Nursing Elites

1. In a therapeutic relationship, the nurse must understand own values, beliefs, feelings, prejudices & how these affect others. This is called:

• A. Therapeutic use of self
• B. Psychotherapy
• C. Therapeutic communication
• D. Self awareness

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. What level of sodium restriction would be included as part of nutrition therapy for heart failure?

• A. Less than 500 mg per day
• B. 1000 mg to 1500 mg per day
• C. 1500 mg to 3000 mg per day
• D. 3000 to 3500 mg per day

Correct answer: C

Rationale: The correct answer is 1500 mg to 3000 mg per day. This is the level of sodium restriction typically recommended for heart failure patients. It helps manage fluid retention and reduce blood pressure, which are both crucial in treating heart failure. A sodium intake of less than 500 mg per day (Choice A) might be too restrictive and is not typically recommended. Similarly, an intake of 1000 mg to 1500 mg per day (Choice B) falls short of the recommended range. Lastly, an intake of 3000 to 3500 mg per day (Choice D) exceeds the recommended upper limit, potentially exacerbating fluid retention and high blood pressure.

3. Which hormone is produced in fat tissue and helps regulate body fat by suppressing appetite?

• A. glucagon
• B. ghrelin
• C. leptin
• D. insulin

Correct answer: C

Rationale: The correct answer is C, leptin. Leptin is a hormone produced by fat cells that helps regulate energy balance by suppressing hunger, thus aiding in the regulation of body fat. Glucagon (choice A) is a hormone that raises blood glucose levels, ghrelin (choice B) stimulates appetite, and insulin (choice D) regulates blood sugar levels and promotes glucose uptake.

4. A nurse provides discharge instructions to a client about the food items that interact with warfarin effectiveness. Which food item indicates that the teaching was effective?

• A. Cauliflower
• B. Zucchini
• C. Green beans
• D. Broccoli

Correct answer: A

Rationale: Cauliflower is high in vitamin K, which can interact with warfarin.

5. A nurse is providing preventative information to a group of parents with toddlers about choking. Which food item should the nurse recommend for this age group?

• A. Banana slices
• B. Popcorn
• C. Hot dogs
• D. Carrot sticks

Correct answer: A

Rationale: Banana slices are the most suitable food option for toddlers to prevent choking. Toddlers are at a higher risk of choking due to their small airways and developing chewing abilities. Banana slices are soft, easy to chew, and less likely to cause choking compared to other options. Popcorn and hot dogs are common choking hazards for young children due to their shape and texture. While carrot sticks may be a healthy choice, they can also pose a choking risk due to their hardness and shape. Therefore, recommending banana slices to parents of toddlers is the safest choice to prevent choking incidents, making choice 'A' the correct answer. Choices 'B', 'C', and 'D' are incorrect because they can potentially cause choking in toddlers.

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