodium
• B. Low fat
• C. Clear liquid
• D. High calorie, high protein

Correct answer: D

Rationale: Patients with cystic fibrosis often have malabsorption issues, leading to increased energy needs. A high-calorie, high-protein diet is recommended to help meet these needs, support growth, and maintain overall health. Choices A, B, and C do not address the specific dietary requirements associated with cystic fibrosis, making them less beneficial for these patients.

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 item is typically fortified with iodine to address iodine deficiency in the population?

• A. Flour
• B. Salt
• C. Canned vegetables
• D. Drinking water

Correct answer: B

Rationale: Iodized salt is the correct answer. Iodine deficiency can lead to thyroid problems, so iodine is added to salt to ensure an adequate intake of this essential nutrient. Flour is often fortified with other nutrients like folic acid, iron, and niacin, but not iodine. Canned vegetables and drinking water are not typically fortified with iodine to address deficiency in the population.

4. When carbohydrates are eliminated from the diet to lose weight, which nutrients are most likely to become insufficient?

• A. Iron, fiber, and protein
• B. Iron, fiber, and vitamin K
• C. Vitamin A and vitamin C
• D. Iron, fiber, and B vitamins

Correct answer: D

Rationale: Iron, fiber, and B vitamins are most likely to become insufficient when carbohydrates are eliminated from the diet to lose weight. Carbohydrates are a primary source of B vitamins and fiber in the diet. Iron can also be obtained from plant-based sources like legumes and whole grains, which are often eliminated when carbohydrates are restricted. Choices A, B, and C are incorrect because protein, vitamin K, vitamin A, and vitamin C are not primarily sourced from carbohydrates and are less likely to become insufficient solely due to carbohydrate elimination.

5. A healthcare provider is on a med-surg unit caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following menu selections should the healthcare provider recommend for this client?

• A. Fried catfish
• B. Broiled shrimp
• C. Pork sausage
• D. Grilled vegetables

Correct answer: D

Rationale: The correct answer is D: Grilled vegetables. Orthodox Judaism restricts the consumption of certain animals, including catfish, shrimp, and pork, making choices A, B, and C inappropriate for a client following these dietary laws. Grilled vegetables are a safe and suitable option that complies with Orthodox Jewish dietary guidelines.

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