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. Which mineral is important for the synthesis of thyroid hormones?

• A. Iron
• B. Zinc
• C. Iodine
• D. Magnesium

Correct answer: C

Rationale: Iodine is the correct answer. It is crucial for the synthesis of thyroid hormones by the thyroid gland. Without sufficient iodine, the thyroid cannot produce adequate amounts of hormones, leading to potential issues like hypothyroidism. Iron (Choice A), Zinc (Choice B), and Magnesium (Choice D) do not play a direct role in the synthesis of thyroid hormones, making them incorrect choices for this question.

3. What is the primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis?

• A. To promote healing and repair by ensuring an adequate and nutrient-dense diet
• B. To promote healing and repair by recommending consumption of only liquids for the first week
• C. To promote a balanced diet by recommending a variety of fibrous foods
• D. To encourage the patient to become accustomed to the prosthesis by eating as usual

Correct answer: A

Rationale: The primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis is to promote healing and repair. This can be achieved by ensuring the patient maintains an adequate and nutrient-dense diet. This is why option 'A' is the correct answer. Option 'B' is incorrect because while liquids are easier to consume with a new dental prosthesis, a diet consisting only of liquids for a week may not provide all necessary nutrients. Option 'C' is incorrect because while a variety of fibrous foods can contribute to a healthy diet, it's not specifically relevant to the healing and adjustment to a new dental prosthesis. Option 'D' is incorrect because eating as usual may not be feasible or comfortable for a patient with a new prosthesis, and it doesn't specifically focus on promoting healing and repair.

4. Persons experiencing crisis becomes passive and submissive. As a nurse, you know that the best approach in crisis intervention is to be:

• A. Active and Directive
• B. Passive friendliness
• C. Active friendliness
• D. Firm kindness

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.

5. The RDA for iron is higher in premenopausal women than for men or postmenopausal women because of the blood loss during menstruation.

• A. Both the statement and the reason are correct and related.
• B. Both the statement and the reason are correct but are not related.
• C. The statement is correct, but the reason is not correct.
• D. The statement is not correct, but the reason is correct.

Correct answer: A

Rationale: Both the statement and the reason are correct and related. The Institute of Medicine (IOM) recommends 18 mg of iron per day for women 19 to 50 years old, 8 mg/day for women 51 years old and older, and men 19 years old and older. During menstruation, women lose blood containing iron, leading to a higher iron requirement in premenopausal women compared to men or postmenopausal women. This increased demand aims to replenish the iron lost during this physiological process. Therefore, the statement and reason are directly linked, explaining why the RDA for iron is higher in premenopausal women than in men or postmenopausal women. Choices B, C, and D are incorrect as they do not accurately assess the relationship between the statement and the reason provided in the question.

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