Nursing Elites

1. An appropriate nursing diagnosis for clients in the acute manic phase of bipolar disorder is:

• A. Risk for injury directed to self
• B. Risk for injury directed to others
• C. Impaired nutrition less than body requirements
• D. Ineffective individual coping

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. A client with hypertension is being educated by a nurse about a heart-healthy diet. Which of the following statements indicates that the client understands the teaching?

• A. I will get 15% of my total daily calories from saturated fats.
• B. I will decrease the potassium in my diet.
• C. I will limit my daily sodium intake to 3 grams.
• D. I will eat five 8-ounce servings of fruit daily.

Correct answer: C

Rationale: The correct answer is C. Limiting daily sodium intake to 3 grams is crucial in managing blood pressure and is a fundamental aspect of a heart-healthy diet. High sodium intake can contribute to hypertension and cardiovascular issues. Choices A, B, and D are incorrect because getting 15% of daily calories from saturated fats, decreasing potassium intake, and eating five servings of fruit do not directly address the management of hypertension through sodium restriction.

3. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of 1999 entitled: "Adoption of a Nursing Specialty Certification Program and Creation of Nursing Specialty Certification Council." This rule-making power is called:

• A. Quasi-Judicial Power
• B. Regulatory Power
• C. Quasi-Legislative Power
• D. Executive/Promulgating Power

Correct answer: B

Rationale: The correct answer is B: Regulatory Power. Regulatory power involves the authority to create rules and regulations that govern a specific area. In this case, the PRC-Board of Nursing's release of Resolution No. 14 Series of 1999 for the Nursing Specialty Certification Program falls under regulatory power as it establishes guidelines and standards for nursing specialty certification. Choices A, C, and D are incorrect. Quasi-judicial power involves making decisions on rights and obligations, quasi-legislative power involves creating regulations with the force of law, and executive/promulgating power involves enforcing and implementing laws and regulations.

4. Which food has the highest calcium content?

• A. 1 cup of carrot strips
• B. 3 oz of canned salmon
• C. 1 plain baked potato
• D. 1 cup of chopped chicken breast

Correct answer: B

Rationale: The highest source of calcium among the given choices is the 3 oz of canned salmon. This is due to the presence of bones in canned salmon, which are rich in calcium. The other options, including 1 cup of carrot strips, 1 plain baked potato, and 1 cup of chopped chicken breast, do not contain as much calcium due to the nature of their composition and lack of bone content.

5. Is it correct that eliminating sucrose from the diet leads to a significant reduction in dental caries, and that the best advice is to consume sugar in moderation and limit the frequency of sugar exposure?

• A. Both statements are true
• B. Both statements are false
• C. The first statement is true; the second is false
• D. The first statement is false; the second is true

Correct answer: D

Rationale: The first statement is incorrect because dental caries are not solely caused by sucrose. They are the result of a complex interaction of multiple factors, including the type of bacteria in the mouth, the host's diet, oral hygiene, and salivary flow. The second statement is correct as consuming sugar in moderation and limiting the frequency of sugar exposure are indeed effective strategies to prevent dental caries. Therefore, the answer is option D: The first statement is false; the second is true.

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