Nursing Elites

1. Ms. ANA had a car accident where he lost her boyfriend. As a result, she became passive and submissive. The nurse knows that the type of crisis Ms. ANA is experiencing is:

• A. Developmental crisis
• B. Maturational crisis
• C. Situational crisis
• D. Social Crisis

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

2. When should a newborn transition to whole milk according to dietary teaching for breastfeeding parents?

• A. 6 months
• B. 8 months
• C. 10 months
• D. 12 months

Correct answer: D

Rationale: Breast milk or formula should be the primary source of nutrition for infants up to around 1 year of age. The transition to whole cow's milk is recommended at 12 months of age, not earlier. Introducing whole milk before 12 months can lead to digestive issues and nutrient deficiencies. Therefore, choices A, B, and C are incorrect as they suggest transitioning to whole milk before the recommended age of 12 months.

3. You are a researcher testing out the effects of a new food molecule—MEGA—on bone health. In order to know if it actually travels to bone cells in the body, you first need to find out if it gets absorbed in the bloodstream. You eat a food containing MEGA, and you measure the molecule in your urine and feces. You only detect MEGA in the feces. Was MEGA absorbed?

• A. No—absorbed compounds show up in urine, not feces
• B. Yes—absorbed compounds show up in feces, not urine
• C.
• D.

Correct answer: A

Rationale: If MEGA was only detected in feces and not in urine, it was not absorbed into the bloodstream. Absorbed compounds typically appear in urine after processing by the body. The correct answer is A because the presence of a compound in feces indicates that it was not absorbed by the body and passed through the digestive system. Choices B, C, and D are incorrect as they do not align with the process of absorption and excretion in the body.

4. Amy is a 68-year-old patient who has rheumatoid arthritis affecting her hands and feet. Which substance has been shown to reduce joint tenderness and improve mobility in some people with this type of arthritis?

• A. Alfalfa Tea
• B. Cod Liver Oil
• C. Lecithin
• D. Fish Oil

Correct answer: D

Rationale: Fish oil has been identified as a substance that can help reduce joint tenderness and improve mobility in individuals with rheumatoid arthritis, as it is rich in omega-3 fatty acids. Omega-3 fatty acids have anti-inflammatory properties that can help alleviate the symptoms of rheumatoid arthritis. On the other hand, while Alfalfa Tea, Cod Liver Oil, and Lecithin have various health benefits, there isn't substantial evidence to suggest that they can improve conditions associated with rheumatoid arthritis.

5. While evaluating the meal choices of a client with major depressive disorder and a prescription of Phenelzine, which of the following selections should the nurse identify as appropriate?

• A. Cheddar cheese
• B. Smoked salmon
• C. Strawberry yogurt
• D. Pepperoni pizza

Correct answer: C

Rationale: The correct answer is C, 'Strawberry yogurt.' This choice is appropriate because it does not contain high levels of tyramine, which can lead to a dangerous interaction with Phenelzine, a monoamine oxidase inhibitor. Tyramine-rich foods, like aged cheeses (such as cheddar cheese) and cured meats (like smoked salmon and pepperoni), should be avoided by individuals taking Phenelzine to prevent hypertensive crisis. Strawberry yogurt is a safer option for the client in this scenario.

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