Nursing Elites

1. You notice that Miss Kate, a bread vendor, receives and changes money, then holds the bread without washing her hands. As a nurse, what should you say to Miss Kate?

• A. Miss, don't touch the bread, I'll be the one to pick it up.
• B. Miss, please wash your hands before you pick up the bread.
• C. Miss, use a pick-up forceps when picking up the bread.
• D. Miss, your hands are dirty, I guess I'll try another bread shop.

Correct answer: B

Rationale: The correct answer is B, as it emphasizes the importance of hygiene in food handling, which is crucial to prevent the spread of germs and diseases. The other options do not address the root of the issue, which is the unhygienic handling of food. Option A avoids direct confrontation but does not educate the vendor on proper hygiene. Option C, although it suggests a hygienic method, may not be practical or available in all situations. Option D is an avoidance strategy rather than a way to address the problem.

2. Overweight and obesity often accompany conditions such as _____ that limit mobility or result in short stature, which can lead to feeding difficulties.

• A. Parkinson's disease
• B. muscular dystrophy
• C. Down syndrome
• D. multiple sclerosis

Correct answer: C

Rationale: The correct answer is C, Down syndrome. Down syndrome is often associated with short stature and limited mobility, which can contribute to feeding difficulties and obesity. Parkinson's disease (choice A) primarily affects motor function, but it is not typically associated with short stature. Muscular dystrophy (choice B) primarily impacts muscle strength and does not necessarily lead to short stature. Multiple sclerosis (choice D) is a neurological condition affecting the central nervous system and does not directly cause short stature or feeding difficulties as seen in Down syndrome.

3. Nonnutritive sweeteners are not metabolized by microorganisms and do not promote dental caries. Products made with a nonnutritive sweetener can be used as frequently as 8 to 10 times per day.

• 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: C

Rationale: The first statement is true; nonnutritive sweeteners do not promote caries. However, the second statement is false because products with nonnutritive sweeteners should still be consumed in moderation.

4. Cyanocobalamin is a form of which vitamin?

• A. Vitamin B1
• B. Vitamin B2
• C. Vitamin B3
• D. Vitamin B12

Correct answer: D

Rationale: Cyanocobalamin is a synthetic form of Vitamin B12. Vitamin B12 is essential for various bodily functions, including red blood cell formation, neurological function, and DNA synthesis. It is not to be confused with Vitamin B1, B2, or B3, which are separate vitamins with different roles in the body.

5. Which of the following best represents the goal of reflective listening?

• A. Repeating what the patient says
• B. Informing using direct advice
• C. Keeping the patient talking
• D. Warning the patient

Correct answer: C

Rationale: The correct answer is C. The goal of reflective listening is to keep the patient talking, allowing them to express their thoughts and concerns fully. Choice A, 'Repeating what the patient says,' is incorrect as reflective listening involves paraphrasing or summarizing rather than verbatim repetition. Choice B, 'Informing using direct advice,' is incorrect because reflective listening focuses on understanding the patient's perspective rather than providing direct advice. Choice D, 'Warning the patient,' is also incorrect as reflective listening aims to create a safe and open environment for the patient to share without feeling judged or warned.

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